Physiotherapy Practice and Research最新文献

{"title":"Pulmonary rehabilitation and inspiratory muscle training for patients following lung transplantation: A pilot study","authors":"Nissan Graur, R. Dickstein, P. Weiner, I. Weiss, M. Kramer","doi":"10.3233/ppr-210574","DOIUrl":"https://doi.org/10.3233/ppr-210574","url":null,"abstract":"BACKGROUND: Lung transplantation (LTx) is an established treatment option for patients with end-stage lung diseases. Nevertheless, exercise intolerance, respiratory muscle function impairment, functional disability, and peripheral muscle weakness often persist following LTx. PURPOSE: To examine the effectiveness of a pulmonary rehabilitation (PR) program and home-based inspiratory muscle training (IMT) alone or in combination, in post lung transplantation (LTx) patients. METHODS: In a prospective pilot study a sample of 22 patients who had undergone LTx 4–18 months prior, were randomized to groups of PR alone, or combined with home-based IMT, or IMT alone, for six months: four months in the intervention program and two months of follow-up. Inspiratory muscle strength was assessed by measuring the maximal inspiratory pressure (MIP). RESULTS: There was a statistically significant increase in MIP values as well as in the 6-min-walk-test, only in the PR combined with home-based IMT, and IMT exercise groups. From baseline after 2- and 4-months intervention and at 6-months at follow-up, there was a statistically significant correlation between MIP and Maximum Voluntary Ventilation (MVV) values. CONCLUSIONS: Pulmonary rehabilitation (PR) program combined with inspiratory muscle training (IMT) or home-based IMT alone, in post lung transplantation patients, seems to be the best exercise combination for achieving the optimal effect, in inspiratory muscle strength and exercise capacity, with evidence for long-term benefits. Patients should be encouraged to participate in a PR program that includes home-based IMT exercise, especially in times of restricted mobility, as currently due to the Covid-19 pandemic.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47858555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender, activity participation, education levels, and depressive symptoms predict activity participation levels at post-cardiac rehabilitation","authors":"Young Joo Kim, Damon L. Swift, J. Houmard, Qiang Wu, S. Sears, A. M. Paul","doi":"10.3233/ppr-210586","DOIUrl":"https://doi.org/10.3233/ppr-210586","url":null,"abstract":"BACKGROUND: Little is known about predictors of activity participation that are objectively measured in cardiac rehabilitation (CR) graduates. This prospective observational study aimed to determine the predictors of objectively measured activity participation among adults with chronic cardiac conditions who have completed Phase II CR. METHODS: Twenty-five adults with chronic cardiac conditions graduating from traditional CR program participated in the study. The outcome variable was an activity participation level measured by light-to-vigorous intensity physical activity (LVPA) minutes using ActiGraph GT9X Link accelerometer after CR discharge. Covariates were collected at the discharge from CR, and outcome variables were collected at 1 month, 3 months, and 9 months post CR discharge. RESULTS: Gender, standardized LVPA at CR discharge, body mass index, and motivation for physical activity and leisure were significantly associated with the activity participation levels at 1 month, 3 months, and/or 9 months post CR discharge. Gender, standardized LVPA at CR discharge, highest education completed, and depressive symptoms significantly predicted the activity participation levels at 1 month (R2  = 0.69, p <  0.001), 3 months (R2  = 0.65, p <  0.001), and/or 9 months (R2  = 0.80, p <  0.001) post CR discharge. Female CR participants who were more active, had more than high school education, and showed more depressive symptoms at CR discharge were more likely to be active post CR. CONCLUSIONS: CR participants may benefit from individualized approach to plan their days post CR and application-focused and education-level sensitive sessions to understand the importance of activity participation maintenance post CR.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46760424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of kinesio taping on shoulder maximal voluntary contraction, proprioception and upper limb reaction time in recreational badminton players: A randomized placebo controlled trial","authors":"Payal Mehta, A. Prabhakar, Charu Eapen","doi":"10.3233/ppr-210522","DOIUrl":"https://doi.org/10.3233/ppr-210522","url":null,"abstract":"BACKGROUND: Despite recent gain in popularity and the proposed theories of effectiveness of kinesio taping (KT), there remains a lack of sufficient literature on the effect of kinesio taping on maximal voluntary contraction, proprioception and upper limb reaction time. OBJECTIVE: To assess the effect of kinesio taping and fatigue on maximal voluntary contraction, proprioception of the shoulder and upper limb reaction time in recreational badminton players. PARTICIPANTS: 40 recreational badminton players were included in the study. METHODS: The subjects were randomly allocated into–1) the KT group and 2) Placebo group. Maximal voluntary contraction, proprioception and reaction time was measured before the application of KT to the shoulder and after 35 minutes of playing badminton with KT. ANALYSIS: Wilcoxin signed rank test was used for within group comparison and Mann Whitney U test was used for between group comparison. RESULTS: For proprioception within group comparison showed a significant difference at 60° of flexion and 120° of abduction in the control group. On comparison of change in effect size, a significant difference was seen at 60°, 90° of flexion and at 90° of external rotation. For maximal voluntary contraction, between group comparison showed a significant difference in all muscle groups except for the internal rotators.For reaction time, a significant difference was seen on between group comparison. (p <  0.05) CONCLUSION: Kinesio taping may help in maintaining proprioception and strength of the shoulder and improving reaction time in badminton players even after a fatiguing game.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46254258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early rehabilitation treatment in hospitalized patients with severe COVID-19: Effects on autonomy and quality of life","authors":"Rosanna Izzoa, Carmen Zincarellib, Michele Onufrioc, Adriana D’Alessioc, Giovanni Di Ruoccoa, Matteo Nicola Dario Di Minnod, Annaitalia Pisacretac","doi":"10.3233/PPR-220667","DOIUrl":"https://doi.org/10.3233/PPR-220667","url":null,"abstract":"PURPOSE: The aim of our study is to evaluate effects of early rehabilitation treatment in hospitalized patients with severe COVID-19, in order to improve patients' autonomy and quality of life. METHODS: This observational study has been performed in hospitalized patients with severe COVID-19. All patients were evaluated at T0 using specific scales: Modified Barthel Index (MBI) for autonomy in ADL, Mini Mental State Examination (MMSE) for cognitive status, Borg scale for dyspnoea, EQ5D scale for quality of life. In absence of contraindications for the rehabilitation treatment, patients start early a rehabilitation protocol consisting of one session (30 minutes) per day, for 2 to 3 weeks;these scales have been repeated at patient's demission (T1). RESULTS: 70 patients (37 women and 33 men, with average age of 71 years) with severe COVID-19 were included in the study. After rehabilitation treatment, MBI increases statistically significantly from T0 to T1 (39.8±35.0 with 95% CI 31.6-48, vs 69.8±38.1 with 95% CI 60.8-78.7, p < 0.001);besides MBI at T0 correlates inversely and statistically significantly with all EQ-5D variables at T0, similarly at T1 (p < 0.001), indicating the improvement of autonomy and therefore of the quality of life. The MMSE correlates statistically significantly with MBI at T0 and T1 (r = 0.569, r = 0.747 respectively, p < 0.001), indicating that an adequate cognitive status is connected with a greater increase in autonomy in ADL after rehabilitation treatment. MBI correlates directly and significantly with the PaO2/FiO2 value both at T0 and T1 (r = 0.263 with p = 0.039, r = 0.389 with p = 0.023 respectively), indicating that improving the oxygen exchanges also improves the patient's autonomy. CONCLUSIONS: An early rehabilitation treatment should promote autonomy and a better quality of life in patients with COVID-19. © 2022-IOS Press. All rights reserved.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70157067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between gait kinematics, gross motor function and physical activity among young people with cerebral palsy: A cross sectional study","authors":"J. Ryan, G. Lavelle, M. Noorkoiv, D. Kiernan, N. Theis, Úna Little, A. Shortland, A. Malone","doi":"10.3233/ppr-200411","DOIUrl":"https://doi.org/10.3233/ppr-200411","url":null,"abstract":"INTRODUCTION: The aim of this study was to investigate the association between gait parameters, gross motor function and physical activity (PA) in young people with cerebral palsy (CP). METHODS: Thirty-eight adolescents aged between 10–19 years with spastic CP in GMFCS levels I-III (mean [standard deviation] age 13.7 [2.4] yr; 53%female) were included in this cross-sectional study. Hip, knee and ankle joint excursion and stance time was assessed using 3D gait analysis. Self-selected walking speed was assessed during a timed 10 m overground walk and treadmill walking. Gross motor function was assessed using dimensions D and E of the Gross Motor Function Measure (GMFM-66). Moderate-to-vigorous PA, light PA and step-count were assessed using an accelerometer. Linear regression was used to examine associations. RESULTS: After adjusting for age, sex and GMFCS level, percentage stance time was associated with dimension E of the GMFM-66 (β= –0.29, 95%CI –0.54 to –0.05). There was no evidence that any other gait parameters were associated with GMFM-66 dimensions D or E. There was also no evidence that gait parameters or GMFM-66 dimensions D or E were associated with step-count or time in PA after adjusting for age, sex and GMFCS level. DISCUSSION: The findings provide an insight into the complexity of the relationship between gait quality or ability at the impairment level, function as measured in a controlled environment, and the performance of habitual PA, which is essential for health among children with CP.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47077847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial to Physiotherapy Practice and Research volume 42 issue 2","authors":"O. O'Shea, J. Moran","doi":"10.3233/ppr-219003","DOIUrl":"https://doi.org/10.3233/ppr-219003","url":null,"abstract":"","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45874385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between recently diagnosed cancer and incidence of falling in older adults: An exploratory study","authors":"D. Tough, A. Batterham, K. Loughran, J. Robinson, J. Dixon, C. Ryan, S. Wellburn, S. Harrison","doi":"10.3233/ppr-210511","DOIUrl":"https://doi.org/10.3233/ppr-210511","url":null,"abstract":"INTRODUCTION: More than one in three older adults (≥65 years) fall within a two-year period. Over one third of cancer diagnoses are among people aged ≥75 years. Falls research in the UK cancer population is limited and contradictory. The aim of this study was to explore the association between a cancer diagnosis and incidence of falls in older adults in England. METHODS: Data were extracted from the English Longitudinal Study of Ageing (an ongoing panel study) collected between 2002 and 2014, consisting of a representative cohort of older adults living in England. Baseline data were collected within two-years of a cancer diagnosis. Falls data were extracted from the subsequent two-year period. The unexposed group included those with no chronic conditions. The fully adjusted logistic regression analysis model included age, sex, wealth, and education level as covariates. We defined odds ratios between 0.67 and 1.5 as the region of practical equivalence. RESULTS: A total of 139 people had a type of cancer (exposed group) (Breast = 18.7%, Colon, Rectum or Bowel = 14.4%, Melanoma or Skin = 7.2%, Lung = 4.3%, Somewhere else = 51.8%) (70.6±7.1 years; 58.3%male) with 3,899 in the unexposed group (69.5±7.3 years; 54.6%male). The fully-adjusted odds ratio was 1.21 (95%CI: 0.81 to 1.82; P = 0.348). The probability of falling among the exposed group was 22.7%versus 19.5%for the unexposed group. CONCLUSION: The cancer and control groups were not statistically equivalent for falls incidence, and a meaningful positive association between cancer and falls cannot be ruled out. Further research is required to elucidate this relationship.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44195913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does a bespoke education session change levels of catastrophizing, kinesiophobia and pain beliefs in patients with patellofemoral pain? A feasibility study","authors":"Jonathan James, J. Selfe, P. Goodwin","doi":"10.3233/ppr-210529","DOIUrl":"https://doi.org/10.3233/ppr-210529","url":null,"abstract":"OBJECTIVES: To assess the feasibility of a 30-minute education session for patients with patellofemoral pain on levels of catastrophizing and kinesiophobia. DESIGN: Randomised feasibility study SETTING: Three sites within a single NHS Organisation in England. PARTICIPANTS: Thirty-one adult patients were screened for inclusion, resulting in twenty-four who had a clinical diagnosis of patellofemoral pain being randomised equally to either the intervention or control group. INTERVENTION: Participants were randomised to either control or intervention conditions; both received standardized physiotherapy while the intervention/experimental group received a 30-minute educational session addressing causes of pain, beliefs about noise that comes from the joint, the impact of the pain on activity, the influence of other family members’ experience and beliefs about knee pain. Intervention participants were also given an education leaflet: ‘Managing My Patellofemoral Pain’. MAIN OUTCOMES: recruitment, retention, intervention fidelity. Patient reported outcome measures (PROMs): Knee injury and Osteoarthritis Outcome Score for patellofemoral pain and osteoarthritis (KOOS-PF), Pain Catastrophizing Scale (PCS) and Tampa Scale for Kinesiophobia (TSK). RESULTS: The study was successful in recruiting and retaining participants and was delivered as intended. In addition, sufficient clinical data were generated to calculate the required sample size for a future study of efficacy CONCLUSIONS: This study which featured a 30-minute education session targeting levels of catastrophizing and kinesiophobia is feasible and identified that the TSK may be the most appropriate PROMs for a future study of efficacy of this intervention. Allowing for a drop out of 20%as identified in similar studies, 86 participants (per arm) in a two-arm study would be required for a traditional randomised controlled trial design.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42208872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Airway clearance techniques for patients experiencing acute exacerbations of chronic obstructive pulmonary disease in the Republic of Ireland","authors":"Ciara Hanrahan, K. Pedlow, C. Osadnik","doi":"10.3233/ppr-200499","DOIUrl":"https://doi.org/10.3233/ppr-200499","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Airway clearance techniques (ACTs) are used by physiotherapists with the purpose of clearing sputum from bronchial airways. They are commonly prescribed for patients experiencing acute exacerbations of chronic obstructive pulmonary disease (AECOPD), however large variability in practice is commonly observed. This study aimed to explore current physiotherapy practice regarding ACTs for people with AECOPD in the Republic of Ireland. METHOD: An online survey was distributed to physiotherapy clinicians via direct email and the Irish Society of Chartered Physiotherapists. Main survey themes, identified from previous studies using the same survey tool, included current practice in relation to use of ACTs, perception of their effectiveness, clinical reasoning and awareness of the literature and guidelines. For the purpose of this study, ACTs were defined as techniques used by a physiotherapist for the purpose of clearing sputum from patients’ airways. RESULTS: 202 surveys were distributed and seventy responses (35%) were received. The majority of respondents (n = 56, 80%) reported prescribing ACTs for more than 60%of patients with AECOPD, the most common techniques being physical activity (n = 65, 93%) and active cycle of breathing techniques (n = 53, 90%). Sputum management (n = 66, 94%) was the most commonly reported indicator for use of ACTs. The majority of physiotherapists (n = 42, 60%) reported being unsure of the literature regarding ACTs in AECOPD. CONCLUSION: The response rate to this survey was low, however results show that physiotherapists in the Republic of Ireland regularly prescribe ACTs for patients with AECOPD. Physical activity and active cycle of breathing techniques were the most commonly used ACTs and perceived to be the most effective techniques in AECOPD, with sputum management the most commonly reported indicator for use. Further research is required to explore not only physiotherapists clinical reasoning in relation to the use of ACTs for AECOPD and the perceptions of their effectiveness, but also the lack of awareness of the literature and guidelines.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48743571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapists are knowledgeable about sport-related concussion","authors":"W. A. Al Attar, M. Husain","doi":"10.3233/ppr-210537","DOIUrl":"https://doi.org/10.3233/ppr-210537","url":null,"abstract":"PURPOSE: Sport-related concussions (SRC) are common, especially in rugby (3.00 incidents per 1000 athletic exposures) and American football (0.08 per 1000 athletic exposures). Physiotherapists should be aware of how to assess and manage cases with SRC. The purpose of this study was to assess the knowledge of SRC among physiotherapists. METHODS: The self-administered survey consisted of 16 questions related to physiotherapists’ knowledge in managing SRC patients, case identification, and preventive measures. Countries were divided into regions based on World Physiotherapy regions. Data were analysed using a one-way Analysis of Variance (ANOVA) with Tamhane’s T2 post hoc test. RESULTS: A total of 276 male (53.4 %) and 241 female (46.6%) physiotherapists participated. The survey scores ranged from 40%to 100%, with an average score of 62.7%. A master’s degree was the highest educational qualification (46.4%) recorded. There was a difference in the score based on participant qualifications (Welch’s F (4, 58.37) = 15.03, p <  0.001). Participants with a Doctor of Philosophy (PhD) degree (73.8±14.6%) or a fellowship (73.0±19.5%) or a masters’ degree (MSc) (62.7±18.5%) obtained greater scores than participants holding a bachelors’ degree (56.7±13.8%, p <  0.001). Furthermore, there was no difference in the survey score based on participants’ region (Welch’s F (4, 143.3) = 0.08, p = 0.988). CONCLUSIONS: The results suggested that many physiotherapists worldwide are aware of the current SRC assessment and management guidelines.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43912404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}