Physiotherapy Practice and Research最新文献_第7页

Older adults’ experience of active computer gaming for falls prevention exercise: A mixed methods study 老年人积极电脑游戏预防跌倒运动的经验:一项混合方法研究

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Physiotherapy Practice and Research Pub Date : 2021-08-26 DOI: 10.3233/ppr-210544

S. Howes, Iseult M. Wilson, K. Pedlow, Dominic E. Holmes, D. Charles, S. McDonough

{"title":"Older adults’ experience of active computer gaming for falls prevention exercise: A mixed methods study","authors":"S. Howes, Iseult M. Wilson, K. Pedlow, Dominic E. Holmes, D. Charles, S. McDonough","doi":"10.3233/ppr-210544","DOIUrl":"https://doi.org/10.3233/ppr-210544","url":null,"abstract":"PURPOSE: This mixed methods study explored older adults’ experience using a bespoke active computer gaming (ACG) system designed to deliver falls prevention exercise. METHODS: Usability, acceptability and safety were evaluated through observation of system use, questionnaires, in-system ratings, and semi-structured interviews. Quantitative and qualitative data were synthesised concurrently to provide a deeper understanding of older adults’ experience with the system. RESULTS: N = 7 older adults (aged 73–88 years, most with increased fear of falling, and over half with reduced physical functioning) completed up to six uses of the system. Observations and qualitative feedback suggested that older adults’ experience with the system was influenced by physical health changes associated with ageing. Overall feedback after using the system was positive. Social support, from either the clinician or a peer, was a key theme influencing experience. CONCLUSIONS: Findings suggested that autonomous use of the system may not be feasible given the requirement and preference for social support.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44500216","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}

引用次数: 0

Exercise as a treatment for clinical depression in adults and progressing the physiotherapists role: A systematic review and meta-analysis 运动作为成人临床抑郁症的治疗方法和理疗师的作用:系统回顾和荟萃分析

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Physiotherapy Practice and Research Pub Date : 2021-07-14 DOI: 10.3233/PPR-210512

Mary E. Davis, N. McGrane

{"title":"Exercise as a treatment for clinical depression in adults and progressing the physiotherapists role: A systematic review and meta-analysis","authors":"Mary E. Davis, N. McGrane","doi":"10.3233/PPR-210512","DOIUrl":"https://doi.org/10.3233/PPR-210512","url":null,"abstract":"BACKGROUND: There has been extensive literature examining the efficacy of exercise interventions in the treatment of depression over the past few decades. However, there is ongoing debate regarding the optimal dosage and the implications of utilising physiotherapists for the management of clinically depressed adults using exercise has not been examined. OBJECTIVES: This review aimed to examine the effectiveness of exercise as a treatment for depression (without comorbidities) and to determine the most effective dosage/mode to treat this population. This review strived to appraise the literature for a potential role for physiotherapists in depression management. METHODS: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, a search for randomized controlled trials was conducted on the nine databases. All studies were appraised for quality using the Physiotherapy Evidence Database (PEDro) scale and Cochrane Risk of Bias Tool (RoB). Data was manually extracted, and pre- and post-intervention depression scores and program variables were analysed. RESULTS: Of the 5036 papers retrieved, 7 papers met this review’s inclusion criteria. The results of the meta-analysis reveal that exercise as a sole treatment and as an add-on is significantly effective in reducing depressive symptoms. The findings support the use of moderate intensity aerobic exercise for three sessions per week. CONCLUSIONS: Exercise was shown to significantly improve depressive symptoms in depressed adults. This review adds to the growing body of evidence regarding the important role of physiotherapists in the treatment of psychiatric disorders in the design and implementation of exercise interventions.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-210512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45486347","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}

引用次数: 2

Prevalence of urinary incontinence in a cohort of women with obesity 一组肥胖女性尿失禁的患病率

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Physiotherapy Practice and Research Pub Date : 2021-07-14 DOI: 10.3233/PPR-200490

Giulia Trotti, V. Aspesi, Lorena De Ambroggi, V. Cimolin, Ionathan Seitanidis, L. Brugliera, P. Capodaglio

{"title":"Prevalence of urinary incontinence in a cohort of women with obesity","authors":"Giulia Trotti, V. Aspesi, Lorena De Ambroggi, V. Cimolin, Ionathan Seitanidis, L. Brugliera, P. Capodaglio","doi":"10.3233/PPR-200490","DOIUrl":"https://doi.org/10.3233/PPR-200490","url":null,"abstract":"INTRODUCTION: Urinary incontinence (UI) is frequently associated with obesity. The prevalence of the different UI types in women with obesity remains scarcely investigated and controversial. OBJECTIVE: The goal of this study was to investigate the prevalence of the different types of UI (stress urinary incontinence, SUI, urge, UUI, or mixed, MUI) in a large sample of female patients with obesity by means of a specific questionnaire and non-invasive tests. METHODS: In this observational study, 248 obese female patients (BMI≥30 Kg/m2, age: 62.8 + 10.9 years) admitted to hospital from April 2019 to September 2019 for a multidisciplinary rehabilitation program were recruited for this study. The International Consultation on Incontinence Questionnaire - short form (ICIQ-sf) was used to screen the presence of symptoms of UI and to differentiate the different UI types. Patients with ICIQ-sf score≥4, were asked to undertake the Pad Test for quantifying urine leaks under stress. RESULTS: 61.69%of our sample presented UI symptoms. The prevalence of UI appears to be lower in younger age groups (57%in 31–46 years of age and 52%in 47–62 years of age) and higher (69%) between 63 and 79 years of age. MUI was the most frequent form (57.5%), followed by UUI (21.5%) and SUI (20.9%). SUI was most prevalent in younger participants (31–46 years old). CONCLUSION: This study demonstrated that UI has a high prevalence in females with obesity and it is not an exclusive concern of older women. This high prevalence calls for specific rehabilitation interventions within multidisciplinary programs.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200490","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47757757","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}

引用次数: 0

Pre-habilitation for patients awaiting total knee replacement in the United Kingdom National Health Service: A review of publicly facing information 英国国家卫生服务局等待全膝关节置换术患者的预适应：对公开信息的审查

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Physiotherapy Practice and Research Pub Date : 2021-07-14 DOI: 10.3233/PPR-210548

G. Stephens, Ahmed Maarabouni, G. Mansell, C. Littlewood

{"title":"Pre-habilitation for patients awaiting total knee replacement in the United Kingdom National Health Service: A review of publicly facing information","authors":"G. Stephens, Ahmed Maarabouni, G. Mansell, C. Littlewood","doi":"10.3233/PPR-210548","DOIUrl":"https://doi.org/10.3233/PPR-210548","url":null,"abstract":"INTRODUCTION: Approximately 14,000 –21,500 individuals per year are dissatisfied with the outcome of their Total Knee Replacement (TKR) in the UK National Health Service (NHS). National Institute of Clinical Excellence (NICE) guidelines recommend that future research should evaluate whether a ‘full programme of pre-habilitation’ can improve outcomes for patients awaiting TKR. The aim of this review was to describe current pre-habilitation practice for patients awaiting TKR in the UK NHS, to inform future research. METHODS: Two reviewers independently undertook electronic searches for publicly available information sheets (PIS) from websites of UK NHS Trusts that included detail about pre-habilitation for patients awaiting TKR. One reviewer extracted data, and a second reviewer verified this. RESULTS: Fifty PIS, nine information videos and one web page from 59 NHS Trusts were identified. NHS Trusts most commonly provide patients with advice on pre-operative rehabilitation via a single appointment, combined with a PIS (36/59; 61.0%). NHS Trusts use appointments, PIS and video to provide patients awaiting TKR with information regarding pain control (46/58; 79.3%), exercise therapy (46/58; 79.3%), what to expect on the day of surgery and in-patient stay (58/58; 100%), lifestyle interventions (27/58; 46.6%), and adverse events (44/58; 75.9%). CONCLUSION: NHS Trusts commonly provided patients awaiting TKR with ‘advice on pre-operative rehabilitation’, however no NHS Trust provided a comprehensive programme of pre-habilitation. The results of this study will inform the development of a comprehensive, multi-modal pre-habilitation programme, to be tested in a future high-quality randomised controlled trial.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-210548","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45159412","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}

引用次数: 0

Editorial 编辑

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Physiotherapy Practice and Research Pub Date : 2021-06-07 DOI: 10.3233/ppr-219001

O. O'Shea, J. Moran

引用次数: 0

Orthoses: Basic science, myths and future direction Orthoses：基础科学、神话和未来方向

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Physiotherapy Practice and Research Pub Date : 2021-06-07 DOI: 10.3233/PPR-219002

Conor Mc Hugh

引用次数: 0

What is the impact of early rehabilitation following rotator cuff repairs on clinical and biomechanical outcomes? A randomised controlled trial 肩袖修复后早期康复对临床和生物力学结果的影响是什么?一项随机对照试验

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Physiotherapy Practice and Research Pub Date : 2021-05-12 DOI: 10.3233/ppr-200489

B. Mazuquin, Punnet Monga, S. Basu, J. Selfe, J. Richards

{"title":"What is the impact of early rehabilitation following rotator cuff repairs on clinical and biomechanical outcomes? A randomised controlled trial","authors":"B. Mazuquin, Punnet Monga, S. Basu, J. Selfe, J. Richards","doi":"10.3233/ppr-200489","DOIUrl":"https://doi.org/10.3233/ppr-200489","url":null,"abstract":"BACKGROUND: The number of rotator cuff repairs performed worldwide is increasing every year. However, there are still controversies regarding when rehabilitation after surgery should start. OBJECTIVES: To assess and to compare clinical and biomechanical outcomes of patients who were randomised and allocated to early or conservative rehabilitation after rotator cuff repairs. METHODS: Twenty patients were randomised to two treatment groups. The biomechanical assessments were performed before surgery and at three and six months, consisting of 3D kinematics and muscle activity from 5 muscles (upper trapezius, anterior deltoid, middle deltoid, posterior deltoid and biceps brachii) from six movement tasks. In addition, the Oxford Shoulder Score and EQ-5D-5L were also recorded. At 12 months an ultrasound scan was performed to check the repair integrity. RESULTS: Overall, both groups had similar results for function and health-related quality of life. However, at six months patients in the early group had better range of motion (ROM) than those in the conservative group, especially for shoulder flexion (Early: median = 152.1° vs Conservative: median = 140.0°). The number of re-tear events was higher in the early group (5 vs 1), and of these only two patients reported symptoms at 12 months. CONCLUSION: Early rehabilitation may improve ROM but it does not seem to be superior to a conservative management in improving function and quality of life. In addition, more re-tear events were observed in the early group. However, the results should be interpreted with caution due to the small sample size. Keywords:","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/ppr-200489","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48403545","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}

引用次数: 0

Kinesio tape in paediatric physiotherapy: A content analysis of practitioner experience 肌内效贴在儿科物理治疗中的应用:实践者经验的内容分析

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Physiotherapy Practice and Research Pub Date : 2021-04-26 DOI: 10.3233/PPR-200459

C. Smart, K. Murphy, Kristen Andrews, D. Gregory

{"title":"Kinesio tape in paediatric physiotherapy: A content analysis of practitioner experience","authors":"C. Smart, K. Murphy, Kristen Andrews, D. Gregory","doi":"10.3233/PPR-200459","DOIUrl":"https://doi.org/10.3233/PPR-200459","url":null,"abstract":"INTRODUCTION: Kinesio tape (KT) is an emerging tool in paediatric physiotherapy. A small body of research suggests KT is efficacious with some children, but clinical guidelines are not yet available. The aim of this study was to gather physiotherapists’ practices and experiences using KT with children. The focus was on why, where, how, and how long physiotherapists use KT with children, and the outcomes they observe, to guide future experimental research. METHOD: Nine Australian physiotherapists, each with at least two years of experience using KT with children, were recruited. All nine physiotherapists completed a largely open-ended online survey, and three of these physiotherapists participated in a brief follow-up telephone interview. Basic content analysis was conducted. RESULTS: The physiotherapists’ practices and experience with KT largely related to four themes: (1) taping for muscle activation; (2) gait and posture outcomes; (3) child tolerance limiting effectiveness; and (4) inconsistent application methods and treatment durations. CONCLUSION: Physiotherapists in this study used KT to serve a variety of purposes, it was mainly considered beneficial for improving gait and posture. However, there was little agreement regarding how to apply it, for how long, and the exact nature of its benefits. Empirical research is also lacking on these questions. The effectiveness of KT as an adjunct therapy for improving children’s posture and gait warrants further investigation. Research comparing specific taping application methods and durations will be valuable in guiding physiotherapists’ practice.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":"1-9"},"PeriodicalIF":0.2,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47863476","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}

引用次数: 1

Physiotherapists’ attitudes and practices towards physiologic monitor alarms in critical care: A single-centre pilot study 物理治疗师对重症监护中生理监测警报的态度和做法:一项单中心试点研究

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Physiotherapy Practice and Research Pub Date : 2021-04-26 DOI: 10.3233/PPR-200468

Deirdre O’Dowd, A. Harte, C. O’Sullivan

{"title":"Physiotherapists’ attitudes and practices towards physiologic monitor alarms in critical care: A single-centre pilot study","authors":"Deirdre O’Dowd, A. Harte, C. O’Sullivan","doi":"10.3233/PPR-200468","DOIUrl":"https://doi.org/10.3233/PPR-200468","url":null,"abstract":"BACKGROUND: Desensitisation to alarms, or alarm fatigue, is a concern for healthcare staff. Little is known about how physiotherapists relate to, or are affected by clinical alarms. This pilot study aimed to explore physiotherapists’ attitudes and practices towards physiologic monitor alarms (PMA) in critical care. METHODS: An online survey of physiotherapists with critical care experience working at a Model 4 Irish Hospital. A sample of convenience was used with all eligible physiotherapists invited to complete the online survey via email (n = 33). Demographic information was captured, as well as information on experiences, practices, and barriers and facilitators to managing PMA. RESULTS: The response rate was 76% (25/33). All respondents worked on-call and weekends, with one respondent managing a current day-to-day critical care caseload. The majority of respondents (20/25, 80%) perceived all PMA as clinically important, but a workplace distraction (19/25, 76%). Negative emotions were commonly experienced by respondents on hearing PMA. All respondents (25/25, 100%) reported to notice their patient’s PMA, feeling they had a responsibility to respond. Respondents indicated varying levels of self-confidence in responding to PMA but commonly assessed the cause of the alarm (24/25, 96%) and checked the patient’s condition (24/25, 96%). Education and training was identified as a key barrier and facilitator for physiotherapists in terms of managing alarms in critical care. CONCLUSION: This study provides preliminary data on physiotherapists’ attitudes and practices towards PMA in critical care. Additional studies are necessary in order to verify the findings of this pilot study and further explore alarm fatigue amongst critical care physiotherapists.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":"1-10"},"PeriodicalIF":0.2,"publicationDate":"2021-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44186337","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}

引用次数: 1

Survey of physical therapists’ knowledge of screening and management practices for patients with prediabetes 物理治疗师对前驱糖尿病患者筛查和管理实践知识的调查

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Physiotherapy Practice and Research Pub Date : 2021-01-11 DOI: 10.3233/PPR-190384

Michael Ross, Benjamin Purrington, Colleen Zuniga, B. Farnand, Florianna Pattacciato

{"title":"Survey of physical therapists’ knowledge of screening and management practices for patients with prediabetes","authors":"Michael Ross, Benjamin Purrington, Colleen Zuniga, B. Farnand, Florianna Pattacciato","doi":"10.3233/PPR-190384","DOIUrl":"https://doi.org/10.3233/PPR-190384","url":null,"abstract":"PURPOSE: It is estimated that up to 80% of patients referred to outpatient physical therapy have diabetes, prediabetes, or diabetes risk factors; thus, physical therapists are in an optimal position to intervene as members of a multidisciplinary team working to effectively manage and reduce the diabetes epidemic. The purpose of this study is to assess the knowledge, practices, attitudes and beliefs of private practice physical therapists toward patients with prediabetes. METHODS: One thousand members of the Private Practice section of the American Physical Therapy Association were randomly selected through a random number generator to participate. Participants completed a paper based survey that was specifically designed for this study. RESULTS: Sixty-three physical therapists (34 males, 29 females; mean age: 52.8±11.5 years; mean number of years of clinical practice: 25.7±12.3 years) agreed to participate. The majority of participants (79%) agreed that identifying prediabetes in their patients is important; only 3% identified all of the risk factors that should prompt prediabetes screening. Seventy three percent of participants identified the correct laboratory test to screen for diabetes;<10% could identify the correct laboratory parameters for diagnosing prediabetes and diabetes. Only 2% and 22% of participants could identify correct weight loss and physical activity recommendations, respectively. CONCLUSION: A number of gaps in the knowledge of private practice physical therapists were noted in this study. These results may have important implications for the education of private practice physical therapists, especially those providing care for patients without a referral who are at risk for diabetes.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"41 1","pages":"213-223"},"PeriodicalIF":0.2,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-190384","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45570435","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}

引用次数: 2