Physiotherapy Practice and Research最新文献

{"title":"A rare solitary breast cancer metastasis to the soft tissue of the ipsilateral arm detected by a physiotherapist: A case report","authors":"R. Omranipour, S. Alipour, B. Eslami","doi":"10.3233/PPR-200402","DOIUrl":"https://doi.org/10.3233/PPR-200402","url":null,"abstract":"BACKGROUND: Late occurrence of solitary soft tissue upper extremity metastasis of breast cancer is very rare. We hereby present a case of metastasis to the biceps muscle of the ipsilateral arm, detected by a physiotherapist six years after mastectomy. The aim of this report is to highlight the rarity of this presentation, to emphasize the role of the physiotherapist as a member of the multidisciplinary treatment team and the possibility of curative treatment despite the poor prognosis. CASE DESCRIPTION: A 2 * 3 cm well-defined isolated metastasis of breast cancer was diagnosed in the left arm of a 31-year-old woman 6 years after successful treatment of her primary tumor. Tumor characteristics, diagnostic plan, and treatment options are discussed. CONCLUSION: Due to its scarcity, there is a lack of knowledge about the frequency, interval, characteristics, best diagnostic modality, adequate treatment, and prognosis of isolated breast cancer metastasis to the soft tissue, and these can be found out by proper reporting. As an important member of the multidisciplinary team in the care and treatment of breast cancer patients, physiotherapists should be aware of this type of rare presentation.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"41 1","pages":"187-191"},"PeriodicalIF":0.2,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49395401","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":"Dual tasking interferes with dynamic balance in young and old healthy adults","authors":"Amal Al-Shaikh Sulaiman, M. Kelly, Mairead O'Connor, Doris Eva-Bamiou, M. Pavlou","doi":"10.3233/PPR-190394","DOIUrl":"https://doi.org/10.3233/PPR-190394","url":null,"abstract":"BACKGROUND: Functional mobility requires an ability to adapt to environmental factors together with an ability to execute a secondary task simultaneously while walking. A complex dual-tasking gait test may provide an indication of functional ability and falls risk among community-dwelling older adults. PURPOSE: The aim of this cross-sectional study is to investigate age-related differences in dual-tasking ability and to evaluate whether dual-tasking ability is related to executive function. METHODS: Forty-one community-dwelling healthy older and forty-one younger adults completed a dual-tasking assessment in which concurrent tasks were incorporated into the Functional Gait Assessment (FGA). The manual dual-task involved carrying a glass of water (FGA-M) while the cognitive dual-tasks involved numeracy (FGA-N) and literacy (FGA-L) related tasks. FGA scores under single (FGA-S) and dual-task conditions together with associated dual-task costs and response accuracy were determined. Executive function was assessed using The Behavioural Assessment of the Dysexecutive Syndrome (BADS). RESULTS: FGA-N and FGA-L scores were adversely affected in both groups compared to FGA-S (p≤0.001). However, score reductions and dual-task costs were significantly greater for older adults compared to younger adults on FGA-N (p≤0.05) and FGA-L (p≤0.001), with older adult performance on FGA-N associated with falls risk (p≤0.05). Executive function did not appear to be related to dual-tasking ability. CONCLUSION: Findings suggest that cognitively demanding tasks while walking, have a deleterious effect on dynamic balance and could place older adults at a greater risk of falls.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-190394","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45492971","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":"Rehabilitation outcomes after proximal humeral fracture: An observational study","authors":"N. Taylor, Elizabeth Wintle, C. Longden, A. V. D. Water, N. Shields","doi":"10.3233/PPR-200412","DOIUrl":"https://doi.org/10.3233/PPR-200412","url":null,"abstract":"BACKGROUND AND PURPOSE: Fractures of the proximal humerus are characterised by slow recovery and ongoing disability. We aimed to describe the recovery of patients referred to community physiotherapy after proximal humeral fracture and determine if activity thresholds based on the Shoulder Function Index (SFInX) could inform physiotherapist decision-making. METHODS: Using a prospective observational cohort design, patients referred to community rehabilitation for physiotherapy were assessed for activity limitation (SFInX, DASH), quality of life (EQ-5D), pain levels (VAS), global rating of change, and shoulder range of movement at weeks 0, 6, 12 and 26. A focus group explored treating physiotherapists’ perceptions of using the SFInX. Characteristics of participants meeting SFInX clinically meaningful activity thresholds (+Δ17 units, score ≥73 units) were compared to those who did not. RESULTS: Participants (n = 38, mean age 78 years, 29 women, 29 conservatively managed) commenced physiotherapy a median of 12 (min 4, max 62) weeks after proximal humeral fracture and received a median of 8 (min 3 max 17) sessions over 8 weeks. N = 18 achieved +ΔSFInX ≥17 units by week 6. N = 15 achieved SFInX ≥73 units by week 26. Shoulder flexion range of 112° predicted +ΔSFInX ≥17 units at week 6 (AUC 0.74, 95% CI 0.58 to 0.90). Physiotherapists reported not basing management decisions on the SFInX. CONCLUSIONS: Patients after proximal humeral fracture make clinically meaningful improvements in shoulder activity after referral to physiotherapy. Decision-making based on SFInX activity thresholds or achievement of shoulder flexion of at least 112° may be informative but physiotherapists preferred making decisions based on individual goal-attainment.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"41 1","pages":"121-131"},"PeriodicalIF":0.2,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44924976","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":"Protocol for a feasibility randomised controlled trial comparing cognitive functional therapy with usual physiotherapy care in people with persistent low back pain","authors":"C. Newton, Gurpreet Singh, David Nolan, V. Booth, C. Diver, Seth O'Neill, K. O’Sullivan, P. O'Sullivan, P. Logan","doi":"10.3233/PPR-200488","DOIUrl":"https://doi.org/10.3233/PPR-200488","url":null,"abstract":"BACKGROUND: Combined physical and psychological programmes (CPPP) are recommended for people with disabling low back pain (LBP). Cognitive Functional Therapy (CFT) is a physiotherapist-led low intensity CPPP with positive effects in previous studies. The clinical and cost effectiveness of CFT has not previously been evaluated in a randomised controlled trial (RCT) in the United Kingdom (UK) National Health Service (NHS). Before a definitive RCT can be completed it is necessary to determine if completing such a study is possible. PURPOSE: To determine the feasibility of completing a definitive RCT, that will evaluate the clinical and cost-effectiveness of CFT in comparison to usual physiotherapy care for people with persistent LBP in the UK NHS. METHODS: A pragmatic two-arm parallel feasibility RCT comparing CFT with usual physiotherapy care for people with persistent LBP will be completed. Sixty participants will be randomly allocated to receive CFT or usual physiotherapy care. The primary outcome will be feasibility of completing a definitive RCT. Participant reported outcome measures will be recorded at baseline, three, six and twelve-month follow-up, including disability, pain intensity, quality of life and psychosocial function. Data will be analysed descriptively. A qualitative process evaluation will explore the acceptability of the research processes and interventions. DISCUSSION: The rationale and methodological design of a mixed methods feasibility RCT is presented. This study aims to inform the planning, design and completion of a future definitive RCT in the UK NHS. The results will be disseminated through peer reviewed open access journal publication.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"42 1","pages":"21-34"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200488","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70155186","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":"What is the most appropriate way to analyse the WHODAS 2.0 score?","authors":"S. Castro, A. Ferreira, Edgar Gomes Marques Sampaio, Camilla Medeiros Araújo, Thaissa Hamana de Macedo Dantas, D. Dantas","doi":"10.3233/PPR-200448","DOIUrl":"https://doi.org/10.3233/PPR-200448","url":null,"abstract":"BACKGROUND: The World Health Organization Disability Assessment Schedule (WHODAS 2.0) is a practical, generic and widely used tool to assess the functioning and disability in several settings and health conditions. Although the use of categorical variables is common, this choice to present data could separate persons with very close functioning profiles into different categories. PURPOSE: This study aims to compare different ways of expressing the WHODAS score and give elements for the researcher to understand and choose the most appropriate way to statistically analyse the WHODAS scores. METHODS: A methodological study with secondary data of one hundred ninety-five women. The WHODAS score was analysed in different ways and associated with sociodemographic characteristics, lifestyle, and health aspects. The Poisson regression was chosen with the final WHODAS score in four variations (continuous, dichotomous, polytomous, and quartiles), and the presence of chronic disease. RESULTS: The analysis showed statistical significance in the univariate analysis for the adjustment variables and all the variations of the disability variable. The distribution analysis of the prevalence ratio and the AIC evidenced that the WHODAS score as a continuous variable had the lower AIC and statistical significance, as well as the most significant area under the ROC curve. CONCLUSIONS: These results show that the use of the continuous variable is the most indicated and that the categorization of the WHODAS score should be avoided. Keywords:","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"42 1","pages":"35-41"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200448","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70154906","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":"Immediate effect of combining glenohumeral and scapulothoracic mobilization with stretching on improving shoulder internal rotation in overhead throwing athletes with glenohumeral internal rotation deficit: A randomized clinical trial study","authors":"F. Kamali, Narjes Ghasempour, Nasrin Salehi Dehno","doi":"10.3233/ppr-200487","DOIUrl":"https://doi.org/10.3233/ppr-200487","url":null,"abstract":"BACKGROUND: Posterior shoulder tightness as demonstrated by glenohumeral internal rotation deficit (GIRD) is a common contributor to many shoulder pathologies in overhead throwing athletes. PURPOSE: This study aimed to assess immediate effect of combining glenohumeral and scapulothoracic mobilization with stretching on improving internal rotation range of motion (ROM) in overhead athletes with GIRD METHODS: This study was a single-blind randomized controlled trial with parallel groups. The participants were 30 asymptomatic male volleyball players who had a loss of shoulder internal rotation ROM of 15 degrees or more on their dominant compared to their nondominant side. They were randomly assigned to 1 of 2 groups: stretching only (n = 15) or stretching plus joint mobilization (n = 15). Participants in the stretching group performed cross-body stretches, and those in stretching plus mobilization group were treated with both cross-body stretching and mobilization techniques for the glenohumeral and scapulothoracic joints. Both groups received the intervention every other day for 1 week. Shoulder internal and external ROM were measured before and after the intervention. RESULTS: Before the intervention, dominant-side deficits in internal rotation ROM compared to the nondominant side were 20.11±5.27 degrees in the stretching group and 21.87±8.06 degrees in the stretching plus mobilization group. After the intervention, internal rotation ROM deficit between the dominant and nondominant side decreased to 11.28±5.82 in the stretching group (P <  0.001) and 10.85±9.19 in the stretching plus mobilization group (P <  0.001). However, the between-group difference was not statistically significant (P = 0.389). External rotation ROM remained unchanged in both groups (P >  0.05). CONCLUSION: Both interventions (stretching and stretching plus mobilization) can have the same beneficial effect in decreasing GIRD in asymptomatic overhead athletes.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/ppr-200487","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70154678","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":"Physiotherapy approach in stroke rehabilitation: Development and testing of a survey of current practice","authors":"F. Ferrarello, Lorenzo Capolli, Suchi Kader, M. Bari","doi":"10.3233/PPR-200465","DOIUrl":"https://doi.org/10.3233/PPR-200465","url":null,"abstract":"","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"42 1","pages":"93-101"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200465","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70154512","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":"Common conservative treatments for lymphoedema post breast cancer: A focus article","authors":"S. Gallagher, L. Connor, David Roberts, K. Monaghan","doi":"10.3233/PPR-200498","DOIUrl":"https://doi.org/10.3233/PPR-200498","url":null,"abstract":"Breast cancer is the most common type of cancer in women worldwide (J. Ferley et al., 2015). Breast cancer-related lymphoedema (BCRL) is a disabling complication with a long term impact on quality on life after breast cancer treatment, with an incidence of 2–5% in patients post sentinel node procedures (M. King et al., 2012) up to 40% following axillary lymph node dissection (A.C. Pereira et al., 2017). BCRL results in swelling of the arm, hand, and trunk which can lead to limb pain, heaviness, and altered sensation (Y.J. Sim et al., 2010). These symptoms can result in functional limitations, psychosocial distress and an overall reduction in quality of life (S.J. Merchant et al., 2015). The aim of this review is to evaluate the effects of some of the more common conservative rehabilitation interventions in BCRL. Conservative interventions reviewed include early physiotherapy and exercise, complex decongestive therapy, manual lymphatic drainage, compression, electrotherapy & acupuncture, self-treatment & weight management. The review may inform policies for treatment within the health service.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"42 1","pages":"7-11"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70155302","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":"An evaluation of a shoulder rehabilitation class in a UK hospital following evidence-based modifications","authors":"Emily Kell, J. Hammond, S. Andrews, Christina Germeni, Helen Hingston, Saifur Khan, Gemma Shearer, Sophie Weeks","doi":"10.3233/PPR-200408","DOIUrl":"https://doi.org/10.3233/PPR-200408","url":null,"abstract":"OBJECTIVES: Shoulder pain is a common musculoskeletal disorder, which carries a high cost to healthcare systems. Exercise is a common conservative management strategy for a range of shoulder conditions and can reduce shoulder pain and improve function. Exercise classes that integrate education and self-management strategies have been shown to be cost-effective, offer psycho-social benefits and promote self-efficacy. This study aimed to examine the effectiveness of an 8-week educational and exercise-based shoulder rehabilitation programme following the introduction of evidence-based modifications. METHODS: A retrospective evaluation of a shoulder rehabilitation programme at X Trust was conducted, comparing existing anonymised Shoulder Pain and Disability Index (SPADI) and Patient-Specific Functional Scale (PSFS) scores from two cohorts of class participants from 2017-18 and 2018-19 that were previously collected by the physiotherapy team. Data from the two cohorts were analysed separately, and in comparison, to assess class efficacy. Descriptive data were also analysed from a patient satisfaction survey from the 2018-19 cohort. RESULTS: A total of 47 patients completed the 8-week shoulder rehabilitation programme during the period of data collection (2018-2019). The 2018-19 cohort showed significant improvements in SPADI (p 0.001) and PSFS scores (p 0.001). No significant difference was found between the improvements seen in the 2017-18 cohort and the 2018-19 cohort. 96% of the 31 respondents who completed the patient satisfaction survey felt the class helped to achieve their goals. CONCLUSION: A group-based shoulder rehabilitation class, which included loaded exercises and patient education, led to improvements in pain, disability and function for patients with rotator cuff related shoulder pain (RCRSP) in this outpatient setting, but anticipated additional benefits based on evidence were not observed.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"42 1","pages":"13-20"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200408","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70154859","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":"Injury prevention knowledge and beliefs of Irish dancing teachers: An international survey","authors":"R. Cahalan","doi":"10.3233/PPR-200472","DOIUrl":"https://doi.org/10.3233/PPR-200472","url":null,"abstract":"OBJECTIVES: Injury in Irish dancing (ID) is pervasive and comparable to that in other elite dance genres. There is an absence of formalized education or training for ID teachers to understand and address this issue. This study investigated the injury prevention knowledge and beliefs of registered ID teachers internationally. METHODS: An online survey based on an existing questionnaire by the Fédération Internationale de Football Association (FIFA) was adapted to reflect relevant research in ID and other dance genres. It was piloted with seven ID teachers internationally. Participants, who were registered ID teachers were recruited through official ID governing bodies and the networks of the Principal Investigator. RESULTS: Two hundred and thirty participants from eleven regions internationally completed the survey. A robust knowledge of the anatomical areas most often injured was displayed, with conflicting opinions on the incidence, location and causes of injuries in males and females. There was a clear appreciation of the vast array of risk factors potentially associated with injury; with warm-up, load management, physical strength, conditioning and flexibility all highly rated. There was lesser insight into important factors such as sleep, nutrition, and general and psychological health. Most teachers rated their injury prevention knowledge and practices as moderate/good but available educational resources as poor/fair. CONCLUSIONS: There is a need for education and training in numerous areas of injury prevention by multidisciplinary healthcare practitioners and other professionals, in partnership with the ID community, to ensure a clearer understanding of the biopsychosocial nature of injury prevention and performance optimisation.","PeriodicalId":38170,"journal":{"name":"Physiotherapy Practice and Research","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/PPR-200472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70154532","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}