South African Journal of Physiotherapy最新文献

{"title":"Predictors of return to work among mine workers following on-duty injury: A scoping review.","authors":"Wilinda Botha, Nontembiso Magida, Witness Mudzi, Bashir Bello","doi":"10.4102/sajp.v81i1.2165","DOIUrl":"10.4102/sajp.v81i1.2165","url":null,"abstract":"<p><strong>Background: </strong>Mining industry workers face substantial challenges returning to work after occupational injuries. Despite the critical importance of successful return to work (RTW) outcomes, there is limited understanding of specific predictors within the mining sector that influence these outcomes.</p><p><strong>Objectives: </strong>To systematically identify and analyse factors influencing RTW among mine workers following on-duty injuries and synthesise evidence to inform rehabilitation strategies.</p><p><strong>Method: </strong>We searched PubMed, CINAHL, Google Scholar and PsycINFO databases for literature published between 1996 and December 2024. Studies were screened using predetermined inclusion and exclusion criteria. Data from eligible studies were extracted and analysed thematically to identify key predictors of RTW outcomes.</p><p><strong>Results: </strong>Three studies met the inclusion criteria. Negative RTW predictors (barriers) included physical complications (muscular atrophy, chronic pain), psychological factors (work avoidance, secondary gains) and workplace challenges (harsh conditions, job stress). Positive predictors (facilitators) encompassed supportive work environments, shorter rehabilitation periods, and financial stability. Demographic characteristics, particularly younger age and higher education levels, were associated with improved RTW outcomes.</p><p><strong>Conclusion: </strong>Return to work success among mine workers is influenced by multiple interconnected factors spanning physical, psychological, workplace and demographic domains.</p><p><strong>Clinical implications: </strong>These findings emphasise the need for comprehensive rehabilitation programmes integrating medical care, psychological support and workplace modifications. Future research should focus on developing targeted interventions that address these multiple dimensions of RTW in the mining sector.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2165"},"PeriodicalIF":1.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profile and management of patients from low-middle socioeconomic status with thoracic trauma.","authors":"Heleen van Aswegen, Ronel Roos, Elizma Haarhoff, Josslyn de Kock, Humairaa Ebrahim, Sameer Tootla, Muhammad Vally, Monika Fagevik Olsén","doi":"10.4102/sajp.v81i1.2146","DOIUrl":"10.4102/sajp.v81i1.2146","url":null,"abstract":"<p><strong>Background: </strong>Pain and shortness of breath (SOB) after thoracic trauma predispose patients to complications and prolonged hospital length of stay (LOS). Patient management after thoracic trauma is seldom reported.</p><p><strong>Objectives: </strong>To describe patient profiles, symptoms, management, adverse events, complications, discharge destinations and follow-up referral services.</p><p><strong>Method: </strong>Prospective observational design using clinical record review at two university-affiliated hospitals over 18 months. Adults with thoracic trauma diagnosis were consecutively screened for inclusion. Study objectives guided information retrieved from records. Statistical analyses were done with significance at <i>p</i>< 0.05.</p><p><strong>Results: </strong>Most were male (<i>n</i> = 170/179; 95%). Penetrating trauma following assault was common (<i>n</i> = 146/179; 82%). Conservative management included analgesia (<i>n</i> = 176/178; 98%) and intercostal drain insertion (<i>n</i> = 165/179; 92%). Physiotherapists treated patients daily. Management involved functional activities (cycling [<i>n</i> = 71/149; 48%], early mobilisation [<i>n</i> = 120/174; 69%]), lung volume enhancement (deep breathing exercises [<i>n</i> = 97/174; 56%], positive expiratory pressure [<i>n</i> = 98/174; 56%]), secretion removal (active coughing [<i>n</i> = 60/174; 34%]). Shoulder (<i>n</i> = 43/174; 25%) and trunk (<i>n</i> = 6/153; 4%) ROM were seldom done. Blunt trauma caused higher pain during deep breathing (median 7/10; IQR: 3.5-8.0) versus penetrating trauma (median 4/10; IQR: 2.0-7.5; <i>p</i>= 0.04). Most reported 'slight' to 'very slight' SOB. Time out-of-bed and distance walked increased daily with smokers mobilising away from bed frequently (<i>n</i> = 73/95; 77%). Few adverse events and complications occurred. Mean LOS was 5.5 ± 4.3 days. Most were discharged home (<i>n</i> = 177/179; 99%); two were referred for follow-up physiotherapy.</p><p><strong>Conclusion: </strong>Management is guided by individual patient needs. Treatment comprises early mobilisation, lung volume enhancement, and secretion removal with less attention on ROM exercises and post-discharge services.</p><p><strong>Clinical implications: </strong>Shoulder and trunk ROM should be prioritised. Service delivery approaches need review considering the evidence.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2146"},"PeriodicalIF":1.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity of community-dwelling adults with traumatic spinal cord injuries in the Cape Metropole.","authors":"Aeysha Gabriels, Toughieda Ismail, Lucian Bezuidenhout, Conran Joseph","doi":"10.4102/sajp.v81i1.2147","DOIUrl":"10.4102/sajp.v81i1.2147","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) is an important indicator for disease prevention in adults with spinal cord injuries (SCIs). Regular PA can improve functioning, community reintegration, economic participation and overall well-being.</p><p><strong>Objectives: </strong>Determine PA levels of community-dwelling adults with traumatic spinal cord injury (TSCI) in the Cape Metropolitan, South Africa.</p><p><strong>Method: </strong>A quantitative, cross-sectional design was used in the Cape Metropole. The population included all community-dwelling adults with TSCIs, regardless of mobility status. Physical activity levels were measured using an ActiGraph wGT3X-BT accelerometer, classified by intensities: sedentary behaviour (SED), light intensity PA (LIPA) and moderate-to-vigorous PA (MVPA). Descriptive and analytical statistical tests described PA intensities and investigated group differences.</p><p><strong>Results: </strong>A total of 76 participants (mean age 36 years, standard deviation [s.d.] 10.93), mainly males (88.2%), were recruited. Time spent in SED, LIPA and MVPA among wheelchair users was 761.12 min/day (77.6%), 203.11 min/day (20.7%) and 16.96 min/day (1.7%), respectively. Ambulatory individuals spent 972.47 min/day (98.1%) in SED/LIPA and 18.80 min/day in MVPA (1.9%). Time since injury (<i>p</i> = 0.005) and age (<i>p</i> < 0.001) resulted in more MVPA for older wheelchair users and ambulatory individuals with recent injuries.</p><p><strong>Conclusion: </strong>Participants spend most time sedentary, followed by LIPA. Adults with SCI are not meeting recommended PA levels for health benefits. Understanding barriers to PA is essential for developing targeted interventions to optimise PA levels.</p><p><strong>Clinical implications: </strong>Cape Metropole's unique SCI profile with mostly young males, results in long-term injury impacts. Sedentary behaviour increases risks for morbidity and early mortality. Thus, exploring PA's role in SCI rehabilitation is important for healthy ageing.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2147"},"PeriodicalIF":1.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives on adherence to prescribed home exercises after polytrauma: A qualitative study.","authors":"Keamogetswe Monaiwa, Mariatha Yazbek, Nontembiso Magida","doi":"10.4102/sajp.v81i1.2163","DOIUrl":"10.4102/sajp.v81i1.2163","url":null,"abstract":"<p><strong>Background: </strong>Polytrauma can be life altering, requiring a holistic approach to reach the highest functional level. Physiotherapists prescribe home exercise programmes (HEPs) to prevent complications associated with immobility. Adherence to HEPs is crucial, yet factors influencing non-adherence remain underexplored.</p><p><strong>Objectives: </strong>Our study explored patients with polytrauma perspectives on adherence to prescribed HEPs.</p><p><strong>Method: </strong>A qualitative exploratory, descriptive design was used to recruit participants purposively from a rehabilitation unit in Tshwane district, South Africa. Participants diagnosed with polytrauma, aged 18 years or older, and prescribed a HEP were included, while those with cognitive impairments or language barriers were excluded. Consent was obtained while hospitalised, and participants were contacted 3 months post-discharge for telephonic semistructured interviews lasting 30-45 min. Ethical clearance (reference number: 595/2022) and institutional permission were granted. Interviews were audio-recorded and conducted until data were saturated. Data were verbatim transcribed and analysed thematically to identify key themes and sub-themes.</p><p><strong>Results: </strong>Thirteen participants (8 male and 5 female participants) with a mean age of 43.77 (standard deviation = 10.45) were interviewed. The four major themes were physical, psycho-cognitive, social and environmental factors. Adherence barriers were more significant than facilitators. The most frequently reported facilitator was family support, whereas the most commonly reported barrier was pain.</p><p><strong>Conclusion: </strong>Polytrauma patients identified more barriers than facilitators affecting HEP adherence. Pain significantly hindered adherence, while family support was a key enabler.</p><p><strong>Clinical implication: </strong>Physiotherapists should work collaboratively with patients to develop inclusive HEPs that consider their demographic, social, psychological, physical and environmental context.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2163"},"PeriodicalIF":1.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Sometimes I feel like the only physio in the whole wide world, so alone'.","authors":"Brett J Mason, Romy Parker, Martha Geiger","doi":"10.4102/sajp.v81i1.2150","DOIUrl":"10.4102/sajp.v81i1.2150","url":null,"abstract":"<p><strong>Background: </strong>High-impact chronic pain (HICP) presents significant challenges within primary healthcare (PHC) settings, particularly in resource-constrained environments such as South Africa. Limited evidence exists regarding physiotherapists' lived experiences managing this condition in local contexts.</p><p><strong>Objectives: </strong>This study explored facilitators and barriers to providing adequate care for individuals with HICP, as experienced by physiotherapists working in Western Cape PHC facilities. It is envisaged that the findings may contribute to curriculum development, policy considerations, and clinical practice enhancement.</p><p><strong>Method: </strong>A descriptive qualitative approach was employed, and semi-structured virtual interviews were conducted with eight purposively selected physiotherapists from Western Cape PHC facilities. Inductive thematic analysis guided data interpretation.</p><p><strong>Results: </strong>Analysis revealed four interconnected themes: (1) High-impact chronic pain as a complex and disabling burden in PHC settings, (2) person-centred approaches as key facilitators, (3) systemic and personal barriers constraining effective management, and (4) specific needs for improved HICP care. While person-centred approaches were valued, participants struggled with implementation amid resource constraints.</p><p><strong>Conclusion: </strong>High-impact chronic pain management in South African PHC settings requires attention to interrelated factors of time, support, and knowledge. While physiotherapists recognise effective approaches, implementation challenges necessitate systemic adjustments.</p><p><strong>Clinical implications: </strong>These insights highlight the necessity for workforce planning reform, professional development in pain management, and enhanced interdisciplinary collaboration to better serve patients with HICP in resource-limited settings.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2150"},"PeriodicalIF":1.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health systems and quality of life: The situation of South Africans with spinal cord injury.","authors":"Eugene Nizeyimana, Anthea Rhoda, Joyce Mothabeng, Francois Theron, Conran Joseph","doi":"10.4102/sajp.v81i1.2133","DOIUrl":"10.4102/sajp.v81i1.2133","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) significantly impacts quality of life (QoL) through physical disabilities and reduced social participation.</p><p><strong>Objectives: </strong>This study compared health system indicators, social factors and self-reported QoL between individuals with SCI accessing public versus private healthcare in South Africa.</p><p><strong>Method: </strong>A cross-sectional survey using the International Spinal Cord Injury (InSCI) community survey questionnaire was conducted with 200 SCI individuals (156 public, 44 private sector) from Cape Town and Pretoria. Chi-square tests and correlation analyses were performed.</p><p><strong>Results: </strong>Significant disparities were observed between cohorts. Public sector participants reported higher rates of disability pension receipt (82.1% vs 54.5%) and greater challenges accessing various services. Overall, self-reported QoL was 56%, with the private cohort reporting significantly higher satisfaction (64% vs 52%). Private sector participants also reported higher satisfaction with living conditions and personal relationships. Access to disability pension and healthcare negatively correlated with QoL, while access to public spaces, medication, transport and nursing care positively correlated with QoL.</p><p><strong>Conclusion: </strong>This study reveals significant disparities in health system performance, social factors and QoL between SCI individuals accessing public versus private healthcare in South Africa.</p><p><strong>Clinical implications: </strong>Findings highlight the need to address systemic inequities in healthcare access and social support for individuals with SCI to improve QoL across sectors.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2133"},"PeriodicalIF":1.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early gross motor development: Agreement between the AIMS and the BSID-III.","authors":"Marlette Burger, Esme R Jordaan, Dana Niehaus","doi":"10.4102/sajp.v81i1.2168","DOIUrl":"10.4102/sajp.v81i1.2168","url":null,"abstract":"<p><strong>Background: </strong>Early gross motor development is a crucial indicator of overall neurodevelopment. In low- and middle-income countries, lack of accessible assessment tools poses challenges for healthcare professionals evaluating infant neurodevelopment.</p><p><strong>Objectives: </strong>To determine the agreement between the Alberta Infant Motor Scale (AIMS) and Bayley Scales of Infant Development-III (BSID-III) gross motor domain at 6 months and to evaluate the predictive validity of the AIMS at 6 months for identifying severe gross motor delays at 18 months.</p><p><strong>Method: </strong>This nested subgroup study assessed 112 full-term infants using both AIMS and BSID-III at 6 months and BSID-III at 18 months. Agreement between measures was determined using Bland-Altman plots, while predictive validity was evaluated using receiver operating characteristic (ROC) curves with various cut-off scores.</p><p><strong>Results: </strong>Bland-Altman analysis showed strong agreement between AIMS and BSID-III in the lower-performance range, with bias only in scores above 33. The traditional 10th percentile AIMS cut-off had low sensitivity (27.3%) but high specificity (98%) for predicting delays at 18 months. A modified 23rd percentile cut-off improved sensitivity to 63.6% while maintaining acceptable specificity (81.6%), with a 95.2% negative predictive value (NPV).</p><p><strong>Conclusion: </strong>The AIMS demonstrates strong agreement with BSID-III when identifying potential developmental delays. The proposed 23rd percentile cut-off offers a more balanced screening threshold for this population.</p><p><strong>Clinical implications: </strong>The AIMS presents a viable alternative to the BSID-III for initial screening in resource-limited settings. The high NPV at the 23rd percentile cut-off makes it useful for ruling out developmental delays.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2168"},"PeriodicalIF":1.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current state of evidence-based practice in clinical physiotherapy.","authors":"Ronel Roos","doi":"10.4102/sajp.v81i1.2139","DOIUrl":"10.4102/sajp.v81i1.2139","url":null,"abstract":"<p><p>Evidence-based practice (EBP) is a process that a clinician undertakes, implementing his or her clinical expertise while collaborating with the patient or client in the sociocultural context of care using the best available research evidence to inform practice. The approach has evolved over time in relation to its name, definition, scope and specific steps. In October 2001, member organisations of World Physiotherapy (then the World Confederation for Physical Therapy) gathered in London to discuss the status of EBP in the profession and to gain buy-in from regions to ensure that EBP would become a culture of practice in all regions. The purpose of this article is to describe the current state of EBP during physiotherapy as presented in the literature. Two decades have passed since this meeting, with noteworthy developments in clinical practice, education and research synthesis. Physiotherapists' opinions and attitudes towards EBP are favourable but do not always ensure good implementation and execution during clinical practice. Standardised outcome measures to evaluate the EBP of physiotherapists are available. Barriers remain, which are multifactorial, and facilitators such as time, support and education are integral to optimise implementation. The launch of the Physiotherapy Evidence Database is one strategy that facilitates EBP in physiotherapy.</p><p><strong>Clinical implications: </strong>A culture of EBP exists upon reflection of published literature from different world regions. Consistent, quality implementation of EBP, including shared decision making with patients and evaluation of evidence implemented during clinical practice remain necessary.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2139"},"PeriodicalIF":1.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Student and educator perspectives on clinical reasoning: A qualitative study.","authors":"Danelle Hess, Jacqueline Hendricks, José Frantz, Michael Rowe","doi":"10.4102/sajp.v81i1.2161","DOIUrl":"10.4102/sajp.v81i1.2161","url":null,"abstract":"<p><strong>Background: </strong>When students and educators understand a skill like clinical reasoning (CR) differently, attempting to develop it becomes challenging. Miscommunication in how different stakeholders understand this essential skill can potentially harm patients.</p><p><strong>Objectives: </strong>Our study explores how physiotherapy students and educators (both lecturers and clinical educators [CEs]) in a physiotherapy department understand CR. The research aimed to identify any potential gaps in the stakeholders' understanding of CR and explore strategies for better alignment.</p><p><strong>Method: </strong>A qualitative exploratory descriptive design was employed. In-depth interviews were conducted with 27 undergraduate physiotherapy students, 10 physiotherapy lecturers, and 8 CEs.</p><p><strong>Results: </strong>Thematic analysis revealed three key themes: cognitive process, evidence-based practice, and clinical approach. Significant differences emerged between experts (lecturers and CEs) and novices (students) in conceptualising CR. The experts demonstrated a more holistic understanding, focusing on hypothesis generation and interconnected reasoning. In contrast, students focus on information collecting and justification of actions.</p><p><strong>Conclusion: </strong>The findings highlight a gap in CR understanding that could potentially impede reaching expected learning outcomes.</p><p><strong>Clinical implications: </strong>Our study recommends seeking alignment of students' and educators' perspectives through structured dialogue and intentionally designed educational strategies. This includes developing holistic assessment rubrics that acknowledge both foundational and advanced CR skills and implementing case-based learning approaches. And creating opportunities for educators to make their reasoning processes explicit and visible to students.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2161"},"PeriodicalIF":1.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity profile of hypertensive adults living in rural South Africa.","authors":"Kganetso Sekome, Hellen Myezwa, F Xavier Gómez-Olivé, Lauren B Sherar, Dale Esliger","doi":"10.4102/sajp.v81i1.2134","DOIUrl":"https://doi.org/10.4102/sajp.v81i1.2134","url":null,"abstract":"<p><strong>Background: </strong>Understanding the physical activity behaviours of adults at risk of poor health is important to inform targeted interventions. We profiled the frequency, intensity, duration and domain (work or non-work) of self-reported physical activities of rural South African adults living with hypertension.</p><p><strong>Objectives: </strong>The aim of this study was to provide a profile of the frequency, intensity, duration and domain of self-reported physical activities over a 7-day period in adults with hypertension from a rural sub-district in South Africa.</p><p><strong>Method: </strong>A total of 429 adults diagnosed with hypertension aged 40 years and above completed the International Physical Activity Questionnaire Long-Form via telephone interview. Data were summarised using means and standard deviations or medians and interquartile ranges. The Mann-Whitney U test and Krustal-Wallis rank test were used to assess physical activity differences by sex and work status. Statistical significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The mean age of the participants was 65.1 (standard deviation [s.d.] ± 10.9 years), 58% were women and 52% had paid or unpaid work. Men reported greater (duration and frequency) vigorous physical activity at work compared to women (<i>p</i> = 0.003 and <i>p</i> = 0.002). Walking frequency as a mode of transport was higher for working men and women (<i>p</i> < 0.001). Women reported higher frequency of moderate-intensity physical activity inside the house (<i>p</i> < 0.001) and outside the house (<i>p</i> < 0.001) compared to men. Non-working men and women spent more time sitting during the week compared to their working counterparts (<i>p</i> = 0.009).</p><p><strong>Conclusion: </strong>The physical activity profile of hypertensive adults varied by sex and work status.</p><p><strong>Clinical implications: </strong>Contextual factors such as gender roles are also related to the physical activity profile of hypertensive adults living in rural South Africa and should be considered when designing specific interventions targeted at improving hypertension control for this population.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"81 1","pages":"2134"},"PeriodicalIF":1.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}