South African Journal of Physiotherapy最新文献

{"title":"Prevalence, incidence and risk factors for rugby-related injuries: A survey of the Safari Sevens tournament.","authors":"John M Onyancha, Benita Olivier, Joseph M Matheri, Wallace M Karuguti","doi":"10.4102/sajp.v80i1.2079","DOIUrl":"10.4102/sajp.v80i1.2079","url":null,"abstract":"<p><strong>Background: </strong>Rugby-related injuries are a leading cause of dropout from competitive sports, high insurance compensation, disability and socioeconomic marginalisation. The debilitating effect of these injuries on players may deny them the benefits associated with rugby and can lead to premature termination of a rugby career.</p><p><strong>Objectives: </strong>To determine the prevalence, incidence and risk factors for rugby-related injuries among male Safari Sevens rugby tournament players in Kenya.</p><p><strong>Method: </strong>Following ethical approval and clearance, this cross-sectional study was carried out among October 2021 teams of male players in the Safari Sevens rugby tournament. Players (<i>n</i> = 113) voluntarily completed Rugby International Consensus Group 'injury report form'. Descriptive statistics and odds ratios were calculated.</p><p><strong>Results: </strong>A point prevalence of 47 (41.6%) respondents at pre-tournament was found. The tournament recorded 117.6 player-match hours with an incidence of 33 (29.2%) injuries occurring during competition. In contact phase of rugby match, 'being tackled' was associated with a higher number of injuries mostly in the lower limbs. Surface of the playing field was likely to expose a player to injury in pre-competition and during the tournament. Additionally, players who had recurrent previous injuries and oversize gear were more likely to be injured during the tournament.</p><p><strong>Conclusion: </strong>The study showed competition injury incidence similar to that reported in previous studies. Lower limb injuries were most prevalent, especially the ankle while 'getting tackled' during matches.</p><p><strong>Clinical implications: </strong>There is a need for an algorithm for injury risk assessment, knee and ankle control training protocol, and use of dynamic knee and ankle supports.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2079"},"PeriodicalIF":1.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802728","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":"Physiotherapists transgressions lodged at the Health Professions Council of South Africa between 2010 and 2020.","authors":"Nokuzola D Dantile, Nombeko Mshunqane, Cornelius W van Staden","doi":"10.4102/sajp.v80i1.2090","DOIUrl":"10.4102/sajp.v80i1.2090","url":null,"abstract":"<p><strong>Background: </strong>Complaints of ethical and professional misconduct are lodged and processed by the Health Professions Council of South Africa (HPCSA) in accordance with their legal mandate.</p><p><strong>Objectives: </strong>This study describes the nature and frequency of transgressions by physiotherapists as concluded by the HPCSA for the period from 2010 to 2020.</p><p><strong>Method: </strong>A total sampling method was used to extract all records of transgressions lodged against physiotherapists between 2010 and 2020. In a quantitative retrospective records review design, data were captured with the objective to report these descriptively. Ethics approval was granted by the Faculty of Health Sciences Research Ethics Committee of the University of Pretoria and permission to use the records was granted by HPCSA.</p><p><strong>Results: </strong>Twenty-one transgressions by physiotherapists during the study period were recorded at the HPCSA. Most transgressions were charging for services not rendered (<i>n</i> = 20 times), invoices drafted inaccurately (<i>n</i> = 17) and false claims submitted to the medical aid schemes (<i>n</i> = 15). Other transgressions included failure to obtain informed consent and patient identity prior to treatment, charging for an unkept appointment, overservicing, misleading advertisements, love relationship with a patient and treating an animal in the same practice as humans.</p><p><strong>Conclusion: </strong>The transgressions were unprofessional in nature with the most frequently reported being false claims and accounts submitted to the medical aid by physiotherapists for services not rendered.</p><p><strong>Clinical implications: </strong>The knowledge of transgressions will influence decision making and restrain infringement to enhance sound ethical practice.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2090"},"PeriodicalIF":1.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802727","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":"SASP - Physiotherapy beyond 100 years of rehabilitation.","authors":"","doi":"10.4102/sajp.v80i1.2135","DOIUrl":"https://doi.org/10.4102/sajp.v80i1.2135","url":null,"abstract":"<p><p>This conference report includes abstracts from the centenary congress held in Cape Town in September 2024, marking a significant milestone in the celebration of 100 years of the South African Society of Physiotherapy™ (SASP^®). As part of the celebration, the SASP^® hosted the World Physiotherapy - Africa Region Congress, which brought together diverse international and African perspectives. The scientific programme had exciting sessions, focussing on physiotherapy and multidisciplinary aspects. Engaging Indaba and Debate sessions covered topics such as Strengthening Rehabilitation in Africa, Innovation in Rehabilitation, Reframing Care for People with Musculoskeletal Pain, Research in Children with Disabilities and Translating Research into Practice in Africa. These abstracts reflect the broad range of research and ideas presented, contributing to the future of physiotherapy and rehabilitation on the continent.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2135"},"PeriodicalIF":1.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802730","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":"Caregiver burden among informal caregivers of stroke survivors in Harare, Zimbabwe.","authors":"Farayi Kaseke, Lovemore Gwanzura, Timothy Kaseke, Cuthbert Musarurwa, Elizabeth Gori, Tawanda Nyengerai, Aimee Stewart","doi":"10.4102/sajp.v80i1.2080","DOIUrl":"10.4102/sajp.v80i1.2080","url":null,"abstract":"<p><strong>Background: </strong>Stroke presents significant challenges for both survivors and caregivers, particularly in resource-limited settings like Zimbabwe. Identifying factors contributing to caregiver burden strain (CBS) is crucial to enhance support strategies.</p><p><strong>Objectives: </strong>This longitudinal study identified caregiver and stroke survivor characteristics associated with CBS among caregivers in Harare, Zimbabwe.</p><p><strong>Method: </strong>Altogether 188 stroke survivors and their caregivers participated with CBS assessed at 3 months and 12 months using the Caregivers Strain Index. Multiple linear regression was used to evaluate the association of explanatory variables with CBS. Model fit was evaluated using the Akaike's Information Criterion and <i>R</i> ².</p><p><strong>Results: </strong>Caregivers experiencing anxiety or depression showed increased CBS at 3 months (β = 2.46, <i>p</i> < 0.001) and 12 months (β = 2.73, <i>p</i> = 0.016). Work adjustments were associated with higher CBS at 3 months (β = 3.84, <i>p</i> < 0.001). Caregivers feeling overwhelmed had significantly higher CBS at 3 months (β = 3.36, <i>p</i> < 0.001). Stroke survivors' poor physical outcomes and reliance on health insurance were associated with CBS at 12 months (β = 4.34, <i>p</i> = 0.006). Caring for married stroke survivors was associated with reduced CBS (β = -2.83, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Caregiver anxiety, depression, work adjustments and poor physical and social outcomes in stroke survivors contributed to increased CBS. Targeted interventions addressing mental health and social support are essential to reduce CBS.</p><p><strong>Clinical implications: </strong>Multifaceted interventions that address caregiver mental health and social support are vital to reduce CBS and improve outcomes in resource-constrained settings like Zimbabwe.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2080"},"PeriodicalIF":1.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802725","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":"Exploring interprofessional collaboration in the intensive care unit.","authors":"Meluleki S Thethwayo, Pat Camp, Diane van Staden, Verusia Chetty, Stacy Maddocks","doi":"10.4102/sajp.v80i1.2098","DOIUrl":"10.4102/sajp.v80i1.2098","url":null,"abstract":"<p><strong>Background: </strong>Critical care units require an interprofessional management approach to optimise patients' health. Clinical education and training delivered in remote healthcare settings are vital for fostering interprofessional collaboration (IPC) among health science students for future team functioning.</p><p><strong>Objectives: </strong>Our study explored the IPC among clinicians in the intensive care unit (ICU) setting at two South African decentralised clinical training facilities to understand the existing collaborative practices that students are exposed to during their clinical training.</p><p><strong>Method: </strong>A qualitative study design, utilising semi-structured interviews, was used to gather information on the experiences of 40 purposively selected participants working in the ICU settings at the two clinical sites. Data collected from the interviews were transcribed verbatim and thematically analysed.</p><p><strong>Results: </strong>Four major themes were identified from the data, namely, scope-of-practice dispute, teamwork disruption, organisational obstacles and future aspirations.</p><p><strong>Conclusion: </strong>Participants believed that a lack of professional regard by medical doctors and an inadequate understanding of the role of other professionals impeded appropriate referral practice and collaborative team functioning. Under-exposure to interprofessional education (IPE) at an undergraduate level and the pervasive medical hierarchy were perceived as a primary attributable cause of this phenomenon. Moreover, the coronavirus disease 2019 (COVID-19) pandemic and persistent staff shortages purportedly obstructed potential opportunities to collaborate in multidisciplinary meetings. Participants believed that improving undergraduate IPE and compulsory multidisciplinary meetings to promote communication would improve team functioning in these clinical settings.</p><p><strong>Clinical implications: </strong>Undergraduate IPE is a feasible approach to improve collaborative care in ICUs to achieve better patient outcomes.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2098"},"PeriodicalIF":1.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802726","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":"SA physiotherapy: Moving forward with innovation in rehabilitation and the National Health Insurance Scheme.","authors":"Witness Mudzi","doi":"10.4102/sajp.v80i1.2138","DOIUrl":"10.4102/sajp.v80i1.2138","url":null,"abstract":"","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2138"},"PeriodicalIF":1.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802729","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":"Preventing deformities in paediatric cerebral palsy in poorly-resourced areas: A scoping review.","authors":"Shayne R van Aswegen, Mark Richards, Brenda Morrow","doi":"10.4102/sajp.v80i1.2059","DOIUrl":"10.4102/sajp.v80i1.2059","url":null,"abstract":"<p><strong>Background: </strong>Managing children with cerebral palsy (CP) in poorly-resourced contexts, especially those with greater functional limitations, is challenging. Unmitigated orthopaedic complications can further restrict already compromised functional capacity. Where rehabilitation skills and knowledge are scarce, primary healthcare worker- and caregiver-implemented routines are warranted. The essential elements of a home-based routine to mitigate musculoskeletal (MSK) complications in children with severe CP in resource-limited settings (RLSs) have not been determined.</p><p><strong>Objectives: </strong>To summarise the evidence for programmes and interventions that mitigate MSK complications in children with severe CP and make recommendations for a programme suited to RLSs.</p><p><strong>Method: </strong>Scientific databases and professional websites were searched for studies and reports describing guidelines, interventions or programmes for children aged 0-18 years with severe, partially- or non-ambulant CP, that included aims for the prevention of MSK complications. Articles reporting on surgical, pharmacological and advanced or expensive technological interventions were excluded.</p><p><strong>Results: </strong>A total of 57 studies or reports were included in the review. Low-grade evidence exists for 24-hour postural management (24-h PM), supported standing, sustained stretching and splinting to mitigate MSK complications in children with CP. Caregiver training and support, and integration of the programme into daily routines were identified as important components for successful implementation.</p><p><strong>Conclusion: </strong>Clinical guidelines and evidence that support caregiver-delivered interventions to reduce MSK complications in children with severe CP are limited, and only weak recommendations can be made.</p><p><strong>Clinical implications: </strong>There is a need for context-specific, home-based intervention programmes to prevent MSK complications in children with CP in RLSs.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2059"},"PeriodicalIF":1.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591789","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":"Contextual factors experienced by mothers of children with special needs.","authors":"Priscilla Matambanadzo, Anthea J Rhoda","doi":"10.4102/sajp.v80i1.2060","DOIUrl":"10.4102/sajp.v80i1.2060","url":null,"abstract":"<p><strong>Background: </strong>Caring for children with special needs places a burden on caregivers. The challenges experienced can be conceptualised as personal and environmental, as per the International Classification of Functioning, Disability and Health Framework (ICF).</p><p><strong>Objectives: </strong>Supported the caregiver experiences when caring for children with special needs and to conceptualise these needs in relation to the personal and environmental factors set out in the ICF.</p><p><strong>Method: </strong>A qualitative exploratory study was conducted, using purposive and snowball sampling. Semi-structured interviews were used to collect the data, which were then analysed thematically.</p><p><strong>Results: </strong>A total of six themes arose from the data. Two of these were related to personal factors: unemployment and caregiving, and marital uncertainty. The other four themes were related to environmental factors: family and caregiving factors, educational factors, health-systems challenges and perceptions of children with special needs.</p><p><strong>Conclusion: </strong>Caregivers of children with special needs experienced personal challenges, which resulted in feelings of isolation from family and society. They also faced environmental challenges in sectors such as education and health.</p><p><strong>Clinical implications: </strong>The management of children with special needs should include interventions within their environments to assist caregivers with their tasks. This could contribute to improved quality of life for both the caregivers and their children.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2060"},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591788","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":"Neurological examination of healthy term infants at ages 6 and 10 weeks in Tshwane District.","authors":"Marna Nel, Ute Feucht, Helen Mulol, Carina A Eksteen","doi":"10.4102/sajp.v80i1.2072","DOIUrl":"10.4102/sajp.v80i1.2072","url":null,"abstract":"<p><strong>Background: </strong>Globally, there is a significant gap in detailed neurodevelopmental data for infants under 3 months, despite 6 weeks being identified a critical milestone for neuro-behavioural development. Normative values and optimal scores for healthy infants at 6 and 10 weeks postnatally are lacking in many settings. In South Africa, the statutory neurodevelopmental assessments at these ages exclude notable characteristics of central nervous system maturation and limit opportunities to collect data of early developmental progress.</p><p><strong>Objectives: </strong>Our study aimed to assess developmental characteristics of healthy term infants aged 6 and 10 weeks using the Hammersmith Neonatal Neurological Examination (HNNE).</p><p><strong>Method: </strong>A prospective longitudinal study was performed on 35 healthy term-born infants from low-risk pregnancies at 6 and 10 weeks' postnatal age in the Tshwane district. The statuses of infants' neurodevelopment in six domains were recorded using the HNNE. Optimality scores were derived from the raw scores of 34 items, using the 10th and 5th percentiles as cut-off points.</p><p><strong>Results: </strong>Evidences of neurodevelopmental advancements, particularly in posture, muscle tone and visual behaviour between 6 and 10 weeks were illustrated, and total examination optimality scores of 29.5 in 91% and 31.5 in 94% of infants were recorded at 6 and 10 weeks, respectively.</p><p><strong>Conclusion: </strong>This article provides data on the neurodevelopment characteristics of infants at and between 6- and 10-weeks post term ages.</p><p><strong>Clinical implications: </strong>The findings support the viewpoint to identify important milestone characteristics during early screening.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2072"},"PeriodicalIF":1.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126902","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":"Protracted exercise tolerance post-coronavirus disease 2019 in endurance athletes: A survey.","authors":"Cheryl A Haley, Heleen van Aswegen, Elena Libhaber, Benita Olivier","doi":"10.4102/sajp.v80i1.2063","DOIUrl":"10.4102/sajp.v80i1.2063","url":null,"abstract":"<p><strong>Background: </strong>The global coronavirus disease 2019 (COVID-19) pandemic irrevocably influenced our lives, yet research in a diversity of countries is lacking. Cardiorespiratory fitness may be impaired for up to a year post-COVID-19 infection.</p><p><strong>Objectives: </strong>Our study aimed to compare acute and exertional symptoms, fatigue, and exercise performance in masters-age endurance athletes according to their return-to-sport status.</p><p><strong>Method: </strong>A cross-sectional survey-based observational study of long-distance runners and cyclists was conducted. Data were stratified into two groups: those who returned to their pre-illness level of sport and those who did not and were compared statistically.</p><p><strong>Results: </strong>A total of 308 survey responses were included in the analysis. The mean age of the athletes was 44.9 + 10.2 years, with 55.2% being male. The group that did not return to their pre-illness level of sport (31.5%) had more post-COVID sequelae, worse illness severity, with a higher frequency of resting and exertional symptoms, notably fatigue and dyspnoea. Decreased exercise capacity was correlated with increased physical fatigue scores.</p><p><strong>Conclusion: </strong>Almost one-third of endurance athletes suffered protracted exercise tolerance post-COVID-19. Long-term symptoms may be more consequential in this athlete population.</p><p><strong>Clinical implications: </strong>Symptoms that may indicate cardiopulmonary consequences in recreational athletes should be investigated in order to facilitate return to sport and the important mental and physical benefits thereof. This will augment outcomes after respiratory tract infections and management of return to sport and expectations of endurance athletes.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"2063"},"PeriodicalIF":1.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126903","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}