South African Journal of Physiotherapy最新文献

{"title":"Supported self-management in long-term conditions in an African context.","authors":"Leigh Hale, Amanda Wilkinson, Sonti Pilusa, Aimee Stewart","doi":"10.4102/sajp.v80i1.1978","DOIUrl":"10.4102/sajp.v80i1.1978","url":null,"abstract":"<p><p>Self-management is an important strategy to improve quality of life, appropriately manage long-term health conditions, and reduce the economic burden of long-term health conditions. However, equitable healthcare access remains an issue, and the focus on 'self' in self-management is problematic. Our review aims to explore the conceptualisation and evolution of supported self-management in an African context and its relevance to physiotherapy. A state-of-the-art review of the literature was undertaken by the authors. The authors knowledge of the subject area and a database search retrieved recent articles exploring patients' and healthcare providers' understanding of supported self-management in Africa. Relevant articles were read, and data summaries of included studies were extracted and tabulated. Findings were organised deductively. Sixteen studies, 11 primary research, and 5 reviews (2016-2023) undertaken in a variety of sub-Saharan countries with healthcare workers (~<i>n</i> = 177) and people (~<i>n</i> = 16 115) living with a mix of non-communicable and communicable conditions were considered in this state-of-the-art review. Self-management perceptions were drawn from Western authors spanning development research and understanding of the concepts in Western thinking. We conclude that imported concepts, such as supported self-management for long-term conditions, should be considered within local health delivery solutions. These should be embedded in an understanding of traditional African health systems.</p><p><strong>Clinical implications: </strong>There is a need to develop locally derived African solutions. Self-management strategies for long-term health conditions should be developed, considering traditional holistic African health systems.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140896095","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":"The role of the physiotherapist in concussion.","authors":"Megyn K Robertson, James McLoughlin","doi":"10.4102/sajp.v80i1.2013","DOIUrl":"10.4102/sajp.v80i1.2013","url":null,"abstract":"<p><p>In the last decade, concussion research has exploded in multiple fields of scientific research. This has helped to clarify what causes, influences, and perpetuates human concussion, and displays the integral role physiotherapists play in concussion management. In this article we discuss the latest research relevant to the key role of physiotherapy in concussion management. A narrative review of the literature on concussion was conducted. The current review analyses how concussion has influenced physiotherapy in several categories: assessment, treatment, management, research rigour and building the profile of the profession. Scientific concussion research has largely converged in support of the role of physiotherapists utilising specific components including: (1) autonomic, (2) cervicogenic, (3) vestibulo-ocular and (4) psychological approaches to management. Latest research supports the critical role of physiotherapy in concussion care in the assessment, management, and prevention of concussion with scope for further interdisciplinary collaborations.</p><p><strong>Clinical implications: </strong>Concussion is complex. A basic mental health, Vestibular Ocular Motor Screening (VOMS) and four key components relating to concussion management (autonomic, cervicogenic, vestibular oculomotor, and psychological approaches to management) should be included in the undergraduate and postgraduate curriculum. This will aid clinical physiotherapists to support their patients. A call to advance more intradisciplinary physiotherapy teamwork should be encouraged as valuable knowledge sharing is potentially lost within the framework of 'specialisation'. If needed, the skills of a greater interdisciplinary team are imperative to facilitate patient management and recovery from this multi-faceted injury.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897076","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":"Undergraduate students' choices around community service and internship: A single faculty study.","authors":"Heather Talberg, Tamara Dayaram, Sarah Geel, Sivuyile Mthembu, Rofhiwa Nthangeni, Savannah Pillay, Theresa L Burgess","doi":"10.4102/sajp.v80i1.1980","DOIUrl":"10.4102/sajp.v80i1.1980","url":null,"abstract":"<p><strong>Background: </strong>The Internship and Community Service Programme (ICSP) places newly graduated health professionals for a compulsory training period. Universities adopt multiple strategies to encourage students to select rural placements for ICSP.</p><p><strong>Objectives: </strong>This study describes ICSP choices among final-year MBChB and Health and Rehabilitation Science students at a South African university and the factors influencing their decisions.</p><p><strong>Method: </strong>A cross-sectional qualitative descriptive study was conducted using a self-developed online questionnaire. Eighty-five final-year students were recruited.</p><p><strong>Results: </strong>Most respondents (<i>n</i> = 38, 45.8%) chose the Western Cape (WC) as their first choice placement. There was a significant difference between MBChB and other health science students' choice of level of healthcare (χ = 10.39, <i>p</i> = 0.006), with MBChB less likely to choose primary healthcare (PHC) level placements. District and tertiary care options were perceived as better sites for learning and practice, while PHC and rural sites, considered underresourced and understaffed, were avoided. Although MBChB students indicated a lower preference for rural placements, this was not significant.Factors influencing ICSP application decisions included professional support, work environment, and social and personal considerations.</p><p><strong>Conclusion: </strong>Students' placement choices were based on their perceptions of clinical exposure, learning opportunities, mentorship and supervision. Placements closer to home were preferred. UG clinical exposure and rural background seem to have some impact on choice but need further investigation.</p><p><strong>Clinical implications: </strong>Universities should continue to explore ways to improve students' readiness for practice in underresourced settings. Improved exposure to rural and PHC sites during training could encourage better uptake during ICSP placement.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11079367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897077","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":"National Health Insurance interprofessional practice implementation in hand rehabilitation service delivery in South Africa","authors":"Monique M. Keller","doi":"10.4102/sajp.v80i1.1969","DOIUrl":"https://doi.org/10.4102/sajp.v80i1.1969","url":null,"abstract":"South Africa’s current healthcare system is unequal and inefficient, with 71% of the population accessing underfunded public healthcare facilities. The imminent National Health Insurance (NHI) aims to balance the inequality between private and public health services by providing universal healthcare. The high levels of road accidents, violence and injuries in South Africa, being one of the quadruple burdens of diseases frequently causing hand injuries with resultant devastating economic and functional implications without rehabilitation services, are concerning. The plea is that for specialised injuries, such as hand injuries, the NHI implementation requires innovative interprofessional health education and practice when managing individuals who sustained hand injuries optimally to return to preinjury functioning. When considering the devastating burden of mismanaged hand injuries on all levels of the International Classification of Functioning, Disability and Health (ICF) framework, all South Africans deserve rehabilitation by physiotherapists and occupational therapists based on each occupation’s unique strengths. Anecdotally, a lack of interprofessional undergraduate and postgraduate hand rehabilitation education and hand-injured patient management exists in South Africa, highlighting the need for urgent change towards future practice and NHI. This commentary aims to apply the ICF core sets to inform interprofessional hand rehabilitation delivery by physiotherapists and occupational therapists.Clinical implication: Interprofessional rehabilitation framed in the ICF Core Set, accompanied by inclusive interprofessional education opportunities according to the Health Professions Council of South Africa (HPCSAs) scope of practice, will benefit South Africans who sustained hand injuries to fully recover and maximise their functional performance considering the type of injuries sustained.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140669219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The knowledge, attitudes and perceptions of physiotherapists and chiropractors in South Africa.","authors":"Micaela Ravidutt, Sonill Mahara","doi":"10.4102/sajp.v80i1.1922","DOIUrl":"10.4102/sajp.v80i1.1922","url":null,"abstract":"<p><strong>Background: </strong>Effective healthcare delivery occurs when health professionals collaborate and provide holistic, patient-centred care. Physiotherapists and chiropractors treat a common range of patients with an overlap in their scope of practice and modalities because of typical healthcare roles that could lead to 'perceived' animosity.</p><p><strong>Objectives: </strong>To assess the knowledge, attitudes, and perceptions of qualified chiropractors and physiotherapists regarding each other's practice.</p><p><strong>Method: </strong>A cross-sectional survey using an online questionnaire and analysed descriptively.</p><p><strong>Results: </strong>Participants were chiropractors (<i>n</i> = 116) and physiotherapists (<i>n</i> = 190). Chiropractors achieved a mean knowledge score of 75.7%, with physiotherapists at 59.7% on the assessments of each other's patients; an average score of 85.3% and 72.0% respectively, on knowledge of treatment modalities; knowledge score of 82.4% and 77.3% respectively, on the conditions treated by the other professional. A total of 82.8% (<i>n</i> = 96) of chiropractors and 70.0% (<i>n</i> = 133) of physiotherapists indicated the other professionals' competence in treating neuromusculoskeletal conditions. Inter-professional referrals occurred between 81.9% of chiropractors (<i>n</i> = 95) and 55.3% of physiotherapists (<i>n</i> = 105). Chiropractors (69.0%, <i>n</i> = 80) and physiotherapists (55.3%, <i>n</i> = 105) wanted to collaborate to manage patients.</p><p><strong>Conclusion: </strong>In the surveyed population in South Africa, chiropractors and physiotherapists had good knowledge, positive attitudes and perceptions of each other's practices, especially in the private sector.</p><p><strong>Clinical implications: </strong>Inter-professional collaboration between chiropractors and physiotherapists should be encouraged so that healthcare delivery can be holistic and patient-centred for better clinical outcomes.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040541","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":"Psychosocial reintegration post-traumatic spinal cord injury in Rwanda: An exploratory study.","authors":"Maurice Kanyoni, Lena N Wikmar, Joliana Philips, David K Tumusiime","doi":"10.4102/sajp.v80i1.1996","DOIUrl":"10.4102/sajp.v80i1.1996","url":null,"abstract":"<p><strong>Background: </strong>Traumatic spinal cord injury (TSCI) survivors are confronted by both physical and psychosocial barriers when returning to their communities. Therefore, reintegration is an important aspect of their journey back into social life.</p><p><strong>Objectives: </strong>To assess psychosocial reintegration after TSCI in Rwanda.</p><p><strong>Method: </strong>All community-dwelling adults who were registered in the previous epidemiological study were recruited and injury characteristics questionnaire and the Sydney Psychosocial Reintegration Scale version 2 (SPRS-2) were used to collect data through a telephone interview.</p><p><strong>Results: </strong>The study traced 58 participants, 77.6% (<i>n</i> = 45) were male and 56.9% (<i>n</i> = 33) were categorised with paraplegia. Overall, the results show poor community reintegration. The SPRS-2 and domain mean (SD) scores were: overall SPRS-2 of 20.95 (11.56), occupational activity (OA) of 3.68 (4.31), interpersonal relationship (IR) of 7.11(4.31) and living skills (LS) of 7.43 (5.32). Gender significantly influenced overall SPRS-2 (<i>p</i> = 0.011) and two domains: OA (<i>p</i> = 0.005) and LS (<i>p</i> = 0.012). Level of injury was significantly associated with an OA domain score of SPRS-2 (<i>p</i> = 0.002). Gender explained 29% of the variance in the LS domain of SPRS-2, with males reporting better psychosocial reintegration.</p><p><strong>Conclusion: </strong>Gender strongly predicted psychosocial reintegration following a TSCI, which is an indication of the role of social support.</p><p><strong>Clinical implications: </strong>Traumatic SCI rehabilitation should be holistic to help prepare the person to return to the community. There should be an assessment of an individual's readiness to return to the community before discharge from the hospital.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040540","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":"Use of posturography in patients with ankylosing spondylitis: systematic review","authors":"Caroline F.O. Silva, Karen Obara, Luana Paixão, Eduarda H. Santos, Amanda I.Z. Santos, Jefferson R Cardoso","doi":"10.4102/sajp.v80i1.1953","DOIUrl":"https://doi.org/10.4102/sajp.v80i1.1953","url":null,"abstract":"","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140453565","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":"Quadriceps vascular occlusion does not alter muscle action or balance: A cross-sectional study.","authors":"Daiene C Ferreira, Letícia B Vale, Felipe H Santos, Christiane S G Macedo","doi":"10.4102/sajp.v80i1.1954","DOIUrl":"10.4102/sajp.v80i1.1954","url":null,"abstract":"<p><strong>Background: </strong>Partial vascular occlusion (PVO) can increase muscle strength and hypertrophy without joint overload. However, PVO could increase the possibility of imbalances and injuries during physical activity.</p><p><strong>Objectives: </strong>To identify changes in strength, muscle activation, and postural control during the use of PVO in young women.</p><p><strong>Method: </strong>A total of 14 healthy women aged between 18 and 30 years were evaluated. Dynamometry was used to analyse the strength of the quadriceps muscle, and surface electromyography to evaluate quadriceps muscle activity. A force platform was utilised to assess postural control, static single-legged support, single-legged squat, and climbing and descending stairs. Participants were randomly assigned to the evaluations either with or without PVO. The results were compared and correlated.</p><p><strong>Results: </strong>The performance of static, dynamic, or stair exercises, with or without PVO, did not indicate differences in muscle strength and recruitment (<i>p</i> > 0.05). The use of PVO improved the velocity of anteroposterior (AP) oscillation of static postural control (<i>p</i> = 0.001). We found a moderate negative correlation between muscle strength and postural control during the ascending stairs task with the use of PVO (<i>r</i> = -0.54; <i>r</i> = -0.59), while in the group without PVO, the correlation was moderate to high (<i>r</i> = -0.55; <i>r</i> = -0.76).</p><p><strong>Conclusion: </strong>The use of PVO did not impair muscle strength and recruitment of the quadriceps or postural control in healthy women.</p><p><strong>Clinical implications: </strong>Partial vascular occlusion can be used during dynamic exercises without impairing the balance and muscle strength of the quadriceps during its execution.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10839211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698549","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":"Use of standardised outcome measures among physiotherapists in French-speaking sub-Saharan Africa","authors":"Abdoulaye Sawadogo, E. Sogbossi, Gauthier J. Everard, T. Kpadonou, C. Batcho","doi":"10.4102/sajp.v80i1.1981","DOIUrl":"https://doi.org/10.4102/sajp.v80i1.1981","url":null,"abstract":"Background: The use of standardised assessment tools is a fundamental aspect of good clinical practice. However, to our knowledge, no study has documented the use of standardised assessment tools in physiotherapy in French-speaking sub-Saharan Africa.Objectives: Documenting the use of standardised outcome measures in physiotherapy in French-speaking sub-Saharan Africa.Method: Our cross-sectional survey used an online self-questionnaire on facilitators and barriers to the use of standardised outcome measures, distributed to physiotherapists in French-speaking sub-Saharan Africa.Results: A total of 241 physiotherapists working in French-speaking sub-Saharan Africa responded to the survey. The most represented countries were Benin (36.9%), Cameroon (14.1%), and Burkina Faso (10.8%). Although 99% of participants reported using standardised outcome measures, only 27% of the respondents used them systematically (all the time). The most reported facilitators included the recognition that standardised outcome measures help to determine whether treatment is effective, help to guide care, and improve communication with patients. The most significant barriers were the lack of time, unavailability of the standardised outcome measures, and non-sensitivity of measures to patients’ cultural and ethnic concerns. There was a higher proportion of use in the middle age group (30–40) (p = 0.02) and a lower proportion of use in physiotherapists simultaneously working in public and private sectors (p = 0.05).Conclusion: Standardised outcome measures are still not widely used by physiotherapists in French-speaking sub-Saharan Africa.Clinical implications: The perceived barriers and facilitators could help to develop strategies to improve the systematic use of outcome measures in French-speaking sub-Saharan Africa.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139594191","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":"Managers’ perceptions on the implementation of community-based rehabilitation in KwaZulu-Natal","authors":"S. Blose, Verusia Chetty, S. Cobbing, N. Chemane","doi":"10.4102/sajp.v80i1.1965","DOIUrl":"https://doi.org/10.4102/sajp.v80i1.1965","url":null,"abstract":"Background: Community-based rehabilitation (CBR) is a World Health Organization (WHO) strategy for social inclusion, equalisation of opportunities and provision of essential services for people with disabilities (PWDs). Community-based rehabilitation is a multi-sectoral strategy that requires all stakeholders to participate equally in its implementation. KwaZulu-Natal has implemented CBR for over two decades, with various stakeholders at the forefront of implementation. However, the status of stakeholder engagement, collaboration and coordination is unknown.Objective: The objective of our study was to understand how CBR is implemented in KwaZulu-Natal and the roles of each stakeholder in its implementation, with a focus, on managers from government and non-governmental organisations.Method: A descriptive explorative approach using semi-structured interviews was used to collect data from 20 managers from various stakeholders involved in implementing CBR in KwaZulu-Natal. Data were transcribed and analysed using thematic analysis.Results: The findings revealed five dominant themes: (1) the understanding of concepts, (2) missed opportunities for implementing CBR, (3) barriers to implementing CBR, (4) benefits to implementing CBR and (5) recommendations for future implementation.Conclusion: A formal management structure with clear roles and responsibilities was fundamental for implementation. Collaboration, coordination and planning were believed to be the critical roles of managers in the implementation of CBR. Training, awareness and sharing of resources among stakeholders were also identified as important factors in implementing CBR in KwaZulu-Natal.Clinical implications: Our study will assist managers and clinicians to improve their planning and implementation of CBR.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139594619","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}