South African Journal of Physiotherapy最新文献

{"title":"Hand therapy: Inclusive care by South African physiotherapists.","authors":"Monique M Keller","doi":"10.4102/sajp.v79i1.1942","DOIUrl":"10.4102/sajp.v79i1.1942","url":null,"abstract":"<p><p>Hand therapy for individuals who sustained hand injuries is included in the Health Professions Council of South Africa (HPCSA) physiotherapy scope of practice. The training that physiotherapists receive at the undergraduate level lays the foundation for them to deliver hand therapy or hand rehabilitation according to the International Classification of Functioning, Disability and Health domains in a uniquely South African health service context. Further structured formal and informal postgraduate continued education opportunities may put physiotherapists in the ideal position in a multidisciplinary team to deliver optimal hand therapy. The problem is that the physiotherapist's role in the multidisciplinary team delivering hand therapy in the past two decades has decreased, leaving room for a lack of health professional services in South Africa's private sector where physiotherapists are often the first consultation in, for example, sports teams, but more pertinently, in the public and rural areas. The International Federation of Societies for Hand Therapy (IFSHT) practice profile and physiotherapy scope of practice, curriculum and education information assist in achieving the aim of this commentary to position physiotherapists in South Africa as primary health practitioners in delivering hand therapy.</p><p><strong>Clinical implication: </strong>The effective management of individuals with hand-related conditions and injuries is pertinent to ensure optimal hand function and quality of life. Equal continued formal education opportunities should thus be created for all multidisciplinary team professions at a postgraduate level.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1942"},"PeriodicalIF":1.1,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499736","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":"Does the ankle affect knee hyperextension during gait in hemiparetic stroke? A pilot study.","authors":"Catherine Cawood, Kholofelo Mashola","doi":"10.4102/sajp.v79i1.1926","DOIUrl":"10.4102/sajp.v79i1.1926","url":null,"abstract":"<p><strong>Background: </strong>Knee hyperextension is common following stroke because of changes in joint range of motion (ROM), muscle tone and strength on the hemiparetic side. There is no clear consensus in the literature as to the cause of knee hyperextension during the stance phase of gait.</p><p><strong>Objectives: </strong>Our study aimed to determine the feasibility of methods to investigate the association between ankle joint function and knee hyperextension in patients with hemiparetic stroke during the stance phase of gait.</p><p><strong>Methods: </strong>We used a cross-sectional observational study to assess bilateral ankle muscle strength using a handheld dynamometer, ROM using a digital inclinometer and muscle tone using the Modified Tardieu Scale. The knee angles of the hemiparetic leg during the stance phase of gait were assessed using the Kinovea movement analysis software. Data were analysed using the Statistical Package for the Social Sciences with significance level set at 0.05 and 95% confidence intervals.</p><p><strong>Results: </strong>Twelve participants were included, and no alterations were necessary to the planned methodology. We found positive associations in six participants between the tibialis anterior muscle tone and the hemiparetic knee angles during heel strike, terminal stance and pre-swing phases (<i>p</i> < 0.05, <i>p</i> < 0.01 and <i>p</i> < 0.01, respectively).</p><p><strong>Conclusion: </strong>The results of the data analysis suggests that there may be a correlation between tibialis anterior muscle tone and knee hyperextension, a larger study will be imperative to confirm this association.</p><p><strong>Clinical implications: </strong>The methods described in our pilot study are feasible for a larger study to be conducted with the recommendations considered.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1926"},"PeriodicalIF":1.1,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499733","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":"Functional outcomes of patients in ICU using the Chelsea Critical Care Physical Assessment tool: An integrative review.","authors":"Lebogang C Tjale, Silmara G Hanekom, Nombeko Mshunqane","doi":"10.4102/sajp.v79i1.1924","DOIUrl":"10.4102/sajp.v79i1.1924","url":null,"abstract":"<p><strong>Background: </strong>Outcome measures can assess the change in the health status of a patient in an intensive care unit (ICU). The Chelsea Critical Care Physical Assessment (CPAx) tool is used to assess the functional outcomes to monitor patient progression or regression in an ICU.</p><p><strong>Objectives: </strong>Our study aimed to identify studies that assess the functional outcomes of patients nursed in ICUs that use the CPAx tool.</p><p><strong>Method: </strong>An integrative review framework was used. Data were analysed in five steps to formulate a conclusion that aligned with the objective of our study. Data were extracted from peer-reviewed articles published online between 2013 and 2022. Databases that were used include Google Scholar, Directory of Open Access Journals (DOAJ) and PubMed for reviewed articles. Keywords were used in the search strategy, and screening of abstracts was done to extract studies that met the inclusion criteria.</p><p><strong>Results: </strong>We retrieved 41 studies, of which 11 matched the inclusion criteria. Data were thematically arranged into studies measuring the validity and reliability of the CPAx tool, using the CPAx tool to measure outcomes in the ICU, the tool used at ICU and hospital discharge.</p><p><strong>Conclusion: </strong>The use of the CPAx tool has no impact on measuring the hospital length of stay or quality of life.</p><p><strong>Clinical implications: </strong>The tool is comprehensive and enhances the accuracy of patient assessment.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1924"},"PeriodicalIF":1.1,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499735","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 development of items for a physiotherapy clinical programme evaluation tool","authors":"Vaneshveri Naidoo, Aimee V. Stewart, Morake E. Douglas Maleka","doi":"10.4102/sajp.v79i1.1908","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1908","url":null,"abstract":"Background: Evaluating a physiotherapy clinical education programme is challenging, given its complex and multidimensional nature, resulting in a paucity of research on the topic.Objectives: The objective of our study, which was part of a larger study, was to identify items that could be included in a tool to evaluate a physiotherapy clinical education programme in South Africa.Method: A qualitative study utilising focused group discussions including academics, clinical educators and clinicians was undertaken. A broad script that delved into clinical education experience was used. An inductive thematic content analysis using MaxQda version 2018.2 was undertaken; the data were coded, and similar foci were categorised and subcategorised. This process led to the identification of themes. Both triangulation of the data (member checks, field note comparison, observer reflection and verification of the data) and assuring the data’s trustworthiness (credibility, dependability and confirmability) were undertaken.Results: Fourteen focus group discussions were held countrywide. Three themes emerged from the data. A macro theme included all governance issues, a meso theme included all structural issues and a micro theme included all aspects related to clinical experience.Conclusion: The complex nature of clinical physiotherapy education and its diversity can be seen in these emerging themes. All the categories and subcategories making up these themes must now be considered in the next step of developing this tool.Clinical implications: Quality assurance and minimal training standards may be ensured.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"27 23","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134954289","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":"A scoping review of prehabilitation interventions for arthroplasty patients","authors":"Prithi Pillay-Jayaraman, Verusia Chetty, Stacy Maddocks","doi":"10.4102/sajp.v79i1.1939","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1939","url":null,"abstract":"Background: Osteoarthritis (OA) is a long-term condition that causes significant impairment, and because of the increasing prevalence of OA, the demand for arthroplasty will continue to rise. However, the demand will not be matched by availability, because of prioritisation of trauma-related surgeries. Implementing prehabilitation could assist physiotherapists in having an impact on improving access by reducing the length of stay.Objectives: The aim of our scoping review was to explore, map and identify trends and gaps to better inform the content of a prehabilitation programme.Method: In our scoping review, studies between 1995 and 2020 were identified and included based on inclusion and exclusion criteria and study methodology described by Arksey and O’Malley. The results were collated and summarised as a narrative synthesis.Results: A total of 200 articles were identified and exported from four databases of which 48 articles were included in the final analysis. Regarding the efficacy of prehabilitation interventions, 21 studies reported significant results supporting prehabilitation, whereas 11 studies reported non-significant results.Conclusions: Prehabilitation could be a valuable adjunct in reducing length of hospital stay and improving functional outcomes in adults undergoing total joint replacement.Clinical implications: The scoping review described the information available on prehabilitation in lower limb arthroplasty patients and could potentially inform the design of a prehabilitation programme suitable for use in the South African public health context.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"27 13","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134954294","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":"Influence of hand dominance, gender, and body mass index on hand grip strength.","authors":"Mercy A Agtuahene,&nbsp;Jonathan Quartey,&nbsp;Samuel Kwakye","doi":"10.4102/sajp.v79i1.1923","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1923","url":null,"abstract":"<p><strong>Background: </strong>Hand grip strength (HGS) measurements serve as an objective measure of upper extremity function. Reliable hand strength evaluation is vital for assessing treatment effectiveness.</p><p><strong>Objectives: </strong>To determine the influence of hand dominance, gender, and body mass index (BMI) on HGS among university students in Ghana.</p><p><strong>Method: </strong>In our cross-sectional study of 304 participants, height, weight, and BMI were measured using a stadiometer and weighing scale. Hand grip strength was assessed with a dynamometer. We compared HGS in dominant and non-dominant hands for males and females using a paired <i>t</i>-test and analysed the correlation between grip strength and weight, height, and BMI using Pearson's correlation coefficient.</p><p><strong>Results: </strong>The mean HGS for right-hand dominant (RHD) male participants was 35.62 kg (± 7.36) for the right hand compared with 32.84 kg (± 7.36) for the left hand. For females RHD the mean HGS in the right hand was 24.60 kg (± 6.42) compared to 22.12 kg (± 5.37) in the left hand. The mean weight, height and BMI of participants were 62.86 kg (± 10.30), 1.67 m (± 0.09) and 22.9 kg/m² (± 4.9), respectively. A significant relationship existed between HGS and height (<i>r</i> = 0.492; <i>p</i> < 0.01) as well as HGS and BMI (<i>r</i> = 0.290; <i>p</i> < 0.01). However, no notable connection was found between HGS and weight (<i>r</i> = 0.001; <i>p</i> = 0.982).</p><p><strong>Conclusion: </strong>Hand grip strength was significantly stronger in the dominant hand of both males and females.</p><p><strong>Clinical implications: </strong>Physiotherapists should test HGS objectively and quantitatively for use in disease evaluation, diagnosis, and therapy.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1923"},"PeriodicalIF":1.1,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487185","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":"Physiotherapy practice in lymphoedema in South Africa: A survey.","authors":"Carys A Rhodes,&nbsp;Corlia Brandt,&nbsp;Monique Keller","doi":"10.4102/sajp.v79i1.1907","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1907","url":null,"abstract":"<p><strong>Background: </strong>Lymphoedema is a chronic condition that is increasing in prevalence and requires specialised management to avoid possible life-threatening complications.</p><p><strong>Objectives: </strong>To describe the perceived knowledge of physiotherapists about lymphoedema and its management, the lymphoedema patient load seen by physiotherapists, and the current treatment approaches of physiotherapists in South Africa when managing lymphoedema.</p><p><strong>Method: </strong>A quantitative study using self-administered, online questionnaires were distributed among physiotherapists.</p><p><strong>Results: </strong>Knowledge of lymphoedema management is perceived to be lacking among physiotherapists. Physiotherapists are getting limited referrals and spending little time managing patients with lymphoedema. Only a few physiotherapists have post-graduate education in lymphoedema management, thus international treatment standards still need to be met.</p><p><strong>Conclusion: </strong>In order to meet international standards and patient needs, future research investigating the physiotherapy perspective is needed in lymphoedema management.</p><p><strong>Clinical implications: </strong>Educational bodies and policymakers may use this data to facilitate improvement in physiotherapy management of the condition and provision of care.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1907"},"PeriodicalIF":1.1,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487187","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":"A review of the journal achievements since 2017.","authors":"Aimee V Stewart","doi":"10.4102/sajp.v79i1.1983","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1983","url":null,"abstract":"No abstract available.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1983"},"PeriodicalIF":1.1,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487184","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 mediating role of social support in promoting physical activity among children in South Africa.","authors":"Howard Gomwe,&nbsp;Lesego Phiri,&nbsp;Chioneso Show Marange","doi":"10.4102/sajp.v79i1.1896","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1896","url":null,"abstract":"<p><strong>Background: </strong>Low physical activity (PA) participation levels and increasing non-communicable diseases in children are concerning in South Africa and globally.</p><p><strong>Objectives: </strong>We sought to assess the mediating role of perceived social support factors on the relationship between PA enjoyment and PA levels among rural, peri-urban and urban school children.</p><p><strong>Method: </strong>A cross-sectional study was adopted to assess peer, family and teacher encouragement as mediators on the relationship between perceived PA enjoyment and perceived physical activity participation among children, using the Physical Activity Questionnaire for Older Children (PAQ-C). The sample comprised a random sample of primary school learners aged 9-14 years.</p><p><strong>Results: </strong>The sample consisted of 870 primary school learners with a mean age of 11.0 ± 1.49 years. Most participants were girls (<i>n</i> = 519; 59.7%). The findings suggest low levels of perceived PA participation (mean = 2.33, standard deviation [s.d.]: 0.43). Peer (β = 0.0187, 95% confidence interval [CI]: 0.0088, 0.0307), family (β = 0.0280, 95% CI: 0.0155, 0.0425) and teacher (β = 0.0242, 95% CI: 0.0127, 0.0378) encouragement partially mediates the relationship between perceived PA enjoyment and perceived PA participation. Family encouragement (β = 0.0158, 95% CI: 0.0017, 0.0311) has the most considerable mediating effect, followed by teacher encouragement (β = 0.0125, 95% CI: 0.0010, 0.0269).</p><p><strong>Conclusion: </strong>The findings demonstrated low levels of perceived PA participation in school learners. Therefore, we recommends including social factors as mediators in PA intervention programmes in primary schools.</p><p><strong>Clinical implications: </strong>Social support factors as mediators on the relationship between PA enjoyment and PA participation among children may improve children's PA participation levels and help prevent non-communicable diseases in future.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1896"},"PeriodicalIF":1.1,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487189","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 of physiotherapists working with soccer teams in South Africa.","authors":"Matthews Selomo,&nbsp;Maria E Cochrane,&nbsp;Muhammad A Dawood","doi":"10.4102/sajp.v79i1.1920","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1920","url":null,"abstract":"<p><strong>Background: </strong>Soccer is one of the fastest growing sports in South Africa and the number of physiotherapists working with soccer teams has increased significantly. Despite increased appointments, very little is known regarding the demographic, education and work profiles of these physiotherapists.</p><p><strong>Objective: </strong>To determine the profiles of physiotherapists working with soccer teams in South Africa.</p><p><strong>Methods: </strong>A descriptive, cross-sectional study was used to collect data from physiotherapists employed with soccer teams. Physiotherapists who were employed on a part-time basis and not registered with the Health Professions Council of South Africa and who did not give consent were excluded. A total of 38 physiotherapists working with soccer teams participated in our study. A questionnaire was circulated, and participants were given 4 months to complete and submit it.</p><p><strong>Results: </strong>Results showed that participants had a mean age of 31.35 years and were employed for a mean time of 3.41 years. Most participants were African (89.48%) and worked with amateur soccer teams (52.63%). The education results indicated that 66.67% of participants held bachelor's degrees. Postgraduate- and undergraduate education were used most frequently by participants to guide clinical decision-making. Job satisfaction was satisfactory, but they were not satisfied with their salaries.</p><p><strong>Conclusion: </strong>Our study is the first to investigate the profiles of physiotherapists working with soccer teams in South Africa. Demographic, education and work profiles for physiotherapists working with soccer teams were compiled, and the lack of information regarding the profiles of these physiotherapists was identified.</p><p><strong>Clinical implications: </strong>Extensive future research is needed to inform and train physiotherapists regarding the management of soccer teams.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1920"},"PeriodicalIF":1.1,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487188","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}