South African Journal of Physiotherapy最新文献

{"title":"Importance of health policy and systems research for strengthening rehabilitation in health systems: A call to action to accelerate progress","authors":"Walter Frontera Roura, Abdul Ghaffer, Wouter de Groot","doi":"10.4102/sajp.v79i1.1968","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1968","url":null,"abstract":"","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136112698","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":"Knowledge, awareness and use of current practice of palliative care amongst physiotherapists.","authors":"Abdulsalam M Yakasai,&nbsp;Sonill S Maharaj,&nbsp;Umar M Gidado,&nbsp;Jibril M Nuhu,&nbsp;Sani A Haruna,&nbsp;Musa S Danazumi","doi":"10.4102/sajp.v79i1.1786","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1786","url":null,"abstract":"<p><strong>Background: </strong>Recently, there has been a marked increase in the incidence of cancer, HIV, and other noncommunicable diseases globally. Thus, the demand for palliative care (PC), including end-of-life care, continues to grow worldwide. Physiotherapy has an important role in PC as it aims to alleviate symptoms and improve quality of life by optimising independent levels of function.</p><p><strong>Objective: </strong>To assess the level of knowledge, awareness and current practice of PC amongst Nigerian physiotherapists in clinical practice.</p><p><strong>Method: </strong>Our study used a cross-sectional descriptive census-based method and recruited practising physiotherapists in Nigeria. An electronic questionnaire was used to collect data over 12 weeks, comprising 36 semistructured questions in four domains: personal information, knowledge, awareness and current practices regarding PC. Data were analysed using a pragmatist paradigm.</p><p><strong>Results: </strong>Of the 426 physiotherapists who participated, 50% (<i>n</i> = 213) had a postgraduate degree, 49.5% (<i>n</i> = 211) had a bachelor's degree and 0.5% (<i>n</i> = 2) had a Doctor of Physical Therapy degree. The results also indicate that 73.9% (<i>n</i> = 315) of the participants had sufficient knowledge about PC, 80.5% (<i>n</i> = 343) had a sufficient level of awareness about PC and 66.7% (<i>n</i> = 284) were using current clinical practices in the rehabilitation of critically ill patients or those with chronic conditions.</p><p><strong>Conclusion: </strong>It was concluded that most Nigerian physiotherapists had sufficient knowledge and awareness about PC and were involved in the management of patients requiring PC physiotherapy.</p><p><strong>Clinical implication: </strong>It can be understood that a large proportion of Nigerian physiotherapists have clinical experience managing patients requiring PC, despite inadequate formal training in this field.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1786"},"PeriodicalIF":1.1,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487186","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":"Research from low-income and middle-income countries will benefit global health and the physiotherapy profession, but it requires support","authors":"Saurab Sharma, Arianne P. Verhagen, Mark Elkins, Jean-Michel Brismée, George D. Fulk, Jakub Taradaj, Lois Steen, Alan Jette, Ann Moore, Aimee V. Stewart, Barbara J. Hoogenboom, Anne Soderland, Michele Harms, Rafael Z. Pinto","doi":"10.4102/sajp.v79i1.1957","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1957","url":null,"abstract":"","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136100506","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 impact of COVID-19 on professional development for physiotherapists in Lagos, Nigeria","authors":"Atirola A. Obileye, M. Anne Chamberlain, Rory J. O’Connor","doi":"10.4102/sajp.v79i1.1892","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1892","url":null,"abstract":"Background Continuous professional development is important to maintain standards of care in the healthcare sector. However, in Lagos, Nigeria, the additional burden of COVID-19 and limited resources may provide separate challenges for physiotherapists’ continuous professional development (CPD). Objectives To examine the availability and perceived quality of continuous professional development opportunities for physiotherapists working before and during the pandemic in Lagos, Nigeria. Method A qualitative study was conducted with 10 conveniently sampled physiotherapists, recruited via email. Interviews took place via Zoom, and the video function was utilised. Data were collected via semi-structured interviews using a pilot tested interview, and was transcribed and analysed thematically. Results The main method of workplace teaching pre-COVID-19 and during COVID-19 was bedside teaching (BT), which most participants received. Pre-COVID-19, the main barrier to receiving teaching was a lack of national guidelines providing specific details on CPD. During COVID-19, the main barrier was the difficulty of increased online teaching instead of teaching on real life patients. The main barriers for non-workplace CPD pre-COVID-19 were a lack of availability of learning opportunities and monetary cost of conferences. This was partially combatted by the increasing trend of online learning events during the pandemic, which increased access to non-workplace learning opportunities. Conclusion Because of COVID-19, most CPD learning opportunities for physiotherapists in Lagos, Nigeria, were online, increasing overall accessibility. Adequate training to improve utilising online learning resources as well as specific guidelines for workplace physiotherapists CPD in Nigeria should be implemented and promoted to improve confidence and quality of care. Clinical implications Key insight into the CPD experiences of physiotherapists currently working in Lagos, Nigeria, which can guide policies and improve clinical outcomes.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136100521","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":"Training, care delivery, and research in physiotherapy in sub-Saharan French-speaking Africa.","authors":"Oyéné Kossi","doi":"10.4102/sajp.v79i1.1932","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1932","url":null,"abstract":"No abstract available.","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1932"},"PeriodicalIF":1.1,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151988","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":"Treatment of balance with Computerised Dynamic Posturography therapy in chronic hemiplegic patients.","authors":"Işıl Doğaner,&nbsp;Zeliha C Algun","doi":"10.4102/sajp.v79i1.1918","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1918","url":null,"abstract":"<p><strong>Background: </strong>As patients with hemiplegia have a high risk of falling, it is important to develop a fall rehabilitation plan and/or apply personalised treatment when necessary.</p><p><strong>Objectives: </strong>We aimed to evaluate the effects of individualised treatment with Computerised Dynamic Posturography (CDP) on balance in patients with and without a history of chronic hemiplegic falls.</p><p><strong>Method: </strong>Forty patients with hemiplegia (time post-stroke: 8-18 months) between 40 and 70 years of age in the Istanbul Yeniyüzyıl University, Gaziosmanpaşa Hospital participated in our study. The patients were divided into two groups: Group 1, falling history (<i>n</i> = 20) and Group 2, no falling history (<i>n</i> = 20). The patients in both groups were included in a traditional rehabilitation programme for 5 weeks, 5 days a week, for 1 h. The group with a history of falls also received individualised CDP treatment for 20 min, 3 days a week, for 5 weeks. Patients were evaluated with a Sensory Organisation Test (SOT) and a Berg Balance Scale (BBS).</p><p><strong>Results: </strong>In Group 1, a significant improvement was determined in the after-treatment SOT 5 values compared with the before treatment SOT 5 values (<i>p</i> = 0.022). Significant improvement was found in BBS (<i>p</i> = 0.003) and SOT 6 (<i>p</i> = 0.022) values in Group 2. There was no statistically significant difference in improvement between the two groups (<i>p</i> ≥ 0.05).</p><p><strong>Conclusion: </strong>Larger samples and longer duration of individualised CDP therapy studies may be required to improve balance with chronic hemiplegia and a history of falls.</p><p><strong>Clinical implications: </strong>In addition to traditional therapy, individualised CDP treatment may be beneficial for patients with a history of post-stroke falls.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1918"},"PeriodicalIF":1.1,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41178752","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":"Work-related musculoskeletal disorders and risk factors among weavers: A cross-sectional study.","authors":"Pegdwendé A Kaboré, Bénédicte Schepens","doi":"10.4102/sajp.v79i1.1904","DOIUrl":"10.4102/sajp.v79i1.1904","url":null,"abstract":"<p><strong>Background: </strong>Work-related musculoskeletal disorders (WRMSDs) are a major health issue for low-income countries because of their high prevalence among workers and on account of the scarcity of ergonomic preventative measures in the workplace.</p><p><strong>Objectives: </strong>To determine the prevalence of WRMSDs among weavers, assess their consequences, and analyse the associated occupational risk factors.</p><p><strong>Method: </strong>A cross-sectional survey was carried out among 257 handloom weavers using the Nordic questionnaireand the working conditions were assessed through a descriptive analysis using the key indicator method.</p><p><strong>Results: </strong>The WRMSDs annual prevalence was 85% in all parts of the body, 71% for the low back region, 41% for the shoulders, and 37% for the knees. One quarter of the weavers indicated having stopped work for 1-30 days because of their low back pain (LBP). The prevalence of WRMSDs was associated with the number of hours worked per day, the years of experience, and age. Long working hours, load carrying (> 20 kg - 25 kg), awkward postures, repetitive limb movements, and unfavourable environmental conditions were identified as occupational risk factors.</p><p><strong>Conclusion: </strong>Work-related musculoskeletal disorders are common among weavers and LBP is the most frequently cited disorder and the primary reason for work interruptions and a decrease of activities. The prevalence of WRMSDs is associated with professional and personal factors. Actions based on ergonomic rules are necessary to prevent WRMSDs.</p><p><strong>Clinical implications: </strong>Our study highlights the issue of WRMSDs and the need for prevention in the informal sector, which constitutes the major part of economic activity in low-income countries.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"1 1","pages":"1904"},"PeriodicalIF":1.1,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11157636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42439470","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":"Corrigendum: Translation and adaptation of the stroke-specific quality of life scale into Swahili.","authors":"Emily M Nyanumba, Joseph M Matheri, Nassib Tawa, Patrick M Mburugu","doi":"10.4102/sajp.v79i1.1934","DOIUrl":"https://doi.org/10.4102/sajp.v79i1.1934","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.4102/sajp.v79i1.1847.].</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1934"},"PeriodicalIF":1.1,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11157631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296977","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":"South African physiotherapists' attitudes to medicine prescription as an extension of practice.","authors":"Tsungirirai V Kakono, Desmond Mathye, Sarel J Brand, Werner Cordier","doi":"10.4102/sajp.v79i1.1851","DOIUrl":"10.4102/sajp.v79i1.1851","url":null,"abstract":"<p><strong>Background: </strong>The extension of medicine prescription rights to other healthcare providers was proposed to reduce pharmacotherapeutic service delivery challenges in the South African healthcare sector. The scope of practice of physiotherapists is being reviewed to possibly include prescription rights to promote service delivery.</p><p><strong>Objectives: </strong>Our study assessed the attitudes of registered South African physiotherapists to the inclusion of prescription rights in their scope of practice, including enablers and challenges, and the drug classes they believe to be most relevant.</p><p><strong>Method: </strong>A cross-sectional descriptive survey of South African registered physiotherapists was completed using an online questionnaire.</p><p><strong>Results: </strong>A total of 359 participants completed the questionnaire, where 88.2% agreed that prescribing rights should be introduced, and 87.64% would want to be trained to prescribe. Participants identified several benefits: improved service delivery (91.3%); reduced healthcare delivery costs (89.8%); decreased need for multiple healthcare practitioner consultations (93.2%). Concerns included: inadequate training (55%); increased workload (18.7%); increased insurance premiums against medical liability claims (46.2%). Drugs of relevance included analgesics (95.6%) and bronchodilators (96.0%), while low preference was placed on drugs unrelated to physiotherapy. Chi-square analysis revealed associations between specific drug classes and fields of expertise.</p><p><strong>Conclusion: </strong>South African physiotherapists agree that prescribing and a limited formulary would benefit their scope of practice; however, educational concerns are evident.</p><p><strong>Clinical implications: </strong>Findings support the drive to extend the South African physiotherapy scope of practice, however, investigation will be needed to determine the most appropriate way to capacitate future physiotherapists and current graduates should the extension be approved.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1851"},"PeriodicalIF":1.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10164040","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":"Public-private partnership models for rehabilitation service delivery: A scoping review.","authors":"Senzelwe M Mazibuko, Thayananthee Nadasan, Pragashnie Govender","doi":"10.4102/sajp.v79i1.1856","DOIUrl":"10.4102/sajp.v79i1.1856","url":null,"abstract":"<p><strong>Background: </strong>Public-private partnership (PPP) for the delivery of health services is known to improve access to healthcare, yet little is known about its utilisation for rehabilitation services, particularly in sub-Saharan Africa (SSA).</p><p><strong>Objectives: </strong>As a first step to generating evidence to develop a PPP model for physiotherapy service delivery in South Africa, our study mapped and described available research evidence on PPP models for rehabilitation services in the global literature.</p><p><strong>Method: </strong>The Arksey and O'Malley framework guided our scoping review. Published research on rehabilitation and PPP was searched in five databases from 2000 to August 2022 using keywords, Medical Subject Headings (MeSH) and Boolean terms. Two reviewers independently completed the titles, abstracts and full-text screening of the articles and data extraction from the included articles. A narrative synthesis was conducted, and summaries of the findings are reported.</p><p><strong>Results: </strong>Nine articles were included from a total of 137 obtained from the evidence searches. Of these, five were from Australia and the others from Hong Kong, Denmark, Bangladesh and the Netherlands. All the included articles showed evidence of PPP models for physiotherapy service delivery.</p><p><strong>Conclusion: </strong>Our study suggests that PPP models for physiotherapy service delivery exist, particularly in high-income countries (HICs). It also highlights limited research in low- and middle-income countries (LMICs).</p><p><strong>Clinical implications: </strong>There is a need for primary studies to generate further evidence and develop innovative PPP models for rehabilitation services for the populations who need them most as part of efforts towards improving access to healthcare in LMICs.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1856"},"PeriodicalIF":1.0,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9601417","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}