South African Journal of Physiotherapy最新文献

{"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":"80 1","pages":"1980"},"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":"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":"80 1","pages":"1922"},"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":"80 1","pages":"1996"},"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":"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":"80 1","pages":"1954"},"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":"Factors affecting quality of life in adults with HIV: A local cross-sectional study.","authors":"Karina Berner, Quinette A Louw","doi":"10.4102/sajp.v79i1.1921","DOIUrl":"10.4102/sajp.v79i1.1921","url":null,"abstract":"<p><strong>Background: </strong>Understanding health-related quality of life (HRQOL) among people with HIV (PWH) can inform strategies to maintain or improve health and functioning. Most HRQOL research has focused on resource-rich settings, underrepresenting younger cohorts in low-resource settings.</p><p><strong>Objectives: </strong>To assess HRQOL and associated factors in PWH visiting two primary healthcare clinics in the Western Cape, South Africa.</p><p><strong>Method: </strong>A cross-sectional study included 48 PWH (58.3% women; mean age: 39.2 [10.3]). Health-related QOL was assessed using EQ-5D-5L descriptive domains, visual analogue scale (EQ-VAS), and index score (EQ-index). Mobility was assessed using clinical tests. Tobit regression determined associations.</p><p><strong>Results: </strong>Mean and median EQ-VAS scores were 88.14 (16.35) and 95.00. Mean and median EQ-index scores were 0.84 (0.10) and 0.90. PWH reported problems as pain/discomfort (35.4%), depression/anxiety (25.0%), mobility (22.9%), usual activities (18.7%) and self-care (12.5%) domains. Slow chair rise (<i>p</i> = 0.012), low income (<i>p</i> = 0.030), longer HIV duration (<i>p</i> = 0.009) and polypharmacy (<i>p</i> = 0.034) were associated with lower HRQOL. Antiretroviral therapy (ART) adherence was associated with higher HRQOL (<i>p</i> = 0.020).</p><p><strong>Conclusion: </strong>Despite high overall HRQOL, specific domains presented challenges to PWH. Health-related QOL was associated with chair rise repetitions, income, HIV duration, polypharmacy, and treatment adherence. Comprehensive care and contextualised interventions to address these through rehabilitation, including health promotion, are proposed strategies for future investigation.</p><p><strong>Clinical implications: </strong>Clinicians should be cognisant of potential physical and mental functioning problems, and factors related to drug therapy, socio-economic status and disease duration that may affect HRQOL even in seemingly unimpaired PWH.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"79 1","pages":"1921"},"PeriodicalIF":1.1,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499734","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":"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}