Hans-Rudolf Weiss, Manuel Lay, Tamisha Best-Gittens, Marc Moramarco, Mario Jimeranez
{"title":"Conservative treatment of a scoliosis patient after two heart surgeries in early childhood - A case report.","authors":"Hans-Rudolf Weiss, Manuel Lay, Tamisha Best-Gittens, Marc Moramarco, Mario Jimeranez","doi":"10.4102/sajp.v77i2.1588","DOIUrl":"https://doi.org/10.4102/sajp.v77i2.1588","url":null,"abstract":"<p><strong>Introduction: </strong>This is a case report of a juvenile female patient with scoliosis following two heart surgeries for congenital heart disease (CHD).</p><p><strong>Patient presentation management and outcome: </strong>Initially, the premenarchial female was 9 years old and had a Tanner stage 2-3 with a single thoracic curve of 65° Cobb. Because of the high risk for progression, immediate brace treatment was proposed as the father declined surgery. The patient received intensive treatment according to the Schroth Best Practice® programme and a Gensingen Brace® designed for large thoracic curves. Over the 18 months following the initial visit, she received two additional braces. As a result, the progression of the main curve was prevented. The patient continues to maintain an improved cosmetic result and is currently at a Risser 2.</p><p><strong>Conclusion: </strong>Surgery performed for CHD in rare cases may lead to stiff spinal deformity as a consequence of that surgery. Progression of a severe and stiff curve was prevented during the most vulnerable phase of the pubertal growth spurt with an improved clinical result. Therefore, we assume that the patient may have a normal life in adulthood with minor restrictions only. Supported by pattern-specific high correction exercises and braces, these typical single thoracic curves can be re-compensated to a more balanced appearance, less prone to progression in adulthood.</p><p><strong>Clinical implications: </strong>Because of the relative high risks of spinal fusion and the long-term unknowns of such an intervention, high-impact conservative treatment should be implemented first before surgical correction is considered.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"77 2","pages":"1588"},"PeriodicalIF":1.1,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8661293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39595332","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: Prevalence and clinical characteristics associated with peripheral neuropathy amongst persons on HAART in Busia County, Kenya.","authors":"John N Mukoma, Joseph M Matheri, Nassib Tawa","doi":"10.4102/sajp.v77i1.1615","DOIUrl":"https://doi.org/10.4102/sajp.v77i1.1615","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.4102/sajp.v76i1.1430.].</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"80 1","pages":"640"},"PeriodicalIF":1.1,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8749463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39947903","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}
Machuene C Manamela, Carina A Eksteen, Bhekiwe Mtshali, Shade A S Olorunju
{"title":"South African physiotherapists' perspectives on the competencies needed to work in special schools for learners with special needs.","authors":"Machuene C Manamela, Carina A Eksteen, Bhekiwe Mtshali, Shade A S Olorunju","doi":"10.4102/sajp.v77i1.1571","DOIUrl":"https://doi.org/10.4102/sajp.v77i1.1571","url":null,"abstract":"<p><strong>Background: </strong>Investigation into, and description of competencies in the various sectors in which the physiotherapy profession is practised, contribute to the standardisation of practice, professional education, and guides research and administration, and is necessary in South Africa.</p><p><strong>Objective: </strong>To identify the competencies implemented by physiotherapists working in an educational setting for learners with special needs and to determine physiotherapists' opinions on the identified competencies.</p><p><strong>Methods: </strong>A sequential mixed method research design was implemented to explore the competencies that physiotherapists implement during their intervention for children with special needs through focus group discussions (FGDs). A questionnaire based on the statements that emerged from the thematic analysis of the transcribed FGDs, and validated, was implemented in a cross-sectional survey amongst all physiotherapists employed in special schools. SPSS version 24 was used for the analysis of closed responses and thematic analysis was done on open-ended responses (<i>n</i> = 22).</p><p><strong>Results: </strong>The respondents' knowledge and skills regarding physiotherapy theories and implementation ranged from 'good' to 'very good'. However, integration of the therapeutic knowledge and skills in different aspects of the special educational environment, and community integration, were rated 'poor' to 'fair'. Support of physiotherapists to implement policies and procedures, and to attend continuing professional development, ranged from 'fair' to 'poor'.</p><p><strong>Conclusion: </strong>Lack of knowledge in educational policies and procedures in classroom strategies negatively influence the integration of therapeutic strategies in the special educational environment.</p><p><strong>Clinical implications: </strong>The contribution of our study to learners with special needs in schools was outlined.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"77 1","pages":"1571"},"PeriodicalIF":1.1,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8661295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39734331","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":"Erratum: The role of physiotherapy in the respiratory management of children with neuromuscular diseases: A South African perspective.","authors":"Anri Human, Lieselotte Corten, Brenda M Morrow","doi":"10.4102/sajp.v77i1.1616","DOIUrl":"https://doi.org/10.4102/sajp.v77i1.1616","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.4102/sajp.v77i1.1527.].</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"77 1","pages":"1616"},"PeriodicalIF":1.1,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8661422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39595331","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":"Erratum: Factors associated with stroke survivors' inconsistent uptake of physiotherapy interventions at Turton Community Health Centre, KwaZulu-Natal.","authors":"Ntombifuthi Mlambo, Boikhutso Tlou, Khumbulani Hlongwana","doi":"10.4102/sajp.v77i1.1612","DOIUrl":"https://doi.org/10.4102/sajp.v77i1.1612","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.4102/sajp.v76i1.1475.].</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"77 1","pages":"1612"},"PeriodicalIF":1.1,"publicationDate":"2021-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8661279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39595330","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 reliability of the augmented Lehnert-Schroth and Rigo classification in scoliosis management.","authors":"Burçin Akçay, Tuğba Kuru Çolak, Adnan Apti, İlker Çolak, Önder Kızıltaş","doi":"10.4102/sajp.v77i2.1568","DOIUrl":"https://doi.org/10.4102/sajp.v77i2.1568","url":null,"abstract":"<p><strong>Background: </strong>In pattern-specific scoliosis exercises and bracing, the corrective treatment plan differs according to different curve patterns. There are a limited number of studies investigating the reliability of the commonly used classifications systems.</p><p><strong>Objective: </strong>To test the reliability of the augmented Lehnert-Schroth (ALS) classification and the Rigo classification.</p><p><strong>Methods: </strong>X-rays and posterior photographs of 45 patients with scoliosis were sent by the first author to three clinicians twice at 1-week intervals. The clinicians classified images according to the ALS and Rigo classifications, and the data were analysed using SPSS V-16. Intraclass correlation coefficients (ICCs) and standard error measurement (SEM) were calculated to evaluate the inter- and intra-observer reliability.</p><p><strong>Results: </strong>The inter-observer ICC values were 0.552 (ALS), 0.452 (Rigo) for X-ray images and 0.494 (ALS), 0.518 (Rigo) for the photographs. The average intra-observer ICC value was 0.720 (ALS), 0.581 (Rigo) for the X-ray images and 0.726 (ALS) and 0.467 (Rigo) for the photographs.</p><p><strong>Conclusions: </strong>The results of our study indicate moderate inter-observer reliability for X-ray images using the ALS classification and clinical photographs using the Rigo classification. Intra-observer reliability was moderate to good for X-ray images and clinical photographs using the ALS classification and poor to moderate for X-ray and clinical photographs using the Rigo classification.</p><p><strong>Clinical implications: </strong>Pattern classifications assist in creating a plan and indication of correction in specific scoliosis physiotherapy and pattern-specific brace applications and surgical treatment. More sub-types are needed to address the individual patterns of curvature. The optimisation of curve classification will likely reduce failures in diagnosis and treatment.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"77 2","pages":"1568"},"PeriodicalIF":1.1,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8603105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687758","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 support for self-management of persisting musculoskeletal pain disorders.","authors":"Ina Diener","doi":"10.4102/sajp.v77i1.1564","DOIUrl":"10.4102/sajp.v77i1.1564","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal pain (MSKP) is an extremely common pain disorder in almost all populations. Self-management (SM) support is a programme to prepare people to self-manage their health condition effectively, while maintaining quality of life. SM is a cost-effective and context-specific strategy to address the global public health burden.</p><p><strong>Objectives: </strong>Self-management needs a change in behaviour from seeking unnecessary medical care to safely self-managing symptoms. As changing individuals' behaviour is challenging, the objective of my literature review was to identify the characteristics, in both therapist and patient, to successfully engage in SM.</p><p><strong>Method: </strong>A narrative literature review, that could inform evidence-based support programmes for SM of MSKP.</p><p><strong>Results: </strong>Studies on successful implementation of SM of MSKP do not report strong outcomes. However, in more recent years a few positive outcomes were reported, possibly as a result of research evidence for the application of psychosocial skills and contemporary pain neuroscience in the management of persistent MSKP.</p><p><strong>Conclusion: </strong>Psychologically-informed physiotherapy, addressing psychosocial barriers to the maintenance of SM programmes, could facilitate more successful outcomes.</p><p><strong>Clinical implications: </strong>Before engaging in a SM support programme, obstacles to behaviour change must be identified and addressed in a SM support programme, to facilitate individuals towards taking safe responsibility for their healthcare. Therapists working with patients with persistent MSKP, should upskill themselves to be in line with the latest pain and psychosocial research literature. Moreover, communication skills training seems to be a priority for effective SM support programmes.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"77 1","pages":"1564"},"PeriodicalIF":1.1,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8603210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39776793","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}
Gok Kandasamy, Josette Bettany-Saltikov, Julien Cordry, Rob McSherry
{"title":"Use of vision-based augmented reality to improve student learning of the spine and spinal deformities. An exploratory study.","authors":"Gok Kandasamy, Josette Bettany-Saltikov, Julien Cordry, Rob McSherry","doi":"10.4102/sajp.v77i2.1579","DOIUrl":"https://doi.org/10.4102/sajp.v77i2.1579","url":null,"abstract":"<p><strong>Background: </strong>Knowledge of anatomy and pathology of the spine together with spinal deformities is integral to several healthcare disciplines. This knowledge is crucial for graduates for assessment and management of patients with spinal problems. Physiotherapy students generally find it difficult to conceptualise the integrity of the structure and function of the spine that affects their acquisition of related physiotherapy skills.</p><p><strong>Objective: </strong>Our first objective was to introduce and evaluate the use of a Vision-Based Augmented Reality (VBAR) mobile application to teach students the anatomy and accessory movements of the spine. A further objective was to explore student experiences of and engagement with VBAR by conducting a post-lecture survey comparing VBAR to traditional teaching.</p><p><strong>Methods: </strong>This post-intervention crossover design study included two groups: final year physiotherapy students (<i>n</i> = 74) and mean age of 23 (±1.8). The computing department at Teesside University developed the VBAR mobile application. Moreover, a survey adapted from a previously published article was disseminated to students to evaluate their level of understanding following the use of the VBAR application.</p><p><strong>Results: </strong>The results demonstrated that the median questionnaire scores in students' perceived level of understanding for the VBAR group were significantly higher than for the traditional teaching group (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The results of this post-intervention survey suggest that the integration of VBAR learning activities results in gains relating to students' understanding of spinal anatomy, function, pathology and deformities. These findings suggest that VBAR could be an additional teaching tool to support student learning.</p><p><strong>Clinical implications: </strong>Greater understanding is expected to increase the quality of clinical practice.</p>","PeriodicalId":44180,"journal":{"name":"South African Journal of Physiotherapy","volume":"77 2","pages":"1579"},"PeriodicalIF":1.1,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8603150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39687761","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}