{"title":"Validity and reliability of a thoracic kyphotic assessment tool measuring distance of the seventh cervical vertebra from the wall","authors":"Pipatana Amatachaya PhD , Sawitree Wongsa MSc , Thanat Sooknuan M. Eng. , Thiwabhorn Thaweewannakij PhD , Maneepan Laophosri MSc , Nuttaset Manimanakorn MD, PhD , Sugalya Amatachaya PhD","doi":"10.1016/j.hkpj.2016.05.001","DOIUrl":"10.1016/j.hkpj.2016.05.001","url":null,"abstract":"<div><h3>Background</h3><p>In primary healthcare (PHC) service, community residents, village health volunteers (VHVs), and healthcare professionals need to work in partnership to facilitate universal and equitable healthcare services. However, these partnerships may need an appropriate tool helping them to execute an effective health-related activity.</p></div><div><h3>Objectives</h3><p>To investigate the reliability and validity of a simple kyphosis measure using a perpendicular distance from the seventh cervical vertebra (C7) to the wall (C<sub>7</sub>WD).</p></div><div><h3>Methods</h3><p>Elderly people with different degrees of kyphosis (<em>n</em> = 179) were cross-sectionally investigated for the intra- and interrater reliability of the measurement by a physical therapist (PT), VHV, and caregiver. The validity was assessed in terms of concurrent validity as compared with the Flexicurve, and discriminative validity for functional deterioration in participants with mild, moderate, and severe kyphosis.</p></div><div><h3>Results</h3><p>The method showed excellent reliability among PT, VHV, and caregivers (ICC > 0.90, <em>p</em> < 0.001), and excellent correlation to the data from the Flexicurve. Results of the assessment were greater than a level of minimal detectable change and could clearly discriminate functional deterioration in participants with different severity of kyphosis (<em>p</em> < 0.001).</p></div><div><h3>Conclusion</h3><p>C<sub>7</sub>WD is valid and reliable, thus it can be used to promote the standardisation of kyphosis measures among PHC members.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages 30-36"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108193","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":"Exercise training and postural correction improve upper extremity symptoms among touchscreen smartphone users","authors":"Abeer Ahmed Abdelhameed , Amr Almaz Abdel-aziem","doi":"10.1016/j.hkpj.2016.06.001","DOIUrl":"10.1016/j.hkpj.2016.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Repetitive movements and poor posture are associated with over-use of smartphones when texting or playing games and significantly contribute to the symptoms of pain and discomfort in the upper extremities.</p></div><div><h3>Objective</h3><p>This study investigated the effect of exercise training and postural correction on disabilities of the arm, shoulder, and hand (DASH), hand grip and key pinch strength among smartphone users.</p></div><div><h3>Methods</h3><p>One hundred university students were randomly divided into two groups; the experimental group participated in a 12-week programme of exercise training and postural corrections. The control group were instructed to follow their usual routine for smartphone utilization. Measurements of DASH scores, hand grip strength, and key pinch grip strength were conducted before and after 12 weeks for both groups.</p></div><div><h3>Results</h3><p>There were no significant differences between the start values of both groups for DASH scores, hand grip strength, and key pinch strength (<em>p</em> > 0.05). However, there was a significant improvement in all outcomes measured in the experimental group (<em>p</em> < 0.05), with significant changes in the outcomes of the control group.</p></div><div><h3>Conclusion</h3><p>Postural correction combined with a selected exercise training programme improved the hand grip, key pinch grip strength, and upper extremity disability and symptoms associated with smartphone use among university students.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages 37-44"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108194","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":"Authorship and Conflict statement","authors":"","doi":"10.1016/S1013-7025(16)30086-0","DOIUrl":"https://doi.org/10.1016/S1013-7025(16)30086-0","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages e8-e10"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1013-7025(16)30086-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92265868","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}
Ukachukwu Okoroafor Abaraogu BMR(PT), MSc, PhD Candidate , Mary O. Ogaga BMR(PT) , Eric Odidika BMR(PT) , Jose Frantz PT PhD
{"title":"Promotion of healthy nutrition in clinical practice: A cross-sectional survey of practices and barriers among physiotherapists in southeast Nigeria","authors":"Ukachukwu Okoroafor Abaraogu BMR(PT), MSc, PhD Candidate , Mary O. Ogaga BMR(PT) , Eric Odidika BMR(PT) , Jose Frantz PT PhD","doi":"10.1016/j.hkpj.2016.05.002","DOIUrl":"10.1016/j.hkpj.2016.05.002","url":null,"abstract":"<div><h3>Background</h3><p>Healthy diet counselling is an important concept in health promotion. Physiotherapists are well positioned to initiate or support healthy nutrition in addition to physical activity counselling, in routine patient consultation.</p></div><div><h3>Objective</h3><p>To determine the practices about and barriers to diet counselling practices among physiotherapists in Southeast Nigeria.</p></div><div><h3>Methods</h3><p>In this cross-sectional survey, a total of 140 questionnaires were distributed among physiotherapists.</p></div><div><h3>Results</h3><p>Overall, 103 physiotherapists responded. Physiotherapists are confident and consider the incorporation of dietary counselling very important and of high priority in their daily clinical work. They, however, assessed and counselled on dietary status opportunistically in patients. Notwithstanding, physiotherapists believed that the diet counselling they give could be effective in helping patients change their unhealthy dieting practices. Patients were also amenable to physiotherapists advocating on diet issues as part of their consultation. Several barriers to incorporating diet counselling into physiotherapy practice were identified, including lack of access to a dietician/health promotion staff/counsellors, lack of proper patient education materials, lack of expertise in relation to dietary risk factors' assessment and management, and uncertainty about what dietary services to provide.</p></div><div><h3>Conclusion</h3><p>Although physiotherapists consider it important to incorporate diet counselling in their daily clinical practice, development and implementation of strategies to improve physiotherapists' diet counselling knowledge, competence, skills, and practice are warranted.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages 21-29"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108192","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}
Pichanan Methajarunon MSc, PT , Chachris Eitivipart MSc, PT , Claire J. Diver PhD, Grad Dip Phys, MCSP, PG Cert Res , Anchalee Foongchomcheay PhD, PT
{"title":"Systematic review of published studies on aquatic exercise for balance in patients with multiple sclerosis, Parkinson's disease, and hemiplegia","authors":"Pichanan Methajarunon MSc, PT , Chachris Eitivipart MSc, PT , Claire J. Diver PhD, Grad Dip Phys, MCSP, PG Cert Res , Anchalee Foongchomcheay PhD, PT","doi":"10.1016/j.hkpj.2016.03.002","DOIUrl":"10.1016/j.hkpj.2016.03.002","url":null,"abstract":"<div><h3>Background</h3><p>Multiple sclerosis, Parkinson's disease, and hemiplegia are common disorders that directly cause impairment of balance and gait. Aquatic exercises are used for neurological rehabilitation. It is suggested that the contributing factors of the water setting such as buoyancy, viscosity, and hydrostatic pressure offer an ideal environment for rehabilitative programmes.</p></div><div><h3>Objective</h3><p>To conduct a systematic review of studies that assess the effect of aquatic exercises on balance in neurological patients (i.e., patients with multiple sclerosis, Parkinson's disease, and hemiplegia).</p></div><div><h3>Methods</h3><p>A systematic literature search of six databases (MEDLINE, PEDro, AMED, CINAHL, Embase, SPORTDiscus) for randomized controlled trials and quasi-experimental trials on aquatic exercises in three different neurological disorders, namely, multiple sclerosis, Parkinson's disease, and hemiplegia, was performed. Reference lists from identified studies were manually searched for additional studies. Methodological quality was assessed using the Downs and Black checklist. The data were analyzed and synthesized by two independent reviewers. Disagreements in extracted data were resolved by discussion among the reviewers.</p></div><div><h3>Results</h3><p>The methodological quality of eight studies included in this review ranged from fair to good. The findings illustrated that there were statistically significant improvements in static and dynamic balance in patients with multiple sclerosis and hemiplegia. The statistically significant improvements in gait ability were only found in the studies conducted on multiple sclerosis. No conclusions can be drawn in Parkinson's populations as only two trials conducted with a small sample size were available.</p></div><div><h3>Conclusion</h3><p>Aquatic exercises may be effective at improving balance impairment in patients with hemiplegia and multiple sclerosis. There is a need for further research investigating its effect on Parkinson's disease before encouraging the use of aquatic exercises.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages 12-20"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108191","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":"Non-communicable diseases are the biggest challenges of the 21st century: What is the physiotherapist's role in global health?","authors":"Veronika Schoeb PhD","doi":"10.1016/j.hkpj.2016.10.002","DOIUrl":"https://doi.org/10.1016/j.hkpj.2016.10.002","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages A1-A2"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136837221","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":"Copyright Transfer Agreement","authors":"","doi":"10.1016/S1013-7025(16)30087-2","DOIUrl":"https://doi.org/10.1016/S1013-7025(16)30087-2","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Page e11"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1013-7025(16)30087-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92265869","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}
Mi-Ra Kim MS, PT , Byoung-Hee Lee PhD , Dae-Sung Park PT, PhD
{"title":"Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II","authors":"Mi-Ra Kim MS, PT , Byoung-Hee Lee PhD , Dae-Sung Park PT, PhD","doi":"10.1016/j.hkpj.2015.09.036","DOIUrl":"10.1016/j.hkpj.2015.09.036","url":null,"abstract":"<div><h3>Background</h3><p>Children with cerebral palsy (CP) exhibit diverse gait patterns depending on their neurological deficits and musculoskeletal problems. The Adeli suit treatment (AST) has been proposed as an intensive exercise protocol in the management of CP.</p></div><div><h3>Objectives</h3><p>The aim of this study was to compare the effects of a 6-week programme of combined AST and neurodevelopment treatment (NDT) with those of NDT alone on Gross Motor Function Measure (GMFM), balance, and gait in children with CP.</p></div><div><h3>Methods</h3><p>Twenty children with CP of Gross Motor Function Classification System levels I and II were randomly assigned to one of the following two groups: (1) NDT or (2) AST/NDT. The participants were assessed using the GMFM, Pediatric Balance Scale (PBS), Timed Up and Go (TUG) test, and spatiotemporal gait parameters.</p></div><div><h3>Results</h3><p>The GMFM, PBS, and TUG test for both groups showed a statistically significant increase (<em>p</em> < 0.05). Three children were excluded. Compared to the NDT group (<em>n</em> = 9), the AST/NDT group (<em>n</em> = 8) demonstrated a significant increase in spatiotemporal gait parameters (<em>p</em> < 0.05).</p></div><div><h3>Conclusion</h3><p>These results provide evidence for the greater effectiveness of combined AST/NDT than NDT alone in improving spatiotemporal gait parameters but not GMFM, PBS, and TUG test.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages 10-18"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.09.036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37282572","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}
Omoyemi O. Ogwumike PhD , Ade Fatai Adeniyi PhD , Oluwakemi O. Orogbemi BPT
{"title":"Musculoskeletal pain among postmenopausal women in Nigeria: Association with overall and central obesity","authors":"Omoyemi O. Ogwumike PhD , Ade Fatai Adeniyi PhD , Oluwakemi O. Orogbemi BPT","doi":"10.1016/j.hkpj.2015.06.001","DOIUrl":"10.1016/j.hkpj.2015.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Menopausal women experience musculoskeletal changes such as muscle atrophy, muscle weakness and osteoporosis—symptoms associated with advancing age coupled with depletion of the female sex hormone, estrogen. Estrogen is important in the maintenance of the integrity of the musculoskeletal system and its reduction in the circulation due to menopausal transition results in reduced resting metabolic rate, lowered energy expenditure, increase in fat mass, and central adipose tissue accumulation.</p></div><div><h3>Objective</h3><p>This study investigated the prevalence of musculoskeletal pain (MSP) in postmenopausal women (PMW) in Nigeria. We examined the association of overall and central obesity with complaints of MSP and the screening potential of obesity measures for risk of musculoskeletal problems among PMW in Nigeria.</p></div><div><h3>Methods</h3><p>This was a cross-sectional survey of MSP in 310 PMW in Ibadan, Nigeria. MSP was assessed using the Standardized Nordic Musculoskeletal Questionnaire, and overall and central obesity were assessed using body mass index (BMI), waist/height ratio (WHtR), waist circumference, and waist/hip ratio. Data were analysed using descriptive statistics, chi-square test, and logistic regression models with the probability level at <em>p</em> = 0.05.</p></div><div><h3>Results</h3><p>Participants were of the modal age group (51–60 years). The highest prevalence rates of MSP were in the lower extremity (189; 61.0%) and the back (164; 52.9%). A direct association was observed between the categories of BMI and lower extremity symptoms (<em>p</em> < 0.05), and the categories of WHtR and waist circumference were associated with back and lower extremity symptoms (<em>p</em> < 0.05). Postmenopausal women had greater odds of reporting MSP across various classes of BMI. WHtR revealed the greatest odds for back (odds ratio = 1.70, 95% confidence interval 1.07–2.75) and lower extremity symptoms (odds ratio = 2.33, 95% confidence interval 1.44–3.78).</p></div><div><h3>Conclusion</h3><p>Lower extremity and back pain symptoms were the most prevalent. For overall and central obesity directly associated with MSP, WHtR seemed the best obesity screening tool for MSP in postmenopausal women.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"34 ","pages":"Pages 41-46"},"PeriodicalIF":1.5,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108188","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}