Hong Kong Physiotherapy Journal最新文献

{"title":"Students’ perceptions and experiences of remote learning amid covid-19 pandemic in Ghana","authors":"Rockson Kumi, Jonathan Quartey, Samuel Koranteng Kwakye, Emmanuella Dufie Oppong","doi":"10.1142/s1013702524500070","DOIUrl":"https://doi.org/10.1142/s1013702524500070","url":null,"abstract":"Background: The COVID-19 pandemic had a significant impact on students, instructors, and educational organisations all around the world. Remote learning was an emergency response by most universities in Ghana during this pandemic to ensure the continuation of their academic calendar. Conducting this study among Ghanaian undergraduate students is crucial because factors like socioeconomic status, technological resources, and individual learning preferences can significantly impact their experience and the perception of remote learning, which may differ from studies conducted elsewhere. Objective: To determine the perceptions and experiences of remote learning among allied health sciences students during the COVID-19 pandemic. Methods: This cross-sectional study involved 218 second, third, and final year Allied Health Sciences students in the University of Ghana. A questionnaire was used to obtain data concerning health professions students’ perception and experience of remote learning. The readiness of students in respect to the emergency remote learning, attitudes towards remote learning, perception of remote learning, satisfaction, and the level of anxiety was calculated using mean and mean percentages. Kruskal–Wallis test was used to analyse differences between programmes of study and the perceptions and experiences of remote learning. Results: One hundred and fifteen (53.1%) of the participants had moderate perceptions of independence and responsibility in their learning experiences while 80 (36.7%) students reported that their satisfaction levels regarding remote learning was high. Seventy-seven (38.4%) students reported that they had a burden of anxiety. There was no statistically significant difference between anxiety level and programme of study. Conclusion: Ghana Allied Health Sciences students had positive perceptions and experiences towards remote learning. They could adapt to the new teaching method with appropriate technology integration. Despite a number of students who were anxious about using remote learning. Adequate support towards transitioning into the use of technology may be a good consideration.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"52 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135775223","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":"Comparison between effects of instrument-assisted soft tissue mobilization and manual myofascial release on pain, range of motion and function in myofascial pain syndrome of upper trapezius — A randomized controlled trial","authors":"Shweta Agarwal, Nilima Bedekar, Ashok Shyam, Parag Sancheti","doi":"10.1142/s1013702524500069","DOIUrl":"https://doi.org/10.1142/s1013702524500069","url":null,"abstract":"Background: Myofascial pain syndrome (MPS) is a muscle pain disorder characterized by the presence of Myofascial Trigger Point (MTrP) within a taut band, local tenderness, referral of pain to a distant site, restricted range of motion, and autonomic phenomena. The upper trapezius is the muscle most often affected by MTrPs. Manual myofascial release (MFR) and Instrument-Assisted Soft Tissue Mobilization (IASTM) are techniques of soft tissue release that are used to resolve MPS. Fifty six percent of physiotherapists complain of pain in multiple areas due to the massage and manual therapy that they have to perform. Objective: The objective of this study is to find whether IASTM is better than manual MFR in treating patients with MPS in upper trapezius. Methods: This study was a single-blinded randomized controlled trial that included 31 participants, both males and females between the age groups of 18–50 years. Participants were randomly divided into two groups. Three sessions were given over a period of one week for both groups. Group A received IASTM along with conventional treatment and Group B received Manual MFR along with the conventional treatment. The outcome measures evaluated were pain, cervical range of motion, pain pressure threshold (PPT) of trigger points, and the neck disability index. Pre- and post-measurements were taken and the analysis was done. Results: Both the treatment methods significantly reduced pain, improved PPT, range of motion, and function. The effects between the groups showed that IASTM was significantly better than manual MFR to reduce pain. The improvement in PPT, range of motion and function were equal in both the groups. Conclusion: IASTM and manual MFR both are effective individually as treatment procedures for pain, PPT, range of motion, and function. Neither of the treatment options can be considered better that the other. The clinician can decide based on the availability of the instrument, training, patient’s preference, and his/her comfort whether which of the two treatment methods should be used.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135012059","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":"Physiotherapy students’ rating on lecturers’ and supervisors’ clinical education attributes","authors":"Nana Kwame Safo-Kantanka, Jonathan Quartey, Samuel Koranteng Kwakye","doi":"10.1142/s1013702524500045","DOIUrl":"https://doi.org/10.1142/s1013702524500045","url":null,"abstract":"Background: Clinical education is considered a vital aspect of education of health science students. Attributes of clinical educators play a crucial role in determining the outcome of clinical teaching and learning. A good clinical educator ensures that students get maximum benefits of the clinical learning experience. Objective: To determine the ratings of physiotherapy students on clinical education attributes of lecturers and clinical supervisors. Methods: The study was conducted with 81 clinical physiotherapy students from two universities in Ghana. Two copies of McGill clinical teachers’ evaluation (CTE) tool were used to obtain students’ ratings on their clinical supervisors’ and lecturers’ clinical education attributes. Independent t-test was used to compare the means of students’ level of study and ratings regarding the clinical education attributes of clinical supervisors and lecturers. Results: Students had a high rating on their clinical education attributes of supervisors and lecturers with a mean score of ([Formula: see text]) and ([Formula: see text]), respectively. Rating on clinical education attributes of supervisors ([Formula: see text]) and lecturers ([Formula: see text]) did not differ significantly between the different levels of study. Conclusion: Clinical physiotherapy students rated the clinical education attributes of their lecturers and supervisors high.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"441 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134977795","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":"Clinical application of intrapulmonary percussive ventilation: A scoping review","authors":"Anwar Hassan, Sidney Takacs, Sam Orde, Jennifer A. Alison, Stephen Huang, Maree A. Milross","doi":"10.1142/s1013702524500033","DOIUrl":"https://doi.org/10.1142/s1013702524500033","url":null,"abstract":"Impaired respiratory function secondary to acute or chronic respiratory disease poses a significant clinical and healthcare burden. Intrapulmonary percussive ventilation (IPV) is used in various clinical settings to treat excessive airway secretions, pulmonary atelectasis, and impaired gas exchange. Despite IPV’s wide use, there is a lack of clinical guidance on IPV application which may lead to inconsistency in clinical practice. This scoping review aimed to summarise the clinical application methods and dosage of IPV used by clinicians and researchers to provide guidance. A two-staged systematic search was conducted to retrieve studies that used IPV in inpatient and outpatient settings. MEDLINE, EMBASE, CINAHL, Scopus, and Google scholar were searched from January 1979 till 2022. Studies with patients aged ≥16 years and published in any language were included. Two reviewers independently screened the title and abstract, reviewed full text articles, and extracted data. Search yielded 514 studies. After removing duplicates and irrelevant studies, 25 studies with 905 participants met the inclusion criteria. This is the first scoping review to summarise IPV application methods and dosages from the available studies in intensive care unit (ICU), acute inpatient (non-ICU), and outpatient settings. Some variations in clinical applications and prescribed dosages of IPV were noted. Despite variations, common trends in clinical application and prescription of IPV dosages were observed and summarised to assist clinicians with IPV intervention. Although an evidence-based clinical guideline could not be provided, this review provides detailed information on IPV application and dosages in order to provide clinical guidance and lays a foundation towards developing a clinical practice guideline in the future.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136341688","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 retrospective study of physiotherapy management for patients with pneumonia requiring invasive ventilation in a single-center Australian ICU.","authors":"Baldwin Pok Man Kwan,&nbsp;Anne-Marie Hill,&nbsp;Mercedes Elliott,&nbsp;Lisa van der Lee","doi":"10.1142/S1013702522500068","DOIUrl":"https://doi.org/10.1142/S1013702522500068","url":null,"abstract":"<p><strong>Background: </strong>Pneumonia is a frequent diagnosis for patients admitted to Australian intensive care units (ICUs) for invasive ventilation. Physiotherapists in ICU provide interventions to enhance respiratory function and physical recovery.</p><p><strong>Objective: </strong>This retrospective cohort study aimed to describe physiotherapy management of adults with pneumonia who require invasive mechanical ventilation in a single Level 3 ICU in a quaternary teaching hospital.</p><p><strong>Methods: </strong>All adults admitted with a medical diagnosis of pneumonia requiring invasive mechanical ventilation over a two-year period were included. Demographic and clinical data, including APACHE II score, ventilator-free days (VFDs) to day 28, ICU length of stay (LOS), and type and frequency of physiotherapy episodes of care delivered in ICU, were collected from electronic medical records. Correlations between VFDs to day 28 and the frequency of physiotherapy interventions delivered per subject were examined using Spearman's rho analysis.</p><p><strong>Results: </strong>From 208 records screened, 66 subjects with an ICU admission diagnosis of pneumonia, who required invasive mechanical ventilation, were included. Median (IQR) ICU LOS was 10 (5-17) days, and mortality rate was 15.2% ( <math><mi>n</mi> <mo>=</mo> <mn>10</mn></math> ). The cohort had a median of 20.5 (IQR 2-25) VFDs to day 28. Community-acquired pneumonia (66.7%, <math><mi>n</mi> <mo>=</mo> <mn>44</mn></math> ) was the most frequent type of pneumonia diagnosis. There were 1110 episodes of physiotherapy care, with patients receiving a median of 13.5 (IQR 6.8-21.3) episodes during their ICU stay, with a median rate of 1.2 (IQR 1.0-1.6) episodes per day. Over 96.7% of patients with pneumonia received physiotherapy treatment during their ICU stay. Overall, physiotherapy treatments consisting only of respiratory techniques were most commonly provided (55.1%, <math><mi>n</mi> <mo>=</mo> <mn>612</mn></math> ). Airway suctioning (92.4%, <math><mi>n</mi> <mo>=</mo> <mn>61</mn></math> ), patient positioning (72.7%, <math><mi>n</mi> <mo>=</mo> <mn>48</mn></math> ) or positioning advice to nurses (77.3%, <math><mi>n</mi> <mo>=</mo> <mn>51</mn></math> ), and hyperinflation techniques (63.6%, <math><mi>n</mi> <mo>=</mo> <mn>42</mn></math> ) were among the respiratory techniques most delivered.</p><p><strong>Conclusion: </strong>This study described the current intensive care physiotherapy management in a single center for adults with pneumonia who required invasive mechanical ventilation, demonstrating that respiratory physiotherapy interventions are often provided for this ICU patient cohort. Further research is warranted to determine the efficacy of respiratory physiotherapy interventions to justify their use for ICU patients with pneumonia receiving invasive mechanical ventilation.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"42 1","pages":"55-64"},"PeriodicalIF":1.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/54/hkpj-42-055.PMC9244597.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40558923","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":"Chest physiotherapy for children with acute bronchiolitis: Do we need more evidence?","authors":"Yann Combret,&nbsp;Guillaume Prieur,&nbsp;Clément Medrinal,&nbsp;Marius Lebret","doi":"10.1142/S1013702522750014","DOIUrl":"https://doi.org/10.1142/S1013702522750014","url":null,"abstract":"chest physiotherapy in mild-to-moder-ate acute bronchiolitis in children under two years of age — A randomized control trial\". 1","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"42 1","pages":"1-2"},"PeriodicalIF":1.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/fd/hkpj-42-001.PMC9244604.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40558924","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":"Heart rate variability, exercise capacity and levels of daily physical activity in children and adolescents with mild-to-moderate cystic fibrosis.","authors":"Pitiguara de Freitas Coelho,&nbsp;Roberta Ribeiro Batista Barbosa,&nbsp;Rodrigo Dos Santos Lugao,&nbsp;Fernanda Mayrink Gonçalves Liberato,&nbsp;Pâmela Reis Vidal,&nbsp;Roberta de Cássia Nunes Cruz Melotti,&nbsp;Márcio Vinícius Fagundes Donadio","doi":"10.1142/S1013702522500019","DOIUrl":"https://doi.org/10.1142/S1013702522500019","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Autonomic nervous system balance is altered in cystic fibrosis (CF), although its influence on physical fitness has been poorly explored.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aimed to evaluate the association of heart rate variability (HRV) with exercise capacity and levels of daily physical activity in children and adolescents with mild-to-moderate CF.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional study including individuals with CF aged 6-18 years, not under CFTR modulator therapy, was performed. Sociodemographic (age, sex) and clinical information (airway colonization, pancreatic insufficiency, and genotyping) were collected. In addition, exercise capacity (modified shuttle test - MST), lung function (spirometry), body composition (bioimpedance), levels of daily physical activity (5-day accelerometer), and HRV (both at rest and during the MST) were evaluated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;30 individuals (20 females) aged &lt;math&gt;&lt;mn&gt;11&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;2&lt;/mn&gt; &lt;mo&gt;±&lt;/mo&gt; &lt;mn&gt;3&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;7&lt;/mn&gt;&lt;/math&gt; years, mean FEV &lt;math&gt;&lt;msub&gt;&lt;mrow&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mn&gt;1&lt;/mn&gt;&lt;/mrow&gt; &lt;/msub&gt; &lt;mn&gt;62&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;8&lt;/mn&gt; &lt;mo&gt;±&lt;/mo&gt; &lt;mn&gt;27&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;6&lt;/mn&gt;&lt;/math&gt; %, were included. A sympathovagal balance (LF/HF) increase ( &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;&lt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;001&lt;/mn&gt;&lt;/math&gt; ) during the MST was shown, indicating a predominance of sympathetic modulation. The standard deviation of all RR intervals (SDNN) and the high frequency (HF) index during exercise correlated significantly with FEV&lt;sub&gt;1&lt;/sub&gt; ( &lt;math&gt;&lt;mi&gt;r&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;45&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;01&lt;/mn&gt;&lt;/math&gt; and &lt;math&gt;&lt;mi&gt;r&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;46&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;01&lt;/mn&gt;&lt;/math&gt; ; respectively). MST distance also correlated positively and significantly with SDNN ( &lt;math&gt;&lt;mi&gt;r&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;43&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;01&lt;/mn&gt;&lt;/math&gt; ), square root of the mean of the sums of squares of frequencies between RR intervals greater than 50 ms - RMSSD ( &lt;math&gt;&lt;mi&gt;r&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;53&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;&lt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;01&lt;/mn&gt;&lt;/math&gt; ), low frequency - LF ( &lt;math&gt;&lt;mi&gt;r&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;48&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;&lt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;01&lt;/mn&gt;&lt;/math&gt; ), HF ( &lt;math&gt;&lt;mi&gt;r&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;64&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;&lt;&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;01&lt;/mn&gt;&lt;/math&gt; ), dispersion of points perpendicular to the short-term identity line - SD1 ( &lt;math&gt;&lt;mi&gt;r&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;40&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;02&lt;/mn&gt;&lt;/math&gt; ) and negatively with LF/HF ( &lt;math&gt;&lt;mi&gt;r&lt;/mi&gt; &lt;mo&gt;=-&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;57&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"42 1","pages":"5-14"},"PeriodicalIF":1.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/38/89/hkpj-42-005.PMC9244599.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40558922","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":"Immediate effects of manual hyperinflation on cardiorespiratory function and sputum clearance in mechanically ventilated pediatric patients: A randomized crossover trial.","authors":"Tawatchai Luadsri,&nbsp;Jaturon Boonpitak,&nbsp;Kultida Pongdech-Udom,&nbsp;Patnuch Sukpom,&nbsp;Weerapong Chidnok","doi":"10.1142/S1013702522500020","DOIUrl":"https://doi.org/10.1142/S1013702522500020","url":null,"abstract":"<p><strong>Background: </strong>In developing countries, lower respiratory tract infection is a major cause of death in children, with severely ill patients being admitted to the critical-care unit. While physical therapists commonly use the manual hyperinflation (MHI) technique for secretion mass clearance in critical-care patients, its efficacy has not been determined in pediatric patients.</p><p><strong>Objective: </strong>This study investigated the effects of MHI on secretion mass clearance and cardiorespiratory responses in pediatric patients undergoing mechanical ventilation.</p><p><strong>Methods: </strong>A total of 12 intubated and mechanically ventilated pediatric patients were included in this study. At the same time of the day, the patients received two randomly ordered physical therapy treatments (MHI with suction and suction alone) from a trained physical therapist, with a washout period of 4 h provided between interventions.</p><p><strong>Results: </strong>The MHI treatment increased the tidal volume [ <math> <msub><mrow><mi>V</mi></mrow> <mrow><mi>t</mi></mrow> </msub> </math> ; 1.2 mL/kg (95% CI, 0.8-1.5)] and static lung compliance [ <math> <msub><mrow><mi>C</mi></mrow> <mrow><mstyle><mtext>stat</mtext></mstyle> </mrow> </msub> </math> ; 3.7 mL/cmH₂O (95% CI, 2.6-4.8)] immediately post-intervention compared with the baseline ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> ). Moreover, the MHI with suction induced higher <math> <msub><mrow><mi>V</mi></mrow> <mrow><mi>t</mi></mrow> </msub> </math> [1.4 mL/kg (95% CI, 0.8-2.1)] and <math> <msub><mrow><mi>C</mi></mrow> <mrow><mstyle><mtext>stat</mtext></mstyle> </mrow> </msub> </math> [3.4 mL/cmH₂O (95% CI, 2.1-4.7)] compared with the suction-alone intervention. In addition, the secretion mass [0.7 g (95% CI, 0.6-0.8)] was greater in MHI with suction compared with suction alone ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> ). However, there was no difference in peak inspiratory pressure, mean airway pressure, respiratory rate, heart rate, blood pressure, mean arterial blood pressure or oxygen saturation ( <math><mi>p</mi> <mo>></mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> ) between interventions.</p><p><strong>Conclusions: </strong>MHI can improve <math> <msub><mrow><mi>V</mi></mrow> <mrow><mi>t</mi></mrow> </msub> </math> , <math> <msub><mrow><mi>C</mi></mrow> <mrow><mstyle><mtext>stat</mtext></mstyle> </mrow> </msub> </math> and secretion mass without inducing adverse hemodynamic effects upon the pediatric patients requiring mechanical ventilation.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"42 1","pages":"15-22"},"PeriodicalIF":1.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/85/ff/hkpj-42-015.PMC9244603.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40558925","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":"Immediate effect of stabilization exercises versus conventional exercises of the trunk on dynamic balance among trained soccer players.","authors":"Cyanna Joseph D'souza,&nbsp;Haripriya Santhakumar,&nbsp;Bhaskara Bhandary,&nbsp;Abhishek Rokaya","doi":"10.1142/S1013702522500032","DOIUrl":"https://doi.org/10.1142/S1013702522500032","url":null,"abstract":"<p><strong>Background: </strong>Trunk stability is key in controlling body balance and movements. Trunk Stabilization Exercises (TSE) and Conventional Trunk Exercises (CTE) are performed to improve dynamic balance. The authors have previously reported that dynamic balance was improved by a 12-week and 6-week TSE program. However, there is a dearth of research on its immediate effect on dynamic balance in trained soccer players.</p><p><strong>Objective: </strong>To compare the immediate effect of TSE with that of CTE on dynamic balance in trained soccer players.</p><p><strong>Methods: </strong>Forty-eight male soccer players (24.60 ± 1.38 years) participated in this crossover study, wherein each participant took part in three exercise sessions: TSE, CTE, and No Exercise control (NE), each consisting of three steps: pre-test, intervention and post-test, with an interval of one week between each exercise condition. To assess dynamic balance, the Y Balance Test-Lower Quarter (YBT-LQ) score in the anterior, posteromedial, and posterolateral directions was measured before and 5 minutes after each intervention.</p><p><strong>Results: </strong>The YBT-LQ composite score was significantly improved after TSE (0.51) as compared to CTE (0.22) and NE (0.04) (p<0.05). Furthermore, in TSE and CTE conditions, YBT-LQ scores of the posterolateral and posteromedial directions significantly improved at the post-test (p<0.05).</p><p><strong>Conclusion: </strong>Both TSE and CTE are effective in immediately improving dynamic balance; however, TSE showed greater improvement as compared to the latter. Immediate improvements in the posteromedial and posterolateral directions of the YBT-LQ were demonstrated after performing the TSE and CTE.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"42 1","pages":"23-30"},"PeriodicalIF":1.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/f6/hkpj-42-023.PMC9244602.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40558919","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":"Laser acupuncture for claudication symptoms in peripheral artery disease - Does it work? A randomized trial.","authors":"Ahmad Mahdi Ahmad,&nbsp;Hasnaa Ahmed Abdel-Aziz","doi":"10.1142/S1013702522500044","DOIUrl":"https://doi.org/10.1142/S1013702522500044","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Peripheral artery disease (PAD) receives little attention despite its clinical consequences. Intermittent claudication is the most disturbing symptom of the disease resulting in marked limitations to functional walking performance. Treadmill walking exercise is the first-line non-pharmacological treatment in PAD; however, older patients may be unable to exercise because of the functional disability of the disease itself or deconditioning.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;In an attempt to seek an alternative intervention, this study aimed to assess the effect of laser acupuncture on patient-reported claudication symptoms and walk performance in PAD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Thirty male patients with PAD were assigned randomly to a control group ( &lt;math&gt; &lt;msub&gt;&lt;mrow&gt;&lt;mi&gt;n&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mn&gt;1&lt;/mn&gt;&lt;/mrow&gt; &lt;/msub&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;15&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mn&gt;64&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;5&lt;/mn&gt; &lt;mo&gt;±&lt;/mo&gt; &lt;mn&gt;3&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;5&lt;/mn&gt;&lt;/math&gt; years old, &lt;math&gt;&lt;mn&gt;25&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;9&lt;/mn&gt; &lt;mo&gt;±&lt;/mo&gt; &lt;mn&gt;2&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;6&lt;/mn&gt;&lt;/math&gt; kg/m&lt;sup&gt;2&lt;/sup&gt;) or a study group ( &lt;math&gt; &lt;msub&gt;&lt;mrow&gt;&lt;mi&gt;n&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mn&gt;2&lt;/mn&gt;&lt;/mrow&gt; &lt;/msub&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;15&lt;/mn&gt;&lt;/math&gt; , &lt;math&gt;&lt;mn&gt;65&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;6&lt;/mn&gt; &lt;mo&gt;±&lt;/mo&gt; &lt;mn&gt;3&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;3&lt;/mn&gt;&lt;/math&gt; years old, &lt;math&gt;&lt;mn&gt;25&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;44&lt;/mn&gt; &lt;mo&gt;±&lt;/mo&gt; &lt;mn&gt;3&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;1&lt;/mn&gt;&lt;/math&gt; kg/m&lt;sup&gt;2&lt;/sup&gt;). Inclusion criteria were mild-to-moderate PAD, Fontaine stage II, unilateral or bilateral claudications, and older men. Exclusion criteria were asymptomatic PAD, resting pain, severe or critical limb ischemia, ischemic ulcers, and patients contraindicated for laser therapy. Both groups received pharmacological treatment, but only the study group received gallium aluminum arsenide (GaAlAs) laser therapy at nine acupuncture points, namely, Liver 2 (LV2), Stomach 41 (ST41), Urinary bladder 40 (UB40), UB60, UB61, Gall bladder 30 (GB30), GB34, GB38, and GB40 for 2 days/week and five consecutive weeks. A pen-type laser device was used at a wavelength of &lt;math&gt;&lt;mn&gt;654&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;7&lt;/mn&gt; &lt;mo&gt;±&lt;/mo&gt; &lt;mn&gt;2&lt;/mn&gt;&lt;/math&gt; nm, with a power output of &lt;math&gt;&lt;mn&gt;41&lt;/mn&gt; &lt;mo&gt;±&lt;/mo&gt; &lt;mn&gt;3&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;65&lt;/mn&gt;&lt;/math&gt; mW, a spot size of 0.08 cm&lt;sup&gt;2&lt;/sup&gt;, and an energy density of 2 J/cm&lt;sup&gt;2&lt;/sup&gt;, for 60 s/point. The Edinburgh Claudication Questionnaire (ECQ) and the 6-min walk distance (6-MWD) were the endpoints of the study. The McNemar-Bowker Test and Generalized Estimating Equations Ordinal Logistic Regression Model were used for the within- and between-group statistical analyses of the categorical data of ECQ, respectively; and a mixed model MANOVA was used for the within- and between-group analyses of the 6-MWD data.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;There was a significant improvement in patients' response to ECQ only in the study group compared to the baseline ( &lt;math&gt;&lt;mi&gt;p&lt;/mi&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;002&lt;/mn&gt;&lt;/math&gt; ","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"42 1","pages":"31-40"},"PeriodicalIF":1.5,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/28/71/hkpj-42-031.PMC9244600.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40579661","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}