Hong Kong Physiotherapy Journal最新文献

{"title":"The influence of low-intensity resistance training combined with neuromuscular electrical stimulation on autonomic activity in healthy adults: A randomized controlled cross-over trial.","authors":"Toshiki Kutsuna,&nbsp;Hitoshi Sugawara,&nbsp;Hideaki Kurita,&nbsp;Satomi Kusaka,&nbsp;Tetsuya Takahashi","doi":"10.1142/S1013702521500013","DOIUrl":"https://doi.org/10.1142/S1013702521500013","url":null,"abstract":"Background: Low-intensity resistance training (RT) combined with neuromuscular electrical stimulation (NMES) is one method of exercise to improve the deterioration of physical function. However, it is unclear whether low-intensity RT combined with NMES (RT + NMES) can be safely implemented. Objective: This study aimed to examine the influence of low-intensity RT + NMES on autonomic activity and cardiovascular responses in healthy adults. Methods: This study was an open-label, randomized controlled cross-over trial. The exercise intensity of isometric knee extension RT was set to 40% of the maximum voluntary contraction (peak torque). NMES was adjusted to a biphasic asymmetrical waveform with the frequency maintained at 50 Hz and a phase duration of 300 μs. The difference in the change in autonomic activity and cardiovascular responses was compared by assessing heart rate variability, blood pressure, and heart rate during RT and RT+NMES. Results: Twenty healthy male college students (mean age 21.0±0.6 years) participated in this study. The ratio of low- and high-frequency components of heart rate variability, systolic blood pressure, and heart rate increased during exercise in the RT and RT+NMES sessions (P<0.05). There were no significant differences in autonomic activity and cardiovascular responses throughout the sessions during RT and RT+NMES. Conclusion: In conclusion, our results demonstrated that low-intensity RT+NMES was safe and did not induce excessive autonomic and cardiovascular responses in healthy adults.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"41 1","pages":"15-23"},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e5/46/hkpj-41-015.PMC8158405.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033281","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: A systematic review and meta-analysis on effect of spinal mobilization and manipulation on cardiovascular responses.","authors":"Charu Gera,&nbsp;Manoj Malik,&nbsp;Jaspreet Kaur,&nbsp;Minaxi Saini","doi":"10.1142/S1013702521920013","DOIUrl":"https://doi.org/10.1142/S1013702521920013","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1142/s1013702520500122.].</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"41 1","pages":"75"},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/6c/hkpj-41-075.PMC8158407.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39033287","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":"A systematic review and meta-analysis on effect of spinal mobilization and manipulation on cardiovascular responses.","authors":"Charu Gera,&nbsp;Manoj Malik,&nbsp;Jaspreet Kaur,&nbsp;Minaxi Saini","doi":"10.1142/S1013702520500122","DOIUrl":"https://doi.org/10.1142/S1013702520500122","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Spinal pain or misalignment is a very common disorder affecting a significant number of populations resulting in substantial disability and economic burden. Various manual therapeutic techniques such as spinal manipulations and mobilizations can be used to treat and manage pain and movement dysfunctions such as spinal mal-alignments and associated complications. These manual therapeutic techniques can affect the cardiovascular parameters.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this systematic review and meta-analysis is to assess the effect of spinal manipulation and mobilization on cardiovascular parameters.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a systematic review and meta-analysis to assess the effects of spinal mobilization and manipulation on cardiovascular responses. Mean changes in Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and Heart Rate (HR) were primary outcome measures. RevMan 5.3 software was used for the meta-analyses. Quality of the included studies was assessed by PEDro Rating scale. Risk of bias was assessed by Cochrane collaboration tool of risk of bias.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Results of meta-analysis showed that there was statistically significant decrease in SBP ( &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;MD&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=-&lt;/mo&gt; &lt;mn&gt;4&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;56&lt;/mn&gt;&lt;/math&gt; , 95% &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;CI&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=-&lt;/mo&gt; &lt;mn&gt;9&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;20&lt;/mn&gt;&lt;/math&gt; , 0.08; &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;05&lt;/mn&gt;&lt;/math&gt; ) with moderate heterogeneity ( &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;I&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mn&gt;2&lt;/mn&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;75&lt;/mn&gt; &lt;mi&gt;%&lt;/mi&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;0002&lt;/mn&gt;&lt;/math&gt; ) in experimental group as compared to control group. There was statistically non-significant decrease in DBP ( &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;MD&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=-&lt;/mo&gt; &lt;mn&gt;1&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;96&lt;/mn&gt;&lt;/math&gt; , 95% &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;CI&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=-&lt;/mo&gt; &lt;mn&gt;4&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;60&lt;/mn&gt;&lt;/math&gt; , 0.69; &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;15&lt;/mn&gt;&lt;/math&gt; ) with high heterogeneity ( &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;I&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mn&gt;2&lt;/mn&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;91&lt;/mn&gt; &lt;mi&gt;%&lt;/mi&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;00001&lt;/mn&gt;&lt;/math&gt; ), Change HR was statistically non-significant ( &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;MD&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=-&lt;/mo&gt; &lt;mn&gt;0&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;24&lt;/mn&gt;&lt;/math&gt; , 95% &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;CI&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mo&gt;=-&lt;/mo&gt; &lt;mn&gt;3&lt;/mn&gt; &lt;mo&gt;.&lt;/mo&gt; &lt;mn&gt;59&lt;/mn&gt;&lt;/math&gt; , 3.11; &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;89&lt;/mn&gt;&lt;/math&gt; ) with moderate heterogeneity ( &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;I&lt;/mtext&gt;&lt;/mstyle&gt; &lt;mn&gt;2&lt;/mn&gt; &lt;mo&gt;=&lt;/mo&gt; &lt;mn&gt;60&lt;/mn&gt; &lt;mi&gt;%&lt;/mi&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; ). Exclusion of short duration studies in sensitivity analysis revealed a statistically significant change in DBP ( &lt;math&gt;&lt;mstyle&gt;&lt;mtext&gt;MD&lt;/mtext&gt;&lt;/mstyle&gt; &lt;m","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"40 2","pages":"75-87"},"PeriodicalIF":1.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38541110","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":"Abdominal muscle activation: An EMG study of the Sahrmann five-level core stability test.","authors":"Ebby Waqqash Mohamad Chan,&nbsp;Mohamad Shariff A Hamid,&nbsp;Ali Md Nadzalan,&nbsp;Eliza Hafiz","doi":"10.1142/S1013702520500080","DOIUrl":"https://doi.org/10.1142/S1013702520500080","url":null,"abstract":"Background: Sahrmann five-level core stability test protocol has been used to evaluate the ability of the core muscles to stabilize the spine. However, validation studies on the Sahrmann protocol are limited. Objective: The purpose of this study was to compare the different levels of Sahrmann five-level core stability (levels 1–5) on the muscle activity of rectus abdominis (RA), external oblique (EO), and transverse abdominis/internal oblique (TrA/IO). Methods: Twenty-two asymptomatic male participants aged 21.36±1.59 years were recruited. Participants were instructed to perform maximum voluntary contraction (MVC) and five levels of Sahrmann five-level core stability test guided with a pressure biofeedback unit (PBU). The surface electromyography (EMG) data of each muscle during five levels of Sahrmann five-level core stability test were normalized as a percentage of MVC. Results: Results showed significant differences in the normalized EMGs of RA [χ2(4) = 64.80, p<0.001], EO [χ2(4) = 58.11, p<0.001], and TrA/IO [χ2(4) = 56.00, p<0.001] between the five levels of Sahrmann five-level core stability test. Post-hoc analysis revealed Sahrmann levels 5 and 3 have significantly higher abdominal EMG signals than levels 4, 2, and 1 (p<0.001). Conclusion: In conclusion, the Sahrmann five-level core stability test differs according to the level of Sahrmann tests. Significantly higher abdominal muscle activities were observed during levels 3 and 5. Therefore, the classification exchange in levels 3 and 4 of the Sahrmann five-level core stability test should be reconsidered in the future.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"40 2","pages":"89-97"},"PeriodicalIF":1.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38541111","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 effect of the type of foam pad used in the modified Clinical Test of Sensory Interaction and Balance (mCTSIB) on the accuracy in identifying older adults with fall history.","authors":"Rumpa Boonsinsukh,&nbsp;Bodin Khumnonchai,&nbsp;Vitoon Saengsirisuwan,&nbsp;Nithinun Chaikeeree","doi":"10.1142/S1013702520500134","DOIUrl":"https://doi.org/10.1142/S1013702520500134","url":null,"abstract":"<p><strong>Background: </strong>The type of foam pad used in the modified Clinical Test of Sensory Interaction and Balance (mCTSIB) influences the accuracy with which elderly fallers are identified. Two types of foam are commonly used in practice: Airex and Neurocom foam.</p><p><strong>Objective: </strong>The aim of this study was to assess the accuracy with which elderly fallers can be identified when the Airex foam and Neurocom foam are used in the mCTSIB.</p><p><strong>Methods: </strong>One hundred eighty-four elderly participants with a mean age of 69 years were classified into faller and nonfaller groups based on their 12-month fall history. Balance stability was measured under four conditions of the mCTSIB for 120 s each: standing on a floor or a foam pad with their eyes open or eyes closed. The time needed to maintain stability was measured by a stopwatch, and postural sway characteristics were measured using an acceleration-based system. Comparisons between groups were performed by two-way mixed ANOVA. The accuracy of differentiating elderly fallers from nonfallers with different foam types was evaluated using receiver operating characteristic curve (ROC) analysis. The time to maintain stability under four conditions of the mCTSIB (composite score) and under two conditions on the foam (foam score) were used for the ROC analysis.</p><p><strong>Results: </strong>The results showed that the nonfallers required more time to maintain stability and had a smaller sway area than the fallers ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>001</mn></math> ). The foam led to a larger difference between groups, suggesting the use of foam in examining the risk of falls. The Airex and the Neurocom foam pads led to a large area under the curve (0.93 to 0.95) in identifying elderly fallers and nonfallers when the composite and foam scores were used. A cutoff score of 447/480 s for the composite score and 223/240 s for the foam score yielded a posttest accuracy of 88% to 89%, with a sensitivity of 0.80-0.92 and specificity of 0.88-0.95.</p><p><strong>Conclusion: </strong>In conclusion, Airex and Neurocom foam can be used interchangeably with guidance in the mCTSIB, as they led to the accurate identification of elderly fallers among older persons who could walk and live independently in the community.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"40 2","pages":"133-143"},"PeriodicalIF":1.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38541115","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":"Effectiveness of hamstring stretching using a pressure biofeedback unit for 4 weeks: A randomized controlled trial.","authors":"Jin-Oh Ahn,&nbsp;Jong-Hyuck Weon,&nbsp;Eun-Kyung Koh,&nbsp;Do-Young Jung","doi":"10.1142/S1013702520500092","DOIUrl":"https://doi.org/10.1142/S1013702520500092","url":null,"abstract":"<p><strong>Background: </strong>Stretching and length test of hamstring muscles have been performed commonly to manage lower back pain (LBP) in sports rehabilitation. Previous literatures addressed that stretching techniques and length test of hamstring muscles should be performed with the pelvic maintained in an anterior tilt position. However, there is no study to determine the effectiveness of pressure biofeedback unit (PBU) to maintain in anterior pelvic tilting (APT) on length test and stretching of hamstring muscles.</p><p><strong>Objective: </strong>To determine the effectiveness of hamstring muscles stretching using a PBU.</p><p><strong>Methods: </strong>Forty participants with shortness of hamstrings randomized into two groups. Participants performed the active knee extension (AKE) stretching without (control group) or with PBU (intervention group) for four weeks. AKE tests without and with PBU were administered three times before and after hamstrings stretching by each group.</p><p><strong>Results: </strong>The AKE test without PBU showed a significant main effect of time ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>01</mn></math> ) but not of group ( <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>55</mn></math> ) on the AKE angle. The AKE test with PBU showed a significant increase in the AKE angle in the post-intervention compared to the pre-intervention assessments in both groups ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>01</mn></math> ). The difference of AKE angle between the pre- and post-intervention results was significantly greater in the intervention group than in the control group ( <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>01</mn></math> ).</p><p><strong>Conclusion: </strong>We recommend the use of a PBU to maintain the pelvic anterior tilting position when performing the AKE test or AKE stretching.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"40 2","pages":"99-107"},"PeriodicalIF":1.5,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38541112","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":"Intertester reliability of a movement impairment-based classification system for individuals with shoulder pain.","authors":"Patitta Torwichien,&nbsp;Mantana Vongsirinavarat,&nbsp;Prasert Sakulsriprasert,&nbsp;Sirikarn Somprasong","doi":"10.1142/S1013702520500067","DOIUrl":"https://doi.org/10.1142/S1013702520500067","url":null,"abstract":"<p><strong>Background: </strong>Other than pathoanatomical diagnosis, physical therapy managements need the diagnosis of movement-related impairments for guiding treatment interventions. The classification system of the Movement System Impairment (MSI) has been adopted to label the musculoskeletal disorders in physical therapy practice. However, reliability study of this classification system in individuals with shoulder pain has not been reported in the literature.</p><p><strong>Objective: </strong>This paper investigated the intertester reliability of the diagnosis based on the MSI classification system in individuals with shoulder pain.</p><p><strong>Methods: </strong>The patients with shoulder pain, between the ages 18-60 years, were recruited if he or she had pain between 30 and 70 on the 100 mm visual analog scale for at least three months. The examiners who were two physical therapists with different clinical experiences received a standardized training program. They independently examined 45 patients in random order. Each patient was examined by both therapists on the same day. The standardized examination scheme based on the MSI approach was used. Patients were identified to subgroup syndromes according to scapular and humeral syndromes and also determining their subcategory syndromes. Six scapular subcategory syndromes included downward rotated, depressed, abducted, wing, internal rotated/anterior tilted, and elevated. Three humeral subcategory syndromes were anterior glide, superior glide, and medial rotated. More than one subgroup and subcategory of syndromes could be identified in each patient. The test results of each session were blinded to another therapist. The percentages of agreement and kappa statistic were determined.</p><p><strong>Results: </strong>The results showed that agreement levels in identifying subgroup syndromes was fair (71.11% agreement, kappa coefficient <math><mo>=</mo></math> 0.34) and classifying subcategories syndromes were poor to substantial (73.33-91.11% agreement, kappa coefficient <math><mo>=</mo></math> 0.20 <math><mo>-</mo></math> 0.66). The overall agreement and kappa value of the MSI classification of subcategory syndromes was poor (kappa coefficient <math><mo>=</mo></math> 0.11; 95% CI 0.05-0.18). The agreement level of subcategories for scapular depression and humeral superior glide syndromes was substantial. The scapular winging, depression, and downward rotation were the three syndromes that were most frequently identified by both the examiners.</p><p><strong>Conclusion: </strong>The intertester reliability between therapists with different experience according to the MSI approach for shoulder pain classification was generally acceptable to poor due to the nature of the classification system. The standardized procedure and intensive training can be used for inculcating novice therapists with adequate level of intertester reliability of examination.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"40 1","pages":"51-62"},"PeriodicalIF":1.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38004868","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":"Thai dance exercises benefited functional mobility and fall rates among community-dwelling older individuals.","authors":"Chonticha Kaewjoho,&nbsp;Lugkana Mato,&nbsp;Thiwabhorn Thaweewannakij,&nbsp;Saowanee Nakmareong,&nbsp;Supaporn Phadungkit,&nbsp;Chitanongk Gaogasigam,&nbsp;Sugalya Amatachaya","doi":"10.1142/S1013702520500031","DOIUrl":"https://doi.org/10.1142/S1013702520500031","url":null,"abstract":"<p><strong>Background: </strong>With dramatic increase in the number of older individuals, special efforts have been made to promote the levels of independence and reduce fall rates among these individuals.</p><p><strong>Objective: </strong>To investigate the effects of Thai dance exercises over 6 weeks on functional mobility and fall rates in community-dwelling older individuals.</p><p><strong>Methods: </strong>Sixty-one community-dwelling older adults were interviewed and assessed for their demographics and fall data during 6 months prior to participation in the study. Then they completed the quasi-experimental Thai dance exercise program for 50 minutes/day, 3 days/week over 6 weeks. Their functional mobility relating to levels of independence and safety were assessed prior to training, at 3-week and 6-week training. After completing the program at 6 weeks, participants were prospectively monitored for fall data over 6 months.</p><p><strong>Results: </strong>Participants improved their functional mobility significantly after 3- and 6-week training <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0.01</mn> <mo>)</mo></math> . The number of faller individuals obviously decreased from 35% <math><mo>(</mo> <mi>n</mi> <mo>=</mo> <mn>21</mn> <mo>)</mo></math> prior to training to only 8% <math><mo>(</mo> <mi>n</mi> <mo>=</mo> <mn>5</mn> <mo>)</mo></math> after training <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0.01</mn> <mo>)</mo></math> .</p><p><strong>Conclusion: </strong>The current findings further extend benefits of Thai dance as an alternative musical exercise program to promote levels of independence and safety among community-dwelling older adults.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"40 1","pages":"19-27"},"PeriodicalIF":1.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38005989","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":"Association between lumbopelvic motion and muscle activation in patients with non-specific low back pain during forward bending task: A cross-sectional study.","authors":"Peemongkon Wattananon,&nbsp;Komsak Sinsurin,&nbsp;Sirikarn Somprasong","doi":"10.1142/S1013702520500043","DOIUrl":"https://doi.org/10.1142/S1013702520500043","url":null,"abstract":"<p><strong>Background: </strong>Evidence suggests patients with non-specific low back pain (NSLBP) have altered lumbar and pelvic movement patterns. These changes could be associated with altered patterns of muscle activation.</p><p><strong>Objective: </strong>The study aimed to determine: (1) differences in the relative contributions and velocity of lumbar and pelvic movements between people with and without NSLBP, (2) the differences in lumbopelvic muscle activation patterns between people with and without NSLBP, and (3) the association between lumbar and pelvic movements and lumbopelvic muscle activation patterns.</p><p><strong>Methods: </strong>Subjects (8 healthy individuals and 8 patients with NSLBP) performed 2 sets of 3 repetitions of active forward bending, while motion and muscle activity data were collected simultaneously. Data derived were lumbar and pelvic ranges of motion and velocity, and ipsilateral and contralateral lumbopelvic muscle activities (internal oblique/transverse abdominis (IO/TA), lumbar multifidus (LM), erector spinae (ES) and gluteus maximus (GM) muscles).</p><p><strong>Results: </strong>Lumbar and pelvic motions showed trends, but exceeded 95% confidence minimal detectable difference <math><mo>(</mo></math> MDD <math><msub><mrow></mrow> <mrow><mn>95</mn></mrow> </msub> <mo>)</mo></math> , for greater pelvic motion <math><mo>(</mo> <mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>06</mn> <mo>)</mo></math> , less lumbar motion <math><mo>(</mo> <mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>23</mn> <mo>)</mo></math> among patients with NSLBP. Significantly less activity was observed in the GM muscles bilaterally <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> in the NSLBP group. A significant association <math><mo>(</mo> <mi>r</mi> <mo>=</mo> <mo>-</mo> <mn>0</mn> <mo>.</mo> <mn>8</mn></math> , <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>02</mn> <mo>)</mo></math> was found between ipsilateral ES muscle activity and lumbar motion, while moderate, but statistically non-significant associations, were found between GM muscle activity bilaterally and lumbar velocity <math><mo>(</mo></math> ipsilateral: <math><mi>r</mi> <mo>=</mo> <mo>-</mo> <mn>0</mn> <mo>.</mo> <mn>6</mn></math> , <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>14</mn></math> ; contralateral: <math><mi>r</mi> <mo>=</mo> <mo>-</mo> <mn>0</mn> <mo>.</mo> <mn>6</mn></math> , <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>16</mn> <mo>)</mo></math> in the NSLBP group.</p><p><strong>Conclusion: </strong>Findings indicated patients had greater pelvic contribution, but less lumbar contribution which was associated with less activation of the GM bilaterally.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"40 1","pages":"29-37"},"PeriodicalIF":1.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38004867","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":"Experiences of occupational health doctors and nurses about the role of physiotherapists in occupational health rehabilitation: A qualitative study.","authors":"Laran Chetty","doi":"10.1142/S1013702520500018","DOIUrl":"https://doi.org/10.1142/S1013702520500018","url":null,"abstract":"<p><strong>Background: </strong>Occupational health physiotherapy has been practiced in the UK over several decades. In the past decade, the role of occupational health physiotherapy has gained recognition as a profession that can be embedded within occupational health departments; however, limited information is known about the role of physiotherapists from professional groups outside the allied health domain in this context.</p><p><strong>Objective: </strong>The aim of this study is to explore the experiences of occupational health doctors and nurses about the role of physiotherapy in occupational health rehabilitation.</p><p><strong>Methods: </strong>This study is a qualitative investigation underpinned by an interpretative construct. Thirteen semi-structured interviews were conducted. Two occupational health doctors and 12 nurses were purposively recruited from two National Health Service (NHS) hospitals. Data were analyzed using thematic content analysis, coded manually and verified by member checking.</p><p><strong>Results: </strong>The benefits of occupational health physiotherapists were rapid access intervention, advanced knowledge and clinical reasoning, evidence-based practice, and providing an additional perspective. The emerging themes of the challenges that occupational health physiotherapists may face include dealing with occupational health challenges, managing role conflicts, personal qualities and attributes, and role substitution.</p><p><strong>Conclusion: </strong>Participants described numerous roles of occupational health physiotherapists ranging from clinical to organizational components. On-going research is needed to support the role development of physiotherapists providing occupational health rehabilitation and to further advocate for its relevance in this setting.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"40 1","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702520500018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38005984","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}