Hong Kong Physiotherapy Journal最新文献

{"title":"Effectiveness of robotic-assisted gait training in stroke rehabilitation: A retrospective matched control study","authors":"Bryan Ping Ho Chung MSc in Health Care","doi":"10.1016/j.hkpj.2016.09.001","DOIUrl":"10.1016/j.hkpj.2016.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to evaluate the effectiveness of robotic-assisted gait training (RAGT) in improving functional outcomes among stroke patients.</p></div><div><h3>Design</h3><p>This was a retrospective matched control study.</p></div><div><h3>Setting</h3><p>This study was conducted in an extended inpatient rehabilitation centre.</p></div><div><h3>Patients and intervention</h3><p>There were 14 patients with subacute stroke (4–31 days after stroke) in the RAGT group. Apart from traditional physiotherapy, the RAGT group received RAGT. The number of sessions for RAGT ranged from five to 33, and the frequency was three to five sessions per week, with each session lasting for 15–30 minutes. In the control group, there were 27 subacute stroke patients who were matched with the RAGT group in terms of age, days since stroke, premorbid ambulatory level, functional outcomes at admission, length of training, and number of physiotherapy sessions received. The control group received traditional physiotherapy but not RAGT.</p></div><div><h3>Outcome measures</h3><p>Modified Functional Ambulation Category (MFAC), Modified Rivermead Mobility Index (MRMI), Berg's Balance Scale (BBS), and Modified Barthel Index (MBI) to measure ambulation, mobility, balance, and activities of daily living, respectively.</p></div><div><h3>Results</h3><p>Both RAGT and control groups had significant within-group improvement in MFAC, MRMI, BBS, and MBI. However, the RAGT group had higher gain in MFAC, MRMI, BBS, and MBI than the control group. In addition, there were significant between-group differences in MFAC, MRMI, and BBS gains (<em>p</em> = 0.026, <em>p</em> = 0.010, and <em>p</em> = 0.042, respectively). There was no significant between-group difference (<em>p</em> = 0.597) in MBI gain (<em>p</em> = 0.597).</p></div><div><h3>Conclusion</h3><p>The results suggested that RAGT can provide stroke patients extra benefits in terms of ambulation, mobility, and balance. However, in the aspect of basic activities of daily living, the effect of RAGT on stroke patients is similar to that of traditional physiotherapy.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"36 ","pages":"Pages 10-16"},"PeriodicalIF":1.5,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37106272","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":"Australian critical care nursing professionals' attitudes towards the use of traditional “chest physiotherapy” techniques","authors":"Clint J. Newstead BPhysio (Hons),&nbsp;Jack A. Seaton BPhysio (Hons),&nbsp;Catherine L. Johnston PhD, MAppSc (Cardiopulmonary Physiotherapy), BAppSc (Physiotherapy)","doi":"10.1016/j.hkpj.2016.08.001","DOIUrl":"10.1016/j.hkpj.2016.08.001","url":null,"abstract":"<div><h3>Background</h3><p>Chest physiotherapy techniques, such as percussion, postural drainage, and expiratory vibrations, may be employed in a critical care setting. Physiotherapists are primarily responsible for their provision; however, nurses have also traditionally implemented these treatments. It is unclear whether nurses consider chest physiotherapy to be a part of their role, or how they perceive their knowledge and confidence pertaining to these techniques.</p></div><div><h3>Objective</h3><p>To investigate the attitudes of nurses towards traditional chest physiotherapy techniques.</p></div><div><h3>Method</h3><p>A total of 1222 members of the Australian College of Critical Care Nurses were invited to participate in an anonymous online survey.</p></div><div><h3>Results</h3><p>There were 142 respondents (12%) with the majority (<em>n</em> = 132, 93%) having performed chest physiotherapy techniques in clinical practice. Most of them considered that the provision of chest physiotherapy was a part of nurse's role. Commonly cited factors influencing nurses' use of chest physiotherapy techniques were the availability of physiotherapy services, adequacy of nursing staff training and skill, and perceptions of professional roles.</p></div><div><h3>Conclusions</h3><p>Nurses working in critical care commonly utilised traditional chest physiotherapy techniques. Further research is required to investigate the reasons why nursing professionals might assume responsibility for the provision of chest physiotherapy techniques, and if their application of these techniques is consistent with evidence-based recommendations.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"36 ","pages":"Pages 33-48"},"PeriodicalIF":1.5,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37106275","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":"Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial","authors":"Apoorva Phadke MPT ,&nbsp;Nilima Bedekar PhD ,&nbsp;Ashok Shyam MS (Ortho) ,&nbsp;Parag Sancheti MS (Ortho)","doi":"10.1016/j.hkpj.2015.12.002","DOIUrl":"10.1016/j.hkpj.2015.12.002","url":null,"abstract":"<div><h3>Background</h3><p>Mechanical neck pain is one of the common musculoskeletal disorders. Muscle energy technique (MET) may be a useful intervention for treating such disorder.</p></div><div><h3>Objective</h3><p>The aim of this study was to compare the effect of MET with passive stretching on pain and functional disability in people with mechanical neck pain.</p></div><div><h3>Methods</h3><p>A randomized controlled trial was undertaken. Sixty patients with mechanical neck pain were randomly allocated to either the MET group or control group. The former group received MET, and the latter group received static stretching. Both groups received conventional therapy. Treatment was given once a day for 6 days. A visual analogue scale (VAS) was used to measure the intensity of pain, and functional disability was assessed using the neck disability index (NDI) was immediately before treatment and again on the 6^th day.</p></div><div><h3>Results</h3><p>VAS and NDI scores showed a significant improvement in both MET and stretching groups on the 6^th day postintervention (<em>p</em> &lt; 0.05). However, both VAS and NDI scores showed better improvement in the MET group as compared to the stretching group (<em>p</em> &lt; 0.025).</p></div><div><h3>Conclusion</h3><p>Muscle energy technique was better than stretching technique in improving pain and functional disability in people with mechanical neck pain.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages 5-11"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108190","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 validation study of a smartphone application for functional mobility assessment of the elderly","authors":"Matthew H.M. Chan MPT,&nbsp;Donald T.F. Keung MPT,&nbsp;Steve Y.T. Lui MPT,&nbsp;Roy T.H. Cheung PhD","doi":"10.1016/j.hkpj.2015.11.001","DOIUrl":"10.1016/j.hkpj.2015.11.001","url":null,"abstract":"<div><h3>Background</h3><p>To minimize the reaction time and position judgment error using stopwatch-timed measures, we developed a smartphone application to measure performance in the five-time sit-to-stand (FTSTS) and timed up-and-go (TUG) tests.</p></div><div><h3>Objective</h3><p>This study aimed to validate this smartphone application by comparing its measurement with a laboratory-based reference condition.</p></div><div><h3>Methods</h3><p>Thirty-two healthy elderly people were asked to perform the FTSTS and TUG tests in a randomized sequence. During the tests, their performance was concurrently measured by the smartphone application and a force sensor installed in the backrest of a chair. The intraclass correlation coefficient [ICC_(2,1)] and Bland–Altman analysis were used to calculate the measurement consistency and agreement, respectively, between these two methods.</p></div><div><h3>Results</h3><p>The smartphone application demonstrated excellent measurement consistency with the lab-based reference condition for the FTSTS test [ICC_(2,1) = 0.988] and TUG test [ICC_(2,1) = 0.946]. We observed a positive bias of 0.27 seconds (95% limits of agreement, −1.22 to 1.76 seconds) for the FTSTS test and 0.48 seconds (95% limits of agreement, −1.66 to 2.63 seconds) for the TUG test.</p></div><div><h3>Conclusion</h3><p>We cross-validated the newly developed smartphone application with the laboratory-based reference condition during the examination of FTSTS and TUG test performance in healthy elderly.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Pages 1-4"},"PeriodicalIF":1.5,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2015.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37108189","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":"Validity and reliability of a thoracic kyphotic assessment tool measuring distance of the seventh cervical vertebra from the wall","authors":"Pipatana Amatachaya PhD ,&nbsp;Sawitree Wongsa MSc ,&nbsp;Thanat Sooknuan M. Eng. ,&nbsp;Thiwabhorn Thaweewannakij PhD ,&nbsp;Maneepan Laophosri MSc ,&nbsp;Nuttaset Manimanakorn MD, PhD ,&nbsp;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 (C₇WD).</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 &gt; 0.90, <em>p</em> &lt; 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> &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>C₇WD 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 ,&nbsp;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> &gt; 0.05). However, there was a significant improvement in all outcomes measured in the experimental group (<em>p</em> &lt; 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}

{"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 ,&nbsp;Mary O. Ogaga BMR(PT) ,&nbsp;Eric Odidika BMR(PT) ,&nbsp;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}

{"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 ,&nbsp;Chachris Eitivipart MSc, PT ,&nbsp;Claire J. Diver PhD, Grad Dip Phys, MCSP, PG Cert Res ,&nbsp;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":"Checklist","authors":"","doi":"10.1016/S1013-7025(16)30085-9","DOIUrl":"https://doi.org/10.1016/S1013-7025(16)30085-9","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"35 ","pages":"Page e7"},"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)30085-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92233965","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}