Hong Kong Physiotherapy Journal最新文献

{"title":"Mobility performance among community-dwelling older Filipinos who lived in urban and rural settings: A preliminary study.","authors":"Frances Rom Lunar,&nbsp;Jan Paul Marquez,&nbsp;Francine Kier Quianzon,&nbsp;Ben Joshua Policarpio,&nbsp;Leslie Anne Santelices,&nbsp;Mariah Kristine Velasco,&nbsp;Ramielle Joie Quinto,&nbsp;Edward James Gorgon","doi":"10.1142/S1013702519500082","DOIUrl":"https://doi.org/10.1142/S1013702519500082","url":null,"abstract":"<p><strong>Background: </strong>The impact of residential setting on the performance of older adults on commonly used instruments of mobility has not been closely investigated.</p><p><strong>Objective: </strong>This study aimed to (1) explore whether mobility test performance differed between those who lived in urban and rural communities, and (2) report preliminary reference values for these tests according to residential setting.</p><p><strong>Methods: </strong>The study used a descriptive design. Individuals who were aged 60 years and above, had no significant disability, and resided in urban and rural areas in the Philippines <math><mo>(</mo> <mi>n</mi> <mo>=</mo> <mn>180</mn> <mo>)</mo></math> , participated in the study. Researchers measured mobility performance using the 10-Meter Walk Test (10MWT) (both comfortable gait velocity (CGV) and fast gait velocity (FGV)), Five Times Sit to Stand Test (FTSST), and Six-Minute Walk Test (6MWT). Preliminary reference values for the mobility tests were presented as means, standard deviations, and 95% confidence intervals. Scores were compared based on residential setting (urban versus rural).</p><p><strong>Results: </strong>Urban-dwellers scored consistently better compared to their rural counterparts on the CGV, FGV, FTSST, and 6MWT using independent samples <math><mi>t</mi></math> -test <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>001</mn> <mo>)</mo></math> . Data were further divided according to age and sex, and comparison of the mobility test scores between urban- and rural-dwellers within each subgroup showed similar differences <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>01</mn> <mo>)</mo></math> .</p><p><strong>Conclusion: </strong>Results provide preliminary evidence for the influence of residential setting on the mobility test performance of Filipino older adults. The study provides a good starting point for confirmatory research with a representative sample to (1) illustrate differences in mobility performance according to residential setting, (2) investigate how specific factors associated with residential settings contribute to differences in mobility performance, and (3) determine the extent to which clinicians should consider an older person's residential setting when interpreting mobility test results.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502037","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":"Walking velocity and modified rivermead mobility index as discriminatory measures for functional ambulation classification of chronic stroke patients.","authors":"Ji Young Lim,&nbsp;Seung Heon An,&nbsp;Dae-Sung Park","doi":"10.1142/S1013702519500112","DOIUrl":"https://doi.org/10.1142/S1013702519500112","url":null,"abstract":"<p><strong>Background: </strong>The cut-off values of walking velocity and classification of functional mobility both have a role in clinical settings for assessing the walking function of stroke patients and setting rehabilitation goals and treatment plans.</p><p><strong>Objective: </strong>The present study investigated whether the cut-off values of the modified Rivermead Mobility Index (mRMI) and walking velocity accurately differentiated the walking ability of stroke patients according to the modified Functional Ambulation Category (mFAC).</p><p><strong>Methods: </strong>Eighty two chronic stroke patients were included in the study. The comfortable/maximum walking velocities and mRMI were used to measure the mobility outcomes of these patients. To compare the walking velocities and mRMI scores for each mFAC point, one-way analysis of variance and the post-hoc test using Scheffe's method were performed. The patients were categorized according to gait ability into either <math><mstyle><mtext>mFAC</mtext></mstyle> <mo>=</mo> <mstyle><mtext>VII</mtext></mstyle> </math> or mFAC <math><mo>≤</mo></math> VI group. The cut-off values for mRMI and walking velocities were calculated using a receiver-operating characteristic curve. The odds ratios of logistic regression analysis (Wald Forward) were analyzed to examine whether the cut-off values of walking velocity and mRMI can be utilized to differentiate functional walking levels.</p><p><strong>Results: </strong>Except for mFACs III and IV, maximum walking velocity differed between mFAC IV and mFAC V <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>01</mn> <mo>)</mo></math> , between mFAC V and mFAC VI <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>001</mn> <mo>)</mo></math> , and between mFAC VI and mFAC VII <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> . The cut-off value of mRMI is <math><mo>></mo> <mn>26</mn> <mo>.</mo> <mn>5</mn></math> and the area under the curve is 0.87, respectively; the cut-off value for comfortable walking velocity is <math><mo>></mo> <mn>0</mn> <mo>.</mo> <mn>77</mn></math> m/s and the area under the curve is 0.92, respectively; also, the cut-off value for maximum walking velocity is <math><mo>></mo> <mn>0</mn> <mo>.</mo> <mn>92</mn></math> m/s and the area under the curve is 0.97, respectively. In the logistic regression analysis, the maximum walking velocity <math><mo>(</mo> <mo>></mo> <mn>0</mn> <mo>.</mo> <mn>92</mn></math> m/s, <math><mstyle><mtext>OR</mtext></mstyle> <mo>=</mo> <mn>22</mn> <mo>.</mo> <mn>027</mn> <mo>)</mo></math> and mRMI <math><mo>(</mo> <mo>></mo> <mn>26</mn> <mo>.</mo> <mn>5</mn></math> scores, <math><mstyle><mtext>OR</mtext></mstyle> <mo>=</mo> <mn>10</mn> <mo>.</mo> <mn>283</mn> <mo>)</mo></math> are able to distinguish <math><mstyle><mtext>mFAC</mtext></mstyle> <mo>=</mo> <mstyle><mtext>VII</mtext></mstyle> </math> from mFAC <math><mo>≤</mo></math> VI.</p><p><strong>C","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502042","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 a novel walking assist device with auxiliary illuminator on patients after acute strokes.","authors":"Wan-Yun Huang,&nbsp;Sheng-Hui Tuan,&nbsp;Min-Hui Li,&nbsp;Xin-Yu Liu,&nbsp;Pei-Te Hsu","doi":"10.1142/S1013702519500100","DOIUrl":"https://doi.org/10.1142/S1013702519500100","url":null,"abstract":"<p><strong>Background: </strong>Many patients after acute stage of stroke are present with abnormal gait pattern due to weakness or hypertonicity of the affected limbs. Facilitation of normal gait is a primary goal of rehabilitation on these patients.</p><p><strong>Objective: </strong>We aimed to investigate whether walking assist device with auxiliary illuminator (quad-cane with laser) providing visual feedback during ambulation could improve parameters of gait cycle immediately among patients with subacute and chronic stroke.</p><p><strong>Methods: </strong>This was a cross-sectional study and 30 participants (male 23, female 7, group 1) with mean age <math><mn>60</mn> <mo>.</mo> <mn>20</mn> <mo>±</mo> <mn>11</mn> <mo>.</mo> <mn>12</mn></math> years were recruited. Among them, 22 used ankle-foot orthosis [(AFO), group 2] and 8 did not use AFO (group 3) at usual walking. All the participants walked along a strait corridor with even surface for 20 m without and with using a quad-cane with laser, respectively. A gait analyzer (Reha-Watch1 system) was used to measure the changes of the parameters of gait cycle, including stride length, cadence, gait speed, stance phase, swing phase, duration of single support and double support, the angle between toes and the ground at the time of toe-off (the toe-off angle) and the angle between calcaneus and the ground at the time of heel-strike (the heel-strike angle), before and with the use of a quad-cane with laser.</p><p><strong>Results: </strong>The increase in the heel-strike angle reached a significant difference in groups 1 2, and 3 ( <math><mi>p</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>02</mn> <mo>,<</mo> <mn>0</mn> <mo>.</mo> <mn>01</mn></math> , and <math><mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn></math> , respectively). However, the stride length, the gait speed, the cadence, percentage of the stance phase, swing phase, single-support phase, and double-support phase in a gait cycle, and the toe-off angle showed no significant change with the use of quad-cane with laser.</p><p><strong>Conclusion: </strong>Patients after acute stroke had an immediate and significant increase in the heel-stroke angle by using a quad-cane with laser during ambulation, which might help the patients to reduce knee hyperextension moment and lessen the pressure of heel at loading phase.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502041","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":"Athletes' expectations about physiotherapy in sports injury rehabilitation in greater Accra region.","authors":"Jonathan Quartey,&nbsp;Selorm Afidemenyo,&nbsp;Samuel Koranteng Kwakye","doi":"10.1142/S1013702519500094","DOIUrl":"https://doi.org/10.1142/S1013702519500094","url":null,"abstract":"<p><strong>Background: </strong>Physiotherapists play a key role in sports injury rehabilitation within the sports healthcare team. A strong athlete-physiotherapist relationship is necessary for effective treatment and shaping of athletes' expectations of injury rehabilitation. Hence, it is necessary to factor the injured athletes' expectations in structuring a rehabilitation program.</p><p><strong>Objective: </strong>The aim of this study was to determine athletes' expectations about physiotherapy in sports injury rehabilitation.</p><p><strong>Methods: </strong>We performed a cross-sectional survey in which data was collected using the expectation about athletic training (EAAT) questionnaire from 120 recruited athletes of different sporting disciplines. Percentages, means and standard deviations of the expectation scores were computed. Associations between socio-demographic characteristics and athletes' expectations of physiotherapy in sports injury rehabilitation were analyzed with the chi-square test. Differences between the athletes' expectations of physiotherapy and demographic characteristics were also analyzed with Kruskal-Wallis and Mann-Whitney tests.</p><p><strong>Results: </strong>The study revealed that there was no significant difference <math><mo>(</mo> <mi>p</mi> <mo>></mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> between gender, injury type, physiotherapy experience and mental skills experience and the athletes' expectations. There was a significant difference <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> between competition level and athletes' expectations.</p><p><strong>Conclusion: </strong>It was concluded that athletes in the Greater Accra Region have high expectations of physiotherapy in injury rehabilitation; thus sports physiotherapists would need to enhance their communication with athletes which may also help them better understand the risks, benefits, timeline and rehabilitation approach.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502039","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":"Electrotherapy on tattoo is to be concerned.","authors":"Chi Ngai Lo","doi":"10.1142/S1013702519200014","DOIUrl":"https://doi.org/10.1142/S1013702519200014","url":null,"abstract":"Tattoo is a common social trend, and it is getting more popular nowadays. A projected 10% of the adult population in the wider Western world was reported to have at least one tattoo. Recently, these permanent cosmetics are getting medical professionals' curiosity about their chemical/ physical properties and their e®ect on the dermatologic health of patients. Tattoo colorants can be made of di®erent substances including metals such as titanium and aluminum, other materials such as carbon and metallic compounds like iron oxide and lead carbonate are also commonly used in tattoo inks. The common iron oxide-based pigments (usually black and brown) have been shown to be ferromagnetic, and they could react with an external magnetic ̄eld and become magnetized. Electrical stimulation and thermal agents are regularly used in physiotherapy for therapeutic purposes. Frequently used modalities such as transcutaneous electrical nerve stimulation (TENS) and neuromuscular electrical stimulation (NMES) are interventions which are applied through patients' skin for physiotherapy treatments. As mentioned above, the ferromagnetic compounds of tattoo pigments can be magnetized while the metallic compounds can possibly induce electric currents. As a result, it is possible that if an electric current is applied on the tattooed skin, the surface temperature will increase unexpectedly and cause a burn. Furthermore, there are already case reports published that tattoo could potentially induce skin burn while taking magnetic resonance imaging (MRI) possibly due to the magnetic-induced electric current on the skin. There have been safety guidelines and contraindications for the application of electrophysical therapy (EPT) on patients. Several conditions such as pacemaker, tumor and pregnancy are well documented for whether they are safe to be included or excluded but not yet for the tattoo. Some latest safety guidelines of healthcare procedures have started to highlight the concern of tattoo. but not yet on EPT. Therefore, there is a necessity to discuss and investigate the safety practice of EPT on patients with tattoo.","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519200014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502086","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":"Effects of combination therapy and infrared radiation on pain, physical function, and quality of life in subjects with knee osteoarthritis: A randomized controlled study.","authors":"Zubair Usman,&nbsp;Sonill Sooknunan Maharaj,&nbsp;Bashir Kaka","doi":"10.1142/S1013702519500124","DOIUrl":"https://doi.org/10.1142/S1013702519500124","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (KOA) is a common degenerative articular disease that causes disability and poor quality of life (QoL) of the individuals. Electrotherapeutic agents such as therapeutic ultrasound (US), interferential current (IFC), and infrared radiation are used in the treatment. It is not clear which of these agents is the best in improving these variables.</p><p><strong>Objective: </strong>The study aimed to compare the effects of the combined application of US and IFC therapies and infrared radiation on pain, functional activities, and QoL in people with KOA.</p><p><strong>Methods: </strong>In a randomized controlled study, 60 participants were randomized into two groups, the combination therapy group (CTG) and the infrared radiation group (IRG). Each group received 15-min treatment three times per week for 12 weeks. The visual analog scale (VAS) was used to assess the pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) for functional activities and the Short Form Health Survey questionnaire for QoL.</p><p><strong>Results: </strong>Participants in the CTG had a significant <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> reduction in pain and significant <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> improvement in functional activities and QoL compared to the IRG.</p><p><strong>Conclusion: </strong>The results of this study support the use of the combination of IFC and US therapies to reduce pain and improve function and QoL for KOA patients.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502043","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":"Relationships between lower extremity strength and the multi-directional reach test in children aged 7 to 12 years.","authors":"Benjaporn Hirunyaphinun, Soontharee Taweetanalarp, Anong Tantisuwat","doi":"10.1142/S1013702519500136","DOIUrl":"10.1142/S1013702519500136","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the relationships between the Multi-Directional Reach Test (MDRT) and lower extremity strength in typical children.</p><p><strong>Methods: </strong>The MDRT including forward, backward, leftward, and rightward directions was measured in 60 children aged between 7 and 12 years old with typical development. The lower extremity muscle groups were measured using a hand-held dynamometer.</p><p><strong>Results: </strong>The reaching score in each direction had positive relationships with the strengths of several lower extremity muscle groups <math><mo>(</mo> <mi>r</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>26</mn></math> to <math><mn>0</mn> <mo>.</mo> <mn>52</mn> <mo>,</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> . Only the strengths of the hip flexor and knee flexor muscles significantly correlated with the MDRT scores in all directions <math><mo>(</mo> <mi>r</mi> <mo>=</mo> <mn>0</mn> <mo>.</mo> <mn>26</mn></math> to <math><mn>0</mn> <mo>.</mo> <mn>50</mn> <mo>,</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> .</p><p><strong>Conclusion: </strong>This study highlights the strength of the hip and knee flexor muscle groups as being important domain to control balance in all directions. These findings may be used for therapists in planning a balance program to improve the limits of stability.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/cc/hkpj-39-143.PMC6900330.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37502044","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":"Assessing effective communication skills in students during clinical education.","authors":"Alice Jones","doi":"10.1142/S1013702519010017","DOIUrl":"10.1142/S1013702519010017","url":null,"abstract":"Physiotherapists help their clients recover from injury and improve functional mobility and capacity, through participation in appropriate exercise. Physiotherapists must work with their clients. The success of most physiotherapy interventions depends on positive motivation of the client and compliance with the prescribed exercise program. Motivation needs to be e®ectively communicated. How a question is phrased during a patient interview e®ects whether a patient listens, understands what is required, is convinced of the bene ̄t of the exercise, and is prepared to comply with the protocol as instructed. This process underpins the success of the physiotherapy program. Development of a student's ability to communicate e®ectively is a vital component of the entry-level physiotherapy curriculum. The recent article published in the Hong Kong Physiotherapy Journal entitled Physiotherapistpatient communication in entry-level physiotherapy education: A national survey in Nigeria\" alerts physiotherapy educators to the importance of maximising clinical communication skills in students. This is a well-written article which reports the frequency and assessment methods adopted by entry-level physiotherapy programs in Nigeria, to evaluate clinical communication skills in physiotherapy students. A questionnaire modelled on the National survey of clinical communication assessment in medical education in the United Kingdom\" was modi ̄ed and sent to all physiotherapy schools in Nigeria. Data were collected from six physiotherapy programs. Results showed that all programs conducted formal assessment of student clinical communication skills approximately three times a year, commencing in the second year of the program. The assessments were in various formats including Objective Structured Clinical Examination (OSCE) with actors or real patients, case reports, charts, short written answer tests and mini clinical evaluation exercises. This article also discussed the challenges associated with the assessment of clinical communication, including the validity of method of assessment, inadequate resources, inexperienced examiners and content integration.\"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519010017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37035896","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":"Quality of life after spinal cord injury in Thai individuals: A mixed-methods study.","authors":"Anchalee Foongchomcheay,&nbsp;Aitthanatt Chachris Eitivipart,&nbsp;Jiraporn Kespichayawattana,&nbsp;Monticha Muangngoen","doi":"10.1142/S1013702519500045","DOIUrl":"https://doi.org/10.1142/S1013702519500045","url":null,"abstract":"<p><strong>Background: </strong>Patients with spinal cord injury (SCI) face various health-related difficulties. Physical limitations and health-related complications in individuals with SCI can lead to activity restrictions and lowering their quality of life (QoL). It is important to assess the QoL in population with SCI to gain more valuable insights into aspects of health-related QoL (HRQoL) that could play a key role in improving care for persons with SCI.</p><p><strong>Objective: </strong>To quantitatively measure the QoL in persons with SCI in Thailand and expand the results through qualitative investigation to provide meaning, context and depth of \"how\" and \"why\" they rated, defined and addressed their QoL in that way.</p><p><strong>Methods: </strong>The philosophical assumption of this study was set based on the post-positivist views using mixed-methods sequential explanatory design. The quantitative data were collected and analyzed in 101 Thai individuals with SCI using standardized Thai version of the Short Form Health Survey version 2 (SF-36v2), followed by the qualitative investigation of semi-structured interviews in 11 volunteers who participated in the SF-36v2 phase. Priority is given to quantitative data. The data integration occurred at the qualitative data collection through the data interpretation and discussion stage.</p><p><strong>Results: </strong>With regard to quantitative data, a recent study found a statistically significant difference <math><mo>(</mo> <mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>05</mn> <mo>)</mo></math> in four domains for male and three domains for the female when comparing the SF-36 Thai normative data with SF-36v2 SCI data. Qualitative data revealed that the most salient themes of HRQoL in individuals with SCI were \"supporting factors toward QoL\" and \"driving force post injury\". The integration of the findings revealed that the qualitative data could individually explain and define QoL as well as support quantitative results. The connection of both findings indicated that the higher scores in psycho-social variables and lower scores in physical domains of SF-36v2 in Thai persons with SCI may be due to unique Thai family traditions and community values.</p><p><strong>Conclusion: </strong>The scores on SF-36v2 and the replies in the qualitative investigation of QoL themes of Thai individuals with SCI were similar to those of other research, but this study is unique in that it specifically represents the Thai socio-environmental-cultural aspects.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37035892","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":"Development of a short form of the Hong Kong Chinese orebro musculoskeletal pain screening questionnaire.","authors":"Raymond C C Tsang,&nbsp;Edwin W C Lee,&nbsp;Jamie S Y Lau,&nbsp;Susane S F Kwong,&nbsp;Eric M L So,&nbsp;Thomas F Y Wong,&nbsp;Rainbow K Y Law","doi":"10.1142/S1013702519500057","DOIUrl":"https://doi.org/10.1142/S1013702519500057","url":null,"abstract":"<p><strong>Background: </strong>The Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ) is a valid screening tool to identify those musculoskeletal patients at risk of developing chronicity and disability. A Hong Kong Chinese version of the OMPSQ (COMPSQ-HK) was developed with satisfactory construct validity and predictive validity.</p><p><strong>Objective: </strong>The aim of this study was to develop a 10-item short form of the COMPSQ-HK (COMPSQ-HK10) and examine its measurement properties.</p><p><strong>Methods: </strong>The 10 items were identified from the suggestion by the original author of OMPSQ. The data of the 10 items were extracted from the main study to develop the COMPSQ-HK conducted from 2010 to 2013. The internal consistency using Cronbach's alpha, test-retest reliability examining intraclass correlation coefficient (ICC <math><msub><mrow></mrow> <mrow><mn>1</mn> <mo>,</mo> <mn>1</mn></mrow> </msub> </math> ), minimum detectable change and 95% limits of agreement, construct validity by correlating COMPSQ-HK10 with pain, disability score, kinesiophobia score and Medical Outcomes Study Short Form 12, and predictive validity investigating receiver operating characteristic (ROC) curve analyses with sick leave <math><mo>></mo> <mn>60</mn></math> days and return-to-work status at one year were calculated.</p><p><strong>Results: </strong>A total of 305 back patients and 160 neck patients were recruited with about 30% of patients lost to follow-up at one year. Both the internal consistency (Cronbach's alpha as 0.732 to 0.757) and test-retest reliabilities (ICC <math><msub><mrow></mrow> <mrow><mn>1</mn> <mo>,</mo> <mn>1</mn></mrow> </msub> </math> as 0.868 for both back and neck patients) were satisfactory. The correlations between COMPSQ-HK10 and COMPSQ-HK for back and neck patients were excellent (Pearson <math><mi>r</mi></math> as 0.919 and 0.896, respectively, <math><mi>p</mi> <mo><</mo> <mn>0</mn> <mo>.</mo> <mn>001</mn></math> ). The areas under the ROC curves for back and neck patients were similar for COMPSQ-HK10 and COMPSQ-HK, ranging from 0.603 to 0.712. A cut-off score of 54 of COMPSQ-HK10 was recommended in predicting \"sick leave of more than 60 days at one year\" and \"return to work for at least four consecutive weeks at one year\".</p><p><strong>Conclusion: </strong>The COMPSQ-HK10 has comparable measurement properties with the COMPSQ-HK. It is recommended to use the COMPSQ-HK10 for routine screening to identify patients of back and neck pain at risk of developing chronic pain and disability.</p>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S1013702519500057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37035893","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}