{"title":"A survey of physical activity (PA) across the stroke pathway of care: physiotherapists’ routine practice and knowledge","authors":"Claire McFeeters, Katy Pedlow, Niamh Kennedy, Suzanne McDonough","doi":"10.1080/21679169.2023.2276705","DOIUrl":"https://doi.org/10.1080/21679169.2023.2276705","url":null,"abstract":"Background Stroke research mainly focuses on ambulant participants attending supervised exercise interventions, delivered by physiotherapists, that are not informed by behaviour change theory or measured accurately. It is not clear whether the findings are reflected in clinical practice across the stroke pathway.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"12 26","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135868737","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":"Patient perspectives on digital health and physical activity in Parkinson’ disease: a brief research report","authors":"Adam Douglas McDermott","doi":"10.1080/21679169.2023.2272165","DOIUrl":"https://doi.org/10.1080/21679169.2023.2272165","url":null,"abstract":"AbstractBackground People living with Parkinson’s disease (PwP) typically have lower levels of physical activity (PA) which predisposes them to heart disease, reduced bone density and low exercise tolerance. Digital health has been shown to be effective at promoting PA in several clinical cohorts and monitoring PA in PwP. In addition, PwP have reported positive experiences with using digital health modalities such as smartwatches and telehealth. However, the perspectives of PwP on how best to use digital health to promote PA has yet to be investigated. The aim of this study was to investigate current levels of digital skills in PwP and the perspectives and opinions of PwP on the use of digital health for PA interventions.Methods Eighty-nine PwP living in Ireland completed a cross-sectional questionnaire looking at current levels of PA and self-reported levels of digital skills.Results The majority of participants believed that PA was beneficial for PwP and had a moderate to high level of digital skills. Important factors to consider when constructing a digital health PA intervention included ease of access, low cost, variety of exercises and physical activity options and a feedback function.Conclusion PwP have a moderate to high level of self-reported digital skills. This study provides useful information on factors that should be considered when constructing a digital PA intervention for PwPKeywords: Physical activityParkinson’s diseasetechnologydigital health Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis work was unfunded.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"68 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135268451","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":"Quality indicators for stroke patient rehabilitation in outpatient settings - a review of the literature","authors":"Jeppe Desler, Kristian Rousing, Marianne Lindahl","doi":"10.1080/21679169.2023.2272160","DOIUrl":"https://doi.org/10.1080/21679169.2023.2272160","url":null,"abstract":"AbstractPurpose Post-stroke patients constitute a large group suffering from disabilities that require rehabilitation long after discharge. Quality indicators (QIs) that specify the minimum expected standard of quality in outpatient rehabilitation could contribute to the valuation of the effectiveness of rehabilitation on decision-makers, health professionals, patients, and relatives. This review aims to identify QIs focusing on physiotherapists’ outpatient rehabilitation of stroke patients.Materials and methods The databases Cinahl, Cochrane, Embase, PubMed, and Scopus were searched for publications, and the grey literature was also searched. Through a pragmatic appraisal and assessment with the modified AGREE II-QI instrument, relevant QIs were selected.Results A total of 1129 papers were retrieved, and five papers presenting 91 QIs were included. Thirty-six QIs were considered relevant to physiotherapy in outpatient rehabilitation. The QIs cover structure, process, and outcome and concern basic mobility, spasticity, organisation and content of the training, patient-reported outcome measures, education of patients and relatives, and follow-up and goal setting.Conclusions The study appraised 36 QIs relevant for outpatient rehabilitation of stroke survivors conducted by physiotherapists. A Delphi panel is required to develop the final set of QIs for physiotherapists and, subsequently, the development of a core set of multidisciplinary QIs.Keywords: Modified AGREE II-QI instrumentphysiotherapydelphi panelquality in rehabilitationpost-strokeinternational classification of healthdisabilityfunctioning (ICF) Disclosure statementThe authors report there are no competing interests to declare.Ethical statementThe paper presents a review of the literature and does not involve human participants or identifiable personal information. Quality indicators for stroke patient rehabilitation in outpatient settings - a review of the literature.Additional informationFundingThe authors received no financial support for the research, authorship, and/or publication of this article.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135779414","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}
Anna Svensson-Raskh, Monika Fagevik Olsén, Malin Nygren-Bonnier, Anna Schandl
{"title":"Healthcare professionals’ experiences of mobilising adult patients out of bed shortly after major abdominal surgery – a qualitative study","authors":"Anna Svensson-Raskh, Monika Fagevik Olsén, Malin Nygren-Bonnier, Anna Schandl","doi":"10.1080/21679169.2023.2272185","DOIUrl":"https://doi.org/10.1080/21679169.2023.2272185","url":null,"abstract":"Background Early mobilisation is endorsed after abdominal surgery. Healthcare professionals are key figures in mobilisation. However, their experiences of barriers and enablers of mobilisation shortly after abdominal surgery is yet not fully explored. Therefore, the aim was to describe the healthcare professionals’ experiences of postoperative mobilisation shortly after abdominal surgery.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135778309","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":"Recovery of gait speed and timed up and go test in three weeks after total knee arthroplasty","authors":"Akira Iwata, Yuki Sano, Hideyuki Wanaka, Shingo Kobayashi, Kensuke Okamoto, Jun Yamahara, Masaki Inaba, Yuya Konishi, Junji Inoue, Atsuki Kanayama, Saki Yamamoto, Hiroshi Iwata","doi":"10.1080/21679169.2023.2267619","DOIUrl":"https://doi.org/10.1080/21679169.2023.2267619","url":null,"abstract":"Background Many previous studies reported that mobility did not recover to the preoperative level even several months after total knee arthroplasty (TKA). However, recent studies indicate that the time required for recovery may have been shortened. The correct information regarding the mobility improvement is very helpful in assessing a patients’ progress in rehabilitation. Therefore, we evaluated the mobility early after TKA.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135967768","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":"Role of Bio-Psychosocial factors in return to work following a compensable knee injury","authors":"Alicia Savona, Helen Razmjou","doi":"10.1080/21679169.2023.2262518","DOIUrl":"https://doi.org/10.1080/21679169.2023.2262518","url":null,"abstract":"AbstractObjectives The purpose of this study was to examine the relationship between work status and biomedical factors, psychosocial factors, occupational factors, physical disability, and barriers to full recovery.Methods This study was a cross sectional evaluation of workers with an active compensation claim following a work-related injury to the knee joint.Results Data of 60 consecutive injured workers, mean age, 47 ± 14, 40 (67%) males were used for analysis. Thirty-one (52%) patients were unable to work and 29 (48%) patients were working at the time of assessment. Patient’s age, gender, range of motion, and strength did not have a direct relationship with work status (p > 0.05). Obesity had a negative impact on work status (p = 0.035). Depression (p = 0.001), anxiety (p = 0.002), and the fear avoidance of the Optimal Screening for Prediction of Referral and Outcome (OSPRO-YF) scale (p = 0.019) showed higher levels of psychosocial issues in the non-working sample. Patients with 3 or more barriers (p = 0.020) and higher disability score (p = 0.004) showed an inferior work status.Discussion Presence of obesity, depression, anxiety, fear-related beliefs, higher reported disability, and accumulative number of barriers are indicative of poorer recovery and a less successful RTW after an occupational knee injury.Keywords: Psychosocial factorsinjured workersreturn to workdepressionanxietyknee injuriesfear avoidance behaviourcross-sectional study Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135094349","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}
Linda Eikeland, Eli Narum, Liv Heide Magnussen, Stian Hammer, Tiina Maarit Andersen
{"title":"The feasibility of an upper limb strength test protocol in children with Duchenne muscular dystrophy","authors":"Linda Eikeland, Eli Narum, Liv Heide Magnussen, Stian Hammer, Tiina Maarit Andersen","doi":"10.1080/21679169.2023.2256371","DOIUrl":"https://doi.org/10.1080/21679169.2023.2256371","url":null,"abstract":"Question This study aimed to develop and assess a protocol for evaluating upper limb strength and its association with functional abilities in children and adolescents diagnosed with Duchenne muscular dystrophy (DMD).Design A cross-sectional study.Participants Eleven male individuals diagnosed with DMD (aged 11 to 18 years).Intervention A systematic protocol for assessing the maximum voluntary isometric contraction (MVIC) of the upper limbs using grip and pull dynamometers was developed and conducted in conjunction with the Performance of Upper Limb (PUL) scale.Outcome measures Feasibility was evaluated by appraising the number of participants capable of successfully executing the strength test protocol. Correlations were conducted to examine the relationship between upper limb strength and PUL scores.Results The grip strength assessment was feasible for all participants, while the complete strength testing protocol was feasible for nine, excluding two individuals with non-ambulatory mobility. Significant correlations were found between overall upper limb strength and total PUL scores (rs = 0.742, p = 0.022), grip strength and distal PUL scores (rs=0.733, p = 0.010), shoulder abduction strength and PUL shoulder scores (rs=0.905, p = 0.005), and grip strength and overall PUL scores (rs=0.794, p = 0.004). The middle-level correlation was not statistically significant (rs=0.590, p = 0.094).Conclusion The established strength test protocol demonstrated feasibility among ambulatory participants. However, alternative approaches are essential for those with limited ambulation. The study identified a robust correlation between upper limb strength and functional abilities. Further extensive studies are required to validate these findings.Trial registration The present study is a part of a longitudinal intervention study registered at the ClinicalTrials.gov (NCT03963453).","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135825647","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}
Saurab Sharma, Arianne Verhagen, Mark Elkins, Jean-Michel Brismée, George D. Fulk, Jakub Taradaj, Lois Steen, Alan Jette, Ann Moore, Aimee Stewart, Barbara J. Hoogenboom, Anne Söderlund, Michele Harms, Rafael Z. Pinto
{"title":"Research from low-income and middle-income countries will benefit global health and the physiotherapy profession, but it requires support","authors":"Saurab Sharma, Arianne Verhagen, Mark Elkins, Jean-Michel Brismée, George D. Fulk, Jakub Taradaj, Lois Steen, Alan Jette, Ann Moore, Aimee Stewart, Barbara J. Hoogenboom, Anne Söderlund, Michele Harms, Rafael Z. Pinto","doi":"10.1080/21679169.2023.2240997","DOIUrl":"https://doi.org/10.1080/21679169.2023.2240997","url":null,"abstract":"Disparities in research publications are common in the physiotherapy and rehabilitation fields [1]. A small proportion of published research arises from low-income and middleincome countries (LMICs) [1,2], home to 85% of the world’s population. Systems-level, institutional-level, and individuallevel factors contribute to these disparities. With urgent and unified actions, global health and the standard of physiotherapy research in LMICs can be improved and strengthened. In this editorial, we will discuss the challenges encountered by researchers from LMICs in conducting and publishing highquality research and propose potential strategies to address these challenges.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134948818","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":"Physiotherapists’ perceptions of the use of digital health to promote physical activity in people living with Parkinson’s disease","authors":"A. McDermott, D. Bradley","doi":"10.1080/21679169.2023.2252470","DOIUrl":"https://doi.org/10.1080/21679169.2023.2252470","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47905829","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}