Saleh M. Aloraini, Emtenan Y. Alyosuf, Lamya I. Aloraini, M. Aldaihan
{"title":"Assessment of spasticity: an overview of systematic reviews","authors":"Saleh M. Aloraini, Emtenan Y. Alyosuf, Lamya I. Aloraini, M. Aldaihan","doi":"10.1080/10833196.2022.2059942","DOIUrl":"https://doi.org/10.1080/10833196.2022.2059942","url":null,"abstract":"Abstract Background Spasticity is a common impairment following an upper motor neuron lesion. A number of definitions were proposed for spasticity, as it is a complex phenomenon that is difficult to assess. It is important to address the measurement of spasticity and improve clinical practices related to assessing spasticity. There are numerous systematic reviews related to spasticity assessment varying in their quality, framework and methodology. Objective We aimed to systematically evaluate the evidence from published systematic reviews related to assessment of spasticity in people with various neurological conditions. Methods A comprehensive literature search was conducted in the following databases: PubMed, CINAHL, Embase and The Cochrane Library. Two independent reviewers screened the literature search results to include relevant studies. Subsequently, reviewers extracted the data using a standardized form. The quality of studies was assessed using Assessment of Multiple Systematic Reviews (AMSTAR), and the quality of evidence was critically appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE). Results Following the literature search and screening process, a total of 19 studies were included in this overview of systematic reviews. Within these 19 studies, 60 different spasticity assessment tools were found. There were 33 clinical measures of spasticity, 18 biomechanical measures and 8 neurophysiological measures. The majority of systematic reviews were found to have low to moderate rating on AMSTAR and the level of evidence (GRADE) was generally found to be low. Conclusion Overall, our findings suggest that, despite the decades of research, spasticity assessment still requires further investigation. The majority of evidence related to spasticity assessment is low, with the majority of studies relying on methods that assess resistance to passive movement rather than spasticity. Future research is greatly warranted to elucidate the proper approaches for assessing spasticity.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"27 1","pages":"290 - 303"},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42829147","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":"Our Hope Does Spring Eternal!","authors":"","doi":"10.1097/PEP.0000000000000900","DOIUrl":"https://doi.org/10.1097/PEP.0000000000000900","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"31 1","pages":"143"},"PeriodicalIF":0.7,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72902776","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}
L. Hyde, Andrew J. Simpson, Marion Nettleton, Joanne Shepherdson, C. Killingback, Philip Marshall, M. Crooks, A. Green
{"title":"Tele-rehabilitation for patients who have been hospitalised with Covid-19: a mixed-methods feasibility trial protocol","authors":"L. Hyde, Andrew J. Simpson, Marion Nettleton, Joanne Shepherdson, C. Killingback, Philip Marshall, M. Crooks, A. Green","doi":"10.1080/10833196.2022.2028963","DOIUrl":"https://doi.org/10.1080/10833196.2022.2028963","url":null,"abstract":"Abstract Background: Tele-rehabilitation has been proposed as a post-hospitalisation rehabilitation pathway for Covid-19 survivors, however patients’ willingness and ability to engage with this online intervention remains unknown. Objectives: The aim of this study is to determine the feasibility of tele-rehabilitation in this population, specifically with regards to recruitment, intervention acceptability and adherence, data quality and primary outcome measure selection. Methods: A protocol for a single centre, fast-track (wait-list), randomised mixed-methods, feasibility trial of tele-rehabilitation for patients that have been hospitalised with Covid-19 is presented. The tele-rehabilitation programme is based on pulmonary rehabilitation principles and will encompass an initial assessment followed by twice-weekly exercise classes and education sessions for 6 weeks. Six educational sessions on the topics of rehabilitation from Covid-19; coping with breathlessness; exercise; nutrition; return to work; and fatigue management will be delivered by a multi-disciplinary team of healthcare professionals. A series of feasibility, clinical and safety outcomes will be quantitively described and patient experiences and opinions explored using thematic analysis of semi-structured interviews. Discussion: We anticipate that results from the study will inform a multi-centre randomised controlled trial for post-Covid-19 tele-rehabilitation and the results from the qualitative analysis may provide guidance to improve participant experience.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"27 1","pages":"230 - 238"},"PeriodicalIF":0.7,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46688968","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":"Commentary on \"Leisure Time Physical Activity in Children and Young People With Cerebral Palsy: A Population-Based Study\".","authors":"E. Longo, C. Shrader","doi":"10.1097/PEP.0000000000000902","DOIUrl":"https://doi.org/10.1097/PEP.0000000000000902","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"50 1","pages":"238"},"PeriodicalIF":0.7,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88624192","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}
Kathryn Kati Knudsen, Ryan P. Jacobson, Kristen Pepperling
{"title":"Commentary on \"Infants With Torticollis Who Changed Head Presentation During A Physical Therapy Episode\".","authors":"Kathryn Kati Knudsen, Ryan P. Jacobson, Kristen Pepperling","doi":"10.1097/PEP.0000000000000893","DOIUrl":"https://doi.org/10.1097/PEP.0000000000000893","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"20 1","pages":"192"},"PeriodicalIF":0.7,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76368740","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":"Commentary on \"Effect of Contingency Paradigm-Based Interventions on Developmental Outcomes in Young Infants: A Systematic Review\".","authors":"B. McManus, James B. Hedgecock","doi":"10.1097/PEP.0000000000000899","DOIUrl":"https://doi.org/10.1097/PEP.0000000000000899","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"4 1","pages":"162"},"PeriodicalIF":0.7,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73867191","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}
K. Vishal, A. Arumugam, G. Sole, Shetty Shrija Jaya, A. Maiya
{"title":"Sensory and motor profiles of the contralateral upper limb and neuroplastic changes in individuals with unilateral rotator cuff related shoulder pain – a systematic review protocol","authors":"K. Vishal, A. Arumugam, G. Sole, Shetty Shrija Jaya, A. Maiya","doi":"10.1080/10833196.2022.2044609","DOIUrl":"https://doi.org/10.1080/10833196.2022.2044609","url":null,"abstract":"Abstract Background Numerous studies have established bilateral changes that underpin a reorganization of the central nervous system in individuals with unilateral tendinopathy. The evidence for sensory and motor profiles of the contralateral limb and neuroplastic (cortical) changes have not been specifically reviewed for rotator cuff related shoulder pain (RCRSP). Objectives To systematically review, summarize and appraise the evidence for sensory and motor profiles of the contralateral (non-injured) upper limb and neuroplastic changes in individuals with unilateral RCRSP. Methods This review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement and the guidelines for performing a Meta-analysis and Systematic Review of Observational Studies in Epidemiology (MOOSE). Two reviewers will screen, appraise, and extract the data using a customized data extraction tool, and synthesize findings from all studies irrespective of their methodological quality. The methodologically quality of the included studies will be assessed using a modified Downs and Black index. Statistical and clinical heterogeneity associated with the outcomes of interest will be assessed, and a meta-analysis will be done if appropriate. The certainty of evidence will be synthesized using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE). Discussion Previous studies indicate a reorganization of the nervous system with chronic musculoskeletal pain. If bilateral sensory/motor impairments or neuroplastic changes are evident in individuals with unilateral RCRSP, interventions may need to be tailored to include bilateral impairments as well as interventions that consider neuroplasticity. PROSPERO registration: CRD42020202756","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"27 1","pages":"274 - 280"},"PeriodicalIF":0.7,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47672046","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":"Commentary on \"Instrumented Gait Analysis (IGA) for Management of Children With Cerebral Palsy: A Needs Assessment Survey\".","authors":"E. Bolster, M. van Eck, L. Oudenhoven, A. Buizer","doi":"10.1097/PEP.0000000000000895","DOIUrl":"https://doi.org/10.1097/PEP.0000000000000895","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"98 1","pages":"229"},"PeriodicalIF":0.7,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81381621","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":"LETTER TO THE EDITOR.","authors":"Kati Knudsen, A. Fernandez-Fernandez","doi":"10.1097/PEP.0000000000000897","DOIUrl":"https://doi.org/10.1097/PEP.0000000000000897","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"36 1","pages":"145"},"PeriodicalIF":0.7,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85300017","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":"Commentary on \"Using Telehealth to Conduct Family-Centered, Movement Intervention Research in Children With Autism Spectrum Disorder During the COVID-19 Pandemic\".","authors":"Jamie B. Hall, Dana Chole, Lisa Wieberg","doi":"10.1097/PEP.0000000000000890","DOIUrl":"https://doi.org/10.1097/PEP.0000000000000890","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"3 1","pages":"252"},"PeriodicalIF":0.7,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89553926","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}