International Journal of Therapy and Rehabilitation最新文献

{"title":"The lived experience and occupational impact of individuals with Dupuytren's disease: a scoping review","authors":"R. Cox, A. McCann, Stacey M. Cross, M. Molineux","doi":"10.12968/ijtr.2021.0122","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0122","url":null,"abstract":"Understanding an individual's experience of living with Dupuytren's disease is important to support rehabilitation. The aim of this review was to explore the extent to which the literature provides an understanding of the lived experience of individuals with Dupuytren's disease, including the occupational impact. A scoping review was completed. Three electronic databases were searched, using the terms Dupuytren* and experience. The search yielded 257 articles, and 60 were included in the final review. Most articles (43; 79.62%) made non-specific statements regarding occupational impacts. All articles (100%) included physical factors; 13 (24.07%) affective; five (9.45%) cognitive; and none discussed spirituality. Thematic analysis yielded an overarching theme of the prioritisation of professionals' perspectives. Sub-themes highlighted that most literature focused on a narrow biomedical aspects of the disease and included: a physical or reductionist approach to viewing the condition; glimpses of life with Dupuytren's disease; and a limited focus on the journey. Consultation with occupational therapists confirmed these themes and added discussion points. There is a need for research regarding patient perspectives, including psychosocial factors, so that these are elucidated and prioritised. Further research should also explore how the impact of the condition changes over time, and how individuals cope and adapt.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48199893","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":"National mapping of municipality-based rehabilitation services for patients recovering from COVID-19 in Denmark: a cross-sectional study","authors":"K. Bloomquist, L. Tang, Sissel Kjelsbak, Linea L Hansen, Jan Christensen","doi":"10.12968/ijtr.2021.0167","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0167","url":null,"abstract":"A lack of knowledge exists as to how municipalities are meeting the rehabilitation needs of patients recovering from COVID-19. This poses a potential barrier when referring patients for rehabilitation. The aim of this study was to map and describe municipality-based rehabilitation services for patients recovering from COVID-19 in Denmark. This was a cross-sectional, nation-wide survey. Key staff members from all 98 municipalities in Denmark were invited to participate. Participants had insight into the organisation and professional content of municipal rehabilitation. Structured telephone interviews were conducted by three interviewers between October and November 2020. The interview guide consisted of items that asked about the availability, content and organisation of municipality-based rehabilitation services. A total of 91 municipalities (93% response rate) participated in the study. Rehabilitation could be provided within pre-existing services in 98% of municipalities and 93% systematically assessed individual rehabilitation needs using a variety of measurement methods. All municipalities reported that they had services in place to provide functional rehabilitation (eg gait training) and over 90% provided physical, cognitive and lifestyle-related rehabilitation. In contrast, 70% could provide COVID-19 education and 64% psychological therapy. Overall, 32% of municipalities had not received referrals for COVID-19 rehabilitation. Of the 62 municipalities that had COVID-19 rehabilitation experience, 73% rated the degree to which they could deliver coherent and coordinated rehabilitation for patients with complex rehabilitation needs as high or very high. Overall, Danish municipalities reported that pre-existing services are in place to provide relevant, individualised rehabilitation for patients recovering from COVID-19. Nonetheless, future efforts should ensure that patient education is established, in step with health care providers accumulating knowledge, as well as integrated referral pathways between sectors, to deliver rehabilitation to patients with complex needs. Further, implementation of a national data collection strategy would strengthen and inform future development of relevant services both nationally and internationally.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48661663","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":"Multidisciplinary rehabilitation of patients with persistent physical symptoms","authors":"H. Lewis, A. House, E. Guthrie","doi":"10.12968/ijtr.2022.0143","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0143","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44888604","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":"Comparing the immediate effect of pneumatic and conventional knee braces on gait, satisfaction and pain in patients with knee medial osteoarthritis","authors":"H. Saeedi, M. Rezaee, A. Daryabor, Mobina Khosrav, Samira Hassan Pour","doi":"10.12968/ijtr.2021.0179","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0179","url":null,"abstract":"Knee braces can change loading direction on knees in people with osteoarthritis, thereby reducing symptoms and progression of the disease. The aims of this study were to explore the immediate effect of two types of braces, a pneumatic knee brace with air pressure embedded in a sandal cuff (sandal cuff pressure) and a conventional knee brace on gait, pain and satisfaction during walking in patients with knee medial osteoarthritis. A total of 28 patients with knee medial osteoarthritis were assigned to two groups, 14 patients used a conventional brace and 14 used a prototype brace with a pneumatic system, which was designed and fabricated by the authors, and followed the mechanism of variable pressures in the stance and swing phases of a gait cycle in a patient's knee. The gait parameters (walking self-selected speed, cadence, step length, knee range of motion, and maximum knee adduction moment, walking speed, cadence and step length) were measured with a Kistler force plate and Vicon motion analysis under two conditions: with and without brace for the conventional brace group, and under three conditions of no brace, brace with sandal cuff pressure, and brace without sandal cuff pressure for the pneumatic brace group. Patients' pain and satisfaction were also measured using a visual analogue scale and Likert scale respectively. Both groups showed a significant reduction in maximum knee adduction moment and pain wearing braces in comparison to no brace during walking (P<0.05). The knee range of motion was significantly decreased in the pneumatic brace group with and without sandal cuff pressure compared with no brace (P<0.001). No significant difference was found for any of the variables when using the pneumatic brace with and without sandal cuff pressure (P>0.05). In the between-group comparison, only patients' satisfaction was significantly reduced when using the pneumatic brace in both walking with (P=0.041) and without (P=0.02) sandal cuff pressure compared to those using the conventional brace. Both conventional and pneumatic braces led to reduced knee adduction moment and pain in patients with knee osteoarthritis. However, using a pneumatic brace reduced the knee range of motion and satisfaction of patients, which could be because the brace was a prototype.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43170455","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":"The impact of anodal transcranial direct current stimulation of primary motor cortex on motor learning in older adults with low levels of activity","authors":"Razieh Abedi, Ailin Talimkhani, Zahra Mohammadzadeh, A. Daryabor, S. Naimi","doi":"10.12968/ijtr.2021.0158","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0158","url":null,"abstract":"Older adults with different physical activity levels have often demonstrated individual differences in motor performance and learning. Serial reaction time task training and anodal transcranial direct current stimulation of the primary motor cortex were used in this study to evaluate how these interventions affected motor learning in older adults with low activity levels. In this randomised controlled trial, 28 healthy, right-handed, older adults with low activity levels, with a mean age of 69.92 years, were randomly allocated to an anodal transcranial direct current stimulation group (n=14) or sham transcranial direct current stimulation group (n=14), based on a simple non-probability sampling method. The experimental group was exposed to 20 minutes of anodal transcranial direct current stimulation of the motor cortex, using a tDCS device, alongside eight sequenced or randomised blocks of serial reaction time task activities, for 5 consecutive days. In the control group, the tDCS device was automatically switched off after 1 minute. To assess implicit motor learning, the response time and error rate of two sequenced blocks of serial reaction time task activities were collected before, immediately following, 1 day and 1 week after the completion of the intervention. Immediately following the end of the intervention, at day 5, the mean response time and error rate were 925.09 and 2.55 in the experimental group, and 1016.52 and 4.10 in the control group. At 1 day after the completion of the intervention, the mean response time and error rates were 927.40 and 3.03 in the experimental group and 1021.91 and 4.34 in the control group. At 1 week after the completion of the intervention, the mean response time and error rates were 942.26 and 3.63 in the experimental group and 1050.08 and 5.11 in the control group. These findings indicate that response time and error rate were significantly decreased in both stimulation groups at different time points (P<0.001). At the same time, there were no significant differences in the response time and error rate between the two groups at different time points: immediately (P=0.07, P=0.31), 1 day (P=0.06, P=0.41) and 1 week (P=0.04, P=0.35) after the completion of the intervention respectively. Serial reaction time task training, with or without applying anodal transcranial direct current stimulation, can improve motor learning in low-activity older adults. Therefore, it appears that anodal transcranial direct current stimulation did not affect or improve motor learning in older adults with low motor activity. Motor learning training can be used alone as a practical and helpful intervention to improve performance and implicit motor skill learning with long-lasting effects in older adults with low levels of activity.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41464321","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":"Cultural competence in occupational therapy to reduce health disparities: a systematic literature review","authors":"R. Crawley","doi":"10.12968/ijtr.2021.0011","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0011","url":null,"abstract":"Despite agreement about the relationship between cultural competence and health equality, there is a lack of clear guidance within occupational therapy about what it means to be culturally competent and how it can be achieved. This literature review aims to critically appraise qualitative research to explore occupational therapists' experience of working cross culturally. By comparing these experiences, this review aims to identify ways in which occupational therapists individually, and occupational therapy as a profession, can increase the efficacy of the interventions they provide within cross-cultural situations, so all clients can be supported to achieve equal health outcomes. The following databases were searched between 2010 and 2020: ASSIA (Applied Social Science Index), CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane, Embase, Medline Pubmed. The resultant papers were appraised using the Critical Appraisal Skills Programme checklist and thematic analysis was used to identify three themes. The six papers included in this review present the experiences of occupational therapists and occupational therapy students working in cross-cultural situations in the UK, Canada, South Africa, USA, Australia and Ireland. Three major themes emerged that explore the relationship between client-centred practice and cultural competence, theory–practice links, and strategies and barriers to working in a culturally competent way. Cultural competence is strongly aligned with some of the core principles of occupational therapy: occupational justice and occupational identity. However, theoretical knowledge and confidence among occupational therapists in this area is lacking, implying that their impact could be greater if there was a more concrete definition of cultural competence and standardised guidelines for practice. Further research is needed to build on the strategies and overcome barriers, so that occupational therapists can fulfil the professional obligation they have to work effectively with all populations.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42574371","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":"Establishing the inter-rater and test–retest reliability of the levator scapulae index in women with chronic mechanical neck pain: a reliability study","authors":"Arushi Mishra, M. Goyal, Surendra Sharma, Parveen Kumar, Sohel Ahmed","doi":"10.12968/ijtr.2022.0022","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0022","url":null,"abstract":"The levator scapulae is an important postural muscle that tends to shorten or become tight because of overactivity and bad posture, leading to neck and shoulder pain. Therefore, it is important to measure its length to effectively address dysfunction. The aim of this study was to measure the length of the levator scapulae using the levator scapulae index and examine this tool's inter-rater and test–retest reliability in women with chronic mechanical neck pain. A total of 130 women aged between 18 to 30 years, with a body mass index between 18.5 and 24.9 kg/m2 and experiencing chronic mechanical neck pain, participated in this study. The length of the participants' levator scapulae was measured with a digital Vernier calliper and with the women in a standing position. Measurements were taken twice on the same day in the afternoon, with a 1 hour resting time between trials. The test–retest reliability of the levator scapulae index was measured for each participant. The procedure was repeated by two researchers after a 1-hour interval, and a mean value was obtained. Variability in body height was normalised by using the levator scapulae index (levator scapulae length [cm]/subject's height [cm]×100) Spearman's rank correlation coefficient test was used to establish the test–retest reliability (rho=0.96). Inter-rater reliability was established by intra-class correlation coefficient (rater A: 1.0, rater B: 0.98) with Cronbach's alpha (0.99). The findings demonstrated the excellent reliability of the levator scapulae index for the measurement of levator scapulae length in females with chronic mechanical neck pain. This study helps to establish a reliable method for levator scapulae length measurement, which helps clinicians to plann more efficient treatment protocols for patients with chronic mechanical neck pain.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49345494","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":"The energy crisis in Europe 2022: new challenges ahead for rehabilitation","authors":"M. Polastri","doi":"10.12968/ijtr.2022.0134","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0134","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44244003","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":"The relationship between handgrip and rotator cuff muscle strength in shoulder pain: a cross-sectional study","authors":"Reem D'mello, Charu Eapen, Manisha Shenoy, Patel Vivekbhai Dineshbhai","doi":"10.12968/ijtr.2021.0187","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0187","url":null,"abstract":"Shoulder pain is reported to be the third most common musculoskeletal disorder. Rotator cuff muscles play an important role in stabilising the shoulder and decreasing pain. Assessment of handgrip strength has been proposed as an indicator of rotator cuff function in healthy individuals, but not in those experiencing shoulder pain. The aim of this study was to assess the relationship between handgrip strength and shoulder rotator cuff strength in patients experiencing shoulder pain as a result of pathology or surgical intervention. A secondary aim was to identify any association between the duration of shoulder pain and handgrip strength and shoulder rotator cuff strength. A total of 32 patients with shoulder pain (19 men, 13 women) were evaluated. The mean age was 52.88 (± 15.66) years, with a mean duration of shoulder pain of 13.44 (± 10.22) weeks. Handgrip strength was measured using the standard Jamar hydraulic hand dynamometer, and individual isometric rotator cuff strength was measured using the Baseline push-pull dynamometer. Correlation was found between handgrip strength and the abductor (r=0.58), external rotator (r=0.57), and internal rotator strength (r=0.59). A linear regression model was used to derive the equations for the association. No significant (P>0.05) correlation was found between the duration of pain and the handgrip strength or rotator cuff strength. The strength of the correlation found indicates that handgrip strength can be used for assessment and within a rehabilitation programme to monitor rotator cuff function in patients with shoulder pain or post-surgical rehabilitation. The strength of rotator cuff muscles can be predicted by the equations derived from the regression model relating to grip strength assessment.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49455872","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":"An increase of musculoskeletal disorders associated with COVID-19 in Iran","authors":"A. Vaziri, Seyed Mehdi Mohsenipour, F. Jafarzadeh","doi":"10.12968/ijtr.2022.0077","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0077","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45854432","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}