International Journal of Therapy and Rehabilitation最新文献

{"title":"Motor recruitment pattern during the prone hip extension test: is hip extension initiated by the hip or the lumbar extensor muscles?","authors":"D. Kiseljak, V. Medved","doi":"10.12968/ijtr.2020.0139","DOIUrl":"https://doi.org/10.12968/ijtr.2020.0139","url":null,"abstract":"Prone hip extension motion pattern derives from the motor muscle firing pattern, and functional deficits are determined by comparing this pattern with a normal prone hip extension motion muscle recruitment pattern, defined more than 30 years ago by scientifically insufficient methods. The aim of this study was to examine the differences between electromyography recruitment onsets and orders of muscles participating in prone hip extension motion, and to determine whether there is a consistent and dominant motor pattern. The sample consisted of 106 healthy participants. Onset times of semitendinosus, ipsilateral and contralateral erector spinae muscles were determined as 10% of the peak rectified amplitude of the electromyography signal for each of the 18 prone hip extension bilateral repetitions. These values were used to determine the recruitment order for each repetition, as well as to calculate the average ipsilateral and contralatral normalised onset times (ie relative times to firing of the semitendinosus muscle). The main analysis was performed using a one-way analysis of variance. The level of statistical significance was set at P<0.05. One-way analysis of variance revealed a significantly delayed onset of prone hip extension of the contralateral erector spinae muscles compared to the other muscles (F=7.02; P<0.001; Cohen's f=0.209). Muscle activation initiated by the semitendinosus and ipsilateral erector spinae muscles was the most common. The ipsilateral erector spinae muscle contracts simultaneously with the semitendinosus muscle as a proximal stabiliser, enabling distal hip mobility. The use of the prone hip extension test in recognising dysfunction is limited to when the contralateral erector spinae muscle is initiated first during prone hip extension.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42457262","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":"Transcutaneous neuromuscular electrical stimulation and hemiplegic shoulder pain: a clinical perspective","authors":"Alaa Abou Khzam","doi":"10.12968/ijtr.2022.0032","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0032","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43332202","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":"UK clinical approaches to address post-stroke fatigue: findings from The Nottingham Fatigue after Stroke study","authors":"J. Ablewhite, L. Condon, R. Nair, Amanda Jones, F. Jones, F. Nouri, N. Sprigg, Shirley A. Thomas, A. Drummond","doi":"10.12968/ijtr.2021.0163","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0163","url":null,"abstract":"Although post-stroke is common and debilitating, there is little published research on how it is managed by clinicians. The aim of this study was to document UK management of post-stroke fatigue and ascertain whether there are any differences in its management compared to fatigue arising from other conditions. A cross-sectional survey was used with allied health professionals, psychologists, doctors and nurses working clinically in hospitals, the community or both, who routinely provided information, management or treatment to patients with fatigue. Questionnaires were designed and underwent pilot testing. Recruitment was conducted using healthcare professional networks, professional and condition special interest groups and social media, snowballing and personal emails targeting key professional experts. A total of 305 questionnaires were analysed; the majority of responses were from occupational therapists (56%, n=171). Although there were different opinions about whether post-stroke fatigue was the same as fatigue resulting from other conditions, the strategies suggested for both were similar. Post-stroke management included pacing (67%, n=204), which is spreading activities out during the day or week, keeping a fatigue diary (39%, n=119) and education (38%, n=117). There were variations in how support was offered, and marked variations in length of follow up; some services were flexible and could retain patients for up to 18 months, while others offered one session and no follow up. People with post-stroke fatigue and fatigue arising from other conditions experience different levels of support to manage their fatigue, but the main strategies used in management are similar.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49008896","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":"Incremental shuttle walking test to assess functional capacity in cardiac rehabilitation: a narrative review","authors":"G. Pepera, G. Sandercock","doi":"10.12968/ijtr.2021.0046","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0046","url":null,"abstract":"Low functional capacity has been recognised to be the most important predictor of overall mortality compared to all other cardiovascular risk factors in patients with cardiovascular disease. Walk tests, such as the incremental shuttle walking test and the 6-Minute Walk Test, are used to assess functional capacity in patients, the effectiveness of a cardiac rehabilitation programme and the prognosis of cardiovascular diseases. The aim of this review was to provide a narrative review of the literature and identify the key features of the incremental shuttle walking test as a measure of functional capacity testing in cardiac rehabilitation patients. The PubMed, MEDLINE, Elsevier and Google Scholar databases were searched for relevant scientific articles published up to March 2021 with no restriction on start day. The key words defined by researchers were ‘incremental shuttle walking test’, ‘exercise test’, ‘functional capacity’, ‘cardiovascular disease’, ‘cardiac rehabilitation’, ‘reliability’ ‘prediction; ‘walk tests’. A final set of 31 articles was included in this narrative review. Evidence-based findings suggest that the incremental shuttle walking test is a valid, reliable, sensitive, useful tool for detecting and predict cardiorespiratory capacity. Clinicians can be confident that they can use the incremental shuttle walking test to monitor changes in functional capacity in patients with cardiovascular disease.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44514875","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":"Rehabilitation processes, stress and depression in patients with spinal cord injury during the COVID-19 pandemic in Turkey: a telephone survey","authors":"A. Atıcı, M. Kaysin, P. Akpınar, F. Ozkan, I. Aktas","doi":"10.12968/ijtr.2021.0064","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0064","url":null,"abstract":"Spinal cord injury is a chronic disease that can develop various complications and multisystem dysfunctions. Patients with spinal cord injury need long-term follow up and rehabilitation. During the COVID-19 pandemic, people had to observe social distancing and stay at home. The aim of this study was to evaluate the effects of the COVID-19 pandemic on the rehabilitation and health status of patients with spinal cord injury and assesses their stress levels and depression status. A telephone-based survey was conducted with patients followed up by a spinal cord injury outpatient clinic about rehabilitation processes and any health problems experienced. Stress levels were assessed using the Perceived Stress Scale, while depression was assessed using the Beck Depression Inventory. Demographic characteristics, American Spinal Injury Association Impairment Scale levels, Functional Ambulation Categories and Spinal Cord Independence Measure scores were retrieved from the patients' files. The study included 115 patients, none of whom had contracted COVID-19. Of these patients, 44.3% joined the rehabilitation programme before the pandemic, and 3.5% had been able to participate in the rehabilitation programme during the pandemic. An increase in spasticity was recorded in 43.5% of the respondents, an increase of neuropathic pain was recorded in 37.4% of patients and complaints of neurogenic bladder and neurogenic bowel increased by 26.1% and 16.5% respectively. In addition, 4.3% reported novel decubitus ulcers, while 5.2% reported having experienced autonomic dysreflexia episodes. The Perceived Stress Scale scores were 18.32 ± 5.91. No significant difference was detected between the Beck Depression Inventory scores taken at the time of the study and those recorded before the pandemic. An insufficiency in the rehabilitation process was noted among patients with spinal cord injuries, accompanied by increased complications. New approaches need to be developed to ensure that the rehabilitation processes of patients with spinal cord injury are not interrupted during a pandemic, and that patients' mental health is not ignored.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42759993","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":"High-intensity interval training in people with mild multiple sclerosis: a mixed-methods feasibility study","authors":"L. Humphreys, A. Carter, B. Sharrack, R. Copeland","doi":"10.12968/ijtr.2021.0073","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0073","url":null,"abstract":"High-intensity interval training has received increased attention as a mode of exercise, including as a therapy in clinical populations. This study investigated the acceptability of a high-intensity interval training intervention in people with mild multiple sclerosis. Participants attended two sessions a week for the 6-week intervention. Each session consisted of 6–10 sets of 60-second high-intensity intervals interspersed with 120 seconds of recovery. The acceptability, intervention adherence and safety of the high-intensity interval training protocol and estimates of treatment effects (fitness, physical activity levels, fatigue and quality of life) were used to determine intervention feasibility. Qualitative interviews were used to explore the acceptability of the intervention. A total of 11 people with mild multiple sclerosis consented to participate in a 6-week high-intensity interval intervention. One participant dropped out of the intervention. The participants expressed apprehension before the intervention but attendance at the exercise sessions was high (87%). Participants experienced some symptom exacerbation following sessions, although none were serious. Improvements were seen in fitness, physical activity, fatigue and health-related quality of life. The study findings suggest that high-intensity interval training is acceptable, safe and may offer disease-related benefits for the participants. Participants did experience some symptom exacerbation and further studies are needed to determine the long-term appeal of high-intensity interval training for people with mild multiple sclerosis.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44635062","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":"Telerehabilitation in patients with COVID-19","authors":"M. Polastri","doi":"10.12968/ijtr.2022.0065","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0065","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41574355","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":"Incidence of Pancreatic Cancer by Age and Sex in the US From 2000 to 2018-Reply.","authors":"Srinivas Gaddam, Simon K Lo","doi":"10.1001/jama.2022.2315","DOIUrl":"10.1001/jama.2022.2315","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"25 1","pages":"1402-1403"},"PeriodicalIF":29.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76050896","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":"Association between endurance of the trunk extensor muscles and balance performance in community-dwelling older adults: a cross-sectional analysis","authors":"S. Flora, Joana Cruz, A. Tavares, J. Ferreira, N. Morais","doi":"10.12968/ijtr.2020.0036","DOIUrl":"https://doi.org/10.12968/ijtr.2020.0036","url":null,"abstract":"Previous research has disregarded the performance of the extensor muscle group of the trunk in balance control. The main purpose of this exploratory study was to assess the association between balance performance and endurance of the trunk extensor muscles in older adults, considering possible co-factors such as age and body mass index. A correlational and predictive cross-sectional study was conducted with 61 community dwelling older adults (women n=45) with a mean age of 71 years (± standard deviation 6 years), and a mean body mass index of 28.1 kg/m2 (± standard deviation ± 4.7 kg/m2). The Berg Balance Scale was used to assess balance performance and Trunk Extensor Endurance Test to assess muscle endurance. Spearman's correlation coefficients (ρ) and single and multiple regression analyses were performed. Statistical significance was set at 0.05. The largest correlations were found between the Berg Balance Scale score and Trunk Extensor Endurance Test (ρ=0.41, P=0.001) and body mass index (ρ=−0.36, P=0.005). Muscle endurance alone predicted ~10% of the Berg Balance Scale score (R2=0.10, P=0.015). When combined with body mass index, it accounted for ~19% (R2=0.19, P=0.002). Adding the remaining variable (age) to the previous model increased the prediction by ~3% (R2=0.22, P=0.002). Muscle endurance and body mass index significantly predicted (~19%) balance performance in older adults. Because these are modifiable factors, they should be routinely included in the screening of balance performance in older adults and addressed accordingly in preventive or rehabilitation programmes.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48716727","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":"Implementing experience-based co-design to develop a physical activity programme in recovery-focused outpatient mental health services","authors":"Evan Matthews, M. Cowman, Michele Brannigan, S. Rosenbaum, Darina Sloan, P. Ward, S. Denieffe","doi":"10.12968/ijtr.2021.0101","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0101","url":null,"abstract":"As mental health services focus on recovery orientated service delivery, there is a need to adopt recovery orientated approaches in interventions that promote physical activity. This article presents a process of using and modifying an experience-based co-design approach to develop an intervention that can be used to promote physical activity in mental health services: the ‘Move with Recovery’ programme. A facilitated experience-based co-design approach was undertaken over four sessions. This approach included the use of a trigger film of touchpoints and sample physical activity experiences of service users, in addition to the use of a storyboard for emotional mapping and prioritising exercises. The final two co-design sessions involved programme prototyping and development using the TIDieR framework. The outcome of this process, the Move with Recovery programme, was a peer-developed and peer-led, community-focused programme structured around nine action points. It is made up of a combination of motivation, education and support sessions, together with light intensity aerobic activity sessions that is structured using the TIDieR framework, and intended for implementation in the recovery college. In this regard, the developed programme is inherently recovery orientated in its design and its aim. The developed programme can be embedded into existing mental health services that lack integrated exercise resources. This articles details the experience-based co-design process undertaken here and offers future learning for using experience-based co-design to promote physical activity in mental health.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42280330","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}