Physiotherapy Research International最新文献

{"title":"Virtual Reality Therapy for Upper Limb Motor Impairments in Patients With Stroke: A Systematic Review and Meta-Analysis.","authors":"Rebeca Villarroel, Bárbara Rachel García-Ramos, José Luis González-Mora, Cristián Modroño","doi":"10.1002/pri.70040","DOIUrl":"10.1002/pri.70040","url":null,"abstract":"<p><strong>Background and purpose: </strong>Stroke is a major cause of disability in adults. Motor recovery through conventional therapy (CT) is a fundamental approach but can sometimes face challenges related to motivation. Virtual reality (VR) rehabilitation, specifically non-immersive VR, is an alternative therapy aimed at improving upper limb motor function and, consequently, functional independence in daily living activities. However, its effectiveness is still being evaluated. Therefore, a meta-analysis was conducted to evaluate the effectiveness of non-immersive VR in upper limb motor function, manual dexterity and the improvement of daily living activities in stroke patients.</p><p><strong>Methods: </strong>The control groups included physical therapy or occupational therapy. We searched IEEE Digital Library, PubMed, SciELO, Scopus, PEDro, Web of Sciences and ScienceDirect until December 2023 and identified randomized controlled trials (RCTs). Quality and risk were assessed using the revised Cochrane Collaboration tool, PEDro scale, OCEBM, and GRADE. Publication bias and sensitivity analyses were also evaluated. The standardized mean difference (SMD) effect size was calculated to assess the effectiveness of VR therapy compared with conventional therapy. Subgroup analyses were subsequently performed to mitigate the observed heterogeneity and provide further clarity to the results.</p><p><strong>Results: </strong>In line with previous research, using VR shows improvements in motor function and manual dexterity for stroke patients. Subgroup analyses reveal that the benefits of VR interventions are most pronounced during the acute and subacute recovery stages, particularly in motor function and manual dexterity. Furthermore, combining VR with traditional therapy seems to yield better outcomes in motor function and manual dexterity compared with VR alone. Notably, the type of VR control-whether sensory or manual-or whether the game is commercially available or rehabilitation-specific, does not seem to influence the outcomes. VR interventions lasting less than 4 weeks are effective in improving both motor function and manual dexterity, whereas interventions of 4 weeks or longer only show significant benefits in motor function.</p><p><strong>Discussion: </strong>These findings highlight the versatility and potential of VR as a complementary tool in neurorehabilitation.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70040"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537930","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":"Upper Limb Function 3 Months Post-Stroke: How Accurate Are Physiotherapist Predictions?","authors":"Sara Kjær Bastholm, Iris Charlotte Brunner, Camilla Biering Lundquist","doi":"10.1002/pri.70056","DOIUrl":"10.1002/pri.70056","url":null,"abstract":"<p><strong>Background: </strong>A frequent sequela of stroke is upper limb (UL) impairment. Accurate UL function prognosis is crucial for targeted rehabilitation.</p><p><strong>Objective: </strong>To determine the accuracy of physiotherapists' predictions of UL function and investigate whether prediction accuracy is affected by physiotherapists' seniority within rehabilitation and/or their level of education. Physiotherapist predictions were compared with a prediction algorithm.</p><p><strong>Methods: </strong>Data from 81 patients were included. Two weeks post-stroke, physiotherapists predicted UL function based on clinical reasoning. ARAT scores (poor, limited, good, or excellent) at 3 months post-stroke served to determine prediction accuracy. Prediction accuracy was calculated as correct classification rate (CCR). Logistic regression was used to explore the effect of seniority and education. McNemar's test was applied to compare physiotherapist predictions to an algorithm applied 2 weeks post-stroke to the same patients.</p><p><strong>Results: </strong>The overall correct classification rate (CCR) of physiotherapist predictions was 41% (95% CI: 30-51). Predictions were most accurate for the excellent (75%) and poor (71%) categories, but lower for limited (22%) and good (30%). No association was observed between prediction accuracy and physiotherapist seniority or education. There was a tendency, but not a statistically significant superiority, in the prediction accuracy of the algorithm compared to the physiotherapist predictions (Odds ratio 2 [95% CI: 0.96-4.39], McNemar p = 0.0455, exact McNemar p = 0.0652).</p><p><strong>Trial registration: </strong>Project number: 628213.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70056"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755055","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":"Wii Aerobic Training in Inhalation-Injury Children Post-Thermal Burn: A Randomized Controlled Trial.","authors":"Ahmed M Elfahl, Heba M Elfeky","doi":"10.1002/pri.70052","DOIUrl":"https://doi.org/10.1002/pri.70052","url":null,"abstract":"<p><strong>Background: </strong>The morbidity and death rates from burn injuries in children are considerably raised by lung issues resulting from inhalation injuries.</p><p><strong>Purpose: </strong>The purpose of this study was to ascertain how Wii aerobic exercise affected children who had inhaled injuries following thermal burns.</p><p><strong>Methods: </strong>Children with inhalation injuries (N = 76) were split into two equal groups for this randomized controlled experiment. One group received conventional chest medical treatment along with Wii aerobic exercise. The control group, on the other hand, merely received routine chest medical treatment. Over 3 months, each patient underwent pulmonary function testing, chest expansion, the six-minute walk test, and the timed up-and-go evaluation.</p><p><strong>Results: </strong>There was no statistically significant difference between the two groups at baseline assessment, but after 12 weeks of treatment, there was a treatment effect (p = 0.001 and f-value = 24.25). In the Wii aerobic group, there was a notable interaction between treatment and time, namely between pre-and post-treatment, while the control group did not show any such difference.</p><p><strong>Conclusions: </strong>Pulmonary function tests, chest expansion, the six-minute walk test, and the time-up-and-go test are all positively impacted by Wii aerobic training.</p><p><strong>Study registration: </strong>The study was registered with the Clinical Trials.gov (NCT06326593).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70052"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744239","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":"Effectiveness of Massage Gun Versus Myofascial Release Technique for Releasing Latent Trigger Points of the Calf Muscle: A Protocol for Randomized Clinical Trial.","authors":"Md Mafrohi Sattar, Abid Hasan Khan, Md Feroz Kabir, K M Amran Hossain, Sharmila Jahan, Ehsanur Rahman, Farzana Sharmin, Md Saruar Hossain Bhuiyan, Azharul Islam, Md Kabir Hossain, Md Zahid Hossain","doi":"10.1002/pri.70055","DOIUrl":"https://doi.org/10.1002/pri.70055","url":null,"abstract":"<p><strong>Background and purpose: </strong>Trigger points can disrupt muscle activity patterns and cause cramping, fatigue, and weakening. Massage guns and myofascial release are widely employed for such circumstances, but their isolated outcomes are unknown. This study aimed to compare the effectiveness of a massage gun versus myofascial release technique on subjective pain, pain pressure threshold and ankle ROM for 12 weeks in people with pain and latent trigger points in the calf muscles.</p><p><strong>Methods: </strong>From December 2024 to November 2025, this assessor-blinded randomized clinical trial will enroll 60 patients with latent myofascial trigger points in the calf and equally (1:1) allocate them randomly to either massage gun (Group A) or myofascial release technique (Group B) at the Outpatient Service Unit, Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology (JUST), Jashore, Bangladesh. Both groups will receive 12 sessions of massage gun or myofascial release on latent trigger points, with 20 min of ice once a week for 12 weeks. The primary outcomes are subjective pain severity by the visual analog scale and pain sensitivity by pressure algometry, while the secondary outcome is ankle dorsiflexion range of motion by an inclinometer to be measured at the baseline and 12 weeks post-treatment. The ethical approval and trial registration obtained prospectively, we will adhere to the International committee on harmonization good clinical practice (ICH-GCP) by confirming confidentiality, respect, voluntary participation and withdrawal rights of participants and justice. To ensure trial safety, the manageable and fatal adverse effects will be recorded and reported.</p><p><strong>Results: </strong>Sociodemographic, clinical, and outcome characteristics will be collected at baseline after randomization. A non-experimental assessor will evaluate group treatments afterward. A data monitoring committee-appointed expert data analyst will compare and analyze the independent assessors' baseline and post-treatment outcome values.</p><p><strong>Discussion: </strong>This study will address the research gap on isolated outcomes of newly addressed widely used massage guns and conventional myofascial release techniques on reducing subjective pain, and pressure pain threshold and improving ankle ROM for patients with pain and latent trigger points at the calf muscle. This single-centre study will indicate short-term outcomes with poor external generalization, but the study will help the clinicians in evidence-based practice and guide future multicenter studies with long term evaluations with a follow-up design.</p><p><strong>Trial registration: </strong>Clinical Trial Registry of India (CTRI) (XXXXXXXXXXX) (Prospectively registered).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70055"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754939","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":"Thoracic-Abdominal Rebalancing Method is Superior in Terms of Decreasing Respiratory Distress, Postoperative Pulmonary Complications and Hemodynamic Variables When Compared to Conventional Physiotherapy in Postoperative Patients of Coronary Artery Bypass Grafting Surgery: Randomized Clinical Trial.","authors":"Karolini Reis Branco, Fernanda Dos Santos Silveira, Letícia Ferronato, Simone Cristina Jabuonski, Vinícius Serra Peringer, Mariangela Pinheiro de Lima, João Paulo Heinzmann-Filho, Bruna Eibel","doi":"10.1002/pri.70050","DOIUrl":"https://doi.org/10.1002/pri.70050","url":null,"abstract":"<p><strong>Background and purpose: </strong>TAR method recommends reorganizing ventilatory muscle synergism, reducing respiratory effort, removing secretions from the lungs and upper airways, in addition to promoting diaphragmatic juxtaposition and increasing respiratory muscle strength and adjusting muscle tone. However, there are few scientific publications on this method in cardiac patients CABG. To evaluate the effects of the TAR method on hemodynamic variables, respiratory distress and pulmonary complications in patients after CABG surgery.</p><p><strong>Methods: </strong>This is a single-blind, randomized, clinical trial. Adults (> 35 years old), hemodynamically stable, who had undergone CABG (< 24 h) and with a prescription for physiotherapy were included. Patients were randomized into two groups: IG - TAR; CG-standard physiotherapeutic approach. Interventions were carried out in two days (twice/day), totaling 04 sessions. The following parameters were evaluated pre- and post-intervention: HR, RR, SpO2, MAP, respiratory distress scale. The pulmonary complications scale was applied at the end of the interventions. The sample consisted of 58 patients, 30 in the CG and 28 in the IG.</p><p><strong>Results: </strong>There was no significant difference (p < 0.05) in sample characteristics, clinical and perioperative data between groups. There was a significant increase (p < 0.05) in RR and MAP after the intervention in CG and IG. Only in GI there was a significant reduction in the respiratory distress score (p = 0.001). Furthermore, there was a lower score (p < 0.0001) on the scale of pulmonary complications at the end of the interventions in the IG group, compared to the CG.</p><p><strong>Discussion: </strong>The TAR method reduced respiratory distress and pulmonary complications in patients after CABG surgery. Given our findings, it becomes feasible to aim for the applicability of the method in other populations, expanding it to other elective or non-elective surgical conditions, in oncology, traumatology, and neurology, making the recovery process more effective.</p><p><strong>Keywords: </strong>Physiotherapy; Cardiology; Thoracic-abdominal rebalancing.</p><p><strong>Trial registration: </strong>NTC 04631198.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70050"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754944","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":"EXPRESSION OF CONCERN: M.G. Anany, S.M. El-Kosery, H.S. El Ashmawy, D.A. Osman, \"Effect of Aerobic and Resistive Exercise on Lipid Profile and Quality of Life in Overweight Breastfeeding Women: A Randomized Controlled Trial,\" Physiotherapy Research International 29, no. 4 (2024): e2121, https://doi.org/10.1002/pri.2121.","authors":"","doi":"10.1002/pri.70043","DOIUrl":"https://doi.org/10.1002/pri.70043","url":null,"abstract":"","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70043"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796780","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' Practices on Assessing Hospitalised Older Patients: What Are the Current Gaps?","authors":"Elisângela Cristina Ramos Hernandes, Geovanna Maria de Moura, Adriana Lunardi, Luciana Chiavegato, Monica Rodrigues Perracini","doi":"10.1002/pri.70051","DOIUrl":"https://doi.org/10.1002/pri.70051","url":null,"abstract":"<p><strong>Background and purpose: </strong>Incorporating Person-centred Care (PCC) and Comprehensive Geriatric Assessment (CGA) practices for hospitalised patients result in positive health outcomes. We aimed to identify the frequency of incorporating PCC and CGA practices among physiotherapists (PTs) working in hospitals and its association with PTs' gender, years of experience, and duration of physiotherapy sessions and to identify the barriers to assessing older patients in the hospital.</p><p><strong>Methods: </strong>Cross-sectional survey with physiotherapists working in hospitals using a questionnaire including PTs characteristics, barriers and the frequency of incorporation of PCC and CGA practices, using a Likert scale. An ordinal regression analysis was conducted.</p><p><strong>Results: </strong>Male PTs, compared to females, were less likely to consider the patient's and family's feelings (OR = 0.35; p = < 0.001), use appropriate language (OR = 0.42; p = 0.04), embrace the patient's feelings (OR = 0.28; p = < 0.001), adapts their communication (OR = 0.33; p = 0.006) and used encouragement and negotiation strategies (OR = 0.52; p = 0.02). Less experienced PTs (< 2 years) tended not to value older patients' choices (OR = 0.08; p = 0.03), share assessments with families (OR = 0.39; p < 0.001), define a care plan (OR = 0.61; p = 0.02), and embrace the patient's feelings, compared to more experienced ones. PTs conducting quick assessments (< 10 min) were less likely to provide feedback (OR = 0.26; p = 0.006), share assessments with families (OR = 0.09; p < 0.001), define a care plan (OR = 0.22; p < 0.001), assess social conditions (OR = 0.34; p = 0.009), falls (OR = 0.06; p = 0.007), sarcopenia (OR = 0.18; p = 0.002), frailty (OR = 0.27; p = 0.006), provide prognosis (OR = 0.29; p = 0.002), consider older patients' goals (OR = 0.21; p = 0.04) and plan discharge (OR = 0.23; p < 0.001). The main barriers were related to patients' health conditions and the limitations of time and resources.</p><p><strong>Discussion: </strong>Incorporating PCC and CGA practices by PTs in the hospital seems to be linked to the characteristics of PTs and their availability of time. Educational and organizational interventions to foster PCC and CGA are needed.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 2","pages":"e70051"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744237","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":"Anticipatory and Compensatory Postural Adjustments in Sitting and Standing Positions During Functional Activities in Children With Cerebral Palsy.","authors":"Priyal Vasani, Amitesh Narayan, Akshatha Nayak, Mohammed Alsulaimani, Abdul Rahman Alzahrani","doi":"10.1002/pri.70028","DOIUrl":"10.1002/pri.70028","url":null,"abstract":"<p><strong>Background and purpose: </strong>Anticipatory postural adjustments (APA) and compensatory postural adjustments (CPA) have played a vital role in postural control since early childhood, which is critical to accomplishing activities in daily life. However, literature indicated dissimilarities and inconsistencies in APA and CPA analysis in sitting and standing positions in children with Cerebral Palsy (CP). Thus, this study analyzed the changes in postural control (APA and CPA) through the postural muscles [rectus abdominis (RA) and erector spinae (ES)] in both standing and sitting positions during functional activities (grasping a ball) in children with CP.</p><p><strong>Methods: </strong>Children with CP [N = 21] aged 5-13 years having GMFCS levels I (n = 12) and II (n = 9) participated. Surface electromyography (EMG) was performed for postural muscles (ES and RA) to measure the APA and CPA with two types of loads (heavy and light) in both sitting and standing positions.</p><p><strong>Results: </strong>Children with CP showed increased EMG amplitude for APA and CPA with a heavier load than light load in sitting and standing positions. The EMG amplitude of CPA in sitting and standing for both load conditions was significantly higher than that of APA.</p><p><strong>Discussion: </strong>The findings suggest rehabilitation programs should enhance APA and CPA through targeted exercises and load management strategies. These insights have the potential to inform clinical practices, improve postural stability, and ultimately strengthen the ability of children with CP to perform daily activities with greater ease and confidence, thereby significantly impacting the quality of life.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70028"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11727814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972609","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":"Sexual Function and Quality of Life in Individuals Post Stroke.","authors":"Danielle Schneider, Nicolette Comley-White","doi":"10.1002/pri.70004","DOIUrl":"10.1002/pri.70004","url":null,"abstract":"<p><strong>Background: </strong>Sexual function is commonly affected post stroke and impacts an individual's quality of life. This study aimed to determine the factors associated with sexual function in an individual post stroke and the association with quality of life.</p><p><strong>Method: </strong>This cross-sectional study included 56 participants who had a stroke between three and 24 months prior. The participants were assessed for: level of disability with the Modified Rankin Scale (MRS); quality of life with the Stroke Specific Quality of Life scale (SSQOL); and sexual function with the Changes in Sexual Functioning Questionnaire (CSFQ-14), and an open-ended questionnaire was administered.</p><p><strong>Results: </strong>The average age of the participants was 51.32 (SD = ±13.24) years, with 32 (57.1%) males and 24 (42.9%) females. According to the CSFQ-14, the majority of the study participants (n = 35, 62.5%) had sexual dysfunction after their stroke. The factors associated with sexual dysfunction post stroke included age, disability, comorbidities, psychosocial factors such as self-esteem, role changes, and depression. Those with sexual dysfunction were found to have a lower mean SSQOL score (139.94 ± 33.89) than those without sexual dysfunction (149.76 ± 33.77), however, there was no significant difference (p = 0.298) between the groups. Majority of the participants (n = 37; 66.1%) did not know that healthcare professionals can assist with sexual dysfunction.</p><p><strong>Conclusion: </strong>The majority of participants experienced sexual dysfunction after their stroke. Factors such as pain, difficulty with positioning, self-esteem issues, lack of motivation, and change in desire, are important considerations for the multidisciplinary team in the rehabilitation of a patient's sexual function post stroke.</p><p><strong>Trial registration: </strong>This cross-sectional study did not require study registration.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70004"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630302","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":"Facilitators and Barriers for Physiotherapists to Engage in Goal-Setting With Patients During Their Hospital Stay-An Explanatory Sequential Mixed-Methods Study.","authors":"Linda Baumbach, Wiebke Feddern, Friederike Grube, Hans-Helmut König, André Hajek, Susanne G R Klotz","doi":"10.1002/pri.70024","DOIUrl":"10.1002/pri.70024","url":null,"abstract":"<p><strong>Background and purpose: </strong>Goal setting is a key aspect of patient-centered physiotherapy, helping to motivate patients, align healthcare efforts, prevent oversight, and stop ineffective interventions. This study aims to identify facilitators and barriers for physiotherapists in hospitals to set and document patient treatment goals.</p><p><strong>Methods: </strong>An explanatory sequential mixed-methods approach was used. The survey, informed by systematic reviews of factors influencing shared decision-making and the theoretical domains framework (TDF), included 25 statements to be rated. Two focus groups (n = 8) discussed (1) factors from the survey, (2) the goal-setting processes, and (3) brainstormed facilitators and barriers for documenting physiotherapy goals.</p><p><strong>Results: </strong>Survey findings showed mixed opinions but agreement on two factors, which indicate that the goal influences the therapeutic interventions and motivates the therapists. The focus group identified four themes: \"Goal,\" \"Physiotherapeutic Self-Conception,\" \"Interprofessionality\", and \"Hospital Setting.\" Issues included limited space and poor placement in documentation systems, mental rather than written goal conceptualization, and a perceived lack of interest from interprofessional team members, leading to deprioritization by physiotherapists. Finally, joint goal setting was deemed impractical for certain patients.</p><p><strong>Discussion: </strong>Hospital physiotherapists set treatment goals with their patients. The process is influenced by various factors, including interprofessional dynamics and the hospital setting. The identified themes align with existing literature. Effective documentation of patient-centered physiotherapy goals in hospitals requires well-designed tools and interprofessional collaboration. Further, it is crucial to understand professional self-conception and acknowledge situations where physiotherapists need to set goals independently.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70024"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956188","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}