Janaine Cunha Polese, Thaís Bueno Dias Albuquerque, Iza Faria-Fortini, Luci Fuscaldi Teixeira-Salmela
{"title":"Habitual walking speed and fatigue explain self-reported functional capacity after stroke.","authors":"Janaine Cunha Polese, Thaís Bueno Dias Albuquerque, Iza Faria-Fortini, Luci Fuscaldi Teixeira-Salmela","doi":"10.1002/pri.1990","DOIUrl":"10.1002/pri.1990","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals after stroke present several motor impairments, which reduced the functional capacity. The understanding of modifiable factors which are related to functional capacity in individuals with chronic stroke could better direct clinical practice. However, the mechanisms that could influence functional capacity in individuals with chronic stroke are not fully understood.</p><p><strong>Objective: </strong>This study aimed to determine which modifiable variables would best predict self-reported functional capacity after stroke.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Research laboratory setting.</p><p><strong>Participants: </strong>Ninety two individuals with chronic stroke, who had a mean age of 60 (SD 13) years and a time since the onset of the stroke of 52 (67) months.</p><p><strong>Main outcome measures: </strong>Regression analysis of cross-sectional data was used to investigate whether body mass index, habitual walking speed, physical activity levels, fatigue, motor recovery, walking distance, and residual strength deficits of the lower limb muscles would predict self-reported functional capacity.</p><p><strong>Results: </strong>Habitual walking speed alone explained 48% of the variance in functional capacity. When fatigue was included in the model, the explained variance increased to 55%.</p><p><strong>Conclusions: </strong>Habitual walking speed and fatigue were significant predictors of self-reported functional capacity in individuals with chronic stroke. These individuals may increase their functional capacity with interventions aimed at increasing walking speed and reducing fatigue.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e1990"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432003","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}
Megan H Ross, Mark Nelson, Vicki Parravicini, Matthew Weight, Ryan Tyrrell, Nicole Hartley, Trevor Russell
{"title":"Staff perspectives on the key elements to successful rapid uptake of telerehabilitation in medium-sized public hospital physiotherapy departments.","authors":"Megan H Ross, Mark Nelson, Vicki Parravicini, Matthew Weight, Ryan Tyrrell, Nicole Hartley, Trevor Russell","doi":"10.1002/pri.1991","DOIUrl":"10.1002/pri.1991","url":null,"abstract":"<p><strong>Background and purpose: </strong>During the COVID-19 pandemic, hospital physiotherapy departments transitioned to telerehabilitation to ensure continuity of care for patients. The purpose of this study is to determine the key elements to successful, rapid uptake of telerehabilitation in medium-sized public hospital physiotherapy departments in response to COVID-19.</p><p><strong>Methods: </strong>This study used a qualitative design. Physiotherapists who delivered telerehabilitation consultations during the COVID-19 restriction period in two Brisbane public hospital physiotherapy departments were eligible to participate in semi-structured interviews. Data were analysed thematically.</p><p><strong>Results: </strong>Twenty-five physiotherapists (22-60 years of age; 68% female) with 1-40 years of clinical experience provided insights into their perceptions of the rapid uptake of telerehabilitation in the provision of clinical care. Physiotherapists worked across musculoskeletal outpatient (72%), inpatient, community, paediatrics and pelvic health departments. Qualitative analyses in relation to the physiotherapist perceptions of the key elements of rapid transition to telerehabilitation, revealed four key themes underpinning success: (1) 'it requires a whole team approach', (2) 'technology issues will be encountered and can be overcome', (3) 'optimise the situation while understanding the differences' and (4) 'modifying your approach doesn't imply inferior quality of care'.</p><p><strong>Conclusion: </strong>Rapid implementation of telerehabilitation in a hospital setting is possible, and is facilitated by organisational, administrative and management support, willingness of physiotherapists to adopt, shared learning experience, quality software and connection, availability of equipment and space and optimised systems and processes. Key factors facilitating successful telerehabilitation consultations include effective communication, demonstration, involving a third party to help, and clients who are well prepared and willing to engage.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e1991"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10462370","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}
Alberto Tomás-Escolar, Javier Merino-Andrés, Alberto Sánchez-Sierra, Javier Aceituno-Gómez, Juan José Fernández-Pérez
{"title":"Short-term effectiveness of kinesio taping as therapeutic tool in conservative treatment of carpal tunnel syndrome: A systematic review and meta-analysis.","authors":"Alberto Tomás-Escolar, Javier Merino-Andrés, Alberto Sánchez-Sierra, Javier Aceituno-Gómez, Juan José Fernández-Pérez","doi":"10.1002/pri.2026","DOIUrl":"https://doi.org/10.1002/pri.2026","url":null,"abstract":"<p><strong>Background and purpose: </strong>Carpal tunnel syndrome is the most common peripheral neuropathy of the upper extremities and kinesio taping is one of the tools used as a complementary tool within the conventional treatment of carpal tunnel syndrome. To investigate the short-term effects of kinesio taping on pain, functionality, strength, and nerve conduction in subjects suffering from carpal tunnel syndrome.</p><p><strong>Methods: </strong>Systematic review with meta-analysis. Seven electronic databases (MEDLINE-Pubmed, Web of Science, Scopus, Cochrane Library, PEDro, CINAHL, and SPORTDiscus) were searched for full-text articles published from inception to March 1<sup>st</sup> , 2023. Studies had to meet the following inclusion criteria: randomised clinical trials, including patients of legal age with mild, moderate, or severe symptoms of carpal tunnel syndrome without associated pathologies, and treating the studied body area with kinesio taping, whether or not in combination with other therapies. The DerSimonian and Laird method was employed using random effects models to calculate the pooled estimate of the effect size with confidence intervals of 95%. The risk of bias was assessed with the Cochrane Collaboration's tool and the Grading of Recommendations Assessment, Development and Evaluation approach was used to judge the certainty of the evidence for all outcomes.</p><p><strong>Results: </strong>Thirteen studies were included, comprising 665 participants with carpal tunnel syndrome. This meta-analysis revealed a strong effect of kinesio taping on distal sensory latency and a weak effect on functionality and pain, while no significantly superior effects were found on the symptom severity, strength, or neurophysiological outcomes (distal motor latency and sensory conduction velocity) compared to other physical therapy techniques or untreated control group in the short term, with moderate-certainty evidence.</p><p><strong>Discussion: </strong>Kinesio taping is a complementary tool to the conventional treatment of carpal tunnel syndrome that improves functionality, pain, and distal sensory latency in the short term.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2026"},"PeriodicalIF":1.7,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569321","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}
Ji-Young Choi, Duck-Won Oh, Sung-Min Son, Chang-Ju Kim
{"title":"Physiotherapy strategies for functional improvement in a child with complicated hereditary spastic paraplegia: 1-year follow-up of a case report using a changing criterion design.","authors":"Ji-Young Choi, Duck-Won Oh, Sung-Min Son, Chang-Ju Kim","doi":"10.1002/pri.2006","DOIUrl":"https://doi.org/10.1002/pri.2006","url":null,"abstract":"<p><strong>Background: </strong>and Purpose: Hereditary spastic paraplegias (HSP) are a group of clinically diverse genetic disorders that share the neurologic symptom of difficulty in walking due to progressive serious muscle weakness and spasticity in the legs. This study describes a physiotherapy program for improving the functional ability of a child diagnosed with complicated HSP and reports the treatment results.</p><p><strong>Methods: </strong>A 10-year-old boy with complicated HSP received a physiotherapy intervention that included strengthening of the leg muscles and treadmill training for 1 h per session, three to four times a week for 6 weeks. Outcome measures included sit-to-stand, 10-m walk, 1-min walk tests, and gross motor function measures (dimensions D and E).</p><p><strong>Results: </strong>After the intervention, the sit-to-stand, 1-min walk, and 10-m walk test scores improved by 6.75 times, 2.57 m, and 0.05 m/s, respectively. Furthermore, the gross motor function measure dimensions D and E scores improved by 8% (46%-54%) and 5% (22%-27%), respectively. The gains in each parameter were maintained at the 3- and 6-month and 1-year follow-ups.</p><p><strong>Conclusion: </strong>These results suggest that structured physiotherapy programs can benefit the functional rehabilitation of children with complicated HSP.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2006"},"PeriodicalIF":1.7,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9360031","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":"Survey of physicians' and physiotherapists' ankle muscle strength assessment practices for safe return to sports after lateral ankle sprain: A short report.","authors":"Aude Aguilaniu, François Delvaux, Cédric Schwartz, Géraldine Martens, Bénédicte Forthomme, Jean-François Kaux, Jean-Louis Croisier","doi":"10.1002/pri.2008","DOIUrl":"https://doi.org/10.1002/pri.2008","url":null,"abstract":"<p><strong>Background and purpose: </strong>Ankle muscle strength is an important criterion to consider and assess for return to play (RTP) after lateral ankle sprain (LAS). This study therefore focuses on the reported ankle muscle strength consideration for RTP by physicians and physiotherapists, both clinicians involved in RTP decisions, and how they assess it in daily practice. The primary aim is to compare reported clinical practice on ankle muscle strength evaluation between physicians and physiotherapists. Our secondary aims are: to assess the prevalence of use of qualitative versus quantitative assessment and; to determine if there are any differences in how clinicians with or without a Sports Medicine or Physiotherapy Education approach this assessment.</p><p><strong>Methods: </strong>A survey on RTP criteria after LAS was completed by 109 physicians in a previous study. A number of 103 physiotherapists completed the same survey. A comparison between clinicians' answers was realized and additional questions on ankle muscle strength were analysed.</p><p><strong>Results: </strong>Physiotherapists consider ankle strength for RTP more than physicians (p < 0.001). A large majority of physicians (93%) and physiotherapists (92%) reported assessing ankle strength manually and less than 10% use a dynamometer. Physicians and physiotherapists with Sports Medicine or Physiotherapy Education selected more quantitative assessment than those without (p < 0.001).</p><p><strong>Discussion: </strong>Despite being recognized as an important criterion, ankle muscle strength is not always part of the RTP criteria after LAS in daily practice. The dynamometers are scarcely used by physicians and physiotherapists, whereas it could accurately quantify ankle strength deficits. Sports Medicine or Physiotherapy Education increases the use of quantitative ankle strength assessments by clinicians.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2008"},"PeriodicalIF":1.7,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283355","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":"Cross-cultural translation and adaptation of the Danish version of the brief version of the 10-item Big Five Inventory.","authors":"Thorvaldur Skuli Palsson, Søren Thorgaard Skou, Morten Haugaard Pape, Rogerio Pessoto Hirata, Trine Rafn, Pablo Bellosta-López, Steffan Wittrup McPhee Christensen","doi":"10.1002/pri.2004","DOIUrl":"https://doi.org/10.1002/pri.2004","url":null,"abstract":"<p><strong>Background: </strong>Personality traits are associated with pain-related beliefs and coping strategies, and different chronic conditions are linked through specific personality profiles. This highlights the importance of having valid and reliable measures of personality traits for use in clinical and research settings when assessing patients in chronic pain.</p><p><strong>Purpose: </strong>To translate and cross-culturally adapt the 10-item Big Five Inventory (BFI-10) into Danish.</p><p><strong>Methods: </strong>A bilingual expert panel (N = 4) and a panel of laymen (N = 8) translated and culturally adapted the questionnaire into Danish. Face validity was evaluated in a group of persons suffering from recurring or ongoing painful conditions (N = 9). Data were collected to evaluate the internal consistency, test-retest reliability and factor structure (N = 96).</p><p><strong>Results: </strong>Some of the participants in the lay panel considered the questionnaire too short, considering its aim of assessing personality. Acceptable internal consistency was found for two out of five subscales (0.78 for both Extraversion and Neuroticism), while the internal consistency was non-acceptable for the remaining subscales (0.17-0.45). Test-retest reliability was acceptable for three subscales (0.80 for Neuroticism, 0.84 for Conscientiousness, and 0.85 for Extraversion). Assumptions for determining the factor structure were not met and therefore was this analysis omitted.</p><p><strong>Discussion: </strong>Although face valid, only two out of five subscales had acceptable internal consistency and only three subscales had acceptable test-retest reliability. These findings indicate that interpreting findings regarding personality using the Danish BFI-10 should be done with caution.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2004"},"PeriodicalIF":1.7,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9245721","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}
Poliany Silva Rocha, Bianca Brenda Leite de Sousa, Marco D'Amelio, José Eduardo Pompeu, Patrícia Azevedo Garcia, Josevan Cerqueira Leal, Felipe Augusto Dos Santos Mendes
{"title":"Exergaming in the treatment of gait, balance, and quality of life in Parkinson's disease: Overview of systematic reviews.","authors":"Poliany Silva Rocha, Bianca Brenda Leite de Sousa, Marco D'Amelio, José Eduardo Pompeu, Patrícia Azevedo Garcia, Josevan Cerqueira Leal, Felipe Augusto Dos Santos Mendes","doi":"10.1002/pri.2002","DOIUrl":"https://doi.org/10.1002/pri.2002","url":null,"abstract":"<p><strong>Introduction: </strong>Postural instability and gait impairments are common in people with PD, both of which have a negative effect on their quality of life. Systematic reviews have demonstrated benefits of using exergaming in enhancing these outcomes. However, there is no consensus over whether exergaming therapy is better than conventional physical therapy for enhancing gait, balance, and quality of life.</p><p><strong>Objectives: </strong>The aim of this overview is to systematically synthesize and evaluate the available evidence found in published systematic reviews and meta-analyses, on the effects of exergaming therapy on balance, gait, and quality of life, compared to conventional physical therapy or no intervention.</p><p><strong>Methods: </strong>This overview was reported in accordance with the statement of Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). A comprehensive search was carried out in nine databases. Two reviewers independently extracted data using a standardized forms and the search strategy included terms related to intervention, population, and study type. The methodological quality of the included systematic reviews/meta-analysis (SRs/Mas) was evaluated using the \"A Measurement Tool to Assess Systematic Reviews 2\" (AMSTAR-2). The \"Grading of Recommendations Assessment, Development and Evaluation\" (GRADE) was used to assess the quality of the evidence. The risk of bias assessment was performed using the \"Risk Of Bias In Systematic Reviews\" (ROBIS). PROSPERO registration number: CRD42021238131.</p><p><strong>Results: </strong>112 SRs/MAs were found and nine of them were selected. Six reviews were rated as very low methodological quality and three reviews as low methodological quality. Five reviews were classified with low risk of bias and four reviews with high risk of bias. Most of the SR/MAs demonstrated significant effects on balance favoring exergaming therapy over conventional therapy, however those studies had been rated as very low quality of evidence. Inconclusive results were found for the quality of life and gait outcomes.</p><p><strong>Conclusion: </strong>Exergaming therapy shows promise for the rehabilitation of PD. However, this overview was unable to conclude with certainty that exergaming therapy is superior to conventional physical therapy in improving gait, balance, or quality of life in people with PD. The effectiveness of exergaming therapy in the treatment of people with PD still need to be verified by high-quality studies.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2002"},"PeriodicalIF":1.7,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257697","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}
Rafael Alexandre de Oliveira Deucher, Luis Felipe da Fonseca Reis, Jannis Vasileios Papathanasiou, Beatriz Luiza Pinheiro Alves Azevedo, Jéssica Gabriela Messias Oliveira, Matheus Mello da Silva, Rayanne Costa de Sales, Beatriz Pereira Dos Santos, Arthur de Sá Ferreira, Agnaldo José Lopes
{"title":"Estimating cardiopulmonary fitness with a new sampling technology in patients with rheumatoid arthritis-associated interstitial lung disease.","authors":"Rafael Alexandre de Oliveira Deucher, Luis Felipe da Fonseca Reis, Jannis Vasileios Papathanasiou, Beatriz Luiza Pinheiro Alves Azevedo, Jéssica Gabriela Messias Oliveira, Matheus Mello da Silva, Rayanne Costa de Sales, Beatriz Pereira Dos Santos, Arthur de Sá Ferreira, Agnaldo José Lopes","doi":"10.1002/pri.2005","DOIUrl":"https://doi.org/10.1002/pri.2005","url":null,"abstract":"<p><strong>Background and objectives: </strong>Although peak oxygen uptake (VO<sub>2peak</sub> ) is one of the most important measures in clinical practice, the high cost and time consumption have led to the search for simpler devices and the development of the estimating cardiopulmonary fitness (eCPF) equation. Since the lungs are one of the sites most affected by rheumatoid arthritis (RA), this study aimed to create a predictive equation for VO<sub>2peak</sub> obtained by simple sampling technology in women with RA-associated interstitial lung disease (RA-ILD).</p><p><strong>Methods: </strong>This cross-sectional study evaluated 47 women with RA-ILD. The participants underwent the following evaluations: computed tomography (CT); evaluation of disease activity through the Clinical Disease Activity Index (CDAI); measurement of physical function using the Health Assessment Questionnaire disability index (HAQ-DI); pulmonary function testing, including spirometry, diffusing capacity for carbon monoxide (Dl<sub>CO</sub> ), nitrogen single-breath washout (N<sub>2</sub> SBW) test, and impulse oscillometry; and cardiopulmonary exercise testing (CPET) using FitMate™.</p><p><strong>Results: </strong>VO<sub>2peak</sub> was correlated with age (r = -0.550, p < 0.0001), rheumatoid factor (r = -0.443, p = 0.002), anti-cyclic citrullinated peptide antibodies (r = -0.410, p = 0.004), CDAI (r = -0.462, p = 0.001), HAD-DI (r = -0.486, p = 0.0005), forced vital capacity (r = 0.491, p = 0.0004), Dl<sub>CO</sub> (r = 0.621, p < 0.0001), phase III slope of N<sub>2</sub> SBW (r = -0.647, p < 0.0001), resonance frequency (F<sub>res</sub> , r = -0.717, p < 0.0001), integrated low-frequency reactance (r = -0.535, p = 0.0001), and the inhomogeneity of respiratory system resistance between 4 and 20 Hz (r = -0.631, p < 0.0001). In the CT examination, patients with extensive ILD had significantly lower VO<sub>2peak</sub> than patients with limited ILD (p < 0.0001). In the stepwise forward regression analysis, F<sub>res</sub> , Dl<sub>CO</sub> and age explained 61% of the VO<sub>2peak</sub> variability.</p><p><strong>Conclusions: </strong>As assessed by CPET, women with RA-ILD show reduced cardiopulmonary fitness, which can be explained at least in part by the presence of small airway disease, deterioration of pulmonary gas exchange, and advanced age. These associations of pulmonary variables with eCPF may be clinically important and support the use of the eCPF equation to improve patient outcomes.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2005"},"PeriodicalIF":1.7,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9253715","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}
Melissa J J Voorn, Carin D Schröder, Vivian E M van Kampen-van den Boogaart, Wendy Willems, Bart C Bongers, Maryska L G Janssen-Heijnen
{"title":"The clinical decision-making process of healthcare professionals within a personalized home-based rehabilitation program during sequential chemoradiotherapy for stage III non-small lung cancer: A case study.","authors":"Melissa J J Voorn, Carin D Schröder, Vivian E M van Kampen-van den Boogaart, Wendy Willems, Bart C Bongers, Maryska L G Janssen-Heijnen","doi":"10.1002/pri.1979","DOIUrl":"https://doi.org/10.1002/pri.1979","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this case study was to demonstrate the clinical decision-making process of healthcare professionals within a rehabilitation program during chemoradiotherapy (CHRT) for a high-risk patient diagnosed with stage III non-small cell lung cancer (NSCLC). The course of CHRT and patient's preferences, facilitators, and barriers were considered.</p><p><strong>Case-description: </strong>The patient was a 69-year-old man with a history of rheumatoid arthritis diagnosed with stage III NSCLC.</p><p><strong>Intervention: </strong>A home-based, personalized, and partly supervised rehabilitation program during CHRT, including aerobic, resistance, and breathing exercises, as well as nutritional counseling.</p><p><strong>Outcomes: </strong>The patient suffered from side effects of CHRT, which required adjustments in the context and intensity of the exercises. An important facilitator for the patient was encouraged by his wife in following the home-based rehabilitation program. During home visits, the patient and physiotherapists performed the exercises together to help him to overcome the burden and motivate the patient to adhere to the rehabilitation program.</p><p><strong>Conclusion: </strong>This case study demonstrates that physical exercise training could be performed by adjusting training intensity and the way in which the physical exercise training was delivered, while the patient experienced side effects from CHRT. In addition, the involvement and support of (in)formal caregivers seems essential for adherence to rehabilitation.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"28 2","pages":"e1979"},"PeriodicalIF":1.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9259972","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 Movement Assessment Battery for Children with the Bruininks-Oseretsky Test of Motor Proficiency in adolescents with and without schizophrenia.","authors":"Pernille Byrial, Loa Clausen, Lene Nyboe","doi":"10.1002/pri.1980","DOIUrl":"https://doi.org/10.1002/pri.1980","url":null,"abstract":"BACKGROUND As motor impairments have implications for health and functioning, they need to be addressed early, not only in childhood but also in adolescence, the period in which mental disorders as schizophrenia, typically develops. Further, the possible prognostic value of motor impairments in schizophrenia highlights the importance. The Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) and the Movement Assessment Battery for Children (MABC-2) assess adolescent motor performance. However, MABC-2 is not valid past age 16 and has no sex-norms. Further, while the concurrent validity between the tests and their ability to distinguish between clinical and non-clinical groups has been established in children, however they have not been established in adolescence. PURPOSE To compare the ability of MABC-2 and BOT-2 to distinguish between adolescents with and without schizophrenia, to examine the concurrent validity between tests, to examine the agreement between tests in classifying adolescents \"at risk\" or scoring \"below average\" and to examine the influence of age and sex on MABC-2. METHOD Motor performance assessed by BOT-2 and MABC-2 was compared in 25 adolescents with schizophrenia (14-18) and age- and sex-matched controls using t-test, Cohen's D and false discovery rate's q-value. The associations between tests were assessed using Pearson's correlation and Lin's concordance correlation coefficient. The Kappa coefficient was used to assess the agreement between tests in classifying \"risk/below average\" and linear regression was adopted to assess the influence of age/sex on MABC-2. RESULTS MABC-2 and BOT-2 significantly distinguished adolescents with schizophrenia from controls with large effect size. A strong association (p > 0.001) was found between the tests. The tests revealed moderate agreement in identifying \"risk\" or scoring \"below average\". Only sex influenced MABC-2 scores. CONCLUSION MABC-2 and BOT-2 are both useful for assessing motor performance and distinguishing between adolescents with and without schizophrenia, although BOT-2 provides a more detailed picture of the challenges in adolescent with schizophrenia.","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"28 2","pages":"e1980"},"PeriodicalIF":1.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9260423","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}