Physiotherapy Research International最新文献

{"title":"Proprioception After Unilateral Stroke: Changes in the Affected and Unaffected Lower Limbs Over Time.","authors":"Jinyao Xu, Jeremy Witchalls, Elisabeth Preston, Li Pan, Gengyuan Zhang, Gordon Waddington, Roger Adams, Jia Han","doi":"10.1002/pri.70027","DOIUrl":"10.1002/pri.70027","url":null,"abstract":"<p><strong>Background: </strong>Proprioceptive deficits are common among stroke survivors and can negatively impact their balance and postural control. However, there has been little evaluation of the change in proprioceptive deficits in the lower limbs over time after stroke. This study aimed to examine proprioceptive deficits over time after stroke in both the affected and \"unaffected\" lower limbs.</p><p><strong>Methods: </strong>This cross-sectional study included sixty first-time unilateral stroke survivors and twenty age-matched healthy individuals. Participants after stroke were divided into three subgroups based on different time points after stroke. The generally accepted clinical time points after stroke are the first 4 weeks-the acute stage; 5-24 weeks-the subacute stage; over 24 weeks-the chronic stage. The active movement extent discrimination apparatus (AMEDA) was used to quantify ankle proprioception in plantarflexion and inversion directions, on both the affected and \"unaffected\" sides.</p><p><strong>Results: </strong>Lower limb proprioception scores decreased linearly over time after stroke on both the affected and \"unaffected\" sides (p < 0.001). Overall, proprioception scores for the stroke groups were significantly lower than those for the healthy age-matched group (p < 0.01), with the only exception being ankle plantarflexion and inversion scores on the unaffected side in the acute stroke group, which were not significantly different from their healthy counterparts.</p><p><strong>Conclusion: </strong>Ankle proprioception in both lower limbs decreased over time after a unilateral stroke, with proprioceptive acuity on the \"unaffected\" side diminishing linearly in the same way as that on the affected side. These observed continuing deficits in lower limb proprioception among stroke survivors raise implications for clinical neurorehabilitation.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70027"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972638","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":"Efficacy of Action Observation Therapy on Gait, Balance and Mobility Impairments: A Systematic Review and Meta-Analysis.","authors":"Michela Picardi, Federico Temporiti, Chiara Salamone, Peppino Tropea, Giovanni Buccino, Massimo Corbo, Roberto Gatti","doi":"10.1002/pri.70006","DOIUrl":"10.1002/pri.70006","url":null,"abstract":"<p><strong>Background and purpose: </strong>Action Observation Therapy (AOT) has been proposed to improve gait, balance and mobility in subjects with neurological and musculoskeletal disorders. The current review aimed to investigate AOT effects in subjects with gait, balance and mobility impairments.</p><p><strong>Methods: </strong>A systematic literature search was performed using PubMed/MEDLINE, EMBASE and Scopus databases from inception until May 2023. Randomized controlled trials investigating effects of AOT on gait, balance and mobility in subjects with any type of clinical condition were included. Two reviewers performed data extraction and methodological quality assessment using the revised Cochrane risk of bias tool for randomized trials. The overall effects were reported as mean difference (MD) or standardized mean difference (SMD) with 95% confidence interval (CI).</p><p><strong>Results: </strong>Thirty-one studies were included. Low evidence supported AOT to enhance walking speed (SMD: 0.40; 95% CI: 0.17, 0.62; I² = 0%), stride length (SMD: 0.35; 95% CI 0.05, 0.66; I² = 0%) and single limb support duration (MD: 4.1%; 95% CI: 1.0, 7.2, I² = 0%) after stroke. Low evidence supported AOT to improve walking distance (MD: 56.8 m; 95% CI; 39.2, 74.4 m) and dynamic (SMD: 0.40; 95% CI: 0.04, 0.76; I² = 0%) and static (SMD: 0.69; 95% CI: 0.32, 1.05; I² = 0%) balance, while very low evidence supported AOT to enhance mobility (MD: -1.48 s; 95% CI; -2.2, -0.8 s; I² = 0%) after stroke. Moderate evidence supported AOT to improve dynamic balance in subjects with Parkinson's disease (SMD: 0.44; 95% CI: 0.09, 0.79; I² = 28%), while low evidence supported AOT to enhance dynamic balance (SMD: 0.61; 95% CI: 0.15, 1.08; I² = 27%) and mobility (MD: -2.08 s; 95% CI; -3.5, -0.6 s; I² = 0%) in patients with orthopedic conditions.</p><p><strong>Conclusion: </strong>AOT improved gait, balance and mobility after stroke, dynamic balance in patients with Parkinson's disease and dynamic balance and mobility in patients with orthopedic conditions. However, evidence certainty was generally low and further high-quality studies are needed.</p><p><strong>Trial registration: </strong>PROSPERO International Prospective Register of Systematic Reviews (n. CRD42021240626).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70006"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630050","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":"Muscular Performance of the Elbow Flexor and Extensor Muscles in Children With Myopathies: A Case-Control Study.","authors":"Karoliny Lisandra Teixeira Cruz, Emanuela Juvenal Martins, Camila Scarpino Barboza Franco, Tenysson Will de Lemos, Amanda Silva Gomes Dos Santos, Stela Marcia Mattiello, Claudia Ferreira da Rosa Sobreira, Ana Claudia Mattiello-Sverzut","doi":"10.1002/pri.70023","DOIUrl":"10.1002/pri.70023","url":null,"abstract":"<p><strong>Background and purpose: </strong>Children with myopathies often experience muscle weakness in their lower limbs. However, the upper limbs are also affected and, at the same time, play a key role in daily living activities as well as in transfers and assisted mobility using auxiliary devices. The objective was to assess the performance of the elbow flexor and extensor muscles through static and dynamic contractions in children with myopathies and in their typical peers.</p><p><strong>Methods: </strong>This was a case-control study. Seven children with different myopathies participated and were matched with typical children by sex and age (1:2). The muscle performance of elbow flexors (EFL) and elbow extensors (EEX) was assessed using an isokinetic dynamometer using isometric and isokinetic contractions at a speed of 120°s-¹. The analyzed variables were peak torque (PT), total work (W), power (P), time to peak torque (TPT), acceleration time (AT), and deceleration time (DT). The raw variables were compared between groups using linear regression with mixed effects. A significance level of p < 0.05 was adopted.</p><p><strong>Results and discussion: </strong>Children with myopathies showed significantly lower values of PT, W, and P for both elbow muscle groups (p < 0.05) compared to typically developing children; TPT showed no difference between groups; and AT and DT were higher in children with myopathies than in typical ones (p < 0.05). Children with myopathies exhibited deficits in muscle performance, suggesting that the elbow muscles adopt atypical motor strategies, indicating impaired neuromuscular control. The isokinetic dynamometer is a device that can provide relevant information about muscle performance in this group of diseases.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70023"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013970","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 Perspectives and Experiences of Physiotherapists on Implementing Self-Management Support in Inpatient Hospital Settings.","authors":"Jenna Kay Boyd, Sarah Rhodes, Emily Anne Gray","doi":"10.1002/pri.70020","DOIUrl":"10.1002/pri.70020","url":null,"abstract":"<p><strong>Background and purpose: </strong>As health systems come under increasing pressure, supporting patients to self-manage their own condition is becoming increasingly important. A shift towards a more holistic, person-centred approach to healthcare in the hospital setting, through enhancing self-management support (SMS), is required to empower patients to increase independence in managing their own conditions. The study aim was to explore how physiotherapists perceive and implement SMS with patients in hospital inpatient settings.</p><p><strong>Methods: </strong>A qualitative study approach was taken using semi-structured interviews (n = 8). Physiotherapists with at least 6 months experience working in the inpatient hospital setting were invited to participate. Interview data were analysed using the General Inductive Approach.</p><p><strong>Results: </strong>Four themes were identified: (1) physiotherapists understanding and perceptions of implementation of SMS in the hospital, (2) SMS facilitates a person-centred and collaborative approach to healthcare, (3) SMS is beneficial to patients, physiotherapists, and the healthcare system, and (4) perceived challenges and potential solutions for SMS implementation.</p><p><strong>Discussion: </strong>Overall, physiotherapists value the use of self-management support in the hospital. SMS was implemented by partnering with patients, facilitating patients to problem solve and providing education so that patients could play an active role in decision making and independently participate in their rehabilitation. However, there appears to be scope to improve physiotherapists' knowledge of SMS to enable implementation of a wider range of SMS tools in clinical practice. A limitation of this study is that most participants were New Zealand European and, therefore, the findings are not generalisable to all physiotherapists working in New Zealand.</p><p><strong>Implications for physiotherapy practice: </strong>Physiotherapists perceive SMS to have a place in the inpatient hospital setting and can lead to better patient outcomes and reduce burden on the healthcare system. Enhancing physiotherapists' understanding of SMS and exploring other ways to implement SMS in hospital settings, may help to facilitate appropriate implementation.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70020"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048263","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":"Impact of Chemotherapy Treatment on the Functionality and Quality of Life of Cancer Patients.","authors":"Isabela Zancanaro, Leandra Ceron, Sara Broll Zanini, Marcela Paula Pegoraro Bottega, Bruno Araújo, Monique Manfron Spanholi, Paloma Kohl de Andrades, Antuani Rafael Baptistella","doi":"10.1002/pri.70026","DOIUrl":"10.1002/pri.70026","url":null,"abstract":"<p><strong>Background and purpose: </strong>Cancer is one of the most prevalent diseases in the general population, and is one of the main causes of changes in the population's illness profile. In this study, we assessed changes in the functional status and quality of life of patients in the first months of chemotherapy treatment.</p><p><strong>Method: </strong>A prospective cohort study was carried out, collecting data from cancer patients seen at an outpatient clinic in the Midwest of Santa Catarina who had breast, lung, colon and rectum, prostate and head and neck cancer. Patients were assessed at four different times, the first at diagnosis and the following at 1-month intervals after the previous assessment. The assessment included the sociodemographic profile, weight, Functional Independence Measure (FIM), Timed Up & Go test (TUG test), Karnofsky Performance Status Scale and the EORTC Quality of Life Questionnaire. Statistical analyses were carried out using the IBM SPSS program, considering statistical significance p < 0.05.</p><p><strong>Results: </strong>In a sample of 145 patients, there was no statistically significant reduction in the functional independence and weight of the patients followed up despite the treatment instituted; moreover, they did not show significant changes in their mobility capacity. The Karnofsky Scale was directly impacted by tumor staging.</p><p><strong>Discussion: </strong>These results showed that patients with different tumors and staging at diagnosis, despite different degrees of disability, did not suffer significant changes in quality of life and self-sufficiency in the first 4 months of treatment.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70026"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972614","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":"Research Paradigm of the International Classification of Functioning, Disability and Health (ICF) With Item Response Theory: Clarification, Classification, and Challenge.","authors":"Chun Feng, Shou-Guo Liu, Liang Zhou, Feng Lin","doi":"10.1002/pri.70021","DOIUrl":"10.1002/pri.70021","url":null,"abstract":"<p><strong>Background: </strong>The International Classification of Functioning, Disability and Health (ICF) is the worldwide terminology system for measuring health and disability at both individual and population levels. However, the underlying challenges remain in achieving widespread adoption and implementation of ICF within healthcare contexts, including the unequal interval scale of the ICF Likert-type qualifier system ranging from 0 to 4, a lack of consensus on conceptualization and grading criteria of ICF items, and an excessive number of ICF items associated with each disease. The utilization of item response theory (IRT) for ICF studies demonstrated potential benefits in addressing these issues. Here, a review attempted to provide clarification of two predominant needs (sufficiency and efficiency) and two dimensions of scoring principles (stratification and assignment principles) in the ICF.</p><p><strong>Methods: </strong>A literature search was conducted on the PubMed database, and 44 relative articles were selected. On this basis, this review was undertaken to track the research progress of the ICF based on the parameter IRT method, typically the Rasch model.</p><p><strong>Results: </strong>This review outlined the classification of Item response model (IRM) for ICF studies and summarized existing IRT-based ICF research paradigms. Moreover, this review identified blind spots regarding assignment principles and the difficulty parameter in current ICF-based IRT studies. The Mokken scale analysis (MSA), as a non-parametric IRT method, was introduced as a data shaping tool for parametric IRM. The pipeline of the ICF-based MSA-Rasch modeling might advance the understanding of ICF clinical application and shed light on a new paradigm of questionnaire design.</p><p><strong>Conclusion: </strong>The advent of ICF-oriented IRM algorithms may advance the comprehension of ICF clinical application and pave the way for a new paradigm for IRT-derived ICF questionnaires, namely the parsimonious ICF core set. Additionally, the Wright map holds promise in facilitating insight into rehabilitation trajectories and personalizing rehabilitation goals.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70021"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923505","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":"Effect of Caloric Restriction and Aerobic Exercise on Premenstrual Syndrome, Anthropometric, and Hormonal Parameters in Obese Females: A Randomized Controlled Trial.","authors":"Yara M Soliman, Fahiema M Okeel, Amel M Yousef, Mohamed H Mostafa, Doaa A Osman","doi":"10.1002/pri.70015","DOIUrl":"10.1002/pri.70015","url":null,"abstract":"<p><strong>Background and purpose: </strong>Premenstrual syndrome (PMS) affects physical, psychological, and behavioral symptoms in women. Obesity may worsen PMS, but the impact of caloric restriction and aerobic exercise on PMS in obese women is unclear. This study examines their effects on PMS, anthropometric, and hormonal parameters in obese females.</p><p><strong>Methods: </strong>This randomized controlled trial involved 40 obese females with PMS. They were randomly divided into two groups of 20 each. The control group (A) received medical treatment in the form of Brufen 400 mg: one tablet daily for 5 days before menstruation and two tablets daily during menstruation for 12 weeks. The study group (B) received the same medical treatment and additionally engaged in a program of caloric restriction and aerobic exercise for 12 weeks. Outcome measures included the premenstrual syndrome scale (PMSS), weight, body mass index (BMI), waist and hip circumferences, waist-hip (W/H) ratio, and serum levels of progesterone and cortisol.</p><p><strong>Results: </strong>At baseline, no significant between-group differences were observed in PMSS scores, anthropometric measures (weight, BMI, waist and hip circumferences, W/H ratio), or hormonal parameters (serum cortisol and progesterone). Post-treatment, the study group (B) demonstrated significantly greater improvements compared to the control group (A), including reductions in PMSS scores, weight, BMI, waist and hip circumferences, W/H ratio, and serum cortisol, along with significantly higher serum progesterone levels (p < 0.05).</p><p><strong>Discussion: </strong>A 12-week program of caloric restriction and aerobic exercise resulted in substantial improvements in PMS symptoms, anthropometric parameters, cortisol levels, and progesterone levels in obese females with PMS.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"30 1","pages":"e70015"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819760","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":"Tele-rehabilitation in COVID-19 survivors (TERCOV): An investigator-initiated, prospective, multi-center, real-world study.","authors":"Geyi Wen, Lulu Yang, Shiwei Qumu, Xuanming Situ, Jieping Lei, Biqin Yu, Bing Liu, Yajun Liang, Jiaze He, Rujuan Wang, Fang Ni, Changrong Wu, Xing Zheng, Yao Yin, Jing Lin, Jiangping Bao, Ting Yang, Yi Hu, Zhenshun Cheng, Guangyun Guo","doi":"10.1002/pri.2137","DOIUrl":"10.1002/pri.2137","url":null,"abstract":"<p><strong>Introduction: </strong>Center-based rehabilitation is limited by COVID-19 infectivity and social distancing policy. We hypothesized that discharged patients benefit from 8-week home-based tele-rehabilitation (tele-PR) using mobile phones and low-cost instruments.</p><p><strong>Methods: </strong>The TERCOV (Tele-rehabilitation in COVID-19 survivors) is an investigator-initiated, prospective, multi-center, real-world study. After proper assessment, 186 discharge patients received tele-PR by smartphone, including breathing exercise, respiratory muscle training, aerobic exercise, and resistance training. Physicians, physiotherapists, and nurses provided guidance through smartphone applications. The primary outcome was six-minute walk distance (6MWD). The secondary outcomes included hand grip, short physical performance battery, maximal inspiratory pressure, maximal expiratory pressure, self-rating anxiety/depression scale (SAS/SDS), 36-item short-form health survey (SF-36) and international physical activity questionnaire.</p><p><strong>Results: </strong>Dyspnea subgroups were more functionally impaired. After tele-PR, improvements were observed in exercise capacity(∆6MWD: 16.80 m, 95% CI 1.18-32.42, p < 0.0001), limb muscle function (∆SPPB 0.25 points, 95% CI 0.05-0.46), respiratory muscle strength (∆MIP 16.50 cm H2O, 95% CI 9.22-23.78, p < 0.0001; ∆MEP: 12.09 cm H2O, 95% CI 3.48-20.70, p = 0.0002), health-related quality of life (∆SF-36 49.85, 95% CI: 21.01-78.69, p < 0.0001), physical activity(∆HEPA 13.01%, p = 0.0029). Anxiety reduced in patients with mMRC ≥ 2 (∆SAS = -4.19 points, CI -8.16 to -0.22, p = 0.03). Greater change was seen in dyspnea patients.</p><p><strong>Implications on physiotherapy practice: </strong>Supervised/semi-supervised tele-PR is a promising option during the pandemic. Patients with Dyspnea benefit more.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"29 4","pages":"e2137"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477524","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":"Respiratory and functional benefits of manual diaphragmatic release for cleaning-laborers exposed to occupational hazards.","authors":"Alshimaa R Azab, Ragab K Elnaggar, Dalia G Hamouda, Ghfren S Aloraini, Alaa S Alhegaili, Ahmed S Ahmed, Maged A Basha, Ashwag S Alsharidah, FatmaAlzahraa H Kamel, Ahmed A Elshehawy","doi":"10.1002/pri.70001","DOIUrl":"10.1002/pri.70001","url":null,"abstract":"<p><strong>Background and purpose: </strong>To examine the respiratory and functional benefits of manual diaphragmatic release for Cleaning-Laborers Exposed to Occupational Hazards.</p><p><strong>Methods: </strong>A randomized controlled trial of 36 participants aged 35-45 years was randomly allocated into two groups. The experimental group (n = 18); received manual diaphragm release along with respiratory training exercises, and the control group (n = 18); received respiratory training exercises only. Three times/week for 12 consecutive weeks. The serum immunoglobulin E level, pulmonary functions [forced expiratory volume in one second (FEV₁), forced vital capacity (FVC), FEV₁/FVC, and peak expiratory flow (PEF) rate (PEF)], chest wall mobility, and 6 min walk-test performance were assessed pre- and post-intervention.</p><p><strong>Results: </strong>There was a greater decline in serum immunoglobulin levels (p = 0.003; Partial η² = 0.23) and enhancement in pulmonary functions [FEV₁ (p = 0.025, Partial η2 = 0.14), FVC (p = 0.017, Partial η² = 0.16), FEV₁/FVC (p = 0.028, Partial η² = 0.13), and PEF (p = 0.012, Partial η2 = 0.17) in the experimental group. Further, there was a greater increase in chest mobility at the xiphoid level (p = 0.002, Partial η² = 0.25) in the experimental group, but this was not the case at the axillary level (p = 0.29, Partial η² = 0.03). Still, the 6 min walk-test performance improved more significantly in the experimental group (p = 0.002, Partial η² = 0.24).</p><p><strong>Conclusion: </strong>The diaphragmatic release technique may offer a promising approach for mitigating distressing respiratory symptoms, enhancing immune function, and improving 6 min walk-test performance among cleaning laborers with work-related respiratory hazards.</p><p><strong>Trial registration: </strong>The study was retrospectively registered at XXX (ID: NCT05802355).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"29 4","pages":"e70001"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477523","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":"Virtual reality gaming for rehabilitation of patients with urinary incontinence: A systematic review and meta-analysis.","authors":"Hagar E Lialy, Hamid Ali Abdalrahman, Mai Elsebaie, Mohamed Fouad Abdrabo, Mohamed Emara, Yara Mosad, Mohamed Elsaid","doi":"10.1002/pri.2112","DOIUrl":"10.1002/pri.2112","url":null,"abstract":"<p><strong>Background: </strong>Urinary Incontinence (UI) is a global health issue that mainly affects the female population worldwide. Different approaches have been sought for the management of UI including Pelvic floor muscle training (PFMT) using Virtual Reality (VR) gaming. We conducted this study to evaluate the effectiveness of VR gaming for rehabilitation of pelvic floor muscles (PFM) and improving urinary symptoms in patients with UI.</p><p><strong>Method: </strong>We've included studies that contain any type of VR in all geographic locations and settings with no restrictions on the date of publication, age, or gender. Our exclusion criteria include reviews, case series, case reports, unextractable data, unavailable full text, abstract only articles, and studies don't show the effects of VR as a treatment for UI. A pre-specified search term was used and modified according to the requirements of each of the following databases: PubMed, Web of Science, Scopus, Cochrane, Google scholar, and ScienceDirect. For risk of bias assessment, two assessment tools have been used: ROB 2.0 for RCTs and NIH for single arm studies.</p><p><strong>Results: </strong>Of 915 papers identified from 6 databases, 341 papers were assigned for screening after removing duplicates, 11 papers were eligible for full text screening, and 4 papers were finally included. The qualitative analysis of the results identifies six outcomes grouped into three primary categories: PFM, urinary symptoms, and quality of life. Only urinary loss outcome was eligible for meta-analysis. The net effect between Game therapy + PFMT and PFMT reached MD = -5.49, 95% CI [-12.36:1.38] (heterogeneity; I² = 95%, p < 0.01).</p><p><strong>Conclusion: </strong>Our research underscores the potential of VR gaming as a valuable adjunctive therapy for pelvic floor muscle rehabilitation in patients with UI. However, further studies are needed to explore its long-term effectiveness, optimal therapy parameters, and cost-effectiveness.</p><p><strong>Registration: </strong>Our protocol has been registered in PROSPERO (CRD42022384500).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"29 4","pages":"e2112"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903159","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}