Physiotherapy Theory and Practice最新文献

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The effects of in-person-supervised, tele-supervised, and unsupervised stabilization exercises on pain, functionality, and kinesiophobia in patients with chronic low back pain: a randomized, single-blind trial. 面对面监督、远程监督和无监督的稳定训练对慢性腰痛患者疼痛、功能和运动恐惧症的影响:一项随机、单盲试验。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-09-30 DOI: 10.1080/09593985.2023.2263554
Ceren Karaduman, Leyla Ataş Balci
{"title":"The effects of in-person-supervised, tele-supervised, and unsupervised stabilization exercises on pain, functionality, and kinesiophobia in patients with chronic low back pain: a randomized, single-blind trial.","authors":"Ceren Karaduman, Leyla Ataş Balci","doi":"10.1080/09593985.2023.2263554","DOIUrl":"10.1080/09593985.2023.2263554","url":null,"abstract":"<p><strong>Background: </strong>The efficacy of various supervision methods for stabilization exercises in patients with chronic low back pain (CLBP) remains uncertain.</p><p><strong>Objective: </strong>To evaluate the impact of supervised and unsupervised stabilization exercises in patients with CLBP.</p><p><strong>Methods: </strong>Sixty-six participants were assigned to the in-person-supervised, tele-supervised, or unsupervised groups. All participants received a 20-30-minute exercise program three times a week for 4 weeks. We assessed functionality (Oswestry Disability Index), pain intensity (Numeric Rating Scale), and kinesiophobia (Tampa Scale of Kinesiophobia) before and after the 4 weeks. The outcomes were analyzed using effect size, minimum clinically important difference (MCID), minimal detectable change (MDC), Wilcoxon test, and post hoc analyses.</p><p><strong>Results: </strong>While the unsupervised group improved in all measures (<i>p</i> < .05) both the tele-supervised (<i>p</i> = .001) and in-person-supervised (<i>p</i> < .001) groups achieved superior functionality exceeding MDC. The in-person-supervised group demonstrated greater functionality (<i>p</i> < .001) than the tele-supervised group, exceeding MCID. Pain intensity decreased in the tele-supervised (<i>p</i> = .011) and in-person-supervised groups (<i>p</i> < .001) compared to the unsupervised group, exceeding MCID and MDC. No significant difference was found in post-treatment NRS score changes between the supervised groups (<i>p</i> = .071). The in-person-supervised group displayed a greater reduction in kinesiophobia than the tele-supervised (<i>p</i> < .001) and unsupervised groups (<i>p</i> < .001) but not exceeding MCID or MDC. Effect sizes were large within and between groups except for a small effect size between the tele-supervised and unsupervised groups in kinesiophobia.</p><p><strong>Conclusion: </strong>While tele-supervised stabilization exercises alleviate pain and enhance functionality, in-person-supervised exercises may be more effective in improving functionality and reducing kinesiophobia in patients with CLBP.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2492-2502"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Becoming a physiotherapist - a qualitative study exploring students' perspectives on peer assisted learning in physiotherapy education. 成为一名物理治疗师-一项探讨学生在物理治疗教育中同伴辅助学习观点的定性研究。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-11-23 DOI: 10.1080/09593985.2023.2284169
Lene Christensen, Gunvor Hilde, Hedda Eik
{"title":"Becoming a physiotherapist - a qualitative study exploring students' perspectives on peer assisted learning in physiotherapy education.","authors":"Lene Christensen, Gunvor Hilde, Hedda Eik","doi":"10.1080/09593985.2023.2284169","DOIUrl":"10.1080/09593985.2023.2284169","url":null,"abstract":"<p><strong>Background: </strong>Peer assisted learning (PAL) has become increasingly popular in higher education, and a range of benefits have been reported for students. However, there is scant knowledge on PAL study groups in physiotherapy undergraduate training.</p><p><strong>Objectives: </strong>This study aimed to generate in-depth knowledge about the experiences of PAL study groups from the perspective of physiotherapy students.</p><p><strong>Methods: </strong>We conducted focus group interviews with 15 first-semester students who had attended PAL study groups, and 8 third-semester students who had been PAL leaders. The interviews were analyzed using an inductive, thematic analysis.</p><p><strong>Results: </strong>Four main themes were generated: 1) An overwhelming transition - Eased by PAL study groups; 2) The significant role model - Creating safe learning environments; 3) Building a bridge between theory and practice through scaffolding; and 4) Time to mature and filtered knowledge.</p><p><strong>Conclusion: </strong>Overall, we found that PAL study groups formed an important community of practice, and that the PAL leaders became important role models, providing academic, social, and emotional support. Students learning from students in PAL study groups seemed beneficial to bridge theory and practice. Our findings support the implementation of PAL study groups as a supplement to formal teaching and suggest that PAL aids students' transition to the university environment.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2604-2616"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physiotherapy as part of collaborative and person-centered rehabilitation services: the social systems constraining an innovative practice. 物理治疗作为以人为本的协作式康复服务的一部分:制约创新实践的社会制度。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-09-07 DOI: 10.1080/09593985.2023.2255893
Lina Forslund, Cathrine Arntzen, Morten Nikolaisen, Astrid Gramstad, Marianne Eliassen
{"title":"Physiotherapy as part of collaborative and person-centered rehabilitation services: the social systems constraining an innovative practice.","authors":"Lina Forslund, Cathrine Arntzen, Morten Nikolaisen, Astrid Gramstad, Marianne Eliassen","doi":"10.1080/09593985.2023.2255893","DOIUrl":"10.1080/09593985.2023.2255893","url":null,"abstract":"<p><strong>Background: </strong>A person-centered and collaborative practice is considered crucial in contemporary physiotherapy. These ideals are often embraced in theory but are difficult to put into practice. As problems and solutions are related, understanding and refining theory on practical problems can close the knowing-doing gap and link the problem to the development of possible solutions.</p><p><strong>Objective: </strong>To explore the challenges with providing physiotherapy as part of collaborative and person-centered rehabilitation services.</p><p><strong>Methods: </strong>This article reports on an all-day interactive workshop with eight focus group discussions where physiotherapists from six different professional settings participated. We draw on theories of institutional logics to interpret the results.</p><p><strong>Results: </strong>Challenges were linked to: 1) Professional level: Services being based on what the profession can offer - not on users' needs; 2) Organizational level: Rewarding efficiency instead of user outcomes; and 3) System level: Not knowing the other service providers involved or what they are doing.</p><p><strong>Conclusion: </strong>An innovative practice was constrained by multilevel social systems: the professional logic shaping the perceived professional scope, the organizational logic shaping the understanding of what was expected in the organizational context, and a system logic within a biomedical paradigm. Transforming and transcending these social systems is needed to realize collaborative and person-centered practice.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2563-2578"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acromioclavicular joint mobilizations for the management of grade I sternoclavicular joint sprain: a case report. 肩锁关节松动术治疗一级胸锁关节扭伤1例报告。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-11-02 DOI: 10.1080/09593985.2023.2276378
Rosemary Helvey-Byers, Jeffrey O'Laughlin, Nicole Dickson, Reuben Myer, Michael Gross
{"title":"Acromioclavicular joint mobilizations for the management of grade I sternoclavicular joint sprain: a case report.","authors":"Rosemary Helvey-Byers, Jeffrey O'Laughlin, Nicole Dickson, Reuben Myer, Michael Gross","doi":"10.1080/09593985.2023.2276378","DOIUrl":"10.1080/09593985.2023.2276378","url":null,"abstract":"<p><strong>Objective: </strong>Injury to the sternoclavicular joint is a rare phenomenon that has implications for the shoulder complex. Limited literature exists on optimal physical therapy rehabilitation after a sternoclavicular ligament sprain. This case report details the physical therapy management and outcomes of a patient with a posterior sternoclavicular joint sprain.</p><p><strong>Case description: </strong>The patient was a 34-year-old female who sustained a grade I posteriorly directed sternoclavicular sprain during a motor vehicle accident. She received a combination of acromioclavicular joint mobilizations and therapeutic exercise for her shoulder complex for five sessions over six weeks.</p><p><strong>Outcomes: </strong>At discharge, the patient surpassed the minimally clinically important difference (MCID) and the minimal detectable change (MDC) in her Quick-DASH score. She surpassed the MDC and MCID in her Numerical Pain Rating Scale score. She was able to regain full functional use of her involved upper extremity and returned to her work and original exercise regimen with no further limitations.</p><p><strong>Conclusion: </strong>The outcomes suggest that a combination of acromioclavicular joint mobilizations and therapeutic exercise for the shoulder complex was a suitable option for the conservative management of this patient's grade I sternoclavicular sprain.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2719-2727"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability of inter-recti distance measurement on ultrasound images captured by novice examiners. 对新手检查员拍摄的超声波图像进行直间距离测量的可靠性。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-09-11 DOI: 10.1080/09593985.2023.2255897
Daria Chmielewska, Maciej Cebula, Rafał Gnat, Magdalena Rudek-Zeprzałka, Katarzyna Gruszczyńska, Jan Baron, Agnieszka Opala-Berdzik
{"title":"Reliability of inter-recti distance measurement on ultrasound images captured by novice examiners.","authors":"Daria Chmielewska, Maciej Cebula, Rafał Gnat, Magdalena Rudek-Zeprzałka, Katarzyna Gruszczyńska, Jan Baron, Agnieszka Opala-Berdzik","doi":"10.1080/09593985.2023.2255897","DOIUrl":"10.1080/09593985.2023.2255897","url":null,"abstract":"<p><strong>Background: </strong>With the increased interest in inter-recti distance measurement using ultrasound imaging in physiotherapy, there is a question of measurement reliability, and the importance of the examiner's experience.</p><p><strong>Purpose: </strong>The study aimed to investigate the reliability of inter-recti distance measurement in a DICOM viewer software by an experienced radiologist. For the measurement, the radiologist used linea alba images captured by two physiotherapists who were novice examiners.</p><p><strong>Methods: </strong>Ultrasound images were acquired by two novice examiners on repeated occasions 7 days apart (sessions A and B) in 28 nulliparous women at supraumbilical, umbilical, and infraumbilical locations along linea alba.</p><p><strong>Results: </strong>Excellent intra-examiner reliability of inter-recti distance measurements was shown at the supraumbilical and umbilical levels (ICC<sub>2,k</sub> = 0.941-0.983) with minimal detectable change (MDC<sub>95</sub>) ranging from 1.31 mm to 2.29 mm. Infraumbilical measurements had good to excellent reliability (ICC<sub>2,k</sub> = 0.894-0.972) with MDC<sub>95</sub> ranging from 0.33 mm to 0.72 mm. Session A inter-examiner reliability was excellent for the mean measurements of two, three, four, and five images taken at each location (ICC<sub>2,k</sub> = 0.913-0.954) with MDC<sub>95</sub> ranging from 0.47 mm to 2.96 mm. Session B inter-examiner reliability was excellent for the mean measurements of two, three, four, and five images taken at the supraumbilical and umbilical (ICC<sub>2,k</sub> = 0.94-0.98), MDC<sub>95</sub> ranging from 1.38 mm to 2.58 mm and good (ICC<sub>2,k</sub> ≥ 0.81) with MDC<sub>95</sub> ranging from 0.72 mm to 0.80 mm at the infraumbilical locations.</p><p><strong>Conclusion: </strong>Novice examiners were able to capture good-quality ultrasound images of the linea alba that allowed for good to excellent intra- and inter-examiner reliability.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2652-2660"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10554825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical physiotherapy: a ten-year retrospective. 危重物理治疗:十年回顾。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-09-09 DOI: 10.1080/09593985.2023.2252524
David A Nicholls, Birgitte Ahlsen, Wenche Bjorbækmo, Tone Dahl-Michelsen, Heidi Höppner, Anna Ilona Rajala, Robert Richter, Louise Søgaard Hansen, Tobba Sudmann, Randi Sviland, Filip Maric
{"title":"Critical physiotherapy: a ten-year retrospective.","authors":"David A Nicholls, Birgitte Ahlsen, Wenche Bjorbækmo, Tone Dahl-Michelsen, Heidi Höppner, Anna Ilona Rajala, Robert Richter, Louise Søgaard Hansen, Tobba Sudmann, Randi Sviland, Filip Maric","doi":"10.1080/09593985.2023.2252524","DOIUrl":"10.1080/09593985.2023.2252524","url":null,"abstract":"<p><p>Critical physiotherapy has been a rapidly expanding field over the last decade and could now justifiably be called a professional sub-discipline. In this paper we define three different but somewhat interconnected critical positions that have emerged over the last decade that share a critique of physiotherapy's historical approach to health and illness, while also diverging in the possibilities for new forms of practice and thinking. These three positions broadly align with three distinctive philosophies: approaches that emphasize lived experience, social theory, and a range of philosophies increasingly referred to as the \"posts\". In this paper we discuss the origins of these approaches, exploring the ways they critique contemporary physiotherapy thinking and practice. We offer an overview of the key principles of each approach and, for each in turn, suggest readings from key authors. We conclude each section by discussing the limits of these various approaches, but also indicate ways in which they might inform future thinking and practice. We end the paper by arguing that the various approaches that now fall under the rubric of critical physiotherapy represent some of the most exciting and opportune ways we might (re)think the future for the physiotherapy profession and the physical therapies more generally.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2617-2629"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does feeling pain help prepare future clinicians to treat pain? A qualitative exploration of a novel experiential approach to teaching health professional students about pain. 感受疼痛是否有助于培养未来的临床医生治疗疼痛?对一种新型体验式疼痛教学方法的定性探索。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-09-08 DOI: 10.1080/09593985.2023.2254367
Anne Hudon, Nathan Augeard, Catherine M Tansey, Emilie Houston, Geoff Bostick, Timothy H Wideman
{"title":"Does feeling pain help prepare future clinicians to treat pain? A qualitative exploration of a novel experiential approach to teaching health professional students about pain.","authors":"Anne Hudon, Nathan Augeard, Catherine M Tansey, Emilie Houston, Geoff Bostick, Timothy H Wideman","doi":"10.1080/09593985.2023.2254367","DOIUrl":"10.1080/09593985.2023.2254367","url":null,"abstract":"<p><strong>Background and introduction: </strong>Pain is a subjective phenomenon, that is often misunderstood and invalidated. Despite recent advances in health professional training, it remains unclear how students should be taught about the subjectivity of pain. This study explored how a novel teaching activity that integrated physiotherapy students' first-hand experiences with laboratory-induced pain could address this gap.</p><p><strong>Objective: </strong>The study aimed to explore the experiences and perceptions of physiotherapy students in relation to a workshop where physiotherapy students experienced laboratory induced pain.</p><p><strong>Methods: </strong>We used a descriptive qualitative research design. Eighteen students participated in interviews. Transcripts were analyzed using an inductive conventional content analysis.</p><p><strong>Results: </strong>We identified four overarching themes: 1) First-hand pain experiences facilitated engagement in learning; 2) Reflecting on these personal and peer pain experiences helped students make sense of pain; 3) The learning activity helped students understand the inherent subjectivity and complexity of pain; and 4) Students saw benefits for clinical practice.</p><p><strong>Conclusion: </strong>Integrating first-hand pain experiences within entry-level physiotherapy training appears to have novel value in helping students understand pain subjectivity. Future research should use robust and controlled designs to explore how this novel approach can be used to facilitate further understanding and empathy within clinical interactions with people living with pain.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2550-2562"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10243029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sensitization-associated and neuropathic-associated symptoms in patients with unilateral lateral elbow tendinopathy: an exploratory study. 单侧肘外侧腱病患者的致敏相关和神经病理性相关症状:一项探索性研究。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-10-05 DOI: 10.1080/09593985.2023.2264384
Ignacio Cancela-Cilleruelo, Jorge Rodríguez-Jiménez, César Fernández-de-Las-Peñas, Lars Arendt-Nielsen, José L Arias-Buría
{"title":"Sensitization-associated and neuropathic-associated symptoms in patients with unilateral lateral elbow tendinopathy: an exploratory study.","authors":"Ignacio Cancela-Cilleruelo, Jorge Rodríguez-Jiménez, César Fernández-de-Las-Peñas, Lars Arendt-Nielsen, José L Arias-Buría","doi":"10.1080/09593985.2023.2264384","DOIUrl":"10.1080/09593985.2023.2264384","url":null,"abstract":"<p><strong>Objectives: </strong>We evaluate the presence of sensitization-associated symptoms and neuropathic pain features and identify if there is an association between these symptoms and pressure pain sensitivity, pain, and related-disability in lateral elbow tendinopathy.</p><p><strong>Methods: </strong>Thirty-seven (43% women, age: 45.5 ± 9.5 years) patients with lateral elbow tendinopathy completed: demographic (i.e. age, height, and weight); clinical (i.e. pain history, pain intensity, and Disabilities of the Arm, Shoulder and Hand); and psychophysical (i.e. pressure pain thresholds at the elbow, cervical spine, hand, and leg) outcomes, and the Central Sensitization Inventory and Self-administered Leeds Assessment of Neuropathic Symptoms and Signs questionnaires. Step-wise multiple linear regression models were performed to identify predictors of sensitization- or neuropathic-associated symptoms.</p><p><strong>Results: </strong>Six (16%) patients exhibited sensitization-associated symptoms (mean: 46.5, SD: 6.1), whereas 13 (35%) patients showed neuropathic-associated symptoms (mean: 13.5; SD: 1.4). Sensitization-associated symptoms were positively associated with neuropathic-associated symptoms (<i>r</i> = 0.538, <i>P</i> = .001) and negatively associated with pressure pain thresholds at the leg (<i>r</i> = -0.378, <i>P</i> = .021). Neuropathic-associated symptoms were positively associated with related-disability (<i>r</i> = 0.479, <i>P</i> = .003) and negatively associated with pressure pain threshold at the elbow (<i>r</i> = -0.394, <i>P</i> = .017). Stepwise regression analyses revealed that neuropathic-like symptoms explained 26.8% of the variance of sensitization symptoms (r<sup>2</sup>: 0.268), whereas pressure pain threshold at the elbow explained an additional 6.6% to neuropathic-like symptoms (r<sup>2</sup>: 0.334).</p><p><strong>Conclusion: </strong>This explorative study identified sensitization- and neuropathic-associated symptoms in 16% and 35% of the people with lateral elbow tendinopathy. Sensitization- and neuropathic-associated symptoms were associated. Pressure pain sensitivity at the elbow (peripheral sensitization) was associated with neuropathic -associated symptoms.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2522-2529"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive pulmonary rehabilitation for a 90-year-old patient with intertrochanteric fracture complicated by chronic obstructive pulmonary disease: a case report. 一例90岁高龄股骨转子间骨折合并慢性阻塞性肺病患者的综合肺部康复治疗。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-10-16 DOI: 10.1080/09593985.2023.2268170
Hui Teng, Jun Tian, Qing Shu
{"title":"Comprehensive pulmonary rehabilitation for a 90-year-old patient with intertrochanteric fracture complicated by chronic obstructive pulmonary disease: a case report.","authors":"Hui Teng, Jun Tian, Qing Shu","doi":"10.1080/09593985.2023.2268170","DOIUrl":"10.1080/09593985.2023.2268170","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic obstructive pulmonary disease (COPD)-induced osteoporosis, myasthenia, and disequilibrium are important risk factors for hip fracture, and decreased respiratory function after hip fracture surgery can decelerate recovery of activities of daily living (ADL) in elderly patients.</p><p><strong>Case presentation: </strong>A 90-year-old male patient underwent an open reduction and intramedullary pinning surgery for right femoral intertrochanteric fracture. After surgery, he remained confined to bed with pain and swelling in the right lower extremity. Due to his history of COPD, he had a postoperative pulmonary infection and respiratory insufficiency.</p><p><strong>Intervention: </strong>This patient received routine rehabilitation after surgery. However, severe respiratory symptoms prevented him from completing the rehabilitation procedure. Therefore, comprehensive pulmonary rehabilitation including airway clearance techniques, inspiratory resistance training, aerobic training, respiratory muscle training, and intermittent low-flow oxygen inhalation was carried out to enhance the recovery process.</p><p><strong>Outcomes: </strong>After 4 weeks of treatment, the patient improved from continuous oxygen inhalation to being able to complete bed resistance training without supplemental oxygen. After 8 weeks, ADL reached independence, while lower limb muscle strength, pulmonary function parameters, fatigue index, and cough efficiency were improved as compared to test values obtained before treatment.</p><p><strong>Conclusion: </strong>Compared with the 6-month recovery time reported in the literature for patients with hip fractures to achieve independence with basic ADLs, the recovery time of this patient was shortened to 2 months with the application of comprehensive pulmonary rehabilitation. It is feasible to carry out pulmonary rehabilitation for elderly patients after fracture surgery, but prospective clinical trials are needed to verify its efficacy.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2712-2718"},"PeriodicalIF":1.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electronic health record data extraction: Physical therapists' documentation of physical activity assessments and prescriptions for patients with chronic low back pain. 电子健康记录数据提取:物理治疗师对慢性腰痛患者的身体活动评估和处方的记录。
IF 1.6 4区 医学
Physiotherapy Theory and Practice Pub Date : 2024-11-01 Epub Date: 2023-10-30 DOI: 10.1080/09593985.2023.2274385
Mariana Wingood, Jennifer Vincenzo, Nancy Gell
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