Physiotherapy Theory and Practice最新文献

{"title":"Advice-giving skills in pre-registration physiotherapy training.","authors":"Lisa Osborn-Jenkins, Elizabeth Day, Hayley Payne, Robin White, Lisa Roberts","doi":"10.1080/09593985.2023.2247485","DOIUrl":"10.1080/09593985.2023.2247485","url":null,"abstract":"<p><strong>Background: </strong>With increased emphasis on self-management in healthcare, clinicians need outstanding skills in offering advice and empowering patients to attain an optimal outcome.</p><p><strong>Objectives: </strong>This study explores how undergraduate physiotherapists acquire knowledge, skills, and confidence to offer advice to patients in clinical practice.</p><p><strong>Methods: </strong>Convenience sampling was used to recruit 50 BSc and MSc pre-registration physiotherapy students across all years of study in one university in southern England, UK. Semi-structured interviews were conducted for first year BSc students (<i>n</i> = 13). Six focus groups of mixed BSc and MSc students were conducted, three groups (<i>n</i> = 15 students) were mid-training, and three groups (<i>n</i> = 22 students) were in their final year.</p><p><strong>Results: </strong>Thematic analysis identified 6 themes: advice content; a patient-centered approach; delivery; acquisitions; perceptions; and uptake of advice. Students placed high value on advice-giving, drawing upon multiple learning opportunities, however they felt under-prepared to deliver this skill in practice. Furthermore, perceptions of their student status, and pressures to perform on graded placements were reported to influence the advice they offered to patients.</p><p><strong>Conclusions: </strong>Developing high-level skills in promoting self-management is essential in physiotherapy, this study highlights the challenges for students to develop these skills. Academic and practice educators must explicitly enable and support students to develop the knowledge and skills to confidently offer high-quality advice to patients.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2355-2369"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11458123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Function and strength declines in a client with radiation-induced brachial plexopathy: a case report.","authors":"Susan R Harris, Mara A R Nalewajek, Marie E G Brown, Jessica E Su","doi":"10.1080/09593985.2024.2409725","DOIUrl":"https://doi.org/10.1080/09593985.2024.2409725","url":null,"abstract":"<p><strong>Introduction: </strong>Radiation-induced brachial plexopathy (RIBP) is a progressively disabling outcome of radiotherapy for a variety of cancers. This report describes measured declines over time in a client with very late RIBP, secondary to radiotherapy for breast cancer.</p><p><strong>Case description: </strong>After diagnosis of stage IIIA (right) breast cancer (age 50), this woman underwent bilateral mastectomy, chemotherapy and daily radiotherapy (25 sessions) to the right chest wall, supraclavicular and axillary lymph nodes. A neurological exam (age 72) showed diminished deep tendon reflexes in the right brachioradialis, biceps and triceps; nerve conduction tests revealed decreased amplitude of sensory and motor nerves in the right arm. Also, standardized measurements of grip and pinch strength were obtained by a hand therapist. The client was sent to a neurooncologist, who referred her to occupational therapists to update standardized assessments of grip/pinch strength and functional dexterity, as well as provide assistive technology and therapy suggestions.</p><p><strong>Outcomes: </strong>Grip strength decreased 28.1%, with recent grip strength < 50% of the median normative value for the dominant hand. Lateral pinch strength dropped by 67%, now 16% of normal. Lateral key/three-point pinch strength decreased by 95%, now 2.3% of normal. Functional dexterity decreased also in the affected hand, with astereognosis noted.</p><p><strong>Discussion: </strong>This is the first report describing increasing deficits in RIBP using standardized measures of grip and pinch strength, manual dexterity and stereognosis. Sadly, there is no successful intervention to increase muscle strength in RIBP which results in progressive strength loss, as shown with this client's hand strength over three years.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-5"},"PeriodicalIF":1.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356458","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}

{"title":"Physiotherapists may influence hospital patient physical activity levels indirectly through workforce training.","authors":"Helen L Kugler, Natasha K Brusco, Nicholas F Taylor","doi":"10.1080/09593985.2024.2406286","DOIUrl":"https://doi.org/10.1080/09593985.2024.2406286","url":null,"abstract":"<p><strong>Background: </strong>Lower levels of patient physical activity in hospital are associated with poorer functional outcomes. Physiotherapists may influence physical activity outside of therapy time through nursing workforce training.</p><p><strong>Objective: </strong>To estimate physical activity levels in acute inpatients after the Risk Assessment for Moving Individuals SafEly (RAISE) manual handling training intervention for nurses. The secondary aims evaluated nurse experiences of training and the extent to which nurses learnt RAISE skills and incorporated them in clinical practice.</p><p><strong>Methods: </strong>Using a pre-post design, nurses from an acute neurological and medical ward participated in a physiotherapy-led, 4-hour training session teaching dynamic risk assessment to safely move patients. Patient physical activity and clinical observation audits of patient transfers were assessed prior to, and 1-week following, training. Surveys evaluated nurse experiences of training.</p><p><strong>Results: </strong>Among 26 patients, there was a non-significant, moderate positive effect size favoring increased daily steps by 43% (<i>g</i>=.35, MD 208, 95% CI -263 to 679, <i>p</i> = .370). There was no change in sit-to-stand transitions (<i>g</i>=-.02, MD -0.4, 95% CI -16 to 15, <i>p</i> =.963) or daily sedentary hours (<i>g</i>=.05, MD 0.05, 95% CI -0.8 to 0.9, <i>p</i>=.908). Training was well received by all nurse participants, and the physical risk assessment was implemented into practice 89% of the time post training (<i>X</i>^<i>2</i>(1) = 5.00, <i>p</i> = .025).</p><p><strong>Conclusion: </strong>A physiotherapy-led manual handling training program involving dynamic risk assessment may help hospital inpatients to increase physical activity outside of therapy time.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299101","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}

{"title":"The effectiveness of action observation and motor imagery in freezing of gait, speed, physical function and balance in Parkinson's disease: a systematic review and meta-analysis.","authors":"Silvia Lahuerta-Martín, Luis Ceballos-Laita, Sandra Jiménez-Del-Barrio, Rocío Llamas-Ramos, Inés Llamas-Ramos, María Teresa Mingo-Gómez","doi":"10.1080/09593985.2024.2404600","DOIUrl":"https://doi.org/10.1080/09593985.2024.2404600","url":null,"abstract":"<p><strong>Background: </strong>Parkinson's Disease (PD) is a neurodegenerative disease that produces balance and gait disorders. Action observation (AO) and motor imagery (MI) therapies appear to facilitate motor planning influencing balance and gait relearning.</p><p><strong>Objective: </strong>To investigate the effectiveness of AO and MI in isolation or combined (AO-MI), compared to sham interventions for the improvement of freezing of gait (FOG), speed, physical function and balance among individuals with PD.</p><p><strong>Methods: </strong>PubMed, Web of science, PEDro, Scopus and Cochrane Library were searched from inception to January 2024. Studies included were randomized controlled trials (RCTs). The study quality and risk of bias were assessed with PEDro scale and the Cochrane tool, respectively. The certainty of evidence was evaluated with GRADEpro GDT.</p><p><strong>Results: </strong>Eight RCTs were included, with a methodological quality ranged from fair to high. There were statistically significant results in FOG at follow-up when comparing AO to sham intervention (SMD= -0.50, 95% CI -0.88, -0.11; I²: 0%) 3 studies, 107 participants). Interventions based on MI compared to sham intervention were statistically significant in speed at post-treatment (MD = -0.06, 95% CI -0.04, -0.08; I²: 0%) and balance at post-treatment (SMD = -0.97; 95% CI -1.79, -0.15).</p><p><strong>Conclusions: </strong>Very low certainty of evidence was found proposing that: AO produce improvements in FOG at follow-up; and MI produce improvements in speed and balance at post-treatment.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-19"},"PeriodicalIF":1.6,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299102","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}

{"title":"Why do older patients with advanced cancer decline participation in an exercise-based trial during oncological treatment? – A mixed methods study","authors":"Marta Kramer Mikkelsen, Andrea Lange, Latifa Mochref, Kasper Madsen, Anders Vinther, Cecilia Lund, Dorte Nielsen, Mary Jarden","doi":"10.1080/09593985.2024.2397567","DOIUrl":"https://doi.org/10.1080/09593985.2024.2397567","url":null,"abstract":"Exercise is recommended during anti-cancer treatments. However, there is lack of knowledge about existing barriers to participation in exercise-based trials, especially among understudied groups su...","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":"26 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267929","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}

{"title":"Diagnosis of occult scaphoid fractures: an exploratory study to assess whether clusters of clinical features are diagnostic in comparison to reduced sequence magnetic resonance imaging.","authors":"Christopher Burton, Bonnie McRae, Greg Kyle, Iulian Nusem","doi":"10.1080/09593985.2024.2397084","DOIUrl":"https://doi.org/10.1080/09593985.2024.2397084","url":null,"abstract":"<p><strong>Background: </strong>Occult scaphoid fractures are difficult to diagnose radiographically. Evidence regarding prevalence and diagnostic accuracy of clinical tests is growing; however, gaps in knowledge remain and further research is needed.</p><p><strong>Purpose: </strong>This study aimed to determine the prevalence of occult scaphoid fractures and other hand/wrist fractures, plus any clinical/demographic findings diagnostic of scaphoid fractures.</p><p><strong>Methods: </strong>Prognostic prospective cohort study. Patients referred with diagnosis of occult scaphoid fractures, non-diagnostic radiographs, and one or more positive provocative test for scaphoid fractures were included. Clinical data were compared to reduce sequence magnetic resonance imaging. Univariate logistic regression was used to determine significance. Multivariable logistic regression was used to determine the effect size of these variables.</p><p><strong>Results: </strong>Of 197 included participants, 43(22%) had a scaphoid fracture and 59(30%) had an occult fracture other than scaphoid. Average age of patients with confirmed occult scaphoid fractures was 22 years old. Distal pole fractures were the most common scaphoid fracture (<i>n</i> = 28/65.1%, average age 16.9 years). Three clinical tests (pain with ulnar-deviation, anatomical snuffbox swelling and pain-free grip) plus two demographics (age <23 and male) resulted in accuracy of 81.7%, positive predictive value of 73.3%, and negative predictive value of 82.4% in diagnosing scaphoid fractures.</p><p><strong>Conclusion: </strong>This study confirms a high prevalence of occult fractures in our population. Patients demonstrating the relevant demographics and positive clinical tests may be appropriate to treat as scaphoid fractures without advanced imaging. Most patients will present with differing clinical findings and/or demographics, and routine use of magnetic resonance imaging is recommended.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299100","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}

{"title":"Postoperative rehabilitation exercises with addition of blood flow restriction therapy following olecranon fracture: A case report","authors":"Felipe Ponce-Fuentes, Iván Cuyul-Vásquez, Eoin Ó Conaire","doi":"10.1080/09593985.2024.2402305","DOIUrl":"https://doi.org/10.1080/09593985.2024.2402305","url":null,"abstract":"The addition of blood flow restriction therapy (BFRT) to exercise in patients with olecranon fracture treated surgically has not been described in the literature.To describe the effects and safety ...","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":"40 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267930","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}

{"title":"Cognitive Multisensory Rehabilitation, a novel approach for Complex Regional Pain Syndrome: case series","authors":"Marc A. Pique Batalla, Jennifer S. Lewis","doi":"10.1080/09593985.2024.2393213","DOIUrl":"https://doi.org/10.1080/09593985.2024.2393213","url":null,"abstract":"Effective treatment for Complex Regional Pain Syndrome (CRPS), a chronic pain condition, is challenging. Cognitive Multisensory Rehabilitation (CMR) is a cognitive and sensorimotor treatment approa...","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":"208 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267932","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}

{"title":"The experiences of physiotherapists delivering pain science education via an interpreter: a mixed-methods online survey","authors":"Samuel Browne, Patricia Schofield, Cormac G Ryan","doi":"10.1080/09593985.2024.2396553","DOIUrl":"https://doi.org/10.1080/09593985.2024.2396553","url":null,"abstract":"To explore physiotherapist’s experiences of delivering Pain Science Education (PSE) via an interpreter to people with persistent pain.A cross-sectional online survey study of UK Physiotherapists. T...","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":"33 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267931","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}

{"title":"The relationship between prognostic factors and patient satisfaction with performance of self-identified goals following interdisciplinary mild traumatic brain injury rehabilitation.","authors":"Marquise M Bonn,James P Dickey,Becky Moran,Shannon McGuire,Laura Graham","doi":"10.1080/09593985.2024.2397089","DOIUrl":"https://doi.org/10.1080/09593985.2024.2397089","url":null,"abstract":"BACKGROUNDIndividuals with persistent symptoms following a mild traumatic brain injury (mTBI) demonstrate improved satisfaction with their performance of self-identified rehabilitation goals after completing a combined occupational therapy and physiotherapy group intervention. However, the relationship between factors associated with developing persistent symptoms following an mTBI and satisfaction with their performance of self-identified goals after completing an intervention are unknown.OBJECTIVE(S)To evaluate whether factors associated with developing persistent symptoms influence satisfaction with the performance of self-identified goals after completing a combined occupational therapy and physiotherapy group intervention.METHODSDuring intake assessments, individuals with persistent mTBI symptoms completed the satisfaction section of the Canadian Occupational Performance Measure (COPM-S), the Rivermead Post-Concussion Symptom Questionnaire (RPQ), and the Generalized Anxiety Disorder Seven-Item Scale (GAD-7). Participants re-rated their satisfaction with performance of self-identified goals using the COPM-S during their discharge assessment. The influence of age, sex, days since injury, education, mechanism of injury, baseline COPM-S, GAD-7, and RPQ scores on goal satisfaction ratings were analyzed using a binomial logistic regression.RESULTSOne hundred and ninety-eight individuals (44.7 ± 13.6 years old) were included in this study, and 92% experienced a clinically important improvement in their goal satisfaction ratings after completing the intervention. Neither age, sex, days since injury, education, mechanism of injury, baseline COPM-S, GAD-7, or RPQ scores significantly influenced satisfaction with performance of self-identified goals.CONCLUSIONSFactors associated with developing persistent symptoms following an mTBI did not influence goal satisfaction after completing a combined physiotherapy and occupational therapy group intervention.","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":"11 1","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142226648","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}