{"title":"Critically appraised paper: Neck-specific exercise with internet support for chronic whiplash-associated disorders is noninferior to neck-specific exercise at a physiotherapy clinic [Commentary]","authors":"Michele Sterling","doi":"10.1016/j.jphys.2023.10.003","DOIUrl":"10.1016/j.jphys.2023.10.003","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 1","pages":"Page 66"},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001091/pdfft?md5=cce35865dbc030b0f03e9c98c8f5d0a1&pid=1-s2.0-S1836955323001091-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critically appraised paper: In adults with chronic obstructive pulmonary disease, long-term telerehabilitation and unsupervised home-based treadmill training reduced hospitalisations and emergency department presentations compared with usual care [synopsis]","authors":"Vinicius Cavalheri","doi":"10.1016/j.jphys.2023.10.009","DOIUrl":"10.1016/j.jphys.2023.10.009","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 1","pages":"Page 68"},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001157/pdfft?md5=66f0a9553648395809319dff20ac92e9&pid=1-s2.0-S1836955323001157-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aims and Scope/Editorial Board","authors":"","doi":"10.1016/S1836-9553(23)00136-4","DOIUrl":"10.1016/S1836-9553(23)00136-4","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 1","pages":"Page ii"},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001364/pdfft?md5=d4ac1293337082adfbb43e8bbd605798&pid=1-s2.0-S1836955323001364-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139096314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinimetrics: The Sport Injury Rehabilitation Adherence Scale","authors":"Bradley Furlong, Amanda Hall","doi":"10.1016/j.jphys.2023.10.014","DOIUrl":"10.1016/j.jphys.2023.10.014","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 1","pages":"Page 70"},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001200/pdfft?md5=4a0d3030fd5ea2d2d1ca69a8cee5c3dd&pid=1-s2.0-S1836955323001200-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In adults with chronic obstructive pulmonary disease, long-term telerehabilitation and unsupervised home-based treadmill training reduced hospitalisations and emergency department presentations compared with usual care [commentary]","authors":"Claire M Nolan","doi":"10.1016/j.jphys.2023.10.008","DOIUrl":"10.1016/j.jphys.2023.10.008","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 1","pages":"Page 68"},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001145/pdfft?md5=25abd7d370581b56d9926500b613fccc&pid=1-s2.0-S1836955323001145-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Appraisal of Clinical Practice Guideline: Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: 2018","authors":"Ianthe Boden","doi":"10.1016/j.jphys.2023.10.007","DOIUrl":"10.1016/j.jphys.2023.10.007","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 1","pages":"Pages 71-72"},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001133/pdfft?md5=045499cba9219d1183540f3a1a87c89d&pid=1-s2.0-S1836955323001133-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Active pelvic movements on a Swiss ball reduced labour duration, pain, fatigue and anxiety in parturient women: a randomised trial","authors":"Alexandre Delgado , Melania M Amorim , Andreza do Amaral Paraiba Oliveira , Keytte Camilla Souza Amorim , Marina Wanderley Selva , Yasmin Eduarda Silva , Andrea Lemos , Leila Katz","doi":"10.1016/j.jphys.2023.11.001","DOIUrl":"10.1016/j.jphys.2023.11.001","url":null,"abstract":"<div><h3>Question</h3><p>How much do active pelvic movements on a Swiss ball during labour affect maternal and neonatal outcomes?</p></div><div><h3>Method</h3><p>A randomised trial with concealed allocation, blinded assessors and intention-to-treat analysis.</p></div><div><h3>Participants</h3><p>Two-hundred parturient women.</p></div><div><h3>Intervention</h3><p>The experimental group performed pelvic anteversion and retroversion, lateral pelvic tilts and circular hip movements according to individual obstetric evaluation (foetal station and position, cervical dilatation and the presence of early pushing urge) on a Swiss ball. The control group received usual care. Both groups were permitted to walk and shower.</p></div><div><h3>Outcome measures</h3><p>The primary outcome was the duration of the first stage of labour. The secondary outcomes were the duration of the second stage of labour, pain intensity, delivery mode, medication use, local swelling, fatigue, anxiety, satisfaction and neonatal outcomes.</p></div><div><h3>Results</h3><p>The experimental intervention reduced the duration of labour by 179 minutes (95% CI 146 to 213) in stage one and 19 minutes (95% CI 13 to 25) in stage two. It decreased pain by approximately 2 points (95% CI 2 to 2) on a 0-to-10 scale at 30, 60 and 90 minutes. It reduced the risk of a caesarean section (ARR 0.14, 95% CI 0.03 to 0.25; NNT 7, 95% CI 4 to 32) and vulvar swelling (ARR 0.11, 95% CI 0.03 to 0.19; NNT 9, 95% CI 5 to 31). It reduced fatigue by 18 points (95% CI 16 to 21) on a 15-to-75-point scale and anxiety by 9 points (95% CI 8 to 11) on an 18-to-72-point scale. Other effects were negligible or unclear.</p></div><div><h3>Conclusion</h3><p>Active pelvic movements on a Swiss ball during labour reduced the duration of labour, pain intensity, and maternal fatigue and anxiety; they also lowered the risk of caesarean section and vulvar swelling. Several effects exceeded the smallest worthwhile effect.</p></div><div><h3>Registration</h3><p>NCT04124835.</p></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 1","pages":"Pages 25-32"},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001212/pdfft?md5=e8ffde537c0a263f8694b4e05e80c9dc&pid=1-s2.0-S1836955323001212-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Francisco Cursino de Moura , Crystian Bitencourt Oliveira , Ana Paula Coelho Figueira Freire , Mark Russell Elkins , Francis Lopes Pacagnelli
{"title":"Preoperative respiratory muscle training reduces the risk of pulmonary complications and the length of hospital stay after cardiac surgery: a systematic review","authors":"José Francisco Cursino de Moura , Crystian Bitencourt Oliveira , Ana Paula Coelho Figueira Freire , Mark Russell Elkins , Francis Lopes Pacagnelli","doi":"10.1016/j.jphys.2023.10.012","DOIUrl":"10.1016/j.jphys.2023.10.012","url":null,"abstract":"<div><h3>Questions</h3><p>What is the effect of preoperative respiratory muscle training (RMT) on the incidence of postoperative pulmonary complications (PPCs) after open cardiac surgery? What is the effect of RMT on the duration of mechanical ventilation, postoperative length of stay and respiratory muscle strength?</p></div><div><h3>Design</h3><p>Systematic review of randomised trials with meta-analysis.</p></div><div><h3>Participants</h3><p>Adults undergoing elective open cardiac surgery.</p></div><div><h3>Intervention</h3><p>The experimental groups received preoperative RMT and the comparison groups received no intervention.</p></div><div><h3>Outcome measures</h3><p>The primary outcomes were PPCs, length of hospital stay, respiratory muscle strength, oxygenation and duration of mechanical ventilation. The methodological quality of studies was assessed using the PEDro scale and the overall certainty of the evidence was assessed using the GRADE approach.</p></div><div><h3>Results</h3><p>Eight trials involving 696 participants were included. Compared with the control group, the respiratory training group had fewer PPCs (RR 0.51, 95% CI 0.38 to 0.70), less pneumonia (RR 0.44, 95% CI 0.25 to 0.78), shorter hospital stay (MD −1.7 days, 95% CI −2.4 to −1.1) and higher maximal inspiratory pressure values at the end of the training protocol (MD 12 cmH<sub>2</sub>O, 95% CI 8 to 16). The mechanical ventilation time was similar in both groups. The quality of evidence was high for pneumonia, length of hospital stay and maximal inspiratory pressure.</p></div><div><h3>Conclusion</h3><p>Preoperative RMT reduced the risk of PPCs and pneumonia after cardiac surgery. The training also improved the maximal inspiratory pressure and reduced hospital stay. The effects on PPCs were large enough to warrant use of RMT in this population.</p></div><div><h3>Registration</h3><p>CRD42021227779</p></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 1","pages":"Pages 16-24"},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001170/pdfft?md5=bec5de692bccdf3eaee5f11b9fb8d31e&pid=1-s2.0-S1836955323001170-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}