Journal of Physiotherapy最新文献

{"title":"In people with shoulder pain, mobilisation with movement and exercise improves function and pain more than sham mobilisation with movement and exercise: a randomised trial","authors":"Rafael Baeske ,&nbsp;Toby Hall ,&nbsp;Rafael Rodrigues Dall’Olmo ,&nbsp;Marcelo Faria Silva","doi":"10.1016/j.jphys.2024.08.009","DOIUrl":"10.1016/j.jphys.2024.08.009","url":null,"abstract":"<div><h3>Question</h3><div>In people with shoulder pain, what is the effect of adding mobilisation with movement (MWM) to a standard exercise program on function and pain compared with sham MWM and the same exercise program?</div></div><div><h3>Design</h3><div>A randomised trial with concealed allocation, blinded outcome assessment and intention-to-treat analysis.</div></div><div><h3>Participants</h3><div>Seventy people with chronic atraumatic rotator cuff related pain, with a mean age 48 years (SD 10).</div></div><div><h3>Interventions</h3><div>The experimental group received MWM plus exercise and the control group received sham MWM plus exercise. Treatments were delivered twice per week for 5 weeks.</div></div><div><h3>Outcome measures</h3><div>The primary outcome measures were function (0 to 100 Shoulder Pain and Disability Index) and pain (0 to 10 Numerical Pain Rating Scale). Secondary outcomes were self-efficacy, perceived improvement and active pain-free range of movement. Assessment time points were at baseline (week 0), the end of the treatment period (week 5) and a follow-up 1 month after the end of treatment (week 9).</div></div><div><h3>Results</h3><div>At week 5, the experimental group improved more than the control group in function (MD –15 points, 95% CI –24 to –7), pain at night (MD –2.1, 95% CI –3.1 to –1.1), pain on movement (MD –1.5, 95% CI –2.5 to –0.6) and active range of movement in flexion (MD 16 deg, 95% CI 1 to 30), abduction (MD 23 deg, 95% CI 6 to 40), external rotation (MD 11 deg, 95% CI 4 to 17) and hand behind back (MD 20 deg, 95% CI 8 to 32). At week 9, benefits were seen in the Shoulder Pain and Disability Index (MD –9 points, 95% CI –17 to –1), pain at night (MD –1.9, 95% CI –2.9 to –0.8) and on movement (MD –1.3, 95% CI–2.3 to –0.3). The effects of the experimental intervention on other outcomes were mostly unclear due to wide confidence intervals. Blinding was successful.</div></div><div><h3>Conclusions</h3><div>Adding MWM to exercise improved function, pain and active range of movement in people with shoulder pain. These benefits were not placebo effects.</div></div><div><h3>Registration</h3><div>NCT04175184.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Pages 288-293"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330840","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 young children with cerebral palsy, intensive child-initiated mobility training with variability and error is as effective as conventional therapist-directed training for improving gross motor skills","authors":"Nikki Milne","doi":"10.1016/j.jphys.2024.07.007","DOIUrl":"10.1016/j.jphys.2024.07.007","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 314"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330837","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":"Title page","authors":"","doi":"10.1016/S1836-9553(24)00098-5","DOIUrl":"10.1016/S1836-9553(24)00098-5","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page i"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442687","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":"Journal publication information","authors":"","doi":"10.1016/S1836-9553(24)00101-2","DOIUrl":"10.1016/S1836-9553(24)00101-2","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page iv"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442690","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":"Correspondence: Re Dr Vrieze et al","authors":"Pierre Bourgeois","doi":"10.1016/j.jphys.2024.09.004","DOIUrl":"10.1016/j.jphys.2024.09.004","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 326"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330830","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: Telerehabilitation consultations with a physiotherapist are non-inferior to in-person consultations for chronic knee pain","authors":"","doi":"10.1016/j.jphys.2024.05.015","DOIUrl":"10.1016/j.jphys.2024.05.015","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 311"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318686","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: Telerehabilitation in Physical Therapist Practice: A Clinical Practice Guideline From the American Physical Therapy Association","authors":"Anne E Holland","doi":"10.1016/j.jphys.2024.07.006","DOIUrl":"10.1016/j.jphys.2024.07.006","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 317"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330827","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":"Corrigendum to ‘Trunk stabilising exercises promote sternal stability in patients after median sternotomy for heart valve surgery: a randomised trial’ [J Physiother 2022;68:197–202]","authors":"El-Sayed Essam El-Sayed Felaya ,&nbsp;Eman Hassan Abd Al-Salam ,&nbsp;Alshaymaa Shaaban Abd El-Azeim","doi":"10.1016/j.jphys.2024.09.001","DOIUrl":"10.1016/j.jphys.2024.09.001","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 255"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330832","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":"Motor imagery priming improves activity and impairment outcomes in people after stroke but the effects of other types of priming are unclear: a systematic review","authors":"Simone Dorsch ,&nbsp;Vaughan Nicholson ,&nbsp;Emilia Roman ,&nbsp;Emma Fanayan ,&nbsp;Sakina Chagpar","doi":"10.1016/j.jphys.2024.08.007","DOIUrl":"10.1016/j.jphys.2024.08.007","url":null,"abstract":"<div><h3>Question</h3><div>In stroke rehabilitation, what is the effect of adding non-stimulation-based priming prior to task-specific practice on activity and motor impairment outcomes compared with task-specific practice alone?</div></div><div><h3>Design</h3><div>Systematic review with meta-analysis.</div></div><div><h3>Participants</h3><div>Adult stroke survivors.</div></div><div><h3>Intervention</h3><div>The experimental groups completed a non-stimulation priming intervention prior to task-specific practice. The priming interventions were: motor imagery; action observation; combined motor imagery and action observation; mirror therapy; movement-based priming; and aerobic exercise-based priming. The control groups completed task-specific practice alone.</div></div><div><h3>Outcome measures</h3><div>Upper and lower limb activity and motor impairment.</div></div><div><h3>Results</h3><div>Twenty-four trials involving 803 participants were included in this systematic review. Twenty trials were included in the meta-analyses of activity outcomes and 11 trials in the meta-analyses of impairment outcomes. Four trials examined the effect of motor imagery priming prior to task-specific practice on activity outcomes (SMD 0.48, 95% CI 0.13 to 0.82). Three trials examined the effect of motor imagery priming prior to task-specific practice on motor impairment outcomes (SMD 0.51, 95% CI 0.12 to 0.89). Nine trials examined the effect of action observation priming prior to task-specific practice on activity outcomes (SMD 0.18, 95% CI –0.06 to 0.41). Two trials examined the effect of movement-based priming prior to task-specific practice on activity outcomes (SMD –0.11, 95% CI –0.64 to 0.42). Three trials examined the effect of aerobic exercise priming prior to task-specific practice on activity outcomes (SMD 0.30, 95% CI –0.19 to 0.80). The quality of the evidence was low to moderate.</div></div><div><h3>Conclusion</h3><div>In stroke rehabilitation, motor imagery priming implemented prior to task-specific training has a very small to large effect on activity and motor impairment outcomes. Action observation priming implemented prior to task-specific training has a negligible to small effect on activity outcomes. Movement-based and aerobic exercise-based priming do not have any clear effect on outcomes.</div></div><div><h3>Registration</h3><div>CRD42020093519.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Pages 275-287"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330841","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":"Patients with worse disability respond best to cognitive functional therapy for chronic low back pain: a pre-planned secondary analysis of a randomised trial","authors":"Mark Hancock ,&nbsp;Anne Smith ,&nbsp;Peter O’Sullivan ,&nbsp;Robert Schütze ,&nbsp;JP Caneiro ,&nbsp;Jan Hartvigsen ,&nbsp;Kieran O’Sullivan ,&nbsp;Alison McGregor ,&nbsp;Terry Haines ,&nbsp;Alistair Vickery ,&nbsp;Amity Campbell ,&nbsp;Peter Kent","doi":"10.1016/j.jphys.2024.08.005","DOIUrl":"10.1016/j.jphys.2024.08.005","url":null,"abstract":"<div><h3>Question</h3><div>Do five baseline moderators identify patients with chronic low back pain who respond best to cognitive functional therapy (CFT) when compared with usual care?</div></div><div><h3>Design</h3><div>Secondary analysis of the RESTORE randomised controlled trial.</div></div><div><h3>Participants</h3><div>A total of 492 adults with low back pain for &gt; 3 months with at least moderate pain-related activity limitation.</div></div><div><h3>Intervention</h3><div>Participants were allocated to CFT alone or CFT plus biofeedback; these two groups were combined for this secondary analysis. The control group was usual care.</div></div><div><h3>Outcome measures</h3><div>The outcome was activity limitation measured using the Roland Morris Disability Questionnaire (RMDQ) at 3, 6, 13, 26, 40 and 52 weeks. Investigated effect modifiers were baseline measures of activity limitation, cognitive flexibility, pain intensity, self-efficacy and catastrophising.</div></div><div><h3>Results</h3><div>Baseline levels of activity limitation and, potentially, cognitive flexibility were associated with different effects of CFT treatment, while pain intensity, self-efficacy and catastrophising were not. Patients who had higher baseline activity limitation had greater treatment effects at 13 and 52 weeks. A person with a baseline RMDQ score of 18 (90th percentile) would on average be 6.1 (95% CI 4.8 to 7.4) points better at 13 weeks if they received CFT compared with usual care. However, a person with a baseline score of 7 (10th percentile) would on average be 3.6 (95% CI 2.6 to 4.6) points better at 13 weeks.</div></div><div><h3>Conclusion</h3><div>The finding that CFT is most effective among patients who are most disabled and incur the greatest burden strongly suggests that CFT should be considered as a treatment for this group of patients.</div></div><div><h3>Registration</h3><div>ACTRN12618001396213.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Pages 294-301"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330842","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}