{"title":"Critically appraised paper: In rural youth, the iAmHealthy paediatric weight management intervention stabilises body mass index z-scores and impacts health behaviours compared with newsletters with similar content [synopsis]","authors":"Nikki Milne","doi":"10.1016/j.jphys.2024.11.007","DOIUrl":"10.1016/j.jphys.2024.11.007","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Page 59"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808294","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}
Lydia W Chen , Md. Shofiqul Islam , Lisa A Harvey , Nicole Whitehead , Mohammad Sohrab Hossain , Ehsanur Rahman , Farjana Taoheed , Nadia Afrin Urme , Joanne V Glinsky
{"title":"Strength training with electrical stimulation has no or little effect on the very weak muscles of patients with spinal cord injury: a randomised trial","authors":"Lydia W Chen , Md. Shofiqul Islam , Lisa A Harvey , Nicole Whitehead , Mohammad Sohrab Hossain , Ehsanur Rahman , Farjana Taoheed , Nadia Afrin Urme , Joanne V Glinsky","doi":"10.1016/j.jphys.2024.11.012","DOIUrl":"10.1016/j.jphys.2024.11.012","url":null,"abstract":"<div><h3>Question</h3><div>Is electrical stimulation (ES) combined with strength training and usual care more effective than usual care alone in increasing the strength of very weak muscles in people with recent spinal cord injury (SCI)?</div></div><div><h3>Design</h3><div>A randomised controlled trial with concealed allocation, intention-to-treat analysis and blinded outcome assessors.</div></div><div><h3>Participants</h3><div>Sixty participants with recent SCI were recruited from three SCI units in Australia and Bangladesh.</div></div><div><h3>Interventions</h3><div>Participants were randomised to either a treatment or control group. A major muscle group of the upper or lower limb with Grade 1 or Grade 2 strength on a standard 6-point manual muscle test was selected. Participants in the experimental group received strength training combined with ES and usual care for the target muscle group over 8 weeks. Participants in the control group received only usual care.</div></div><div><h3>Outcome measures</h3><div>Assessments were undertaken by a blinded assessor at baseline and 8 weeks. The primary outcome was voluntary muscle strength on a modified 13-point manual muscle test. The three secondary outcomes were participants’ perceptions of strength, function and ability to perform self-selected goals.</div></div><div><h3>Results</h3><div>The mean between-group difference for voluntary strength at 8 weeks was 0.7 out of 13 points (95% CI –0.7 to 2.1), where the clinically worthwhile treatment effect was deemed a priori as 1 point. None of the secondary outcomes demonstrated a clinically important effect.</div></div><div><h3>Conclusion</h3><div>Strength training combined with ES over 8 weeks has a negligible effect on the strength of very weak muscles in people with SCI.</div></div><div><h3>Registration</h3><div>ACTRN12621000197831.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Pages 42-47"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830435","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 rural youth, the iAmHealthy paediatric weight management intervention stabilises body mass index z-scores and impacts health behaviours compared with newsletters with similar content [commentary]","authors":"Margarita D Tsiros","doi":"10.1016/j.jphys.2024.11.008","DOIUrl":"10.1016/j.jphys.2024.11.008","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Page 59"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808293","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: An internet intervention with or without telephone support in primary care is not superior to usual care for low back pain [synopsis]","authors":"Nina Østerås","doi":"10.1016/j.jphys.2024.10.002","DOIUrl":"10.1016/j.jphys.2024.10.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Page 58"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819914","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: Cognitive behavioural therapy with best-evidence pain management was not superior to best-evidence pain management alone for patients with chronic spinal pain and insomnia [commentary]","authors":"Giovanni E Ferreira","doi":"10.1016/j.jphys.2024.11.015","DOIUrl":"10.1016/j.jphys.2024.11.015","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Page 60"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819926","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}
Pengming Yu , Zeruxin Luo , Yuqiang Wang , Song Lin , Deyu Qin , Alice YM Jones , Jiayuan He
{"title":"Preoperative inspiratory muscle training improves lung function prior to elective heart valve surgery and reduces postoperative lung function impairment and pulmonary complications: a randomised trial","authors":"Pengming Yu , Zeruxin Luo , Yuqiang Wang , Song Lin , Deyu Qin , Alice YM Jones , Jiayuan He","doi":"10.1016/j.jphys.2024.12.002","DOIUrl":"10.1016/j.jphys.2024.12.002","url":null,"abstract":"<div><h3>Question</h3><div>What is the effect of 3 days of preoperative inspiratory muscle training (IMT) on lung function prior to heart valve surgery and on postoperative lung function and pulmonary complications compared with sham and no IMT?</div></div><div><h3>Design</h3><div>A three-arm, multicentre, randomised controlled trial with concealed allocation, intention-to-treat analysis and blinded assessment of some outcomes.</div></div><div><h3>Participants</h3><div>This study included 228 adults scheduled for heart valve surgery.</div></div><div><h3>Interventions</h3><div>The IMT group received 3 days of IMT at 30% maximal inspiratory pressure, the sham IMT group received the same but at 10% maximal inspiratory pressure and the control group received no IMT.</div></div><div><h3>Outcome measures</h3><div>Spirometric measures, maximal inspiratory pressure and maximum voluntary ventilation were measured at hospital admission, the day before surgery and at discharge. The incidence of postoperative pulmonary complications (primary outcome) and adverse events were recorded.</div></div><div><h3>Results</h3><div>A total of 215 participants completed surgery as planned and all participants were followed up until discharge. Spirometric measures, maximal inspiratory pressure and maximum voluntary ventilation improved in all groups between admission and the day before surgery, but more so in the IMT group. At discharge, these measures had deteriorated in all groups, but less so in the IMT group. Preoperative IMT reduced the total number of participants experiencing a pulmonary complication in the IMT group compared with the sham IMT group (ARR –0.18, 95% CI –0.33 to –0.03) and compared with the control group (ARR –0.21, 95% CI –0.35 to –0.05). Very few adverse events occurred in all three groups.</div></div><div><h3>Conclusions</h3><div>Preoperative IMT improved lung function prior to surgery and at hospital discharge and reduced postoperative pulmonary complications in adults undergoing elective heart valve surgery.</div></div><div><h3>Registration</h3><div>ChiCTR2100054869.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Pages 27-34"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830430","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: An internet intervention with or without telephone support in primary care is not superior to usual care for low back pain [commentary]","authors":"George Peat","doi":"10.1016/j.jphys.2024.10.001","DOIUrl":"10.1016/j.jphys.2024.10.001","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Page 58"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676234","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}