{"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":"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}
El-Sayed Essam El-Sayed Felaya , Eman Hassan Abd Al-Salam , Alshaymaa Shaaban Abd El-Azeim
{"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 , Eman Hassan Abd Al-Salam , 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}
Simone Dorsch , Vaughan Nicholson , Emilia Roman , Emma Fanayan , Sakina Chagpar
{"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 , Vaughan Nicholson , Emilia Roman , Emma Fanayan , 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}
Mark Hancock , Anne Smith , Peter O’Sullivan , Robert Schütze , JP Caneiro , Jan Hartvigsen , Kieran O’Sullivan , Alison McGregor , Terry Haines , Alistair Vickery , Amity Campbell , Peter Kent
{"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 , Anne Smith , Peter O’Sullivan , Robert Schütze , JP Caneiro , Jan Hartvigsen , Kieran O’Sullivan , Alison McGregor , Terry Haines , Alistair Vickery , Amity Campbell , 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 > 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}
{"title":"Physiotherapy students hold varying attitudes, beliefs and learning preferences regarding LGBTQIA+ healthcare: a mixed methods study","authors":"Calum Neish, Megan H Ross","doi":"10.1016/j.jphys.2024.08.006","DOIUrl":"10.1016/j.jphys.2024.08.006","url":null,"abstract":"<div><h3>Questions</h3><div>What are physiotherapy students’ attitudes and beliefs towards providing care for lesbian, gay, bisexual, transgender, queer, intersex, asexual and other related identities (LGBTQIA+) individuals? What education have students received on LGBTQIA+ healthcare needs? What are students’ preferences for receiving this content?</div></div><div><h3>Design</h3><div>Mixed-methods design using a purpose-built online survey.</div></div><div><h3>Participants</h3><div>Australian undergraduate and postgraduate physiotherapy students.</div></div><div><h3>Methods</h3><div>Participants were invited to complete an online survey. Data were collected on: personal, clinical, professional and educational exposure to LGBTQIA+ identities and topics; heteronormative attitudes and beliefs via the modified Heteronormative Attitudes and Beliefs Scale (mHABS); and perspectives about LGBTQIA+ care. Welch’s t-test and analysis of variance were used to analyse differences in mHABS and subscale scores between groups based on personal, clinical, professional and educational exposure. Open text responses were analysed thematically. Quantitative and qualitative data were first analysed separately and then cross-validated for integration in the results.</div></div><div><h3>Results</h3><div>The survey was completed by 324 eligible students. Cross-comparison of data generated four key themes pertaining to students’ perspectives about working with the LGBTQIA+ community and education about LGBTQIA+ health: students with closer personal relationships to the LGBTQIA+ community demonstrated more inclusive attitudes and beliefs about LGBTQIA+ care and education; there are cis/heteronormativity and negative views towards LGBTQIA+ health; students who are ambivalent about LGBTQIA+ care hold egalitarian beliefs; and integrated education on LGTBQIA+ health delivered by members of the community is important.</div></div><div><h3>Conclusion</h3><div>Physiotherapy students’ attitudes and beliefs about the LGBTQIA+ community were diverse, with cis/heteronormativity prevalent in respondents. Students with closer relationships to the LGBTQIA+ community demonstrated more inclusive attitudes and beliefs. The lack of understanding of LGBTQIA+ needs and relevance to physiotherapy highlights the need for improved LGBTQIA+ education in physiotherapy curricula.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Pages 302-310"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330843","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}