Journal of Physiotherapy最新文献

{"title":"Cover image and highlights","authors":"","doi":"10.1016/S1836-9553(24)00065-1","DOIUrl":"https://doi.org/10.1016/S1836-9553(24)00065-1","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Page OFC"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000651/pdfft?md5=bfbe568a1ff4c864fe5dd54510ddd344&pid=1-s2.0-S1836955324000651-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542434","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":"Preoperative physiotherapy prevents postoperative pulmonary complications after major abdominal surgery: a meta-analysis of individual patient data","authors":"Ianthe Boden ,&nbsp;Julie Reeve ,&nbsp;Anna Jernås ,&nbsp;Linda Denehy ,&nbsp;Monika Fagevik Olsén","doi":"10.1016/j.jphys.2024.02.012","DOIUrl":"10.1016/j.jphys.2024.02.012","url":null,"abstract":"<div><h3>Questions</h3><p>Among patients having elective abdominal surgery, how much does preoperative physiotherapy education with breathing exercise training reduce the incidence of postoperative pulmonary complications (PPCs), hospital length of stay and 12-month mortality? How stable are the treatment effects across different PPC definitions, including pneumonia? How much do the treatment effects on PPC, hospital length of stay and mortality vary within clinically relevant subgroups?</p></div><div><h3>Design</h3><p>Individual participant-level meta-analysis (n = 800) from two randomised controlled trials analysed with multivariable regression.</p></div><div><h3>Participants</h3><p>Adults undergoing major elective abdominal surgery.</p></div><div><h3>Interventions</h3><p>Experimental participants received a single preoperative session with a physiotherapist within 4 weeks of surgery and educated on PPC prevention with breathing exercises and early mobilisation. They were taught breathing exercises and instructed to start them immediately on waking from surgery. The control group received no preoperative or postoperative physiotherapy, or early ambulation alone.</p></div><div><h3>Outcome measures</h3><p>PPC, hospital length of stay and 12-month mortality.</p></div><div><h3>Results</h3><p>Participants who received preoperative physiotherapy had 47% lower odds of developing a PPC (adjusted OR 0.53, 95% CI 0.34 to 0.85). This effect was stable regardless of PPC definition. Effects were greatest in participants who smoked, were aged ≤ 45 years, had abnormal body weight, had multiple comorbidities, or were undergoing bariatric or upper gastrointestinal surgery. Participants having operations ≤ 3 hours in duration were least responsive to preoperative physiotherapy. Participants with multiple comorbidities were more likely to have a shorter hospital stay if provided with preoperative physiotherapy (adjusted MD –3.2 days, 95% CI –6.2 to –0.3). Effects on mortality were uncertain.</p></div><div><h3>Conclusion</h3><p>There is strong evidence to support preoperative physiotherapy in preventing PPCs after elective abdominal surgery.</p></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Pages 216-223"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000134/pdfft?md5=10f987c1280704d4686c4582a50f0a8d&pid=1-s2.0-S1836955324000134-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111872","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: Douleur Neuropathique en 4 Questions (DN4)","authors":"Michael C Ferraro ,&nbsp;James H McAuley","doi":"10.1016/j.jphys.2024.02.010","DOIUrl":"10.1016/j.jphys.2024.02.010","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Pages 238-239"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000110/pdfft?md5=8ccf8af13ea6e7ec0b6175f2aa349d60&pid=1-s2.0-S1836955324000110-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295070","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 idiopathic pulmonary fibrosis, long-term pulmonary rehabilitation did not improve 6-minute walk distance, but improved endurance time compared with usual care [synopsis]","authors":"Vinicius Cavalheri","doi":"10.1016/j.jphys.2024.05.005","DOIUrl":"10.1016/j.jphys.2024.05.005","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Page 236"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000444/pdfft?md5=750bc72bb701c0bf98d5158817ec519b&pid=1-s2.0-S1836955324000444-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318685","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: Clinical practice guideline for management of osteoporosis and fracture prevention in Canada: 2023 update","authors":"Marina B Pinheiro,&nbsp;Vasi Naganathan","doi":"10.1016/j.jphys.2024.05.002","DOIUrl":"10.1016/j.jphys.2024.05.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Page 241"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000419/pdfft?md5=c0d827043cc637042eed42b982c117ac&pid=1-s2.0-S1836955324000419-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327937","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":"Hip, knee and ankle disorders","authors":"Megan Ross ,&nbsp;Mark R Elkins","doi":"10.1016/j.jphys.2024.06.006","DOIUrl":"10.1016/j.jphys.2024.06.006","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Pages 164-166"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000614/pdfft?md5=c59d7c8ac5c7f0fe5479c8e6df0acc3d&pid=1-s2.0-S1836955324000614-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428077","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: A combined digital technology program was not superior to usual care on knee pain following total knee replacement [synopsis]","authors":"Nina Østerås","doi":"10.1016/j.jphys.2024.04.002","DOIUrl":"10.1016/j.jphys.2024.04.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Page 234"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000390/pdfft?md5=1e4d06f6dc9be196b2b40931dbf7d65e&pid=1-s2.0-S1836955324000390-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318679","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":"Call for applications for membership of the Editorial Board","authors":"","doi":"10.1016/j.jphys.2024.05.011","DOIUrl":"10.1016/j.jphys.2024.05.011","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Page 168"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S183695532400050X/pdfft?md5=cbf5ebabcb0145fcb21b2018269a7bef&pid=1-s2.0-S183695532400050X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141416018","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":"Walking training with auditory cueing improves walking speed more than walking training alone in ambulatory people with Parkinson’s disease: a systematic review","authors":"Lucas R Nascimento ,&nbsp;Augusto Boening ,&nbsp;Rafaela JS Rocha ,&nbsp;Willian A do Carmo ,&nbsp;Louise Ada","doi":"10.1016/j.jphys.2024.06.004","DOIUrl":"10.1016/j.jphys.2024.06.004","url":null,"abstract":"<div><h3>Questions</h3><p>In people with Parkinson’s disease, what is the effect of adding external cueing (ie, visual, auditory or somatosensorial cueing) to walking training compared with walking training alone in terms of walking, mobility, balance, fear of falling and freezing? Are any benefits carried over to participation or maintained beyond the intervention period?</p></div><div><h3>Design</h3><p>Systematic review of randomised trials with meta-analysis.</p></div><div><h3>Participants</h3><p>Ambulatory adults with Parkinson’s disease.</p></div><div><h3>Intervention</h3><p>Walking training with external cueing compared with walking training without external cueing.</p></div><div><h3>Outcome measures</h3><p>Walking (ie, speed, stride length and cadence), mobility, balance, fear of falling, freezing and participation.</p></div><div><h3>Results</h3><p>Ten trials involving a total of 309 participants were included. The mean PEDro score of the included trials was 5 (range 4 to 8). Walking training with auditory cueing improved walking speed by 0.09 m/s (95% CI 0.02 to 0.15) more than walking training alone. Although the best estimate was that auditory cueing may also improve stride length by 5 cm, this estimate was imprecise (95% CI –2 to 11). The addition of visual cueing to walking training did not improve walking speed or stride length. Results regarding cadence, mobility, balance, fear of falling, and freezing and maintenance of benefits beyond the intervention period remain uncertain.</p></div><div><h3>Conclusion</h3><p>This systematic review provided low-quality evidence that walking training with auditory cueing is more effective than walking training alone for improving walking speed in Parkinson’s disease. Cueing is an inexpensive and easy to implement intervention, so the mean estimate might be considered clinically worthwhile, although the confidence interval spans clinically trivial and worthwhile effects.</p></div><div><h3>Registration</h3><p>PROSPERO CRD42021255065.</p></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Pages 208-215"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000596/pdfft?md5=e8e37f2c66e4f0a5a5f8b3291c8498c4&pid=1-s2.0-S1836955324000596-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428078","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)00066-3","DOIUrl":"https://doi.org/10.1016/S1836-9553(24)00066-3","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Page i"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000663/pdfft?md5=b1231cf224af15e3b8a0233a2c4235bb&pid=1-s2.0-S1836955324000663-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542430","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}