Journal of Physiotherapy最新文献

{"title":"Clinimetrics: Keele STarT MSK tool","authors":"","doi":"10.1016/j.jphys.2024.05.006","DOIUrl":"10.1016/j.jphys.2024.05.006","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Page 316"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321907","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":"Prophylactic non-invasive positive pressure ventilation reduces complications and length of hospital stay after invasive thoracic procedures: a systematic review","authors":"Elinaldo da Conceição dos Santos ,&nbsp;Renan Lima Monteiro ,&nbsp;Juliana Ribeiro Fonseca Franco de Macedo ,&nbsp;William Poncin ,&nbsp;Adriana Claudia Lunardi","doi":"10.1016/j.jphys.2024.08.008","DOIUrl":"10.1016/j.jphys.2024.08.008","url":null,"abstract":"<div><h3>Question</h3><div>In patients undergoing invasive thoracic procedures, what are the effects of prophylactic non-invasive positive pressure ventilation (NIV)?</div></div><div><h3>Design</h3><div>Systematic review with meta-analysis of randomised trials. Methodological quality was assessed using the PEDro scale and the certainty of evidence with the GRADE approach.</div></div><div><h3>Participants</h3><div>Patients undergoing invasive thoracic procedures.</div></div><div><h3>Intervention</h3><div>Continuous positive airway pressure (CPAP) or bi-level positive airway pressure (BiPAP).</div></div><div><h3>Outcome measures</h3><div>Length of hospital stay, postoperative pulmonary complications, need for tracheal intubation, mortality, hypoxaemia, pulmonary function and adverse events. Meta-analysis was performed for all outcomes. Subgroup analyses estimated the effects of CPAP and BIPAP independently.</div></div><div><h3>Results</h3><div>Sixteen trials with 1,814 participants were included. The average quality of the included studies was fair. Moderate certainty evidence indicated that NIV reduces postoperative pulmonary complications (RD –0.09, 95% CI –0.15 to –0.04) without increasing the rate of adverse events (RD 0.01, 95% CI –0.02 to 0.04). Low certainty evidence indicated that NIV reduces length of hospital stay (MD –1.4 days, 95% CI –2.2 to –0.5) compared with usual care. The effects on intubation and mortality rates were very close to no effect, indicating that NIV is safe. Subgroup analyses showed that the evidence for CPAP had more precise estimates that that for BiPAP.</div></div><div><h3>Conclusion</h3><div>NIV reduces postoperative pulmonary complications and length of stay after invasive chest procedures without increasing the risk of adverse events.</div></div><div><h3>Registration</h3><div>PROSPERO CRD42015019004.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 4","pages":"Pages 265-274"},"PeriodicalIF":9.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330844","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: Dynamic neuromuscular stabilisation leads to superior and sustained improvements in balance compared with core stabilisation in patients with multiple sclerosis [synopsis]","authors":"Prudence Plummer","doi":"10.1016/j.jphys.2024.05.016","DOIUrl":"10.1016/j.jphys.2024.05.016","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Page 237"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000559/pdfft?md5=cf4849246d83335320dec4315e44b437&pid=1-s2.0-S1836955324000559-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318681","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)00069-9","DOIUrl":"https://doi.org/10.1016/S1836-9553(24)00069-9","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"70 3","pages":"Page iv"},"PeriodicalIF":9.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000699/pdfft?md5=56823b998e041963d3ce2f4be7cf75f0&pid=1-s2.0-S1836955324000699-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542433","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":"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}