Australian Journal of Physiotherapy最新文献

{"title":"Long-term use of a splint at night reduces pain and disability in people with osteoarthritis at the base of the thumb","authors":"Anne Wajon","doi":"10.1016/S0004-9514(09)70085-6","DOIUrl":"10.1016/S0004-9514(09)70085-6","url":null,"abstract":"<div><h3>Question</h3><p>Does use of a splint at night improve pain and disability in people with osteoarthritis at the base of the thumb (OABT)?</p></div><div><h3>Design</h3><p>Randomised, controlled trial with concealed allocation.</p></div><div><h3>Setting</h3><p>Two tertiary hospitals in France.</p></div><div><h3>Participants</h3><p>Patients were recruited from tertiary clinics or private practices. Inclusion criteria were pain at the base of the thumb 30 mm or greater on a visual analogue scale (VAS) from 0 (no pain) to 100 mm, age 45–75 years, radiographic evidence of OABT, and either trapeziometacarpal joint enlargement or closure of the first web. Post-traumatic osteoarthritis, inflammatory and crystal arthritis, neurological conditions, trauma, surgery and collagen diseases were exclusion criteria. Randomisation of 112 participants allotted 57 to the intervention group and 55 to a control group.</p></div><div><h3>Interventions</h3><p>Both groups received usual care, at the discretion of the general practitioner or rheumatologist. In addition, a rigid splint was custom made for participants in the intervention group by an occupational therapist. It covered the base of the thumb and the thenar eminence but not the wrist. These participants were advised to wear it at night for one year, and encouraged to contact the therapist if they felt the splint needed adjustment, if pain increased while wearing the splint, or if they had adverse effects, eg, skin erosion.</p></div><div><h3>Outcome measures</h3><p>The primary outcome was the change in pain on the VAS at one month. Secondary outcome measures were disability at one month, and pain and disability at twelve months. Disability was measured with Cochin Hand Functional Scale from 0 (low disability) to 90, and on another VAS (100 mm = high perceived disability). Participants also rated their perceived global improvement and underwent clinical and radiological measures: pinch strength, pain during pinch, thumb mobility, closure of the first web, and blinded assessment of radiological progression of osteoarthritis.</p></div><div><h3>Results</h3><p>98 (87%) participants completed the study. No significant between-group differences in any outcomes were observed at one month. At 12 months, however, the intervention group showed significantly greater reductions in pain (by 14 mm, 95% CI 5 to 23), in Cochin scores (by 6 points, 95% CI 2 to 11), and in perceived disability (by 13 mm, 95% CI 4 to 22). The groups did not significantly differ on the remaining secondary outcomes.</p></div><div><h3>Conclusion</h3><p>For patients with OABT, night splinting had no effect on pain and disability at 1 month but both improved at 12 months.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Page 209"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70085-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28386814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"No difference between home-based strength training and home-based balance training on pain in patients with knee osteoarthritis: a randomised trial","authors":"Kanda Chaipinyo,&nbsp;Orapin Karoonsupcharoen","doi":"10.1016/S0004-9514(09)70057-1","DOIUrl":"10.1016/S0004-9514(09)70057-1","url":null,"abstract":"<div><h3>Question</h3><p>Is four weeks of home-based balance training more effective than four weeks of home-based strength training at decreasing pain in patients with knee osteoarthritis?</p></div><div><h3>Design</h3><p>Randomised trial with concealed allocation and assessor blinding.</p></div><div><h3>Participants</h3><p>48 community volunteers with knee osteoarthritis.</p></div><div><h3>Intervention</h3><p>Two groups undertook home-based exercise programs: one group performed balance training and the other performed strength training. Participants performed 30 repetitions/leg/day, 5 days/week for four weeks.</p></div><div><h3>Outcome measures</h3><p>The Knee injury and Osteoarthritis Outcome Score was used to evaluate pain, which was the primary outcome. Secondary outcomes were the other subscales of the Knee injury and Osteoarthritis Outcome Score (other symptoms, function in daily living, function in sport and recreation, knee-related quality of life), strength, and mobility.</p></div><div><h3>Results</h3><p>There was no significant difference between groups for pain (mean difference –3 points out of 100, 95% CI –10 to 5). The only between-group difference in the Knee injury and Osteoarthritis Outcome Score was in knee-related quality of life, where the strength group improved 17 points out of 100 (95% CI 5 to 28) more than the balance group. There was no significant difference between groups for strength. The only between-group difference in mobility was in the time taken to walk downstairs, where the strength group improved by 2 s (95% CI 0 to 3) more than the balance group.</p></div><div><h3>Conclusion</h3><p>There was no difference in pain between home-based strength training and home-based balance training in patients with knee osteoarthritis.</p></div><div><h3>Trial registration</h3><p>NCT 00687726.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Pages 25-30"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70057-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethics education will help clarify issues","authors":"Clare Delaney","doi":"10.1016/S0004-9514(09)70074-1","DOIUrl":"10.1016/S0004-9514(09)70074-1","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Page 72"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70074-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical research governance 101","authors":"Justine M. Naylor ,&nbsp;Anthony Schembri","doi":"10.1016/S0004-9514(09)70100-X","DOIUrl":"10.1016/S0004-9514(09)70100-X","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Page 226"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70100-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28340609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Assessment of Quality of Life (AQoL)","authors":"Chris Lin,&nbsp;Marion Haas","doi":"10.1016/S0004-9514(09)70087-X","DOIUrl":"10.1016/S0004-9514(09)70087-X","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Page 212"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70087-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28386816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measures of activity limitation on admission to rehabilitation after stroke predict walking speed at discharge: an observational study","authors":"Suzanne S. Kuys ,&nbsp;Paul G. Bew ,&nbsp;Mary R. Lynch ,&nbsp;Greg Morrison ,&nbsp;Sandra G. Brauer","doi":"10.1016/S0004-9514(09)70006-6","DOIUrl":"10.1016/S0004-9514(09)70006-6","url":null,"abstract":"<div><h3>Question</h3><p>Which measures of activity limitation on admission to rehabilitation after stroke best predict walking speed at discharge?</p></div><div><h3>Design</h3><p>Prospective observational study.</p></div><div><h3>Participants</h3><p>120 people with stroke undergoing inpatient rehabilitation.</p></div><div><h3>Outcome measures</h3><p>: Predictors were admission walking speed, Timed Up and Go, Motor Assessment Scale, Modified Elderly Mobility Scale, and Functional Independence Measure scores measured on admission to rehabilitation. The outcome of interest was walking speed at discharge from inpatient rehabilitation.</p></div><div><h3>Results</h3><p>Admission walking speed (B 0.47, 95% CI 0.27 to 0.67) and Item 2 of the Motor Assessment Scale, ie, moving from supine lying to sitting over the side of a bed (B 0.05, 95% CI 0.01 to 0.09) predicted walking speed on discharge from rehabilitation. These two predictors explained 36% of the variance in discharge walking speed.</p></div><div><h3>Conclusion</h3><p>Walking speed at discharge from inpatient rehabilitation was best predicted by admission walking speed and Motor Assessment Scale Item 2.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 4","pages":"Pages 265-268"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70006-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28522535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrate research results and clinical judgement","authors":"Louise Ada,&nbsp;Jane Butler,&nbsp;Aline Scianni,&nbsp;Luci Texeira-Salmela","doi":"10.1016/S0004-9514(09)70019-4","DOIUrl":"https://doi.org/10.1016/S0004-9514(09)70019-4","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 4","pages":"Page 292"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70019-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91609685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A simple home-based exercise program is required for people with mild to moderate knee osteoarthritis","authors":"Kanda Chaipinyo,&nbsp;Orapin Karoonsupcharoen","doi":"10.1016/S0004-9514(09)70099-6","DOIUrl":"10.1016/S0004-9514(09)70099-6","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Page 225"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70099-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117256705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical importance of an intervention must reside with the patient","authors":"Manuela L. Ferreira,&nbsp;Robert D. Herbert","doi":"10.1016/S0004-9514(09)70092-3","DOIUrl":"10.1016/S0004-9514(09)70092-3","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Page 219"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70092-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125824984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Techniques were chosen from experience","authors":"Judy Chen,&nbsp;Karen Ginn,&nbsp;Rob Herbert","doi":"10.1016/S0004-9514(09)70053-4","DOIUrl":"10.1016/S0004-9514(09)70053-4","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 2","pages":"Page 144"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0004-9514(09)70053-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129674533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}