Australian Journal of Physiotherapy最新文献

{"title":"Focusing on the evidence in spinal cord injury","authors":"Jack Ross","doi":"10.1016/S0004-9514(09)70070-4","DOIUrl":"10.1016/S0004-9514(09)70070-4","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Page 68"},"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)70070-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123758559","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":"Anterior Knee Pain Scale","authors":"Barby Singer, Kevin Singer","doi":"10.1016/S0004-9514(09)70048-0","DOIUrl":"10.1016/S0004-9514(09)70048-0","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 2","pages":"Page 140"},"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)70048-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28249611","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":"Emergence of E-learning","authors":"Zoe J. McKeough","doi":"10.1016/S0004-9514(09)70071-6","DOIUrl":"10.1016/S0004-9514(09)70071-6","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Page 69"},"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)70071-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126118116","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":"People who undergo revision arthroplasty report more limitations but no decrease in physical activity compared with primary total hip arthroplasty: an observational study","authors":"Martin Stevens,&nbsp;Tsjerk Hoekstra,&nbsp;Robert Wagenmakers,&nbsp;Sjoerd K. Bulstra,&nbsp;Inge van den Akker-Scheek","doi":"10.1016/S0004-9514(09)70079-0","DOIUrl":"10.1016/S0004-9514(09)70079-0","url":null,"abstract":"<div><h3>Question</h3><p>Do people who have had revision arthroplasty report more limitations and less physical activity than those after primary total hip arthroplasty? Can degree of limitation and physical activity be predicted by revision arthroplasty, after adjustment for age, gender, and Charnley classification?</p></div><div><h3>Design</h3><p>Cross-sectional observational study.</p></div><div><h3>Participants</h3><p>371 people after primary and 134 after revision total hip arthroplasty.</p></div><div><h3>Outcome measures</h3><p>Limitations were measured using the Dutch-language version of the WOMAC questionnaire and amount and intensity of physical activity was measured using the SQUASH questionnaire.</p></div><div><h3>Results</h3><p>The revision arthroplasty group reported 12% (95% CI 7 to 17) more limitations than the primary total hip arthroplasty group. They also reported 394 min/wk (95% CI 88 to 701) less physical activity and 1153 min/ wk (95% CI 66 to 2241) less intensity of physical activity than the primary total hip arthroplasty group. Having had a revision arthroplasty predicted limitations regardless of whether the prediction was adjusted for age, gender, or Charnley group (B –12.1, 95% CI –17.2 to –7.0). However, having had a revision arthroplasty did not predict either amount (B –121.2, 95% CI –408.0 to 165.7) or intensity (B –912.8, 95% CI –1989.1 to 163.6) of physical activity when the prediction was adjusted for age, gender, and Charnley group.</p></div><div><h3>Conclusion</h3><p>People reported more limitations after revision arthroplasty than after primary total hip arthroplasty. However, people after revision arthroplasty appeared to be equally physically active as those after primary total hip arthroplasty after adjusting for age, gender, and Charnley group.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Pages 185-189"},"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)70079-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28340601","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":"Quality of recalled dyspnoea is different from exerciseinduced dyspnoea: an experimental study","authors":"Marie Williams,&nbsp;Ashleigh Garrard,&nbsp;Paul Cafarella,&nbsp;John Petkov,&nbsp;Peter Frith","doi":"10.1016/S0004-9514(09)70078-9","DOIUrl":"10.1016/S0004-9514(09)70078-9","url":null,"abstract":"<div><h3>Questions</h3><p>Are volunteered and endorsed descriptors of recalled breathlessness consistent with descriptors of exerciseinduced breathlessness? Are volunteered and endorsed descriptors of exercise-induced breathlessness consistent?</p></div><div><h3>Design</h3><p>Within-participant, repeated measures, experimental study.</p></div><div><h3>Participants</h3><p>57 people with symptomatic chronic respiratory disease aged 71 years.</p></div><div><h3>Intervention</h3><p>There were three conditions. The first was recalled breathlessness. Two conditions of exercise-induced breathlessness were created by getting the participants to undertake the 6-min Walk Test twice (breathlessness 1 and 2).</p></div><div><h3>Outcome measures</h3><p>Descriptors of breathlessness were volunteered (where participants’ used their own words) or endorsed (from a pre-existing list of 15 breathlessness statements).</p></div><div><h3>Results</h3><p>Emotive descriptors made up 65% of recalled descriptors compared with 11% of exercise-induced descriptors, whereas physical descriptors made up 35% of recalled descriptors compared with 89% of exercise-induced descriptors. Of the 237 potential language pairs volunteered to describe recalled and exercise-induced breathlessness 1, only 27 (11%) were identical whereas of the 171 potential language pairs endorsed as describing recalled and exercise-induced breathlessness 1, 66 (39%) were identical. Of the 175 potential language pairs of descriptors volunteered to describe exercise-induced breathlessness 1 and 2, 72 (41%) were identical whereas of the 153 potential language pairs endorsed as describing exercise-induced breathlessness 1 and 2, 71 (46%) were identical.</p></div><div><h3>Conclusion</h3><p>The language used to describe exercise-induced breathlessness immediately after two walking challenges was similar. However, descriptions of recalled breathlessness did not consistently match descriptions of exercise-induced breathlessness, which may reflect the different contexts under which breathlessness was recalled and induced.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Pages 177-183"},"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)70078-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28340600","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":"Growth of physiotherapy research funding in Australia","authors":"Paul Hodges","doi":"10.1016/S0004-9514(09)70075-3","DOIUrl":"10.1016/S0004-9514(09)70075-3","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Pages 149-150"},"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)70075-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28417084","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 self-reported aggravating activities of people with chronic non-specific low back pain do not involve consistent directions of spinal movement: an observational study","authors":"Benedict M. Wand ,&nbsp;Rebecca Hunter ,&nbsp;Neil E. O’Connell ,&nbsp;Louise Marston ,&nbsp;James McAuley","doi":"10.1016/S0004-9514(09)70060-1","DOIUrl":"10.1016/S0004-9514(09)70060-1","url":null,"abstract":"<div><h3>Question</h3><p>Do the self-reported aggravating activities of people with chronic non-specific low back pain move the spine in a consistent direction?</p></div><div><h3>Design</h3><p>Cross-sectional observational study.</p></div><div><h3>Participants</h3><p>240 people with chronic non-specific low back pain.</p></div><div><h3>Outcome measure</h3><p>The self-reported aggravating activities from the Patient Specific Functional Scale were classified as flexion, extension or unilateral according to the direction of lumbar spine movement. Participants were described as demonstrating a directional pattern if all three self-reported aggravating activities moved the spine in the same direction.</p></div><div><h3>Results</h3><p>Of the 148 participants with three classifiable aggravating activities, 47 (32%) demonstrated a directional pattern with 46 (98%) demonstrating a flexion pattern and 1 (2%) an extension pattern. The observed incidence of a directional pattern in the three self-reported aggravating activities of the 148 participants (32%) was no different from what would have been expected by chance. There were no clinical or demographic differences between those who demonstrated a directional pattern and those who did not.</p></div><div><h3>Conclusion</h3><p>There is no evidence for the existence of a consistent direction of spinal movement during the self-reported aggravating activities of people with chronic non-specific low back pain.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Pages 47-51"},"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)70060-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993066","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":"Pulmonary rehabilitation can be equally effective in hospital and home settings","authors":"Jenny Alison","doi":"10.1016/S0004-9514(09)70062-5","DOIUrl":"10.1016/S0004-9514(09)70062-5","url":null,"abstract":"<div><h3>Question</h3><p>Is pulmonary rehabilitation with the exercise component performed at home as effective at reducing dyspnoea as outpatient pulmonary rehabilitation?</p></div><div><h3>Design</h3><p>Randomised, controlled trial with concealed allocation.</p></div><div><h3>Setting</h3><p>Ten centres in Canada.</p></div><div><h3>Participants</h3><p>Adults with stable chronic obstructive pulmonary disease (COPD), aged at least 40 years, with an FEV₁ less than 70% of the predicted value, an FEV₁/FVC ratio of less than 0.70, and a Medical Research Council dyspnoea score of 2 or more. Previous pulmonary rehabilitation was an exclusion criterion. Randomisation of 252 participants allotted 126 to each group.</p></div><div><h3>Interventions</h3><p>Both groups received the same eight educational lectures over 4 weeks as hospital outpatients. The outpatient group then commenced combined aerobic and strength training on an outpatient basis with supervision, attending three sessions per week for 8 weeks. Each session consisted of cycle ergometry for 30 minutes at 80% of peak work capacity and progressive resistance exercises for 30 minutes. Supplemental oxygen was provided as appropriate. The other group trained at home, also for three sessions per week over the same 8 weeks. The first session was supervised, followed by weekly phone contact. Cycle ergometers were loaned to participants for the aerobic training for the 8-week period. The target intensity was 60% of peak work capacity for 40 minutes per session. The resistance exercises and oxygen supplementation were the same as for the outpatient group. Thereafter, both groups were prescribed three home exercise sessions per week for another 9 months.</p></div><div><h3>Outcome measures</h3><p>The primary outcome was the change in the dyspnoea domain of the Chronic Respiratory Questionnaire (CRQ) at 12 months. Secondary outcomes were other CRQ domains, the St George’s Respiratory Questionnaire (SGRQ), the 6-minute walk test, an endurance cycle test, and safety.</p></div><div><h3>Results</h3><p>Follow-up was 92% at 3 months and 86% at one year. The CRQ dyspnoea scores differed by 0.05 (95%CI –0.21 to 0.29) at 3 months and by 0.16 (95% CI –0.08 to 0.40) at one year. This excluded the minimum clinically important difference of 0.5, confirming that the two rehabilitation strategies had very similar effects on dyspnoea. The home-based group showed significantly better improvement on the Symptoms domain of the SGRQ at 3 months, but this difference was no longer significant at one year. On the remaining secondary outcomes, the two rehabilitation strategies had similar effects.</p></div><div><h3>Conclusion</h3><p>For adults with COPD, pulmonary rehabilitation with the exercise component performed at home can be as effective as outpatient pulmonary rehabilitation.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Page 61"},"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)70062-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993068","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 Walking Index for Spinal Cord Injury","authors":"Lisa Harvey,&nbsp;Ralph Marino","doi":"10.1016/S0004-9514(09)70067-4","DOIUrl":"10.1016/S0004-9514(09)70067-4","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Page 66"},"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)70067-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993073","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":"Community-based pulmonary rehabilitation is effective for people with chronic obstructive pulmonary disease (COPD)","authors":"Zoe McKeough","doi":"10.1016/S0004-9514(09)70013-3","DOIUrl":"10.1016/S0004-9514(09)70013-3","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Question&lt;/h3&gt;&lt;p&gt;Does community-based pulmonary rehabilitation improve quality of life, respiratory exacerbations, exercise performance, and lung function in people with COPD?&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;Randomised, controlled trial with concealed allocation and blinded outcome assessment.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;Two hospitals in The Netherlands.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;p&gt;People with COPD (GOLD Stages 2 or 3) and impaired exercise capacity (&lt; 70% of predicted peak work during incremental cycle ergometry). Prior rehabilitation and major co-morbidities were exclusion criteria. Randomisation of 199 participants allotted 102 to an intervention group and 97 to a control group.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;p&gt;All participants had their medications optimised before randomisation. Over 4 months, the intervention group visited a local physiotherapist twice a week for 30-minute intensive exercise training (endurance cycling and walking, upper and lower limb strength/endurance exercises). They were instructed to do the exercises for 30 minutes twice daily at home and to walk and cycle outside. They also completed an individualised education program using a booklet and, if required, received smoking cessation counselling (minimal intervention strategy) and 4 visits from a dietitian for counselling and supplements. This was followed by a 20-month maintenance program, involving monthly visits to the physiotherapist for monitoring and encouragement. After an exacerbation, participants were allowed 6 extra training sessions over 3 weeks. Extra dietitian and nursing appointments were made if indicated. The control group participants received brief smoking cessation advice and advice to eat more if malnourished, from their respiratory physician.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Outcome measures&lt;/h3&gt;&lt;p&gt;The primary outcomes were the St George's Respiratory Questionnaire (SGRQ) total score and the number of exacerbations. Secondary outcomes were SGRQ domain scores, the modified Medical Research Council (MRC) dyspnoea scale, a cycle endurance test, the sixminute walk test distance (6MWD), strength of respiratory and limb muscles, fat-free mass, and lung function. At 24 months, perceived effectiveness of care was rated on a 5-point Likert scale.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Follow-up was 93% at 4 months and 79% at 24 months. At 4 months, improvement in SGRQ score was significantly better in the intervention group by 4.2 points (95% CI 3.9 to 4.5), but exacerbations did not significantly differ, RR 1.01 (95% CI 0.57 to 1.79). Other outcomes that were significantly better in the intervention group were SGRQ activity and impact scores, MRC score, cycle endurance time, peak work, 6MWD, handgrip force, and fat-free mass. At 24 months, SGRQ, cycle endurance time, and 6WMD remained significantly better in the intervention group and exacerbations remained not significantly different. The intervention was perceived as significantly more effective","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 4","pages":"Page 287"},"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)70013-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28522542","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}