Aline Scianni, Jane Butler, Louise Ada, Luci Texeira-Salmela
{"title":"Results present a challenge for clinicians and researchers","authors":"Aline Scianni, Jane Butler, Louise Ada, Luci Texeira-Salmela","doi":"10.1016/S0004-9514(09)70097-2","DOIUrl":"10.1016/S0004-9514(09)70097-2","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Page 223"},"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)70097-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114791712","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}
Benedict M. Wand, Rebecca Hunter, Neil E. O’Connell, Louise Marston
{"title":"The conclusion was drawn from the data","authors":"Benedict M. Wand, Rebecca Hunter, Neil E. O’Connell, Louise Marston","doi":"10.1016/S0004-9514(09)70094-7","DOIUrl":"10.1016/S0004-9514(09)70094-7","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 3","pages":"Page 221"},"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)70094-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128932787","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":"Females with patellofemoral pain syndrome have weak hip muscles: a systematic review","authors":"Maarten R. Prins, Peter van der Wurff","doi":"10.1016/S0004-9514(09)70055-8","DOIUrl":"10.1016/S0004-9514(09)70055-8","url":null,"abstract":"<div><h3>Question</h3><p>Do females with patellofemoral pain syndrome have decreased hip muscle strength compared with the unaffected side and with healthy controls?</p></div><div><h3>Design</h3><p>A systematic review of observational studies published up to January 2008.</p></div><div><h3>Participants</h3><p>Females with patellofemoral pain syndrome and healthy controls.</p></div><div><h3>Outcome measures</h3><p>Strength for at least one hip muscle group had to be included in the study. Hip muscle strength was recorded as force or torque.</p></div><div><h3>Results</h3><p>Five cross-sectional studies with a mean Newcastle-Ottawa Assessment Scale score of 6 out of 9 met the inclusion criteria. Strong evidence was found for a deficit in hip external rotation, abduction and extension strength, moderate evidence for a deficit in hip flexion and internal rotation strength, and no evidence for a deficit in hip adduction strength compared with healthy controls. Moderate evidence was found for a decrease in hip external rotation and abduction strength but no evidence for a decrease in hip extension, flexion, adduction and internal rotation strength compared with the unaffected side.</p></div><div><h3>Conclusion</h3><p>Females with patellofemoral pain syndrome demonstrate a decrease in abduction, external rotation and extension strength of the affected side compared with healthy controls.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Pages 9-15"},"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)70055-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993062","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":"Primary care physiotherapy in the Emergency Department","authors":"Cathy Nall","doi":"10.1016/S0004-9514(09)70072-8","DOIUrl":"10.1016/S0004-9514(09)70072-8","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Page 70"},"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)70072-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993074","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":"Sexual boundaries between physiotherapists and patients","authors":"Patrick Maher","doi":"10.1016/S0004-9514(09)70073-X","DOIUrl":"10.1016/S0004-9514(09)70073-X","url":null,"abstract":"","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Page 71"},"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)70073-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993075","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}
Chung-Wei Christine Lin , Anne M. Moseley , Robert D. Herbert , Kathryn M. Refshauge
{"title":"Pain and dorsiflexion range of motion predict short- and medium-term activity limitation in people receiving physiotherapy intervention after ankle fracture: an observational study","authors":"Chung-Wei Christine Lin , Anne M. Moseley , Robert D. Herbert , Kathryn M. Refshauge","doi":"10.1016/S0004-9514(09)70058-3","DOIUrl":"10.1016/S0004-9514(09)70058-3","url":null,"abstract":"<div><h3>Question</h3><p>What predicts short- and medium-term activity limitation in people after ankle fracture?</p></div><div><h3>Design</h3><p>Inception cohort observational study.</p></div><div><h3>Participants</h3><p>Adults with ankle fracture recruited within days following cast removal from physiotherapy departments of teaching hospitals in Sydney, Australia.</p></div><div><h3>Outcome measures</h3><p>The predictive value of variables that were injury-related (fracture management, fracture severity, angle of the ankle during cast immobilisation, and time from cast removal to baseline) and performance-related (activity limitation, pain, mobility, and dorsiflexion range of motion measured soon after cast removal) were examined in one dataset (n = 150) using univariate linear regression. Significant variables (<em>p</em> ≤ 0.20) were further examined with a multivariate linear model. A clinical prediction rule was derived then validated using data from an independent dataset (n = 94).</p></div><div><h3>Results</h3><p>Fracture management, fracture severity, baseline activity limitation, pain, mobility, and dorsiflexion had significant but weak univariate associations with activity limitation. Only pain and dorsiflexion range of motion contributed independently to the clinical prediction rule. When applied to the validation data, the rule explained 12% of the short-term and 9% of the medium-term variance in activity limitation.</p></div><div><h3>Conclusion</h3><p>Performance-related variables were stronger predictors than injury-related variables. A clinical prediction rule consisting of pain and dorsiflexion range of motion explained a small amount of the variance in short- and medium-term activity limitation, suggesting that it may be appropriate to identify people with high levels of pain and restricted dorsiflexion after ankle fracture and target intervention accordingly.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Pages 31-37"},"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)70058-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28213294","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":"Airway clearance physiotherapy improves quality of life in people with bronchiectasis","authors":"Ruth Dentice","doi":"10.1016/S0004-9514(09)70011-X","DOIUrl":"10.1016/S0004-9514(09)70011-X","url":null,"abstract":"<div><h3>Question</h3><p>Does regular airway clearance using an oscillating positive expiratory pressure (PEP) device improve quality of life, sputum volume, respiratory function, and exercise capacity in people with bronchiectasis?</p></div><div><h3>Design</h3><p>Randomised, crossover, controlled trial with 3-month intervention periods separated by a 1-month washout period.</p></div><div><h3>Setting</h3><p>Acute teaching hospital in Scotland.</p></div><div><h3>Participants</h3><p>20 adults with radiologically diagnosed bronchiectasis and chronic sputum expectoration, who were not performing regular physiotherapy for airway clearance. Smoking, asthma, emphysema, and cystic fibrosis were exclusion criteria.</p></div><div><h3>Interventions</h3><p>While in the intervention arm, participants performed 20–30 minutes of airway clearance twice daily. Each session consisted of three cycles of 10 breaths through an oscillating positive expiratory pressure (PEP) device called the Acapella, followed by the forced expiratory technique and coughing. Each participant's technique was reviewed by a physiotherapist monthly during the intervention arm. During the control arm, the device was retained by the investigators and participants performed no physiotherapy for airway clearance. Throughout the study, both groups received all other standard management including antibiotics when exacerbation criteria were met. Any changes to the participants’ usual medication regimen were noted.</p></div><div><h3>Outcome measures</h3><p>The primary outcome was the Leicester Cough Questionnaire (LCQ) – a 19-point, patient-reported measure of the impact of cough severity on quality of life with three domains (physical, psychological, and social). Secondary outcomes included the St George's Respiratory Questionnaire (SGRQ), 24-hour sputum volume, lung function, maximum respiratory pressures, and the incremental shuttle walk test, measured at the end of each intervention arm.</p></div><div><h3>Results</h3><p>All participants completed the study with no adverse events during airway clearance. During the 3-month intervention period, the total LCQ score showed significantly greater improvement than during the control period: difference in medians for total LCQ score 1.3 points, <em>p</em> = 0.002. Each of the three domains within the LCQ also showed significant benefits. Other outcomes that showed significantly greater improvements due to the airway clearance intervention were the SGRQ (difference in medians 8.5 points, <em>p</em> = 0.005), 24-hr sputum volume (difference in medians 3 ml, <em>p</em> = 0.02), and the incremental shuttle walk distance (difference in medians 40 m, <em>p</em> = 0.001). The groups did not differ significantly on the remaining secondary outcomes.</p></div><div><h3>Conclusion</h3><p>Regular airway clearance with oscillating PEP improves diseaserelated quality of life and exercise capacity in people with bronchiectasis.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 4","pages":"Page 285"},"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)70011-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28522540","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}
Petra von Heideken Wågert, Yngve Gustafson, Lillemor Lundin-Olsson
{"title":"Large variations in walking, standing up from a chair, and balance in women and men over 85 years: an observational study","authors":"Petra von Heideken Wågert, Yngve Gustafson, Lillemor Lundin-Olsson","doi":"10.1016/S0004-9514(09)70059-5","DOIUrl":"10.1016/S0004-9514(09)70059-5","url":null,"abstract":"<div><h3>Questions</h3><p>What is the physical ability of very old people? Is physical ability affected by age or sex? Is it affected by type of housing, level of independence in activities of daily living, cognition, or nutrition?</p></div><div><h3>Design</h3><p>A population-based cross-sectional observational study.</p></div><div><h3>Participants</h3><p>Half the 85-year-old population, and the total population aged 90 and ≥ 95 (range 95–103) in Umeå, Sweden who were measured in the Umeå 85+ Study (n = 238).</p></div><div><h3>Outcome measures</h3><p>Usual and fastest gait speed (m/s) over 2.4 metres, three consecutive chair stands (s), the Berg Balance Scale, and ability to perform the measures (yes/no).</p></div><div><h3>Results</h3><p>The median (10<sup>th</sup> to 90<sup>th</sup> percentile) usual gait speed was 0.49 m/s (0.23–0.75), time to perform the chair stands test was 12.6 seconds (8.5–20.2), and the Berg Balance Scale score was 45 (0–54). Men had greater physical ability than women. An age-related decline in physical ability was seen in women, but not in men. The Berg Balance Scale showed no floor or ceiling effects, but gait speed and chair stands resulted in a floor effect, especially for women.</p></div><div><h3>Conclusion</h3><p>There were large variations in physical ability in these very old people. These data provide valuable reference values of physical ability in the oldest age groups for commonly-used clinical measures.</p></div>","PeriodicalId":50086,"journal":{"name":"Australian Journal of Physiotherapy","volume":"55 1","pages":"Pages 39-45"},"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)70059-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27993065","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}
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