Physiotherapy research international : the journal for researchers and clinicians in physical therapy最新文献

{"title":"Is physiotherapy ready for the management of COVID-19 in Africa? - Snippets of anecdotal evidences in two African countries.","authors":"Urvashy Gopaul, Shamila Manie, Seyi L Amosun","doi":"10.1002/pri.1847","DOIUrl":"https://doi.org/10.1002/pri.1847","url":null,"abstract":"By the time COVID-19 was officially declared as a pandemic by the WHO on the 11th March 2020, more than 114 countries were already infected (Anjorin, 2020; Sohrabi et al., 2020. In Africa, there has been a comparatively lower number of cases of COVID-19 across the continent. However, in the first week of April 2020, the Africa Centres for Disease Control and Prevention (Africa CDC) reported that there were 10,075 cases of COVID-19 amongst the 52 member states of the African Union (Nkengason, 2020). Though still under-reported, the two countries with the highest number of cases in each region of the continent were Algeria and Egypt (Northern), Cameroon and Democratic Republic of Congo (Central), Mauritius and Kenya (Eastern) Burkina Faso and Cote d'Ivoire (Western), and South Africa and Zambia (Southern). In addition, the wide spread of non-communicable diseases in Africa, such as chronic obstructive pulmonary disease (COPD), heart disease, hypertension and diabetes are known risk factors for severe cases of COVID-19 (Guan et al., 2020). This is a major concern for Africa as there are 19 million adults aged between 20 and 79 years, with 60% of the population with undiagnosed diabetes (International Diabetes Federation, 2019). The spread of COVID-19 in the African continent is therefore of great concern (Nkengason & Mankoula, 2020). Acute respiratory distress syndrome (ARDS) is a common and often lethal clinical syndrome in CORVID-19 with a complex underlying pathophysiology (Hart & Black, 2019). Physiotherapy intervention in the Intensive Care Unit (ICU) was associated with saving lives (Chung & Mueller, 2011) and decreasing mortality (Munshi et al., 2017). The WCPT has developed guidelines for the physiotherapy management of COVID-19 in acute hospital settings (Thomas et al., 2020), and these inform the protocols developed in member countries (Lazzeri et al., 2020). There are currently no local guidelines or recommendations on the provision of physiotherapy management for patients with COVID-19 in Mauritius, South Africa and other African countries. Therefore, the aim of this commentary is to report on the preparedness of physiotherapy in the clinical management of COVID-19 in Africa, using updates from Mauritius and South Africa. This commentary also aims to advocate for the potential role of physiotherapy in the management of infected patients in Africa. 2 | COVID-19 IN MAURITIUS AND SOUTH AFRICA","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1847"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1847","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37947265","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":"Movement quality evaluation and its correlation with recommended functional measures in hip osteoarthritis.","authors":"Aarid Liland Olsen,&nbsp;Liv Heide Magnussen,&nbsp;Liv Helvik Skjaerven,&nbsp;Jörg Assmus,&nbsp;Mary-Anne Sundal,&nbsp;Raymond Ostelo,&nbsp;Liv Inger Strand","doi":"10.1002/pri.1848","DOIUrl":"https://doi.org/10.1002/pri.1848","url":null,"abstract":"<p><strong>Objective: </strong>Hip osteoarthritis may cause compensational movement strategies that require extra physical and mental effort. Such aberrant functioning can be captured in movement quality evaluation. The objective of this study was to explore whether movement quality, evaluated as a multiperspective phenomenon, is reflected in commonly used and recommended functional measures in this group of patients.</p><p><strong>Methods: </strong>A cross-sectional study design was used. Baseline included 80 female and 21 male participants with hip osteoarthritis. Movement quality was evaluated by the Body Awareness Rating Scale-Movement Quality and Experience (BARS-MQE), part one, including 12 movement items. Correlation analyses (Pearson and Spearman) were performed to explore associations between BARS-MQE (sum score and single item scores), and scores on measures of physical capacity (Chair test, Stairs test, 6 minutes walking test; 6MWT), self-reported activity level (UCLA), function (HOOS subscales), pain during walking (NRS), self-efficacy (ASES) and health (EQ-5D-5L). Based on previous evidence, we hypothesized moderate associations between BARS-MQE and these measures.</p><p><strong>Results: </strong>BARS-MQE's sum score showed moderate associations with Stairs test, 6MWT and UCLA (r = -0.425 to 0.304) and weak associations (r = 0.29 to 0.12) with ASES Pain and Symptoms, HOOS ADL, Chair test, NRS, HOOS Pain and Sports, and EQ-5D-5L. No association was found between BARS-MQE and HOOS Symptoms and Quality of life. Movement quality in item 12, walking, demonstrated moderate or weak association with all included measures.</p><p><strong>Conclusion: </strong>In this study of participants diagnosed with hip osteoarthritis, movement quality evaluated by BARS-MQE was moderately reflected in measures of physical capacity and activity, but weakly reflected in self-reported measures of health problems. With its particular dynamic procedure and inclusion of the whole moving person, movement quality evaluation by the BARS-MQE was shown to provide supplementary information on functioning, scarcely captured by the commonly used and recommended measures.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1848"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1848","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37972071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimal detectable change and reliability of the star excursion balance test in patients with lateral ankle sprain.","authors":"Andrés Pierobon,&nbsp;Ignacio Raguzzi,&nbsp;Santiago Soliño,&nbsp;Sandra Salzberg,&nbsp;Tomás Vuoto,&nbsp;Daniela Gilgado,&nbsp;Eliana Perez Calvo","doi":"10.1002/pri.1850","DOIUrl":"https://doi.org/10.1002/pri.1850","url":null,"abstract":"<p><strong>Objective: </strong>Lateral ankle sprain (LAS) is one of the most prevalent musculoskeletal injuries in the general population and athletes. Dynamic postural control deficits and somatosensory alterations are common signs after an episode of LAS. It is important to detect these deficits to prevent a recurrent sprain and the development of chronic ankle instability. The Star Excursion Balance Test (SEBT) is a tool used to assess dynamic postural control in patients with LAS. SEBT test-retest reliability has been evaluated in several populations. However, no data on patients with LAS are available and we do not know the minimal detectable change (MDC). The primary objective of our study was to obtain the MDC for normalized reach distances of the eight SEBT directions in patients with LAS. The secondary objective was to determine test-retest reliability.</p><p><strong>Methods: </strong>Cross-sectional study. Thirty-one patients (between 18 and 40 years old) diagnosed with a Grade I or II LAS. Participants were evaluated by two raters at two time-points separated by an interval of 24-72 hrs. In each assessment, four practice trials were allowed, then three test trials were performed in a randomized order. Normalized reaching distances were analyzed.</p><p><strong>Results: </strong>From the initial 31 patients, two were eliminated, so 29 patients were considered for the final analysis. The MDC values obtained were 6.73-13.36%, and the medial and posteromedial directions showed the lowest and highest values, respectively. A statistically significant increase was found in lateral direction between T0 and T1. Intraclass correlation coefficients ranged from 0.72 to 0.93.</p><p><strong>Conclusion: </strong>The SEBT is an accurate and reliable tool to assess dynamic postural control in patients with LAS.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1850"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1850","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37980259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Activity and participation in stroke survivors in a low-income setting: A cross-sectional study.","authors":"Claudel Mwaka-Rutare,&nbsp;Kadija Perreault,&nbsp;Pamphyle Abedi-Mukutenga,&nbsp;Willy Masuga-Musafiri,&nbsp;Charles Sèbiyo Batcho","doi":"10.1002/pri.1846","DOIUrl":"https://doi.org/10.1002/pri.1846","url":null,"abstract":"<p><strong>Objectives: </strong>To describe patients' activity and participation levels and to compare these levels across different groups of stroke survivors according to their walking speed (WS).</p><p><strong>Methods: </strong>In this cross-sectional study, 67 stroke survivors (43 men, mean age: 58.4 ± 12.9 years old) were assessed using the stroke impairment assessment set (SIAS), ACTIVLIM-Stroke, 10-m walk test (10MWT), 6-min walk test (6MWT) and Reintegration to Normal Living Index (RNLI). The sample was afterwards split into three WS sub-groups (<0.4 m/s, 0.4-0.8 m/s and >0.8 m/s) based on 10MWT scores.</p><p><strong>Results: </strong>ACTIVLIM-Stroke, 10MWT and 6MWT mean scores (±SD) were, respectively, 69.4 ± 20.2%, 0.9 ± 0.6 m/s and 282.1 ± 182 m. RNLI median score (range) was 5 (0-20). Sub-group analyses indicated that 26.9% (n = 18) obtained WS < 0.4 m/s, 13.4% (n = 9) WS between 0.4 and 0.8 m/s, and 59.7% (n = 40) WS > 0.8 m/s. Significant differences (p < .001) were found between WS sub-groups for both activity and participation.</p><p><strong>Conclusion: </strong>Stroke survivors in Kinshasa presented a good performance for basic-activities of daily life (basic-ADLs). However, some of them still had difficulties with some community activities. Differences in WS seemed to discriminate well stroke survivors in terms of activity and participation, since the higher WS, the more they performed in basic-ADLs, walking distance and participation, and inversely.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1846"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1846","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37853338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fear-avoidance beliefs: A predictor for postpartum lumbopelvic pain.","authors":"Mia Fernando,&nbsp;Lena Nilsson-Wikmar,&nbsp;Christina B Olsson","doi":"10.1002/pri.1861","DOIUrl":"https://doi.org/10.1002/pri.1861","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate potential prognostic factors of self-reported lumbopelvic pain 6 months postpartum for pregnant women with and without lumbopelvic pain.</p><p><strong>Methods: </strong>Questionnaires were answered at gestational weeks 34-37 and again at 6 months postpartum. Psychosocial determinants and lumbopelvic pain symptoms were investigated using a visual analogue scale to assess pain intensity, and further using the Disability Rating Index, the Nottingham Health Profile, the Pain Catastrophizing Scale and the Fear-Avoidance Beliefs Questionnaire. Logistic regression analysis was used to analyse the data.</p><p><strong>Results: </strong>Of the 260 women who answered the questionnaires on both occasions, 186 did not suffer from lumbopelvic pain 6 months after pregnancy. The remaining 74 did. The results of the logistic regression analysis showed that fear-avoidance beliefs was a significant predictor of lumbopelvic pain 6 months postpartum, with an odds ratio of 1.060 (p ≤ .05).</p><p><strong>Conclusion: </strong>Women with high fear-avoidance beliefs at 34-37 weeks of gestation had a higher risk of having lumbopelvic pain at 6 months postpartum. We theorize that early lumbopelvic pain intervention postpartum may be important in avoiding chronicity. Women at risk can be identified through clinically relevant questions which may help the clinician to choose appropriate rehabilitation strategies.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1861"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38070298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do patients with low back pain remember physiotherapists' advice? A mixed-methods study on patient-therapist communication.","authors":"Georg Supp,&nbsp;Wolfgang Schoch,&nbsp;Manfred W Baumstark,&nbsp;Stephen May","doi":"10.1002/pri.1868","DOIUrl":"https://doi.org/10.1002/pri.1868","url":null,"abstract":"<p><strong>Objectives: </strong>The primary aim of this study was to determine if the advice physiotherapists think they provide to patients with low back pain (LBP) is what the patients remember and take away from the clinical encounter. The secondary aim was to determine which factors may influence the retention of this advice.</p><p><strong>Methods: </strong>The first component of the study used questionnaires completed by patients and therapists after the initial visit. Related questionnaires of patients and therapists were screened for inconsistencies. The second component of the study involved semi-structured interviews.</p><p><strong>Results: </strong>Ninety pairs of questionnaires were completed. Therapists provided patients with one (N = 90), two (N = 85) or three (N = 51) items of advice regarding the management of their LBP. All patients remembered the first item of advice, 92% remembered a second, and 67% remembered the third piece of advice. All items of advice were deemed either 'relevant' or 'very relevant' by 97% of the patients. After the analysis of 14 interviews, data saturation was reached. Four themes emerged from the data analysis of the interviews: (a) Evaluation type, (b) Exercise factors, (c) Patient concerns about their diagnosis, and (d) Patient expectations.</p><p><strong>Discussion: </strong>In most cases, patients remembered what therapists told them and considered that the advice provided was relevant. Based on the qualitative data, patients were more likely to remember what therapists said when: (a) shared decision making was used during the initial encounter, (b) prescribed exercises were simple to perform and few in number, (c) patients' concerns about their diagnosis were addressed, and (d) patients' expectations were identified and addressed.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1868"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1868","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38257494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A description of the primary studies of diagnostic test accuracy indexed on the DiTA database.","authors":"Mark A Kaizik,&nbsp;Mark J Hancock,&nbsp;Robert D Herbert","doi":"10.1002/pri.1871","DOIUrl":"https://doi.org/10.1002/pri.1871","url":null,"abstract":"<p><strong>Background and purpose: </strong>PEDro (the Physiotherapy Evidence Database) is a widely used, comprehensive, freely available, online database that indexes studies of the effectiveness of physiotherapy interventions. We have recently built another database, called DiTA, on the same platform as PEDro. DiTA provides a comprehensive index of studies of the accuracy of diagnostic tests used by physiotherapists. This study aims to describe the number and scope of such studies.</p><p><strong>Methods: </strong>A comprehensive search was conducted for studies of the accuracy of diagnostic tests. The search was conducted on the MEDLINE, EMBASE and CINAHL databases from their inceptions to November 2018. Subsequently, monthly searches have updated the database. To be included on DiTA, studies need to investigate (a) both a pathology and patients that a physiotherapist could assess in clinical practice, and (b) an index test that a physiotherapist would perform themselves rather than one which they would request.</p><p><strong>Results: </strong>To date, the searches have yielded 44,884 titles. Screening has identified 1,419 reports that meet the inclusion criteria. The most frequently studied subdisciplines are \"musculoskeletal\" (1,050/1,419; 74.0%) and \"cardiothoracics\" (241; 17.0%); the most frequently studied categories of pathologies are joint pathologies (463; 32.6%) and nervous system pathologies (175; 12.3%); and the most frequently studied body part is the \"lower leg or knee\" (232; 16.3%). Most studies investigate index tests which are \"physical examination\" procedures (851; 60.0%); fewer investigate \"questions or questionnaires\" (420; 29.6%) and \"health technologies\" (351; 24.7%).</p><p><strong>Discussion: </strong>There is a rapidly growing body of evidence on the accuracy of diagnostic tests relevant to most physiotherapy subdisciplines. While the volume of evidence is substantial, it is not yet clear how much of the evidence is of good enough quality to support clinical decision-making.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1871"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1871","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38367994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Progressive resistance exercise for improving pain and disability in chronic neck pain: A case series.","authors":"Laura G W Cox,&nbsp;Karina T Savur,&nbsp;Robert J De Nardis,&nbsp;Ross A Iles","doi":"10.1002/pri.1863","DOIUrl":"https://doi.org/10.1002/pri.1863","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic neck pain is known to be associated with neck muscle weakness. However, many strengthening programs do not target multi-directional weakness in a functional position. Specialised assessment and treatment technology that is able to strengthen the neck muscles in an upright position may be used to achieve this. There is little research available on the efficacy of neck-specific progressive resistance exercise interventions in patients with chronic neck pain; therefore, this study aimed to determine whether this style of program led to a change in pain and disability, and to investigate the relationship between neck strength, pain and disability.</p><p><strong>Methods: </strong>Secondary analysis of participants with chronic neck pain who completed a minimum of nine sessions of a neck-specific progressive resistance program at a physiotherapy clinic between the years of 2002 and 2018. Outcomes were the Neck Disability Index (NDI), Numerical Rating Scale of Pain (NRS) and multi-directional neck strength (flexion, extension and lateral flexion - pounds). Data were analysed through paired samples t-tests and backwards stepwise multiple linear regression models.</p><p><strong>Results: </strong>A total of 127 participants were eligible for inclusion. All neck strength measures, NDI scores and NRS scores showed significant improvements after the nine sessions (all p < .0001). Significant predictors of NDI were symptom duration (β = -0.023, p = .009) and NRS score (β = 4.879, p < .000). Significant predictors of NRS were symptom duration (β = 0.004, p = .005), NDI score (β = 0.105, p < .000), extension strength (β = -0.950, p = .012) and gender (β = 0.777 [male =1, female = 0], p = .029).</p><p><strong>Conclusion: </strong>This study showed that a neck-specific progressive resistance exercise intervention led to significant improvement in neck strength, pain and disability in a clinical population. However, caution should be taken when interpreting results due to a lack of comparison group and the variation in treatment given and, therefore, further higher-quality research should be undertaken to confirm these findings.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1863"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38139934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of horse riding simulator on sitting motor function in children with spastic cerebral palsy.","authors":"Hemachithra Chinniah,&nbsp;Meena Natarajan,&nbsp;Ramanathan Ramanathan,&nbsp;John William Felix Ambrose","doi":"10.1002/pri.1870","DOIUrl":"https://doi.org/10.1002/pri.1870","url":null,"abstract":"<p><strong>Background: </strong>Horse riding simulator (HRS) is an electronic horse, working under the principles of hippotherapy. It is one of the advanced therapeutic methods to improve postural control and balance in sitting, which could be recommended in the rehabilitation of cerebral palsy if real horses are unavailable.</p><p><strong>Objective: </strong>To investigate the therapeutic effects of HRS on sitting motor function in children with spastic diplegia and evaluate the changes in sitting motor function at different periods of time (4, 8 and 12 weeks).</p><p><strong>Methods: </strong>This study is a randomized controlled trial conducted over a period of 12 weeks. Thirty children with spastic diplegia age between 2 and 4 years with Gross Motor Function Classification System (GMFCS) Level I-III were included and divided into two groups. The control group received the conventional physiotherapy while the experimental group received HRS along with conventional physiotherapy. Sitting motor function was assessed by Gross Motor Function Measure (GMFM)-88 (sitting dimension B) at baseline, 4, 8 and 12 weeks. Pre- and post-intervention scores were measured and analysed.</p><p><strong>Results: </strong>The baseline characteristics were similar in both groups before the intervention with p > .01. The observed mean value of GMFM in both groups improved over a period of 12 weeks. The results denote that the sitting motor function gradually improved over a period of time in both groups and the experimental group showed significant improvement (p < .01) than the control group in all the weeks.</p><p><strong>Conclusion: </strong>The study results confirmed that gradual improvement in sitting motor function was observed in both groups. Children exposed to HRS show better improvement than the children in the control group. It was concluded that HRS is effective in improving the sitting motor function in children with spastic diplegia and the continuous provision of HRS in longer duration provide more benefits than the shorter duration.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1870"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1870","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38274227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' narratives of patient education in physiotherapy after total hip arthroplasty.","authors":"Anna-Maija Jäppinen,&nbsp;Minna Muñoz,&nbsp;Tarja Kettunen,&nbsp;Arja Piirainen","doi":"10.1002/pri.1862","DOIUrl":"https://doi.org/10.1002/pri.1862","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to explore patients' narratives of patient education in physiotherapy after a total hip arthroplasty (THA).</p><p><strong>Method: </strong>The data was collected via open thematic interviews from ten patients who had had a primary THA. The interviews were analysed using a qualitative, narrative method.</p><p><strong>Results: </strong>Three story models of patient education in physiotherapy were identified: Supportive patient education in physiotherapy, Co-operative patient education in physiotherapy and Contradictory patient education in physiotherapy. The emphasis of narration in the first story model was on the trust in the guidance, functioning interaction in the second and insufficient patient education in physiotherapy in the third story model.</p><p><strong>Discussion: </strong>According to the results of this study, patients with THA experience functioning interaction and trust in the patient education in physiotherapy as enhancing the rehabilitation process. Conversely insufficient patient education about exercising and follow-up physiotherapy made the patients feel insecure and according to them might have slowed down the rehabilitation process. These findings can be utilized in planning and improving patient education in physiotherapy after THA.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1862"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1862","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38079545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}