{"title":"Evaluating the benefits of the MOVE mentoring programme to mentors and early career physiotherapists","authors":"Angela Cadogan, Margaret Potter","doi":"10.15619/nzjp.v51i3.373","DOIUrl":"https://doi.org/10.15619/nzjp.v51i3.373","url":null,"abstract":"The purpose of this study was to evaluate the benefits of a structured mentoring programme for new graduate physiotherapists, which included standardised mentor training. Thirty new graduate physiotherapists from Aotearoa New Zealand were matched with registered physiotherapist mentors located outside their workplace but working in the same clinical practice area. All mentors completed a standardised 3 hr mentor training. Four mentoring sessions were conducted by Zoom over 4 months. Mentees and mentors completed pre- and post-mentoring surveys and participated in post mentoring focus groups for review and elaboration of data. All participants reported benefits from the mentoring process. Most mentors had no previous mentor training and found the 3 hr programme valuable for improving their confidence and skills. Mentees reported improvements in confidence and motivation and highlighted the benefits of having a mentor outside the workplace to discuss potentially sensitive issues. The main challenges for mentees related to them taking the lead in the process due to feeling unsure what to bring to mentoring sessions so early in their career. This study highlighted both the benefits and challenges of structured mentoring for early career physiotherapists and mentors in Aotearoa New Zealand.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"264 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139223564","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":"The accuracy of coding for sports-related concussion in New Zealand: An observational study","authors":"Logan Poloai, M. Fulcher, D. Reid","doi":"10.15619/nzjp.v51i2.349","DOIUrl":"https://doi.org/10.15619/nzjp.v51i2.349","url":null,"abstract":"The aim of this study was to assess the accuracy of the Accident Compensation Corporation codes in a cohort of patients with sports-related concussion. Of particular interest were the codes registered by physiotherapists who may suspect sports-related concussion but are not permitted to diagnose it. Coding accuracy was assessed through review of Accident Compensation Corporation data, clinical notes, and referral letters for a cohort of patients seen in a New Zealand-based sports concussion clinic. Of 296 patients with a clinical diagnosis of sports-related concussion, 51.7% had a concussion-related code. General practitioners coded for concussion in 67.3% of cases for whom they submitted the Accident Compensation Corporation code, District Health Board health professionals (hospitalists) in 47.6%, and physiotherapists in 8.7%. A non-concussion-related code was used by physiotherapists in 87.5% of cases despite them suspecting sports-related concussion as per the study criteria. Use of the Accident Compensation Corporation codes to determine incidence and cost may substantially underestimate the true burden of sports-related concussion. There appears to be an opportunity to improve the accuracy of this coding. Engaging with physiotherapists and improving the process through which health providers are able to update codes are potential strategies.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45199755","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":"Gender disadvantage in physiotherapy","authors":"J. Cullen","doi":"10.15619/nzjp.v51i2.351","DOIUrl":"https://doi.org/10.15619/nzjp.v51i2.351","url":null,"abstract":"Gender inequality exists in healthcare, resulting in a gendered division of labour where women generally receive lower pay and status in the industry than male health professionals. This critical review will examine the state of gender disadvantage in health work and physiotherapy using feminist theories and exposing social norms and beliefs that allow these practices to be perpetuated. Gender disadvantage within the physiotherapy profession is explored, demonstrating gender disparity permeating through career lifespans from training to retirement, including, among others, differences in career specialisation, workplace violence, and unequal treatment of patients. Using historical references, the evolution of gender discrimination and disruption is reviewed. In understanding these factors, a pathway can be exposed to move towards gender equality within our profession.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43830141","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 developmental perspective of influences on the onset and early trajectory of chronic pain in children attending physiotherapy in primary health care settings: An integrative review","authors":"Amanda Meys, Margaret Jones","doi":"10.15619/nzjp.v51i2.352","DOIUrl":"https://doi.org/10.15619/nzjp.v51i2.352","url":null,"abstract":"Chronic pain in childhood leads to long-term social, emotional, physical, and financial impacts, with lifelong heightened pain sensitivities. The prevalence of chronic pain in children has increased over the past 20 years. Physiotherapy is often the place of initial intervention for a child in pain, and initial treatment is predictive of chronic pain and can predict outcomes. Children’s pain experiences and responses are thought to be more modifiable than those of adults; therefore, quality physiotherapy interventions have the potential to positively influence the onset and early trajectory of chronic pain. Using a childhood developmental lens, this integrative review aimed to draw together research literature about biopsychosocial factors influencing chronic pain onset and early trajectory in primary-school-aged children. The results of the review contribute novel understandings for physiotherapists in primary healthcare. A range of biopsychosocial concerns including age at onset and pain duration, neuro-biological aspects, psychological influences, parental impacts, sleep quality, trauma history, and stress interact with children’s learning and development. Taken together, these factors have potential to influence chronic pain onset and early trajectory in children. Adopting a holistic understanding of childhood development in the early management of childhood chronic pain would promote positive physiotherapy interventions and may avoid pathologising what is developmentally normal.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42446670","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":"Artificial intelligence and the future of clinical care","authors":"Mangor Pederson","doi":"10.15619/nzjp.v51i2.357","DOIUrl":"https://doi.org/10.15619/nzjp.v51i2.357","url":null,"abstract":"Guest editorial","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135064715","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":"Awareness, knowledge, and management of long COVID amongst a cohort of primary care-based physiotherapists in New Zealand","authors":"S. Rhodes, Ellen J. Waite","doi":"10.15619/nzjp.v51i2.288","DOIUrl":"https://doi.org/10.15619/nzjp.v51i2.288","url":null,"abstract":"Long COVID is an emerging condition predicted to have a high impact on the health system, with primary care often being the point of contact for people living with long COVID. However, there is currently very little known about primary care physiotherapists’ assessment and management of long COVID in New Zealand. An online survey was distributed to New Zealand based physiotherapists working in primary care via Physiotherapy New Zealand special interest group and branch networks, with the aim of exploring current knowledge and awareness of long COVID diagnosis, assessment, and management. Forty one responses were analysed and highlighted good recognition of long COVID symptoms and secondary effects. There was a limited degree of confidence in long COVID symptom management and a lack of consistency in assessment and management strategies currently being applied. Respondents perceived a lack of awareness by the public and other health professionals of the physiotherapist’s role in long COVID, possibly creating a barrier to patients with long COVID accessing services. In the absence of validated long COVID treatments, symptom management is of vital importance. There is a need to support primary care-based physiotherapists and ensure access to up-to-date, evidence informed information to provide best patient care.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42931299","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}
H. Marshall, Tyler Goodall, Deborah Callahan, A. Halim, Peter Olsen, M. Choukri, David Chen
{"title":"Volunter-led community-based exercise programme impact on health outcomes in patients with chronic pulmonary disease in New Zealand","authors":"H. Marshall, Tyler Goodall, Deborah Callahan, A. Halim, Peter Olsen, M. Choukri, David Chen","doi":"10.15619/nzjp.v51i2.354","DOIUrl":"https://doi.org/10.15619/nzjp.v51i2.354","url":null,"abstract":"Pulmonary rehabilitation improves the health of people with chronic obstructive pulmonary disease (COPD). Community-based maintenance programmes led by health professionals maintain these benefits; however, limited information is available on volunteer led community programmes. We investigated the impact of a post-rehabilitation volunteer-led programme on the health of people with COPD. Attendees (n = 19) and non-attendees (n = 24) completed questionnaires to assess anxiety and depression (Hospital Anxiety and Depression Scale), COPD symptoms (COPD Assessment Test), and health-related quality of life (EQ-5D-3L-3L); a sit-to-stand test, and oxygen saturation before and after the programme, and 1–2 years later at follow-up. In addition, both attendees andnon-attendees completed a social connectedness questionnaire and participated in a qualitative interview at follow-up. No significant differences (p > 0.05) were found at follow-up between attendees and non-attendees. Additionally, attendees’ depressive and COPD symptoms and all other health variables had returned to baseline (pre-rehabilitation) levels by follow-up. In contrast, qualitative analysis showed positive themes for attending the programme, with the most common benefit of engaging with others with COPD. Our findings suggest that the impact of COPD on health may be profound even in motivated and engaged people. Further research to develop optimal models for maintenance programmes would support effective practice in the community.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45883537","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}
Izel Gilfillan, Diphale J. Mothabeng, Annelie Van Heerden
{"title":"Feasibility of ballistic strength training to improve mobility of inpatients with traumatic brain injury","authors":"Izel Gilfillan, Diphale J. Mothabeng, Annelie Van Heerden","doi":"10.15619/nzjp.v51i2.355","DOIUrl":"https://doi.org/10.15619/nzjp.v51i2.355","url":null,"abstract":"The objective of this study was to investigate the feasibility of ballistic strength training (BST) to improve the mobility of individuals recovering from traumatic brain injury (TBI) in an inpatient rehabilitation centre. Participants had a maximum of eight usual physiotherapy sessions substituted with BST sessions. The feasibility of BST was assessed in terms of recruitment, attendance, adverse events (AEs), and participant acceptability of the intervention. The clinical aspects of feasibility were assessed by recording the ability of participants to complete the exercises and acquire skills. Secondary measures included the 10-metre walk test, the 6-minute walk test, and the Global Rating of Change scale. Fourteen of 22 eligible individuals with TBI in an inpatient rehabilitation centre consented to participate in the study, of whom two were excluded. No intervention-related AEs occurred. Participants attended 97% (71/73) of the total sessions. Participants positively accepted the intervention as rated on a visual analogue scale, M (SD) = 9.2 (0.9). All participants were able to complete the BST exercises. Participants significantly improved comfortable walking speed and walking capacity (p < 0.01). Participants perceived a meaningful change in walking ability. BST appears to be a promising rehabilitation method that may improve the walking outcomes of individuals with TBI in an inpatient rehabilitation setting. Larger-scale clinical trials are warranted.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135016283","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":"Conservatively treated distal radius fractures. Who is referred?","authors":"J. Buick","doi":"10.15619/nzjp.v51i2.350","DOIUrl":"https://doi.org/10.15619/nzjp.v51i2.350","url":null,"abstract":"This was a retrospective review of 394 patients with distal radius fractures referred to hand therapy from a fracture clinic service provided by a 24 hr acute medical care facility. Only those fractures treated conservatively with closed reduction and cast immobilisation were included. Age, gender, and the number of treatments received prior to discharge from hand therapy were identified, as well as whether patients received hand therapy treatment alone or if they were referred for specialist opinion. Men with conservatively managed distal radius fractures received significantly less treatment than women (rate ratio 0.67; 95% confidence interval [0.60–0.75]; p < 0.001) and there was a significant difference between the number of treatments received by those who were referred to a specialist and those who were not (p < 0.001). Both genders received an increasing number of treatments with age, with a peak in the number of treatments for patients aged 40–60 years, followed by decline. Global trends of an ageing population signal that the incidence of distal radius fracture will continue to increase. The findings of this study suggest relatively low rehabilitation timeframes and treatment numbers for uncomplicated, conservatively managed fractures. Results give some insight as to which patients are accessing rehabilitation post distal radius fracture but further research is warranted to understand the criteria that trigger referral to hand therapy and how best to provide equitable care for men.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45891378","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}
Sarah Walmsley, Darrell Chandley-Pascoe, Evelyn Collins, Jodie Marquez
{"title":"Prevalence and physiotherapist awareness of shoulder pain and/ or stiffness as an early symptom of Parkinson’s disease: An Australian perspective","authors":"Sarah Walmsley, Darrell Chandley-Pascoe, Evelyn Collins, Jodie Marquez","doi":"10.15619/nzjp/48.3.05","DOIUrl":"https://doi.org/10.15619/nzjp/48.3.05","url":null,"abstract":"Musculoskeletal pain is known to be an associated symptom of Parkinson’s disease (PD). However, there is limited literature that describes the likelihood of shoulder pain and/or stiffness as an early presentation of the disease. The aim of this study was to determine the prevalence of shoulder pain and/or stiffness as an initial symptom of PD and to gain an understanding of physiotherapy awareness of this early symptom. Two cross-sectional, purpose-designed surveys were undertaken. A postal survey was mailed to 189 patients with PD and an online survey was emailed to 336 physiotherapists. A response rate of 63% was obtained for PD patients and 23% for physiotherapists. Of the patients with PD, 13% reported onset of shoulder pain and/or stiffness within 5 years prior to diagnosis, with no reported past history of shoulder issues. Of these patients, 8% specifically reported shoulder symptoms as the initial manifestation of the disease. However, 74% of physiotherapists surveyed were unaware of the potential for the early presentation of this symptom. This study has reinforced the potential for shoulder pain and/or stiffness to be an early symptom of PD and has identified a key area for knowledge improvement for physiotherapists in order to reduce the potential of misdiagnosis and mismanagement of this symptom.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135572687","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}