Physiotherapy Canada最新文献

{"title":"An Algorithm, Integrating a Short Form of the Functional Autonomy Measurement System, to Predict Discharge Destination After Acute Care Post-Stroke","authors":"Hélène Corriveau, Carol L. Richards, L. Trottier, Gina Bravo","doi":"10.3138/ptc-2023-0102","DOIUrl":"https://doi.org/10.3138/ptc-2023-0102","url":null,"abstract":"This study develops a short form of the Functional Autonomy Measurement System (SMAF), the SF-SMAF, for measuring functional capacity in patients undergoing acute care post-stroke, identifies predictors of the discharge destination chosen by the care team, and derives an algorithm that integrates the SF-SMAF and other predictors to guide discharge planning. This multisite prospective cohort study involved 200 patients assessed with the SMAF within 8 days post-stroke. Sociodemographic and clinical data were extracted from patients’ medical records. We performed linear regressions to identify subsets of SMAF items that closely approximate the SMAF total score and asked a panel of experts to make the final selection. We used logistic regression to develop an algorithm that predicts discharge destinations using the SF-SMAF and other predictors. The SF-SMAF includes four items: “washing”, “walking inside”, “judgment”, and “budgeting”. It is highly correlated with the SMAF ( R2 = 0.94) and, alone, predicts 71% of discharge destinations. Adding obstacles to returning home, support required from caregivers, and the ability to communicate, raises the prediction of the proposed algorithm to 82%. The SF-SMAF results closely approximate those of the SMAF in the first week post-stroke. Following further validation, the proposed algorithm could guide clinicians in using the SF-SMAF for discharge planning.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapist and Patient Experiences of Team-Based Interprofessional Collaboration during the COVID-19 Pandemic in Canada","authors":"I. Ndateba, Sabrina T Wong, J. Esculier, Alison J Gibbs, Stephanie Gourd, Alison M. Hoens, Allison M Ezzat","doi":"10.3138/ptc-2023-0045","DOIUrl":"https://doi.org/10.3138/ptc-2023-0045","url":null,"abstract":"To examine the perspectives of physiotherapists and physiotherapy patients regarding team-based interprofessional collaboration during the COVID-19 pandemic in Canada. This mixed methods study combined online surveys (physiotherapists, patients) and qualitative semi-structured interviews (patients). Descriptive statistics and thematic analysis summarized the quantitative and qualitative data before final data integration. Physiotherapists (n = 334) and patients (n = 784) participated in the surveys, while 19 patients were interviewed. Less than half (48%) of physiotherapists reported delivering care as part of multidisciplinary teams and 38% of these individuals reported that the pandemic decreased their ability to deliver team-based, interprofessional care. Physiotherapists found that team-based care was negatively impacted by communication challenges, poor care coordination, and patients lacking access to other health professionals. While over one-third (38%) of patients reported poor care coordination between health professionals, qualitatively many patients reported that these challenges were similar pre-pandemic. They also experienced increased communication challenges and emphasized poor access to general practitioners and specialists. Both groups saw future opportunities for increased use of virtual care to improve team-based health care delivery. Physiotherapists and patients had varied experiences with aspects of team-based care during the pandemic that included challenges with communication, care coordination, and ability to access health professionals. Improved training and implementation of virtual care may enhance interprofessional collaboration and improve patient care in the future.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141361645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Axillary Web Syndrome in Newly Diagnosed Individuals after Surgery for Breast Cancer: Baseline Results from the AMBER Cohort Study","authors":"Margaret L McNeely, K. S. Courneya, Mona M. Al Onazi, Qinggang Wang, Stephanie Bernard, Leanne Dickau, Jeff K. Vallance, S. Culos-Reed, Charles E Matthews, Lin Yang, C. Friedenreich","doi":"10.3138/ptc-2023-0088","DOIUrl":"https://doi.org/10.3138/ptc-2023-0088","url":null,"abstract":"To examine potential associations between post-surgical axillary web syndrome (AWS) and demographic, medical, surgical, and health-related fitness variables in newly diagnosed individuals with breast cancer. Participants were recruited between 2012 and 2019. Objective measures of health-related fitness, body composition, shoulder range of motion (ROM) and function, and AWS were performed within 3 months of breast cancer surgery. AWS was identified in 243 (17.3%) participants and was associated with poorer shoulder ROM and function, and higher pain compared with women without AWS. Multivariable logistic regression analysis identified axillary lymph node dissection versus sentinel lymph node biopsy [OR = 3.97; 95% CI: 2.62, 6.03], mastectomy versus breast-conserving surgery [OR = 1.60, 95% CI: 1.17, 2.19], lower versus higher total percentage body fat [OR = 1.60; 95% CI: 1.10, 2.34], and earlier versus later time from surgery [OR: 1.56; 95% CI: 1.10, 2.23] as significantly associated with a higher odds of AWS. Higher cardiorespiratory fitness [OR =1.04; 95% CI: 1.01, 1.08] and university or higher education [OR = 1.47; 95% CI: 1.1, 2.00] were also associated with higher odds of presenting with AWS. Findings highlight the need for increased awareness of AWS to facilitate early detection and physiotherapy intervention in the early post-surgical period.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141376702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying the Degree of Fatigue in People Reporting Symptoms of Post-COVID Syndrome: Results from a Rasch Analysis","authors":"Nancy Mayo, M. Brouillette, Lesley K Fellows, Stanley Hum","doi":"10.3138/ptc-2023-0093","DOIUrl":"https://doi.org/10.3138/ptc-2023-0093","url":null,"abstract":"Fatigue is a defining feature of post-COVID syndrome (PCS), yet there is no accepted measure of this life-altering consequence. The aim here was to create a measure fit for the purposes of quantifying the severity of PCS fatigue and provide initial evidence for its relationships with measures of converging constructs. A cross-sectional analysis of the first 414 participants in the Quebec Action for Post-COVID cohort study who self-identified with PCS was undertaken. In total, 17 items were available, including items commonly used in fatigue studies and to identify post-exertional malaise (PEM). Rasch analysis identified that 10 of the 17 items fit a unidimensional linear model with a theoretical range from 0 to 21 (none to highest fatigue). The PCS Fatigue Severity Measure V1 (mean: 13.8; SD: 4.7) correlated highly with criterion measures of fatigue (r ≈│0.8│). Correlations with converging constructs of pain, physical function, and health rating exceeded │0.5│. PCS Fatigue Severity Measure V1 was distinguished between people working versus those on sick leave (difference: 5.1 points; effect size: 1.08). Effect sizes for people with and without irritability or meeting criteria for post-traumatic distress were approximately equal to 0.5. There is sufficient evidence that this measure is fit for purpose for quantifying fatigue in this population at one point in time. Further evidence in other samples is required to verify content and performance over time.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141379965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on Schertzer et al.¹.","authors":"Prashna Singh","doi":"10.3138/ptc-2021-0135-cc","DOIUrl":"10.3138/ptc-2021-0135-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difference in Physiotherapy Students' Training and Objective Structured Clinical Exam Performance Before and During COVID-19.","authors":"Gregory F Spadoni, Sarah Wojkowski, Paul W Stratford","doi":"10.3138/ptc-2022-0027","DOIUrl":"10.3138/ptc-2022-0027","url":null,"abstract":"<p><strong>Purpose: </strong>The Objective Structured Clinical Examination (OSCE) and station examinations, in general, have been widely utilized in health professional programmes to evaluate students' clinical performance prior to advancing to a clinical placement. The COVID-19 pandemic impacted student preparation and implementation of our programme's OSCEs. The impact on changes in student OSCE performance due COVID-19 has not been well studied. This non-concurrent cohort study evaluated the difference before and during COVID-19 pandemic on Year 1 physiotherapy students' performances on an in-person OSCE by estimating the mean difference in cohort OSCE scores and safety occurrences.</p><p><strong>Methods: </strong>Two cohorts of MSc (PT) students were compared: Cohort A (not impacted by COVID-19) and Cohort B (impacted by COVID-19). Cohort scores were summarized as means and 95% CIs.</p><p><strong>Results: </strong>Overall OSCE scores for Cohort A and B were 77.9 and 81.9, respectively (<math><mrow><mover><mi>d</mi><mo>¯</mo></mover></mrow></math> = 4.0, 95% CI: 2.1, 5.8). Cohort B students were approximately 4 times more likely to demonstrate safety occurrences.</p><p><strong>Conclusion: </strong>The impact of COVID-19 did not adversely affect total OSCE scores; however, it did increase safety infractions.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42705314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Cardiovascular Rehabilitation Programmes for People with Lower Limb Amputation: A Survey of Clinical Practice in Canada.","authors":"Susan Marzolini, Amanda Brunne, Andrée-Anne Hébert, Amanda L Mayo, Crystal MacKay","doi":"10.3138/ptc-2022-0043","DOIUrl":"10.3138/ptc-2022-0043","url":null,"abstract":"<p><strong>Purpose: </strong>This study determines barriers and facilitators to including people with lower limb amputation (LLA) in cardiovascular rehabilitation programmes (CRPs).</p><p><strong>Method: </strong>Canadian CRP managers and exercise therapists were invited to complete a questionnaire.</p><p><strong>Results: </strong>There were 87 respondents. Of the 32 CRP managers, 65.6% reported that people with LLA were eligible for referral, but of these, 61.9% only accepted people with LLA and cardiac disease, and 38.1% only accepted them with ≥ 1 cardiovascular risk factor. CRP eligibility progressively decreased as mobility severity increased, with 94% of programmes accepting those with mild mobility deficits but only 48% accepting those with severe deficits. Among therapists in CRPs that accepted LLAs, 54.3% reported not having an LLA participant within the past three years. Among all responding therapists and managers who were also therapists (<i>n</i> = 58), 43% lacked confidence in managing safety concerns, and 45%, 16%, and 7% lacked confidence in prescribing aerobic exercise to LLA with severe, moderate, and no mobility deficits respectively. There was a similar finding with prescribing resistance training. LLA-specific education had not been provided to any respondent within the past three years. The top barriers were lack of referrals (52.6%; 30) and lack of knowledge of the contraindications to exercise specific for LLA (43.1%; 31). Facilitators included the provision of a resistance-training tool kit (63.4%; 45), education on exercise safety (63.4%; 45), and indications for physician intervention/inspection (63.6%; 42).</p><p><strong>Conclusion: </strong>Most of the CRPs surveyed only accept people with LLA if they have co-existing cardiac disease or cardiovascular risk factors. Few people with LLA participate. Education on CRP delivery for LLAs is needed to improve therapists' confidence and exercise safety.</p>","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47747418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on Spadoni et al.¹.","authors":"Mark Hall","doi":"10.3138/ptc-2022-0027-cc","DOIUrl":"10.3138/ptc-2022-0027-cc","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Que nous réservent les applis de santé mobile en réadaptation – se concentrer sur l’évaluation de la qualité.","authors":"Shirley Quach","doi":"10.3138/ptc-2023-76-2.fr","DOIUrl":"10.3138/ptc-2023-76-2.fr","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What's Next in MHealth Apps in Rehabilitation: Re-Directing Our Attention to Evaluating Quality.","authors":"Shirley Quach","doi":"10.3138/ptc-2023-76-2","DOIUrl":"10.3138/ptc-2023-76-2","url":null,"abstract":"","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}