Physiotherapy Canada最新文献_第10页

Muscle Architecture and Subcutaneous Fat Measurements of Rectus Femoris and Vastus Lateralis at Optimal Length Aided by a Novel Ultrasound Transducer Attachment. 在新型超声波传感器附件的帮助下，以最佳长度测量股直肌和腹外肌的肌肉结构和皮下脂肪。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-2021-0016

Brittany D Bulbrook, Jaclyn N Chopp-Hurley, Emily G Wiebenga, Janet M Pritchard, Anthony A Gatti, Peter J Keir, Monica R Maly

{"title":"Muscle Architecture and Subcutaneous Fat Measurements of Rectus Femoris and Vastus Lateralis at Optimal Length Aided by a Novel Ultrasound Transducer Attachment.","authors":"Brittany D Bulbrook, Jaclyn N Chopp-Hurley, Emily G Wiebenga, Janet M Pritchard, Anthony A Gatti, Peter J Keir, Monica R Maly","doi":"10.3138/ptc-2021-0016","DOIUrl":"10.3138/ptc-2021-0016","url":null,"abstract":"Purpose: This cross-sectional study determines the sensitivity of muscle architecture and fat measurements of the rectus femoris (RF) and vastus lateralis (VL) muscles from ultrasound images acquired with varying transducer tilt, using a novel transducer attachment, in healthy adults. Secondary objectives were to estimate intrarater and interrater reliability of image measurement and acquisition, respectively. Methods: Thirty healthy adults participated (15 women and 15 men; 25 [SD 2.5] y). Ultrasound image acquisition was conducted by two raters at different transducer tilts relative to the skin: estimated perpendicular, and five measured angles (80°, 85°, 90°, 95°, 100°) using the transducer attachment. Muscle thickness (MT), subcutaneous fat thickness (FT), pennation angle (PA), and fascicle length (FL) were measured. Sensitivity and reliability were assessed using intra-class correlation coefficients (ICCs) and standard error of measurements (SEMs). Results: MT and FT for RF and VL were not sensitive to transducer tilt. However, PA and FL were sensitive to transducer tilt. MT and FT for both muscles showed high ICCs and low SEMs for intrarater and interrater reliability. For PA of both muscles, standardizing transducer tilt improved interrater ICCs and lowered SEMs. Conclusion: MT and FT measurements of RF and VL acquired at 60° knee flexion are robust to varying transducer tilt angles. PA measurements benefit from standardizing transducer tilt.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 1","pages":"74-82"},"PeriodicalIF":1.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9546983","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}

引用次数: 0

Reliability and Validity of Shoulder and Handgrip Strength Testing. 肩部和手部力量测试的可靠性和有效性。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-2021-0041

Nicholas Robert Biasini, Brian Bannon, Michael Pellegrino, Abdullah Qaderi, William Trinh, Sharon Switzer-McIntyre, W Darlene Reid, Karina Tamy Kasawara

{"title":"Reliability and Validity of Shoulder and Handgrip Strength Testing.","authors":"Nicholas Robert Biasini, Brian Bannon, Michael Pellegrino, Abdullah Qaderi, William Trinh, Sharon Switzer-McIntyre, W Darlene Reid, Karina Tamy Kasawara","doi":"10.3138/ptc-2021-0041","DOIUrl":"10.3138/ptc-2021-0041","url":null,"abstract":"Purpose: This study aimed to estimate the intra- and inter-rater reliability of the JTECH computerized, wireless apparatus and its validity (compared to established devices) for measurements of maximal shoulder isometric strength and handgrip strength among healthy adults with no shoulder pathology. Methods: Twenty healthy young adults had shoulder strength tested with JTECH and Micro-FET2 hand-held dynamometers, and the handgrip strength was tested using JTECH and Jamar handgrip dynamometers. Assessments were performed by the same rater to determine intra-rater reliability and convergent validity, at least two days apart, while on a third visit, the other rater performed measures to determine inter-rater reliability. Results: The JTECH computerized, wireless devices demonstrated good to excellent intra-rater reliability (ICCs (2,1) = 0.78-0.97) and inter-rater reliability for strength measures (ICCs (2,1) = 0.76-0.95). The JTECH computerized device compared to the Micro-FET2 hand-held dynamometer showed substantial concurrent validity for shoulder flexion (R2 = 0.87), extension (R2 = 0.87), abduction (R2 = 0.88), and adduction (R2 = 0.85). Substantial concurrent validity was shown for the JTECH computerized device and Jamar handgrip dynamometers (R2 = 0.92). Conclusions: The JTECH computerized, wireless devices demonstrated high intra- and inter-rater reliability and substantial concurrent validity for shoulder isometric strength and handgrip strength in healthy adults.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 1","pages":"65-71"},"PeriodicalIF":1.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9900790","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}

引用次数: 0

Clinician's Commentary on Chagas et al.¹. 临床医生对查格斯等人的评论1。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-2021-0006-cc

Lesley Katchburian

引用次数: 0

What Does Cochrane Say About … Health Care Professional Education? 科克伦对......医疗保健专业教育有何看法？

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-75-1-cochrane

引用次数: 0

Clinician's Commentary on Malik et al.¹. 临床医生对 Malik 等人的评论1。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-2021-0051-cc

Lisa Wickerson

引用次数: 0

A Pan-Canadian Perspective on Education and Training Priorities for Physiotherapists. Part 2: Professional Interactions and Context of Practice. 泛加拿大视角下的物理治疗师教育与培训重点。第二部分：专业互动与实践背景。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-2020-0122

Michelle J Kleiner, David M Walton

{"title":"A Pan-Canadian Perspective on Education and Training Priorities for Physiotherapists. Part 2: Professional Interactions and Context of Practice.","authors":"Michelle J Kleiner, David M Walton","doi":"10.3138/ptc-2020-0122","DOIUrl":"10.3138/ptc-2020-0122","url":null,"abstract":"Purpose: Canadian physiotherapists who participated in the Physio Moves Canada (PMC) project of 2017 identified the state of training programmes as a threat facing professional growth of the discipline. One purpose of the project was to identify priority areas for physiotherapist training programmes as identified by academics and clinicians across Canada. Method: The PMC project included a series of interviews and focus groups conducted across clinical sites in every Canadian province and in Yukon Territory. Data were interpreted using descriptive thematic analysis; identified sub-themes were returned to participants for reflection. Results: Overall, 116 physiotherapists and 1 physiotherapy assistant participated in 10 focus groups and 26 semi-structured interviews. Results are presented using the curriculum guidelines of the time for organization. Here we describe two themes: Physiotherapy Professional Interactions, further defined by interpersonal and interprofessional competencies, and Context of Practice further defined by advocacy, leadership, community awareness, and business competencies. Conclusions: Participants appear to express a desire for programmes to train reflexive and adaptable primary health care practitioners with strong foundational knowledge and clinical expertise, complemented by interpersonal and interprofessional skills to empower physiotherapists to effectively care and advocate for patients, to lead health care teams, and to share ideas to inspire change towards a future of physiotherapy practice.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 1","pages":"55-64"},"PeriodicalIF":1.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9900789","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}

引用次数: 0

Clinician's Commentary on Kleiner and Walton¹. 克莱纳和沃尔顿的临床评论1。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-2020-0121-cc

Sarah C Marshall

引用次数: 0

Effect of Physical Activity During Chemotherapy on Cognitive Function in Cancer Survivors: A Systematic Review and Meta-Analysis. 化疗期间的体育锻炼对癌症幸存者认知功能的影响：系统回顾与元分析》。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-2021-0032

Priyanshi S Akbari, Yusra Hassan, Lisa Archibald, Tania Tajik, Kaitlin Dunn, Mara Berris, Jenna Smith-Turchyn

{"title":"Effect of Physical Activity During Chemotherapy on Cognitive Function in Cancer Survivors: A Systematic Review and Meta-Analysis.","authors":"Priyanshi S Akbari, Yusra Hassan, Lisa Archibald, Tania Tajik, Kaitlin Dunn, Mara Berris, Jenna Smith-Turchyn","doi":"10.3138/ptc-2021-0032","DOIUrl":"10.3138/ptc-2021-0032","url":null,"abstract":"Purpose: To determine if cancer survivors who perform physical activity (PA) during chemotherapy have improved levels of cognitive function compared to those who do not. Method: E-databases (Ovid MEDLINE, Embase, CINAHL, PsycINFO, AMED) were searched from inception to February 4, 2020. Quantitative studies that assessed cognitive outcomes for adults with any cancer type who received chemotherapy concurrent with PA were selected. Risk of bias was assessed using Cochrane's RoB 2, ROBINS-I, and Newcastle-Ottawa scales. A meta-analysis was performed using standardized mean difference (SMD). Results: Twenty-two studies (15 randomized controlled trials [RCTs] and 7 non-RCTs) met the inclusion criteria. The meta-analysis demonstrated that combined resistance and aerobic training had a small yet statistically significant effect on social cognition compared to usual care (SMD 0.23 [95% CI: 0.04, 0.42], p = 0.020). Conclusions: Combined resistance and aerobic exercise may benefit social cognition in cancer survivors undergoing chemotherapy. Due to high risk of bias and low quality of evidence of included studies, we recommend further investigation to support these findings and make specific PA recommendations.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 1","pages":"12-21"},"PeriodicalIF":1.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9599031","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}

引用次数: 0

Development of the Gross Motor Function Family Report (GMF-FR) for Children with Cerebral Palsy. 开发脑瘫儿童粗大运动功能家庭报告 (GMF-FR)。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 eCollection Date: 2023-01-01 DOI: 10.3138/ptc-2021-0006

Paula S C Chagas, Peter Rosenbaum, F Virginia Wright, Lesley Pritchard, Marilyn Wright, Aline Martins Toledo, Ana Cristina R Camargos, Egmar Longo, Hércules R Leite

{"title":"Development of the Gross Motor Function Family Report (GMF-FR) for Children with Cerebral Palsy.","authors":"Paula S C Chagas, Peter Rosenbaum, F Virginia Wright, Lesley Pritchard, Marilyn Wright, Aline Martins Toledo, Ana Cristina R Camargos, Egmar Longo, Hércules R Leite","doi":"10.3138/ptc-2021-0006","DOIUrl":"10.3138/ptc-2021-0006","url":null,"abstract":"Purpose: To describe the initial steps in the development of a family-completed, modified version of the Gross Motor Function Measure (GMFM-88) to report gross motor function of young people with cerebral palsy in their natural environments. Methods: Development of the Gross Motor Function - Family Report (GMF-FR) was based on expert opinion involving 13 experienced clinicians and researchers, in four steps: (1) item identification to target items that reflect functional gross motor performance; (2) item selection; (3) critical analysis of the items; and (4) item and scoring modification. Results: Several modifications to existing items and scoring were made, including wording changes to optimize ease of families' understanding, the addition of photographs to illustrate all items, changes to the items to enable use of furniture instead of specialized equipment, and modifications to scoring criteria to ensure a focus on functional motor skills. Ultimately, 30 items were selected, and specific testing/scoring instructions were created for each item. Conclusions: GMF-FR is a new family-report tool, based on the GMFM-88. When validated, it can be used as a telehealth outcome measure to capture family-reported functional motor skill performance in home and community environments.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 1","pages":"83-91"},"PeriodicalIF":1.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10211388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9599033","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}

引用次数: 0

Introducing a Clinical Practice Guideline in Physiotherapy to Address Sexuality in Adults with a Neuromuscular Disorder 引入物理治疗的临床实践指南，以解决成人的性与神经肌肉障碍

IF 1 4区医学

Physiotherapy Canada Pub Date : 2023-02-08 DOI: 10.3138/ptc-2022-0005

I. Fisette-Paulhus, M. Morin, J. Fortin, C. Gagnon

{"title":"Introducing a Clinical Practice Guideline in Physiotherapy to Address Sexuality in Adults with a Neuromuscular Disorder","authors":"I. Fisette-Paulhus, M. Morin, J. Fortin, C. Gagnon","doi":"10.3138/ptc-2022-0005","DOIUrl":"https://doi.org/10.3138/ptc-2022-0005","url":null,"abstract":"We present the development and the key elements of a clinical practice guideline (CPG) in physiotherapy aiming to address sexuality, more specifically impairments and limitations that can interfere with sexual activity in adults with a neuromuscular disorder (NMD). The CPG was based on the Rare Knowledge Mining Methodological Framework (RKMMF) and included a literature review, consultation with physiotherapists, and validation by an interdisciplinary team. The EX-PLISSIT (extended, permission, limited information, specific suggestions, intensive therapy) model and the Competency Profile for physiotherapists in Canada were also used as frameworks to divide the CPG into sections. Here, we present the methodology for the CPG development and key elements related to physiotherapy assessment and treatment related to sexual activity in people with NMDs. An extensive CPG was developed through a literature review, consultations, and a validation process. A total of 75 articles were included in the review. Twelve physiotherapists and four health professionals reviewed the CPG. Physiotherapists should address the following in their assessment: relationships; assistance required during sexual activity; urinary, vaginal, or anorectal symptoms; erectile dysfunction; pain; fatigue; and the impact of the NMD on sexuality. Interventions can target physical activity, positioning, muscle weakness, fatigue, decreased range of motion, erectile dysfunction, sensitivity disorders, lubrication, pain, incontinence, and cardiorespiratory implications. The CPG promotes the importance of addressing sexuality and proposes different interventions that physiotherapists should integrate into their practice.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48497401","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}

引用次数: 0