Physiotherapy Canada最新文献_第7页

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

IF 0.9 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2021-0079-cc

Vitor Hugo Azevedo, Ana Oliveira

引用次数: 0

A Non-Pharmacological Cough Therapy for People with Interstitial Lung Diseases: A Case Report. 肺间质性疾病的非药物咳嗽治疗一例报告。

IF 0.9 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2021-0081

Sabrina Dasouki, Shirley Quach, Renata Mancopes, Sarah Chamberlain Mitchell, Roger Goldstein, Dina Brooks, Ana Oliveira

{"title":"A Non-Pharmacological Cough Therapy for People with Interstitial Lung Diseases: A Case Report.","authors":"Sabrina Dasouki, Shirley Quach, Renata Mancopes, Sarah Chamberlain Mitchell, Roger Goldstein, Dina Brooks, Ana Oliveira","doi":"10.3138/ptc-2021-0081","DOIUrl":"10.3138/ptc-2021-0081","url":null,"abstract":"Purpose: To explore the feasibility of a non-pharmacological cough control therapy (CCT) customized for a client with interstitial lung disease (ILD).Client description: An 83-year-old female with hypersensitivity pneumonitis, and chronic cough for 18 years treated previously with pharmacological treatment for the underlying lung disease and gastroesophageal reflux disease, as well as lozenges and breathing and relaxation strategies.Intervention: Four cough education and self-management sessions (45-60 minutes each) facilitated by a physiotherapist and speech-language pathologist via videoconference were conducted. Session topics included mechanisms of cough in ILD, breathing and larynx role in cough control, trigger identification, cough suppression and control strategies, and psychosocial support towards behaviour change using motivational interviewing.Measures and outcome: The following assessments were conducted prior to and one week after the intervention: semi-structured interviews, Leicester Cough Questionnaire, King's Brief Interstitial Lung Disease questionnaire, Functional Assessment of Chronic Illness Therapy Fatigue Scale, modified Borg Scale for severity and intensity of cough, and the Global Rating of Change Questionnaire.Implications: Implementing the CCT was feasible. The client reported increased perceived cough control, a reduction in exhaustion from coughing bouts, and a better understanding of the mechanisms behind cough management and suppression. Improvements were also observed in cough-related quality of life, severity, and intensity.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"389-394"},"PeriodicalIF":0.9,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464453","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

Engaging the Lower Extremity via Active Therapy Early (ELEVATE) Is Feasible and May Improve Gross Motor Function in Children with Spastic Bilateral Cerebral Palsy: A Case Series. 通过早期积极治疗(ELEVATE)参与下肢是可行的，并可能改善痉挛性双侧脑瘫儿童的大运动功能:一个病例系列。

IF 0.9 4区医学

Physiotherapy Canada Pub Date : 2023-11-27 eCollection Date: 2023-11-01 DOI: 10.3138/ptc-2023-0005

Caitlin L Hurd, Donna Livingstone, Allison Smith, Jaynie F Yang

{"title":"Engaging the Lower Extremity via Active Therapy Early (ELEVATE) Is Feasible and May Improve Gross Motor Function in Children with Spastic Bilateral Cerebral Palsy: A Case Series.","authors":"Caitlin L Hurd, Donna Livingstone, Allison Smith, Jaynie F Yang","doi":"10.3138/ptc-2023-0005","DOIUrl":"10.3138/ptc-2023-0005","url":null,"abstract":"Purpose: The feasibility of ELEVATE with respect to adherence and preliminary efficacy was determined for children with spastic bilateral cerebral palsy (CP) from encephalopathy of prematurity.Methods: A case series was used. Participants were randomized to receive ELEVATE immediately or delay the intervention by 3 months before receiving the intervention. The outcomes included feasibility measures of (1) number of children recruited, (2) percentage of sessions attended, (3) stride counts during the intervention, and preliminary efficacy measures of change over the intervention period in (4) Gross Motor Function Measure-66 (GMFM-66), and (5) kinematics and weight-bearing during treadmill walking.Results: Four boys under 3 years of age participated. All participants tolerated 60-minute intervention sessions four times/week for 12 weeks, and attended 75%-94% (min-max) of the targeted sessions. The median step count per session ranged from 833 to 2484 steps (min-max) during the final week of training. Participants showed an increase in GMFM-66 score of 2.4-7.5 points (min-max) over the 3-month intervention phase, as compared to a decrease of 1.7 for one participant and an increase of 1.3 for another over the delay period. Three participants demonstrated small improvements in their gait with the intervention.Conclusions: Engaging young children with bilateral CP in intensive rehabilitation targeting gross motor function was feasible and demonstrated preliminary efficacy. The results have guided the design of a larger clinical trial to assess efficacy of early, active interventions for children with spastic bilateral CP.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"75 4","pages":"311-321"},"PeriodicalIF":0.9,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464455","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

Comparison of 1- and 3-Week Immobilization Following Arthroscopic Shoulder Stabilization: Results of a Prospective Study 关节镜下肩部稳定后1周和3周固定的比较:一项前瞻性研究的结果

4区医学

Physiotherapy Canada Pub Date : 2023-09-28 DOI: 10.3138/ptc-2022-0087

Irem Duzgun, Dilara Kara, Ceyda Sevinc, Gazi Huri, Taha Ibrahim Yildiz, Egemen Turhan, Serdar Demirci, Leyla Eraslan, Elif Turgut, Anil Gulcu, Ahmet Atay

{"title":"Comparison of 1- and 3-Week Immobilization Following Arthroscopic Shoulder Stabilization: Results of a Prospective Study","authors":"Irem Duzgun, Dilara Kara, Ceyda Sevinc, Gazi Huri, Taha Ibrahim Yildiz, Egemen Turhan, Serdar Demirci, Leyla Eraslan, Elif Turgut, Anil Gulcu, Ahmet Atay","doi":"10.3138/ptc-2022-0087","DOIUrl":"https://doi.org/10.3138/ptc-2022-0087","url":null,"abstract":"Purpose: We investigated the effects of 1- and 3-week of absolute immobilization duration on pain, range of motion (ROM), shoulder function, and recurrence rate on shoulder arthroscopic anterior capsulolabral repair (AACR) patients. Method: Fifty shoulder AACR patients’ pain intensity, shoulder ROM, and function were evaluated 4, 8, and 12 weeks after surgery (1-week group: 26; 3-week group: 24 patients). Function was assessed with American Shoulder and Elbow Surgeons (ASES) score at postoperative 12 weeks and final follow-up (average of postoperative 30 months). Whether there was a re-dislocation after surgery was also questioned at final follow-up. Results: Similar ROM were observed on both groups at the postoperative 4, 8, and 12 weeks ( p > 0.05). Pain intensities at rest ( p = 0.40), night ( p = 0.22), and during the activity ( p = 0.49) were also similar on both groups. Also, no difference was observed for function between the two groups ( p = 0.99). Only one re-dislocation was in the 3-week immobilization group. Conclusion: Both 1- and 3-week of absolute immobilization demonstrated similar results in terms of shoulder ROM, pain, function, and recurrence rate after the shoulder AACR. Furthermore, earlier mobilization led to higher shoulder flexion at 4 weeks postoperatively. Either of the rehabilitation approaches can be adopted based on the patient's situation.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135420766","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

Implementing a Near Peer Instructor Placement Model in Physiotherapy Education 在物理治疗教育中实施近同伴指导员安置模式

4区医学

Physiotherapy Canada Pub Date : 2023-09-28 DOI: 10.3138/ptc-2023-0010

Madeleine Simmons, Jasdeep Dhir, Sarah Wojkowski, Kristina K. Durham

引用次数: 0

Evaluating Transcranial Direct Current Stimulation as an Adjunct to Inpatient Physiotherapy in Paediatric Acquired Brain Injury: A Randomized Feasibility Trial 评估经颅直流电刺激作为儿科获得性脑损伤住院物理治疗的辅助:一项随机可行性试验

4区医学

Physiotherapy Canada Pub Date : 2023-09-26 DOI: 10.3138/ptc-2023-0015

Jennifer L. Ryan, Deryk S. Beal, Darcy L. Fehlings, Danielle E. Levac, Anna Tendera, F. Virginia Wright

{"title":"Evaluating Transcranial Direct Current Stimulation as an Adjunct to Inpatient Physiotherapy in Paediatric Acquired Brain Injury: A Randomized Feasibility Trial","authors":"Jennifer L. Ryan, Deryk S. Beal, Darcy L. Fehlings, Danielle E. Levac, Anna Tendera, F. Virginia Wright","doi":"10.3138/ptc-2023-0015","DOIUrl":"https://doi.org/10.3138/ptc-2023-0015","url":null,"abstract":"Purpose: Evaluate the feasibility of transcranial direct current stimulation (tDCS) as an adjunct to inpatient physiotherapy for children and youth with acquired brain injury (ABI). Method: This randomized feasibility trial allocated children (5–18 years of age with moderate to severe ABI) to receive either active or sham anodal tDCS immediately prior to 16 of their existing inpatient physiotherapy sessions. Participants, physiotherapists, assessors, and primary investigators were blinded to treatment allocation. Eligibility, recruitment, retention, tolerance, and preliminary treatment outcomes were evaluated against a priori feasibility targets. Results: Of 232 children admitted over 21 months, six were eligible (2.6%) and four were recruited (66.7%). One participant completed the entire study protocol, two were withdrawn for unrelated changes in medical stability, and one could not commence the study due to COVID-19 restrictions. Participants completed all tDCS sessions that were started with the primary transient side effect being sub-electrode itchiness. Conclusions: While the study was infeasible from eligibility and retention perspectives, study procedures (e.g., assessment, treatment, side effect tracking, physiotherapy documentation) were viable and should be applied to future paediatric tDCS studies.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134885373","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: 1

Identifying Relevant Content to Inform a Comprehensive Indigenous Health Curriculum: A Scoping Review 确定相关内容，为土著人健康综合课程提供信息:范围审查

4区医学

Physiotherapy Canada Pub Date : 2023-09-22 DOI: 10.3138/ptc-2023-0018

Joshua Grawbarger, Corey Goldberg, William Shantz, Slava Kozlov, Christman Hsu, Brendan Dano, Patricia A. Miller, Jenna Smith-Turchyn

{"title":"Identifying Relevant Content to Inform a Comprehensive Indigenous Health Curriculum: A Scoping Review","authors":"Joshua Grawbarger, Corey Goldberg, William Shantz, Slava Kozlov, Christman Hsu, Brendan Dano, Patricia A. Miller, Jenna Smith-Turchyn","doi":"10.3138/ptc-2023-0018","DOIUrl":"https://doi.org/10.3138/ptc-2023-0018","url":null,"abstract":"Purpose: To identify the entry-level curricular content related to Indigenous health recommended for entry-level physiotherapy (PT) programs in Canada and other similar countries. Methods: Design: Scoping review. Procedures: Four electronic databases were searched using the terms physiotherapy, Indigenous health, entry-level curriculum, and their derivatives. Grey literature sources were hand searched and included Canadian PT professional documents, PT Program websites, Truth and Reconciliation Commission (TRC) sources, and a Google search. Data related to curriculum characteristics, methods of delivery, and barriers and facilitators to implementation were extracted from relevant references. Stakeholders reviewed study findings. Results: Forty-five documents were included. Documents focused on Indigenous peoples in Canada, Aboriginal and Torres Strait Islanders in Australia, and Māori in New Zealand. Canadian PT programs appeared to rely on passive teaching methods while programs in Australia and New Zealand emphasized the importance of partnering and engaging with Indigenous people. Barriers to incorporating indigenous health curriculum included an overcrowded curriculum and difficulty establishing relevance of Indigenous content (i.e., meaning). Conclusions: Similarities and differences were found between curricula content and approaches to teaching IH in Canada and the other countries reviewed. Strategies to promote greater engagement of Indigenous people in the development and teaching of IH is recommended.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136058984","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

Scoping Review: Brachial Plexus Birth Injury (BPBI) and Gross Motor Function 范围综述:臂丛出生损伤(BPBI)和大运动功能

4区医学

Physiotherapy Canada Pub Date : 2023-09-22 DOI: 10.3138/ptc-2022-0127

Inayah Manji, Sarah Gardiner, Doria Bellows

{"title":"Scoping Review: Brachial Plexus Birth Injury (BPBI) and Gross Motor Function","authors":"Inayah Manji, Sarah Gardiner, Doria Bellows","doi":"10.3138/ptc-2022-0127","DOIUrl":"https://doi.org/10.3138/ptc-2022-0127","url":null,"abstract":"Purpose: Brachial plexus birth injury (BPBI) is a neonatal injury occurring in 1.24 in 1000 live births. The result of this injury on arm function is highly variable and has been the subject of many studies. However, the effect of BPBI on the development of overall gross motor function is less well studied. We aimed to synthesize the available literature on posture, balance and coordination, and gait in children with BPBI. Method: A scoping review was conducted by searching five databases (MEDLINE, EMBASE, CINAHL, PEDro, and Web of Science) and the grey literature for all study types related to our question. Studies unrelated to birth injuries, animal studies, and literature reviews were excluded. Three researchers independently screened the studies during two rounds of review (title/abstract and full-text). Results: Of the 2728 articles found, 16 articles were included. Overall, the average study quality was 0.90 out of 1.00. These studies suggest that observed postural deficits in BPBI are secondary to asymmetry rather than true scoliosis. Further, the asymmetrical nature of the injury results in both balance deficits and gait abnormalities when compared to healthy age-matched populations. Conclusions: The scoping review demonstrates that while there are obvious consequences to overall motor function and development in BPBI, these effects are likely under-studied. Further research should focus on understanding overall developmental differences in children with BPBI. Expanding on this information could possibly allow for earlier intervention, extended scope of physiotherapy, and better functional outcomes.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136058771","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

Assessing Cultural Competence among Canadian Physiotherapists: A Qualitative Analysis of a Cross-Sectional Survey Part 2 评估加拿大物理治疗师的文化能力:横断面调查的定性分析第二部分

4区医学

Physiotherapy Canada Pub Date : 2023-09-20 DOI: 10.3138/ptc-2023-0006

Nora Bakaa, Jasdeep Dhir, Danielle Southerst, Silvano Mior, Pierre Côté, Lisa Carlesso, Joy MacDermid, Luciana Macedo

{"title":"Assessing Cultural Competence among Canadian Physiotherapists: A Qualitative Analysis of a Cross-Sectional Survey Part 2","authors":"Nora Bakaa, Jasdeep Dhir, Danielle Southerst, Silvano Mior, Pierre Côté, Lisa Carlesso, Joy MacDermid, Luciana Macedo","doi":"10.3138/ptc-2023-0006","DOIUrl":"https://doi.org/10.3138/ptc-2023-0006","url":null,"abstract":"Purpose: This study is the second part of a cross-sectional questionnaire aiming to identify Canadian physiotherapists needs and strategies for physiotherapy associations to improve cultural competence in physiotherapy. Methods: We conducted a descriptive qualitative analysis of one open-ended question of a cross-sectional questionnaire. We used inductive thematic analysis to develop and modify codes as concepts emerged. Inductive analysis was used to develop the codebook from the qualitative finding of the research study. Results: We received a total of 806 responses, and of those individuals, 485 provided one to three suggestions as part of the open-ended question. We identified two major themes from our open-ended question: (1) education and (2) institutional change. There were four subthemes categorized under education: (1) Diversity, Equity, Inclusion (DEI) training opportunities, (2) resources, (3) accessibility to education, and (4) representation within educational resources. Institutional change was categorized into three subthemes: (1) advocacy, (2) support, and (3) representation in leadership. Conclusions: The results of this questionnaire act as a meaningful and necessary call to action to key stakeholders in the physiotherapy profession. Clinical Impact: There is a need for educational institutions, regulatory bodies, and associations to re-evaluate policies surrounding cultural competence to improve the delivery of culturally safe healthcare.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136308299","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

Differential Pattern of Obesity in Total Hip and Knee Arthroplasty Candidates 全髋关节和膝关节置换术患者肥胖的差异模式

4区医学

Physiotherapy Canada Pub Date : 2023-09-20 DOI: 10.3138/ptc-2023-0012

Helen Razmjou, Amy Wainwright, Analia Szafirowicz, Patricia Dickson, John Murnaghan

{"title":"Differential Pattern of Obesity in Total Hip and Knee Arthroplasty Candidates","authors":"Helen Razmjou, Amy Wainwright, Analia Szafirowicz, Patricia Dickson, John Murnaghan","doi":"10.3138/ptc-2023-0012","DOIUrl":"https://doi.org/10.3138/ptc-2023-0012","url":null,"abstract":"Purpose: This study examined the differential pattern of obesity between men and women with severe OA of the knee or hip joint. The relationship between creatinine, a pro-inflammatory parameter and obesity, sex, and site of joint involvement was examined. Design: This study involved a secondary analysis of prospectively collected data of patients who underwent hip or knee arthroplasty. Results: Data of 5,130 patients (1,989 males, 39%, 3,141 females, 62%), mean age: 66 (11) were used for data analysis. Of these patients, 2,038 patients underwent hip and 3,092 patients underwent knee arthroplasty. Prevalence of obesity (grade I and II) was higher in the TKA group as compared with THA group (55% vs. 38%) with the prevalence of morbid obesity (Grade II) being twice as many in the TKA group (27% vs. 14%), p < 0.001. There was a statistically significant association between obesity and site of joint involvement ( p < 0.001) and for the interaction between sex of the patient and site of arthritis ( p < 0.001). In the TKA group, the sex factor was the only factor that was related to the pre-op creatinine level ( p < 0.001). In THA group, both sex ( p < 0.001) and obesity ( p = 0.002) showed an association with pre-op creatinine. Conclusion: This study provides further evidence that obesity has a multifaceted interaction with osteoarthritis with a differential pattern in hip and knee joints. Creatinine considered as a pro-inflammatory factor appears to have a differential role in hip and knee OA.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"188 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136378393","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