Physiotherapy Canada最新文献_第9页

Effectiveness of Tailored Self-Management Interventions for People with Chronic Musculoskeletal Conditions: A Systematic Review and Meta-Analysis. 量身定制的自我管理干预对慢性肌肉骨骼疾病患者的有效性：系统回顾和荟萃分析。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2025-05-01 DOI: 10.3138/ptc-2023-0050

Ellen Wang, Isabel B Rodrigues, Linda C Li

{"title":"Effectiveness of Tailored Self-Management Interventions for People with Chronic Musculoskeletal Conditions: A Systematic Review and Meta-Analysis.","authors":"Ellen Wang, Isabel B Rodrigues, Linda C Li","doi":"10.3138/ptc-2023-0050","DOIUrl":"10.3138/ptc-2023-0050","url":null,"abstract":"Purpose: To evaluate the effectiveness of tailored self-management interventions to improve health and behavioural outcomes for individuals living with chronic musculoskeletal (MSK) conditions. Method: We searched relevant databases and grey literature on January 27, 2022 (CRD42022297624). We included English language randomized controlled trials and quasi-experimental trials that assessed the effect of tailored self-management on health and behavioural outcomes for individuals living with chronic MSK conditions. Eligible studies included: Individually prescribed components based on subjective and/or objective assessments; usual care or non-tailored controls; ≥1 health and behavioural outcome(s). Methodological quality was evaluated using the Cochrane Risk of Bias (RoB 2) tool and certainty of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation. Results: Our search yielded 1558 articles, and 21 studies were included in the review. Compared with usual care/non-tailored controls, positive effects were detected in favour of tailored interventions for pain (standardized mean difference [SMD] = 0.35; 95% CI: 0.20, 0.50; moderate certainty) and quality of life, SF-12/36, (SMD = 0.22; 95% CI: 0.08, 0.37; high certainty) in people with inflammatory arthritis (IA) and chronic pain conditions. Similar effects were detected for pain self-efficacy (SMD = 0.40; 95% CI: 0.20, 0.62; moderate certainty) and quality of life, index score (SMD = 0.19; 95% CI: 0.00, 0.38; moderate certainty) across chronic MSK conditions. Conclusion: Tailored self-management interventions offer modest benefits for select health outcomes; however, clinical significance remains unclear.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"77 2","pages":"148-161"},"PeriodicalIF":1.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935382","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

What Does Cochrane Say About the Efficacy of Transcranial Direct Current Stimulation? 关于经颅直流电刺激的疗效，科克伦说了什么？

IF 0.8 4区医学

Physiotherapy Canada Pub Date : 2025-05-01 Epub Date: 2025-05-31 DOI: 10.3138/ptc-77-2-cochrane

引用次数: 0

Geographic Accessibility to Pelvic Health Physiotherapy Services Across Ontario: A Geographic Information System Analysis. 安大略省盆腔健康理疗服务的地理可达性：地理信息系统分析。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2025-05-01 Epub Date: 2024-05-31 DOI: 10.3138/ptc-2023-0114

Marylène Charette, Linda McLean

{"title":"Geographic Accessibility to Pelvic Health Physiotherapy Services Across Ontario: A Geographic Information System Analysis.","authors":"Marylène Charette, Linda McLean","doi":"10.3138/ptc-2023-0114","DOIUrl":"10.3138/ptc-2023-0114","url":null,"abstract":"Purpose: The purpose of this study was to explore the distribution and geographic accessibility of pelvic health physiotherapist services for females in Ontario across an urban-rural gradient. Method: A geographic information system-based observational study was conducted. Physiotherapists' practice locations (supply) were obtained from the College of Physiotherapists of Ontario registrant pelvic health roster. Dissemination area centroids (demand) were calculated based on 2021 Statistics Canada census data for females in Ontario. Locations were geocoded and mapped, and an accessibility score was computed using an enhanced two-step floating catchment area method. A choropleth map was generated with accessibility scores, and results were stratified using an urban-rural gradient. Results: Geographic locations of 1,172 pelvic health physiotherapists across Ontario were retrieved. The provincial average accessibility score was 1.84 pelvic health physiotherapists (PHPTs) per 10,000 females (range, min-max, 0-26.27 PHPTs). Access to a PHPT is more limited in rural areas and municipalities with weak to no metropolitan influence and higher in census metropolitan areas and larger urban centres. Conclusions: Regional disparities in accessibility to PHPT services for females in Ontario exist and should be considered in planning and policy development, particularly to enhance accessibility to females living in rural areas.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":"77 2","pages":"174-185"},"PeriodicalIF":1.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823557","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

Cognitive Correlates of a Large Time Differential between Timed Up and Go and Gait Speed during In-Patient Stroke Rehabilitation. 脑卒中住院康复期间，起身和行走时间差异和步态速度的认知相关性

IF 0.8 4区医学

Physiotherapy Canada Pub Date : 2025-02-01 Epub Date: 2023-04-06 DOI: 10.3138/ptc-2022-0089

Hyun Kim, Abishek Jaywant, Joan Toglia, Amy Meyer, Marc Campo, Michael W O'Dell

{"title":"Cognitive Correlates of a Large Time Differential between Timed Up and Go and Gait Speed during In-Patient Stroke Rehabilitation.","authors":"Hyun Kim, Abishek Jaywant, Joan Toglia, Amy Meyer, Marc Campo, Michael W O'Dell","doi":"10.3138/ptc-2022-0089","DOIUrl":"10.3138/ptc-2022-0089","url":null,"abstract":"Purpose: Cognitive impairment is highly prevalent after stroke but can be difficult to identify acutely. We aimed to study if a large difference between two common, routine physical therapy assessments (timed up-and-go [TUG] test and 10-metre walk test [10MWT]) could identify patients with subtle cognitive difficulties post-stroke. Method: An observational study was conducted in 141 individuals admitted to acute in-patient rehabilitation after stroke. We computed the per cent difference between TUG and 10MWT performance. Cognitive outcome measures were the trail making tests A and B (TMT-A and TMT-B) and the Functional Independence Measure (FIM)-cognition subscale. Linear and logistic regression analyses were conducted to evaluate if the difference between TUG and 10MWT was associated with cognitive functioning. Results: After adjusting for covariates, there was no significant linear association between TUG-10MWT discrepancy and cognition; however, stroke patients with the largest difference between TUG and 10MWT (highest quartile of scores) exhibited significantly worse attention on the TMT-A (adjusted odds ratio = 2.46, p = 0.04). Conclusions: A large difference between TUG and 10MWT may reflect deficits in complex sustained attention in individuals with stroke. Physical therapy staff may use this difference score to identify patients with potential cognitive deficits and refer them for comprehensive neuropsychological evaluation.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":"42-49"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43891992","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

Commentary on Coward et al.¹. 对Coward等人的评论

IF 1 4区医学

Physiotherapy Canada Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.3138/ptc-2022-0051-cc

Gregory Spadoni

引用次数: 0

Commentary on Anekwe et al.¹. 对Anekwe等人的评论

IF 1 4区医学

Physiotherapy Canada Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.3138/ptc-2022-0010-cc

Christiane S Perme, Monica S Damasceno

引用次数: 0

What Does Cochrane Say about Virtual Reality for Rehabilitation? 关于康复的虚拟现实，Cochrane说了什么？

IF 0.8 4区医学

Physiotherapy Canada Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.3138/ptc-77-1-cochrane

引用次数: 0

Commentary on Scodras et al.¹. 对Scodras等人的评论

IF 1 4区医学

Physiotherapy Canada Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.3138/ptc-2022-0071-cc

Sinead Dufour

引用次数: 0

Exploring the Education and Practice Experiences of Pelvic Health Physiotherapists in Canada: A Qualitative Descriptive Study. 加拿大骨盆健康物理治疗师教育实践经验的定性描述研究

IF 0.8 4区医学

Physiotherapy Canada Pub Date : 2025-02-01 Epub Date: 2023-04-06 DOI: 10.3138/ptc-2022-0071

Stephanie Scodras, Jacquie Ripat, Heather Colquhoun, Euson Yeung, Susan B Jaglal, Nancy M Salbach

{"title":"Exploring the Education and Practice Experiences of Pelvic Health Physiotherapists in Canada: A Qualitative Descriptive Study.","authors":"Stephanie Scodras, Jacquie Ripat, Heather Colquhoun, Euson Yeung, Susan B Jaglal, Nancy M Salbach","doi":"10.3138/ptc-2022-0071","DOIUrl":"10.3138/ptc-2022-0071","url":null,"abstract":"Purpose: Pelvic health physiotherapy involves sensitive practices including internal assessment and treatment of the pelvic floor. Pelvic health physiotherapy education is not standardized in Canada, which may lead to diverse experiences. The purpose of this study was to explore the education and practice experiences of pelvic health physiotherapists in Canada. Method: This descriptive qualitative study used semi-structured interviews with physiotherapists providing pelvic health services in Canada and a reflexive thematic analysis approach. Results: Based on interviews with 20 pelvic health physiotherapists (19 women and one man) from six provinces, we identified four themes: the right fit, managing vulnerability, the holistic nature of pelvic health physiotherapy, and entering pelvic health physiotherapy requires thoughtful consideration. Participants described pelvic health physiotherapy as the right fit for themselves personally and professionally. The clinical practice involved managing their patients' and their own vulnerability and taking a holistic and biopsychosocial approach to treating patients with pelvic health conditions. Participants described the importance of mentorship and a supportive clinical environment when entering the field. Conclusions: This study provides an understanding of pelvic health physiotherapists' experiences, which can help to guide the advancement of pelvic health physiotherapy education and practice supports in Canada.","PeriodicalId":54606,"journal":{"name":"Physiotherapy Canada","volume":" ","pages":"50-58"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41986522","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

Closing the Gap: Enhancing Diversity in Rehabilitation Trials. 缩小差距：增强康复试验的多样性。

IF 1 4区医学

Physiotherapy Canada Pub Date : 2025-02-01 Epub Date: 2025-02-28 DOI: 10.3138/ptc-2024-0077

Adria Quigley

引用次数: 0