Physiotherapy最新文献

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IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-04-07 DOI: 10.1016/S0031-9406(25)00332-3
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引用次数: 0
Efficacy of instilled saline in conjunction with chest physiotherapy on secretion clearance in adults diagnosed with a ventilator acquired pneumonia: a randomised crossover feasibility trial 灌注生理盐水联合胸部物理治疗对诊断为呼吸机获得性肺炎的成人分泌物清除的疗效:一项随机交叉可行性试验
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-04-02 DOI: 10.1016/j.physio.2025.101791
J. Weblin , D. Parekh , J. Hodson , P. Guo , N. Efstathiou , D. McWilliams
{"title":"Efficacy of instilled saline in conjunction with chest physiotherapy on secretion clearance in adults diagnosed with a ventilator acquired pneumonia: a randomised crossover feasibility trial","authors":"J. Weblin ,&nbsp;D. Parekh ,&nbsp;J. Hodson ,&nbsp;P. Guo ,&nbsp;N. Efstathiou ,&nbsp;D. McWilliams","doi":"10.1016/j.physio.2025.101791","DOIUrl":"10.1016/j.physio.2025.101791","url":null,"abstract":"<div><h3>Introduction</h3><div>Chest physiotherapy is routinely provided to mechanically ventilated (MV) patients in intensive care units (ICUs) to aid secretion clearance. Physiotherapists may instil saline down the endotracheal tube to aid secretion clearance. However, there is limited evidence and no UK guidelines on the use of saline instillation (SI).</div></div><div><h3>Objective</h3><div>To evaluate the feasibility of a definitive trial examining the efficacy of SI during chest physiotherapy on secretion yield in patients with ventilator-acquired pneumonia (VAP).</div></div><div><h3>Methods</h3><div>A randomised crossover feasibility trial was performed on patients with VAP at a large UK ICU. Patients underwent twice daily chest physiotherapy sessions, alternating between SI vs. Non-SI for three days or until extubation. Primary outcomes were feasibility measures: recruitment, retention, and protocol fidelity. Secondary outcomes included safety outcomes and secretion yield, assessed using two approaches: “adjusted wet sputum weight” and “sputum pellet weight”.</div></div><div><h3>Results</h3><div>Of 32 eligible patients, 94% (<em>N</em> = 30) were recruited, of whom 7% (<em>N</em> = 2) were subsequently withdrawn; 21 (70%) completed all six sessions. No adverse events occurred in SI sessions. The adjusted wet sputum weight appeared to underestimate secretion yield in SI sessions, resulting in a negative median value (−0.49 g; IQR: −2.39, 1.11), which was significantly lower than Non-SI sessions (median: 0.99 g; IQR: 0.26, 2.11; <em>p</em> &lt; 0.001). Analysis using sputum pellet weight reversed the direction of this effect, with medians of 3.49 g (IQR: 1.96, 5.55) vs. 1.70 g (IQR: 0.99, 2.60) for SI vs. non-SI sessions (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>A trial of SI during chest physiotherapy for MV patients with VAP would be feasible. However, further validation of a method for processing sputum samples is required before proceeding to a definitive trial.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>A prospective study investigating the efficacy of saline instillation on secretion yield would be safe and feasible.</div></span></li><li><span>•</span><span><div>Adjusted wet sputum weight is not a reliable objective marker to quantify sputum yield.</div></span></li><li><span>•</span><span><div>Development and validation of a method for processing sputum samples to obtain an accurate sputum weight is a research priority.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"128 ","pages":"Article 101791"},"PeriodicalIF":3.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Supporting primary care clinicians to identify people at risk of rheumatoid arthritis by targeted anti-CCP testing: an intervention development study 通过靶向抗ccp检测支持初级保健临床医生识别类风湿关节炎风险人群:一项干预发展研究
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-03-27 DOI: 10.1016/j.physio.2025.101687
Anderson A. , Flurey C. , Bradley S. , Richards S. , Siddle H.
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引用次数: 0
Opening the black box of cognitive functional therapy: a review using the Template for Intervention Description and Replication (TIDieR) checklist 打开认知功能治疗的黑盒子:使用干预描述和复制模板(TIDieR)检查表的回顾
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-03-27 DOI: 10.1016/j.physio.2025.101746
Qashwa Y. , Gray H.
{"title":"Opening the black box of cognitive functional therapy: a review using the Template for Intervention Description and Replication (TIDieR) checklist","authors":"Qashwa Y. ,&nbsp;Gray H.","doi":"10.1016/j.physio.2025.101746","DOIUrl":"10.1016/j.physio.2025.101746","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101746"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The ‘Your Care Needs You’ intervention – learning from the Partners at Care Transitions (PACT) research project “你的护理需要你”干预——从护理过渡伙伴(PACT)研究项目中学习
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-03-27 DOI: 10.1016/j.physio.2025.101719
Schofield J.
{"title":"The ‘Your Care Needs You’ intervention – learning from the Partners at Care Transitions (PACT) research project","authors":"Schofield J.","doi":"10.1016/j.physio.2025.101719","DOIUrl":"10.1016/j.physio.2025.101719","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101719"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Exploring physiotherapy management of Neurogenic Thoracic Outlet Syndrome (NTOS): a online survey of United Kingdom (UK) therapy and medical professionals 探索神经源性胸廓出口综合征(NTOS)的物理治疗管理:英国(UK)治疗和医学专业人员的在线调查
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-03-27 DOI: 10.1016/j.physio.2025.101667
O'Sullivan J. , Miller C. , Bateman M. , Hill J.
{"title":"Exploring physiotherapy management of Neurogenic Thoracic Outlet Syndrome (NTOS): a online survey of United Kingdom (UK) therapy and medical professionals","authors":"O'Sullivan J. ,&nbsp;Miller C. ,&nbsp;Bateman M. ,&nbsp;Hill J.","doi":"10.1016/j.physio.2025.101667","DOIUrl":"10.1016/j.physio.2025.101667","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101667"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Evaluating the efficacy of functional resistance training by sport and exercise professionals for inpatient deconditioning prevention: a service evaluation 评估运动和运动专业人员功能性抗阻训练对住院患者疾病预防的效果:一项服务评估
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-03-27 DOI: 10.1016/j.physio.2025.101668
Warwick H, Burnham S, Carey W, Wall F, Raja M.
{"title":"Evaluating the efficacy of functional resistance training by sport and exercise professionals for inpatient deconditioning prevention: a service evaluation","authors":"Warwick H,&nbsp;Burnham S,&nbsp;Carey W,&nbsp;Wall F,&nbsp;Raja M.","doi":"10.1016/j.physio.2025.101668","DOIUrl":"10.1016/j.physio.2025.101668","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101668"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
A survey on the potential benefits and challenges of automating measurements on hip radiographs in children with cerebral palsy 脑瘫儿童髋部x线片自动化测量的潜在益处和挑战的调查
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-03-27 DOI: 10.1016/j.physio.2025.101730
Thompson P. , Perry D.C. , Cootes T.F. , Lindner C.
{"title":"A survey on the potential benefits and challenges of automating measurements on hip radiographs in children with cerebral palsy","authors":"Thompson P. ,&nbsp;Perry D.C. ,&nbsp;Cootes T.F. ,&nbsp;Lindner C.","doi":"10.1016/j.physio.2025.101730","DOIUrl":"10.1016/j.physio.2025.101730","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101730"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Co-designing solutions to improve knowledge mobilisation in musculoskeletal physiotherapy 共同设计解决方案,以提高肌肉骨骼物理治疗的知识动员
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-03-27 DOI: 10.1016/j.physio.2025.101689
Grindell C., Croot L., O'Cathain A.
{"title":"Co-designing solutions to improve knowledge mobilisation in musculoskeletal physiotherapy","authors":"Grindell C.,&nbsp;Croot L.,&nbsp;O'Cathain A.","doi":"10.1016/j.physio.2025.101689","DOIUrl":"10.1016/j.physio.2025.101689","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101689"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The impact of printed postpartum education materials on self-efficacy and readability: a mixed methods analysis 产后教育材料印刷对自我效能感和可读性的影响:混合方法分析
IF 3.1 3区 医学
Physiotherapy Pub Date : 2025-03-27 DOI: 10.1016/j.physio.2025.101752
Beard K.
{"title":"The impact of printed postpartum education materials on self-efficacy and readability: a mixed methods analysis","authors":"Beard K.","doi":"10.1016/j.physio.2025.101752","DOIUrl":"10.1016/j.physio.2025.101752","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101752"},"PeriodicalIF":3.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
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