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IF 3.1 3区 医学
Physiotherapy Pub Date : 2024-10-30 DOI: 10.1016/S0031-9406(24)00442-5
{"title":"Editors","authors":"","doi":"10.1016/S0031-9406(24)00442-5","DOIUrl":"10.1016/S0031-9406(24)00442-5","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"125 ","pages":"Article 101433"},"PeriodicalIF":3.1,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552387","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
Reliability and validity of the L test in people with multiple sclerosis 多发性硬化症患者 L 测试的可靠性和有效性。
IF 3.1 3区 医学
Physiotherapy Pub Date : 2024-09-24 DOI: 10.1016/j.physio.2024.101429
Kader Eldemir , Sefa Eldemir , Cagla Ozkul , Ceyla Irkec , Arzu Guclu-Gunduz
{"title":"Reliability and validity of the L test in people with multiple sclerosis","authors":"Kader Eldemir ,&nbsp;Sefa Eldemir ,&nbsp;Cagla Ozkul ,&nbsp;Ceyla Irkec ,&nbsp;Arzu Guclu-Gunduz","doi":"10.1016/j.physio.2024.101429","DOIUrl":"10.1016/j.physio.2024.101429","url":null,"abstract":"<div><h3>Objectives</h3><div>Functional mobility is an essential factor affecting the activities of daily living in people with multiple sclerosis (PwMS). The L test is a comprehensive assessment tool for functional mobility that incorporates sit-to-stand, transfers and bidirectional turning. The purpose of this study was to determine the psychometric properties of the L test in PwMS.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Participants</h3><div>Thirty-four PwMS [Expanded Disability Status Scale (EDSS) score 0 to 5] and 34 healthy controls were included in this study.</div></div><div><h3>Main outcome measures</h3><div>The L test was administered along with the timed up and go (TUG) test, 10-m walk test (10-MWT), 6-minute walk test (6-MWT), timed 360 degree turn test, and EDSS by the same rater. Fall history was recorded to categorize PwMS with and without a history of falls. The L test was repeated after 1 week to determine test–retest reliability.</div></div><div><h3>Results</h3><div>The L test showed excellent test–retest reliability (intraclass correlation coefficient 0.995). The minimum detectable change for the L test time was 1.4 seconds. The L test demonstrated significant positive correlations with the TUG test, timed 360 degree turn test and EDSS score, and significant negative correlations with the 10-MWT and 6-MWT (<em>P</em> &lt; 0.001). Significant differences in the L test times were found between PwMS and healthy controls, and between PwMS with a history of falls and those without a history of falls (<em>P</em> &lt; 0.05). The cut-off time of 14.7 seconds on the L test was found to best discriminate between PwMS and healthy people, while 16.4 seconds was found to best discriminate between PwMS with a history of falls and those without a history of falls.</div></div><div><h3>Conclusion</h3><div>The L test is a reliable and valid tool for the assessment of functional mobility in PwMS.</div></div><div><h3>Clinical Trial Registration number</h3><div><span><span>NCT05641714</span><svg><path></path></svg></span>.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>The L test has excellent test–retest reliability and validity in PwMS.</div></span></li><li><span>•</span><span><div>The L test can provide insight into functional mobility, with high scores (long completion times) warranting further specific assessment of underlying components (turning, walking, etc.) that may contribute to the longer completion times.</div></span></li><li><span>•</span><span><div>The L test demonstrates a more comprehensive mobility assessment using an <span>L</span>-shaped pathway.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101429"},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632770","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 cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial 基于神经肌肉训练的心脏康复计划可提高急性冠状动脉综合征患者的功能能力:一项初步随机对照试验。
IF 3.1 3区 医学
Physiotherapy Pub Date : 2024-09-20 DOI: 10.1016/j.physio.2024.101428
Noemí Valtueña-Gimeno , Óscar Fabregat-Andrés , Isabel Martínez-Hurtado , Francisco José Martínez-Olmos , Marta Lluesma-Vidal , María Dolores Arguisuelas , Francisco-José Ferrer-Sargues
{"title":"A cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial","authors":"Noemí Valtueña-Gimeno ,&nbsp;Óscar Fabregat-Andrés ,&nbsp;Isabel Martínez-Hurtado ,&nbsp;Francisco José Martínez-Olmos ,&nbsp;Marta Lluesma-Vidal ,&nbsp;María Dolores Arguisuelas ,&nbsp;Francisco-José Ferrer-Sargues","doi":"10.1016/j.physio.2024.101428","DOIUrl":"10.1016/j.physio.2024.101428","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the effects of a cardiac rehabilitation programme based on neuromuscular training (NMT) compared with classic rehabilitation strength training (CRST) in patients diagnosed with acute coronary syndrome (ACS).</div></div><div><h3>Design</h3><div>Preliminary randomised, double-blinded, parallel clinical trial.</div></div><div><h3>Setting</h3><div>University health clinic in Valencia, Spain.</div></div><div><h3>Participants</h3><div>Thirty patients with ACS.</div></div><div><h3>Interventions</h3><div>Patients were assigned to one of two groups at random: the NMT group (<em>n</em> = 15) and the CRST group (<em>n</em> = 15). All patients attended the 20 sessions of the exercise programme.</div></div><div><h3>Main outcome measures</h3><div>The primary outcome was the Incremental Shuttle Walk Test (ISWT). The secondary outcomes were the Chester Step Test (CST), the 30-Second Chair Stand Test (30CST), and hip flexor dynamometry. Assessments were made at baseline, immediately post-treatment, and at 6-month follow-up.</div></div><div><h3>Results</h3><div>The NMT group showed a greater improvement in the ISWT than the CRST group, both at post-treatment {mean 648 [standard deviation (SD) 197] vs 493 (SD 219), mean difference 155, 95% confidence interval (CI) −1 to 310} and at follow-up [732 (SD 183) vs 518 (SD 222), mean difference 214, 95% CI 61 to 367]. The secondary outcomes showed significant between-group differences in favour of the NMT group at 6-month follow-up, except for the 30CST.</div></div><div><h3>Conclusions</h3><div>These preliminary findings indicate that a cardiac rehabilitation programme based on NMT may improve functional capacity in terms of patient performance, cardiorespiratory fitness and muscle strength. Moreover, the improvements were maintained at medium-term follow-up. This could help improve the design of rehabilitation sessions, considering factors associated with performing everyday activities in patients affected by ACS.</div></div><div><h3>Clinical Trial Registration number</h3><div><span><span>NCT04246008</span><svg><path></path></svg></span>.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>This study provides insight into new modalities of strength interventions in patients with acute coronary syndrome.</div></span></li><li><span>•</span><span><div>Neuromuscular training is a novel exercise modality in cardiac rehabilitation patients that has been shown to improve functional capacity.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101428"},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The evaluation of daily activity questionnaire for stroke survivors: cross-cultural adaptation, content validity and digitisation 中风幸存者日常活动问卷评估:跨文化适应性、内容有效性和数字化。
IF 3.1 3区 医学
Physiotherapy Pub Date : 2024-09-12 DOI: 10.1016/j.physio.2024.101427
Nazemin Gilanliogullari , Sarah Prenton , Yeliz Prior
{"title":"The evaluation of daily activity questionnaire for stroke survivors: cross-cultural adaptation, content validity and digitisation","authors":"Nazemin Gilanliogullari ,&nbsp;Sarah Prenton ,&nbsp;Yeliz Prior","doi":"10.1016/j.physio.2024.101427","DOIUrl":"10.1016/j.physio.2024.101427","url":null,"abstract":"<div><h3>Objective</h3><div>The study's objective was to culturally adapt and digitise the Evaluation of Daily Activity Questionnaire (EDAQ), originally designed for rheumatoid arthritis and various other musculoskeletal conditions, creating a version for stroke survivors (EDAQ-SS). This adaptation also aimed to develop a comprehensive electronic Patient Reported Outcome Measure (ePROM) intended to refine stroke survivors' self-assessment of their daily activity limitations.</div></div><div><h3>Materials and methods</h3><div>Cross-cultural adaptation of the EDAQ was completed by a review of expert panel, which included healthcare professionals to increase the clarity and relevancy of the items, followed by cognitive debriefing interviews with British stroke survivors to rate their understanding of the questionnaire items. After developing the paper version of the questionnaire, this was digitised (eEDAQ-SS) and disseminated online via the Stroke Survivors Hub (SSHUB). Content validity of the EDAQ-SS was evaluated using the International Classification of Functioning (ICF) Core Set for Stroke.</div></div><div><h3>Results</h3><div>The expert panel meeting (<em>n</em>:11) and cognitive debriefing interviews with stroke survivors (<em>n</em>:10) resulted in an EDAQ-SS with 160 items across 15 domains, which was understandable and relevant to stroke survivors. The SSHUB was deemed to be a user-friendly platform, providing easy access to eEDAQ-SS and aid self-assessment of daily activities of stroke survivors. Mapping the EDAQ-SS items to the ICF Core Set for Stroke demonstrated good content validity with 44/55 matching categories.</div></div><div><h3>Conclusion</h3><div>The EDAQ-SS offers a comprehensive measure for self-assessment, which may serve to guide stroke survivors’ self-management by overcoming limitations of existing PROMs. Further psychometric testing of the EDAQ-SS and wider testing of the digital version is recommended.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>The Evaluation of daily activity questionnaire for stroke survivors (EDAQ-SS) is a culturally adapted, comprehensive PROM for British stroke survivors, enhancing self-assessment of daily activities.</div></span></li><li><span>•</span><span><div>Methodically developed using guidelines, expert feedback, and stroke survivor interviews, the EDAQ-SS ensures relevance and clarity.</div></span></li><li><span>•</span><span><div>The EDAQ-SS demonstrates good content validity against the International Classification of Functioning Core Set for Stroke, with potential to improve clinical practice by providing a detailed, sensitive measure to help stroke survivors and healthcare professionals identify and manage daily activity limitations more effectively.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"125 ","pages":"Article 101427"},"PeriodicalIF":3.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Reference values for mobility in typically developing school-aged children: a cross-sectional study 发育正常学龄儿童的活动能力参考值:一项横断面研究。
IF 3.1 3区 医学
Physiotherapy Pub Date : 2024-08-23 DOI: 10.1016/j.physio.2024.101426
Hsiu-Ching Chiu , Louise Ada , Rong-Ju Cherng
{"title":"Reference values for mobility in typically developing school-aged children: a cross-sectional study","authors":"Hsiu-Ching Chiu ,&nbsp;Louise Ada ,&nbsp;Rong-Ju Cherng","doi":"10.1016/j.physio.2024.101426","DOIUrl":"10.1016/j.physio.2024.101426","url":null,"abstract":"<div><h3>Objective</h3><div>To generate data for tests of mobility in typically developing children, and thereby establish reference values against which scores for children with a health condition can be compared.</div></div><div><h3>Design and setting</h3><div>A cross-sectional study was carried out at 12 primary schools.</div></div><div><h3>Participants</h3><div>In total, 1512 typically developing children aged 6 to 12 years (50% female) participated in this study.</div></div><div><h3>Methods</h3><div>Performance on four tests (Times-Sit-to-Stand Test, 10-m Walk Test, 6-minute Walk Test and Stairs Test) was measured to encompass various aspects of everyday mobility (standing up from a chair, walking short and long distances, and climbing stairs).</div></div><div><h3>Results</h3><div>Generally, scores increased with age, except for the Times-Sit-to-Stand Test which was stable at a mean of 1.1 (standard deviation 0.2) stands/second. Multiple regression revealed that sex made a significant contribution to the most challenging mobility tests. Visual examination showed that at approximately 11 years of age, scores for males began to exceed those for females, such that males walked 0.24 m/second [95% confidence interval (CI) 0.14 to 0.33] faster at their fastest speed and climbed 0.16 more stairs/second (95% CI 0.09 to 0.22) than females.</div></div><div><h3>Conclusions</h3><div>Data from this study have determined the reference values for mobility in typically developing school-aged children, using tests commonly applied in the clinic. With these values, the status and progress of children with a health condition may be determined accurately.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Reference values for mobility in typically developing children between 6 and 12 years of age are presented by age and sex.</div></span></li><li><span>•</span><span><div>Performance increased with age, except on the Times-Sit-to-Stand Test.</div></span></li><li><span>•</span><span><div>Differences between the sexes were found from 11 years of age.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101426"},"PeriodicalIF":3.1,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694022","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
Pre-registration student research placements within KNOWBEST: a service evaluation KNOWBEST 的注册前学生研究实习:服务评估
IF 3.3 3区 医学
Physiotherapy Pub Date : 2024-08-22 DOI: 10.1016/j.physio.2024.101422
Catherine J. Minns Lowe, Jack Rose, Susan Roscoe, Nicola Heneghan
{"title":"Pre-registration student research placements within KNOWBEST: a service evaluation","authors":"Catherine J. Minns Lowe, Jack Rose, Susan Roscoe, Nicola Heneghan","doi":"10.1016/j.physio.2024.101422","DOIUrl":"https://doi.org/10.1016/j.physio.2024.101422","url":null,"abstract":"Pre-registration student placements have traditionally been based in clinical settings. Recently, practice-based learning has evolved to include additional settings, including research, leadership and management. The KNOWBEST (Knowledge, Behaviours And Skills Required of the Modern Physiotherapy Graduate) project incorporated research placements for five pre-registration students. The aims of this project were to develop, implement and evaluate research placements within a UK pre-registration physiotherapy program, to add to the limited information available for HEI and supervisors. The paper includes placement content, reflections and evaluations from the perspective of the students, supervisors and Practice Team Lead. Students and staff were highly positive about research placements. Student’s spoke of the importance of their immersive experience on placement, valuing the variety of learning experiences, opportunities to lead and the development of transferable skills. Students found that research and clinical placements, whilst different, were also similar in important ways. Students appreciated how research placements developed their abilities to provide evidence-based practice as clinicians. This paper does not provide definitive placement guidance, it provides information gleaned from direct experience for teams planning research placements. It identifies and reports areas the team found challenging, to facilitate discussion and debate as the profession actively diversifies and expands practice-based learning.","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"7 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199829","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
Is aquatic therapy more effective than land-based therapy for fibromyalgia? A randomised controlled trial discussion 水疗比陆疗对纤维肌痛更有效吗?随机对照试验讨论
IF 3.3 3区 医学
Physiotherapy Pub Date : 2024-08-22 DOI: 10.1016/j.physio.2024.101425
André Pontes-Silva
{"title":"Is aquatic therapy more effective than land-based therapy for fibromyalgia? A randomised controlled trial discussion","authors":"André Pontes-Silva","doi":"10.1016/j.physio.2024.101425","DOIUrl":"https://doi.org/10.1016/j.physio.2024.101425","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"399 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199804","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 challenge to my professional identity’- resisting the shift from over-management to self-management for back pain within an implementation trial: a qualitative study 对我职业身份的挑战"--在实施试验中抵制背痛从过度管理到自我管理的转变:一项定性研究
IF 3.1 3区 医学
Physiotherapy Pub Date : 2024-08-17 DOI: 10.1016/j.physio.2024.101424
Ron Feldman , Tamar Pincus , Noa Ben Ami
{"title":"‘A challenge to my professional identity’- resisting the shift from over-management to self-management for back pain within an implementation trial: a qualitative study","authors":"Ron Feldman ,&nbsp;Tamar Pincus ,&nbsp;Noa Ben Ami","doi":"10.1016/j.physio.2024.101424","DOIUrl":"10.1016/j.physio.2024.101424","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The Enhanced Transtheoretical Model Intervention (ETMI) is based on behavioral models and focuses on guiding Chronic Low Back Pain (CLBP) patients to self-manage symptoms and engage in recreational physical activity. While there is promising evidence that ETMI benefits patients, it is unclear how challenging it might be to implement widely. This investigation focused on the perceptions of physiotherapists trained to deliver ETMI for CLBP.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A Qualitative study comprised of semi-structured interviews (July to November 2023). Interviews were audio-recorded, transcribed, coded, and analyzed thematically by two independent researchers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Data were obtained as part of a large implementation study evaluating the uptake and impact of ETMI amongst physiotherapists in a large public healthcare setting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;22 physiotherapists trained to deliver the ETMI approach and chose to use it with at least one patient.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;While physiotherapists acknowledged the evidence base behind ETMI and the clarity of the approach, they struggled to adapt it to routine delivery. Exploration of the reasons for this identified an overarching meta-theme, ‘A challenge to my professional identity’, and three main themes consisting of 1) interventions such as ETMI contradicted my training. 2) I am ambivalent/ do not accept evidence that contradicts my habitual practice, and 3) I am under-skilled in psychological and communication skills.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This study highlights the reluctance of physiotherapists to implement evidence-based interventions such as ETMI, which fundamentally challenge their traditional practice and therapeutic identity. The shift from over-management by experts seeking cures to supporting self-management was not palatable to physiotherapists. The challenge of embracing a new professional identity must be addressed to enable a successful implementation of the approach.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Contribution of the Paper&lt;/h3&gt;&lt;div&gt;&lt;ul&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;This study highlights the reluctance of physiotherapists to implement evidence-based interventions such as ETMI, which fundamentally challenge their traditional practice and therapeutic identity.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;The shift from overdiagnosis (weak cores, bad postures, unstable back, or disc sliding) and over-management (specific exercises, modalities, or special techniques) by experts seeking cures to support self-management was not palatable to physiotherapists.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;The findings could lead to a reevaluation of professional development programs for physiotherapists, with an emphasis on updating skills and knowledge to align with evidence-based practices, ultimately aiming to enhance the quality of care provided to patients.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;/ul&gt;&lt;/di","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"125 ","pages":"Article 101424"},"PeriodicalIF":3.1,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199839","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 effects of a prescribed exercise programme in people with metastatic breast cancer: a systematic review 转移性乳腺癌患者参加规定运动计划的效果:系统综述
IF 3.1 3区 医学
Physiotherapy Pub Date : 2024-08-17 DOI: 10.1016/j.physio.2024.101423
Joyce M.C.V. O’ Riordan , Ruth McCullagh , Paul J. Murphy , Grainne Sheill , Frances Horgan , Helen P. French
{"title":"The effects of a prescribed exercise programme in people with metastatic breast cancer: a systematic review","authors":"Joyce M.C.V. O’ Riordan ,&nbsp;Ruth McCullagh ,&nbsp;Paul J. Murphy ,&nbsp;Grainne Sheill ,&nbsp;Frances Horgan ,&nbsp;Helen P. French","doi":"10.1016/j.physio.2024.101423","DOIUrl":"10.1016/j.physio.2024.101423","url":null,"abstract":"<div><h3>Objective</h3><div>To synthesise available evidence on the effects of a prescribed exercise programme in People with Metastatic Breast Cancer (PwMBC).</div></div><div><h3>Data sources</h3><div>Medline, Embase, CINAHL, Web of Science and Scopus were searched up to January 2024.</div></div><div><h3>Study selection</h3><div>Randomised controlled trials (RCTs) recruiting PwMBC to an exercise intervention were included. The primary outcome was Quality of Life (QOL). Secondary outcomes included physical performance, muscle health, cancer-related fatigue (CRF) and physical activity (PA).</div></div><div><h3>Study appraisal and synthesis methods</h3><div>Meta-analysis was not possible due to the low number of included studies. We calculated the effect size (ES), with 95% confidence intervals (95% CIs) of individual studies, adjusting for small sample size. Cohen’s criteria for small (0.2 to 0.5), moderate (0.5 to 0.8) and large (&gt;0.8) describe the size of the effect. Risk of bias (ROB) was assessed using the Cochrane (ROB) version 1 tool.</div></div><div><h3>Results</h3><div>Three RCTs (<em>n</em> = 149 PwMBC) were included. Results showed no significant between-group effects in the primary outcome, QOL. Whilst effects in favour of prescribed exercise were observed in CRF (ES 1.3, 95% CI 0.06 to 2.35) and PA (ES 0.83, 95% CI 0.14 to 1.42) in two separate studies, as the lower bound of the 95% CI did not reach Cohen’s threshold, there is considerable uncertainty regarding the treatment effect.</div></div><div><h3>Conclusions</h3><div>There is currently insufficient evidence to support the use of prescribed exercise to improve QOL, physical performance, muscle health, CRF and PA in PwMBC. Further high-quality trials are required to investigate the effectiveness of exercise interventions in PwMBC.</div></div><div><h3>Systematic Review Registration Number</h3><div>PROSPERO CRD42022304528.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Despite guidelines and recommendations on the positive role of exercise, the evidence for prescribed exercise programmes for PwMBC is limited.</div></span></li><li><span>•</span><span><div>This systematic review of three trials found insufficient evidence to support the use of prescribed exercise to improve QOL, physical performance, muscle health, CRF and PA in PwMBC.</div></span></li><li><span>•</span><span><div>Further high-quality, adequately powered trials are required to investigate the effectiveness of exercise interventions on QOL, CRF, PA, physical performance and muscle health in PwMBC.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"125 ","pages":"Article 101423"},"PeriodicalIF":3.1,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Content analysis of current role/job descriptors for Band 5/junior physiotherapists and mapping of these to Physiotherapy Professional standards of practice 对 5 级/初级物理治疗师目前的角色/工作描述进行内容分析,并将其与物理治疗专业实践标准相匹配
IF 3.3 3区 医学
Physiotherapy Pub Date : 2024-08-12 DOI: 10.1016/j.physio.2024.101421
Catherine J. Minns Lowe, Ben Clements, Nicola Heneghan, Karen Atkinson, Reena Patel, Karen Beeton
{"title":"Content analysis of current role/job descriptors for Band 5/junior physiotherapists and mapping of these to Physiotherapy Professional standards of practice","authors":"Catherine J. Minns Lowe, Ben Clements, Nicola Heneghan, Karen Atkinson, Reena Patel, Karen Beeton","doi":"10.1016/j.physio.2024.101421","DOIUrl":"https://doi.org/10.1016/j.physio.2024.101421","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"2 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199807","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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