Physiotherapy最新文献

Entry-level education for physiotherapists in Europe: a narrative on the relationship with professional autonomy 欧洲物理治疗师的入门级教育：与专业自主关系的叙述

IF 3.1 3区医学

Physiotherapy Pub Date : 2025-04-11 DOI: 10.1016/j.physio.2025.101801

Tim Nemeth, Ilse Lamers, Raf Meesen

{"title":"Entry-level education for physiotherapists in Europe: a narrative on the relationship with professional autonomy","authors":"Tim Nemeth, Ilse Lamers, Raf Meesen","doi":"10.1016/j.physio.2025.101801","DOIUrl":"10.1016/j.physio.2025.101801","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate if the length of entry-level education has an impact on the professional autonomy of European physiotherapists, and how professional organisations collaborate with educational facilities to shape the entry-level curriculum?</div></div><div><h3>Design and participants</h3><div>Mixed methods study using a survey and semi-structured interviews to explore perspectives from 37 policy experts from 37 European countries.</div></div><div><h3>Results</h3><div>In Europe, the length of education required before attaining the title of ‘physiotherapist’ varies between countries (3, 3.5, 4 or 5 years). The current European framework allows for recognised entry-level physiotherapists with either a diploma, a Bachelor’s degree or a Master’s degree. Regardless of the length of entry-level education, 26 of 37 (70%) countries reported that professional autonomy is not legalised for physiotherapists. Most of these countries (58%) have an entry-level education that prepares the physiotherapist to be autonomous. Most professional organisations (23/37, 62%) reported structural collaboration to shape entry-level education. However, the professional organisations in nine of 23 (40%) countries reported that they have a minor level of influence on the curriculum.</div></div><div><h3>Conclusion</h3><div>The length of entry-level education programmes, ranging from 3 to 5 years, is directly associated with the graduates’ readiness to practice autonomously. These findings underscore the need for a more harmonised approach to physiotherapy education in Europe. There is a compelling need for ongoing feedback mechanisms between practising physiotherapists and educational institutions. This will ensure that the curriculum continuously integrates emerging evidence and real-world practice requirements, thereby enhancing employability and professional efficacy.</div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"128 ","pages":"Article 101801"},"PeriodicalIF":3.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170623","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}

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Editors 编辑器

IF 3.1 3区医学

Physiotherapy Pub Date : 2025-04-07 DOI: 10.1016/S0031-9406(25)00332-3

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 , D. Parekh , J. Hodson , P. Guo , N. Efstathiou , 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> < 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> < 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}

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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.

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.

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