Archives of physiotherapy最新文献

{"title":"Diagnostic accuracy of the clinical indicators to identify central sensitization pain in patients with musculoskeletal pain.","authors":"Juliana Valentim Bittencourt,&nbsp;Ana Carolina de Melo Magalhães Amaral,&nbsp;Pedro Vidinha Rodrigues,&nbsp;Leticia Amaral Corrêa,&nbsp;Bruno Moreira Silva,&nbsp;Felipe José Jandre Reis,&nbsp;Leandro Alberto Calazans Nogueira","doi":"10.1186/s40945-020-00095-7","DOIUrl":"https://doi.org/10.1186/s40945-020-00095-7","url":null,"abstract":"<p><strong>Background: </strong>The identification of central sensitization (CS) is an important aspect in the management of patients with chronic musculoskeletal pain. Several methods have been developed, including clinical indicators and psychophysical measures. However, whether clinical indicators coincide with the psychophysical test of CS-related sign and symptoms is still unknown. Therefore, the present study aimed to analyze the diagnostic accuracy of the clinical indicators in identifying CS-related sign and symptoms in patients with musculoskeletal pain.</p><p><strong>Methods: </strong>One-hundred consecutive patients with musculoskeletal pain were included. Clinical indicators (index method) based on a combination of patient self-report pain characteristics and physical examination were used to identify the phenotype of patients with musculoskeletal pain and the predominance of the CS-related sign and symptoms. Conditioned pain modulation (CPM) was assessed by the Cold Pressor Test (reference standard), which is a psychophysical test used to detect impairment of CPM. Measurements of the diagnostic accuracy were performed.</p><p><strong>Results: </strong>Twenty-seven patients presented predominance of CS-related sign and symptoms in the assessment of the clinical indicators, and 20 had impairment of CPM. Clinical indicators showed high accuracy (75.0%; 95% confidence interval = 65.3 to 83.1), high specificity (80.0%; 95% confidence interval = 69.6 to 88.1), high negative predictive value (87.7%; 95% confidence interval = 81.2 to 92.1), and a relevant positive likelihood ratio (2.8, 95% confidence interval = 1.5 to 5.0) when compared to the Cold Pressor Test.</p><p><strong>Conclusion: </strong>Clinical indicators demonstrated a valuable tool for detecting the impaired CPM, which is a remarkable feature of the CS-related sign and symptoms. Clinicians are encouraged to use the clinical indicators in the management of patients with musculoskeletal pain.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00095-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38807903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Musculoskeletal symptoms among adult smartphone and tablet device users: a retrospective study.","authors":"Ella Thorburn,&nbsp;Rodney Pope,&nbsp;Shaoyu Wang","doi":"10.1186/s40945-020-00096-6","DOIUrl":"https://doi.org/10.1186/s40945-020-00096-6","url":null,"abstract":"<p><strong>Background: </strong>Previous literature suggests the use of smartphones and tablet devices may result in various postural and musculoskeletal disorders, predominantly of the neck and upper extremities. However, factors that contribute to the symptoms have not been adequately explored.</p><p><strong>Methods: </strong>This study aimed to investigate the prevalence and patterns (e.g. types, sites and temporal distributions) of musculoskeletal symptoms among adult smartphone and tablet device users. It also investigated device usage in terms of usage time, postures adopted during use, operational methods and purposes of device use in order to explain the symptom occurrences. Participants from eastern states of Australia retrospectively reported device usage and symptoms in the preceding two-week period, via an online survey. Data was analysed using Chi-square [χ2] analysis to determine the relationships between categorical variables; Mann-Whitney U tests to compare two groups (e.g. smartphone-only users versus tablet users) where dependant variables were ordinal; independent samples t-tests if dependent variables were continuous and approximated a normal distribution; and Spearman's correlation analysis to assess the relationships between pairs of continuous or ordinal variables.</p><p><strong>Results: </strong>Of the 207 participants, 59.9% reported musculoskeletal symptoms during or after device use; for 64.5% of these, symptoms began within the first 30 min (mostly between 15 and 30 min) of commencing usage. No statistically significant differences were observed between smartphone-only users and tablet device users in proportions reporting symptoms during device use (χ2 = .350, N = 207, p = .554). The most prevalent symptom was stiffness. The most prevalent symptom occurred in the neck (18.1% in smartphone-only users and 19.3% in tablet device users). Tablet users who were 18-24 year-old and used their device for more than 30 min in each usage session more often experienced symptoms (82.4% prevalence) than those who used a device for 30 min or less (52.2%) (χ2 = 4.723, N = 63, p = .030).</p><p><strong>Conclusion: </strong>These findings suggest that user age, duration and frequency of usage, and type of device are important factors to consider in the formation of evidence-based guidelines to reduce experiences of musculoskeletal symptoms among smartphone and tablet device users. If usage was capped at < 15 min, the majority of smartphone and tablet device users would avoid symptoms.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00096-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38800353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution of service metrics and utilisation of objective discharge criteria in anterior cruciate ligament reconstruction rehabilitation: a retrospective cohort study with historical control in a public hospital physiotherapy department.","authors":"Kirby Tuckerman,&nbsp;Wendy Potts,&nbsp;Milad Ebrahimi,&nbsp;Corey Scholes,&nbsp;Mark Nelson","doi":"10.1186/s40945-020-00093-9","DOIUrl":"https://doi.org/10.1186/s40945-020-00093-9","url":null,"abstract":"<p><strong>Background: </strong>ACL reconstruction (ACLR) is a common procedure requiring rehabilitation in public hospital physiotherapy departments. The rate of re-rupture and reduced rates of return to sport following ACLR are concerning. Current guidelines recommend a progressive approach to rehabilitation based on objective criteria. The aim of this study was to determine whether a new public hospital model of care incorporating a phase-based program increased physiotherapist utilisation of objective outcome measures, improved service metrics including attendance and rehabilitation completion rates, and increased patient-reported activity and knee function.</p><p><strong>Methods: </strong>Records from patients attending outpatient physiotherapy after ACL reconstruction (N = 132) were included in a retrospective chart review to assess utilisation of objective measures such as quadricep and hamstring strength assessment, patient attendance and rehabilitation completion. Phone followup (minimum 1 year) was conducted to retrieve patient-reported measures of knee function (IKDC) and activity (Tegner Activity Scale). Patients were categorised by rehabilitation model of care (contemporary - time based [N = 93] vs new - phase based [N = 39]) and logistic regression used to assess the influence of patient factors and model of care on outcomes.</p><p><strong>Results: </strong>Compliance was equivalent between models of care and completion rates (formal discharge by therapist) were low (30-38%). The probability of a patient receiving objective strength assessment was associated with model of care, sex, BMI and number of sessions attended. The probability of a patient being recorded as discharged from the program was significantly associated with model of care, and duration and number of sessions.</p><p><strong>Conclusion: </strong>Introduction of an updated model of care including a phase-based rehabilitation program increased physiotherapist utilisation of objective outcome measures in line with current ACLR rehabilitation recommendations, increased total rehabilitation duration and increased total number of sessions attended. Despite this, rehabilitation completion rates remained low, and self-reported activity and knee function remained equivalent.</p><p><strong>Level of evidence: </strong>III, retrospective cohort study.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00093-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38712651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relation of chair rising ability to activities of daily living and physical activity in Parkinson's disease.","authors":"Mon S Bryant,&nbsp;Gu Eon Kang,&nbsp;Elizabeth J Protas","doi":"10.1186/s40945-020-00094-8","DOIUrl":"https://doi.org/10.1186/s40945-020-00094-8","url":null,"abstract":"<p><strong>Background: </strong>Many persons living with Parkinson's disease (PD) have difficulty rising from a chair. Impaired ability to perform the chair rise may be associated with low physical activity levels and reduced ability to perform activities of daily living (ADL).</p><p><strong>Methods: </strong>Cross-sectional analysis was performed in 88 persons with PD to study the association of chair rising ability with ADL and physical activity.</p><p><strong>Results: </strong>We found that the participants who pushed themselves up from the chair had more severe PD, higher motor impairment and more comorbidity than those who rose from a chair normally. The Unified Parkinson's Disease Rating Scale ADL (UPDRS-ADL), Schwab and England Activities of Daily Living Scale (SE-ADL) and the Physical Activity Scale for the Elderly (PASE) scores for the participants who pushed themselves up to rise (17.20 ± 7.53; 76.67 ± 13.23; 46.18 ± 52.64, respectively) were significantly poorer than for those who rose normally (10.35 ± 3.79; 87.64 ± 8.30; 112.90 ± 61.40, respectively) (all p < .05). Additionally, PASE scores were significantly poorer for participants who pushed themselves up to rise compared to those who rose slowly (95.21 ± 60.27) (p < .01). Pushing up to rise from a chair was a significant predictor of UPDRS-ADL (β = .357; p < .001; R² = .403), SE-ADL (β = -.266; p = .009; R² = .257) and PASE (β = -.250; p = .016; R² = .162).</p><p><strong>Conclusions: </strong>Ability to rise from a chair was associated with ADL limitation and physical activity in persons with PD. Poor ability to rise from a chair may prevent persons from living independently and engaging in physical activity.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00094-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38691681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To stimulate or not to stimulate? A rapid systematic review of repetitive sensory stimulation for the upper-limb following stroke.","authors":"Rachel C Stockley,&nbsp;Kerry Hanna,&nbsp;Louise Connell","doi":"10.1186/s40945-020-00091-x","DOIUrl":"https://doi.org/10.1186/s40945-020-00091-x","url":null,"abstract":"<p><strong>Background: </strong>Repetitive sensory stimulation (RSS) is a therapeutic approach which involves repeated electrical stimulation of the skin's surface to improve function. This rapid systematic review aimed to describe the current evidence for repetitive sensory stimulation (RSS) in rehabilitation of the upper-limb for people who have had a stroke.</p><p><strong>Main text: </strong>Methods: Relevant studies were identified in a systematic search of electronic databases and hand-searching in February 2020. The findings of included studies were synthesized to describe: the safety of RSS, in whom and when after stroke it has been used, the doses used and its effectiveness.</p><p><strong>Results: </strong>Eight studies were included. No serious adverse events were reported. The majority of studies used RSS in participants with mild or moderate impairments and in the chronic stage after stroke. Four studies used RSS in a single treatment session, reporting significant improvements in strength and hand function. Findings from longitudinal studies showed few significant differences between control and experimental groups. Meta-analysis was not possible due to the heterogeneity of included studies.</p><p><strong>Conclusions: </strong>This review suggests that there is insufficient evidence to support the use of RSS for the upper-limb after stroke in clinical practice. However, this review highlights several clear research priorities including establishing the mechanism and in whom RSS may work, its safety and optimal treatment parameters to improve function of the upper-limb after stroke.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00091-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38351112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retracted articles in rehabilitation: just the tip of the iceberg? A bibliometric analysis.","authors":"Marco Bordino, Elisa Ravizzotti, Stefano Vercelli","doi":"10.1186/s40945-020-00092-w","DOIUrl":"10.1186/s40945-020-00092-w","url":null,"abstract":"<p><strong>Background and aim: </strong>The volume of withdrawn publications in scholarly disciplines has grown steadily, but there is little awareness about this issue in rehabilitation. The aim of this study was to analyze the extent of retracted articles pertaining to rehabilitation.</p><p><strong>Methods: </strong>Retracted articles were searched in 4 different bibliographic databases from their inception to April 2020: PubMed, Web of Science, WikiLetters and Retraction Watch. Three independent reviewers assessed the relevance of the retrieved articles to the rehabilitation area.</p><p><strong>Results: </strong>Of 280 rehabilitation-related publications retracted between 1984 and 2020, 83 (29.6%) were published in 55 full open access journals and 197 (70.4%) were published in 147 traditional, non-open access or hybrid journals. In the last 10 years (2009-2018) there was a significant steady increase in both the total number of retractions (p < 0.005; r = 0.856; R² = 0.733) and retraction rate per year (p < 0.05; r = 0.751; R² = 0.564). However, the number of retractions represents a very small percentage (~ 0.1%) of the overall volume of publications in rehabilitation.</p><p><strong>Conclusions: </strong>Our data indicate that the number of retracted articles in rehabilitation is increasing, although the phenomenon is still limited. However, the true prevalence of misconduct may go unnoticed due to the large number of low-quality journals not indexed in the searched databases. Physiotherapists should be aware of the danger of misleading information originating from withdrawn publications.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38688341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Common musculoskeletal impairments in postpartum runners: an international Delphi study.","authors":"Shefali M Christopher,&nbsp;Alessandra N Garcia,&nbsp;Suzanne J Snodgrass,&nbsp;Chad Cook","doi":"10.1186/s40945-020-00090-y","DOIUrl":"https://doi.org/10.1186/s40945-020-00090-y","url":null,"abstract":"<p><strong>Background: </strong>Postpartum runners report musculoskeletal pain with running. Because of inadequate research, little is known about the origin and pain-related classification. Through expert consensus, this study is the first attempt to understand the musculoskeletal impairments that these runners present with. The objective of this survey was to gather expert consensus on characteristics of reported impairments in postpartum runners that have musculoskeletal pain.</p><p><strong>Methods: </strong>A web-based Delphi survey was conducted and was composed of five categories: strength, range of motion, alignment and flexibility impairments, as well as risk factors for pain in postpartum runners.</p><p><strong>Results: </strong>A total of 117 experts were invited. Forty-five experts completed round I and forty-one completed rounds II and III. The strength impairments that reached consensus were abdominal, hip and pelvic floor muscle weakness. The range of motion impairments that reached consensus were hip extension restriction, anterior pelvic tilt and general hypermobility. The alignment impairments that reached consensus were a Trendelenburg sign, dynamic knee valgus, lumbar lordosis, over-pronation and thoracic kyphosis. The flexibility impairments that reached consensus were abdominal wall laxity, and tightness in hip flexors, lumbar extensors, iliotibial band and hamstrings. The risk factors for pain in postpartum runners were muscular imbalance, poor lumbopelvic control, too much too soon, life stressors, pain during pregnancy and pelvic floor trauma.</p><p><strong>Conclusion: </strong>This study presents a framework for clinicians to understand pain in postpartum runners and that can be investigated in future cohort studies.</p><p><strong>Level of evidence: </strong>5.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00090-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38539644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability and outcomes of an individualized exergaming telePT program for veterans with multiple sclerosis: a pilot study.","authors":"Shane Chanpimol,&nbsp;Kimberly Benson,&nbsp;Heidi Maloni,&nbsp;Susan Conroy,&nbsp;Mitchell Wallin","doi":"10.1186/s40945-020-00089-5","DOIUrl":"https://doi.org/10.1186/s40945-020-00089-5","url":null,"abstract":"<p><strong>Background: </strong>Physical rehabilitation services are an important component of treatment for persons with multiple sclerosis (PwMS) to improve and maintain physical mobility. However, PwMS often have significant barriers to outpatient physical therapy (PT) services including mobility deficits and lack of transportation. The integration of exercise gaming (exergaming) and telehealth into clinical PT practices may overcome these barriers. The overarching purpose of this pilot study was to evaluate the acceptability and effects of an individualized telePT intervention using exergaming.</p><p><strong>Methods: </strong>Ten individuals with multiple sclerosis (MS) completed a 12-week exergaming (Jintronix®) telerehabilitation intervention. In order to measure the acceptability of the telerehabilitation intervention, adherence was measured through the tablet-based rehabilitation software and each participant completed a satisfaction questionnaire. Clinical outcome measures were assessed at baseline and post-intervention. To evaluate the efficacy of this intervention, the following measures of physical function and fatigue were included; the Short Physical Performance Battery (SPPB), 25-Foot Walk (25FW), Modified Fatigue Impact Scale (MFIS), Multiple Sclerosis Walking Scale-12 (MSWS), and the 2-Minute Walk Test (2MWT). Clinical outcomes were analyzed using the Sign test and Wilcoxon signed rank test. All other data were evaluated using descriptive statistics.</p><p><strong>Results: </strong>After the intervention, participants demonstrated significant improvements in ambulation speed during the 25FW (<i>p =</i> 0.04) and ambulation distance during the 2MWT (<i>p</i> = 0.002). Statistically significant increases of SPPB total score (<i>p</i> = .04) and sub-scores were also found. Participants did not demonstrate significant changes in the MFIS (<i>p</i> = 0.31) or MSWS-12 (<i>p</i> = 0.06) after the intervention. Participants had a 58.3% adherence rate during the intervention and performed their exercise program an average of 2.5 times per week. All participants reported that they were either 'satisfied or 'very satisfied' with their telerehabilitation experience, would use telerehabilitation again, and would recommend telerehabilitation to others.</p><p><strong>Conclusion: </strong>This individualized telerehabilitation intervention which integrates exergaming and clinical video teleconferencing is acceptable to patients and may offer a viable alternative to traditional PT for PwMS.</p><p><strong>Trial registration: </strong>NCT03655431, retrospectively registered on August 31st, 2018.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00089-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38456657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' perceptions with musculoskeletal disorders regarding their experience with healthcare providers and health services: an overview of reviews.","authors":"Alan Chi-Lun-Chiao,&nbsp;Mohammed Chehata,&nbsp;Kenneth Broeker,&nbsp;Brendan Gates,&nbsp;Leila Ledbetter,&nbsp;Chad Cook,&nbsp;Malene Ahern,&nbsp;Daniel I Rhon,&nbsp;Alessandra N Garcia","doi":"10.1186/s40945-020-00088-6","DOIUrl":"https://doi.org/10.1186/s40945-020-00088-6","url":null,"abstract":"<p><strong>Objectives: </strong>This overview of reviews aimed to identify (1) aspects of the patient experience when seeking care for musculoskeletal disorders from healthcare providers and the healthcare system, and (2) which mechanisms are used to measure aspects of the patient experience.</p><p><strong>Data sources: </strong>Four databases were searched from inception to December 20th, 2019.</p><p><strong>Review methods: </strong>Systematic or scoping reviews examining patient experience in seeking care for musculoskeletal from healthcare providers and the healthcare system were included. Independent authors screened and selected studies, extracted data, and assessed the methodological quality of the reviews. Patient experience concepts were compiled into five themes from a perspective of a) <i>relational</i> and b) <i>functional</i> aspects. A list of mechanisms used to capture the patient experience was also collected.</p><p><strong>Results: </strong>Thirty reviews were included (18 systematic and 12 scoping reviews). Relational aspects were reported in 29 reviews and functional aspects in 25 reviews. For relational aspects, the most prevalent themes were \"information needs\" (education and explanation on diseases, symptoms, and self-management strategies) and \"understanding patient expectations\" (respect and empathy). For functional aspects, the most prevalent themes were patient's \"physical and environmental needs,\" (cleanliness, safety, and accessibility of clinics), and \"trusted expertise,\" (healthcare providers' competence and clinical skills to provide holistic care). Interviews were the most frequent mechanism identified to collect patient experience.</p><p><strong>Conclusions: </strong>Measuring patient experience provides direct insights about the patient's perspectives and may help to promote better patient-centered health services and increase the quality of care. Areas of improvement identified were interpersonal skills of healthcare providers and logistics of health delivery, which may lead to a more desirable patient-perceived experience and thus better overall healthcare outcomes.</p><p><strong>Trial registration: </strong><b>Systematic review registration: PROSPERO</b> (CRD42019136500).</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s40945-020-00088-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38522629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subacromial impingement syndrome: a survey of Italian physiotherapists and orthopaedics on diagnostic strategies and management modalities.","authors":"Fabrizio Brindisino, Diego Ristori, Mariangela Lorusso, Simone Miele, Leonardo Pellicciari, Giacomo Rossettini, Francesca Bonetti, John Duane Heick, Marco Testa","doi":"10.1186/s40945-020-00087-7","DOIUrl":"10.1186/s40945-020-00087-7","url":null,"abstract":"<p><strong>Background and aim: </strong>The subacromial impingement syndrome (SIS) represents a common cause of disability in approximately 74% of patients with Shoulder Pain (SP). Even if contemporary research suggests that this mechanism is not (always) the dominant driver in SP, SIS is still a source of debate among scholars and clinicians. From a clinical point of view, evidence has suggested that clinicians can use both medical and physiotherapy approaches as effective methods to treat SIS.This survey aims to investigate models of management of patients with SIS in a sample of Italian physiotherapist specialists (Orthopaedic Manipulative Physical Therapists, -OMPTs-) and orthopaedic surgeons.</p><p><strong>Materials and methods: </strong>An online survey with 29-item questionnaire was administered to assess the knowledge of OMPTs and orthopaedic surgeons about: a) strategies of clinical examination; b) the role of imaging in the diagnostic process; c) the physiotherapy management; and d) the pharmacological and surgical management in patients with SIS.</p><p><strong>Results: </strong>Six-hundred and twenty-nine respondents completed the survey (511 OMPTs (79.97%) and 128 orthopaedic surgeons (20.03%)). Ninety-two percent (<i>n</i> = 470) of the OMPTs and 80.5% (<i>n</i> = 103) of orthopaedic surgeons stated that in patients with SIS, a combination of diagnostic tests produced better accuracy (<i>p</i> = < 0.001). Twenty point seven % of OMPTs (<i>n</i> = 106) and 4.7% of orthopaedic surgeon (<i>n</i> = 6) stated that the Lift off was the most specific test (<i>p</i> = < 0.001). Four-hundred-and-twenty-four OMPTs (83%) and 40 orthopaedic surgeons (31.3%) answered that the gold standard for diagnosis of a patient with SIS are history and clinical examination (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>OMPTs and orthopaedic surgeons approach patients with SIS differently during both the assessment and the treatment. OMPTs appear to be appropriate in planning and managing clinical examination and therapeutic strategies to use with patients with SIS.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7465722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38359593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}