Archives of physiotherapy最新文献_第3页

Red flags for potential serious pathologies in people with neck pain: a systematic review of clinical practice guidelines. 颈部疼痛患者潜在严重病理的危险信号：临床实践指南的系统回顾。

IF 2.1

Archives of physiotherapy Pub Date : 2024-12-04 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3245

Daniel Feller, Alessandro Chiarotto, Bart Koes, Filippo Maselli, Firas Mourad

{"title":"Red flags for potential serious pathologies in people with neck pain: a systematic review of clinical practice guidelines.","authors":"Daniel Feller, Alessandro Chiarotto, Bart Koes, Filippo Maselli, Firas Mourad","doi":"10.33393/aop.2024.3245","DOIUrl":"10.33393/aop.2024.3245","url":null,"abstract":"Introduction: We conducted a systematic review of clinical practice guidelines to identify red flags for serious pathologies in neck pain mentioned in clinical practice guidelines, to evaluate agreement in red flag recommendations across guidelines, and to investigate the level of evidence including what study type the recommendations are based on.Methods: We searched for guidelines focusing on specific and nonspecific neck pain in MEDLINE, EMBASE, and PEDro up to June 9, 2023. Additionally, we searched for guidelines through citation tracking strategies, by consulting experts in the field, and by checking guideline organization databases.Results: We included 29 guidelines, 12 of which provided a total of 114 red flags for fracture (n = 17), cancer (n = 21), spinal infection (n = 14), myelopathy (n = 15), injury to the spinal cord (n = 1), artery dissection (n = 7), intracranial pathology (n = 3), inflammatory arthritis (n = 2), other systemic disease (n = 6), or unrelated to a specific condition (n = 19). Overall, there is very little agreement (median Fleiss' kappa of 0) between guidelines on the red flags to screen for serious pathologies.Conclusion: Red flags were mainly supported by expert opinions. We also observed a general lack of consensus among guidelines regarding which red flags to endorse. Considering the current limitations of the evidence, specific recommendations on which red flags to use cannot be provided, except for using the Canadian C-Spine rule for screening posttraumatic fractures.","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"14 ","pages":"105-115"},"PeriodicalIF":2.1,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11618059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787904","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}

引用次数: 0

The Italian version of the Postural Assessment Scale for Stroke Patients (PASS): transcultural translation and validation. 意大利版脑卒中患者体位评估量表（PASS）：跨文化翻译与验证。

IF 2.1

Archives of physiotherapy Pub Date : 2024-12-03 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3092

Elena Lora, Noemi Gaudenzi, Ada Buriani, Antonietta Bacciocchi, Lea Godino, Mattia Ricco, Domenica Gazineo

{"title":"The Italian version of the Postural Assessment Scale for Stroke Patients (PASS): transcultural translation and validation.","authors":"Elena Lora, Noemi Gaudenzi, Ada Buriani, Antonietta Bacciocchi, Lea Godino, Mattia Ricco, Domenica Gazineo","doi":"10.33393/aop.2024.3092","DOIUrl":"10.33393/aop.2024.3092","url":null,"abstract":"Introduction: The Postural Assessment Scale for Stroke Patients (PASS) is commonly used by health professionals in Italy in several different translations. This study aimed to provide a validated version in Italian. The main focus is on the evaluator, to guarantee a uniform application and interpretation of the statements and scoring for each item in the Italian context.Methods: A standardized protocol was used for the translation and cross-cultural adaptation. A pilot study conducted using the first draft of the scale led to a revised version, PASS-IT. A principal component analysis (PCA) was performed. The correlation with the Trunk Control Test (TCT) was examined for concurrent validity. In addition, the relationship with the Barthel Index (BI) and the Functional Ambulation Categories (FAC) was tested. Patients with recent stroke were tested for intra-rater (N = 49) and inter-rater agreement (N = 30). Cronbach's alpha, item-to-total correlation, corrected inter-item correlation, the intraclass correlation coefficient (ICC), and measurement error were used to evaluate internal consistency and intra-/inter-rater reliability.Results: The PCA showed a two-dimensional structure, with high reliability in both subsections (\"non-weight-bearing\" α = 0.865; \"weight-bearing\" α = 0.949). A strong correlation (ρ > 0.80) was found with the TCT, the BI, and the FAC. The PASS-IT showed high internal consistency, intra-rater (ICC = 0.942) and inter-rater reliability (ICC = 0.940).Conclusions: The PASS-IT is a recommended scale, suitable for clinical practice and research in the acute and subacute stage. The introduction of operating instructions resulted in the uniform application. A different order of the items allows faster administration, reducing changes of posture.","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"14 ","pages":"96-104"},"PeriodicalIF":2.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11615927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781992","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}

引用次数: 0

Indoor and outdoor 10-Meter Walk Test and Timed Up and Go in patients after total hip arthroplasty: a reliability and comparative study. 全髋关节置换术后患者的室内和室外 10 米步行测试和定时起立行走：可靠性和比较研究。

IF 2.1

Archives of physiotherapy Pub Date : 2024-11-04 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3267

Federico Temporiti, Chiara Casirati, Paola Adamo, Davide De Leo, Giorgia Marino, Guido Grappiolo, Roberto Gatti

{"title":"Indoor and outdoor 10-Meter Walk Test and Timed Up and Go in patients after total hip arthroplasty: a reliability and comparative study.","authors":"Federico Temporiti, Chiara Casirati, Paola Adamo, Davide De Leo, Giorgia Marino, Guido Grappiolo, Roberto Gatti","doi":"10.33393/aop.2024.3267","DOIUrl":"10.33393/aop.2024.3267","url":null,"abstract":"Introduction: The 10-Meter Walk Test (10MWT) and Timed Up and Go (TUG) are valid tools for gait performance and mobility assessment after total hip arthroplasty (THA). The study aimed to assess test-retest reliability of 10MWT and TUG in indoor and outdoor environments in patients in acute phase after THA and compare their indoor vs. outdoor performance during these tests.Methods: Thirty-five inpatients performed 10MWT and TUG in indoor and outdoor settings on the second postoperative day. An additional evaluation session was performed after 1 hour under the supervision of the same operator. Test-retest reliability was assessed using Intraclass Correlation Coefficient (ICC: 2.1) and Minimal Detectable Change (MDC95), while paired t-tests were used to compare indoor vs. outdoor performance.Results: Indoor (ICC: 0.94, MDC95: 0.13 m/s) and outdoor (ICC: 0.91, MDC95: 0.16 m/s) 10MWT at maximum speed and indoor (ICC: 0.92, MDC95: 2.5 s) and outdoor (ICC: 0.93, MDC95: 2.4 s) TUG revealed excellent reliability. Indoor (ICC: 0.86, MDC95: 0.16 m/s) and outdoor (ICC: 0.89, MDC95: 0.16 m/s) 10MWT at spontaneous speed revealed good reliability. Spontaneous (mean difference [MD]: 0.05 m/s, 95% confidence interval [CI95]: 0.03, 0.07, p < 0.001) and maximum (MD: 0.02 m/s, CI95: 0.01, 0.04, p < 0.001) 10MWT revealed higher gait speed when performed outdoors compared to indoors.Conclusions: Indoor and outdoor 10MWT and TUG are reliable tests in acute phase after THA. Higher gait speed during outdoor 10MWT may depend on test score variability, due to MDs being lower than MDC95.","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"14 ","pages":"90-95"},"PeriodicalIF":2.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592389","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}

引用次数: 0

Erratum in: Pragmatism in manual therapy trials for knee osteoarthritis: a systematic review. 勘误：膝关节骨关节炎手法治疗试验中的实用主义：系统综述》。

IF 2.1

Archives of physiotherapy Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3326

Kyle R Adams, Ayodeji O Famuyide, Jodi L Young, C Daniel Maddox, Daniel I Rhon

引用次数: 0

Intra- and inter-rater reliability of goniometric finger range of motion using a written protocol. 使用书面协议测量手指关节活动范围的内部和评定者之间的可靠性。

IF 2.1

Archives of physiotherapy Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3049

Takuya Nakai, Satoru Amano, Chikako Murao, Haruki Taguchi, Kayoko Takahashi

{"title":"Intra- and inter-rater reliability of goniometric finger range of motion using a written protocol.","authors":"Takuya Nakai, Satoru Amano, Chikako Murao, Haruki Taguchi, Kayoko Takahashi","doi":"10.33393/aop.2024.3049","DOIUrl":"10.33393/aop.2024.3049","url":null,"abstract":"Introduction: Goniometric finger range of motion (ROM) is the most common outcome measure used for functional evaluation of finger joints, but its reliability is not well-evaluated. This study aimed to investigate intra- and inter-rater reliability of goniometric finger ROM using a written protocol for active, passive, and composite movements in healthy adults.Methods: The design was a single-center, cross-sectional, reliability study. Participants were 20 healthy adults (mean ± standard deviation, 36.4 ± 10.9 years). ROM for active, passive, and composite movements of the fingers was assessed by three occupational therapists with at least 5 years clinical experience in the field of physical disabilities. To standardize the measurement method used, we developed a written protocol, stabilized the wrist position, and trained the evaluators. Intraclass correlation coefficient (ICC) values were used for the reliability analysis. ICC (1,1) was used for intra-rater reliability. ICC (2,1) was used for inter-rater reliability. Hand-shaped heatmaps were used to summarize the reliability data.Results: Most of the results (88.7%) showed moderate to good intra-rater reliability (ICC ≥ 0.50), while inter-rater reliability showed less (69.0%). Both intra- and inter-rater reliability showed no trends between dominant and non-dominant hands, type of movement, finger, or joint.Conclusions: Intra-rater reliability was relatively high and using a written protocol was beneficial. Inter-rater reliability tended to be lower, and differences in the physical structure of both raters and participants may have affected inter-rater reliability values.","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"14 ","pages":"83-88"},"PeriodicalIF":2.1,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11463044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395678","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}

引用次数: 0

A decade of growth: preserving the original meaning of research for physiotherapists. 十年成长：为物理治疗师保留研究的原始意义。

IF 2.1

Archives of physiotherapy Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3293

Marco Barbero, Andrew Guccione, Matteo Paci

引用次数: 0

Neurological conditions and community-based physical activity: physical therapists' belief and actions. 神经系统疾病与社区体育活动：理疗师的信念与行动。

IF 2.1

Archives of physiotherapy Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.2733

Louise Declerck, Mathilde Gillot, Charlotte Goffaux, Jean-François Kaux, Gaëtan Stoquart

{"title":"Neurological conditions and community-based physical activity: physical therapists' belief and actions.","authors":"Louise Declerck, Mathilde Gillot, Charlotte Goffaux, Jean-François Kaux, Gaëtan Stoquart","doi":"10.33393/aop.2024.2733","DOIUrl":"10.33393/aop.2024.2733","url":null,"abstract":"Introduction: Physical therapists (PTs) are key actors in physical activity (PA) promotion. However, it remains unclear whether PTs in community settings promote community-based PA such as adapted physical activity (APA) and adaptive sports (AS) to their patients with neurological conditions (NCs). The main purposes were to evaluate the beliefs PTs have of APA and AS, and to explore actions they undertake to promote it to their patients with NCs.Methods: An online survey was created specifically for the study. PT associations and institutions were contacted and licensed PTs working in community-based settings, treating at least one patient with a NC, were invited to participate. Questionnaires were analyzed only if all mandatory questions had been answered.Results: A total of 165 questionnaires were analyzed. PTs reported prioritizing active treatment. They viewed APA and AS as beneficial for their patients with NCs; however, its promotion remained largely infrequent due to a number of barriers. The PTs' own level of PA seemed to significantly influence their beliefs of the benefits of APA and AS (p = 0.001), while being specialized in neurologic physical therapy enabled the PTs to increase frequency of promotion (p = 0.003).Conclusion: Though community-based PTs are aware of the importance of PA for individuals with NCs, they face difficulties in promoting it to their patients. However, these difficulties are reduced among PTs who are specialized in neurologic physical therapy. Efforts should be made toward educating PTs to neurological pathologies and their specificities when it comes to PA.","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"14 ","pages":"70-79"},"PeriodicalIF":2.1,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373659","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}

引用次数: 0

Treatment fidelity in clinical trials. 临床试验中的治疗保真度。

IF 2.1

Archives of physiotherapy Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3128

Chad E Cook, Bryan O'Halloran, Steve Karas, Mareli Klopper, Jodi L Young

引用次数: 0

First-contact physiotherapists' perceived competency in a new model of care for low back pain patients: a mixed methods study. 首次接触理疗师在腰背痛患者护理新模式中的能力感知：一项混合方法研究。

IF 2.1

Archives of physiotherapy Pub Date : 2024-09-13 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3056

Amélie Kechichian, Elsa Viain, Thomas Lathière, François Desmeules, Nicolas Pinsault

{"title":"First-contact physiotherapists' perceived competency in a new model of care for low back pain patients: a mixed methods study.","authors":"Amélie Kechichian, Elsa Viain, Thomas Lathière, François Desmeules, Nicolas Pinsault","doi":"10.33393/aop.2024.3056","DOIUrl":"https://doi.org/10.33393/aop.2024.3056","url":null,"abstract":"Background: A new advanced practice model of care enables French physiotherapists to perform medical acts for low back pain (LBP) patients as first-contact physiotherapists (FCPs).Objective: The aim of this study is to determine the self-perceived competency of FCPs and to further explore factors underpinning this feeling.Methods: A mixed-methods explanatory sequential design was conducted. A survey was used to self-assess the perceived competency of FCPs in performing medical tasks. Semi-structured interviews were then performed to explore determining factors of perceived competency. Inductive thematic analysis was performed.Results: Nine FCPs answered the survey and were interviewed (mean age 40.1, standard deviation [SD]: ±10.0). FCPs felt very competent with making medical diagnosis (3.44/4, SD: ±0.53), analgesic prescription (3.11, SD: ±0.78) and referring onward to physiotherapy (3.78, SD: ±0.55). They did not feel competent with nonsteroidal anti-inflammatory drug prescription (2.78, SD: ±0.67) and issuing sick leave certificate (2.67, SD: ±1.0). The main identified influencing factors were previous FCPs' experience, training, knowledge, collaboration with family physicians, high responsibility and risk management associated with decision-making.Conclusion: French FCPs appeared to have the necessary skills to directly manage LBP patients without medical referral. Future training focusing on analgesic prescription and issuing sick leave certificate is however needed.","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"14 ","pages":"56-64"},"PeriodicalIF":2.1,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302283","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}

引用次数: 0

Defining the glenohumeral range of motion required for overhead shoulder mobility: an observational study. 确定肩上活动所需的盂肱运动范围：一项观察研究。

IF 2.1

Archives of physiotherapy Pub Date : 2024-08-26 eCollection Date: 2024-01-01 DOI: 10.33393/aop.2024.3015

Linda Dyer, Jaap Swanenburg, Hermann Schwameder, Samy Bouaicha

{"title":"Defining the glenohumeral range of motion required for overhead shoulder mobility: an observational study.","authors":"Linda Dyer, Jaap Swanenburg, Hermann Schwameder, Samy Bouaicha","doi":"10.33393/aop.2024.3015","DOIUrl":"https://doi.org/10.33393/aop.2024.3015","url":null,"abstract":"Background: Recovery of overhead mobility after shoulder surgery is time-consuming and important for patient satisfaction. Overhead stretching and mobilization of the scapulothoracic and glenohumeral (GH) joints are common treatment interventions. The isolated GH range of motion (ROM) of flexion, abduction, and external rotation required to move above 120° of global shoulder flexion in the clinical setting remains unclear. This study clarified the GH ROM needed for overhead mobility.Methods: The timely development of shoulder ROM in patients after shoulder surgery was analyzed. Passive global shoulder flexion, GH flexion, abduction, and external rotation ROM were measured using goniometry and visually at 2-week intervals starting 6-week postsurgery until the end of treatment. Receiver operating characteristic curves were used to identify the GH ROM cutoff values allowing overhead mobility.Results: A total of 21 patients (mean age 49 years; 76% men) after rotator cuff repair (71%), Latarjet shoulder stabilization (19%), and arthroscopic biceps tenotomy (10%) were included. The ROM cutoff value that accurately allowed overhead mobility was 83° for GH flexion and abduction with the area under the curve (AUC) ranging from 0.90 to 0.93 (p < 0.001). The cutoff value for GH external rotation was 53% of the amount of movement on the opposite side (AUC 0.87, p < 0.001).Conclusions: Global shoulder flexion above 120° needs almost full GH flexion and abduction to be executable. External rotation ROM seems less important as long as it reaches over 53% of the opposite side.","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"14 ","pages":"47-55"},"PeriodicalIF":2.1,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11393552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302282","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}

引用次数: 0