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In-between duty and hope for recognition, the experience of physiotherapists working in a university hospital during the COVID-19 first wave in Switzerland: a qualitative study based on focus groups. 在职责和希望得到认可之间,瑞士新冠肺炎第一波期间在大学医院工作的物理治疗师的经历:一项基于焦点小组的定性研究。
Archives of physiotherapy Pub Date : 2023-08-17 DOI: 10.1186/s40945-023-00169-2
Claude Pichonnaz, Rose-Anna Foley
{"title":"In-between duty and hope for recognition, the experience of physiotherapists working in a university hospital during the COVID-19 first wave in Switzerland: a qualitative study based on focus groups.","authors":"Claude Pichonnaz, Rose-Anna Foley","doi":"10.1186/s40945-023-00169-2","DOIUrl":"10.1186/s40945-023-00169-2","url":null,"abstract":"<p><strong>Background: </strong>Learning more about the physiotherapists' experience, perceived role and perception of events during the COVID-19 crisis, as well as their recovery and projection into the post-crisis future, may be useful to inform stakeholders about the impact of the crisis. The objective of this study was to investigate the experience of physiotherapists working in a university hospital in Switzerland during the 1<sup>st</sup> wave of the COVID-19 crisis, more specifically their subjective experience, professional involvement, perception of management and perceived implications for the future.</p><p><strong>Methods: </strong>This interpretative qualitative study investigated the subjective experience of a purposeful sample of 12 physiotherapists using two 2 h semi-directive focus group interviews conducted by a physiotherapist in June 2020. Data were recorded, transcribed, and analysed using a thematic analysis approach. The report was approved by participants and the study was audited by a health anthropologist.</p><p><strong>Results: </strong>The most impressive points were the unprecedented nature of the crisis, the health threat, the hospital's capacity to reorganise on a large scale and the solidarity between colleagues. Participants expressed a high level of commitment to their role despite the potentially serious repercussions at an individual level. Pride and stress coexisted for those directly involved in the crisis, while those working in a reduced activity department felt anxious and idle. The need for immediacy in decision-making and action led to a flattening of hierarchies and an increase of uncertainties. Communication management was seen as the main area for improvement. Physiotherapists hoped that their involvement would improve recognition of the profession but feared that working conditions would deteriorate after the crisis.</p><p><strong>Conclusions: </strong>The physiotherapists expressed high dedication to their profession and pride to be part of the \"war effort\" during the crisis. The stress level was partly tempered by the solidarity amongst health professionals and distraction by engaging in action. Despite the mental load, this situation was also seen as an opportunity to grow at a personal and professional level. The healthcare system capacity having not been exceeded in Switzerland, less distress related to death and powerlessness were expressed than in other studies investigating healthcare professionals' experience of the COVID-19 crisis.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10436384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10047335","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
Reliability and measurement error of sensorimotor tests in patients with neck pain: a systematic review. 颈部疼痛患者感觉运动测试的可靠性和测量误差:一项系统综述。
Archives of physiotherapy Pub Date : 2023-08-15 DOI: 10.1186/s40945-023-00170-9
Simone Elsig, Lara Allet, Caroline Henrice Germaine Bastiaenen, Rob de Bie, Roger Hilfiker
{"title":"Reliability and measurement error of sensorimotor tests in patients with neck pain: a systematic review.","authors":"Simone Elsig, Lara Allet, Caroline Henrice Germaine Bastiaenen, Rob de Bie, Roger Hilfiker","doi":"10.1186/s40945-023-00170-9","DOIUrl":"10.1186/s40945-023-00170-9","url":null,"abstract":"<p><strong>Background: </strong>Neck pain is one of the leading causes of years lived with disability, and approximately half of people with neck pain experience recurrent episodes. Deficits in the sensorimotor system can persist even after pain relief, which may contribute to the chronic course of neck pain in some patients. Evaluation of sensorimotor capacities in patients with neck pain is therefore important. No consensus exists on how sensorimotor capacities of the neck should be assessed in physiotherapy. The aims of this systematic review are: (a) to provide an overview of tests used in physiotherapy for assessment of sensorimotor capacities in patients with neck pain; and (b) to provide information about reliability and measurement error of these tests, to enable physiotherapists to select appropriate tests.</p><p><strong>Methods: </strong>Medline, CINAHL, Embase and PsycINFO databases were searched for studies reporting data on the reliability and/or measurement error of sensorimotor tests in patients with neck pain. The results for reliability and measurement error were compared against the criteria for good measurement properties. The quality of evidence was assessed according to the modified GRADE method proposed by the COSMIN group.</p><p><strong>Results: </strong>A total of 206 tests for assessment of sensorimotor capacities of the neck were identified and categorized into 18 groups of tests. The included tests did not cover all aspects of the sensorimotor system; tests for the sensory and motor components were identified, but not for the central integration component. Furthermore, no data were found on reliability or measurement error for some tests that are used in practice, such as movement control tests, which apply to the motor component. Approximately half of the tests showed good reliability, and 12 were rated as having good (+) reliability. However, tests that evaluated complex movements, which are more difficult to standardize, were less reliable. Measurement error could not be evaluated because the minimal clinically important change was not available for all tests.</p><p><strong>Conclusion: </strong>Overall, the quality of evidence is not yet high enough to enable clear recommendations about which tests to use to assess the sensorimotor capacities of the neck.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10428553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10022051","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
Cracking the code: unveiling the specific and shared mechanisms behind musculoskeletal interventions. 破解密码:揭示肌肉骨骼干预背后的具体和共享机制。
Archives of physiotherapy Pub Date : 2023-07-06 DOI: 10.1186/s40945-023-00168-3
Amy W McDevitt, Bryan O'Halloran, Chad E Cook
{"title":"Cracking the code: unveiling the specific and shared mechanisms behind musculoskeletal interventions.","authors":"Amy W McDevitt,&nbsp;Bryan O'Halloran,&nbsp;Chad E Cook","doi":"10.1186/s40945-023-00168-3","DOIUrl":"https://doi.org/10.1186/s40945-023-00168-3","url":null,"abstract":"<p><strong>Background: </strong>Mechanisms reflect the steps or processes through which an intervention unfolds and produces change in a specified outcome variable. Mechanisms are responsible for determining \"how treatments work\" which has emerged as a critical question for both developing theory and enhancing treatment efficacy. Studies that evaluate \"how\" treatments work, not just \"if\" treatments work are of considerable importance.</p><p><strong>Discussion: </strong>Specific and shared mechanisms research is a promising approach which aims to improve patient outcomes by tailoring treatments to the specific needs of each patient. Mechanisms research is an underexplored area of research requiring a unique research design.</p><p><strong>Conclusion: </strong>Although mechanisms research is still in its infancy, prioritizing the study of the mechanisms behind manual therapy interventions can provide valuable insight into optimizing patient outcomes.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10327381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9809246","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: 1
Patient's assessment and prediction of recovery after stroke: a roadmap for clinicians. 中风后患者的评估和康复预测:临床医生的路线图。
Archives of physiotherapy Pub Date : 2023-06-19 DOI: 10.1186/s40945-023-00167-4
Silvia Salvalaggio, Leonardo Boccuni, Andrea Turolla
{"title":"Patient's assessment and prediction of recovery after stroke: a roadmap for clinicians.","authors":"Silvia Salvalaggio,&nbsp;Leonardo Boccuni,&nbsp;Andrea Turolla","doi":"10.1186/s40945-023-00167-4","DOIUrl":"https://doi.org/10.1186/s40945-023-00167-4","url":null,"abstract":"<p><strong>Background and purpose: </strong>In neurorehabilitation clinical practice, assessment is usually more oriented to evaluate patient's present status, than to plan interventions according to predicted outcomes. Therefore, we conducted an extensive review of current prognostic models available in the literature for recovery prediction of many functions and constructs, after stroke. We reported results in the form of a practical guide for clinicians, with the aim of promoting the culture of early clinical assessment for patient stratification, according to expected outcome. To define a roadmap for clinicians, a stepwise sequence of five actions has been developed, from collecting information of past medical history to the adoption of validated prediction tools. Furthermore, a clinically-oriented organization of available prediction tools for recovery after stroke have been proposed for motor, language, physiological and independency functions. Finally, biomarkers and online resources with prognostic value have been reviewed, to give the most updated state of the art on prediction tools after stroke.</p><p><strong>Recommendations for clinical practice: </strong>Clinical assessment should be directed both towards the objective evaluation of the present health status, and to the prediction of expected recovery. The use of specific outcome measures with predictive value is recommended to help clinicians with the definition of sound therapeutic goals.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9666776","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: 1
Rehabilitation following shoulder arthroplasty: a survey of current clinical practice patterns of Italian physiotherapists. 肩关节置换术后的康复:意大利物理治疗师当前临床实践模式的调查。
Archives of physiotherapy Pub Date : 2023-06-05 DOI: 10.1186/s40945-023-00166-5
Fabrizio Brindisino, Mariangela Lorusso, Michele Usai, Leonardo Pellicciari, Sharon Marruganti, Mattia Salomon
{"title":"Rehabilitation following shoulder arthroplasty: a survey of current clinical practice patterns of Italian physiotherapists.","authors":"Fabrizio Brindisino,&nbsp;Mariangela Lorusso,&nbsp;Michele Usai,&nbsp;Leonardo Pellicciari,&nbsp;Sharon Marruganti,&nbsp;Mattia Salomon","doi":"10.1186/s40945-023-00166-5","DOIUrl":"https://doi.org/10.1186/s40945-023-00166-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The incidence of Total Shoulder Arthroplasty (TSA) and Reverse Total Shoulder Arthroplasty (RTSA) is constantly increasing. As a result, the interest in post-surgical rehabilitation has grown, since it is crucial in order to achieve full recovery and successful outcomes. The first aim of this study is to investigate the Italian physiotherapists (PTs) clinical practice in the management of patients with TSA and RTSA and to compare it with the best evidence available in the literature. The second purpose of this study is to assess any existing difference between the survey answers and the different sample subgroups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;This cross-sectional observation study was designed following the CHERRIES checklist and the STROBE guidelines. A 4-sections survey with a total of 30 questions was developed for investigating post-surgery rehabilitation management in patient with TSA and RTSA. The survey was sent to Italian PTs from December 2020 until February 2021.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Six-hundred and seven PTs completed the survey regarding both TSA and RTSA; 43.5% of participants (n = 264/607) stated that TSA is more likely to dislocate during abduction and external rotation. Regarding reverse prosthesis, 53.5% (n = 325/607) affirmed RTSA is more likely to dislocate during internal rotation, adduction and extension. In order to recover passive Range of Motion (pROM), 62.1% (n = 377/607) of participants reported that they gain anterior flexion, abduction, internal rotation, external rotation up to 30°, with full pROM in all directions granted at 6-12 weeks. Regarding the active ROM (aROM), 44.2% (n = 268/607) of participants stated that they use active-assisted procedures within a range under 90° of elevation and abduction at 3-4 weeks and higher than 90° at 6-12 weeks, with full recovery at a 3-month mark. Sixty-five point seven percent of the sample (n = 399/607) declared that, during the rehabilitation of patients with TSA, they tend to focus on strengthening the scapular and rotator cuff muscles, deltoid, biceps and triceps. Conversely, 68.0% (n = 413/607) of participants stated that, for the rehabilitation of patients with RTSA, they preferably focus on strengthening the periscapular and deltoid muscles. Finally, 33.1% (n = 201/607) of participants indicated the instability of the glenoid prosthetic component as the most frequent complication in patients with TSA, while 42.5% (n = 258/607) of PTs identified scapular neck erosion as the most frequent post-RTSA surgery complication.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The clinical practice of Italian PTs effectively reflects the indications of the literature as far as the strengthening of the main muscle groups and the prevention of movements, which may result in a dislocation, are concerned. Some differences emerged in the clinical practice of Italian PTs, regarding the restoration of active and passive movement, the startin","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10243052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9591650","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
Virtual reality in the management of patients with low back and neck pain: a retrospective analysis of 82 people treated solely in the metaverse. 虚拟现实在下背部和颈部疼痛患者管理中的应用:对82名仅在元宇宙中接受治疗的患者的回顾性分析。
Archives of physiotherapy Pub Date : 2023-05-16 DOI: 10.1186/s40945-023-00163-8
Eran Orr, Tal Arbel, Miki Levy, Yaron Sela, Omer Weissberger, Omer Liran, Jeremy Lewis
{"title":"Virtual reality in the management of patients with low back and neck pain: a retrospective analysis of 82 people treated solely in the metaverse.","authors":"Eran Orr,&nbsp;Tal Arbel,&nbsp;Miki Levy,&nbsp;Yaron Sela,&nbsp;Omer Weissberger,&nbsp;Omer Liran,&nbsp;Jeremy Lewis","doi":"10.1186/s40945-023-00163-8","DOIUrl":"10.1186/s40945-023-00163-8","url":null,"abstract":"<p><strong>Background: </strong>Clinically, neck pain disorders (NPD) and non-specific low back pain (NS-LBP) are respectively the fourth and first most common conditions associated with the greatest number of years lived with disability. Remote delivery of care may benefit healthcare sustainability, reduce environmental pollution, and free up space for those requiring care non-virtual care.</p><p><strong>Methods: </strong>A retrospective analysis was performed on 82 participants with NS-LBP and/or NPD who received exercise therapy delivered solely in the metaverse using virtually reality. The study was to determine if this was achievable, safe, had appropriate outcome measures that could be collected, and if there was any early evidence of beneficial effects.</p><p><strong>Results: </strong>The study demonstrated that virtual reality treatment delivered via the metaverse appears to be safe (no adverse events or side effects). Data for more than 40 outcome measures were collected. Disability from NS-LBP was significantly reduced (Modified Oswestry Low Back Pain Disability Index) by 17.8% (p < 0.001) and from NPD (Neck Disability Index) by 23.2% (p = 0.02).</p><p><strong>Conclusions: </strong>The data suggest that this method of providing exercise therapy was feasible, and safe (no adverse events reported), that complete reports were obtained from a large selection of patients, and that software acquired outcomes were obtainable over a range of time points. Further prospective research is necessary to better understand our clinical findings.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10189988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9485985","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: 2
Different muscle strategy during head/knee level of functional reaching-transporting task to decrease falling probability in postmenopausal women with osteoporosis. 不同肌肉策略对绝经后骨质疏松妇女头膝水平功能到达转运任务的影响
Archives of physiotherapy Pub Date : 2023-05-09 DOI: 10.1186/s40945-023-00165-6
Marzie Hatami, Giti Torkaman, Mohammad Najafi Ashtiani, Sanaz Mohebi
{"title":"Different muscle strategy during head/knee level of functional reaching-transporting task to decrease falling probability in postmenopausal women with osteoporosis.","authors":"Marzie Hatami,&nbsp;Giti Torkaman,&nbsp;Mohammad Najafi Ashtiani,&nbsp;Sanaz Mohebi","doi":"10.1186/s40945-023-00165-6","DOIUrl":"https://doi.org/10.1186/s40945-023-00165-6","url":null,"abstract":"<p><strong>Background: </strong>The reaching-transporting task as an essential daily activity impacts balance control and falling in older women. This study investigated the different muscle strategies during the head/knee level of the functional reaching-transporting task in postmenopausal women with osteoporosis.</p><p><strong>Methods: </strong>24 postmenopausal volunteers were classified into two groups based on the lumbar T-score: osteoporosis (≤ -2.5, n = 12) and non-osteoporosis (> -1, n = 12). Using a custom-designed device, participants randomly performed 12 reaching-transporting tasks at the head and knee levels. Electromyography signals were collected while reaching and transporting phases with a wireless system. The peak of the root means square (PRMS) and time to PRMS (TPRMS) were measured. In addition, the isometric muscle strength and the fear of falling were assessed.</p><p><strong>Results: </strong>The isometric muscle strength in the osteoporotic group was significantly lower than in the non-osteoporotic group (P < 0.05), except for vastus lateralis (VL). The PRMS of VL, (P = 0.010) during the reaching phase and VL (P = 0.002) and gastrocnemius lateralis (GL) (P < 0.001) during transporting phase was greater than the non-osteoporotic group. The PRMS value of the muscles was greater for reaching-transporting at the knee level than the head level; this increase was significant just for VL and biceps femoris during the transporting phase (P = 0.036 and P = 0.004, respectively).</p><p><strong>Conclusion: </strong>Osteoporotic women have more muscle activities during the reaching-transporting task, especially at the knee level, compared to the head level. Their muscle weakness may lead to insufficient stability during the task and cause disturbance and falling, which requires further investigation.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10170822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9450712","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 sensitivity and specificity of using the McGill pain subscale for diagnosing neuropathic and non-neuropathic chronic pain in the total joint arthroplasty population. 使用麦吉尔疼痛分量表诊断全关节置换术人群中的神经性和非神经性慢性疼痛的敏感性和特异性。
IF 2.1
Archives of physiotherapy Pub Date : 2023-04-24 DOI: 10.1186/s40945-023-00164-7
Dragana Boljanovic-Susic, Christina Ziebart, Joy MacDermid, Justin de Beer, Danielle Petruccelli, Linda J Woodhouse
{"title":"The sensitivity and specificity of using the McGill pain subscale for diagnosing neuropathic and non-neuropathic chronic pain in the total joint arthroplasty population.","authors":"Dragana Boljanovic-Susic, Christina Ziebart, Joy MacDermid, Justin de Beer, Danielle Petruccelli, Linda J Woodhouse","doi":"10.1186/s40945-023-00164-7","DOIUrl":"10.1186/s40945-023-00164-7","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to describe the diagnostic performance of the Neuropathic Pain Subscale of McGill [NP-MPQ (SF-2)] and the Self-Administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) questionnaire in differentiating people with neuropathic chronic pain post total joint arthroplasty (TJA).</p><p><strong>Methods: </strong>This study was a survey of a cohort of individuals who had undergone primary, unilateral total knee, or hip joint arthroplasty. The questionnaires were administered by mail. The time interval from operation to the completion of the postal survey varied from 1.5 to 3.5 years post-surgery. Receiver Operating Characteristic (ROC) analysis was used to assess the overall diagnostic power and determine the optimal threshold value of the NP-MPQ (SF-2) in identification of neuropathic pain.</p><p><strong>Results: </strong>S-LANSS identified 19 subjects (28%) as having neuropathic pain (NP), while NP-MPQ (SF-2) subscale identified 29 (43%). When using the S-LANSS as the reference standard, a Receiver Operating Characteristic (ROC) analysis for NP-MPQ (SF-2) had an area under the curve of 0.89 (95% CI: 0.82, 0.97); a cut off score of 0.91 NP-MPQ (SF-2) maximized sensitivity (89.5%) and specificity (75.0%). Correlation between the measures was moderate (r = 0.56; 95% CI: 0.40, 0.68).</p><p><strong>Conclusion: </strong>These finding suggest some conceptual overlap but some variability in diagnosis of NP which may relate to scale-tapping into different dimensions of the pain experience, or the different scoring metrics.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"9"},"PeriodicalIF":2.1,"publicationDate":"2023-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10127094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9383384","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
"Trustworthiness," confidence in estimated effects, and confidently translating research into clinical practice. “可信赖性”,对估计效果的信心,以及对将研究成果转化为临床实践的信心。
Archives of physiotherapy Pub Date : 2023-04-06 DOI: 10.1186/s40945-023-00162-9
Sean P Riley, Brian T Swanson, Chad E Cook
{"title":"\"Trustworthiness,\" confidence in estimated effects, and confidently translating research into clinical practice.","authors":"Sean P Riley,&nbsp;Brian T Swanson,&nbsp;Chad E Cook","doi":"10.1186/s40945-023-00162-9","DOIUrl":"https://doi.org/10.1186/s40945-023-00162-9","url":null,"abstract":"<p><p>Trustworthy, preprocessed sources of evidence, such as systematic reviews and clinical practice guidelines, are crucial for practicing clinicians. Confidence in estimated effects is related to how different the outcome data were between the two groups. Factors including the effect size, variability of the effect, research integrity, research methods, and selected outcome measures impact confidence in the estimated effect. The current evidence suggests that post-randomization biases cannot be ruled out with a high degree of certainty in published research, limiting the utility of preprocessed sources for clinicians. Research should be prospectively registered to improve this situation, and fidelity with prospective intent should be verified to minimize biases and strengthen confidence in estimated effects. Otherwise, discussions related to preprocessed literature, including P-values, point estimates of effect, confidence intervals, post-randomization biases, external and internal validity measures, and the confidence in estimated effects required to translate research into practice confidently, are all moot points.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"13 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10080765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282977","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: 1
Translation, cross-cultural adaptation and measurement properties of three implementation measures into Brazilian-Portuguese. 三种实施措施在巴西-葡萄牙语中的翻译、跨文化适应和度量特性。
Archives of physiotherapy Pub Date : 2023-03-27 DOI: 10.1186/s40945-023-00160-x
Iuri Fioratti, Verônica S Santos, Lívia G Fernandes, Karina A Rodrigues, Renato J Soares, Bruno T Saragiotto
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