Archives of physiotherapy最新文献

{"title":"Economic evaluation: a reader's guide to studies of cost-effectiveness.","authors":"J Haxby Abbott,&nbsp;Ross Wilson,&nbsp;Yana Pryymachenko,&nbsp;Saurab Sharma,&nbsp;Anupa Pathak,&nbsp;Jason Y Y Chua","doi":"10.1186/s40945-022-00154-1","DOIUrl":"https://doi.org/10.1186/s40945-022-00154-1","url":null,"abstract":"<p><strong>Background: </strong>Understanding what an economic evaluation is, how to interpret it, and what it means for making choices in a health delivery context is necessary to contribute to decisions about healthcare resource allocation. The aim of this paper to demystify the working parts of a health economic evaluation, and explain to clinicians and clinical researchers how to read and interpret cost-effectiveness research.</p><p><strong>Main body: </strong>This primer distils key content and constructs of economic evaluation studies, and explains health economic evaluation in plain language. We use the PICOT (participant, intervention, comparison, outcome, timeframe) clinical trial framework familiar to clinicians, clinical decision-makers, and clinical researchers, who may be unfamiliar with economics, as an aide to reading and interpreting cost-effectiveness research. We provide examples, primarily of physiotherapy interventions for osteoarthritis.</p><p><strong>Conclusions: </strong>Economic evaluation studies are essential to improve decisions about allocating resources, whether those resources be your time, the capacity of your service, or the available funding across the entire healthcare system. The PICOT framework can be used to understand and interpret cost-effectiveness research.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"12 1","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9753355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10712241","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":"A perspective on the use of the cervical flexion rotation test in the physical therapy management of cervicogenic headaches.","authors":"Jean-Philippe Paquin,&nbsp;Jean-Pierre Dumas,&nbsp;Thomas Gérard,&nbsp;Yannick Tousignant-Laflamme","doi":"10.1186/s40945-022-00153-2","DOIUrl":"https://doi.org/10.1186/s40945-022-00153-2","url":null,"abstract":"<p><strong>Background: </strong>The Cervical Flexion-Rotation Test (CFRT) is widely used in the assessment of upper cervical spine mobility impairments and in the diagnosis of cervicogenic headache (CGH) by physiotherapist. Many studies investigated its different properties, and the results show that the CFRT has good construct validity in the measurement of C1-C2 rotation as well as good to excellent reliability.</p><p><strong>Purpose: </strong>In this theoretical paper, we explore the value and point out two methodological issues associated to the CFRT, one related to the procedures and another related to its diagnostic accuracy.</p><p><strong>Results: </strong>Our analysis indicate that there are many confounding factors that could affect the CFRT cut-off's accuracy, which are likely to overestimate the diagnosis properties of CFRT. Potential solutions are discussed. Moreover, the gold standard (manual examination) used to examine the validity of the CFRT for the diagnosis of CGH appears to be far from perfect - we could argue that the diagnostic properties of the CFRT for CGH might be biased and the likelihood ratios are likely to be overestimated. However, it could be relevant to explore if results of the CFRT could be considered as a treatment-effect modifier. Maybe the CFRT could be more valuable as a prognostic factor?</p><p><strong>Conclusion: </strong>The quality of evidence supporting the validity of the CFRT is most likely biased. In the absence of a better gold standard, maybe the CFRT could be a more valuable test to establish the patient's prognosis and help the clinician to choose the most appropriate treatment options.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"12 1","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10695639","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":"Physiotherapeutic evaluation of patients with post COVID-19 condition: current use of measuring instruments by physiotherapists working in Austria and South Tyrol.","authors":"Claudia Spiegl,&nbsp;Natalia Schiefermeier-Mach,&nbsp;Erika Schifferegger,&nbsp;Claudia Wiederin,&nbsp;Barbara Scheiber","doi":"10.1186/s40945-022-00147-0","DOIUrl":"https://doi.org/10.1186/s40945-022-00147-0","url":null,"abstract":"<p><strong>Background: </strong>The implementation of standardized assessments in physiotherapeutic practice strongly supports diagnostic and treatment plans. Previous studies reported insufficient usage of standardized assessments due to lack of time, lack of knowledge, lack of resources and other barriers. Physiotherapy in outpatient settings became essential for the rehabilitation of patients with post COVID-19 condition but it remains unknown to what extent assessments are implemented into the evaluation of these patients. In this study, we explored the current use and barriers regarding the implementation of physiotherapeutic assessments to evaluate patients with post COVID-19 condition.</p><p><strong>Methods: </strong>A cross-sectional online survey was carried out among 180 physiotherapists working in outpatient settings in Austria and South Tyrol.</p><p><strong>Results: </strong>The majority of physiotherapists (88%) indicated that standardized assessments are useful, though less than a fifth of participants actually implement assessments in practice. Among implementation barriers, \"insufficient experience\" (41.8%) and \"lack of knowledge\" (36.6%) were mentioned most often. Concerning specific post COVID-19 assessments, the evaluation of \"physical and respiratory function\", \"quality of life\" and \"activities of daily living\" were stated to be of particular relevance.</p><p><strong>Conclusions: </strong>Our study revealed a low implementation rate and identified the main barriers regarding the non-usage of standardized assessments for post COVID-19 patients.</p><p><strong>Trial registration: </strong>The Private University for Health Sciences and Health Technology (UMIT TIROL), and the Research Committee for Scientific Ethical Questions granted approval for the survey (RCSEQ, Hall in Tirol, Austria, Number 2834).</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"12 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9473730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9182498","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":"Causal mechanisms of a scapular stabilization intervention for patients with subacromial pain syndrome: a secondary analysis of a randomized controlled trial","authors":"G. H. Hotta, R. K. Alaiti, D. C. Ribeiro, K. McQuade, A. S. de Oliveira","doi":"10.1186/s40945-022-00138-1","DOIUrl":"https://doi.org/10.1186/s40945-022-00138-1","url":null,"abstract":"","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42650824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and content validity of a rating scale for the pain and disability drivers management model","authors":"Florian Naye, S. Décary, Y. Tousignant-Laflamme","doi":"10.1186/s40945-022-00137-2","DOIUrl":"https://doi.org/10.1186/s40945-022-00137-2","url":null,"abstract":"","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41350565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"12 weeks high intensity interval training versus moderate intensity continuous training in chronic low back pain subjects: a randomised single-blinded feasibility study.","authors":"Tamara Cerini,&nbsp;Roger Hilfiker,&nbsp;Thomas F Riegler,&nbsp;Quinten T M Felsch","doi":"10.1186/s40945-022-00136-3","DOIUrl":"https://doi.org/10.1186/s40945-022-00136-3","url":null,"abstract":"<p><strong>Background: </strong>Currently, very little is known about the effects of an endurance high intensity interval training (HIIT) in chronic low back pain patients. Therefore, the feasibility and safety of the HIIT must be assessed first before Currently, very little is known about the effects of an endurance high intensity interval training in chronic low back pain patients. Therefore, the feasibility and safety of the HIIT has to be assessed first before it can be integrated safely into research and daily practice it can be integrated safely into research and daily practice. This study aims to answers the question if high intensity interval training and moderate intensity continuous training (MICT) have comparable adherence and feasibility.</p><p><strong>Methods: </strong>Participants (age from 29 to 69 years) with non-specific chronic low back pain were recruited in this randomised, single-blinded, allocation concealed, feasibility study. The participants trained 30 min on a cycle ergometer for 12 weeks. One group had HIIT and the other MICT.</p><p><strong>Results: </strong>Of 45 screened subjects 30 participated. The adherence rate was 94% in the HIIT group (median 0.94, IQR 0.23) versus 96% in the MICT group (median 0.96, IQR 0.08), without between-group differences: estimated median of the difference of - 0,01 [95% CI, - 0.11 to 0.06; p = 0.76]. Similar results in enjoyability (median 3, IQR 1 vs median 2, IQR 1.8) and willingness to continue the training (median 3, IQR 1 vs median 3, IQR 0.4). Both groups improved in pain and disability, without between-group differences in pain [median of the difference, 0.5; 95% CI, - 1 to 2; p = 0.95] nor in disability [median of the difference, 1.78; 95% CI, - 6.44 to 9.56; p = 0.64].</p><p><strong>Conclusion: </strong>There were no differences in adherence rates. HIIT is as feasible as MICT in non-specific chronic low back pain and can be used in future larger trials to deepen the knowledge about HIIT in this specific population.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, NCT04055545 . Registered 13 August 2019.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"12 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9059354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10248438","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":"Co-creation of an exercise inventory to improve scapular stabilization and control among individuals with rotator cuff-related shoulder pain: a survey-based study amongst physiotherapists","authors":"Marc-Olivier Dubé, Jasmine Arel, Philippe Paquette, J. Roy, F. Desmeules, D. Gagnon","doi":"10.1186/s40945-022-00132-7","DOIUrl":"https://doi.org/10.1186/s40945-022-00132-7","url":null,"abstract":"","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46678626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A framework for rehabilitation for older adults living with dementia","authors":"Julie D. Ries","doi":"10.1186/s40945-022-00134-5","DOIUrl":"https://doi.org/10.1186/s40945-022-00134-5","url":null,"abstract":"","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43134336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frankly, we do give a damn: improving patient outcomes with swearing","authors":"Nicholas B. Washmuth, R. Stephens","doi":"10.1186/s40945-022-00131-8","DOIUrl":"https://doi.org/10.1186/s40945-022-00131-8","url":null,"abstract":"","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44881437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can YouTube be used as an educational tool in lymphedema rehabilitation?","authors":"Okan Küçükakkaş, Bugra Ince","doi":"10.1186/s40945-022-00130-9","DOIUrl":"https://doi.org/10.1186/s40945-022-00130-9","url":null,"abstract":"","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42564082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}