Advances in physiotherapy最新文献

{"title":"Experiences of acupuncture among women with migraine","authors":"Stina Rutberg, Kerstin Öhrling","doi":"10.1080/14038190802242053","DOIUrl":"https://doi.org/10.1080/14038190802242053","url":null,"abstract":"The aim of this study was to describe experiences of acupuncture treatment among women with migraine. The study was based on narrative interviews with 10 women in the northern part of Sweden. The interview text was analysed using qualitative content analysis and the results were grouped into two categories: “experiences during acupuncture treatment” and “experiences after acupuncture treatment” and five subheadings. The experience of acupuncture during treatment varied between women, over time, and depending on external circumstances. Women stated that the patient–therapist relationship affected the experience both during and the outcome after acupuncture treatment. The results showed that acupuncture relieved pain, decreased the use of pharmaceuticals and increased emotional strength. When the migraine disappeared or was lessened, women felt that they could live life to the fullest again and felt that family and work did not suffer, as they did before the acupuncture treatment. Women felt a feeling of control over migraine and experienced safety in the effect of acupuncture. In conclusion, acupuncture seems to relieve the consequences of migraine and can be viewed as an alternative for physiotherapists in treating persons with migraine.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"130 - 136"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190802242053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60255138","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":"Community-based progressive resistance strength training in traumatic brain injury: A multiple, single-system, trial","authors":"S. Morris, K. Dodd, M. Morris, T. Matyas","doi":"10.3109/14038190902856778","DOIUrl":"https://doi.org/10.3109/14038190902856778","url":null,"abstract":"The aim of the study was to investigate if progressive resistance strength training (PRST) can have a beneficial effect on muscle weakness, activity limitations and participation restrictions in adults with traumatic brain injury (TBI). Seven people, six men and one woman, participated in this AB single-system trial. The mean age was 35.6 years (range 21.0–63.0, SD = 14.0), the mean time after head injury was 14.5 years (range 4.5–26.0, SD = 8.7) and the mean for length of coma was 11.3 weeks (range 0.3 to 16.0, SD = 6.1). After an 8-week baseline phase, community-based PRST was conducted twice a week for 8 weeks. Changes in maximal isotonic strength (1RM for arm and leg press), activity limitation (maximal gait speed and three items on the Motor Assessment Scale, MAS) and participation restriction (BICRO-39 Scale) were evaluated across the baseline and intervention phases. Leg press strength significantly increased in four participants and arm press strength significantly increased in two participants. Two improved on the sit-to-stand item (MAS). Maximal gait speed and the BICRO-39 Scale scores did not change. Following a TBI, some adults increased their muscle strength and improved their ability to stand up following a community-based PRST programme.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"218 - 226"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038190902856778","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69366371","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":"Reliability of the selective motor control scale in children with cerebral palsy","authors":"K. Löwing, E. Brogren Carlberg","doi":"10.1080/14038190801999620","DOIUrl":"https://doi.org/10.1080/14038190801999620","url":null,"abstract":"The aim of this study was to determine inter-rater and test–retest reliability of a scale for assessing selective motor control (SMC) in the dorsiflexors of the ankle. A consecutive sample of 40 children with cerebral palsy (CP), aged 3–16 years (median age 7 years) participated in the study. Thirty children had a bilateral form of CP and 10 a unilateral form, and they were classified into Gross Motor Function Classification System levels I–V. The SMC scale ranges from 0 (indicating no ankle movement) to 4 (indicating isolated SMC through available range of motion with balanced activity in m. tibialis anterior). The inter-rater reliability was assessed simultaneously by three assessors. The test–retest reliability was achieved through a second assessment of 29 of the children, at a different occasion. The statistical analysis included a weighted kappa coefficient of agreement (Kw). The inter-rater reliability showed fair/good to strong agreement between pairs of raters (Kw=0.58–0.77). The test–retest reliability was strong (Kw=0.88–1). Since the inter-rater reliability varied between fair/good to strong and the test–retest reliability was strong, we conclude that repeated evaluations should preferably be performed by the same rater.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"58 - 63"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190801999620","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60254689","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":"Interaction between clients and physiotherapists in group exercise classes in geriatric rehabilitation","authors":"M. Wallin, U. Talvitie, M. Cattan, S. Karppi","doi":"10.1080/14038190802538948","DOIUrl":"https://doi.org/10.1080/14038190802538948","url":null,"abstract":"The aim of this paper is to explore how older people construct their interaction in group exercise classes in geriatric rehabilitation and what is their contribution to the interaction. Discourse analysis was employed and data, consisting of seven videotaped group-based exercise sessions, were collected from 52 older people (aged 66–93 years) and nine rehabilitation professionals in seven rehabilitation centres. Four discourse categories were found. In “taciturn exercising”, older people remained verbally silent but physically active. In “submissive disagreeing”, older people opposed the professionals’ agenda by displaying reluctant consent to proposals. In “resilient endeavouring”, older adults persisted on their course of action, regardless of the disapproval of the professionals. In “lay helping”, older people initiated spontaneous encouragement, but also gave verbal and physical assistance to their peers. Older people's meaningful contribution to interaction, whilst it may challenge the institutional flow of activities, can constitute an integral part of the re-ablement process of rehabilitation.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"145 - 153"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190802538948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60256688","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":"Test and measurement issues","authors":"H. Lund","doi":"10.1080/14038190902982566","DOIUrl":"https://doi.org/10.1080/14038190902982566","url":null,"abstract":"Even with the great variety seen in the clinical practice of physiotherapists (PT) a PT typically meets patients with complaints of pain and/or functional limitations possible arisen in the musculoskeletal system (MSS). The first and most important question for seeing a PT is to decide whether the problem arises from alterations in the body structure or function or not. Thus, a PT needs tools to answer that question. Browsing through PT textbooks shows an almost endless amount of different tests and measurement methods. However, if the PT should be able to answer the question in a useful and correct way, the suggested tests and methods should be valid, reliable and lead to effective advice and/or treatment. If these basic demands are not fulfilled, the patient will be given the wrong functional diagnosis and therefore both a wrong prognosis and/or at best a useless or maybe a harmful and worsening treatment. In order to achieve acceptable validity and reliability, the tests and methods should be quantitative. Unfortunately, this requirement will almost always limit the content of the answer achieved from the test or method, i.e. the test and method excludes important aspects of the patients reality and thereby aspects of the problem important to know. It is important always to consider limitations of the quantitative tests and methods; however, a better but more complex way would be to try to include as much as possible of the complex reality in the tests and methods. In the present issue of Advances in Physiotherapy, Lisbeth Gard and Birgit Rösblad tries to deal with this relevant but difficult task. What they are trying is a very important step in the development of the physiotherapy profession, since we need to be explicit in both our movement analyses and the way we deal with these results. That the method turned out to be not as sensitive as wished for should not be a discouragement, but should simply help the researcher and practitioner to be more specific when this and other methods to assess motor capacity of children are developed. In a reliability study of the selective motor control scale (SMC scale), Kristina Löwing and Eva B. Carlberg pointed out the importance of performing the reliability in the clinical setting, i.e. where the test will be used. Let me add that besides the importance of testing the reliability of a new test, reliability is a property of a measurement, not a test or an instrument. Thus, whoever would like to use the SMC scale should perform a reliability test in their own clinical setting before they implement the test into daily practice. If the reliability then is found to be poor, they need to retest the manual and the procedure again. How difficult can it be? I mean, a push-up or a situp should be rather simple to perform. But with a closer look, as Sofie R. Augustsson and co-workers have shown in the present issue of Advances in Physiotherapy, a sit-up is not simply a sit-up. By a thorough literature analysis ","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"49 - 50"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190902982566","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60257255","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":"No effect on gait function of progressive resistance exercise in adults with cerebral palsy – A single-blind randomized controlled trial","authors":"S. Maeland, R. Jahnsen, A. Opheim, K. F. Frøslie, R. Moe-Nilssen, J. Stanghelle","doi":"10.3109/14038190902912423","DOIUrl":"https://doi.org/10.3109/14038190902912423","url":null,"abstract":"Muscular weakness has long been recognized as a problem in individuals with cerebral palsy (CP), but has been ignored therapeutically until recently. The purpose of this study was to examine the effects of a progressive resistance exercise (PRE) programme of seated leg press (SLP) on gait function in adults with spastic diplegic CP, Gross Motor Function Classification System (GMFCS) level II and III, who experience reduced walking ability, using a single-blind randomized controlled trial. Twelve individuals were included, 6 in the training and 6 in the control group. The training group completed a PRE programme consisting of a 10-min warm-up, followed by SLP 12–15 repetitions maximum (RM) in 4 sets, 3 days a week, for the first 2 weeks, progressing to 6RM in 4 sets, 3 days a week, for the following 6 weeks. Six-RM tests in the SLP machine were performed to determine the training load. The control group continued individual treatment or training as usual. The primary outcome measure was the 6-Minute Walk Test (6MWT). Secondary outcome measures were the Ten-meter Walk Test (10 m), stair climbing, the Timed Stands Test (TST) and isokinetic muscle strength of the quadriceps. There was no significant change, or difference in change between the groups, in any of the outcome measures from baseline to 8 weeks. Adults with CP, participating in an 8-week PRE, did not improve their walking, functional lower limb strength or isokinetic strength. The training group did improve their performance in SLP.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"227 - 233"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038190902912423","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69366303","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":"Evaluating the Swedish version of the Falls Efficacy Scale-International (FES-I)","authors":"E. Nordell, M. Andreasson, Karin Gall, K. Thorngren","doi":"10.1080/14038190802318986","DOIUrl":"https://doi.org/10.1080/14038190802318986","url":null,"abstract":"A number of instruments measuring psychological outcomes of falling exist, e.g. the Falls Efficacy Scale (FES). An extended version of the FES, the Falls Efficacy Scale-International (FES-I), has been developed and translated into several European languages. The aims of this study were to evaluate internal reliability, examine the internal structure of the FES-I(S) (the Swedish version of the FES-I), and to examine the correlation between fear of falling and health-related quality of life measured with Short Form 12 (SF-12). Eighty-six participants, aged 50–85 years (88% women), recruited from the Orthopaedic Department, Lund University Hospital, and treated for a fall-related fracture, answered the FES-I(S), SF-12 and a questionnaire of background factors. The FES-I(S) showed a high internal reliability (Cronbach's α=0.95) and an inter-item correlation averaging 0.55. Factor analyses discriminated two factors dominated by items of less and more demanding physical activities, respectively. All items loaded strongly on a unitary underlying dimension There were significant correlations (p=0.01) between the FES-I(S) and SF-12 physical component score and the FES-I(S) and SF-12 mental component score with Spearman's rank correlation coefficient of −0.591 and −0.402, respectively. The FES-I(S) will be useful to assess fear of falling in Sweden in rehabilitation research and in clinical trials. Further studies are suggested to verify FES-I(S) validity.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"81 - 87"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190802318986","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60255463","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":"Limb support in response to balance provocations in women with patellofemoral pain","authors":"A. Stensdotter, J. B. Guerra, C. Häger-Ross","doi":"10.1080/14038190802425575","DOIUrl":"https://doi.org/10.1080/14038190802425575","url":null,"abstract":"Chronic pain may modulate motor strategies not only in the presence of pain but also in pain-free periods. Patellofemoral pain (PFP) is characterized by intermittent periods with knee pain. The aim of this study was to examine whether long-term pain would affect lower limb support and trunk movement in unpredictable external and predictable internal balance perturbations in women with PFP with no acute pain, compared with healthy controls. We hypothesized that long-term pain would induce compensatory strategies to minimize joint loading in the affected knee and that healthy control subjects without any knee problems would rely equally on both limbs. We also hypothesized that handed- and footedness would influence trunk rotation and movement of the body's centre of mass in predictable perturbations and would be influenced by unloading of the affected limb in PFP. The results showed that controls relied more on the preferred leg and that PFP subjects avoided loading on the affected limb, even when it was preferred, except during unpredictable perturbations where a symmetrical postural response appeared to override limb protection or the habitual unloading. Thus, compensatory strategies in PFP subjects become well established in the motor behaviour and can thus be identified even in pain-free periods.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"799 1","pages":"103 - 97"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190802425575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60256092","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":"How many patients with subacromial impingement syndrome recover with physiotherapy? A follow-up study of a supervised exercise programme","authors":"L. Virta, M. Mortensen, Rikard Eriksson, M. Möller","doi":"10.1080/14038190802460481","DOIUrl":"https://doi.org/10.1080/14038190802460481","url":null,"abstract":"This study was designed for patients with the diagnosis subacromial impingement syndrome who were on the waiting list for orthopaedic surgery. They were sent to physiotherapy for training before the operation. The aim of this study was to explore how large the proportion of patients was that did not need surgery when first treated with a supervised exercise programme. The programme emphasizes relearning of normal patterns of movement in arm elevation, reduction of mechanical subacromial stress, specific endurance training to increase nutrition of the collagen tissue and simple advice to prevent recurrence. Ninety-seven patients were included in this follow-up study, selected consecutively at the physiotherapy department. Seventy-two patients completed the training programme; 87% scored excellent or good results and 10 patients were operated on, one of them from the training group. No significant difference was seen in the number of treatments or final results related to age, sex or duration of symptoms. An average of 11 treatments during 8 weeks was required. The experience of improvement and good results from this study is a strong recommendation that the supervised exercise programme be the first treatment alternative for patients with impingement syndrome.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"166 - 173"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190802460481","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60256126","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":"The qualitative motor observations in Movement ABC: Aspects of reliability and validity","authors":"Lisbeth Gard, B. Rösblad","doi":"10.1080/14038190902792346","DOIUrl":"https://doi.org/10.1080/14038190902792346","url":null,"abstract":"The aim of the present project was to study aspects of reliability and validity of the qualitative motor observations in the Swedish version of the Movement Assessment Battery for Children (Movement ABC). In total 12 children, divided into three groups, were assessed by 18 experienced physical and occupational therapists. Four of the children were typically developed, four fulfilled the criteria for Developmental Coordination Disorder and four were diagnosed with mild cerebral palsy. A video recording with the 12 children performing two of the eight items of the normative part of Movement ABC were sent to the 18 therapists. The therapists scored the performance of the children according to the guidelines given for the qualitative motor observations. They were informed of the age of the children but blinded to the result of the normative part of the Movement ABC and the children's diagnoses. The inter-rater reliability was moderate to high (ICC=0.75) for the two items together. The total number of observed movement deviations differentiated significantly between the groups of children (p=0.007) supporting the validity of these observations. Further studies are needed in order to extend the knowledge of the usefulness of Movement ABC's qualitative motor observations.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"80 1","pages":"51 - 57"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190902792346","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60256433","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}