Advances in physiotherapy最新文献

{"title":"Clinical evaluation of muscle function, quality of life and functional capacity after shoulder surgery","authors":"S. Augustsson, I. H. Klintberg, U. Svantesson, N. Sernert","doi":"10.3109/14038196.2012.660988","DOIUrl":"https://doi.org/10.3109/14038196.2012.660988","url":null,"abstract":"The aim of the present study was to analyse and describe muscle function, quality of life and functional capacity before and after shoulder instability surgery. Twenty-six women aged 34 (± 14) years and 95 men aged 32 (± 10) years participated in this study. All patients were on the waiting list or had undergone shoulder instability surgery. The study was performed with a cross-sectional design and patients were examined pre-operatively, 6-month post-operatively or 7-year post-operatively. Handgrip strength measurement, active range of motion (AROM), isometric shoulder muscle strength measurement, health-related quality of life measured by Western Ontario Shoulder Instability Index (WOSI©) and shoulder function using the Constant Score were evaluated. The mean AROM in flexion for women in all groups ranged from 162° (± 16) to 169° (± 12), and for men from 157° (± 19) to 162° (± 12). The mean AROM in abduction ranged from 170° (± 25) to 177°(± 5) for women and from 177° (± 8) to 179° (± 24) for men. The mean AROM in external rotation ranged from 89° (± 14) to 95° (± 14) for women and from 83° (± 21) to 85° (± 12) for men. Men were significantly stronger and had a larger AROM on the non-injured side compared with the injured side, whereas differences were found between non-injured and injured side for women only in AROM. The scores from the WOSI© for all the patients were far from normative values suggesting that the patient's subjective experience does not fully reflect the physical examination. The results from the present study can guide the physiotherapist to give patients realistic expectations of shoulder function concerning AROM and muscle strength.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"14 1","pages":"29 - 37"},"PeriodicalIF":0.0,"publicationDate":"2012-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2012.660988","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372388","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":"Implications for clinical physiotherapy and student learning","authors":"G. Sundelin","doi":"10.3109/14038196.2012.662813","DOIUrl":"https://doi.org/10.3109/14038196.2012.662813","url":null,"abstract":"workers on insuffi cient loading in stoke subjects during conventional training, calls for attention in clinical practice. Elbow fl exors were tested for strength and a resistance-training task in an isokinetic dynamometer with simultaneous Electromyography (EMG) measurement on patients with stroke and healthy controls. Both the concentric and eccentric phases were tested in the dynamometer. Even though the relative load throughout the concentric phase was found to be similar between groups, there were indications of insuffi cient loading in the stroke group. However, the relative loading during the eccentric phase was lower for the stroke group compared to the controls. Thus, in stroke rehabilitation, it is not feasible to adapt the relative loading principles for resistance training for able-bodied on patients with stroke. It is therefore a challenge for the clinician to fi nd various ways to provide suffi cient load in resistance training for stroke patients. Ryman-Augustsson and her co-workers present an evaluation of muscle function, functional capacity and quality of life after shoulder surgery due to instability. Patients were examined preoperatively, after 6 months and 7 years, in a cross-sectional design. Shoulder function was evaluated with constant score, isometric shoulder strength and hand grip strength were measured with dynamometry, active range of motion was measured with handheld goniometer and quality of life was assessed with a self-administered disease specifi c questionnaire, Western Ontario Shoulder Instability (WOSI). Comparing the injured side to the non-injured side, active range of motion seems to be more affected by shoulder instability surgery than muscle strength. The scores from WOSI were far from normative values, suggesting that the patient ’ s subjective experience does not fully refl ect the physical examination. These results can guide the physiotherapist to give the patient realistic expectations on shoulder function after shoulder surgery. Heijne and her co-workers present an interesting paper on student learning with assessment by means of a portfolio in a physiotherapy program in Sweden. The working portfolio consists of a collection of work by the student from the beginning of the teaching period to the end, in order to refl ect EDITORIAL","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"14 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2012-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2012.662813","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69405976","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":"Treatment of myofascial trigger points in female patients with chronic tension-type headache – a randomized controlled trial","authors":"Steen Berggreen, E. Wiik, H. Lund","doi":"10.3109/14038196.2011.647333","DOIUrl":"https://doi.org/10.3109/14038196.2011.647333","url":null,"abstract":"The aim of this study was to evaluate the efficacy of myofascial trigger point massage in the muscles of the head, neck and shoulders regarding pain in the treatment of females with chronic tension-type headache. They were randomized into either a treatment group (n = 20) (one session of trigger point massage per week for 10 weeks) or a control group receiving no treatment (n = 19). The patients kept a diary to record their pain on a visual analogue scale (VAS), and the daily intake of drugs (mg) during the 4 weeks before and after the treatment period. The McGill Pain Questionnaire and the Short Form (SF-36) Questionnaire 1.1 were completed immediately before and after each treatment period. Morning pain measured on VAS was chosen as the primary outcome. A significant improvement in morning pain was recorded in the treatment group compared with the control group (difference of the change: 8.8 (95% CI 0.11–17.4), p = 0.047). Furthermore, a significant decrease in the number of trigger points was observed in the treatment group compared with the control group. Myofascial trigger point massage has a beneficial effect on pain in female patients with chronic tension-type headache.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"14 1","pages":"10 - 17"},"PeriodicalIF":0.0,"publicationDate":"2012-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.647333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372329","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":"Assessment of minor or moderate balance disorders: A reliability study and comparison with healthy subjects","authors":"B. Lindmark, Åsa Liljenäs, K. Hellström","doi":"10.3109/14038196.2011.640350","DOIUrl":"https://doi.org/10.3109/14038196.2011.640350","url":null,"abstract":"The purpose of the study was to examine the inter-rater, test–retest reliability and internal consistency of a new scale, the BDL Balance Scale, for assessing balance in patients with mild or moderate balance problems. An additional aim was to compare the results of assessed patients with the results of healthy subjects in order to demonstrate the discriminate ability of the scale. Patients (n = 30) aged 25–65 years and with neurological disorder and healthy subjects (n = 35) aged 30–65 years were assessed. The patients were assessed twice, by two different observers with 20 min in between, and the healthy subjects were assessed once. The reliability of the results obtained when testing the patients was calculated as intraclass correlation coefficient (ICC2.1), Cohen's kappa coefficient and Cronbach's alpha coefficient. The score differences were plotted in Bland–Altman graphs. The median total score was 24.0 points for the patients and 38.5 points for the healthy subjects (max 40 points). Cronbach's alpha coefficient was 0.89. The kappa coefficient for inter-rater reliability varied between 0.56 and 1.0, and ICC2.1 for the total score was 0.99. The kappa coefficients for test–retest reliability varied between 0.39 and 0.73, and ICC2.1 for the total scores was 0.96. The score between test occasions must be at least 5 points before the patients balance could be considered improved or deteriorated. The BDL Balance Scale has excellent to good intra-rater reliability and fairly good test–retest reliability and can differ between people with mild to moderate balance problems and healthy people of the same age. The sensitivity of the scales has to be further investigated.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"37 1","pages":"3 - 9"},"PeriodicalIF":0.0,"publicationDate":"2012-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.640350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372317","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":"Assessment by portfolio in a physiotherapy programme","authors":"A. Heijne, B. Nordgren, M. Hagströmer, C. Fridén","doi":"10.3109/14038196.2012.661458","DOIUrl":"https://doi.org/10.3109/14038196.2012.661458","url":null,"abstract":"The aim of the paper is to describe the introduction of a portfolio method of teaching and learning, and to describe students’ perceptions of the method as well as a peer-review system in a course, in the physiotherapy programme, at the Karolinska Institutet. A further aim was to describe the level of grades over time. A modified form of a showcase portfolio method together with a three-graded assessment criteria was introduced into the course. Students, over five semesters, were included in the project (n = 287) of which 91% answered questions and statements regarding their perception of the assessment method and the peer-review system. All portfolios were graded in a scale of three: fail, pass and pass with distinction. The majority of students were satisfied and reported positive learning effects with the assessment method and review system. However, the students asked for more guidance in how to give feedback. During these five semesters, the percentage of students that passed with distinction increased and the percentage of students that failed decreased. Three years after implementing the portfolio, our impression is that the method encourages students to take a more active part in learning and leads to a deeper approach to knowledge.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"14 1","pages":"38 - 46"},"PeriodicalIF":0.0,"publicationDate":"2012-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2012.661458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372399","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":"Insufficient loading in stroke subjects during conventional resistance training","authors":"M. Hedlund, P. Sojka, R. Lundström, B. Lindström","doi":"10.3109/14038196.2012.658861","DOIUrl":"https://doi.org/10.3109/14038196.2012.658861","url":null,"abstract":"Our objective was to assess the loading during a resistance-training task at a given training intensity in subjects with stroke and in healthy subjects. Subjects with stroke (n = 11) and two control groups (n = 11 in each) underwent strength measurements and a resistance-training task for elbow flexors. Torque and muscular activity obtained during the resistance-training task was related to values obtained during strength measurements. Even if relative loading throughout the concentric phase of the resistance-training task, expressed as percent of concentric isokinetic torque, was found to be similar among groups, we found indications of insufficient loading for the stroke group. Relative loading during the eccentric contraction phase, expressed as percent of eccentric isokinetic torque, was significantly lower for the stroke group. Also, when related to isometric maximum voluntary contraction, the loading was significantly lower for the stroke group, compared with the control groups, during the concentric and eccentric contraction phases. Furthermore, muscle activation during, as well as muscular fatigue after, the resistance-training task was somewhat lower for the stroke group. Hence, for subjects with stroke, the relative loading during resistance training, performed at a training intensity considered adequate for able-bodied, appears to be too low compared with the healthy controls.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"14 1","pages":"18 - 28"},"PeriodicalIF":0.0,"publicationDate":"2012-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2012.658861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372341","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":"Physical activity and overweight: Experiences of children and youth in a Norwegian project","authors":"Grete Stokkenes, M. Fougner","doi":"10.3109/14038196.2011.632438","DOIUrl":"https://doi.org/10.3109/14038196.2011.632438","url":null,"abstract":"Abstract Physiotherapists have paid great attention to the problems associated with overweight among children and youth. Clinicians have started programs to support the target group in their efforts to become more physically active, thus preventing such problems from arising. The aim of the study has been to investigate the experiences of the participants in these programs. A phenomenological research design was chosen. Fourteen children and youth in one of these programs volunteered as informants. Interviews were conducted using a semi-structured interview guide. The interviews were interpreted using a multistep thematic analysis model. The participants considered the inclusion of a friend in the group as one of their requirements for participating in the program. Most of the participants enjoyed and coped with the physical activities, although a few disliked some of the ball games. The participants concluded that their endurance had improved and they had become physically stronger. Most of them were also engaged in a variety of activities outside the program. The children and youth asserted that they had benefited from participating in this physical activity program, which they experienced as enjoyable. The best long-term result is probably achieved when child, parents, school, voluntary organizations and community collaborate in order to strengthen the physical and social skills of children.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"170 - 176"},"PeriodicalIF":0.0,"publicationDate":"2011-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.632438","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372266","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 physiotherapeutic treatment of acetabular labral tears. A systematic review","authors":"S. Orbell, T. Smith","doi":"10.3109/14038196.2011.619573","DOIUrl":"https://doi.org/10.3109/14038196.2011.619573","url":null,"abstract":"Abstract Aims: To review systematically the literature pertaining to the physiotherapy management of patients with acetabular labral tear (ALT). Methodology: A systematic review was undertaken of the electronic databases: Medline, Embase, CINAHL, the Cochrane Library and Sports Discus. All literature pertaining to the objective of the study was included. Data was extracted and narratively analysed to answer the research question. The methodological quality of the literature was assessed using the Critical Appraisal Skills Programme (CASP) Systematic Review tools, whereas single case study papers were assessed using a specific single case study appraisal instrument. Major findings: Thirteen papers were included: two case series and 11 review/commentary papers. There was limited evidence for the use of pre-operative physiotherapy. Physiotherapy regimes for the conservative and post-operative management of patients with ALT included the prescription of proprioceptive, muscle strengthening and stretching exercises, in addition to behaviour modification. Whilst post-operative physiotherapy was considered important, it has largely been directed by the operative procedure, requiring the construction of individualized rehabilitation regimes. Principal conclusions: There remains debate regarding the appropriateness of the physiotherapy management for the non-operative management of this patient group. Greater evidence is required related to the post-operative management of patients following ALT repair. Level of evidence: Level IV – Systematic review based on studies that did not include a comparison group to assess for the effect of chance results.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"153 - 161"},"PeriodicalIF":0.0,"publicationDate":"2011-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.619573","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372197","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":"Professional practice pattern and outlook of physiotherapists in Nigeria","authors":"Adetoyeje Y. Oyeyemi, A. Oyeyemi","doi":"10.3109/14038196.2011.609249","DOIUrl":"https://doi.org/10.3109/14038196.2011.609249","url":null,"abstract":"Abstract The purpose of this study was to determine the prevalent job holding, patient management activity and priorities, and training preferences among physiotherapists in Nigeria. One hundred and eighty-one physiotherapists from the six geopolitical zones of Nigeria were surveyed with a questionnaire that assesses their practice profile and outlook, and practice patterns and priorities in patient management activities. Participants spend most part of their direct care time on orthopedic and general surgery (40%) and medicine and neurological conditions (40%). Histories including prior level of functions (84.6%) and activities of daily living (ADL) function test (77.9%) are examination priorities among the physiotherapists in Nigeria, whereas ADL training (81.8%), gait (78.5%) training and pain control (86.2%) are their priority areas of intervention. A simple majority of the Nigerian physiotherapists (54.7%) use evidence in selecting procedures for their intervention and an overwhelming majority indicated preference for clinical doctorate entry-level education (72.9%) and clinical specialization (74.6%) as postgraduate training route. Professional practice activities and preferences of Nigerian physiotherapists offer insights into the potential goals and the direction of physiotherapy professional growth in this African country.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"162 - 169"},"PeriodicalIF":0.0,"publicationDate":"2011-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.609249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69371499","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 elderly stroke patient's long-term adherence to physiotherapy home exercises","authors":"Ingunn Kåringen, E. Dysvik, Bodil Furnes","doi":"10.3109/14038196.2011.619574","DOIUrl":"https://doi.org/10.3109/14038196.2011.619574","url":null,"abstract":"Abstract The objective of this study was to describe elderly stroke patients’ experiences with a focus on how physiotherapists can facilitate the rehabilitation through empowerment to achieve increased long-term adherence to physiotherapy home exercises. The study has a phenomenological perspective, focusing on participants’ life world. Qualitative content analysis was used for data analysis. Purposive sampling was used to select eight stroke patients from a chosen community in Norway. All were aged 67 years or older and had been discharged from physiotherapy inpatient rehabilitation for at least 6 months. Following a pilot study, data were collected by semi-structured interviews that were recorded and transcribed following each interview. Each participant was sent a copy of his/her own transcript to read through and verify. The results from the content analysis revealed two main themes described as “varying degrees of empowerment” abstracted from the categories “empowerment present” and “lack of empowerment”, and “various degrees of adherence” abstracted from the categories “existing adherence” and “non-existing adherence”. Features of patients, physiotherapists and the organization influenced the rehabilitation process and the attainment of empowerment and adherence. This study emphasizes the importance of empowerment in achieving patient adherence to long-term therapies in rehabilitation. To achieve satisfactory and thorough stroke rehabilitation through long-term adherence to physiotherapy home exercises, patients need to be aware of joint decision making and their role in the process and reframe their expectation of “being rehabilitated”.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"145 - 152"},"PeriodicalIF":0.0,"publicationDate":"2011-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.619574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372203","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}