Advances in physiotherapy最新文献

{"title":"Functional fitness in elderly Norwegians measured with the Senior Fitness Test","authors":"B. Langhammer, J. Stanghelle","doi":"10.3109/14038196.2011.616913","DOIUrl":"https://doi.org/10.3109/14038196.2011.616913","url":null,"abstract":"Abstract Objectives: To evaluate the Senior Fitness Test in healthy older people in Norway. A secondary aim is to evaluate the use of European measures in the sub-tests compared with the American standards. Design: An explorative, descriptive study of a convenient sample of independent, healthy older people. People more than 60 years old were recruited through elderly centres and social contact groups in an urban area. Result: A total of 172 older people, 48 males and 124 females, were tested. There were significant differences between age groups with declining function with increasing age in leg strength, endurance and mobility. A cut-off point in performance, with start of declining function, was established around 70 years of age. Significant differences in arm curl and in 6-Minute Walk Test (6MWT) in favour of men were noted. Men were also stronger than women in the chair stand test; women, however, were more flexible. Conclusion: The Senior Fitness Test is a practical test for clinical use. The use of slightly heavier weights resulted in slightly fewer repetitions in strength tests, but the results revealed that the tests showed similar changes with increasing age and between the age groups, with no adverse events, indicating that these new scores for the arm curl test can be normative for a Norwegian sample of elderly people.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"137 - 144"},"PeriodicalIF":0.0,"publicationDate":"2011-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.616913","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372186","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":"Functional fitness in seniors and physical activity in children","authors":"G. Sundelin","doi":"10.3109/14038196.2011.632178","DOIUrl":"https://doi.org/10.3109/14038196.2011.632178","url":null,"abstract":"adherence to long-term therapy in order to reframe the patient ’ s perspectives of being rehabilitated. This is the fi rst time I have the honor to publish a paper from an African country. Oyeyemi & Oyeyemi from Nigeria present a survey among 181 Nigerian physiotherapists about their practice and their priorities concerning patient management. Approximately half of the Nigerian physiotherapists use evidence for selection of treatment. A great majority, 73%, indicated a preference for a clinical doctorate as entry-level education to practice physiotherapy and 75% post-graduate training as clinical specialization. These fi gures give interesting insights into potential for professional growth and the direction of physiotherapy in this country. Orbell & Smith from the UK present a systematic review of physiotherapeutic treatment of acetabular labral tears. After searching a number of databases, the authors found 13 papers to review. There was limited evidence for the use of pre-operative physiotherapy. Whilst post-operative physiotherapy was considered important, the operative procedure has largely determined individualized rehabilitation regimes. Therefore, greater evidence is required related to post-operative physiotherapy following acetabular labral repair. Finally, I want to thank all who visited our stand at the World Congress for Physical Therapy in Amsterdam in June this year. I hope that you will continue to support our journal by submitting papers to Advances in Physiotherapy . Next, you will fi nd presentation of the new board of associate editors. Please contact them or me at any time. We all wish you a Merry Christmas and a Happy New Year.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"134 - 134"},"PeriodicalIF":0.0,"publicationDate":"2011-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.632178","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372246","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":"Presentation of Editor and Associate Editors for Advances in Physiotherapy","authors":"G. Sundelin","doi":"10.3109/14038196.2011.632881","DOIUrl":"https://doi.org/10.3109/14038196.2011.632881","url":null,"abstract":"During the years 1989 – 2003, Ari Heinonen worked at the UKK Institute for Health Promotion Research, Tampere, Finland as a researcher and senior researcher. In addition, Professor Heinonen was a visiting scholar at University of British Columbia, Vancouver, Canada, during the years 1999 – 2001. He has been appointed the Canadian Research Chair in Physical Activity and Bone Health in 2002. Professor Heinonen ’ s scientifi c work has been focused on basic and applied research of the musculoskeletal system of the human body, concentrating on osteoporosis, falls and fractures, especially prevention. His research involves comprehensive investigations to discover which exercise modalities best improve the mechanical properties of skeleton and physical performance among various human target groups in order to fi nd exercise programs to help prevent osteoporosis and related bone fractures. His scientifi c work has involved children, athletic groups, injuries, and preand postmenopausal women, and has explored numerous research areas including exercise, calcium, biomechanics, exercise physiology, technology, sports medicine and physiotherapy.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"38 1","pages":"135 - 136"},"PeriodicalIF":0.0,"publicationDate":"2011-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.632881","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372306","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":"Effects of a 2-year lifestyle intervention on physical activity in overweight and obese children","authors":"Catharina Bäcklund, G. Sundelin, C. Larsson","doi":"10.3109/14038196.2011.562540","DOIUrl":"https://doi.org/10.3109/14038196.2011.562540","url":null,"abstract":"Abstract The aim was to examine the effect on physical activity of a 2-year family-based lifestyle intervention among overweight and obese Swedish children 8–12 years of age; 105 children were randomized to either intervention or control group. The intervention group was offered a 2-year lifestyle programme. Physical activity was measured using SenseWear Pro2 Armband during 4 consecutive days before and after the intervention. When comparing the intervention and control groups, no significant differences were found in the physical activity outcome variables after 2 years of intervention. However, the intervention group decreased their number of steps per day by 13%, p = 0.003 but had an unchanged screen time, whereas the control group had an unchanged number of steps but increased their screen time by 15%, p = 0.02, from baseline to 2-year measurement. There were no significant change in the intervention group, whereas significantly fewer children in the control group achieved the physical activity recommendations at 2-year measurement (88%) compared with at baseline (98%), p = 0.007. Future interventions regarding physical activity among overweight and obese children are of great importance even though the present one showed limited effects. In the continuing work, a greater effect may be received with an extended and more intense intervention regarding physical activity, focusing on reducing sedentary time rather than increasing the physical activity level.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"109 - 97"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.562540","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69371009","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":"Promoting physical activity among overweight and obese children – a challenge in health care","authors":"G. Sundelin","doi":"10.3109/14038196.2011.602818","DOIUrl":"https://doi.org/10.3109/14038196.2011.602818","url":null,"abstract":"The prevalence of childhood obesity and overweight has increased rapidly worldwide in recent years. As obesity tracks from childhood to adulthood and childhood adiposity is a strong predictor of obesity and other metabolic risk factors later in life, preventive actions are urgent. A Cochrane Review (1) from 2009 concludes that interventions combining physical activity and dietary intake and other behavioral factors appear to be effective. Furthermore, the review stated that family-based lifestyle interventions that include behavioral approaches aiming at changing physical activity and dietary patterns provide clinically meaningful decrease in overweight and obesity among children. In this issue of Advances in Physiotherapy , B ä cklund and co-workers present two papers from a randomized controlled trial, including a 2-year family-based lifestyle intervention among overweight and obese children, 8-12 years of age. The fi rst year included 14 group sessions and the second year 12 internet-based sessions with assignments. During both years, four of the sessions had focus on the importance of increasing the children ́ s physical activity. The physical activity was measured using Sensewear Armband at baseline and at 1-year and 2-year follow-ups. When comparing the intervention and control groups no signifi cant differences were found in the physical activity outcome variables. However, during the 2-year intervention, the intervention group had an unchanged screen time while the control group increased their screen time with 15%. The authors conclude that despite limited effects shown in these studies, interventions concerning physical activity are of importance. More intense interventions regarding physical activity focusing on reducing sedentary activities, such as screen time, rather than increasing physical activity, could be a future focus. For the pediatric physiotherapist this might be an important message. An interesting study by Bergstr ö m and co-workers shows that back extensor muscle training in postmenopausal women have positive effects on maintaining muscle strength, height and thoracic expansion. Thirty-six women having at least one vertebral fracture, kyphosis and osteoporosis, were","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"85 - 86"},"PeriodicalIF":0.0,"publicationDate":"2011-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.602818","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69371756","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":"Effect of a 1-year lifestyle intervention on physical activity in overweight and obese children","authors":"Catharina Bäcklund, G. Sundelin, C. Larsson","doi":"10.3109/14038196.2011.566353","DOIUrl":"https://doi.org/10.3109/14038196.2011.566353","url":null,"abstract":"Abstract This study evaluated the effect of a family-based multifactor intervention programme on physical activity among overweight or obese children. Children (n = 105, mean age 10.6 ± 1.07 years) with overweight or obesity were randomized into an intervention or control group. The intervention group participated in a 1-year programme aiming at lifestyle changes regarding food habits and physical activity. All children's physical activity was measured using SenseWear Armband at baseline and after 1 year. The children in both groups had a physical activity level (PAL) of 1.67 (0.27) at baseline. When comparing the intervention and control groups, no significant differences were found in physical activity outcome variables after 1 year of intervention. Contrarily to the hypotheses, both groups decreased their energy expenditure and time spent at >3 MET, and there was no change in steps and screen time after 1 year. Despite extensive efforts, the intervention showed no significant positive effect on overweight and obese children's PAL. Further studies are needed to obtain more knowledge on how to maintain or increase the PAL successfully among overweight and obese children.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"87 - 96"},"PeriodicalIF":0.0,"publicationDate":"2011-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.566353","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69371599","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 impact of object size and precision demands on fatigue during computer mouse use","authors":"U. Aasa, B. Jensen, J. Sandfeld, H. Richter, E. Lyskov, A. Crenshaw","doi":"10.3109/14038196.2011.583269","DOIUrl":"https://doi.org/10.3109/14038196.2011.583269","url":null,"abstract":"Abstract Prolonged computer use, especially if fatigue ensues, is associated with visual and musculoskeletal symptoms. The aim was to determine the time-course of perceived fatigue in the wrist, forearm, shoulder and eyes during a 60-min mouse task (painting rectangles), and whether object size and/or mouse use demands were of influence. Also, we investigated performance (number of rectangles painted), and whether perceived fatigue was paralleled by local muscle fatigue or tissue oxygenation. Ten women performed the task for three conditions (crossover design). At condition 1, rectangles were 45 × 25 mm, square paint cursor size 1.3 × 1.3 mm, and mouse–pointer movement ratio 1:26. At condition 2, the same cursor size and mouse–pointer movement ratio was used, but rectangles were smaller. At condition 3, the smaller rectangles were used, but the cursor size was also smaller and mouse–pointer movement ratio was 1:8. The results showed increased self-reported fatigue over time, with the observed increase greater for the eyes, but no change in physiological responses. Condition 2 resulted in higher performance and increased eye fatigue. Perceived fatigue in the muscles or physiological responses did not differ between conditions. In conclusion, computer work tasks imposing high visual and motor demands, and with high performance, seemed to have an influence on eye fatigue.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"118 - 127"},"PeriodicalIF":0.0,"publicationDate":"2011-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.583269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69371713","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":"Measuring chest expansion; A study comparing two different instructions","authors":"M. Olsén, Hilda Lindstrand, Jenny Lind Broberg, E. Westerdahl","doi":"10.3109/14038196.2011.604349","DOIUrl":"https://doi.org/10.3109/14038196.2011.604349","url":null,"abstract":"Abstract The aim of this study was to examine and compare the effect of two alternative instructions when measuring chest expansion. In 100 healthy subjects, chest expansion was measured using a circumference tape. In 30 healthy subjects, chest expansion was measured by a Respiratory Movement Measuring Instrument (RMMI). Both measurements were made at the level of the fourth rib and the xiphoid process. The two instructions evaluated were the traditional one: “breathe in maximally” and “breathe out maximally”, which were compared with a new one “breathe in maximally and make yourself as big as possible” and “breathe out maximally and make yourself as small as possible”. The addition of “make yourself as big/small as possible” in the new instruction resulted in a significantly increased thoracic excusion, 1.4 cm in upper and 0.9 cm in lower level of thorax, measured by tape, compared with the traditional instruction (p < 0.001). Measurements obtained using the RMMI also showed a significant difference, 2.3 mm in upper and 4.1 mm in lower level of thorax, between the two instructions in favour of the new instruction (p < 0.05). The verbal instruction during measurement of chest expansion is of importance when measured by tape and RMMI. To assess the maximal range of motion in the chest, the patient should be instructed not only to “breathe in/out maximally”, but also instructed to “make yourself as big/small as possible”.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"15 1","pages":"128 - 132"},"PeriodicalIF":0.0,"publicationDate":"2011-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.604349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69371829","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":"Back extensor training increases muscle strength in postmenopausal women with osteoporosis, kyphosis and vertebral fractures","authors":"I. Bergström, K. Bergström, A. Kronhed, Susanne Karlsson, J. Brinck","doi":"10.3109/14038196.2011.581696","DOIUrl":"https://doi.org/10.3109/14038196.2011.581696","url":null,"abstract":"Abstract We determined the efficacy of a back muscle extensor strengthening program on the back muscle extensor strength, kyphosis, height and thoracic expansion in women with at least one vertebral fracture, kyphosis and osteoporosis. Thirty-six patients were included and randomized to a control or a training group. The training focused on back muscle extensor strengthening program for 1 h, twice a week for 4 months and was performed by a physiotherapist. The main outcome measure was the back muscle extensor strength. In an intention-to-treat analysis no significant effects on back muscle strength in the training group vs. controls could be seen (p = 0.74). In a per-protocol analysis (n = 28), the training group increased back muscle strength from 290 ± 87 to 331 ± 89 N while the control group showed no improvement. After adjusting for the strength at baseline, a significant effect of training could be demonstrated (p = 0.029). When comparing the heights between the groups a significant group × time interaction was observed (p = 0.012) where the training women increased their mean height with 0.3 cm (p = 0.101) and controls decreased 0.44 cm (p = 0.045). The training group improved their thoracic expansion compared with baseline (p = 0.03). No effect of training on kyphosis was seen. In conclusion, a 4-months back extensor training program can improve back strength and seems to maintain height and thoracic expansion.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"110 - 117"},"PeriodicalIF":0.0,"publicationDate":"2011-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.581696","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69371692","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 learning climate for discovery and awareness”: Physiotherapy students' perspective on learning and supervision in practice","authors":"U. Vågstøl, Anne Kari Skøien","doi":"10.3109/14038196.2011.565797","DOIUrl":"https://doi.org/10.3109/14038196.2011.565797","url":null,"abstract":"Abstract Clinical placement is usually seen as the most enjoyable and rewarding aspect of physiotherapy students' education. Clinical supervision is an essential and integral component in the process of developing clinical competence. The aim of this study was to analyse how students experience the impact of supervision on their learning process while in practice. Information was collected through 10 qualitative interviews with interns and third-year students. The interviews were analysed using qualitative content analysis. Two main categories summarize the essence of what the students express as important concerning supervision and impact on their learning: (i) sense of trust and security, and (ii) balance of challenge and support. When the students in our study experience a sense of trust and security and a balance of challenge and support, this is recognized as a positive learning environment that can generate a climate for awareness and discovery. The clinical educator can be defined as a catalyst and mediator of resources who guides the students on by asking for reflection and reasoning. When highlighting significant experiences together with the student, reflecting on these while acknowledging the student's own effort and achievement, the supervisor will lead the student to their own discovery and awareness of the critical essence of the clinical situation.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"71 - 78"},"PeriodicalIF":0.0,"publicationDate":"2011-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2011.565797","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69371933","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}