Advances in physiotherapy最新文献_第6页

“I'm tired of being tired” – Fatigue as experienced by women with fibromyalgia “我厌倦了疲劳”——纤维肌痛症患者的疲劳症状

Advances in physiotherapy Pub Date : 2011-02-17 DOI: 10.3109/14038196.2010.546880

M. Sallinen, M. Kukkurainen, Liisa Peltokallio, M. Mikkelsson

引用次数: 27

An investigation into fatigue post-stroke and its multidimensional nature 脑卒中后疲劳及其多维性的研究

Advances in physiotherapy Pub Date : 2011-02-17 DOI: 10.3109/14038196.2010.534175

E. Stokes, Caroline O’Connell, Brendan Murphy

{"title":"An investigation into fatigue post-stroke and its multidimensional nature","authors":"E. Stokes, Caroline O’Connell, Brendan Murphy","doi":"10.3109/14038196.2010.534175","DOIUrl":"https://doi.org/10.3109/14038196.2010.534175","url":null,"abstract":"Abstract There is increasing anecdotal and scientific evidence of the presence of fatigue following stroke. This study examines this fatigue and evaluates the relationship between fatigue and other factors post-stroke, such as physical function, depression and reintegration to normal living. A cross-sectional case–control methodology was used. People with stroke were recruited from two day hospitals, Volunteer Stroke Scheme meetings and active retirement groups. Control subjects were recruited from active retirement groups in the same catchment area. One hundred people with stroke and 100 age- and gender-matched controls completed four standardized outcome measures: the Multidimensional Fatigue Inventory, Geriatric Depression Scale, Barthel Index and Reintegration to Normal Living Index. Demographic details were also recorded. Fatigue levels are significantly higher in people who have had a stroke. No relationship was demonstrated between fatigue and physical function or reintegration to normal living. Fatigue and depression co-existed in many respondents; however, fatigue was also seen to be independent of depression. Depression did not have an effect on fatigue in people with stroke. Fatigue needs to be considered in the rehabilitation process post-stroke. It is independent of depression and may persist up to 3 years post-stroke.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"13 1","pages":"10 - 2"},"PeriodicalIF":0.0,"publicationDate":"2011-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.534175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69369715","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}

引用次数: 19

Women on sick leave – Participation in rehabilitation encounters 请病假的妇女-参加康复会议

Advances in physiotherapy Pub Date : 2010-11-26 DOI: 10.3109/14038196.2010.511261

Eva Erkmar, S. Ivanoff, M. Lundberg

{"title":"Women on sick leave – Participation in rehabilitation encounters","authors":"Eva Erkmar, S. Ivanoff, M. Lundberg","doi":"10.3109/14038196.2010.511261","DOIUrl":"https://doi.org/10.3109/14038196.2010.511261","url":null,"abstract":"Abstract The aim of the study was to examine how women on long-term sick leave because of shoulder, neck or low back pain experienced their participation in rehabilitation encounters. Qualitative data from four focus group interviews in which 12 women participated, were analysed based on a method described by Krueger & Casey. Participants described successful encounters with their rehabilitation professionals as an open dialogue with discussions on equal footing and with respect for each other's opinions. According to the women, prerequisites for the interaction to be considered an open dialogue were the women's abilities to be active and to feel listened to. Furthermore, the rehabilitation professionals’ attitudes were described as either supporting or hindering an open dialogue, and were crucial to the participants’ experiences. The women's abilities to be active were, to some extent, also regarded as having an influence on the rehabilitation professionals’ attitudes. This study evaluated experiences of participation in the rehabilitation process from the perspective of women on long-term sick leave. A central theme noted was the women's abilities to be active and to feel listened to. It can be concluded that all personnel involved in the rehabilitation process should focus on ways to facilitate patient participation. Factors to be considered are the awareness of one's own attitudes, how attitudes are communicated and the ability to listen actively.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"201 - 207"},"PeriodicalIF":0.0,"publicationDate":"2010-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.511261","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368863","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}

引用次数: 2

Effects of standing on bone density and hip dislocation in children with severe cerebral palsy 站立对重度脑瘫患儿骨密度及髋关节脱位的影响

Advances in physiotherapy Pub Date : 2010-11-26 DOI: 10.3109/14038196.2010.497191

Ylva Dalén, M. Sääf, H. Ringertz, B. Klefbeck, E. Mattsson, Y. Haglund‐Åkerlind

{"title":"Effects of standing on bone density and hip dislocation in children with severe cerebral palsy","authors":"Ylva Dalén, M. Sääf, H. Ringertz, B. Klefbeck, E. Mattsson, Y. Haglund‐Åkerlind","doi":"10.3109/14038196.2010.497191","DOIUrl":"https://doi.org/10.3109/14038196.2010.497191","url":null,"abstract":"Abstract The aim of the study was to evaluate whether standing time associates with bone density and/or hip dislocation in children with severe cerebral palsy. The study design was cross-sectional and descriptive. Eleven boys and seven girls, median age 10.5 years, with severe cerebral palsy participated. Spasticity was measured with modified Ashworth scale. Seven children had scores of 0–1, and 11 had scores of 2–4. Eight of 18 had insulin-like growth factor-I levels lower than −2 standard deviations below the age-matched mean. Time spent in the Standing shell was recorded. Bone mineral density levels determined using dual energy X-ray absorptiometry and hip X-ray were evaluated. Time spent in the Standing shell was 40 min/day (range=4–164). The lumbar spine bone mineral density was 73% of that of age-matched able-bodied controls. Standing time was not associated with bone mineral density, but in 11 children with modified Ashworth scale scores of 2–4, standing time was significantly and negatively associated with hip dislocation. We conclude that time spent in the Standing shell in these 18 children did not affect whole body bone mineral density. In children with spasticity, the association to hip dislocation was significantly negative.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"187 - 193"},"PeriodicalIF":0.0,"publicationDate":"2010-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.497191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368384","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}

引用次数: 13

Physiotherapists' experience of client participation in physiotherapy interventions: A phenomenographic study 物理治疗师对客户参与物理治疗干预的经验:一项现象研究

Advances in physiotherapy Pub Date : 2010-11-26 DOI: 10.3109/14038196.2010.497543

I. Larsson, Kerstin Liljedahl, G. Gard

{"title":"Physiotherapists' experience of client participation in physiotherapy interventions: A phenomenographic study","authors":"I. Larsson, Kerstin Liljedahl, G. Gard","doi":"10.3109/14038196.2010.497543","DOIUrl":"https://doi.org/10.3109/14038196.2010.497543","url":null,"abstract":"Abstract The aim of the study was to describe, using qualitative phenomenographic interviews, how physiotherapists experience client participation in physiotherapy interventions. The objective of phenomenographic research is to identify and describe various ways of experiencing the investigated phenomenon. Eleven respondents were strategically selected according to the maximum variation strategy with variations in: gender, seniority and areas of physiotherapy. Three qualitatively different descriptive categories were indentified with critical variations in paradigms of health and goal-setting procedures – A: Collaboration, i.e. an experience of client participation from a biopsychosocial collaborative view of intervention in which the client enter into equal partnership with the physiotherapist and thereby are jointly responsible for intervention, goal-setting and outcome; B: Guidance, i.e. an experience of client participation from a guided biomedical view of intervention, in which the client is guided by the physiotherapist in an unequal partnership in intervention and goal-setting; and C: Expertise, i.e. an experience of client participation from a paternalistic, biomedical view of intervention, in which the client sees the physiotherapist as an expert, who decides and controls the intervention and goal-setting. The results have made some earlier tacit professional physiotherapy knowledge explicit and may increase the understanding of how different experiences of client participation influence interventions.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"217 - 223"},"PeriodicalIF":0.0,"publicationDate":"2010-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.497543","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368400","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}

引用次数: 18

Evidence-based physiotherapy: A survey of knowledge, behaviour, attitudes and prerequisites 循证物理治疗:知识、行为、态度和先决条件的调查

Advances in physiotherapy Pub Date : 2010-11-26 DOI: 10.3109/14038196.2010.503812

Y. Nilsagård, G. Lohse

{"title":"Evidence-based physiotherapy: A survey of knowledge, behaviour, attitudes and prerequisites","authors":"Y. Nilsagård, G. Lohse","doi":"10.3109/14038196.2010.503812","DOIUrl":"https://doi.org/10.3109/14038196.2010.503812","url":null,"abstract":"Abstract The purpose was to describe knowledge, attitude, behaviour, and prerequisites regarding evidence-based physiotherapy (EBPT) and to evaluate potential differences related to employment sectors and levels of education. A cross-sectional study was conducted using a web-based questionnaire to a random sample of 2,160 physiotherapists (PTs). Self-rated knowledge of evidence-based medicine (EBM) was rather high (median=69; IQ1;IQ3 50–77), although only 12–36% correctly identified all EBM components. Approximately 70% reported good ability to formulate clinical questions and critically appraise scientific literature. Only 28% performed database searches weekly or monthly. Eighty-six per cent reported using evidence-based guidelines in clinical practice. Lack of time (86%), advisors (80%), knowledge (55%) and superiors' lack of interest in EBM (46%) were common barriers. EBM was considered important (median=82, IQ1;IQ3 75–91) and believed to improve the quality of care (median=80, IQ1;IQ3 74–90). Employment sector differences were most obvious for behaviour and prerequisites with a disadvantage for municipality-employed PTs. The higher the level of education, the greater the knowledge, the more positive the attitudes, the better the prerequisites and the fewer the barriers reported. Higher levels of education positively affect EBPT. Behaviour and prerequisites differ depending on employment sector.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"179 - 186"},"PeriodicalIF":0.0,"publicationDate":"2010-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.503812","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368827","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}

引用次数: 67

The relevance of using isokinetic measures to evaluate strength 使用等速测量来评估强度的相关性

Advances in physiotherapy Pub Date : 2010-11-26 DOI: 10.3109/14038196.2010.507783

K. Söderman, B. Lindström

{"title":"The relevance of using isokinetic measures to evaluate strength","authors":"K. Söderman, B. Lindström","doi":"10.3109/14038196.2010.507783","DOIUrl":"https://doi.org/10.3109/14038196.2010.507783","url":null,"abstract":"Abstract Isokinetic testing is often used to evaluate the effect of different types of interventions and also to interpret whether an individual is ready to return to physical activity. However, limited research exists concerning the suitability of evaluating the effect of isotonic training using isokinetic testing. The aim with this study was to assess the relation between the development of force during isokinetic and isotonic concentric maximal contractions. Fifty subjects (24 women and 26 men) performed maximal concentric isokinetic and isotonic elbow flexion. The isokinetic tests were performed in an isokinetic dynamometer and the isotonic tests in a pulley apparatus. The relationship between the isokinetic values (peak value and mean force value) and the isotonic values (1RM) was modeled by linear regression analysis. There was a significant linear correlation between both the isokinetic values and the isotonic value that explained 89% (peak) and 88% (mean) of the variation. From the linear regression analysis, two different formulas were derived to estimate the prediction of the isokinetic values. The significant relation between isokinetic and isotonic measures means that it may be possible to evaluate the effects of isotonic training by using an isokinetic dynamometer. However, there was a large variation around the predicted isokinetic values that has to be considered. It is important to point out that the results of this study are applicable only on healthy young men and women with similar strength as our subjects.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"194 - 200"},"PeriodicalIF":0.0,"publicationDate":"2010-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.507783","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368852","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}

引用次数: 4

From authority to coach – Parents' experiences of stretching as a home programme for children with cerebral palsy 从权威到教练——家长将伸展运动作为脑瘫儿童家庭项目的经验

Advances in physiotherapy Pub Date : 2010-11-26 DOI: 10.3109/14038196.2010.528023

Sara Halvarsson, R. Asplund, A. Fjellman-Wiklund

{"title":"From authority to coach – Parents' experiences of stretching as a home programme for children with cerebral palsy","authors":"Sara Halvarsson, R. Asplund, A. Fjellman-Wiklund","doi":"10.3109/14038196.2010.528023","DOIUrl":"https://doi.org/10.3109/14038196.2010.528023","url":null,"abstract":"Abstract Stretching is a common treatment for children with cerebral palsy, carried out by parents together with their children in the home. The aim of the present study was to explore parents’ experiences of carrying out stretching as a home programme. In order to capture the informants’ own perceptions and experiences, a qualitative method, the Grounded Theory, was chosen. Fifteen semi-structured interviews with parents, using open-ended questions, were analysed. One core category, “From authority to coach”, and two categories, “Prerequisites for parenting during stretching” and “Child and parent interaction”, emerged. The parents described a gradual development of their own role in the home stretching programme, from that of an authority, when the child was young, to that of a coach when the child grew older. With this gradual development came an increased level of participation from the child, enabling stretching to be carried out regularly. According to the parents, stretching could not be carried out without the child's active participation. Along with the process, the parents perceived increasing stress through added pressure and demands. Mobility, time, coping strategies for stress and support from professionals, in particular physiotherapists, were important prerequisites for parents to help their child best with stretching exercises.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"208 - 216"},"PeriodicalIF":0.0,"publicationDate":"2010-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.528023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69369181","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}

引用次数: 9

Aspects on Evidence-Based Physiotherapy 循证物理治疗的几个方面

Advances in physiotherapy Pub Date : 2010-11-26 DOI: 10.3109/14038196.2010.533988

G. Sundelin

引用次数: 4

“I got knowledge of myself and my prospects for leading an easier life”: Stroke patients’ experience of training with lower-limb CIMT “我了解了自己，也了解了我的生活前景”:中风患者下肢CIMT训练的经验

Advances in physiotherapy Pub Date : 2010-09-01 DOI: 10.3109/14038190903141048

Ingela Marklund, M. Klässbo, B. Hedelin

{"title":"“I got knowledge of myself and my prospects for leading an easier life”: Stroke patients’ experience of training with lower-limb CIMT","authors":"Ingela Marklund, M. Klässbo, B. Hedelin","doi":"10.3109/14038190903141048","DOIUrl":"https://doi.org/10.3109/14038190903141048","url":null,"abstract":"Abstract Rehabilitation after stroke has changed and more studies with intensive therapy have been conducted. When a new method – here lower-limb constraint-induced movement therapy (CIMT) – is introduced, it is important to investigate participants’ own experience of the therapy. The present purpose was accordingly to describe stroke patients’ experience of training with lower-limb CIMT. Qualitative interviews with seven stroke patients who had participated in lower-limb CIMT were conducted. The interviews were transcribed verbatim and analysed with qualitative content analysis. One theme, knowledge of myself and my prospects for leading an easier life, emerged. Two main categories were found: the therapy and me and my body, with four and three categories respectively. The therapy comprised the informants’ experience of preparation for CIMT, the actual intensive training and its effects, and their views on the physiotherapists involved. Me and my body comprised the informants’ reflections on their own significance for the therapy, how the reflections had affected them and what insight into their condition CIMT had given. The informants reported that CIMT for the lower extremity gave them knowledge of their body and their prospects for leading an easier life. The intensive training instilled hope, since the functional improvements showed the possibilities of improvements, increasing the respondents’ independence and self-esteem. Even though the intensive training is tough, it was experienced as entirely necessary.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"134 - 141"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038190903141048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69366841","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}

引用次数: 6