Advances in physiotherapy最新文献

{"title":"What is the benefit of a high-intensive exercise program on health-related quality of life and depression after stroke? A randomized controlled trial.","authors":"Eva Holmgren, Gunilla Gosman-Hedström, Britta Lindström, Per Wester","doi":"10.3109/14038196.2010.488272","DOIUrl":"10.3109/14038196.2010.488272","url":null,"abstract":"<p><p>The aim of the study was to evaluate the impact of a high-intensive exercise program containing high-intensive functional exercises implemented to real-life situations together with group discussions on falls and security aspects in stroke subjects with risk of falls. This was a pre-specified secondary outcome for this study. For evaluation, Short Form-36 (SF-36) health-related quality of life (HRQoL) and the Geriatric Depression Scale-15 (GDS-15) were used. This was a single-center, single-blinded, randomized, controlled trial. Consecutive >55 years old stroke patients with risk of falls at 3-6 months after first or recurrent stroke were randomized to the intervention group (IG, n = 15) or to the control group (CG, n = 19) who received group discussion with focus on hidden dysfunctions but no physical fitness training. The 5-week high-intensive exercise program was related to an improvement in the CG in the SF-36 Mental Component Scale and the Mental Health subscale at 3 months follow-up compared with baseline values while no improvement was seen in the IG at this time. For the SF-36 Physical Component Scale, there was an improvement in the whole study group at 3 and 6 months follow-up compared with baseline values without any significant changes between the IG and CG. The GDS-15 was unchanged throughout the follow-up period for both groups. Based on these data, it is concluded that high-intensive functional exercises implemented in real-life situations should also include education on hidden dysfunctions after stroke instead of solely focus on falls and safety aspects to have a favorable impact on HRQoL.</p>","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 3","pages":"125-133"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2956448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29435786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the benefit of a high intensive exercise program? A randomized controlled trial","authors":"E. Holmgren, B. Lindström, G. Gosman-Hedström, L. Nyberg, P. Wester","doi":"10.3109/14038196.2010.491555","DOIUrl":"https://doi.org/10.3109/14038196.2010.491555","url":null,"abstract":"Abstract The aim of the study was to evaluate a high intensive exercise program in stroke subjects with risk of falls regarding balance, activities of daily life, falls efficacy, number of falls and lifestyle activities. The intervention program contained high intensity functional exercises (HIFE) implemented to real-life situations together with education on falls and security aspects. This was a single-center, single-blinded, randomized controlled trial. Consecutive >55-year-old patients with risk of falls were enrolled and randomized 3–6 months after first or recurrent stroke to the intervention group (IG, n=15) or to the control group (CG, n=19) who received group discussions about hidden dysfunctions after stroke. Outcomes were Berg Balance Scale (BBS) primarily, Barthel Index (BI), Falls Efficacy Scale – International (FES-I) and number of falls secondarily and Frenchay Activities Index last 3 months (FAI-3) tertially. Assessments were done at baseline, post-intervention, 3- and 6-month follow-up by two physiotherapists and one nurse blinded to group allocation. Generalized Estimating Equations with Repeated-measure statistics were used to analyze the data. There were no significant differences between the IG and the CG regarding balance (BBS). BI at 6 months and FES-I post-intervention and 3 months follow-up showed significant improvement in the IG compared with the CG (p<0.05). Number of falls and FAI-3 were without significant change. This study suggests that our program consisting of HIFE implemented in real-life situations together with educational discussions may improve performance of everyday life activities and improve falls efficacy in stroke subjects with risk of falls.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"115 - 124"},"PeriodicalIF":0.0,"publicationDate":"2010-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.491555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368275","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":"Using Goal Attainment Scaling in physiotherapeutic home-based stroke rehabilitation","authors":"L. Hale","doi":"10.3109/14038196.2010.486040","DOIUrl":"https://doi.org/10.3109/14038196.2010.486040","url":null,"abstract":"Abstract The aim of the study was to explore with community-based physiotherapists the feasibility and acceptability of using Goal Attainment Scaling (GAS) in home-based stroke rehabilitation (HBSR) and to gain a deeper understanding of physiotherapy practice in this setting. Four physiotherapists and seven patients (three men, four women) participated in this qualitative study. Interpretative description was used to analyse data collected from multiple sources including in-depth interviews, clinical patient notes and treatment observations. Physiotherapy participants were cautiously enthusiastic of the role of GAS in HBSR, finding it useful to focus their treatment interventions on specific patient-centred goals, although it was not easy to set goals with all patients. Participants questioned the reliability of GAS as a method of measuring patient outcome. Physiotherapy in this setting was found to be complex and covered a range of interventions; interventions ensuring a process of care for patients requiring a great deal of care and support to interventions for patients functioning at a high level within their community. GAS maybe a feasible means of measuring outcome in HBSR for some patients, but more research is required to establish how goals and indicators can be set reliably and at the correct level of intensity.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"142 - 149"},"PeriodicalIF":0.0,"publicationDate":"2010-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.486040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of the Posture domain in the Global Body Examination (GBE)","authors":"A. Kvåle, B. H. Bunkan, S. Opjordsmoen, A. Ljunggren, S. Friis","doi":"10.3109/14038196.2010.489618","DOIUrl":"https://doi.org/10.3109/14038196.2010.489618","url":null,"abstract":"Abstract The aim was to develop a new Posture domain based on eight postural items from the Global Physiotherapy Examination-52 (GPE-52) and 17 items from the Comprehensive Body Examination (CBE), and furthermore, to examine how the new scale discriminated between healthy individuals and different groups of patients compared with the original methods. Two physiotherapists independently examined 132 persons (34 healthy, 32 with localized pain, 32 with widespread pain, 34 with psychoses), each using one method. Exploratory factor analysis was performed to reduce number of items. Internal consistency of the final scales was examined with Cronbach's alpha. Discriminative ability was examined with Mann–Whitney U-test and receiver operating characteristics curve area. The initial 25 items were reduced to nine and integrated into three new subscales and one main domain scale for Posture with acceptable psychometric properties. The new scale showed very good discriminating ability between healthy persons and the different patient groups (p<0.001; ROC 0.85–0.95), as well as showing that pain patients had better scores than patients with psychoses. The new Posture domain was overall better than GPE-52 and as good as CBE regarding discriminative ability, but with half the number of items.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"157 - 165"},"PeriodicalIF":0.0,"publicationDate":"2010-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.489618","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368043","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":"Physiotherapists predict discharge destination after hip fracture","authors":"J. Sivertson, U. Öberg, N. Sernert","doi":"10.3109/14038196.2010.486041","DOIUrl":"https://doi.org/10.3109/14038196.2010.486041","url":null,"abstract":"Abstract The purpose was to investigate the predictive validity of discharge destination of two commonly used assessment tools and baseline variables in patients with femoral neck fracture. Thirty-two consecutive patients with a femoral neck fracture were assessed by an independent physiotherapist on days 3–5 post-surgery. Follow-up telephone interviews with structured questions were conducted at 3 weeks and 4 months post-surgery. The Swedish version of the Elderly Mobility Scale (Swe M-EMS) had an inverted correlation with discharge destination (rs=−0.423). Age (rs=0.389), living alone or with someone (rs=−0.593) and the physiotherapy evaluation (rs=0.516) also correlated with discharge destination. The Timed Up & Go (TUG) (rs=0.085) and pre-fracture activity level (rs=0.186) did not correlate with discharge destination. The Swe M-EMS may be considered a predictor of discharge destination in patients with a femoral neck fracture living in the community prior to fracture and with normal mental state, but not an independent predictor. We contend that the Swe M-EMS could be used in combination with predictive factors such as age, living alone or with someone and pre-fracture activity level.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"150 - 156"},"PeriodicalIF":0.0,"publicationDate":"2010-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.486041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368483","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":"Feeling more in balance and grounded in one's own body and life. Focus group interviews on experiences with Basic Body Awareness Therapy in psychiatric healthcare","authors":"R. Johnsen, M. Råheim","doi":"10.3109/14038196.2010.501383","DOIUrl":"https://doi.org/10.3109/14038196.2010.501383","url":null,"abstract":"Abstract The aim of the present study was to explore patients’ experiences as participants in Basic Body Awareness Treatment (BBAT) groups, in order to deepen our understanding of patients’ perspectives on this movement practice. BBAT draws upon people's own health resources by promoting quality of movement. Seventeen women and one man with psychiatric disorders, ages ranging from 27 to 70 and with various diagnoses, participated in the study. All participants had attended a BBAT group for at least 6 months. Three focus group interviews were performed, and the interview material was condensed systematically with the aim to extract core meanings. The following three core themes emerged: increased awareness of one's own body and better knowledge of the self, threshold for taking part in time-consuming change, and relationships between oneself and others. The process of strengthening the experience of the lived body pointed towards feelings of wholeness, and feeling more at home in themselves and in the group. The study indicated that BBAT groups contributed to a better health, even though it cannot tell if the changes were long lasting.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"166 - 174"},"PeriodicalIF":0.0,"publicationDate":"2010-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.501383","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69368752","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":"Aspects on rehabilitation in stroke, psychosomatic and psychomotor physiotherapy","authors":"G. Sundelin","doi":"10.3109/14038196.2010.513878","DOIUrl":"https://doi.org/10.3109/14038196.2010.513878","url":null,"abstract":"Every year approximately 30 000 individuals suffer from stroke in Sweden. And the annual risk of stroke is 5-15% (1). In the United States more than 700 000 people suffer a stroke each year, and approximately two thirds of these survive and require rehabilitation (2). Stroke rehabilitation for milder cases is preferably conducted as home-based rehabilitation. Rehabilitation aims at helping survivors become as independent as possible and to attain the best quality of life and to facilitate return to work. In this issue of Advances in Physiotherapy, four articles deals with different aspects on stroke rehabilitation. A randomized controlled trial by Holmgren and coworkers, deals with a 5-week high intensity functional exercise (HIFE) program, implemented to real-life situations together with education on risk of falling and aspects of security. Stroke patients over 55 years of age, were randomized 3-6 months after fi rst or recurrent stroke to an intervention group or a control group. Assessments were made at baseline, postintervention, 3and 6-months follow-up. The authors suggest that the HIFE program, implemented in real life situations together with educational discussions, may improve falls effi cacy in stroke subjects with risk of falls. The authors also evaluated the benefi t of the HIFE program on health-related quality of life and on depression. The short form SF-36 and the Geriatric Depression Scale-15 were used. The authors conclude that exercise should also be complemented with discussion and education about hidden dysfunctions and not solely focused on falls and physical function, in order to obtain the best health related quality of life. Contraint-induced movement therapy (CIMT) developed by Taub and Wolf (3), is a treatment modality often used in rehabilitation of stroke patients. The treatment targets recovery of the upper limb, by limiting the use of the unaffected limb. Marklund and co-workers conducted a study where they did not focus on the upper limb, but on the lower limb CIMT. They investigated through qualitative interviews patients ’ experiences of participating in such a program. The patients reported that the exercise gave them insight into their condition;","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"113 - 114"},"PeriodicalIF":0.0,"publicationDate":"2010-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038196.2010.513878","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69369168","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":"Work experiences of novice occupational therapists and physiotherapists in public sector employment – Analyses using two occupational stress models","authors":"Enberg Birgit, Nord Catharina, Öhman Ann","doi":"10.3109/14038190903033161","DOIUrl":"https://doi.org/10.3109/14038190903033161","url":null,"abstract":"Abstract The aim of this study was to evaluate how recently graduated occupational therapists and physiotherapists, employed by the Swedish county councils and municipalities, experience working in public sector healthcare organization. The study group, 262 occupational therapists and physiotherapists who graduated in 1999, is a sub-sample drawn from a national cross-sectional survey. Data were collected in their third year after graduation. The Swedish Demand–control Questionnaire and the Effort–reward Imbalance Questionnaire together with self-constructed questions were used to evaluate psychosocial factors at work. The results reveal that few were exposed to job strain or effort–reward imbalance (ERI). More were defined as having work-related overcommitment (WOC). Logistic regression analyses revealed a significant association between WOC and ERI, sex, degree of effort and degree of reward. One quarter was dissatisfied with their work and this dissatisfaction was significantly associated with ERI, reward (in the ERI questionnaire), control (in the Demand–control Questionnaire) and type of employer. In conclusion, combining the Demand–control model and the ERI model made it possible to describe and analyse varying aspects of the work of novice occupational therapists and physiotherapists in public sector healthcare.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"42 - 49"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038190903033161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69366435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a new isometric strength test using an isoinertial-based weight machine","authors":"Jesper Augustsson, Magnus Bruno, Joakim Swärd","doi":"10.3109/14038191003706537","DOIUrl":"https://doi.org/10.3109/14038191003706537","url":null,"abstract":"Abstract The aim of this study was to develop a new method of measuring maximal isometric strength, using an isoinertial-based weight machine. The aim was also to investigate the reliability of the isometric strength test and the dynamic one-repetition maximum (1 RM) test in women and men. Healthy recreational weight trainers (15 women and 15 men) were tested firstly for maximal isometric strength and secondly for 1 RM-strength using an isoinertial-based (gym) knee-extension weight machine. The isometric test was carried out with the subject performing a muscle action that dislodged a particular test weight (within 5 s) and, as a result, a weighted rope fell out of the weight stack and the trial was regarded as successful. The test was repeated with increments of weight until failure. Intraclass correlation coefficients (ICC) were used to assess test–retest reliability. High ICCs (>0.90) were found for both the isometric and the 1 RM-strength tests, in both women and men. In conclusion, our new clinical test is a reliable tool for healthy, relatively strong subjects for the establishment of maximal isometric strength using an isoinertial-based weight machine. The test can be used by physical therapists, athletic trainers and strength and conditioning coaches in clinical practice, working with strength training and rehabilitation.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"70 1","pages":"81 - 86"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038191003706537","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69367139","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 gender perspective on physiotherapy treatment in patients with neck and back pain","authors":"G. Stenberg, C. Ahlgren","doi":"10.3109/14038190903174270","DOIUrl":"https://doi.org/10.3109/14038190903174270","url":null,"abstract":"Abstract Women report more pain from the musculoskeletal system, and more disability, than do men. As a consequence, women more often seek healthcare than men do, and are more often on sick leave. Research shows that female patients and male patients are treated differently by physicians and that the physician's gender also influenced the choice of treatment. The aim was to study whether the patients’ and/or the physiotherapists’ gender influences physiotherapy treatments for patients with neck and/or low back pain. During 3 days in April 2006, 73 physiotherapists in primary care and private practices collected information on 586 patients with neck and/or low back pain. The information included data on the affected pain sites and the treatment procedures used by the physiotherapist. Baseline data on the physiotherapists were collected with a questionnaire. The results showed that female and male physiotherapists mainly used the same treatment procedures, but with some differences. The female physiotherapists used significantly more acupuncture and procedures directed toward treatment of mental function. They also gave their patients a unique combination of treatment procedures to a greater extent than their male colleagues. The malte physiotherapists used significantly more training of joint mobility. Male and female patients were given the same treatment.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"35 - 41"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038190903174270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69366973","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}