Advances in physiotherapy最新文献

{"title":"Treatment of chronic bilateral knee pain without objective clinical findings: Central sensitization. A case report","authors":"H. Østerås, T. A. Torstensen, B. Østerås","doi":"10.3109/14038191003642385","DOIUrl":"https://doi.org/10.3109/14038191003642385","url":null,"abstract":"Abstract Chronic knee pain without clinical objective findings is a common clinical challenge, yet this is rarely reported in the scientific literature. The purpose of the present article is to describe the investigation and treatment of a case with central sensitization related to knee pain. This case report concerns a patient who, during a period of 2½ years and in the absence of objective findings, developed central sensitization. An initial 6 months of medical and physiotherapeutic examinations and treatments resulted in no decrease of pain or increase in function. A threefold treatment approach was then initiated consisting of a combination of medication, physical exercise and cognitive treatment. After two years, this treatment resulted in decreased knee pain, a lessening of depression, and a gradual improvement in the patient’s t overall daily function. The results suggest that knee pain related to central sensitization may be treated with good results.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"12 1","pages":"95 - 99"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038191003642385","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69367086","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":"Educating professionals – Practice learning in health and social care","authors":"S. Lindqvist","doi":"10.3109/14038190903314256","DOIUrl":"https://doi.org/10.3109/14038190903314256","url":null,"abstract":"Mark Doel and Steven M. Shardlow. Educating professionals – Practice learning in health and social care. Ashgate Publishing Limited, Farnham. 2009. ISBN978-0-7546-4811-6. Soft cover, 294 pages. The...","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"242 - 242"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14038190903314256","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69366754","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":"Patients’ with ALS and caregivers’ experiences of non-invasive home ventilation","authors":"Ing-Mari Sundling, S. Ekman, J. Weinberg, B. Klefbeck","doi":"10.1080/14038190701803351","DOIUrl":"https://doi.org/10.1080/14038190701803351","url":null,"abstract":"The purpose of this study was to describe the patients’ with ALS and their caregivers’ experiences of non-invasive positive-pressure ventilation. In-depth interviews with seven patients and eight caregivers were analyzed using a qualitative content analysis method. Three main themes emerged: “Getting to know the ventilator”, “Embracing the ventilator” and “Being on a ventilator on a 20–24-h basis”. The patients reported improved sleep and improved activity level but also contradictory emotions as to starting on the ventilator. The ability to stay at home close to the family was mentioned. Findings for the caregivers revealed an initial period of stress and interrupted sleep followed by a period of harmony and relief from stress. When the patient was on the ventilator 20–24 h, the findings indicate an extensive involvement in the care of the patient, as well as dealing with several kinds of technical situations with the ventilator devices causing the caregivers another period of stress. The caregivers revealed a deepened understanding as to how the patients benefited from the non-invasive positive-pressure ventilation (NPPV) treatment. The patients and their caregivers in this study benefited from NPPV in several aspects but the caregivers also experienced periods of stress and interrupted sleep.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"114 - 120"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190701803351","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60254493","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":"Challenging perspectives in physiotherapy","authors":"G. Sundelin","doi":"10.1080/14038190902842943","DOIUrl":"https://doi.org/10.1080/14038190902842943","url":null,"abstract":"In Scandinavia, a treatment modality integrating eastern and western tradition, Basic Body Awareness Therapy, has been developed in physiotherapy [1], [2]. The eastern traditions are Tai Chi and Ze...","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"8 1","pages":"1 - 1"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190902842943","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60256665","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":"Contexts of physiotherapy practice","authors":"S. V. Björnsdóttir","doi":"10.1080/14038190902992987","DOIUrl":"https://doi.org/10.1080/14038190902992987","url":null,"abstract":"","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"176 - 176"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190902992987","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60257314","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":"Patient and caregiver perspectives on physiotherapy","authors":"G. Sundelin","doi":"10.1080/14038190903142061","DOIUrl":"https://doi.org/10.1080/14038190903142061","url":null,"abstract":"Today, patients and clients have great impact on their choices of care and treatment provided within the healthcare system. For the caregivers and for physiotherapists as well, this means that we need to take into account patient and client wishes, perceptions and experiences in order to achieve optimal treatment results. In everyday practice, this might be easy by just talking and listening to the patients or the clients. In research, however, we need more systematic ways of approaching these questions. The way of doing this is by using a qualitative research design. Qualitative research seeks to understand a given research problem from the perspectives of the patient group it involves. This method provides the patient side of the treatment, i.e. behaviour, opinions, beliefs, wishes, emotions and relations but also socio-economic factors, such as roles in society, religion, ethnicity and gender issues (1). The tools used in qualitative research to capture these dimensions are participant observation, in-depth interviews and focus-group interviews. In social sciences, these methods are commonly used and have become even more so within medical research. In this issue of Advances in Physiotherapy, it is a great pleasure to present five papers dealing with qualitative methods. Sundling and co-workers describe patient with ALS and caregiver perception of non-invasive home ventilation. They analysed in-depth interviews with a qualitative content analysis, where three themes emerged; ‘‘getting to know the ventilator’’, ‘‘embracing the ventilator’’ and ‘‘being on the ventilator up to 24 h’’. The patients reported improved sleep and activity after adjusting to the ventilator and the caregivers perceived initial stress and interrupted sleep, but later on a deepened understanding of the benefits of the 24-h treatment. Rutberg & Öhrling also used qualitative content analysis to describe experiences of acupuncture among women with migraine. Two categories emerged: experiences during treatment and after treatment. The patient therapist relationship affected the experience and the results indicated a feeling of control over the migraine. Øien and co-workers also used in-depth interviews in combination with video-recordings to explore change and perception in Norwegian psychomotor physiotherapy treatment of patients with chronic neck and back pain. The process of self-perception was integrated in changing movement behaviour and a basis for reducing pain. Wallin and co-workers videotaped group-based exercise sessions in geriatric rehabilitation. They used another type of analysis discourse analysis and found four categories: ‘‘taciturn exercising’’, ‘‘submissive disagreeing’’, ‘‘resilient endeavouring’’ and ‘‘lay helping’’. The client’s contribution to the interaction with the physiotherapist is an important part of the rehabilitation process. Ståhle-Öberg and FjellmanWiklund used Grounded Theory, another qualitative method based on interviews, verbatim transcri","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"113 - 113"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190903142061","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60257605","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":"Differences of functional status among elderly women in urban and rural settings – Self-report and performance-based measures","authors":"Dorothy T. Morala-Dimaandal","doi":"10.1080/14038190701852317","DOIUrl":"https://doi.org/10.1080/14038190701852317","url":null,"abstract":"The importance of locomotion in value systems of elderly emphasizes the high profile of physiotherapist in the care of elderly. This research sought to: (i) assess the urban–rural differences in functional status as measured by self-report and performance-based measure; and (ii) determine factors that are associated with functional status among community-dwelling elderly women. One hundred and twenty-three randomly selected community-dwelling elderly women (65–80 years of age) completed the Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Physical Performance Test (PPT), Lawton's Instrumental Activities of Daily Living (IADL) and demographic questionnaires. Geographical difference was observed in performing physical function but not reporting functional disability. Cognitive function appears to have the strongest association with functional performance in both areas. Age and education were strongly associated with self-reported disability among rural-dwellers, whereas cognitive function and depression was related to self-reported disability among urban-dwellers. This study demonstrated how risk factors vary for elderly women living in different environments. Knowing the different as well as common factors influencing functional status is relevant not only for the deployment of secondary and tertiary prevention, but also suggests an effective treatment for rehabilitation especially among elderly living in different environments.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"13 - 21"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190701852317","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60254511","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":"Can a risk factor questionnaire for osteoporosis and functional tests predict low bone mineral density or falls in patients with a distal radius fracture?","authors":"Helena Nordvall, G. Sundelin, J. Lysholm","doi":"10.1080/14038190802264552","DOIUrl":"https://doi.org/10.1080/14038190802264552","url":null,"abstract":"In a prospective cohort study, 141 patients with a recent radius fracture [135 women (66±9.2 years) and six men (72±6.3 years)] were studied using bone mineral density (BMD) measurements, a risk factor questionnaire, a fall diary, functional tests of dynamic and static balance, and a one-leg rise from a chair test. The mean BMD T-score was −1.97. The results of the one-leg rise test were significantly associated with dynamic and static balance, but none of the functional tests was associated with the number of falls. Forty of 117 patients fell prospectively, 77 of them did not. Decreased height and cigarette smoking were the only risk factors, which significantly predicted low BMD. All risk factors were estimated to explain osteopenia and osteoporosis to an extent of 27%. The functional tests and the risk factor questionnaire seem to be of limited value for identifying people with a radius fracture who are at risk of falling or to have early osteoporosis. If functional tests on musculoskeletal function are considered for older and more frail, the one-leg rise test may be sufficient.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"71 - 80"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190802264552","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60255507","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":"Guide to evidence-based physical therapy practice","authors":"A. Häkkinen","doi":"10.1080/14038190902792353","DOIUrl":"https://doi.org/10.1080/14038190902792353","url":null,"abstract":"","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"174 - 175"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190902792353","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60256565","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 training on health-related quality of life, pain and falls in osteoporotic women","authors":"Ann-Charlotte Grahn Kronhed, Inger Hallberg, L. Ödkvist, M. Möller","doi":"10.1080/14038190902896659","DOIUrl":"https://doi.org/10.1080/14038190902896659","url":null,"abstract":"Physical inactivity is a risk factor for osteoporosis and fractures. The aim of the study was to see if supervised training would improve health-related quality of life (HRQL), reduce pain and falls in osteoporotic women. Women with established osteoporosis (n=124) were invited to a 1-year, follow-up study. Seventy-three women aged 60–81 years met the inclusion criteria and were randomized to an exercise (E) or control (C) group. A 4-month, supervised group training programme was designed. Participants were studied using HRQL questionnaires, clinical tests and dynamic posturography. Thirty-one women in the E-group and 34 women in the C-group completed the study. The E-group improved in six SF-36 domains and mental component summary (MCsum) index and also in worst pain intensity (p<0.01) after the supervised exercise training. Differences were found between the groups when comparing changes in four SF-36 domains, MCsum and worst pain (p=0.001). Physical activity level decreased in the E-group after the supervised period. Mean time to first fall occurred earlier in the C-group than in the E-group for the first 4 months but the trend did not last for the 1-year follow-up. The study suggests that supervised group training is beneficial for women with established osteoporosis.","PeriodicalId":87870,"journal":{"name":"Advances in physiotherapy","volume":"11 1","pages":"154 - 165"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14038190902896659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60256961","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}