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Mention de date : 2016
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Dépouillements
Ajouter le résultat dans votre panierBest practice for arm recovery post stroke: an international application / S.L. Wolf in Physiotherapy, 2016/1 (2016)
Titre : Best practice for arm recovery post stroke: an international application Type de document : Article Auteurs : S.L. Wolf ; G. Kwakkel ; M. Bayley Année de publication : 2016 Article en page(s) : pp. 1-4 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Activité motrice ; Applications mobiles ; Membre supérieurMots-clés : Stroke Upper extremity Motor activity Mobile Applications Résumé : Objective
To develop an evidence-based application (‘app’) for post-stroke upper extremity rehabilitation that can be used globally by therapists.
Participants
Twenty-three experienced neurorehabilitation therapists, applied scientists and physicians, and 10 consultants dedicated to the provision of best practice to stroke survivors.
Design
This team evaluated the evidence to support the timely and appropriate provision of interventions and the most defensible outcome measures during a 4-year voluntary information gathering and assimilation effort, as a basis for the sequencing of an algorithm informed by the data and directed by changes in impairment and chronicity.
Outcome measures
The primary outcome was the formulation of a testable app that will be available for minimal user cost. The app is for a smartphone, and the comments of a focus group (audience at a World Confederation for Physical Therapy 2015 presentation, approximate n = 175) during a 30-minute ‘Questions and Answers’ session were assessed.
Results
Analysis of documented, extensive input offered by the audience indicated a highly favourable disposition towards this novel tool, with provision of concrete suggestions prior to launching the final version. Suggestions centred on: inclusion of instructions; visuals and demonstrations; monitoring of adverse responses; availability of updates; autonomous use by patients; and potential to characterise practice.
Conclusions
A simple, user-friendly app for decision making in the treatment of upper extremity impairments following stroke is feasible and welcomed.DOI : https://doi.org/10.1016/j.physio.2015.08.007 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134254
in Physiotherapy > 2016/1 (2016) . - pp. 1-4[article]
Titre : Strength training in physical therapy Type de document : Article Auteurs : A.J. Hautala ; M. Richards ; T. Takahashi Année de publication : 2016 Article en page(s) : pp. 5-6 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladie des artères coronaires ; VieillissementMots-clés : Aging Glucose Metabolism Disorders Troubles du métabolisme du glucose Coronary Artery Disease Exercise Résumé : In an era characterised by an ageing population and a global epidemic of obesity and related comorbidities, daily habitual physical activity and exercise training with well-known health benefits are key elements to improve quality of life and functional capacity [1]. Muscular weakness exacerbated by physical inactivity is pervasive in ageing adults, and those with type 2 diabetes and coronary artery disease commonly demonstrate even greater losses of muscular strength. Evidence-based research increasingly supports the importance, safety and efficacy of strength training in the prevention and management of a range of chronic diseases.
A symposium presented at the recent World Confederation for Physical Therapy Congress 2015 in Singapore focused on different perspectives and key issues on advanced or emerging scope of practice in strength training in the field of physical therapy, with particular reference to ageing adults, obese and metabolically unhealthy subjects, and frail patients with coronary artery disease. The main aim was to provide an overview of the importance and effects of evidence-based strength exercise protocols in ageing adults. Secondly, the benefits of an active lifestyle for health, with a particular focus on strength training in patients with obesity, metabolic syndrome and type 2 diabetes, and frail patients with coronary artery disease, were introduced.DOI : https://doi.org/10.1016/j.physio.2015.10.012 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134255
in Physiotherapy > 2016/1 (2016) . - pp. 5-6[article]
Titre : Exercise adherence: integrating theory, evidence and behaviour change techniques Type de document : Article Auteurs : E.J.C. Hay-Smith ; Doreen McClurg ; H. Frawley Année de publication : 2016 Article en page(s) : pp. 7-9 Langues : Anglais (eng) Descripteurs : HE Vinci
Médecine comportementale ; Plancher pelvien ; Traitement par les exercices physiquesMots-clés : Behavioral Medicine Exercise therapy Pelvic Floor Résumé : Physiotherapeutic rehabilitation commonly includes exercise. For general health and fitness, and for most long-term conditions, accumulating and maintaining exercise benefit requires adherence. However, medium to longer-term exercise adherence is typically poor. People know what to do and do not do it (knowledge–behaviour gap), initial uptake in supervised settings does not translate into daily self-managed routine, and people stop and do not restart [1]. Adherence requires behaviour change. Physiotherapists can support behaviour change to enhance exercise adherence by: (1) applying relevant health behaviour theory; (2) understanding the patient's experience; and (3) using appropriate behaviour change techniques. Pelvic floor muscle exercise (PFME), widely used in the self-management of stress urinary incontinence, served to illustrate each point. DOI : https://doi.org/10.1016/j.physio.2015.08.006 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134256
in Physiotherapy > 2016/1 (2016) . - pp. 7-9[article]
Titre : Ability of physiotherapists to undertake evidence-based practice steps: a scoping review Type de document : Article Auteurs : C. Condon ; N. McGrane ; D. Mockler Année de publication : 2016 Article en page(s) : pp. 10-19 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des impacts sur la santé ; Kinésithérapie (spécialité) ; Pratique factuelle (EBP)Mots-clés : Health Impact Assessment Physical Therapy Specialty Patient Outcome Assessment Évaluation des résultats des patients Network Meta-Analysis Méta-analyse en réseau Résumé : Background
Evidence-based practice (EBP) is promoted to ensure quality of care. However, analysis of the skill of physiotherapists in undertaking the steps of EBP, or the impact of EBP on the work of physiotherapists is limited.
Objectives
To conduct a scoping review into physiotherapists performing the steps of EBP.
Data source
Literature concerning the skill of physiotherapists in EBP between 1990 and June 2013 was searched using AMED, Academic Search Complete, CINAHL, PubMed, ERIC, PEDRO and EMBASE databases.
Study selection
Twenty-five studies (six qualitative, one mixed methods and 18 quantitative) were selected.
Data extraction and synthesis
Quantitative and qualitative data were extracted using two appraisal tools to analyse each of the five steps of EBP.
Results
Limited evidence exists to show that physiotherapists undertake the full EBP process. Despite formulating clinical questions and acquiring literature-based evidence, the drivers for conducting literature or evidence searches have not been clarified. The critical appraisal step was mainly assessed in the form of recognition of statistical terms. Only examples of guideline usage support the reflective final assessment step. Physiotherapists report using their peers and other trusted sources in preference to literature, primarily due to time but also due to divergence between the literature-based evidence and other evidence that they use and value (tacit knowledge). A positive impact of EBP on patient outcomes is lacking.
Conclusions
Understanding the information needs of physiotherapists may be necessary before adoption of the EBP process. The use of professional networks may offer a better means to identify knowledge gaps and translate acquired knowledge into practice, rather than focusing on individual skills in EBP.DOI : https://doi.org/10.1016/j.physio.2015.06.003 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134257
in Physiotherapy > 2016/1 (2016) . - pp. 10-19[article]
Titre : Rehabilitation following surgical repair of the rotator cuff: a systematic review Type de document : Article Auteurs : Sophie Thomson ; Chris Jukes ; Jeremy Lewis Année de publication : 2016 Article en page(s) : pp. 20-28 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Soins postopératoiresMots-clés : Rotator cuff Coiffe des rotateurs Postoperative Care Résumé : Background
Surgery to repair rotator cuff (RC) tears is a commonly performed orthopaedic procedure with the aim of reducing pain and improving function. Surgery is followed by rehabilitation and recommendations for postoperative rehabilitation include; exercise therapy, continuous passive motion machines and aquatic therapy. Currently, there is uncertainty in the literature as to what constitutes best postsurgical rehabilitation.
Objective
To systematically review postsurgical research investigations to provide clinical guidance regarding postsurgical management.
Data sources
A keyword search of Medline, Cinahl, Amed, Embase and Cochrane databases from September 1993 to September 2013.
Study selection
Reviewer assessment using inclusion and exclusion criteria of randomised controlled trials.
Data extraction
Data pertaining to research design, intervention and subjects was extracted from included papers by one author. The data was grouped by reference to the objectives of the study and collated in themes.
Data synthesis
Narrative synthesis of the data was used to describe the effects of the intervention. The methodological quality and risk of bias of the included studies was assessed using the standardised Physiotherapy Evidence Database scale. Eleven studies met the inclusion criteria. All the studies were of fair to good methodological quality. No one rehabilitation protocol was found to be superior to another. The findings of this review suggested that following RC repair, patients should expect improvement in pain, ROM and function.
Conclusion
This review concludes that no single rehabilitation protocol is superior to another following RC repair. Studies with larger study populations and longer term follow up are required to investigate this further.DOI : https://doi.org/10.1016/j.physio.2015.08.003 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134258
in Physiotherapy > 2016/1 (2016) . - pp. 20-28[article]
Titre : Dual-task testing to predict falls in community-dwelling older adults: a systematic review Type de document : Article Auteurs : S.W. Muir-Hunter ; J.E. Wittwer Année de publication : 2016 Article en page(s) : pp. 29-40 Langues : Anglais (eng) Descripteurs : HE Vinci
Cognition ; Sujet âgéMots-clés : Accidental falls Chutes accidentelles Aged Gait Démarche Résumé : Background
Cognitive impairment increases fall risk in older adults. Dual-task testing is an accepted way to assess the interaction between cognition and mobility; however, there is a lack of evidence-based recommendations for dual-task testing to evaluate fall risk in clinical practice.
Objectives
To evaluate the association between dual-task testing protocols and future fall risk, and to identify the specific dual-task test protocols associated with elevated risk.
Data sources
MEDLINE, Pubmed and EMBASE electronic databases were searched from January 1988 to September 2013.
Study selection
Two independent raters identified prospective cohort studies (duration of at least 1 year) of dual-task assessment in community-dwelling participants aged ≥60 years, with ‘falls’ as the primary outcome.
Study appraisal and synthesis methods
Methodological quality was scored independently by two raters using a published checklist of criteria for evaluating threats to the validity of observational studies.
Results
Deterioration in gait during dual-task testing compared with single-task performance was associated with increased fall risk. Shortcomings within the literature significantly limit knowledge translation of dual-task gait protocols into clinical practice.
Limitations
There is a paucity of prospective studies on the association of dual-task gait assessment with fall risk.
Conclusion and implications of key findings
Changes in gait under dual-task testing are associated with future fall risk, and this association is stronger than that for single-task conditions. Limitations in the available literature preclude development of detailed recommendations for dual-task gait testing procedures in clinical practice to identify and stratify fall risk in older adults.DOI : https://doi.org/10.1016/j.physio.2015.04.011 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134259
in Physiotherapy > 2016/1 (2016) . - pp. 29-40[article]
Titre : Efficacy of transcutaneous electrical nerve stimulation for rotator cuff tendinopathy: a systematic review Type de document : Article Auteurs : F. Desmeules ; J. Boudreault ; J.S. Roy Année de publication : 2016 Article en page(s) : pp. 41-49 Langues : Anglais (eng) Descripteurs : HE Vinci
Revue de la littératureMots-clés : Rotator cuff Coiffe des rotateurs Tendinopathy Tendinopathie Shoulder impingement syndrome Syndrome de conflit sous-acromial Transcutaneous Electric Nerve Stimulation Neurostimulation électrique transcutanée Review Résumé : Objective
To perform a systematic review on the efficacy of transcutaneous electrical nerve stimulation (TENS) for the treatment of rotator cuff tendinopathy in adults.
Methods
A literature search was conducted in four databases (CINAHL, Embase, PubMed and PeDRO) for randomised controlled trials published from date of inception until April 2015, comparing the efficacy of TENS for the treatment of rotator cuff tendinopathy with placebo or any other intervention. Risk of bias was evaluated using the Cochrane risk of bias tool. Results were summarised qualitatively.
Results
Six studies were included in this review. The mean methodological score was 49% (standard deviation 16%), indicating an overall high risk of bias. One placebo-controlled trial reported that a single TENS session provided immediate pain reduction for patients with rotator cuff tendinopathy, but did not follow the participants in the short, medium or long term. Two trials that compared ultrasound therapy with TENS reported discrepancy and contradictory results in terms of pain reduction and shoulder range of motion. Corticosteroid injections were found to be superior to TENS for pain reduction in the short term, but the differences were not clinically important. Other studies included in this review concluded that TENS was not superior to heat or pulsed radiofrequency.
Conclusion
Due to the limited number of studies and the overall high risk of bias of the studies included in this review, no conclusions can be drawn on the efficacy of TENS for the treatment of rotator cuff tendinopathy. More methodologically sound studies are needed to document the efficacy of TENS. Until then, clinicians should prefer other evidence-based rehabilitation interventions proven to be efficacious to treat patients with rotator cuff tendinopathy.DOI : https://doi.org/10.1016/j.physio.2015.06.004 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134260
in Physiotherapy > 2016/1 (2016) . - pp. 41-49[article]
Titre : 1000 Norms Project: protocol of a cross-sectional study cataloging human variation Type de document : Article Auteurs : Marnee J. McKay ; Jennifer N. Baldwin ; Paulo Ferreira Année de publication : 2016 Article en page(s) : pp. 50-56 Langues : Anglais (eng) Descripteurs : HE Vinci
Valeurs de référenceMots-clés : Reference values Évaluation des résultats des patients Patient Outcome Assessment Résumé : Background
Clinical decision-making regarding diagnosis and management largely depends on comparison with healthy or ‘normal’ values. Physiotherapists and researchers therefore need access to robust patient-centred outcome measures and appropriate reference values. However there is a lack of high-quality reference data for many clinical measures. The aim of the 1000 Norms Project is to generate a freely accessible database of musculoskeletal and neurological reference values representative of the healthy population across the lifespan.
Methods/design
In 2012 the 1000 Norms Project Consortium defined the concept of ‘normal’, established a sampling strategy and selected measures based on clinical significance, psychometric properties and the need for reference data. Musculoskeletal and neurological items tapping the constructs of dexterity, balance, ambulation, joint range of motion, strength and power, endurance and motor planning will be collected in this cross-sectional study. Standardised questionnaires will evaluate quality of life, physical activity, and musculoskeletal health. Saliva DNA will be analysed for the ACTN3 genotype (‘gene for speed’). A volunteer cohort of 1000 participants aged 3 to 100 years will be recruited according to a set of self-reported health criteria. Descriptive statistics will be generated, creating tables of mean values and standard deviations stratified for age and gender. Quantile regression equations will be used to generate age charts and age-specific centile values.
Discussion
This project will be a powerful resource to assist physiotherapists and clinicians across all areas of healthcare to diagnose pathology, track disease progression and evaluate treatment response. This reference dataset will also contribute to the development of robust patient-centred clinical trial outcome measures.DOI : https://doi.org/10.1016/j.physio.2014.12.002 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134261
in Physiotherapy > 2016/1 (2016) . - pp. 50-56[article]
Titre : Evaluation of the effectiveness of three physiotherapeutic treatments for subacromial impingement syndrome: a randomised clinical trial Type de document : Article Auteurs : L. Pérez-Merino ; M.C. Casajuana ; G. Bernal Année de publication : 2016 Article en page(s) : pp. 57-63 Langues : Anglais (eng) Descripteurs : HE Vinci
ÉchographieMots-clés : Shoulder Impingement Syndrome Syndrome de conflit sous-acromial Ultrasonography Phonophoresis Phonophorèse Iontophoresis Ionophorèse Résumé : Objective
To determine whether dexketoprofen administered by phonophoresis or iontophoresis is more effective for the treatment of subacromial impingement syndrome (SIS) than conventional ultrasound therapy.
Design
Randomised clinical trial.
Setting
University hospital.
Participants
Ninety-nine participants with SIS without a complete tear of the rotator cuff were assigned at random to three intervention groups.
Intervention groups
Participants received ultrasound (n = 32), phonophoresis with dexketoprofen (50 mg/session) (n = 33) or iontophoresis with dexketoprofen (50 mg/session) (n = 34). All participants completed 20 treatment sessions plus exercise therapy and cryotherapy.
Outcome measures
A visual analogue scale (VAS), the Constant–Murley Scale (CMS) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire were administered pre-treatment (baseline), post-treatment and 1 month post-treatment.
Results
At baseline, there were no differences between the groups. Post-treatment, VAS score improved by −1.2 points and CMS score improved by 8.9 points in the ultrasound group compared with the iontophoresis group [95% confidence interval (CI) −0.2 to −2.2 and 95% CI 17.0 to 0.7, respectively]. CMS score improved by 7.1 points in the phonophoresis group compared with the iontophoresis group (95% CI 14.8 to −0.7). At 1 month post-treatment, no significant differences were detected between the groups. VAS, CMS and DASH scores of all groups improved post-treatment and at 1 month post-treatment.
Conclusion
Ultrasound, iontophoresis with dexketoprofen and phonophoresis with dexketoprofen can improve pain, shoulder function, and physical functioning and symptoms in the upper limb in patients with SIS without a complete tear of the rotator cuff.DOI : https://doi.org/10.1016/j.physio.2015.01.010 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134262
in Physiotherapy > 2016/1 (2016) . - pp. 57-63[article]
Titre : Executive dysfunction and balance function post-stroke: A cross-sectional study Type de document : Article Auteurs : Sara Hayes ; Claire Donnellan ; Emma Stokes Année de publication : 2016 Article en page(s) : pp. 64-70 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Fonctions exécutivesMots-clés : Executive Function Stroke Résumé : Objectives
This study investigated the: (1) prevalence of executive dysfunction (ED); (2) demographic and clinical differences between participants with ED and without ED and; (3) independent association between executive function (EF) and balance post-stroke.
Design
Prospective observational cross-sectional study.
Setting
Four large acute hospitals.
Participants
: Convenience sample of people with first stroke.
Main outcome
: Balance function.
Secondary outcomes
: EF, stroke severity, depression and global cognition.
Methods
Descriptive statistics were used to report the prevalence of ED post-stroke. Comparisons of demographic and clinical characteristics were made between participants with ED and participants without ED using independent t-tests. Hierarchical multiple linear regression analysis determined the association between EF and balance post-stroke.
Results
Participant (n = 100) age ranged from 31 to 98 years, time since stroke ranged from 4 to 180 days and the participants reported formal education ranging from 7 to 21 years. Participants with ED had more severe strokes (BADS) [median (IQR) vs median (IQR), p-value] [(44 (16) vs (51 (7), p Conclusions
ED is independently associated with balance post-stroke. Physiotherapists should consider this when developing rehabilitation strategies to improve balance post-stroke.DOI : https://doi.org/10.1016/j.physio.2015.03.3719 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134263
in Physiotherapy > 2016/1 (2016) . - pp. 64-70[article]
Titre : The construction of professional identity by physiotherapists: a qualitative study Type de document : Article Auteurs : Ralph Hammond ; Vinette Cross ; Ann Moore Année de publication : 2016 Article en page(s) : pp. 71-77 Langues : Anglais (eng) Descripteurs : HE Vinci
Ethique ; Kinésithérapie (spécialité) ; Recherche qualitative ; SocialisationMots-clés : Physical Therapy Specialty Qualitative Research Ethics Socialization Résumé : The UK Frances Report and increasing societal expectations of healthcare have challenged physiotherapists to reconsider professionalism. Physiotherapy has viewed identity as a fixed entity emphasising coherence, continuity and distinctiveness. Socialisation has required the acquisition of a professional identity as one necessary ‘asset’ for novices. Yet how do physiotherapists come to be the physiotherapists they are?
Design
Qualitative study using Collective Memory Work. Eight physiotherapists in South West England met for two hours, once a fortnight, for six months. Seventeen hours of group discussions were recorded and transcribed. Data were managed via the creation of crafted dialogues and analysed using narrative analysis.
Results
Participants shared ethical dilemmas: successes and unresolved anxiety about the limits of personal actions in social situations. These included matters of authenticity, role strain, morality, diversity. Participants made claims about their identity; claims made to support an attitude, belief, motivation or value.
Conclusions
Professional identity in physiotherapy is more complex than traditionally thought; fluid across time and place, co-constructed within changing communities of practice. An ongoing and dynamic process, physiotherapists make sense and (re)interpret their professional self-concept based on evolving attributes, beliefs, values, and motives. Participants co-constructed the meaning of being a physiotherapist within intra-professional and inter-professional communities of practice. Patients informed this, and it was mediated by workplace and institutional discourses, boundaries and hierarchies, through an unfolding career and the contingencies of a life story. More empirical data are required to understand how physiotherapists negotiate the dilemmas they face and enact the values the profession espouses.DOI : https://doi.org/10.1016/j.physio.2015.04.002 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134264
in Physiotherapy > 2016/1 (2016) . - pp. 71-77[article]
Titre : Current management of pregnancy-related low back pain: a national cross-sectional survey of UK physiotherapists Type de document : Article Auteurs : A. Bishop ; M.A. Holden ; R.O. Ogollah Année de publication : 2016 Article en page(s) : pp. 78-85 Langues : Anglais (eng) Descripteurs : HE Vinci
Acupuncture ; Grossesse ; Kinésithérapie (spécialité) ; LombalgieMots-clés : Pregnancy Low back pain Physical Therapy Specialty Surveys and Questionnaires Enquêtes et questionnaires Résumé : Background
Pregnancy-related low back pain (LBP) is very common. Evidence from a systematic review supports the use of exercise and acupuncture, although little is known about the care received by women with pregnancy-related back pain in the UK.
Objective
To describe current acupuncture and standard care management of pregnancy-related LBP by UK physiotherapists.
Design
Cross-sectional survey of physiotherapists with experience of treating women with pregnancy-related LBP from three professional networks of the Chartered Society of Physiotherapy.
Methods
In total, 1093 physiotherapists were mailed a questionnaire. The questionnaire captured respondents’ demographic and practice setting information, and experience of managing women with pregnancy-related back pain, and investigated the reported management of pregnancy-related LBP using a patient case vignette of a specific, ‘typical’ case.
Results
The overall response rate was 58% (629/1093). Four hundred and ninety-nine physiotherapists had experience of treating women with pregnancy-related LBP and were included in the analysis. Most respondents worked wholly or partly in the UK National Health Service (78%). Most respondents reported that they treat patients with pregnancy-related LBP in three to four one-to-one treatment sessions over 3 to 6 weeks. The results show that a range of management strategies are employed for pregnancy-related LBP, and multimodal management is common. The most common reported treatment was home exercises (94%), and 24% of physiotherapists reported that they would use acupuncture with the patient described in the vignette.
Conclusions
This study provides the first robust data on the management of pregnancy-related LBP by UK physiotherapists. Multimodal management is common, although exercise is the most frequently used treatment for pregnancy-related LBP. Acupuncture is used less often for this patient group.DOI : https://doi.org/10.1016/j.physio.2015.02.003 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134265
in Physiotherapy > 2016/1 (2016) . - pp. 78-85[article]
Titre : Effects of whole-body vibration training with quadriceps strengthening exercise on functioning and gait parameters in patients with medial compartment knee osteoarthritis: a randomised controlled preliminary study Type de document : Article Auteurs : P. Wang ; L. Yang ; H. Li Année de publication : 2016 Article en page(s) : pp. 86-92 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Exercice physique ; Force musculaire ; VibrationMots-clés : Quadriceps Muscle Muscle quadriceps fémoral Muscle Strength Exercise Osteoarthritis Imaging Three-Dimensional Imagerie tridimensionnelle Résumé : Objective
To compare the effects of whole-body vibration training (WBVT) with quadriceps strengthening exercise (QSE) with QSE alone on functioning and gait parameters in patients with medial compartment knee osteoarthritis.
Design
Randomised controlled preliminary study.
Setting
Department of Rehabilitation Medicine, West China Hospital, Chengdu, Sichuan, People's Republic of China.
Subjects
Thirty-nine patients with medial compartment knee osteoarthritis.
Interventions
Participants were assigned at random to one of two groups.
Main measures
Visual analogue scale (VAS) for pain, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), timed up and go test (TUG), 6-minute walk distance test (6MWD), and three-dimensional gait analysis during level walking at baseline, 12 weeks and 16 weeks (follow-up).
Results
Compared with baseline, significant improvements in VAS, all WOMAC scales, TUG, 6MWD and all spatiotemporal parameters were seen in both the WBVT + QSE group and the QSE alone group at 12 and 16 weeks. However, the WBVT + QSE group showed greater improvements than the QSE alone group in WOMAC scales (physical function), TUG, 6MWD and cadence at 12 weeks. No differences were found between the WBVT + QSE and QSE alone groups in VAS, WOMAC scales (pain, stiffness), kinematic and kinetic gait parameters, and other spatiotemporal parameters at 12 weeks and 16 weeks.
Conclusion
Over a 3-month period, WBVT in combination with QSE improved symptoms, physical function and spatiotemporal parameters in patients with medial compartment knee osteoarthritis, and led to greater improvement than QSE alone in WOMAC scales (physical function), TUG, 6MWD and cadence.DOI : https://doi.org/10.1016/j.physio.2015.03.3720 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134266
in Physiotherapy > 2016/1 (2016) . - pp. 86-92[article]
Titre : Physiotherapy management of joint hypermobility syndrome – a focus group study of patient and health professional perspectives Type de document : Article Auteurs : Shea Palmer ; R. Terry ; K.A. Rimes Année de publication : 2016 Article en page(s) : pp. 93-102 Langues : Anglais (eng) Descripteurs : HE Vinci
Événements de vie ; Groupes focalisés ; Kinésithérapie (spécialité) ; Syndrome d'Ehlers-DanlosMots-clés : Joint Instability Instabilité articulaire Ehlers-Danlos Syndrome Physical Therapy Specialty Focus group Life Change Events Résumé : Objective
To develop an understanding of patient and health professional views and experiences of physiotherapy to manage joint hypermobility syndrome (JHS).
Design
An explorative qualitative design. Seven focus groups were convened, audio recorded, fully transcribed and analysed using a constant comparative method to inductively derive a thematic account of the data.
Setting
Four geographical areas of the UK.
Participants
25 people with JHS and 16 health professionals (14 physiotherapists and two podiatrists).
Results
Both patients and health professionals recognised the chronic heterogeneous nature of JHS and reported a lack of awareness of the condition amongst health professionals, patients and wider society. Diagnosis and subsequent referral to physiotherapy services for JHS was often difficult and convoluted. Referral was often for acute single joint injury, failing to recognise the long-term multi-joint nature of the condition. Health professionals and patients felt that if left undiagnosed, JHS was more difficult to treat because of its chronic nature. When JHS was treated by health professionals with knowledge of the condition patients reported satisfactory outcomes. There was considerable agreement between health professionals and patients regarding an ‘ideal’ physiotherapy service. Education was reported as an overarching requirement for patients and health care professionals.
Conclusions
Physiotherapy should be applied holistically to manage JHS as a long-term condition and should address injury prevention and symptom amelioration rather than cure. Education for health professionals and patients is needed to optimise physiotherapy provision. Further research is required to explore the specific therapeutic actions of physiotherapy for managing JHS.DOI : https://doi.org/10.1016/j.physio.2015.05.001 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134267
in Physiotherapy > 2016/1 (2016) . - pp. 93-102[article]
Titre : Early enforced mobilisation following surgery for gastrointestinal cancer: feasibility and outcomes Type de document : Article Auteurs : Marike van der Leeden ; R. Huijsmans ; E. Geleijn Année de publication : 2016 Article en page(s) : pp. 103-110 Langues : Anglais (eng) Descripteurs : HE Vinci
Complications postopératoires ; Durée du séjour ; Soins postopératoiresMots-clés : Postoperative Care Gastrointestinal Neoplasms Tumeurs gastro-intestinales General Surgery Chirurgie générale Postoperative Complications Length of Stay Résumé : Objectives
To evaluate the feasibility and outcomes of early enforced mobilisation following surgery for gastrointestinal cancer.
Design
Feasibility study with a separate-sample pre–post-test design.
Setting
Surgical gastrointestinal ward.
Participants
Patients with various types of gastrointestinal cancer, before and after implementation of postoperative enforced mobilisation (n = 55 and n = 61, respectively).
Intervention
The enforced mobilisation protocol included structured mobilisation by a nurse and walking supervised by a physiotherapist, starting within 24 hours of surgery.
Main outcome measures
The enforced mobilisation protocol was deemed to be feasible if at least 50% of patients were able to walk the scheduled distance on postoperative day 1. Pre- and postimplementation differences in postoperative pulmonary complications (PPCs), length of hospital stay (LOS) and re-admission rate were analysed using regression analyses, adjusting for relevant co-variables.
Results
In the various surgical groups, between 48% and 56% of patients were able to walk the scheduled distance on postoperative day 1, which was regarded as feasible. However, none of the patients who had undergone oesophageal resection were able to walk on postoperative day 1. Excluding these patients from the analyses, a significant decrease in PPCs was found (odds ratio 0.08, 95% confidence interval 0.010 to 0.71, P = 0.023) following implementation of enforced mobilisation. Differences in LOS and re-admission rate were not significant.
Conclusions
Early enforced mobilisation seems to be feasible in patients following surgery for gastrointestinal cancer, except for those undergoing oesophageal resection. The occurrence of PPCs was reduced after implementation of enforced mobilisation. Further research is needed to confirm these results.DOI : https://doi.org/10.1016/j.physio.2015.03.3722 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134268
in Physiotherapy > 2016/1 (2016) . - pp. 103-110[article]
Titre : Exploratory mixed methods study of respiratory physiotherapy for patients with lower respiratory tract infections Type de document : Article Auteurs : A. Oliveira ; A. Marques Année de publication : 2016 Article en page(s) : pp. 111-118 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Infections de l'appareil respiratoire ; Kinésithérapie (spécialité)Mots-clés : Respiratory tract infections Physical Therapy Specialty Personal satisfaction Satisfaction personnelle Self Care Résumé : Objectives
To assess the outcomes of respiratory physiotherapy for patients with lower respiratory tract infections (LRTI).
Design
Parallel group mixed-methods study.
Setting
Patients were recruited from a general hospital. Respiratory physiotherapy took place in a community setting.
Participants
Fifty-four patients aged ≥18 years and diagnosed with LRTI completed the study. Twenty-seven patients were allocated to the control group {CG: 10 male, mean age 53.3 [standard deviation (SD) 17.4] years} and 27 patients were allocated to the experimental group [EG: 10 male, mean age 58.6 (SD 17.2) years].
Intervention
The CG received conventional medical treatment and the EG received conventional medical treatment plus respiratory physiotherapy for 3 weeks.
Outcome measures
Patients in both groups undertook the 6-minute walk test (6MWT), modified Borg scale (MBS), modified Medical Research Council questionnaire (mMRC), and Breathlessness, Cough and Sputum scale (BCSS) before and after the intervention. A telephone follow-up survey was performed 3 months after the first hospital visit. Interviews were conducted immediately after the intervention in the EG.
Results
In the EG, the distance walked in the 6MWT increased by more than the minimally important difference (P = 0.001), and significantly more than the CG {EG: mean change 76 m [standard deviation (SD) 63], 95% confidence interval (CI) 51 to 101; CG: mean change 27 m (SD 56), 95% CI 5 to 49; mean difference between groups: 49 m 95% CI 16 to 82; partial η2 = 0.15}. No differences in the MBS, mMRC and BCSS were found between the two groups. The EG reported high levels of satisfaction with the intervention (27/27; 100%) and with the physiotherapist (20/27; 74%). The intervention improved patients’ symptoms (19/27; 70%) and their self-management skills to control/prevent future LRTI (19/27; 70%). Health service use was significantly less in the EG (P = 0.04).
Conclusions
Respiratory physiotherapy appears to be effective for the management of patients with LRTI.DOI : https://doi.org/10.1016/j.physio.2015.03.3723 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134269
in Physiotherapy > 2016/1 (2016) . - pp. 111-118[article]
Titre : Re: Admission interview scores are associated with clinical performance in an undergraduate physiotherapy course: an observational study Type de document : Article Auteurs : C.R. Osadnik ; S.L. Paynter ; S.R. Maloney Année de publication : 2016 Article en page(s) : pp. 119-120 Langues : Anglais (eng) Descripteurs : HE Vinci
Australie ; Education ; Kinésithérapie (spécialité)Mots-clés : School Admission Criteria Critères d'admission dans un établissement d'enseignement Physical Therapy Specialty Australia Résumé : We read with interest the recent Physiotherapy article by Edgar and colleagues regarding interviewing applicants for undergraduate physiotherapy courses prior to enrolment [1]. The study is important, as it is the first time any relationship between intake selection criteria and clinical performance has been published specifically in the physiotherapy profession. DOI : https://doi.org/10.1016/j.physio.2015.02.001 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134270
in Physiotherapy > 2016/1 (2016) . - pp. 119-120[article]
Titre : Movement-based subgrouping in low back pain: synergy and divergence in approaches Type de document : Article Auteurs : Fabio Franciscatto Stieven Année de publication : 2016 Article en page(s) : pp. 120 Langues : Anglais (eng) Descripteurs : HE Vinci
Chirurgie ; LombalgieMots-clés : Low back pain Surgery general générale Résumé : We read with great interest and would like to congratulate Karayannis, Jull and Hodges for the study entitled “Movement-based subgrouping in low back pain: synergy and divergence in approaches”, published in the June 2015 issue of this journal [1]. This study contributes innovatively to the understanding of different subclassification schemes in patients with low back pain. Like the authors, we too are clinicians interested in the study of non-specific low back pain and particularly applaud the initiative to address five important subclassification schemes in one study (...) DOI : https://doi.org/10.1016/j.physio.2015.07.001 Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=134271
in Physiotherapy > 2016/1 (2016) . - pp. 120[article]
