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Mention de date : 2018
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Ajouter le résultat dans votre panierPeri-operative chest physiotherapy for paediatric cardiac patients: a systematic review and meta-analysis / A. Beningfield in Physiotherapy, Vol. 104, n° 3 (2018)
Titre : Peri-operative chest physiotherapy for paediatric cardiac patients: a systematic review and meta-analysis Type de document : Article Auteurs : A. Beningfield ; A. Jones Année de publication : 2018 Article en page(s) : p. 251-263 Langues : Anglais (eng) Descripteurs : HE Vinci
Cardiopathies ; Kinésithérapie (spécialité) ; Soins périopératoires ; Soins postopératoiresMots-clés : Physical Therapy Specialty Perioperative Care Heart diseases Postoperative care Résumé : Background
Chest physiotherapy (CPT) is implemented before and after congenital heart disease (CHD) surgery in paediatrics to prevent and treat postoperative pulmonary complications (PPC). Currently, there are no systematic reviews or meta-analyses on the efficacy of CPT in this population.
Objective
To conduct a systematic review and meta-analysis to determine whether peri-operative CPT is safe and effective for paediatric patients with CHD.
Data sources
A literature search was conducted on PEDro, MEDLINE, CINAHL, Informit, The Cochrane Library and Scopus in March and April 2016.
Eligibility criteria
English peer-reviewed articles that utilised CPT before or after cardiac surgery for paediatric CHD. Systematic reviews were excluded.
Data extraction and synthesis
Completed by two independent researchers using the Crowe Critical Appraisal Tool. Data were collated using a piloted data extraction tool. Mix Version 2.0.1.4 was used for meta-analysis, and data were extracted using an odds ratio (with a random effects model).
Results
Eleven studies met the inclusion criteria for the systematic review. Variable results were found regarding the effect of CPT on peripheral oxygen saturation and pain. Meta-analysis showed that CPT did not prevent pneumonia (odds ratio (OR) 2.01; 95% confidence interval (CI) 0.80 to 5.05; P = 0.13), and did not prevent or treat atelectasis (OR 1.27; 95% CI 0.18 to 8.87; P = 0.81).
Limitations
There was a lack of high-quality studies. The included studies were comprised of heterogeneous treatment, limiting external validity.
Conclusion
Active therapies such as mobilisation, deep breathing and incentive spirometry were more effective than passive treatment. Percussion led to oxygen desaturation, and percussion, vibration and suctioning increased the risk of developing atelectasis.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=134404
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 251-263[article]
Titre : Effects of orthopaedic manual therapy in knee osteoarthritis: a systematic review and meta-analysis Type de document : Article Auteurs : Shahnawaz Anwer ; Ahmad Alghadir ; Jean-Michel Brismée Année de publication : 2018 Article en page(s) : p. 264-276 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur ; Exercice physique ; Genou ; Gonarthrose ; PainMots-clés : Knee Osteoarthritis Musculoskeletal Manipulations Manipulations de l'appareil locomoteur Exercise Résumé : Objective
This systematic review to aimed to evaluate the effects of orthopaedic manual therapy (OMT) on pain, improving function, and physical performance in patients with knee osteoarthritis (OA).
Data sources
Four databases (PubMed, Web of Science, CENTRAL, and CINAHL) were searched.
Study selection
Trials were required to compare OMT alone or OMT in combination with exercise therapy, with exercise therapy alone or control.
Data extraction
Data extraction and risk assessment were done by two independent reviewers. Outcome measures were visual analogue scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score, WOMAC function score, WOMAC global score, and stairs ascending-descending time.
Results
Eleven randomized controlled trials were included (494 subjects), four of which had a PEDro score of 6 or higher, indicating adequate quality. The results of the meta-analysis indicated that reduction of VAS score in OMT compared with the control group was statistically insignificant (SDM: −0.59; 95% CI: −1.54 to −0.36; P = 0.224). The reduction of VAS score in OMT compared with exercise therapy group was statistically significant (SDM: −0.78; 95% CI: −1.42 to −0.17; P = 0.013). The reduction of WOMAC pain score in OMT compared with the exercise therapy group was statistically significant (SDM: −0.79; 95% CI: −1.14 to −0.43; P = 0.001). Similarly, the reduction of WOMAC function score in OMT compared with the exercise therapy group was statistically significant (SDM: −0.85; 95% CI: −1.20 to −0.50; P = 0.001). However, the reduction of WOMAC global score in OMT compared with the exercise therapy group was statistically insignificant (SDM: −0.23; 95% CI: −0.54 to −0.09; P = 0.164). The reduction of stairs ascending-descending time in OMT compared with the exercise therapy group was statistically significant (SDM: −0.88; 95% CI: −1.48 to −0.29; P = 0.004).
Conclusions
This review indicated OMT compared with exercise therapy alone provides short-term benefits in reducing pain, improving function, and physical performance in patients with knee OA.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=134405
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 264-276[article]
Titre : Effectiveness of physiotherapy with telerehabilitation in surgical patients: a systematic review and meta-analysis Type de document : Article Auteurs : M.A. van Egmond ; M. van der Schaaf ; T. Vredeveld Année de publication : 2018 Article en page(s) : p. 277-298 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Télémédecine ; TéléréadaptationMots-clés : Telemedicine Telerehabilitation Exercise General Surgery Chirurgie générale Physical Therapy Modalities Techniques de physiothérapie Résumé : Background
Over the last few years, telerehabilitation services have developed rapidly, and patients value benefits such as reduced travelling barriers, flexible exercise hours, and the possibility to better integrate skills into daily life. However, the effects of physiotherapy with telerehabilitation on postoperative functional outcomes compared with usual care in surgical populations are still inconclusive.
Objectives
To study the effectiveness of physiotherapy with telerehabilitation on postoperative functional outcomes and quality of life in surgical patients.
Data sources
Relevant studies were obtained from MEDLINE, EMBASE, CINAHL, the Cochrane Library, PEDro, Google Scholar and the World Health Organization International Clinical Trials Registry Platform.
Study selection
Randomised controlled trials, controlled clinical trials, quasi-randomised studies and quasi-experimental studies with comparative controls were included with no restrictions in terms of language or date of publication.
Data extraction and synthesis
Methodological quality was assessed using the Cochrane risk of bias tool. Twenty-three records were included for qualitative synthesis. Seven studies were eligible for quantitative synthesis on quality of life, and the overall pooled standardised mean difference was 1.01 (95% confidence interval 0.18 to 1.84), indicating an increase in favour of telerehabilitation in surgical patients.
Limitations
The variety in contents of intervention and outcome measures restricted the performance of a meta-analysis on all clinical outcome measures.
Conclusions
Physiotherapy with telerehabilitation has the potential to increase quality of life, is feasible, and is at least equally effective as usual care in surgical populations. This may be sufficient reason to choose physiotherapy with telerehabilitation for surgical populations, although the overall effectiveness on physical outcomes remains unclear.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=134406
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 277-298[article]
Titre : ‘If you can’t help me, so help me God I will cut it off myself…’ The experience of living with knee pain: a qualitative meta-synthesis Type de document : Article Auteurs : James M. Wride ; Katrina Bannigan Année de publication : 2018 Article en page(s) : p. 299-310 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Douleur ; Genou ; Gonarthrose ; Pain ; Psychologie ; Recherche qualitativeMots-clés : Knee Qualitative Research Osteoarthritis Psychosocial Support Systems Systèmes de soutien psychosocial Psychology Résumé : Objective
To identify and explore the feelings and experiences of people living with knee pain as a precursor to exploring how this might contribute to improved care in the future.
Design
The qualitative meta-synthesis was undertaken in three parts (1) a systematic search of the literature, (2) a critical appraisal of the relevant studies and (3) meta-aggregation of the findings from the selected studies. A qualitative meta-synthesis is a process that enables researchers to answer a specific research question by combining and summarising a variety of qualitative sources. This was undertaken using a contextualist approach which acknowledges different realities exist but tries to determine an underlying ‘truth’.
Setting
The participants from the selected studies were from a range of settings and ethnic groups, and cultural backgrounds.
Participants
There were nine articles included in the meta-synthesis. Articles focused on the experiences of surgery, return to sport, or other aspects of care were excluded.
Results
No articles were excluded following critical appraisal. Eleven categories were identified from 55 findings which resulted in two synthesised findings being identified: knee pain affects every aspect of life and Searching for the best way forward.
Limitations
Articles were largely limited to older adults living with osteoarthritis. Many of the findings did not report demographic data. Only English language studies were included.
Conclusion
Many people living with knee pain struggle to adapt to living with knee pain and this is often exacerbated by a lack of knowledge and available information to help them plan for the future.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=134407
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 299-310[article]
Titre : Development of ProFibro — a mobile application to promote self-care in patients with fibromyalgia Type de document : Article Auteurs : Susan Lee King Yuan ; Amélia Pasqual Marques Année de publication : 2018 Article en page(s) : p. 311-317 Langues : Anglais (eng) Descripteurs : HE Vinci
Applications mobiles ; Autosoins ; Douleur chronique ; Fibromyalgie ; Qualité de vieMots-clés : Fibromyalgia Mobile Applications Self Care Chronic Pain Quality of life Résumé : Fibromyalgia is a rheumatic syndrome characterised by chronic widespread pain, often associated with fatigue, unrefreshed sleep and cognitive problems. Effective management of fibromyalgia requires a proactive approach in which the patient takes responsibility for self-care. The purpose of this research was to develop an application (app) for promoting self-care as a complementary Mobile Health resource to physical therapy in the management of fibromyalgia. The app was developed in five stages, according to the prototyping paradigm. In Stage 1, an expert panel of five physical therapists, five patients with fibromyalgia, a digital interface designer and a programmer analysed the requirements and content, and set the software objectives. In Stage 2, the designer created the screen layouts. In Stage 3, the programmer developed the prototype for the Android operating system (Google Inc., Mountain View, CA, USA). In Stage 4, the prototype was pilot tested regarding its quality of use by 10 patients with fibromyalgia. Finally, in Stage 5, the designer improved the interface and the programmer built the final product.
This article describes the development of ProFibro, the first free mobile app in Brazilian Portuguese for fibromyalgia. Its functions are patient education through animation, self-monitoring, sleep strategies, scheduling, graded exercise programme, practice of gratitude, family adjustments and hints through notifications.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=134408
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 311-317[article]
Titre : Quality of web-based information for osteoarthritis: a cross-sectional study Type de document : Article Auteurs : A. Barrow ; Shea Palmer ; S. Thomas Année de publication : 2018 Article en page(s) : p. 318-326 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthrose ; Éducation du patient comme sujet ; InternetMots-clés : Osteoarthritis Patient Education as Topic Résumé : Osteoarthritis (OA) is a chronic condition that affects over 8.75 million people in the UK. Approximately 43% of people in the UK search for health and medical information online. However, health information on the internet is of variable quality. Research into the quality of online OA information is dated and there is a need to evaluate the existing information.
Objectives
To assess the quality of websites which provide educational information for patients with OA.
Design
Electronic cross-sectional survey.
Methods
The search term ‘osteoarthritis’ was entered into the five popular UK-based search engines in order to identify 50 unique websites. These websites were appraised by two assessors using criteria developed from the available literature and recent guidelines of the National Institute of Health and Care Excellence. The appraisal considered the general quality of the website and OA-specific content.
Results
Most of the websites evaluated (34/50, 68%) scored more than half of the maximum available quality score (max score 59). The median total score was 41. For general quality of the website, the median score was nine (range three to 16, out of 16), and for OA-specific content, the median score was 31 (range two to 43, out of 43). Websites of higher quality were created more recently, disclosed sources of information, had external seals of approval and directed the reader on to other relevant websites.
Conclusions
The internet is a potentially useful tool for educating and empowering healthcare consumers. The websites evaluated were generally of a ‘high’ standard; however, there was wide variation in the quality of information.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=134409
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 318-326[article]
Titre : To what extent do current total hip and knee replacement patient information resources adhere to enhanced recovery after surgery principles? Type de document : Article Auteurs : Thomas W. Wainwright ; Louise C. Burgess Année de publication : 2018 Article en page(s) : p. 327-337 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Rééducation et réadaptationMots-clés : Arthroplasty Replacement Hip Arthroplastie prothétique de hanche Knee Physical Therapy Modalities Techniques de physiothérapie Résumé : Objectives
Total hip replacement (THR) and total knee replacement (TKR) are two of the most common orthopaedic surgeries that occur in the United Kingdom (UK) annually. Enhanced recovery after surgery (ERAS) programmes aim to decrease convalescence across procedures. It has been highlighted that post operative physiotherapy routines may not contain the correct ingredients for promoting acceleration of return to function. This research aims to analyse if current THR and TKR patient information resources adhere to ERAS principles, thus optimising post operative recovery.
Data sources
Twenty hip and knee replacement patient information booklets were sourced using a UK Google search. A flowchart of exercise prescription components was formulated from a review of 5 trial booklets. A content analysis was utilised to assess the information included within the patient information booklets.
Results
Forty percent of patient information booklets identified their pathways to be ERAS. Fifty five percent of the hospitals stated their patients would be mobilised on the day of surgery. Ninety percent of THR and 100% of TKR guidelines suggested the use of bed exercises for rehabilitation. Fifteen percent of THR and 35% of TKR booklets suggested functional exercise as a method of rehabilitation. Strength or resistance based exercises were proposed in 40% of THR and 55% of TKR booklets.
Conclusion
Many patient information booklets do not follow ERAS principles for fast-track rehabilitation and the exercise prescription procedure is non-specific. This must be considered within post operative rehabilitation in order to enhance recovery and reduce length of stay following THR or TKR surgery.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=134410
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 327-337[article]
Titre : A qualitative exploration of the views and experiences of women with Pregnancy related Pelvic Girdle Pain Type de document : Article Auteurs : Carl Ernest Clarkson ; Nicola Adams Année de publication : 2018 Article en page(s) : p. 338-346 Langues : Anglais (eng) Descripteurs : HE Vinci
Grossesse ; Recherche qualitativeMots-clés : Pregnancy Pelvic Girdle Pain Douleur de la ceinture pelvienne Qualitative Research Interviews as Topic Entretiens comme sujet Résumé : Objectives
To explore the views and experiences of women with Pregnancy related Pelvic Girdle Pain (PPGP), and to inform the design and development of a subsequent feasibility study.
Design
Using a philosophical stance of pragmatism, one-to-one audio recorded semi-structured interviews were used. All interviews were conducted once by a male interviewer, and analysed using an interpretive thematic data analytic approach through five steps: transcription, precoding, coding, categorisation and theme generation, with reflexivity adopted throughout the data synthesis process.
Setting
A Women’s Health Physiotherapy Department in the North East of England between April 2014 to June 2014.
Participants
Eight pregnant women suffering with Pregnancy related Pelvic Girdle Pain.
Main outcome measures
Women’s experiences of Pregnancy related Pelvic Girdle Pain.
Results
Three themes emerged: Reality of Pregnancy related Pelvic Girdle Pain; Key Mechanisms of Support and; Impact of Knowledge. Participants reported biopsychosocial symptoms, which included pain, reduced activities of daily living, psychological distress and social isolation. Participants valued the support of a healthcare professional through face to face contact and the interventions that they provided, as well as information on the condition.
Conclusions
Whilst there were some limitations to this study, the biopsychosocial symptoms discussed here justify the investigation of acupuncture for Pregnancy related Pelvic Girdle Pain. The design and development of a subsequent feasibility study, specifically in areas of recruitment, acceptability of the intervention and appropriate selection of outcome measures were informed by this study.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=134411
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 338-346[article]
Titre : No increase in 6-week treatment effect of Mechanical Diagnosis and Therapy with the use of the LUMOback in people with non-acute non-specific low back pain and a directional preference of extension: a pilot randomized controlled trial Type de document : Article Auteurs : Hiroshi Takasaki ; Satoru Aoki ; Stephen May Année de publication : 2018 Article en page(s) : p. 347-353 Langues : Anglais (eng) Descripteurs : HE Vinci
Dorsalgie ; Posture ; Rétroaction ; Traitement par les exercices physiquesMots-clés : Back pain Exercise therapy Lumbosacral region Région lombosacrale Musculoskeletal Manipulations Manipulations de l'appareil locomoteur Sensory Rétroaction sensorielle Résumé : Objectives
To pilot the methods for a randomized controlled trial (RCT) to investigate whether the treatment effect of Mechanical Diagnosis and Therapy (MDT) is enhanced with the LUMOback.
Design
Assessor blinded RCT with 3 and 6-week follow-ups.
Setting
An outpatient clinic.
Participants
Primary eligibility criteria were: a directional preference of lumbar extension, ≥18 years of age, and non-specific low back pain lasting for ≥1 month.
Interventions
The MDT group undertook extension exercises (10 reps/3 hour) and postural correction using a lumbar roll at home. The MDT + LUMOback group also wore the LUMOback daily, providing a vibration alert in a slouched posture.
Main outcome measures
The Global Rating of Change Scale (GRCS) (0–6), recruitment rate per month, treatment sessions, compliance rate of wearing the LUMOback, participants’ adherence with treatment, dropout rate and the stage of the MDT program at six weeks.
Results
Twenty-two participants were included for 20 months (a recruitment rate of 1.1 patient/month). Dropout rate was 9%. The mean (SD) of the GRCS of the MDT and MDT + LUMOback groups were 4.7 (0.8) and 4.7 (0.5) at the 3-week follow-up and were both 4.9 (0.5) at the 6-week follow-up. The patients undertook a mean of 6.7 sessions for six weeks and exercises with mean of 3.7 set/day in each group. The mean compliance rate of wearing the LUMOback was 88%. Nobody was discharged from the intervention with full recovery within six weeks.
Conclusions
Data indicated a promising method for the full RCT, but a rationale for the full RCT was not justified.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=134412
in Physiotherapy > Vol. 104, n° 3 (2018) . - p. 347-353[article]
