Physiotherapy
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[périodique] Voir les bulletins disponibles Rechercher dans ce périodique Physiotherapy [Périodique] . - Issy-les-Moulineaux : Elsevier Masson. Physiotherapy vise à publier des recherches originales et à faciliter le développement professionnel continu des physiothérapeutes et des autres professions de santé dans le monde entier. Elle se consacre à l'avancement de la physiothérapie par la publication de recherches et de travaux universitaires portant, entre autres, sur son fondement scientifique et son application clinique, la formation des praticiens, la gestion des services et la politique. Langues : Anglais (eng)
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Paru le : 01/03/2020
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Dépouillements
Ajouter le résultat dans votre panierLow-level laser therapy for carpal tunnel syndrome / William K. W. Cheung in Physiotherapy, Vol. 106, n° 1 (Mars 2020)
Titre : Low-level laser therapy for carpal tunnel syndrome : systematic review and network meta-analysis Type de document : Article Auteurs : William K. W. Cheung ; Irene X.Y. Wu ; Regina W.S. Sit ; Robin S. T Ho ; Charlene Hoi Lam Wong ; Samuel Y. S. Wong ; Vincent C.H. Chung Année de publication : 2020 Article en page(s) : p. 24-35 Note générale : https://doi.org/10.1016/j.physio.2019.06.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Méta-analyse en réseau ; Photothérapie de faible intensité ; Revue de la littérature ; Revue systématique ; Syndrome du canal carpienRésumé : Background
Splinting is recommended by various organisations as a non-surgical first-line treatment for carpal tunnel syndrome (CTS), despite the limited evidence supporting its effectiveness. Previous studies on the effectiveness of low-level laser therapy (LLLT) have reported mixed results, and this systematic review aimed to resolve this controversy.
Objective
To perform a network meta-analysis (NMA) for evaluating the effectiveness of LLLT compared with other conservative treatments for CTS.
Methods
Eighteen electronic databases were searched for potential randomised controlled trials (RCTs). RCTs evaluating LLLT or other non-surgical treatments as an add-on to splinting were included. Included RCTs measured at least one of the following three outcomes with validated instruments: pain, symptom severity and functional status.
Results
Six RCTs (418 patients) were included. NMA suggested that LLLT plus splinting has the highest probability (75%) of pain reduction, compared with sham laser plus splinting (61%), ultrasound plus splinting (57%) and splinting alone (8%). However, while LLLT plus splinting is significantly more effective than sham laser plus splinting for pain reduction, the magnitude is not clinically significant (Visual Analogue Scale mean difference −0.53 cm, 95% confidence interval −1.01 to −0.05 cm; P = 0.03, I2 = 25%). The effect of LLLT plus splinting on symptom severity and functional status was not superior to splinting alone.
Conclusion
The use of LLLT in addition to splinting for the management of CTS is not recommended, as LLLT offers limited additional benefits over splining alone in terms of pain reduction, reduction of symptom severity or improved functional status.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 24-35[article] Low-level laser therapy for carpal tunnel syndrome : systematic review and network meta-analysis [Article] / William K. W. Cheung ; Irene X.Y. Wu ; Regina W.S. Sit ; Robin S. T Ho ; Charlene Hoi Lam Wong ; Samuel Y. S. Wong ; Vincent C.H. Chung . - 2020 . - p. 24-35.
https://doi.org/10.1016/j.physio.2019.06.005
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 24-35
Descripteurs : HE Vinci
Méta-analyse en réseau ; Photothérapie de faible intensité ; Revue de la littérature ; Revue systématique ; Syndrome du canal carpienRésumé : Background
Splinting is recommended by various organisations as a non-surgical first-line treatment for carpal tunnel syndrome (CTS), despite the limited evidence supporting its effectiveness. Previous studies on the effectiveness of low-level laser therapy (LLLT) have reported mixed results, and this systematic review aimed to resolve this controversy.
Objective
To perform a network meta-analysis (NMA) for evaluating the effectiveness of LLLT compared with other conservative treatments for CTS.
Methods
Eighteen electronic databases were searched for potential randomised controlled trials (RCTs). RCTs evaluating LLLT or other non-surgical treatments as an add-on to splinting were included. Included RCTs measured at least one of the following three outcomes with validated instruments: pain, symptom severity and functional status.
Results
Six RCTs (418 patients) were included. NMA suggested that LLLT plus splinting has the highest probability (75%) of pain reduction, compared with sham laser plus splinting (61%), ultrasound plus splinting (57%) and splinting alone (8%). However, while LLLT plus splinting is significantly more effective than sham laser plus splinting for pain reduction, the magnitude is not clinically significant (Visual Analogue Scale mean difference −0.53 cm, 95% confidence interval −1.01 to −0.05 cm; P = 0.03, I2 = 25%). The effect of LLLT plus splinting on symptom severity and functional status was not superior to splinting alone.
Conclusion
The use of LLLT in addition to splinting for the management of CTS is not recommended, as LLLT offers limited additional benefits over splining alone in terms of pain reduction, reduction of symptom severity or improved functional status.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Effectiveness of expiratory muscle strength training on expiratory strength, pulmonary function and cough in the adult population : a systematic review Type de document : Article Auteurs : Lucy Templeman ; Fiona Roberts Année de publication : 2020 Article en page(s) : p. 43-51 Note générale : https://doi.org/10.1016/j.physio.2019.06.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercices respiratoires ; Expiration ; Force musculaire ; Pneumopathie de déglutition ; Pressions respiratoires maximales ; Revue de la littératureMots-clés : Entraînement à la force musculaire expiratoire Résumé : Background
Respiratory muscle strength declines in certain disease states, leading to impaired cough, reduced airway clearance and an increased risk of aspiration pneumonia. Respiratory muscle training may therefore reduce this risk.
Objectives
To assess current evidence of expiratory muscle strength training (EMST) on maximum expiratory pressure, cough flow and spirometry.
Data sources
Databases including CINAHL, Medline, Science Direct and PEDRo were searched.
Eligibility criteria
Randomised controlled trials investigating expiratory muscle strength training on maximum expiratory pressure, pulmonary function or cough in any adult population, published before December 2017.
Study appraisal
Data were extracted to a trial description form and study quality evaluated by two reviewers. Meta-analysis was performed with calculation of mean differences and 95% confidence intervals.
Results
Nine studies met inclusion criteria and ranged in size from 12 to 42 participants. Trials investigated EMST in healthy adults (2), multiple sclerosis (3), COPD (2), acute stroke (1) and spinal cord injury (1). Overall, EMST improved maximum expiratory pressure (15.95 cmH2O; 95% CI: 7.77 to 24.12; P
Conclusions
Meta-analysis indicated a small significant increase in maximum expiratory pressure following EMST. Improvements in maximum expiratory pressure did not lead to improvements in cough or pulmonary function.
Limitations
Variations in protocol design and population limited the overall effect size.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 43-51[article] Effectiveness of expiratory muscle strength training on expiratory strength, pulmonary function and cough in the adult population : a systematic review [Article] / Lucy Templeman ; Fiona Roberts . - 2020 . - p. 43-51.
https://doi.org/10.1016/j.physio.2019.06.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 43-51
Descripteurs : HE Vinci
Exercices respiratoires ; Expiration ; Force musculaire ; Pneumopathie de déglutition ; Pressions respiratoires maximales ; Revue de la littératureMots-clés : Entraînement à la force musculaire expiratoire Résumé : Background
Respiratory muscle strength declines in certain disease states, leading to impaired cough, reduced airway clearance and an increased risk of aspiration pneumonia. Respiratory muscle training may therefore reduce this risk.
Objectives
To assess current evidence of expiratory muscle strength training (EMST) on maximum expiratory pressure, cough flow and spirometry.
Data sources
Databases including CINAHL, Medline, Science Direct and PEDRo were searched.
Eligibility criteria
Randomised controlled trials investigating expiratory muscle strength training on maximum expiratory pressure, pulmonary function or cough in any adult population, published before December 2017.
Study appraisal
Data were extracted to a trial description form and study quality evaluated by two reviewers. Meta-analysis was performed with calculation of mean differences and 95% confidence intervals.
Results
Nine studies met inclusion criteria and ranged in size from 12 to 42 participants. Trials investigated EMST in healthy adults (2), multiple sclerosis (3), COPD (2), acute stroke (1) and spinal cord injury (1). Overall, EMST improved maximum expiratory pressure (15.95 cmH2O; 95% CI: 7.77 to 24.12; P
Conclusions
Meta-analysis indicated a small significant increase in maximum expiratory pressure following EMST. Improvements in maximum expiratory pressure did not lead to improvements in cough or pulmonary function.
Limitations
Variations in protocol design and population limited the overall effect size.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Is pelvic floor muscle training effective for symptoms of overactive bladder in women? A systematic review Type de document : Article Auteurs : K. Bo ; Ana Carolina Nociti Lopes A. C. N. L. Fernandes ; Thaiana Bezerra T. B. Duarte ; Luiz Gustavo Oliveira L. G. O. Brito ; Cristine H. J. Ferreira Année de publication : 2020 Article en page(s) : p. 65-76 Note générale : https://doi.org/10.1016/j.physio.2019.08.011 Langues : Anglais (eng) Descripteurs : HE Vinci
Femmes ; Plancher pelvien ; Revue de la littérature ; Techniques de physiothérapie ; Vessie hyperactiveMots-clés : Entraînement des muscles du plancher pelvien Résumé : Background
Overactive bladder (OAB) syndrome can be very bothersome and is associated with impaired quality of life and work productivity.
Objective
To evaluate the effect of pelvic floor muscle training (PFMT) on OAB symptoms in women. Furthermore, to assess the influence of PFMT on pelvic floor muscle (PFM) function, satisfaction with treatment, side effects, adherence and the quality of exercise reporting.
Data sources
Systematic review of randomized controlled trials (RCTs). Electronic search was conducted on MEDLINE/PubMed, Embase, CINAHL, SciELO, SCOPUS, Web of Science and Physiotherapy Evidence Database (PEDro). The risk of bias was assessed using the PEDro scale. The Consensus on Exercise Reporting Template (CERT) was used to assess the quality of exercise reporting.
Study selection
Full text RCTs including non-pregnant female participants, investigating PFMT vs inactive control or usual care, other life style modifications or other interventions.
Synthesis methods
Descriptive analysis.
Results
Eleven RCTs were included. There was considerable heterogeneity of PFMT protocols, outcome measures and follow-up periods. Hence, a qualitative analysis was undertaken. PFMT provided a significant reduction of OAB symptoms in five studies with a reduction in urinary frequency (n = 1), and urgency urinary incontinence (n = 4). PFM function was assessed in three studies, and two studies found improvement in favor of PFMT.
Limitations
A meta-analysis was not possible due to huge heterogeneity of included studies.
Conclusion
PFMT might reduce OAB symptoms, however, due to many limitations of the published studies it is not possible to clearly determine the effect of PFMT on OAB symptoms and PFM function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 65-76[article] Is pelvic floor muscle training effective for symptoms of overactive bladder in women? A systematic review [Article] / K. Bo ; Ana Carolina Nociti Lopes A. C. N. L. Fernandes ; Thaiana Bezerra T. B. Duarte ; Luiz Gustavo Oliveira L. G. O. Brito ; Cristine H. J. Ferreira . - 2020 . - p. 65-76.
https://doi.org/10.1016/j.physio.2019.08.011
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 65-76
Descripteurs : HE Vinci
Femmes ; Plancher pelvien ; Revue de la littérature ; Techniques de physiothérapie ; Vessie hyperactiveMots-clés : Entraînement des muscles du plancher pelvien Résumé : Background
Overactive bladder (OAB) syndrome can be very bothersome and is associated with impaired quality of life and work productivity.
Objective
To evaluate the effect of pelvic floor muscle training (PFMT) on OAB symptoms in women. Furthermore, to assess the influence of PFMT on pelvic floor muscle (PFM) function, satisfaction with treatment, side effects, adherence and the quality of exercise reporting.
Data sources
Systematic review of randomized controlled trials (RCTs). Electronic search was conducted on MEDLINE/PubMed, Embase, CINAHL, SciELO, SCOPUS, Web of Science and Physiotherapy Evidence Database (PEDro). The risk of bias was assessed using the PEDro scale. The Consensus on Exercise Reporting Template (CERT) was used to assess the quality of exercise reporting.
Study selection
Full text RCTs including non-pregnant female participants, investigating PFMT vs inactive control or usual care, other life style modifications or other interventions.
Synthesis methods
Descriptive analysis.
Results
Eleven RCTs were included. There was considerable heterogeneity of PFMT protocols, outcome measures and follow-up periods. Hence, a qualitative analysis was undertaken. PFMT provided a significant reduction of OAB symptoms in five studies with a reduction in urinary frequency (n = 1), and urgency urinary incontinence (n = 4). PFM function was assessed in three studies, and two studies found improvement in favor of PFMT.
Limitations
A meta-analysis was not possible due to huge heterogeneity of included studies.
Conclusion
PFMT might reduce OAB symptoms, however, due to many limitations of the published studies it is not possible to clearly determine the effect of PFMT on OAB symptoms and PFM function.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The effect of exercise on high-level mobility in individuals with neurodegenerative disease : a systematic literature review Type de document : Article Auteurs : Moira Smith ; Ruth N. Barker ; Gavin Williams ; Jennifer Carr ; Ronny Gunnarsson Année de publication : 2020 Article en page(s) : p. 174-193 Note générale : https://doi.org/10.1016/j.physio.2019.04.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladie de Parkinson ; Maladies neurodégénératives ; Mobilité ; Revue de la littérature ; Sclérose en plaquesMots-clés : Mobilité de haut niveau Résumé : Objective
To investigate the effect of exercise on high-level mobility (i.e. mobility more advanced than independent level walking) in individuals with neurodegenerative disease.
Data sources
A systematic literature search was conducted in Medline, CINAHL, Scopus, SportDiscus and PEDro.
Study selection
Randomised controlled trials of exercise interventions for individuals with neurodegenerative disease, with an outcome measure that contained high-level mobility items were included. High-level mobility items included running, jumping, bounding, stair climbing and backward walking. Outcome measures with high-level mobility items include the High Level Mobility Assessment Tool (HiMAT); Dynamic Gait Index; Rivermead Mobility Index (RMI) or modified RMI; Functional Gait Assessment and the Functional Ambulation Category.
Study appraisal
Quality was evaluated with the Cochrane Risk of Bias Tool.
Results
Twenty-four studies with predominantly moderate to low risk of bias met the review criteria. High-level mobility items were included within primary outcome measures for only two studies and secondary outcome measures for 22 studies. Eight types of exercise interventions were investigated within which high-level mobility tasks were not commonly included. In the absence of outcome measures or interventions focused on high-level mobility, findings suggest some benefit from treadmill training for individuals with multiple sclerosis or Parkinson’s disease. Progressive resistance training for individuals with multiple sclerosis may also be beneficial. With few studies on other neurodegenerative diseases, further inferences cannot be made.
Conclusion
Future studies need to specifically target high-level mobility in the early stages of neurodegenerative disease and determine the impact of high-level mobility interventions on community participation and maintenance of an active lifestyle.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 174-193[article] The effect of exercise on high-level mobility in individuals with neurodegenerative disease : a systematic literature review [Article] / Moira Smith ; Ruth N. Barker ; Gavin Williams ; Jennifer Carr ; Ronny Gunnarsson . - 2020 . - p. 174-193.
https://doi.org/10.1016/j.physio.2019.04.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 174-193
Descripteurs : HE Vinci
Exercice physique ; Maladie de Parkinson ; Maladies neurodégénératives ; Mobilité ; Revue de la littérature ; Sclérose en plaquesMots-clés : Mobilité de haut niveau Résumé : Objective
To investigate the effect of exercise on high-level mobility (i.e. mobility more advanced than independent level walking) in individuals with neurodegenerative disease.
Data sources
A systematic literature search was conducted in Medline, CINAHL, Scopus, SportDiscus and PEDro.
Study selection
Randomised controlled trials of exercise interventions for individuals with neurodegenerative disease, with an outcome measure that contained high-level mobility items were included. High-level mobility items included running, jumping, bounding, stair climbing and backward walking. Outcome measures with high-level mobility items include the High Level Mobility Assessment Tool (HiMAT); Dynamic Gait Index; Rivermead Mobility Index (RMI) or modified RMI; Functional Gait Assessment and the Functional Ambulation Category.
Study appraisal
Quality was evaluated with the Cochrane Risk of Bias Tool.
Results
Twenty-four studies with predominantly moderate to low risk of bias met the review criteria. High-level mobility items were included within primary outcome measures for only two studies and secondary outcome measures for 22 studies. Eight types of exercise interventions were investigated within which high-level mobility tasks were not commonly included. In the absence of outcome measures or interventions focused on high-level mobility, findings suggest some benefit from treadmill training for individuals with multiple sclerosis or Parkinson’s disease. Progressive resistance training for individuals with multiple sclerosis may also be beneficial. With few studies on other neurodegenerative diseases, further inferences cannot be made.
Conclusion
Future studies need to specifically target high-level mobility in the early stages of neurodegenerative disease and determine the impact of high-level mobility interventions on community participation and maintenance of an active lifestyle.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Evaluation instruments for physical therapy using virtual reality in stroke patients : a systematic review Type de document : Article Auteurs : Fernanda Araújo Felipe ; Fernanda Oliveira de Carvalho ; Érika Ramos Silva ; Nayara Gomes Lima Santos ; Patrícia Almeida Fontes ; Akeline Santos de Almeida ; Diogo Costa Garção ; Paula Santos Nunes ; Adriano Antunes de Souza Araújo Année de publication : 2020 Article en page(s) : p. 194-210 Note générale : https://doi.org/10.1016/j.physio.2019.05.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Jeu sérieux ; Jeux vidéo ; Médecine physique et de réadaptation ; Réadaptation ; Réalité de synthèse ; Revue de la littératureMots-clés : Exergame Résumé : Background
Physiotherapeutic rehabilitation is essential to improve functional mobility, muscular strength, balance and quality of life of stroke patients, but conventional techniques using repeated physical activities can soon become monotonous. The use of virtual reality (VR) in rehabilitation offers a possible alternative to the traditional methods of promoting improvements in muscle strength and balance. However, there is not yet consensus about which instruments should be used to assess the effectiveness of VR in stroke rehabilitation.
Objective
To conduct a systematic review to identify the types of evaluation tools used for different VR interventions to rehabilitate stroke patients, considering balance, strength, function, quality of life, cognition and motivation.
Data sources
A comprehensive literature search using MEDLINE-PubMed, Web of Science, Scopus, Lilacs and IEEE Xplore was undertaken.
Study selection
Studies on stroke patients who had undergone VR therapy and an assessment of its effectiveness using evaluative instruments.
Study appraisal and synthesis methods
Data were extracted by a single reviewer using standardised forms, and were checked by a second reviewer. The extracted information included study design, number of participants, type of stroke, items that were evaluated (balance, muscle strength, functional evaluation), console used, number of rehabilitation sessions, results and conclusions.
Results
In total, 1836 articles were identified; of these, 29 were included in this review after consideration of the inclusion and exclusion criteria. The selected articles rated one or more of the following factors: balance (n = 12), grip strength (with or without devices for direct measurement) (n = 8), functionality (n = 12) and quality of life (n = 12).
Limitations
The full text of one article was not available, despite a request to the authors to send it via email.
Conclusion and implications of key findings
The Berg Balance Scale, the Fugl–Meyer Assessment and the Stroke Impact Scale were the instruments used most frequently to assess balance, function and quality of life, respectively, in stroke patients who underwent rehabilitation using VR.Disponible en ligne : Oui En ligne : https://www.sciencedirect.com/science/article/pii/S0031940619300744#!
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 194-210[article] Evaluation instruments for physical therapy using virtual reality in stroke patients : a systematic review [Article] / Fernanda Araújo Felipe ; Fernanda Oliveira de Carvalho ; Érika Ramos Silva ; Nayara Gomes Lima Santos ; Patrícia Almeida Fontes ; Akeline Santos de Almeida ; Diogo Costa Garção ; Paula Santos Nunes ; Adriano Antunes de Souza Araújo . - 2020 . - p. 194-210.
https://doi.org/10.1016/j.physio.2019.05.005
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 194-210
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Jeu sérieux ; Jeux vidéo ; Médecine physique et de réadaptation ; Réadaptation ; Réalité de synthèse ; Revue de la littératureMots-clés : Exergame Résumé : Background
Physiotherapeutic rehabilitation is essential to improve functional mobility, muscular strength, balance and quality of life of stroke patients, but conventional techniques using repeated physical activities can soon become monotonous. The use of virtual reality (VR) in rehabilitation offers a possible alternative to the traditional methods of promoting improvements in muscle strength and balance. However, there is not yet consensus about which instruments should be used to assess the effectiveness of VR in stroke rehabilitation.
Objective
To conduct a systematic review to identify the types of evaluation tools used for different VR interventions to rehabilitate stroke patients, considering balance, strength, function, quality of life, cognition and motivation.
Data sources
A comprehensive literature search using MEDLINE-PubMed, Web of Science, Scopus, Lilacs and IEEE Xplore was undertaken.
Study selection
Studies on stroke patients who had undergone VR therapy and an assessment of its effectiveness using evaluative instruments.
Study appraisal and synthesis methods
Data were extracted by a single reviewer using standardised forms, and were checked by a second reviewer. The extracted information included study design, number of participants, type of stroke, items that were evaluated (balance, muscle strength, functional evaluation), console used, number of rehabilitation sessions, results and conclusions.
Results
In total, 1836 articles were identified; of these, 29 were included in this review after consideration of the inclusion and exclusion criteria. The selected articles rated one or more of the following factors: balance (n = 12), grip strength (with or without devices for direct measurement) (n = 8), functionality (n = 12) and quality of life (n = 12).
Limitations
The full text of one article was not available, despite a request to the authors to send it via email.
Conclusion and implications of key findings
The Berg Balance Scale, the Fugl–Meyer Assessment and the Stroke Impact Scale were the instruments used most frequently to assess balance, function and quality of life, respectively, in stroke patients who underwent rehabilitation using VR.Disponible en ligne : Oui En ligne : https://www.sciencedirect.com/science/article/pii/S0031940619300744#!
Titre : Demographic and geographical variability in physiotherapy provision following hip and knee replacement. An analysis from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man Type de document : Article Auteurs : Toby O. Smith ; Jack R. Dainty ; Emma M. Clark ; Michael R. Whitehouse ; Andrew J. Price ; Alex J. MacGregor Année de publication : 2020 Article en page(s) : p. 1-11 Note générale : https://doi.org/10.1016/j.physio.2019.11.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie ; Etude de cohortes ; Grande-Bretagne ; Médecine physique et de réadaptation ; Membre inférieur ; Mesures des résultats rapportés par les patients (PROM) ; RéadaptationRésumé : Background
Total hip (THR) and knee replacement (TKR) are two of the most common elective orthopaedic procedures worldwide. Physiotherapy is core to the recovery of people following joint replacement. However, there remains uncertainty as to physiotherapy provision at a national level.
Objectives
To examine the relationship between patient impairment and geographical variation on the provision of physiotherapy among patients who undergo primary total hip or knee replacement (THR/TKR).
Design
Population-based observational cohort study.
Methods
Patients undergoing THR (n = 17,338) or TKR (n = 20,260) recorded in the National Joint Registry for England (NJR) between 2009 and 2010 and completed Patient Reported Outcome Measures (PROMs) questionnaires at Baseline and 12 months postoperatively. Data were analysed on the frequency of physiotherapy over the first postoperative year across England’s Strategic Health Authorities (SHAs). Logistic regression analyses examined the relationship between a range of patient and geographical characteristics and physiotherapy provision.
Results
Following THR, patients were less likely to receive physiotherapy than following TKR patients (‘some’ treatment by a physiotherapist within 1st post operative year: 53% vs 79%). People with worse functional outcomes 12 months postoperatively, received more physiotherapy after THR and TKR. There was substantial variation in provision of physiotherapy according to age (younger people received more physiotherapy), gender (females received more physiotherapy) ethnicity (non-whites received more physiotherapy) and geographical location (40% of patients from South West received some physiotherapy compared to 40 73% in London after THR).
Conclusions
There is substantial variation in the provision of physiotherapy nationally. This variation is not explained by differences in the patient’s clinical presentation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 1-11[article] Demographic and geographical variability in physiotherapy provision following hip and knee replacement. An analysis from the National Joint Registry for England, Wales, Northern Ireland and the Isle of Man [Article] / Toby O. Smith ; Jack R. Dainty ; Emma M. Clark ; Michael R. Whitehouse ; Andrew J. Price ; Alex J. MacGregor . - 2020 . - p. 1-11.
https://doi.org/10.1016/j.physio.2019.11.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 1-11
Descripteurs : HE Vinci
Arthroplastie ; Etude de cohortes ; Grande-Bretagne ; Médecine physique et de réadaptation ; Membre inférieur ; Mesures des résultats rapportés par les patients (PROM) ; RéadaptationRésumé : Background
Total hip (THR) and knee replacement (TKR) are two of the most common elective orthopaedic procedures worldwide. Physiotherapy is core to the recovery of people following joint replacement. However, there remains uncertainty as to physiotherapy provision at a national level.
Objectives
To examine the relationship between patient impairment and geographical variation on the provision of physiotherapy among patients who undergo primary total hip or knee replacement (THR/TKR).
Design
Population-based observational cohort study.
Methods
Patients undergoing THR (n = 17,338) or TKR (n = 20,260) recorded in the National Joint Registry for England (NJR) between 2009 and 2010 and completed Patient Reported Outcome Measures (PROMs) questionnaires at Baseline and 12 months postoperatively. Data were analysed on the frequency of physiotherapy over the first postoperative year across England’s Strategic Health Authorities (SHAs). Logistic regression analyses examined the relationship between a range of patient and geographical characteristics and physiotherapy provision.
Results
Following THR, patients were less likely to receive physiotherapy than following TKR patients (‘some’ treatment by a physiotherapist within 1st post operative year: 53% vs 79%). People with worse functional outcomes 12 months postoperatively, received more physiotherapy after THR and TKR. There was substantial variation in provision of physiotherapy according to age (younger people received more physiotherapy), gender (females received more physiotherapy) ethnicity (non-whites received more physiotherapy) and geographical location (40% of patients from South West received some physiotherapy compared to 40 73% in London after THR).
Conclusions
There is substantial variation in the provision of physiotherapy nationally. This variation is not explained by differences in the patient’s clinical presentation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Towards more homogenous and rigorous methods in sham-controlled dry needling trials : two Delphi surveys Type de document : Article Auteurs : Felicity A. Braithwaite ; Julie Lynette Walters ; Lorimer G. Moseley ; Marie T. Williams ; Maureen McEvoy Année de publication : 2020 Article en page(s) : p. 12-23 Note générale : https://doi.org/10.1016/j.physio.2019.11.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Méthode Delphi ; PlaceboMots-clés : Dry needling Essais contrôlés fictivement Blinding Method Résumé : Objectives
Sham-controlled trials of dry needling, a popular treatment for pain, use a range of methods and theoretical frameworks and most have high risk of bias. Critically, patient blinding is often unsuccessful and therapist blinding has not been attempted. The specific effects of dry needling on pain therefore remain unclear. Our objectives were to identify (1) important elements of active dry needling; (2) important elements of shams for dry needling.
Design and participants
Two Delphi surveys (to quantify levels of consensus) were undertaken with three expert groups: experts in (1) dry needling, (2) research methodology, and (3) deceptive/hypnotic techniques including magic. Experts in dry needling participated in Delphi 1 and all three groups participated in Delphi 2. Each survey commenced with an open-ended question. Responses were converted to single ‘items’ suitable for rating on 9-point Likert scales [categorised as ‘Not important’ (0–3), Depends (4–6), and Essential (7–9)], which participants rated in the following two rounds. Consensus was pre-defined as ≥80% agreement within a 3-point category.
Results
In Delphi 1 (n = 20 experts), of 80 items, 35 reached consensus in the ‘Essential’ category, which related to explanations, therapist knowledge/skills, intervention rationale, the setting, and safety. In Delphi 2 (n = 53 experts), of 97 items, 15 items reached consensus in the ‘Essential’ category in all three groups, which related to standardisation/indistinguishability, therapist attributes, expectations/beliefs, vision, protocol, and environment.
Conclusions
Experts placed high importance on the entire intervention experience for active and sham protocols. Cognitive influences that extend beyond mimicking of tactile sensations should be used to create a believable simulation of active dry needling.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 12-23[article] Towards more homogenous and rigorous methods in sham-controlled dry needling trials : two Delphi surveys [Article] / Felicity A. Braithwaite ; Julie Lynette Walters ; Lorimer G. Moseley ; Marie T. Williams ; Maureen McEvoy . - 2020 . - p. 12-23.
https://doi.org/10.1016/j.physio.2019.11.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 12-23
Descripteurs : HE Vinci
Méthode Delphi ; PlaceboMots-clés : Dry needling Essais contrôlés fictivement Blinding Method Résumé : Objectives
Sham-controlled trials of dry needling, a popular treatment for pain, use a range of methods and theoretical frameworks and most have high risk of bias. Critically, patient blinding is often unsuccessful and therapist blinding has not been attempted. The specific effects of dry needling on pain therefore remain unclear. Our objectives were to identify (1) important elements of active dry needling; (2) important elements of shams for dry needling.
Design and participants
Two Delphi surveys (to quantify levels of consensus) were undertaken with three expert groups: experts in (1) dry needling, (2) research methodology, and (3) deceptive/hypnotic techniques including magic. Experts in dry needling participated in Delphi 1 and all three groups participated in Delphi 2. Each survey commenced with an open-ended question. Responses were converted to single ‘items’ suitable for rating on 9-point Likert scales [categorised as ‘Not important’ (0–3), Depends (4–6), and Essential (7–9)], which participants rated in the following two rounds. Consensus was pre-defined as ≥80% agreement within a 3-point category.
Results
In Delphi 1 (n = 20 experts), of 80 items, 35 reached consensus in the ‘Essential’ category, which related to explanations, therapist knowledge/skills, intervention rationale, the setting, and safety. In Delphi 2 (n = 53 experts), of 97 items, 15 items reached consensus in the ‘Essential’ category in all three groups, which related to standardisation/indistinguishability, therapist attributes, expectations/beliefs, vision, protocol, and environment.
Conclusions
Experts placed high importance on the entire intervention experience for active and sham protocols. Cognitive influences that extend beyond mimicking of tactile sensations should be used to create a believable simulation of active dry needling.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinson’s disease : a randomised controlled trial Type de document : Article Auteurs : Costanza Pazzaglia ; Isabella Imbimbo ; Eliana Tranchita ; Carlo Minganti ; Diego Ricciardi ; R. Lo Monaco ; A. Parisi ; Luca Padua Année de publication : 2020 Article en page(s) : p. 36-42 Note générale : https://doi.org/10.1016/j.physio.2019.12.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Maladie de Parkinson ; Médecine physique et de réadaptation ; Réadaptation ; Réalité de synthèse ; Résultat thérapeutique ; ThérapeutiqueMots-clés : Thérapeutique conventionnelle Résumé : Objective
To compare a 6-week virtual reality (VR) rehabilitation programme with a conventional rehabilitation programme in patients with Parkinson’s disease.
Design
Prospective, single-blinded, randomised controlled trial.
Setting
Outpatients.
Participants
Fifty-one patients with Parkinson’s disease were assigned at random to a VR rehabilitation programme or a conventional rehabilitation programme.
Interventions
Both programmes ran for 6 consecutive weeks, with a 40-minute session three times per week.
Main outcome measures
The Balance Berg Scale (BBS) was used to measure balance. Secondary outcome measures were: Dynamic Gait Index (DGI) to evaluate ability to adapt gait to complex walking tasks; Disabilities of the Arm, Shoulder and Hand (DASH) scale to measure performance of the upper limb; and Short Form 36 (SF-36) to evaluate quality of life.
Results
The VR rehabilitation programme led to an increase in BBS score {45.6 [standard deviation (SD) 7.9] vs 49.2 (SD 8.1), mean difference 3.6, 95% confidence interval (CI) 1.3 to 5.9; P = 0.003}, DGI score [18.7 (SD 4.7) vs 20.2 (SD 4.2), mean difference 1.6, 95% CI 0.6 to 2.5; P = 0.003] and SF-36 mental composite score [37.7 (SD 11.4) vs 43.5 (SD 9.2), mean difference 5.8, 95% CI 0.4 to 11.3; P = 0.037], and a decrease in DASH scale score [29.6 (SD 17.5) vs 21.6 (SD 15.1), mean difference −7.9, 95% CI −13.7 to −2.2; P = 0.009]. In contrast, the conventional rehabilitation programme only led to a decrease in DASH scale score [30.3 (SD 18.1) vs 25.1 (SD 15.8), mean difference −5.2, 95% CI −8.8 to −1.5; P = 0.007].
Conclusion
These findings suggest that rehabilitation is useful in Parkinson’s disease, and the VR rehabilitation programme was more effective in determining overall improvement than the conventional rehabilitation programme.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 36-42[article] Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinson’s disease : a randomised controlled trial [Article] / Costanza Pazzaglia ; Isabella Imbimbo ; Eliana Tranchita ; Carlo Minganti ; Diego Ricciardi ; R. Lo Monaco ; A. Parisi ; Luca Padua . - 2020 . - p. 36-42.
https://doi.org/10.1016/j.physio.2019.12.007
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 36-42
Descripteurs : HE Vinci
Maladie de Parkinson ; Médecine physique et de réadaptation ; Réadaptation ; Réalité de synthèse ; Résultat thérapeutique ; ThérapeutiqueMots-clés : Thérapeutique conventionnelle Résumé : Objective
To compare a 6-week virtual reality (VR) rehabilitation programme with a conventional rehabilitation programme in patients with Parkinson’s disease.
Design
Prospective, single-blinded, randomised controlled trial.
Setting
Outpatients.
Participants
Fifty-one patients with Parkinson’s disease were assigned at random to a VR rehabilitation programme or a conventional rehabilitation programme.
Interventions
Both programmes ran for 6 consecutive weeks, with a 40-minute session three times per week.
Main outcome measures
The Balance Berg Scale (BBS) was used to measure balance. Secondary outcome measures were: Dynamic Gait Index (DGI) to evaluate ability to adapt gait to complex walking tasks; Disabilities of the Arm, Shoulder and Hand (DASH) scale to measure performance of the upper limb; and Short Form 36 (SF-36) to evaluate quality of life.
Results
The VR rehabilitation programme led to an increase in BBS score {45.6 [standard deviation (SD) 7.9] vs 49.2 (SD 8.1), mean difference 3.6, 95% confidence interval (CI) 1.3 to 5.9; P = 0.003}, DGI score [18.7 (SD 4.7) vs 20.2 (SD 4.2), mean difference 1.6, 95% CI 0.6 to 2.5; P = 0.003] and SF-36 mental composite score [37.7 (SD 11.4) vs 43.5 (SD 9.2), mean difference 5.8, 95% CI 0.4 to 11.3; P = 0.037], and a decrease in DASH scale score [29.6 (SD 17.5) vs 21.6 (SD 15.1), mean difference −7.9, 95% CI −13.7 to −2.2; P = 0.009]. In contrast, the conventional rehabilitation programme only led to a decrease in DASH scale score [30.3 (SD 18.1) vs 25.1 (SD 15.8), mean difference −5.2, 95% CI −8.8 to −1.5; P = 0.007].
Conclusion
These findings suggest that rehabilitation is useful in Parkinson’s disease, and the VR rehabilitation programme was more effective in determining overall improvement than the conventional rehabilitation programme.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Development of a functional rehabilitation intervention for post knee arthroplasty patients : community based rehabilitation post knee arthroplasty (CORKA) trial Type de document : Article Auteurs : Jonathan Room ; Martha Batting ; Karen L. Barker Année de publication : 2020 Article en page(s) : p. 52-64 Note générale : https://doi.org/10.1016/j.physio.2019.06.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Essai contrôlé randomisé ; Médecine physique et de réadaptation ; Réadaptation ; ThérapeutiqueMots-clés : Développement de l'intervention Réadaptation à base communautaire Résumé : Knee osteoarthritis is a common cause of disability in older people and knee arthroplasty surgery in the UK is increasing. The CORKA trial is a randomised controlled trial of rehabilitation targeted at patients identified as being at risk of a poor outcome after knee arthroplasty. This paper describes the development and delivery of the CORKA intervention. It was informed by current evidence, relevant guidelines, expert and patient opinion, practical considerations and a pilot study. The intervention is a multicomponent rehabilitation programme with the main component being an exercise programme delivered to participants in their own home. It includes functional task practice, strategies to improve adherence and where appropriate the provision of appropriate aids and equipment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 52-64[article] Development of a functional rehabilitation intervention for post knee arthroplasty patients : community based rehabilitation post knee arthroplasty (CORKA) trial [Article] / Jonathan Room ; Martha Batting ; Karen L. Barker . - 2020 . - p. 52-64.
https://doi.org/10.1016/j.physio.2019.06.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 52-64
Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Essai contrôlé randomisé ; Médecine physique et de réadaptation ; Réadaptation ; ThérapeutiqueMots-clés : Développement de l'intervention Réadaptation à base communautaire Résumé : Knee osteoarthritis is a common cause of disability in older people and knee arthroplasty surgery in the UK is increasing. The CORKA trial is a randomised controlled trial of rehabilitation targeted at patients identified as being at risk of a poor outcome after knee arthroplasty. This paper describes the development and delivery of the CORKA intervention. It was informed by current evidence, relevant guidelines, expert and patient opinion, practical considerations and a pilot study. The intervention is a multicomponent rehabilitation programme with the main component being an exercise programme delivered to participants in their own home. It includes functional task practice, strategies to improve adherence and where appropriate the provision of appropriate aids and equipment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Physiotherapist administered, non-invasive ventilation to reduce postoperative pulmonary complications in high-risk patients following elective upper abdominal surgery; a before-and-after cohort implementation study Type de document : Article Auteurs : Jane Lockstone ; Selina M. Parry ; Linda Denehy ; Iain Kilpatrick I. K. Robertson ; David Story ; Scott Parkes ; Ianthe Boden Année de publication : 2020 Article en page(s) : p. 77-86 Note générale : https://doi.org/10.1016/j.physio.2018.12.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Australie ; Chirurgie générale ; Complications postopératoires ; Soins postopératoires ; Ventilation non effractiveRésumé : Objectives
To (1) determine whether short, 30-minute sessions of non-invasive ventilation (NIV) is associated with fewer postoperative pulmonary complications (PPC) following elective high-risk upper abdominal surgery and (2) measure feasibility and safety of this intervention when delivered by physiotherapists.
Design
Prospective, pre post cohort, observational, single-centre study.
Setting
Primary referral hospital in Australia.
Participants
A total of 182 consecutive high-risk elective upper abdominal surgery patients consisting of 101 pre cohort participants compared to 81 post cohort participants.
Interventions
Both groups received standardised preoperative physiotherapy and early postoperative mobilisation. The post cohort group received five additional 30-minute NIV sessions in the first two postoperative days.
Main outcome measure
Primary outcome measure was PPC incidence within the first seven postoperative days. Secondary outcomes included feasibility and safety of physiotherapy-led NIV.
Results
Incidence of PPC (7% vs 18%, adjusted relative risk 0.24; 95% CI 0.10 to 0.59, p = 0.002) was less in the NIV group compared to those who received no NIV. Mean time to first NIV session was 18.6 (SD 11.0) hours with 74% of participants receiving NIV within 24-hours of surgery. There were no major adverse events.
Conclusion
These findings suggest PPC reduction may be possible with postoperative NIV following high-risk elective upper abdominal surgery. Results should be seen as hypothesis-generating associations only considering the significant limitations to this study. Physiotherapy-led NIV was delivered safely to ICU and ward patients. However, the planned protocol was not feasible and appropriate physiotherapy staffing and/or a multidisciplinary approach may be required to provide this service successfully.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 77-86[article] Physiotherapist administered, non-invasive ventilation to reduce postoperative pulmonary complications in high-risk patients following elective upper abdominal surgery; a before-and-after cohort implementation study [Article] / Jane Lockstone ; Selina M. Parry ; Linda Denehy ; Iain Kilpatrick I. K. Robertson ; David Story ; Scott Parkes ; Ianthe Boden . - 2020 . - p. 77-86.
https://doi.org/10.1016/j.physio.2018.12.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 77-86
Descripteurs : HE Vinci
Australie ; Chirurgie générale ; Complications postopératoires ; Soins postopératoires ; Ventilation non effractiveRésumé : Objectives
To (1) determine whether short, 30-minute sessions of non-invasive ventilation (NIV) is associated with fewer postoperative pulmonary complications (PPC) following elective high-risk upper abdominal surgery and (2) measure feasibility and safety of this intervention when delivered by physiotherapists.
Design
Prospective, pre post cohort, observational, single-centre study.
Setting
Primary referral hospital in Australia.
Participants
A total of 182 consecutive high-risk elective upper abdominal surgery patients consisting of 101 pre cohort participants compared to 81 post cohort participants.
Interventions
Both groups received standardised preoperative physiotherapy and early postoperative mobilisation. The post cohort group received five additional 30-minute NIV sessions in the first two postoperative days.
Main outcome measure
Primary outcome measure was PPC incidence within the first seven postoperative days. Secondary outcomes included feasibility and safety of physiotherapy-led NIV.
Results
Incidence of PPC (7% vs 18%, adjusted relative risk 0.24; 95% CI 0.10 to 0.59, p = 0.002) was less in the NIV group compared to those who received no NIV. Mean time to first NIV session was 18.6 (SD 11.0) hours with 74% of participants receiving NIV within 24-hours of surgery. There were no major adverse events.
Conclusion
These findings suggest PPC reduction may be possible with postoperative NIV following high-risk elective upper abdominal surgery. Results should be seen as hypothesis-generating associations only considering the significant limitations to this study. Physiotherapy-led NIV was delivered safely to ICU and ward patients. However, the planned protocol was not feasible and appropriate physiotherapy staffing and/or a multidisciplinary approach may be required to provide this service successfully.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Video-assisted thoracoscopic lobectomy : which patients require postoperative physiotherapy? Type de document : Article Auteurs : P. Agostini ; Sebastian Thomas Lugg ; Kerry Adams ; T. Smith ; Maninder Singh Kalkat ; Pala Babu Rajesh ; Richard S. Steyn ; B. Naidu ; Alison Rushton ; Ehab S. Bishay Année de publication : 2020 Article en page(s) : p. 87-93 Note générale : https://doi.org/10.1016/j.physio.2019.01.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Atélectasie pulmonaire ; Chirurgie thoracique vidéoassistée ; Facteurs de risque ; Médecine physique et de réadaptation ; Pneumonie ; Réadaptation ; Techniques de physiothérapieRésumé : Objectives
Following major thoracic surgery physiotherapy is recommended to improve reduced lung volume, aid secretion clearance, and improve mobility, however, in many centres physiotherapy provision is variable following minimally invasive video-assisted thoracoscopic surgery (VATS). The objective of this study was to observe frequency of problems potentially amenable to physiotherapy following VATS lobectomy, and to identify associated baseline factors of patients in whom physiotherapy may be beneficial.
Methods
A prospective observational study was performed including all consecutive cancer patients undergoing VATS lobectomy in a regional centre over 4 years (2012–2016). Standard postoperative care included early mobilisation by nursing staff from postoperative day one (POD1). Physiotherapy assessment of all patients on POD1 determined presence of issues potentially amenable to physiotherapy intervention, and treatment was commenced. Outcome measures included postoperative pulmonary complication (PPC) development, hospital and high dependency unit (HDU) length of stay (LOS).
Results
Of 285 patients, 209 (73%) received physiotherapy to assist/improve reduced mobility, of these 23 (8%) also received sputum clearance therapies and 65 (23%) specific therapy for lung volume loss. The remaining 76 (27%) patients had significantly lower hospital/HDU LOS (P
Conclusion
Following VATS lobectomy a large proportion of patients demonstrated issues potentially amenable to physiotherapy. The authors recommend that patients receive routine physiotherapy assessment following this type of surgery to ensure that all issues are identified early. Screening of COPD, BMI, preoperative mobility and age will allow early identification of patients who may benefit most from postoperative physiotherapy and preoperative optimisation, however, these factors cannot predict the need for physiotherapy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 87-93[article] Video-assisted thoracoscopic lobectomy : which patients require postoperative physiotherapy? [Article] / P. Agostini ; Sebastian Thomas Lugg ; Kerry Adams ; T. Smith ; Maninder Singh Kalkat ; Pala Babu Rajesh ; Richard S. Steyn ; B. Naidu ; Alison Rushton ; Ehab S. Bishay . - 2020 . - p. 87-93.
https://doi.org/10.1016/j.physio.2019.01.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 87-93
Descripteurs : HE Vinci
Atélectasie pulmonaire ; Chirurgie thoracique vidéoassistée ; Facteurs de risque ; Médecine physique et de réadaptation ; Pneumonie ; Réadaptation ; Techniques de physiothérapieRésumé : Objectives
Following major thoracic surgery physiotherapy is recommended to improve reduced lung volume, aid secretion clearance, and improve mobility, however, in many centres physiotherapy provision is variable following minimally invasive video-assisted thoracoscopic surgery (VATS). The objective of this study was to observe frequency of problems potentially amenable to physiotherapy following VATS lobectomy, and to identify associated baseline factors of patients in whom physiotherapy may be beneficial.
Methods
A prospective observational study was performed including all consecutive cancer patients undergoing VATS lobectomy in a regional centre over 4 years (2012–2016). Standard postoperative care included early mobilisation by nursing staff from postoperative day one (POD1). Physiotherapy assessment of all patients on POD1 determined presence of issues potentially amenable to physiotherapy intervention, and treatment was commenced. Outcome measures included postoperative pulmonary complication (PPC) development, hospital and high dependency unit (HDU) length of stay (LOS).
Results
Of 285 patients, 209 (73%) received physiotherapy to assist/improve reduced mobility, of these 23 (8%) also received sputum clearance therapies and 65 (23%) specific therapy for lung volume loss. The remaining 76 (27%) patients had significantly lower hospital/HDU LOS (P
Conclusion
Following VATS lobectomy a large proportion of patients demonstrated issues potentially amenable to physiotherapy. The authors recommend that patients receive routine physiotherapy assessment following this type of surgery to ensure that all issues are identified early. Screening of COPD, BMI, preoperative mobility and age will allow early identification of patients who may benefit most from postoperative physiotherapy and preoperative optimisation, however, these factors cannot predict the need for physiotherapy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Cognitive factors are associated with disability and pain, but not fatigue among physiotherapy attendees with persistent pain and fatigue Type de document : Article Auteurs : Dave P. Thompson ; Deborah Antcliff ; Steve R. Woby Année de publication : 2020 Article en page(s) : p. 94-100 Note générale : https://doi.org/10.1016/j.physio.2019.01.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Auto-efficacité ; Catastrophisation ; Douleur chronique ; Fatigue ; Grande-Bretagne ; Médecine physique et de réadaptation ; RéadaptationMots-clés : Fibromyalgia Impact Questionnaire Questionnaire de mesure de l'impact de la fibromyalgie Chalder Fatigue Scale Echelle de fatigue de Chalder Résumé : Objectives
Most research exploring the relationship between cognitive factors and pain, disability and fatigue in patients with persistent pain/fatigue has been performed in multi disciplinary environments. It is unclear whether these associations are consistent in other contexts. This study therefore aimed to establish the relationships between these factors in patients with persistent pain/fatigue referred for physiotherapy treatment.
Design
Cross-sectional observational study assessing the association between cognitive factors (self-efficacy and catastrophizing) and levels of pain, disability, mental fatigue and physical fatigue in patients with persistent pain/fatigue disorders. Data were analysed using regression analyses.
Setting
Two out-patient physiotherapy departments, Manchester, UK.
Participants
166 patients with persistent pain and fatigue disorders chronic widespread pain, fibromyalgia and chronic fatigue syndrome/myalgic encephalopathy).
Main outcome measures
Disability was assessed using the Fibromyalgia Impact Questionnaire, whilst mental and physical fatigue were assessed with the sub-scales of the Chalder Fatigue Scale. Pain intensity was measured with a Numeric Pain Rating Scale, self-efficacy with the Chronic Pain Self-efficacy Questionnaire and catastrophizing with the Pain Catastrophizing Scale.
Results
Cognitive factors were significantly associated with pain (self-efficacy beliefs β = −0.30, P
Conclusions
Similar associations were observed in patients referred to physiotherapy as to those observed in patients treated in multi disciplinary clinical environments. Self-efficacy beliefs appear to be particularly strong determinants of disability, but exert a lesser influence over pain or fatigue. Targeting self-efficacy may be an effective method to reduce disability in patients with persistent pain and fatigue disorders.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 94-100[article] Cognitive factors are associated with disability and pain, but not fatigue among physiotherapy attendees with persistent pain and fatigue [Article] / Dave P. Thompson ; Deborah Antcliff ; Steve R. Woby . - 2020 . - p. 94-100.
https://doi.org/10.1016/j.physio.2019.01.006
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 94-100
Descripteurs : HE Vinci
Auto-efficacité ; Catastrophisation ; Douleur chronique ; Fatigue ; Grande-Bretagne ; Médecine physique et de réadaptation ; RéadaptationMots-clés : Fibromyalgia Impact Questionnaire Questionnaire de mesure de l'impact de la fibromyalgie Chalder Fatigue Scale Echelle de fatigue de Chalder Résumé : Objectives
Most research exploring the relationship between cognitive factors and pain, disability and fatigue in patients with persistent pain/fatigue has been performed in multi disciplinary environments. It is unclear whether these associations are consistent in other contexts. This study therefore aimed to establish the relationships between these factors in patients with persistent pain/fatigue referred for physiotherapy treatment.
Design
Cross-sectional observational study assessing the association between cognitive factors (self-efficacy and catastrophizing) and levels of pain, disability, mental fatigue and physical fatigue in patients with persistent pain/fatigue disorders. Data were analysed using regression analyses.
Setting
Two out-patient physiotherapy departments, Manchester, UK.
Participants
166 patients with persistent pain and fatigue disorders chronic widespread pain, fibromyalgia and chronic fatigue syndrome/myalgic encephalopathy).
Main outcome measures
Disability was assessed using the Fibromyalgia Impact Questionnaire, whilst mental and physical fatigue were assessed with the sub-scales of the Chalder Fatigue Scale. Pain intensity was measured with a Numeric Pain Rating Scale, self-efficacy with the Chronic Pain Self-efficacy Questionnaire and catastrophizing with the Pain Catastrophizing Scale.
Results
Cognitive factors were significantly associated with pain (self-efficacy beliefs β = −0.30, P
Conclusions
Similar associations were observed in patients referred to physiotherapy as to those observed in patients treated in multi disciplinary clinical environments. Self-efficacy beliefs appear to be particularly strong determinants of disability, but exert a lesser influence over pain or fatigue. Targeting self-efficacy may be an effective method to reduce disability in patients with persistent pain and fatigue disorders.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Is a model of stratified exercise therapy by physical therapists in primary care feasible in patients with knee osteoarthritis? : a mixed methods study Type de document : Article Auteurs : J. Knoop ; Marike van der Leeden ; Martin van der Esch ; Mariëtte de Rooij ; Wilfred F. H. Peter ; Kim Bennell ; M.P.M. Steultjens ; Arja H. Hakkinen ; Leo D. Roorda ; Willems F. Lems ; Joost Dekker Année de publication : 2020 Article en page(s) : p. 101-110 Note générale : https://doi.org/10.1016/j.physio.2019.01.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Gonarthrose ; Phénotype ; Soins de santé primaires ; Techniques de physiothérapie ; Traitement par les exercices physiquesRésumé : Objectives
To explore the feasibility of a newly developed model of stratified exercise therapy in primary care for patients with knee osteoarthritis (OA).
Design
Mixed method design (process, outcome and qualitative evaluation).
Setting
Six physical therapy practices in primary care around Amsterdam.
Participants
Fifty eligible patients with knee OA, visiting one of the participating physical therapists (PTs).
Intervention
Patients were allocated to a subgroup based on a simple stratification tool and received subgroup-specific, protocolized, 4-month, exercise therapy.
Main outcome measures
Feasibility of this model of stratified exercise therapy was explored by multiple process parameters, outcome measures (physical functioning and knee pain; at baseline and 4-months follow-up) and experiences from patients and PTs.
Results
From 97 potentially eligible patients, fifty patients were included and allocated to the ‘high muscle strength subgroup’ (n = 17), ‘depression subgroup’ (n = 4), ‘obesity subgroup’ (n = 6) or ‘low muscle strength subgroup’ (n = 23). Three patients dropped out during the study period. PTs provided relatively low numbers of sessions (on average 10 sessions), although exceedance of the recommended maximum number of sessions did occur frequently. We found clinically relevant improvements on physical functioning and knee pain (P
Conclusions
Our model of stratified exercise therapy seems to be feasible in primary care, although a number of limitations were reported. Future research should determine the (cost-)effectiveness of an adapted model, compared to usual, non-stratified exercise therapy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 101-110[article] Is a model of stratified exercise therapy by physical therapists in primary care feasible in patients with knee osteoarthritis? : a mixed methods study [Article] / J. Knoop ; Marike van der Leeden ; Martin van der Esch ; Mariëtte de Rooij ; Wilfred F. H. Peter ; Kim Bennell ; M.P.M. Steultjens ; Arja H. Hakkinen ; Leo D. Roorda ; Willems F. Lems ; Joost Dekker . - 2020 . - p. 101-110.
https://doi.org/10.1016/j.physio.2019.01.013
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 101-110
Descripteurs : HE Vinci
Gonarthrose ; Phénotype ; Soins de santé primaires ; Techniques de physiothérapie ; Traitement par les exercices physiquesRésumé : Objectives
To explore the feasibility of a newly developed model of stratified exercise therapy in primary care for patients with knee osteoarthritis (OA).
Design
Mixed method design (process, outcome and qualitative evaluation).
Setting
Six physical therapy practices in primary care around Amsterdam.
Participants
Fifty eligible patients with knee OA, visiting one of the participating physical therapists (PTs).
Intervention
Patients were allocated to a subgroup based on a simple stratification tool and received subgroup-specific, protocolized, 4-month, exercise therapy.
Main outcome measures
Feasibility of this model of stratified exercise therapy was explored by multiple process parameters, outcome measures (physical functioning and knee pain; at baseline and 4-months follow-up) and experiences from patients and PTs.
Results
From 97 potentially eligible patients, fifty patients were included and allocated to the ‘high muscle strength subgroup’ (n = 17), ‘depression subgroup’ (n = 4), ‘obesity subgroup’ (n = 6) or ‘low muscle strength subgroup’ (n = 23). Three patients dropped out during the study period. PTs provided relatively low numbers of sessions (on average 10 sessions), although exceedance of the recommended maximum number of sessions did occur frequently. We found clinically relevant improvements on physical functioning and knee pain (P
Conclusions
Our model of stratified exercise therapy seems to be feasible in primary care, although a number of limitations were reported. Future research should determine the (cost-)effectiveness of an adapted model, compared to usual, non-stratified exercise therapy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Promotion of physical activity for adolescents with cystic fibrosis : a qualitative study of UK multi disciplinary cystic fibrosis teams Type de document : Article Auteurs : Sarah Denford ; Kelly Mackintosh ; Melitta McNarry ; A. R. Barker ; Craig Anthony Williams Année de publication : 2020 Article en page(s) : p. 111-118 Note générale : https://doi.org/10.1016/j.physio.2019.01.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Equipe soignante ; Exercice physique ; Fréquence respiratoire ; MucoviscidoseRésumé : Background
The Cystic Fibrosis Trust recently published a standards of care document which stated that patients should be given a physical activity (PA) programme based on their motivations, fitness, and willingness to be active. However, there remains much debate regarding the roles and responsibilities for PA promotion, as well as “optimal” recommendations and advice. This study aimed to qualitatively explore cystic fibrosis (CF) multidisciplinary teams (MDTs) advice, recommendations and practices relating to PA promotion for adolescents with CF.
Method
Semi-structured interviews were conducted with fifteen members of CF MDTs (11 physiotherapists, two dieticians and two paediatricians). Thematic analysis was used to analyse the data.
Results
Major themes identified were: (1) structure of MDTs, (2) recommendations relating to intensities, durations and types of PA, and (3) use of exercise testing. Participants reported variation between MDTs in terms of who is responsible for promoting and supporting PA, the nature of advice given to patients, and the use of exercise testing. Participants consistently lacked confidence in their own or others’ knowledge to provide standardised recommendations to patients and highlighted that PA promotion and support was often overlooked during busy periods.
Conclusions
Despite its importance, PA support and promotion is not always prioritised. MDTs lack confidence in their ability to promote PA. Standardised advice and training relating to optimal intensities, durations and types of PA would provide a baseline from which to individualise advice to each patient and could increase confidence in PA promotion among MDTs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 111-118[article] Promotion of physical activity for adolescents with cystic fibrosis : a qualitative study of UK multi disciplinary cystic fibrosis teams [Article] / Sarah Denford ; Kelly Mackintosh ; Melitta McNarry ; A. R. Barker ; Craig Anthony Williams . - 2020 . - p. 111-118.
https://doi.org/10.1016/j.physio.2019.01.012
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 111-118
Descripteurs : HE Vinci
Adolescent ; Equipe soignante ; Exercice physique ; Fréquence respiratoire ; MucoviscidoseRésumé : Background
The Cystic Fibrosis Trust recently published a standards of care document which stated that patients should be given a physical activity (PA) programme based on their motivations, fitness, and willingness to be active. However, there remains much debate regarding the roles and responsibilities for PA promotion, as well as “optimal” recommendations and advice. This study aimed to qualitatively explore cystic fibrosis (CF) multidisciplinary teams (MDTs) advice, recommendations and practices relating to PA promotion for adolescents with CF.
Method
Semi-structured interviews were conducted with fifteen members of CF MDTs (11 physiotherapists, two dieticians and two paediatricians). Thematic analysis was used to analyse the data.
Results
Major themes identified were: (1) structure of MDTs, (2) recommendations relating to intensities, durations and types of PA, and (3) use of exercise testing. Participants reported variation between MDTs in terms of who is responsible for promoting and supporting PA, the nature of advice given to patients, and the use of exercise testing. Participants consistently lacked confidence in their own or others’ knowledge to provide standardised recommendations to patients and highlighted that PA promotion and support was often overlooked during busy periods.
Conclusions
Despite its importance, PA support and promotion is not always prioritised. MDTs lack confidence in their ability to promote PA. Standardised advice and training relating to optimal intensities, durations and types of PA would provide a baseline from which to individualise advice to each patient and could increase confidence in PA promotion among MDTs.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Attributes of physiotherapy continence clinicians : a qualitative perspective Type de document : Article Auteurs : Susan C. Slade ; Jean E. Hay-Smith ; Sally Mastwyk ; Meg E. Morris ; Helena C. Frawley Année de publication : 2020 Article en page(s) : p. 119-127 Note générale : https://doi.org/10.1016/j.physio.2019.01.018 Langues : Anglais (eng) Descripteurs : HE Vinci
Australie ; Incontinence urinaire ; Mise en condition physique de l'homme ; Personnel de santé ; Plancher pelvien ; Recherche qualitative ; StéréotypeMots-clés : Croyances des cliniciens Résumé : Objectives
To understand the attributes of expert physiotherapy continence clinicians and how they compare to novices in relation to experience, knowledge, capability and skills in pelvic floor rehabilitation.
Design
Qualitative methods were used for thematic analysis of data collected from clinician focus groups.
Participants
Registered physiotherapists in Melbourne, Australia. Recruitment was through purposive, and “snowball” sampling, and continued until attainment of data adequacy.
Intervention
Audio recorded focus groups.
Results
Twenty-eight physiotherapists participated in seven focus groups. A key finding was that continence rehabilitation is an area of expert physiotherapy practice. Proficiency is often attained through postgraduate education, mentoring by experienced colleagues, clinical experience and research participation. The ‘continence clinician as expert’ was identified in three main themes (i) attributes that are important for competent continence practice; (ii) research literacy and the ability to generate and translate research into practice; and (iii) patient-centred care, including managing consumer expectations. Knowledge translation was assisted by research literacy, access to evidence and the use of comprehensively reported research. Proficient clinicians prioritised evidence-informed practice, consumer engagement, peer networks and collaboration.
Conclusions
The main attributes of proficient physiotherapy continence clinicians were high levels of skill, training and experience, enabling an extended scope of practice. Research capability and research co-partnerships were also seen to support implementation of contemporary, evidence-based practice. Therapists new to this field were thought to benefit from structured mentoring, further training and clear career pathways embedded within healthcare systems. Consumer-focussed care was seen as a core skill across all levels of physiotherapy practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 119-127[article] Attributes of physiotherapy continence clinicians : a qualitative perspective [Article] / Susan C. Slade ; Jean E. Hay-Smith ; Sally Mastwyk ; Meg E. Morris ; Helena C. Frawley . - 2020 . - p. 119-127.
https://doi.org/10.1016/j.physio.2019.01.018
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 119-127
Descripteurs : HE Vinci
Australie ; Incontinence urinaire ; Mise en condition physique de l'homme ; Personnel de santé ; Plancher pelvien ; Recherche qualitative ; StéréotypeMots-clés : Croyances des cliniciens Résumé : Objectives
To understand the attributes of expert physiotherapy continence clinicians and how they compare to novices in relation to experience, knowledge, capability and skills in pelvic floor rehabilitation.
Design
Qualitative methods were used for thematic analysis of data collected from clinician focus groups.
Participants
Registered physiotherapists in Melbourne, Australia. Recruitment was through purposive, and “snowball” sampling, and continued until attainment of data adequacy.
Intervention
Audio recorded focus groups.
Results
Twenty-eight physiotherapists participated in seven focus groups. A key finding was that continence rehabilitation is an area of expert physiotherapy practice. Proficiency is often attained through postgraduate education, mentoring by experienced colleagues, clinical experience and research participation. The ‘continence clinician as expert’ was identified in three main themes (i) attributes that are important for competent continence practice; (ii) research literacy and the ability to generate and translate research into practice; and (iii) patient-centred care, including managing consumer expectations. Knowledge translation was assisted by research literacy, access to evidence and the use of comprehensively reported research. Proficient clinicians prioritised evidence-informed practice, consumer engagement, peer networks and collaboration.
Conclusions
The main attributes of proficient physiotherapy continence clinicians were high levels of skill, training and experience, enabling an extended scope of practice. Research capability and research co-partnerships were also seen to support implementation of contemporary, evidence-based practice. Therapists new to this field were thought to benefit from structured mentoring, further training and clear career pathways embedded within healthcare systems. Consumer-focussed care was seen as a core skill across all levels of physiotherapy practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Matching the perceived benefits of Transcutaneous Electrical Nerve Stimulation (TENS) for chronic musculoskeletal pain against Patient Reported Outcome Measures using the International Classification of Functioning, Disability and Health (ICF) Type de document : Article Auteurs : Peter W. Gladwell ; Fiona Cramp ; Shea Palmer Année de publication : 2020 Article en page(s) : p. 128-135 Note générale : https://doi.org/10.1016/j.physio.2019.01.017 Langues : Anglais (eng) Descripteurs : HE Vinci
Centres antidouleur ; Douleur musculosquelettique ; Lombalgie ; Mesures des résultats rapportés par les patients (PROM) ; Neurostimulation électrique transcutanée (TENS) ; Recherche qualitativeRésumé : Background
There is no consensus regarding the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) for chronic musculoskeletal or low back pain. A review of previous trial methodology identified problems with treatment fidelity. Qualitative research with experienced TENS users identified specific contexts for TENS use, leading to individualised outcomes. There is little information available to guide the selection of Patient Reported Outcome Measures (PROMs) appropriate for TENS evaluation.
Objective
To determine the capability of previously used PROMs to capture the perceived benefits of TENS reported by secondary care Pain Clinic patients who successfully used TENS to manage chronic musculoskeletal pain.
Design
The World Health Organisation International Classification of Functioning, Disability and Health (ICF) was used to match the perceived benefits of TENS against previously used PROMS.
Methods
Semi-structured interviews conducted with nine patients (6 women) as well as three other qualitative datasets (88 patients in total) generated patient-reported benefits which were matched against previously used PROMs using the ICF.
Findings
There were 18 items in the final list of benefits, and none of the four functional outcome measures used in previous RCTs captured more than 8 of these 18 items. The data analysis complemented the inductive thematic analysis but could not replace it, indicating the value of both forms of analysis.
Conclusions
This study highlights a low level of match between outcome measures used in previous TENS studies, and the benefits perceived by experienced TENS users. This suggests that further work is required if the patient-reported benefits of TENS are to be evaluated.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 128-135[article] Matching the perceived benefits of Transcutaneous Electrical Nerve Stimulation (TENS) for chronic musculoskeletal pain against Patient Reported Outcome Measures using the International Classification of Functioning, Disability and Health (ICF) [Article] / Peter W. Gladwell ; Fiona Cramp ; Shea Palmer . - 2020 . - p. 128-135.
https://doi.org/10.1016/j.physio.2019.01.017
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 128-135
Descripteurs : HE Vinci
Centres antidouleur ; Douleur musculosquelettique ; Lombalgie ; Mesures des résultats rapportés par les patients (PROM) ; Neurostimulation électrique transcutanée (TENS) ; Recherche qualitativeRésumé : Background
There is no consensus regarding the effectiveness of Transcutaneous Electrical Nerve Stimulation (TENS) for chronic musculoskeletal or low back pain. A review of previous trial methodology identified problems with treatment fidelity. Qualitative research with experienced TENS users identified specific contexts for TENS use, leading to individualised outcomes. There is little information available to guide the selection of Patient Reported Outcome Measures (PROMs) appropriate for TENS evaluation.
Objective
To determine the capability of previously used PROMs to capture the perceived benefits of TENS reported by secondary care Pain Clinic patients who successfully used TENS to manage chronic musculoskeletal pain.
Design
The World Health Organisation International Classification of Functioning, Disability and Health (ICF) was used to match the perceived benefits of TENS against previously used PROMS.
Methods
Semi-structured interviews conducted with nine patients (6 women) as well as three other qualitative datasets (88 patients in total) generated patient-reported benefits which were matched against previously used PROMs using the ICF.
Findings
There were 18 items in the final list of benefits, and none of the four functional outcome measures used in previous RCTs captured more than 8 of these 18 items. The data analysis complemented the inductive thematic analysis but could not replace it, indicating the value of both forms of analysis.
Conclusions
This study highlights a low level of match between outcome measures used in previous TENS studies, and the benefits perceived by experienced TENS users. This suggests that further work is required if the patient-reported benefits of TENS are to be evaluated.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Is strength training feasible for young people with Prader-Willi syndrome? A phase I randomised controlled trial Type de document : Article Auteurs : Nora Shields ; Kim Bennell ; Jessica Radcliffe ; Nicholas F. Taylor Année de publication : 2020 Article en page(s) : p. 136-144 Note générale : https://doi.org/10.1016/j.physio.2019.01.016 Langues : Anglais (eng) Descripteurs : HE Vinci
Entraînement en résistance ; Etude clinique ; Force musculaire ; Mise en condition physique de l'homme ; Personnes handicapées ; Syndrome de Prader-WilliRésumé : Objective
To investigate the feasibility of progressive resistance training for people with Prader-Willi syndrome (PWS), who have muscle weakness and very low muscle mass.
Design
Randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis.
Setting
Community gymnasium.
Participants
Sixteen participants with PWS (eight female; mean age 25 years) were randomly assigned with 1:1 allocation to an experimental (n = 8) or control group (n = 8).
Intervention
Progressive resistance training was performed twice a week for 10 weeks. The training was supervised one-to-one by a physiotherapist and comprised seven exercises. The control group continued their usual activities and were offered the training after follow-up assessment.
Main outcome measures
Three domains of feasibility were evaluated: implementation (attendance and adherence), practicality (safety) and limited efficacy testing. Muscle strength (one repetition maximum for chest and leg press), physical function (box stacking test, timed stairs climb), muscle composition (US) and body composition (whole-body DXA scan) were measured before and after the intervention.
Results
Participants attended 92% of scheduled sessions and adhered by progressing their training resistance by 82% (range 60–140%). There was one unexpected serious adverse event unrelated to the intervention and several non-serious expected adverse events related to the intervention. Estimates of standardised mean differences indicated moderate to large effects in favour of the experimental group for arm (0.92, 95%CI −0.11 to 1.95) and leg strength (0.78, 95%CI −0.27 to 1.83). The effect was uncertain for secondary outcomes.
Conclusions
There is preliminary evidence showing progressive resistance training is feasible for people with Prader-Willi syndrome and may increase muscle strength.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 136-144[article] Is strength training feasible for young people with Prader-Willi syndrome? A phase I randomised controlled trial [Article] / Nora Shields ; Kim Bennell ; Jessica Radcliffe ; Nicholas F. Taylor . - 2020 . - p. 136-144.
https://doi.org/10.1016/j.physio.2019.01.016
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 136-144
Descripteurs : HE Vinci
Entraînement en résistance ; Etude clinique ; Force musculaire ; Mise en condition physique de l'homme ; Personnes handicapées ; Syndrome de Prader-WilliRésumé : Objective
To investigate the feasibility of progressive resistance training for people with Prader-Willi syndrome (PWS), who have muscle weakness and very low muscle mass.
Design
Randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis.
Setting
Community gymnasium.
Participants
Sixteen participants with PWS (eight female; mean age 25 years) were randomly assigned with 1:1 allocation to an experimental (n = 8) or control group (n = 8).
Intervention
Progressive resistance training was performed twice a week for 10 weeks. The training was supervised one-to-one by a physiotherapist and comprised seven exercises. The control group continued their usual activities and were offered the training after follow-up assessment.
Main outcome measures
Three domains of feasibility were evaluated: implementation (attendance and adherence), practicality (safety) and limited efficacy testing. Muscle strength (one repetition maximum for chest and leg press), physical function (box stacking test, timed stairs climb), muscle composition (US) and body composition (whole-body DXA scan) were measured before and after the intervention.
Results
Participants attended 92% of scheduled sessions and adhered by progressing their training resistance by 82% (range 60–140%). There was one unexpected serious adverse event unrelated to the intervention and several non-serious expected adverse events related to the intervention. Estimates of standardised mean differences indicated moderate to large effects in favour of the experimental group for arm (0.92, 95%CI −0.11 to 1.95) and leg strength (0.78, 95%CI −0.27 to 1.83). The effect was uncertain for secondary outcomes.
Conclusions
There is preliminary evidence showing progressive resistance training is feasible for people with Prader-Willi syndrome and may increase muscle strength.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Effects of ventilation mode and manual chest compression on flow bias during the positive end- and zero end-expiratory pressure manoeuvre in mechanically ventilated patients : a randomised crossover trial Type de document : Article Auteurs : Bianca Lorrane Reges Amaral ; A. B de Figueiredo ; Daiane Menezes Lorena ; Ana Carolina Otoni Oliveira ; Nadja C. Carvalho ; Marcia S. Volpe Année de publication : 2020 Article en page(s) : p. 145-153 Note générale : https://doi.org/10.1016/j.physio.2018.12.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Etude clinique ; Massage cardiaque ; Thérapie respiratoire ; Ventilation artificielleMots-clés : Dégagement des voies aériennes Manoeuvre pression expiratoire finale positive - pression expiratoire nulle Essai croisé randomisé Résumé : Objectives
To investigate the effects of ventilation mode and manual chest compression (MCC) application on the flow bias generated during positive end-expiratory pressure–zero end-expiratory pressure (PEEP-ZEEP) in mechanically ventilated patients. PEEP-ZEEP is an airway clearance manoeuvre with the potential to exceed the flow bias required to remove secretions. However, the ventilation mode applied during the manoeuvre has not been standardised.
Design
Randomised crossover trial.
Participants
Nineteen mechanically ventilated patients.
Interventions
Patients were randomised to receive PEEP-ZEEP in volume-controlled and pressure-controlled modes, and with or without MCC.
Main outcome measures
The difference in flow bias – assessed by the peak expiratory flow (PEF) and peak inspiratory flow (PIF) ratio and difference – between PEEP-ZEEP applied in both ventilation modes, and with and without MCC.
Results
The expiratory flow bias was significantly higher in the volume-controlled mode than the pressure-controlled mode. This result was caused by a lower PIF in the volume-controlled mode. PEEP-ZEEP applied in the pressure-controlled mode did not achieve the PEF-PIF difference threshold to clear mucus. Moreover, in the majority of cycles of PEEP-ZEEP applied in the pressure-controlled mode, an inspiratory flow bias was generated, which might embed mucus. PEF was 8 l/minute higher with MCC compared with without MCC, which increased the PEF-PIF difference by the same amount. No haemodynamic or respiratory adverse effects were found.
Conclusions
If applied in the volume-controlled mode, PEEP-ZEEP can achieve the flow bias needed to expel pulmonary secretions. However, this is not the case in the pressure-controlled mode. MCC can augment the flow bias generated by PEEP-ZEEP, but its application may be dispensable.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 145-153[article] Effects of ventilation mode and manual chest compression on flow bias during the positive end- and zero end-expiratory pressure manoeuvre in mechanically ventilated patients : a randomised crossover trial [Article] / Bianca Lorrane Reges Amaral ; A. B de Figueiredo ; Daiane Menezes Lorena ; Ana Carolina Otoni Oliveira ; Nadja C. Carvalho ; Marcia S. Volpe . - 2020 . - p. 145-153.
https://doi.org/10.1016/j.physio.2018.12.007
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 145-153
Descripteurs : HE Vinci
Etude clinique ; Massage cardiaque ; Thérapie respiratoire ; Ventilation artificielleMots-clés : Dégagement des voies aériennes Manoeuvre pression expiratoire finale positive - pression expiratoire nulle Essai croisé randomisé Résumé : Objectives
To investigate the effects of ventilation mode and manual chest compression (MCC) application on the flow bias generated during positive end-expiratory pressure–zero end-expiratory pressure (PEEP-ZEEP) in mechanically ventilated patients. PEEP-ZEEP is an airway clearance manoeuvre with the potential to exceed the flow bias required to remove secretions. However, the ventilation mode applied during the manoeuvre has not been standardised.
Design
Randomised crossover trial.
Participants
Nineteen mechanically ventilated patients.
Interventions
Patients were randomised to receive PEEP-ZEEP in volume-controlled and pressure-controlled modes, and with or without MCC.
Main outcome measures
The difference in flow bias – assessed by the peak expiratory flow (PEF) and peak inspiratory flow (PIF) ratio and difference – between PEEP-ZEEP applied in both ventilation modes, and with and without MCC.
Results
The expiratory flow bias was significantly higher in the volume-controlled mode than the pressure-controlled mode. This result was caused by a lower PIF in the volume-controlled mode. PEEP-ZEEP applied in the pressure-controlled mode did not achieve the PEF-PIF difference threshold to clear mucus. Moreover, in the majority of cycles of PEEP-ZEEP applied in the pressure-controlled mode, an inspiratory flow bias was generated, which might embed mucus. PEF was 8 l/minute higher with MCC compared with without MCC, which increased the PEF-PIF difference by the same amount. No haemodynamic or respiratory adverse effects were found.
Conclusions
If applied in the volume-controlled mode, PEEP-ZEEP can achieve the flow bias needed to expel pulmonary secretions. However, this is not the case in the pressure-controlled mode. MCC can augment the flow bias generated by PEEP-ZEEP, but its application may be dispensable.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : PALS: peer support for community dwelling older people with chronic low back pain : a feasibility and acceptability study Type de document : Article Auteurs : Kay Cooper ; Patricia Schofield ; Blair H. Smith ; Susan Klein Année de publication : 2020 Article en page(s) : p. 154-162 Note générale : https://doi.org/10.1016/j.physio.2019.01.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Adulte (19-44 ans) ; Autosoins ; Douleur chronique ; Gestion de soi ; Lombalgie ; Soutien socialRésumé : Objectives
(i) Examine the feasibility and acceptability of a peer support intervention (PALS) to facilitate self-management in community dwelling older adults with Chronic Low Back Pain (CLBP), and (ii) examine the feasibility of study methods in order to inform the design of a future randomised controlled trial.
Design
Mixed methods feasibility and acceptability study.
Setting
Community.
Participants
18 older adults (aged 65 to 79) with CLBP and 6 peer support volunteers (PSVs) aged 34 to 65.
Intervention
Six sessions of 1 to 3 hours duration, approximately 2 weeks apart, delivered in mutually convenient public places, or by telephone. Each session had a suggested topic and each participant and PSV had a PALS manual detailing aims and target outcomes for each session.
Outcome measures
Recruitment, retention, integrity, acceptability and feasibility of the PALS intervention, feasibility of study processes, appropriateness and usefulness of outcome measures.
Results
We recruited to target and retained 2/3 of participants. PALS was delivered as intended and acceptable to people with CLBP and PSVs. Most participants were satisfied with PALS and would recommend it to someone else with CLBP. Study processes worked well, but recruitment procedures need to be refined. Outcome measures were returned and were mostly complete, but further work on the most appropriate measures is required.
Conclusions
PALS was feasible to deliver and acceptable to the older people and PSVs who took part in this study. We identified amendments to PALS and the study processes that, once implemented, will allow the effectiveness of PALS to be tested in a large-scale study.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 154-162[article] PALS: peer support for community dwelling older people with chronic low back pain : a feasibility and acceptability study [Article] / Kay Cooper ; Patricia Schofield ; Blair H. Smith ; Susan Klein . - 2020 . - p. 154-162.
https://doi.org/10.1016/j.physio.2019.01.015
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 154-162
Descripteurs : HE Vinci
Adulte (19-44 ans) ; Autosoins ; Douleur chronique ; Gestion de soi ; Lombalgie ; Soutien socialRésumé : Objectives
(i) Examine the feasibility and acceptability of a peer support intervention (PALS) to facilitate self-management in community dwelling older adults with Chronic Low Back Pain (CLBP), and (ii) examine the feasibility of study methods in order to inform the design of a future randomised controlled trial.
Design
Mixed methods feasibility and acceptability study.
Setting
Community.
Participants
18 older adults (aged 65 to 79) with CLBP and 6 peer support volunteers (PSVs) aged 34 to 65.
Intervention
Six sessions of 1 to 3 hours duration, approximately 2 weeks apart, delivered in mutually convenient public places, or by telephone. Each session had a suggested topic and each participant and PSV had a PALS manual detailing aims and target outcomes for each session.
Outcome measures
Recruitment, retention, integrity, acceptability and feasibility of the PALS intervention, feasibility of study processes, appropriateness and usefulness of outcome measures.
Results
We recruited to target and retained 2/3 of participants. PALS was delivered as intended and acceptable to people with CLBP and PSVs. Most participants were satisfied with PALS and would recommend it to someone else with CLBP. Study processes worked well, but recruitment procedures need to be refined. Outcome measures were returned and were mostly complete, but further work on the most appropriate measures is required.
Conclusions
PALS was feasible to deliver and acceptable to the older people and PSVs who took part in this study. We identified amendments to PALS and the study processes that, once implemented, will allow the effectiveness of PALS to be tested in a large-scale study.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The application of psychologically informed practice : bservations of experienced physiotherapists working with people with chronic pain Type de document : Article Auteurs : Diarmuid Denneny ; Annina Frijdal (née Klapper) ; Nadia Bianchi-Berthouze ; Jim Greenwood ; Rebecca McLoughlin ; Katrine Petersen ; Annesha Singh ; Amanda C. de C. Williams Année de publication : 2020 Article en page(s) : p. 163-173 Note générale : https://doi.org/10.1016/j.physio.2019.01.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Douleur chronique ; Recherche qualitative ; Thérapie cognitive ; Thérapie comportementaleMots-clés : Psychologically informed environments Environnements psychologiquement informés Résumé : Objectives
Psychologically informed practice (PIP) is advocated for physiotherapists to help people with chronic pain. There is little research observing how PIP is delivered in clinical practice. This study describes behaviours and techniques used by experienced physiotherapists working with groups of people with chronic pain.
Setting and Participants
Experienced physiotherapists (n = 4) were observed working with groups of people with chronic pain in out-patient pain management, and physiotherapy departments, in a large UK city centre teaching hospital.
Design
We observed the clinical behaviours and interpersonal skills of experienced psychologically informed physiotherapists, enriched by their accounts of intentions. The physiotherapists were audio and video recorded delivering group movement sessions. Recordings were reviewed with the physiotherapists for elaboration of intentions, then thematically analysed for comparison with defined CBT competencies.
Results
Four themes representing physiotherapist intentions when working with people with chronic pain were identified; building a therapeutic alliance, reducing perceived threat, reconceptualising beliefs and somatic experience, and fostering self-efficacy. The physiotherapists also reflected on challenges including engaging patients in self-management, encouraging activity and reinforcing rather than correcting movement. Considerable overlap existed between the observed behaviours in this study and existing CBT competencies.
Conclusions
This paper complements current recommendations for delivering psychologically informed physiotherapy by providing examples of these skills being used in clinical practice. Further research supporting the development of training for, and mentoring of, physiotherapists, to promote competence and confidence in delivering psychologically informed interventions is recommended.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 163-173[article] The application of psychologically informed practice : bservations of experienced physiotherapists working with people with chronic pain [Article] / Diarmuid Denneny ; Annina Frijdal (née Klapper) ; Nadia Bianchi-Berthouze ; Jim Greenwood ; Rebecca McLoughlin ; Katrine Petersen ; Annesha Singh ; Amanda C. de C. Williams . - 2020 . - p. 163-173.
https://doi.org/10.1016/j.physio.2019.01.014
Langues : Anglais (eng)
in Physiotherapy > Vol. 106, n° 1 (Mars 2020) . - p. 163-173
Descripteurs : HE Vinci
Douleur chronique ; Recherche qualitative ; Thérapie cognitive ; Thérapie comportementaleMots-clés : Psychologically informed environments Environnements psychologiquement informés Résumé : Objectives
Psychologically informed practice (PIP) is advocated for physiotherapists to help people with chronic pain. There is little research observing how PIP is delivered in clinical practice. This study describes behaviours and techniques used by experienced physiotherapists working with groups of people with chronic pain.
Setting and Participants
Experienced physiotherapists (n = 4) were observed working with groups of people with chronic pain in out-patient pain management, and physiotherapy departments, in a large UK city centre teaching hospital.
Design
We observed the clinical behaviours and interpersonal skills of experienced psychologically informed physiotherapists, enriched by their accounts of intentions. The physiotherapists were audio and video recorded delivering group movement sessions. Recordings were reviewed with the physiotherapists for elaboration of intentions, then thematically analysed for comparison with defined CBT competencies.
Results
Four themes representing physiotherapist intentions when working with people with chronic pain were identified; building a therapeutic alliance, reducing perceived threat, reconceptualising beliefs and somatic experience, and fostering self-efficacy. The physiotherapists also reflected on challenges including engaging patients in self-management, encouraging activity and reinforcing rather than correcting movement. Considerable overlap existed between the observed behaviours in this study and existing CBT competencies.
Conclusions
This paper complements current recommendations for delivering psychologically informed physiotherapy by providing examples of these skills being used in clinical practice. Further research supporting the development of training for, and mentoring of, physiotherapists, to promote competence and confidence in delivering psychologically informed interventions is recommended.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Paru le : 01/12/2019
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Titre : The effectiveness of group exercise for improving activity and participation in adult stroke survivors: a systematic review Type de document : Article Auteurs : Gavin Church ; Jack Parker ; Lauren Powell Année de publication : 2019 Article en page(s) : p. 399-411 Note générale : https://doi.org/10.1016/j.physio.2019.01.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; RéadaptationRésumé : Background
Following post stroke rehabilitation, group exercise interventions can be used to continue improving cardiovascular fitness, activity levels, balance, gait, movement efficiency, and strengthening. However, little is known of the effectiveness of group exercise for improving activity and participation in stroke survivors.
Objectives
This review aims to assess the effectiveness of group exercise for improving activity and participation in adult stroke survivors.
Data sources
Databases searched were MEDLINE, Web of Science (Core collection), CINAHL, and the Cochrane Library.
Study eligibility criteria
Randomised controlled trials (RCTs) of group exercise using validated outcome measures of activity and participation for post stroke rehabilitation. Two independent reviewers assessed all abstracts, extracted data, conducted a narrative synthesis and assessed the quality of all included articles. The Cochrane Risk of Bias Tool assessed methodological quality and included outcome measure quality was assessed.
Results
14 RCTs were included (n = 624 chronic stroke survivors collectively). Studies ranged between 12 and 243 stroke participants with an average of left:right hemisphere lesions of 32:39 and average age was 66.7 years. Although intervention and control groups improved, no significant difference between group differences were evident.
Conclusion
and implications of key findings: The review found improvements are short-term and less evident at long-term follow up with little improvements in participation after 6 months. However, this review was limited to the standard of intervention reporting. Further research should consider consistency in measuring underpinning mechanisms of group exercise interventions, which may explain the lack of activity changes in long-term follow-up.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 399-411[article] The effectiveness of group exercise for improving activity and participation in adult stroke survivors: a systematic review [Article] / Gavin Church ; Jack Parker ; Lauren Powell . - 2019 . - p. 399-411.
https://doi.org/10.1016/j.physio.2019.01.005
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 399-411
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; RéadaptationRésumé : Background
Following post stroke rehabilitation, group exercise interventions can be used to continue improving cardiovascular fitness, activity levels, balance, gait, movement efficiency, and strengthening. However, little is known of the effectiveness of group exercise for improving activity and participation in stroke survivors.
Objectives
This review aims to assess the effectiveness of group exercise for improving activity and participation in adult stroke survivors.
Data sources
Databases searched were MEDLINE, Web of Science (Core collection), CINAHL, and the Cochrane Library.
Study eligibility criteria
Randomised controlled trials (RCTs) of group exercise using validated outcome measures of activity and participation for post stroke rehabilitation. Two independent reviewers assessed all abstracts, extracted data, conducted a narrative synthesis and assessed the quality of all included articles. The Cochrane Risk of Bias Tool assessed methodological quality and included outcome measure quality was assessed.
Results
14 RCTs were included (n = 624 chronic stroke survivors collectively). Studies ranged between 12 and 243 stroke participants with an average of left:right hemisphere lesions of 32:39 and average age was 66.7 years. Although intervention and control groups improved, no significant difference between group differences were evident.
Conclusion
and implications of key findings: The review found improvements are short-term and less evident at long-term follow up with little improvements in participation after 6 months. However, this review was limited to the standard of intervention reporting. Further research should consider consistency in measuring underpinning mechanisms of group exercise interventions, which may explain the lack of activity changes in long-term follow-up.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Effects of kinesio taping alone versus sham taping in individuals with musculoskeletal conditions after intervention for at least one week: a systematic review and meta-analysis Type de document : Article Auteurs : Robinson Ramírez-Vélez ; Ignacio Hormazábal-Aguayo ; Mikel Izquierdo Année de publication : 2019 Article en page(s) : p. 412-420 Note générale : https://doi.org/10.1016/j.physio.2019.04.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Bande adhésive de contention ; Kinésithérapie (spécialité) ; Lombalgie ; Médecine factuelleRésumé : Background
Kinesiotaping (KT), has emerged as an interesting and relatively novel method for treating musculoskeletal conditions. To date, none of the systematic reviews with meta-analysis have addressed the efficacy of KT alone (without any other intervention) over sham taping (ST).
Objective
The present meta-analysis aimed to investigate the effectiveness of KT versus ST in patients with musculoskeletal conditions in interventions lasting at least 1 week on musculoskeletal conditions and functional performance outcomes.
Data source
Manual and electronic searches (CENTRAL, EMBASE, MEDLINE and PEDro) were conducted using kinesiotaping, strapping, musculoskeletal pain and musculoskeletal conditions.
Study selection criteria
Randomised controlled trials on adults with a diagnosis of musculoskeletal conditions.
Data extraction and data synthesis
Two researchers independently carried out the search and the third author was referred to for arbitration. The methodological quality of the studies using the PEDro scale and GRADE approach.
Results
Six RCTs were identified and included in the meta-analysis. When compared with ST in adults with chronic non-specific low-back pain (LBP), KT resulted in superior effects on pain at follow-up, but the pooled pain in the immediate post-treatment period and disability scores (in the immediate post-treatment period and at follow-up) were not significantly different. Generally, all results were supported by low quality evidence according to GRADE criteria.
Conclusion
Our findings indicate inconclusive and low-quality evidence of a beneficial effect of KT alone over ST in LBP and knee osteoarthritis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 412-420[article] Effects of kinesio taping alone versus sham taping in individuals with musculoskeletal conditions after intervention for at least one week: a systematic review and meta-analysis [Article] / Robinson Ramírez-Vélez ; Ignacio Hormazábal-Aguayo ; Mikel Izquierdo . - 2019 . - p. 412-420.
https://doi.org/10.1016/j.physio.2019.04.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 412-420
Descripteurs : HE Vinci
Bande adhésive de contention ; Kinésithérapie (spécialité) ; Lombalgie ; Médecine factuelleRésumé : Background
Kinesiotaping (KT), has emerged as an interesting and relatively novel method for treating musculoskeletal conditions. To date, none of the systematic reviews with meta-analysis have addressed the efficacy of KT alone (without any other intervention) over sham taping (ST).
Objective
The present meta-analysis aimed to investigate the effectiveness of KT versus ST in patients with musculoskeletal conditions in interventions lasting at least 1 week on musculoskeletal conditions and functional performance outcomes.
Data source
Manual and electronic searches (CENTRAL, EMBASE, MEDLINE and PEDro) were conducted using kinesiotaping, strapping, musculoskeletal pain and musculoskeletal conditions.
Study selection criteria
Randomised controlled trials on adults with a diagnosis of musculoskeletal conditions.
Data extraction and data synthesis
Two researchers independently carried out the search and the third author was referred to for arbitration. The methodological quality of the studies using the PEDro scale and GRADE approach.
Results
Six RCTs were identified and included in the meta-analysis. When compared with ST in adults with chronic non-specific low-back pain (LBP), KT resulted in superior effects on pain at follow-up, but the pooled pain in the immediate post-treatment period and disability scores (in the immediate post-treatment period and at follow-up) were not significantly different. Generally, all results were supported by low quality evidence according to GRADE criteria.
Conclusion
Our findings indicate inconclusive and low-quality evidence of a beneficial effect of KT alone over ST in LBP and knee osteoarthritis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Differences in the kinematics of the cervical and thoracic spine during functional movement in individuals with or without chronic neck pain: a systematic review Type de document : Article Auteurs : Diana Moghaddas ; Rutger Marinus Johannes de Zoete ; Suzy Edwards Année de publication : 2019 Article en page(s) : p. 421-433 Note générale : https://doi.org/10.1016/j.physio.2019.01.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Cou ; Phénomènes biomécaniques ; Vertèbres cervicalesRésumé : Background
Chronic neck pain is common, impacting a person’s ability to complete functional tasks. One method of quantifying functional movement is three dimensional (3D) motion analysis, however, it is unknown whether it may detect alterations in movement kinematics in individuals with neck pain.
Objective
To systematically review studies to determine possible differences in cervical and thoracic kinematics during functional movement as measured by 3D motion analysis in individuals with neck pain compared to controls.
Data sources
Medline, Amed, Scopus, Cochrane, Embase, CINAHL searched on 11/11/2017.
Study selection
Studies reported 3D kinematics of functional movement (based on real-world situational biomechanics, i.e., multi-planar movements) of the cervical and thoracic spine in individuals with and without neck pain.
Study appraisal and synthesis
Two reviewers assessed study quality; studies were summarised using discussion.
Results
Four thousand four hundred and sixteen title/abstracts were screened, 11 full texts retrieved. Common reasons for exclusion were participants ≤8 years of age and studies that did not investigate functional movement. Included studies (n = 5) used 3D motion analysis to assess kinematics during functional tasks including typing, gaming and resting posture. Participants with neck pain displayed greater neck flexion postures, reduced head velocity and smoothness of movement.
Limitations
Variations in measurement methods and participant samples prevented meta-analysis.
Conclusion
Though few studies were identified, altered kinematics were observed in individuals with neck pain, suggesting further research examining cervical spine kinematics is warranted. Recognising kinematic differences is important for clinicians to identify possible movement risk factors in individuals with neck pain that may be targeted with treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 421-433[article] Differences in the kinematics of the cervical and thoracic spine during functional movement in individuals with or without chronic neck pain: a systematic review [Article] / Diana Moghaddas ; Rutger Marinus Johannes de Zoete ; Suzy Edwards . - 2019 . - p. 421-433.
https://doi.org/10.1016/j.physio.2019.01.007
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 421-433
Descripteurs : HE Vinci
Cou ; Phénomènes biomécaniques ; Vertèbres cervicalesRésumé : Background
Chronic neck pain is common, impacting a person’s ability to complete functional tasks. One method of quantifying functional movement is three dimensional (3D) motion analysis, however, it is unknown whether it may detect alterations in movement kinematics in individuals with neck pain.
Objective
To systematically review studies to determine possible differences in cervical and thoracic kinematics during functional movement as measured by 3D motion analysis in individuals with neck pain compared to controls.
Data sources
Medline, Amed, Scopus, Cochrane, Embase, CINAHL searched on 11/11/2017.
Study selection
Studies reported 3D kinematics of functional movement (based on real-world situational biomechanics, i.e., multi-planar movements) of the cervical and thoracic spine in individuals with and without neck pain.
Study appraisal and synthesis
Two reviewers assessed study quality; studies were summarised using discussion.
Results
Four thousand four hundred and sixteen title/abstracts were screened, 11 full texts retrieved. Common reasons for exclusion were participants ≤8 years of age and studies that did not investigate functional movement. Included studies (n = 5) used 3D motion analysis to assess kinematics during functional tasks including typing, gaming and resting posture. Participants with neck pain displayed greater neck flexion postures, reduced head velocity and smoothness of movement.
Limitations
Variations in measurement methods and participant samples prevented meta-analysis.
Conclusion
Though few studies were identified, altered kinematics were observed in individuals with neck pain, suggesting further research examining cervical spine kinematics is warranted. Recognising kinematic differences is important for clinicians to identify possible movement risk factors in individuals with neck pain that may be targeted with treatment.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : In-hospital physiotherapy improves physical activity level after lung cancer surgery: a randomized controlled trial Type de document : Article Auteurs : Marcus Jonsson ; Anita Hurtig-Wennlöf ; Anders Ahlsson Année de publication : 2019 Article en page(s) : p. 434-441 Note générale : https://doi.org/10.1016/j.physio.2018.11.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Essais cliniques pragmatiques comme sujet ; Exercice physique ; Kinésithérapie (spécialité) ; Tumeurs du poumonRésumé : Objectives
Patients undergoing lung cancer surgery are routinely offered physiotherapy. Despite its routine use, effects on postoperative physical recovery have yet not been demonstrated. The aim of this study was to investigate whether physiotherapy could improve postoperative in-hospital physical activity level and physical capacity.
Design
Single-blind randomized controlled trial.
Setting
Thoracic surgery department at a University Hospital.
Participants
Patients undergoing elective thoracic surgery (n = 94) for confirmed or suspected lung cancer were assessed during hospital stay.
Intervention
Daily physiotherapy, consisting of mobilization, ambulation, shoulder exercises and breathing exercises. The control group received no physiotherapy treatment.
Outcomes
In-hospital physical activity assessed with the Actigraph GT3X+ accelerometer, six-minute walk test, spirometry and dyspnea scores.
Results
The treatment group reached significantly more accelerometer counts (2010 (1508) vs 1629 (1146), mean difference 495 [95% CI 44 to 1109]), and steps per hour (49 (47) vs 37 (34), mean difference 14 [95% CI 3 to 30]), compared to the control group, during the first three postoperative days. No significant differences in six-minute walk test (percent of preoperative 71% vs 79%, P = 0.13), spirometry (FEV1 percent of preoperative 69% vs 69%, P = 0.83) or dyspnoea (M-MRC 2 vs 2, P = 0.74) between the groups were found.
Conclusions
Patients receiving in-hospital physiotherapy showed increased level of physical activity during the first days after lung cancer surgery, compared to an untreated control group. However, no effects on the six-minute walk test or spirometric values were found. The clinical importance of an increased physical activity level during the early postoperative period needs to be further evaluated.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 434-441[article] In-hospital physiotherapy improves physical activity level after lung cancer surgery: a randomized controlled trial [Article] / Marcus Jonsson ; Anita Hurtig-Wennlöf ; Anders Ahlsson . - 2019 . - p. 434-441.
https://doi.org/10.1016/j.physio.2018.11.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 434-441
Descripteurs : HE Vinci
Essais cliniques pragmatiques comme sujet ; Exercice physique ; Kinésithérapie (spécialité) ; Tumeurs du poumonRésumé : Objectives
Patients undergoing lung cancer surgery are routinely offered physiotherapy. Despite its routine use, effects on postoperative physical recovery have yet not been demonstrated. The aim of this study was to investigate whether physiotherapy could improve postoperative in-hospital physical activity level and physical capacity.
Design
Single-blind randomized controlled trial.
Setting
Thoracic surgery department at a University Hospital.
Participants
Patients undergoing elective thoracic surgery (n = 94) for confirmed or suspected lung cancer were assessed during hospital stay.
Intervention
Daily physiotherapy, consisting of mobilization, ambulation, shoulder exercises and breathing exercises. The control group received no physiotherapy treatment.
Outcomes
In-hospital physical activity assessed with the Actigraph GT3X+ accelerometer, six-minute walk test, spirometry and dyspnea scores.
Results
The treatment group reached significantly more accelerometer counts (2010 (1508) vs 1629 (1146), mean difference 495 [95% CI 44 to 1109]), and steps per hour (49 (47) vs 37 (34), mean difference 14 [95% CI 3 to 30]), compared to the control group, during the first three postoperative days. No significant differences in six-minute walk test (percent of preoperative 71% vs 79%, P = 0.13), spirometry (FEV1 percent of preoperative 69% vs 69%, P = 0.83) or dyspnoea (M-MRC 2 vs 2, P = 0.74) between the groups were found.
Conclusions
Patients receiving in-hospital physiotherapy showed increased level of physical activity during the first days after lung cancer surgery, compared to an untreated control group. However, no effects on the six-minute walk test or spirometric values were found. The clinical importance of an increased physical activity level during the early postoperative period needs to be further evaluated.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : A randomized clinical trial comparing the McKenzie method and motor control exercises in people with chronic low back pain and a directional preference: 1-year follow-up Type de document : Article Auteurs : Mark H. Halliday ; Angelos Pappas ; Mark J. Hancock Année de publication : 2019 Article en page(s) : p. 442-445 Note générale : https://doi.org/10.1016/j.physio.2018.12.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai clinique ; Lombalgie ; Traitement par les exercices physiquesRésumé : Objective
The primary objective of this study was to compare the long-term (1-year follow-up) effects of the McKenzie method and motor control exercises on trunk muscle thickness in people with chronic low back pain (LBP) and a directional preference.
Design
Randomized controlled trial.
Setting
A secondary public health facility in Sydney, Australia.
Participants
Seventy adults with greater than 3-month history of LBP and a directional preference.
Interventions
Participants were randomized to receive 12 treatments of either the McKenzie method or motor control exercises over 8-weeks.
Outcome measures
Muscle thickness of the transversus abdominis, obliquus internus, and obliquus externus measured from ultrasound images. Secondary outcomes included function, perceived recovery, and pain. Outcomes were collected at baseline, post intervention at 8-weeks, and at 1-year follow-up by blinded assessors. The current paper focuses on the 1-year follow-up.
Results
Fifty-eight participants completed data collection for the primary outcome at 1-year. There were no significant between group differences for changes in trunk muscle thickness for any of the three investigated muscles: transversus abdominis [3%, 95% confidence interval (CI): −5%, 11%], obliquus internus [−4%, 95% CI: −9%, 2%] and obliquus externus [3%, 95% CI: −4%, 11%]. Similarly, there were no significant differences between groups for the secondary outcomes of function, perceived recovery and pain.
Conclusion
Trunk muscle thickness, function, perceive recovery and pain are similar between patients receiving McKenzie method or motor control exercises at a 1-year follow-up in a population of people with chronic LBP and a directional preference.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 442-445[article] A randomized clinical trial comparing the McKenzie method and motor control exercises in people with chronic low back pain and a directional preference: 1-year follow-up [Article] / Mark H. Halliday ; Angelos Pappas ; Mark J. Hancock . - 2019 . - p. 442-445.
https://doi.org/10.1016/j.physio.2018.12.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 442-445
Descripteurs : HE Vinci
Essai clinique ; Lombalgie ; Traitement par les exercices physiquesRésumé : Objective
The primary objective of this study was to compare the long-term (1-year follow-up) effects of the McKenzie method and motor control exercises on trunk muscle thickness in people with chronic low back pain (LBP) and a directional preference.
Design
Randomized controlled trial.
Setting
A secondary public health facility in Sydney, Australia.
Participants
Seventy adults with greater than 3-month history of LBP and a directional preference.
Interventions
Participants were randomized to receive 12 treatments of either the McKenzie method or motor control exercises over 8-weeks.
Outcome measures
Muscle thickness of the transversus abdominis, obliquus internus, and obliquus externus measured from ultrasound images. Secondary outcomes included function, perceived recovery, and pain. Outcomes were collected at baseline, post intervention at 8-weeks, and at 1-year follow-up by blinded assessors. The current paper focuses on the 1-year follow-up.
Results
Fifty-eight participants completed data collection for the primary outcome at 1-year. There were no significant between group differences for changes in trunk muscle thickness for any of the three investigated muscles: transversus abdominis [3%, 95% confidence interval (CI): −5%, 11%], obliquus internus [−4%, 95% CI: −9%, 2%] and obliquus externus [3%, 95% CI: −4%, 11%]. Similarly, there were no significant differences between groups for the secondary outcomes of function, perceived recovery and pain.
Conclusion
Trunk muscle thickness, function, perceive recovery and pain are similar between patients receiving McKenzie method or motor control exercises at a 1-year follow-up in a population of people with chronic LBP and a directional preference.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Juggling roles and generating solutions; practice-based educators’ perceptions of performance-based assessment of physiotherapy students Type de document : Article Auteurs : Annette O'Connor ; P. Cantillon ; M. Parker Année de publication : 2019 Article en page(s) : p. 446-452 Note générale : https://doi.org/10.1016/j.physio.2018.11.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Enseignement supérieur ; Formation professionnelle ; Kinésithérapie (spécialité) ; Modèle de compétence attendue ; ProfessionnalismeRésumé : Objectives
Physiotherapy lacks the significant body of evidence that underpins performance-based assessments in disciplines such as medicine and nursing. In particular, very few studies have examined stakeholder perspectives of the process. This study set out to explore the perceptions of clinicians who undertake student assessment in the workplace in order to inform further development of performance-based assessment in physiotherapy.
Design
A qualitative, descriptive design was employed where focus group interviews were utilised for data collection. Inductive thematic analysis was used to analyse the data.
Participants
Clinical educator and practice tutor volunteers affiliated with three Irish universities participated in one of seven focus groups (n = 46).
Results
Two themes were identified; 1) Tensions in the clinical learning environment, 2) An optimal PBA process. The first theme describes clinical educators’ struggle with juggling multiple roles and highlights the challenges of sustaining a balance between student mentoring and patient care. The second theme outlines factors perceived to contribute to an optimal performance-based assessment process; these include maintaining aspects of the current process and expanding the employment of dedicated educational roles in the workplace.
Conclusion
Our findings illustrate a complex working environment for clinicians involved in student supervision and assessment. A dedicated educational role was perceived to provide a more standardised and rigorous approach to performance-based assessment. These findings provide critical stakeholder-centred insights, which may inform development of this process by addressing critical aspects deemed to facilitate and challenge clinical educator’s roles as assessors.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 446-452[article] Juggling roles and generating solutions; practice-based educators’ perceptions of performance-based assessment of physiotherapy students [Article] / Annette O'Connor ; P. Cantillon ; M. Parker . - 2019 . - p. 446-452.
https://doi.org/10.1016/j.physio.2018.11.008
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 446-452
Descripteurs : HE Vinci
Enseignement supérieur ; Formation professionnelle ; Kinésithérapie (spécialité) ; Modèle de compétence attendue ; ProfessionnalismeRésumé : Objectives
Physiotherapy lacks the significant body of evidence that underpins performance-based assessments in disciplines such as medicine and nursing. In particular, very few studies have examined stakeholder perspectives of the process. This study set out to explore the perceptions of clinicians who undertake student assessment in the workplace in order to inform further development of performance-based assessment in physiotherapy.
Design
A qualitative, descriptive design was employed where focus group interviews were utilised for data collection. Inductive thematic analysis was used to analyse the data.
Participants
Clinical educator and practice tutor volunteers affiliated with three Irish universities participated in one of seven focus groups (n = 46).
Results
Two themes were identified; 1) Tensions in the clinical learning environment, 2) An optimal PBA process. The first theme describes clinical educators’ struggle with juggling multiple roles and highlights the challenges of sustaining a balance between student mentoring and patient care. The second theme outlines factors perceived to contribute to an optimal performance-based assessment process; these include maintaining aspects of the current process and expanding the employment of dedicated educational roles in the workplace.
Conclusion
Our findings illustrate a complex working environment for clinicians involved in student supervision and assessment. A dedicated educational role was perceived to provide a more standardised and rigorous approach to performance-based assessment. These findings provide critical stakeholder-centred insights, which may inform development of this process by addressing critical aspects deemed to facilitate and challenge clinical educator’s roles as assessors.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Associations between activity and participation in adults with multiple sclerosis: a cross sectional study Type de document : Article Auteurs : Jennifer M. Ryan ; Andrea M. Stennett ; Sarah Peacock Année de publication : 2019 Article en page(s) : p. 453-460 Note générale : https://doi.org/10.1016/j.physio.2018.11.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Activité motrice ; Marche à pied ; Mobilité réduite ; Participation des patients ; Sclérose en plaquesRésumé : Objectives
The aim of this study was to determine the association between walking ability in a clinical setting (activity capacity), walking ability in a person’s daily environment (activity capability) and walking performance in daily life (activity performance), and the contribution of each activity construct to participation among people with multiple sclerosis (MS).
Design
Cross-sectional study.
Setting
Five MS therapy centres in England.
Participants
Fifty-two adults (13 males) with MS who were independently ambulatory with or without a walking aid (mean (SD) age 55.4 (9.1) year).
Interventions
No intervention.
Main outcome measures
Activity capacity, capability, and performance were assessed using the Six Minute Walk Test (6MWT), Twelve Item MS Walking Scale (MSWS-12), and steps/day measured using a pedometer worn for 6 days, respectively. Participation was assessed using the Impact on Participation and Autonomy questionnaire (IPA).
Results
Distance walked on the 6MWT was associated with MSWS-12 score (β = −0.56, 95% CI −0.87 to −0.22) and steps/day (β = 129.49, 95% CI 48.48 to 207.57). MSWS-12 score was also associated with step count (β = −87.35, 95% CI −172.29 to −15.71). 6MWT distance was associated with the autonomy indoors subscale of the IPA (β = −0.02, 95% CI −0.04 to −0.01). No other activity measure was associated with participation.
Conclusions
Findings suggest that while activity capacity, capability and performance are related, activity is a poor predictor of participation. The strength of associations between constructs of activity, and activity and participation, however, are often small with wide confidence intervals, indicating that there is considerable uncertainty associated with effect estimates.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 453-460[article] Associations between activity and participation in adults with multiple sclerosis: a cross sectional study [Article] / Jennifer M. Ryan ; Andrea M. Stennett ; Sarah Peacock . - 2019 . - p. 453-460.
https://doi.org/10.1016/j.physio.2018.11.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 453-460
Descripteurs : HE Vinci
Activité motrice ; Marche à pied ; Mobilité réduite ; Participation des patients ; Sclérose en plaquesRésumé : Objectives
The aim of this study was to determine the association between walking ability in a clinical setting (activity capacity), walking ability in a person’s daily environment (activity capability) and walking performance in daily life (activity performance), and the contribution of each activity construct to participation among people with multiple sclerosis (MS).
Design
Cross-sectional study.
Setting
Five MS therapy centres in England.
Participants
Fifty-two adults (13 males) with MS who were independently ambulatory with or without a walking aid (mean (SD) age 55.4 (9.1) year).
Interventions
No intervention.
Main outcome measures
Activity capacity, capability, and performance were assessed using the Six Minute Walk Test (6MWT), Twelve Item MS Walking Scale (MSWS-12), and steps/day measured using a pedometer worn for 6 days, respectively. Participation was assessed using the Impact on Participation and Autonomy questionnaire (IPA).
Results
Distance walked on the 6MWT was associated with MSWS-12 score (β = −0.56, 95% CI −0.87 to −0.22) and steps/day (β = 129.49, 95% CI 48.48 to 207.57). MSWS-12 score was also associated with step count (β = −87.35, 95% CI −172.29 to −15.71). 6MWT distance was associated with the autonomy indoors subscale of the IPA (β = −0.02, 95% CI −0.04 to −0.01). No other activity measure was associated with participation.
Conclusions
Findings suggest that while activity capacity, capability and performance are related, activity is a poor predictor of participation. The strength of associations between constructs of activity, and activity and participation, however, are often small with wide confidence intervals, indicating that there is considerable uncertainty associated with effect estimates.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Physiotherapists’ use of suprascapular nerve blocks: an online survey Type de document : Article Auteurs : Emma Salt ; Danielle Van Der Windt ; Linda S. Chesterton Année de publication : 2019 Article en page(s) : p. 461-468 Note générale : https://doi.org/10.1016/j.physio.2019.01.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Appareil locomoteur ; Enquêtes de santé ; Kinésithérapie (spécialité) ; Scapula ; ScapulalgieRésumé : Background
There is some evidence to support the use of suprascapular nerve blocks (SSNBs) to manage shoulder pain. Although many patients with shoulder pain are referred to physiotherapy, there are no data describing whether physiotherapists currently use SSNBs for these patients.
Objective
To explore if physiotherapists who manage musculoskeletal shoulder pain are using SSNBs and identify, of those who responded to an online questionnaire, how commonplace this practice is in the United Kingdom (UK)
Design
An online, cross-sectional, questionnaire survey was developed for physiotherapists involved in the management of patients with shoulder pain.
Methods
A snowball sampling method was used to invite physiotherapists to complete the online survey, using email, research advertisements in a professional magazine and via social media. The questionnaire captured respondents’ demographic and professional practice characteristics, their knowledge and use of SSNBs and their views and experiences regarding SSNBs as a treatment for shoulder pain.
Results
In total, there were 529 responders to the survey. Of these, 492 were eligible and formed the sample for analyses. The majority of responders (290/474; 61%) were from the UK. Of these, the majority (259/282; 92%) were familiar with SSNBs as a method of treatment for shoulder pain, although few (9/149; 6%) reported regularly using SSNBs in their clinical practice. Only 8 of 287 responders from the UK (3%) reported delivering SSNBs to patients.
Conclusions
This survey provides preliminary evidence that the use and delivery of SSNBs by UK physiotherapists is uncommon. Future research is required to investigate the potential value of physiotherapists using this treatment option for their patients with shoulder pain.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 461-468[article] Physiotherapists’ use of suprascapular nerve blocks: an online survey [Article] / Emma Salt ; Danielle Van Der Windt ; Linda S. Chesterton . - 2019 . - p. 461-468.
https://doi.org/10.1016/j.physio.2019.01.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 461-468
Descripteurs : HE Vinci
Appareil locomoteur ; Enquêtes de santé ; Kinésithérapie (spécialité) ; Scapula ; ScapulalgieRésumé : Background
There is some evidence to support the use of suprascapular nerve blocks (SSNBs) to manage shoulder pain. Although many patients with shoulder pain are referred to physiotherapy, there are no data describing whether physiotherapists currently use SSNBs for these patients.
Objective
To explore if physiotherapists who manage musculoskeletal shoulder pain are using SSNBs and identify, of those who responded to an online questionnaire, how commonplace this practice is in the United Kingdom (UK)
Design
An online, cross-sectional, questionnaire survey was developed for physiotherapists involved in the management of patients with shoulder pain.
Methods
A snowball sampling method was used to invite physiotherapists to complete the online survey, using email, research advertisements in a professional magazine and via social media. The questionnaire captured respondents’ demographic and professional practice characteristics, their knowledge and use of SSNBs and their views and experiences regarding SSNBs as a treatment for shoulder pain.
Results
In total, there were 529 responders to the survey. Of these, 492 were eligible and formed the sample for analyses. The majority of responders (290/474; 61%) were from the UK. Of these, the majority (259/282; 92%) were familiar with SSNBs as a method of treatment for shoulder pain, although few (9/149; 6%) reported regularly using SSNBs in their clinical practice. Only 8 of 287 responders from the UK (3%) reported delivering SSNBs to patients.
Conclusions
This survey provides preliminary evidence that the use and delivery of SSNBs by UK physiotherapists is uncommon. Future research is required to investigate the potential value of physiotherapists using this treatment option for their patients with shoulder pain.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : A single-blind, randomized controlled trial to evaluate the effectiveness of transcutaneous tibial nerve stimulation (TTNS) in Overactive Bladder symptoms in women responders to percutaneous tibial nerve stimulation (PTNS) Type de document : Article Auteurs : Miguel Martin-Garcia ; Jennifer Crampton Année de publication : 2019 Article en page(s) : p. 469-475 Note générale : https://doi.org/10.1016/j.physio.2018.12.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai contrôlé randomisé ; Neurostimulation électrique transcutanée (TENS) ; Vessie hyperactiveRésumé : Objectives
To evaluate the effectiveness of transcutaneous tibial nerve stimulation (TTNS) compared to percutaneous tibial nerve stimulation (PTNS) in sustaining symptom improvement over a 6-month period in women with idiopathic Overactive Bladder (OAB) who had responded to an initial 12-week course of PTNS.
Design
Randomized, active-controlled trial.
Participants
Twenty-four women diagnosed with idiopathic OAB successfully treated with PTNS were included in this study.
Interventions
Twelve subjects were allocated to receive monthly sessions of PTNS for six months, and twelve subjects followed a flexible home-based TTNS regime after instruction on the use of a TENS device for the same follow-up time.
Outcomes
Participants were assessed at six weeks, three months and six months after completing the initial course of PTNS. Primary outcomes were changes from baseline in urinary frequency, number of episodes of urgency and number of episodes of urge urinary incontinence (UUI). Subjectively reported severity of symptoms and quality of life (QoL) were assessed using the validated OAB questionnaire (OAB-q).
Results
Urinary frequency, episodes of urinary urgency and episodes of UUI did not change significantly between baseline and six months in either group. Similarly, OAB-q scores for severity of symptoms and QoL were maintained within both arms for the duration of the study. There were no statistically significant differences between the groups in any of the outcome measures at any of the study points.
Conclusion
TTNS is effective in the maintenance of symptom improvement in women with OAB who had positively responded to a course of 12 weekly PTNS sessions.
The trial was registered in the Clinicaltrials.gov PRS database (Identifier: NCT02377765).Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 469-475[article] A single-blind, randomized controlled trial to evaluate the effectiveness of transcutaneous tibial nerve stimulation (TTNS) in Overactive Bladder symptoms in women responders to percutaneous tibial nerve stimulation (PTNS) [Article] / Miguel Martin-Garcia ; Jennifer Crampton . - 2019 . - p. 469-475.
https://doi.org/10.1016/j.physio.2018.12.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 469-475
Descripteurs : HE Vinci
Essai contrôlé randomisé ; Neurostimulation électrique transcutanée (TENS) ; Vessie hyperactiveRésumé : Objectives
To evaluate the effectiveness of transcutaneous tibial nerve stimulation (TTNS) compared to percutaneous tibial nerve stimulation (PTNS) in sustaining symptom improvement over a 6-month period in women with idiopathic Overactive Bladder (OAB) who had responded to an initial 12-week course of PTNS.
Design
Randomized, active-controlled trial.
Participants
Twenty-four women diagnosed with idiopathic OAB successfully treated with PTNS were included in this study.
Interventions
Twelve subjects were allocated to receive monthly sessions of PTNS for six months, and twelve subjects followed a flexible home-based TTNS regime after instruction on the use of a TENS device for the same follow-up time.
Outcomes
Participants were assessed at six weeks, three months and six months after completing the initial course of PTNS. Primary outcomes were changes from baseline in urinary frequency, number of episodes of urgency and number of episodes of urge urinary incontinence (UUI). Subjectively reported severity of symptoms and quality of life (QoL) were assessed using the validated OAB questionnaire (OAB-q).
Results
Urinary frequency, episodes of urinary urgency and episodes of UUI did not change significantly between baseline and six months in either group. Similarly, OAB-q scores for severity of symptoms and QoL were maintained within both arms for the duration of the study. There were no statistically significant differences between the groups in any of the outcome measures at any of the study points.
Conclusion
TTNS is effective in the maintenance of symptom improvement in women with OAB who had positively responded to a course of 12 weekly PTNS sessions.
The trial was registered in the Clinicaltrials.gov PRS database (Identifier: NCT02377765).Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Relationship between models of care and key rehabilitation milestones following unilateral transtibial amputation: a national cross-sectional study Type de document : Article Auteurs : J. Hebenton ; H Scott ; F. Davie-Smith Année de publication : 2019 Article en page(s) : p. 476-482 Note générale : https://doi.org/10.1016/j.physio.2018.11.307 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation chirurgicale ; Conception de prothèse ; Prothèses et implants ; Réadaptation ; TibiaRésumé : Objectives
To identify different models of care (MOC) post transtibial amputation (TTA) and relate these to achievement of rehabilitation milestones.
Design
Retrospective analysis of rehabilitation milestone data and a survey of MOC in 10 vascular centres.
Setting
NHS Scotland vascular centres.
Participants
All unilateral TTA between January 2011 and December 2014 (n = 643).
Main outcome measures
Time (in days) to achieve the following rehabilitation milestones: compression therapy, early walking aid, casting for a prosthetic limb, prosthetic delivery, inpatient discharge and final discharge from rehabilitation. MOC were scored according to seven key aspects of service provision.
Results
The mean age of the cohort was 67 [standard deviation (SD) 13] years, 76% were male and 63% had peripheral arterial disease and diabetes. The median number of days to achieve rehabilitation milestones varied between centres {compression therapy six [interquartile range (IQR) 0–12], early walking aid 14 (IQR 10–27), prosthetic casting 39 (IQR 27–71), prosthetic delivery 53 (IQR 36–87), inpatient discharge 53 (IQR 29–85) and final discharge from rehabilitation 141 (IQR 92–209)}. Only two centres included all seven key aspects of service provision within their MOC. Vascular centres that achieved the optimal MOC achieved the rehabilitation milestones more quickly than other vascular centres.
Conclusions
A positive association was found between optimal MOC and early achievement of rehabilitation milestones post TTA. Key aspects of service provision associated with a quicker time to achieve rehabilitation milestones included: use of a postoperative rigid dressing, specialist physiotherapy input in the early postoperative period, daily inpatient gym sessions and inpatient prosthetic provision. To the authors’ knowledge, this is the first study to document MOC following TTA and to relate these to the achievement of rehabilitation milestones.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 476-482[article] Relationship between models of care and key rehabilitation milestones following unilateral transtibial amputation: a national cross-sectional study [Article] / J. Hebenton ; H Scott ; F. Davie-Smith . - 2019 . - p. 476-482.
https://doi.org/10.1016/j.physio.2018.11.307
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 476-482
Descripteurs : HE Vinci
Amputation chirurgicale ; Conception de prothèse ; Prothèses et implants ; Réadaptation ; TibiaRésumé : Objectives
To identify different models of care (MOC) post transtibial amputation (TTA) and relate these to achievement of rehabilitation milestones.
Design
Retrospective analysis of rehabilitation milestone data and a survey of MOC in 10 vascular centres.
Setting
NHS Scotland vascular centres.
Participants
All unilateral TTA between January 2011 and December 2014 (n = 643).
Main outcome measures
Time (in days) to achieve the following rehabilitation milestones: compression therapy, early walking aid, casting for a prosthetic limb, prosthetic delivery, inpatient discharge and final discharge from rehabilitation. MOC were scored according to seven key aspects of service provision.
Results
The mean age of the cohort was 67 [standard deviation (SD) 13] years, 76% were male and 63% had peripheral arterial disease and diabetes. The median number of days to achieve rehabilitation milestones varied between centres {compression therapy six [interquartile range (IQR) 0–12], early walking aid 14 (IQR 10–27), prosthetic casting 39 (IQR 27–71), prosthetic delivery 53 (IQR 36–87), inpatient discharge 53 (IQR 29–85) and final discharge from rehabilitation 141 (IQR 92–209)}. Only two centres included all seven key aspects of service provision within their MOC. Vascular centres that achieved the optimal MOC achieved the rehabilitation milestones more quickly than other vascular centres.
Conclusions
A positive association was found between optimal MOC and early achievement of rehabilitation milestones post TTA. Key aspects of service provision associated with a quicker time to achieve rehabilitation milestones included: use of a postoperative rigid dressing, specialist physiotherapy input in the early postoperative period, daily inpatient gym sessions and inpatient prosthetic provision. To the authors’ knowledge, this is the first study to document MOC following TTA and to relate these to the achievement of rehabilitation milestones.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Development and proof of concept of a blended physiotherapeutic intervention for patients with non-specific low back pain Type de document : Article Auteurs : C.J.J. Kloek ; M.L. van Tilburg ; J.B. Staal Année de publication : 2019 Article en page(s) : p. 483-491 Note générale : https://doi.org/10.1016/j.physio.2018.12.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Lombalgie ; TélémédecineRésumé : Objective
To develop a blended physiotherapeutic intervention for patients with non-specific low back pain (e-Exercise LBP) and evaluate its proof of concept.
Design
Focus groups with patients, physiotherapists, and eHealth and LBP experts were conducted to investigate values according to the development of e-Exercise LBP. Proof of concept was evaluated in a multicentre study.
Setting
Dutch primary care physiotherapy practices (n = 21 therapists).
Participants
Adults with non-specific LBP (n = 41).
Intervention
e-Exercise LBP was developed based on clinical LBP guidelines and the focus groups, using the Center for eHealth Research Roadmap. Face-to-face physiotherapy sessions were integrated with a web application consisting of 12 information lessons, video-supported exercises and a physical activity module with the option to gradually increase individuals’ level of physical activity. The intervention could be tailored to patients’ risk of persistent disabling LBP, according to the STarT Back Screening Tool.
Main outcome measures
Functional disability, pain, physical activity, sedentary behaviour and fear-avoidance beliefs, measured at baseline and 12 weeks.
Results
After 12 weeks, improvements were found in functional disability [Quebec Back Pain Disability Scale: mean difference (MD) −12.2/100; 95% confidence interval (CI) 8.3 to 16.1], pain (Numeric Pain Rating Scale: MD −2.8/10; 95% CI 2.1 to 3.6), subjective physical activity (Short Questionnaire to Assess Health Enhancing Physical Activity: MD 11.5 minutes/day; 95% CI −47.8 to 24.8) and objective sedentary behaviour (ActiGraph: MD −23.0 minutes/day; 95% CI −8.9 to 55.0). Small improvements were found in objective physical activity and fear-avoidance beliefs. The option to gradually increase physical activity was activated for six patients (15%). On average, patients received seven face-to-face sessions alongside the web application.
Conclusions
The results of this study provide the first indication of the effectiveness of e-Exercise LBP, particularly for disability and pain among patients with LBP. Future studies will focus on end-user experiences and (cost-) effectiveness.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 483-491[article] Development and proof of concept of a blended physiotherapeutic intervention for patients with non-specific low back pain [Article] / C.J.J. Kloek ; M.L. van Tilburg ; J.B. Staal . - 2019 . - p. 483-491.
https://doi.org/10.1016/j.physio.2018.12.006
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 483-491
Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Lombalgie ; TélémédecineRésumé : Objective
To develop a blended physiotherapeutic intervention for patients with non-specific low back pain (e-Exercise LBP) and evaluate its proof of concept.
Design
Focus groups with patients, physiotherapists, and eHealth and LBP experts were conducted to investigate values according to the development of e-Exercise LBP. Proof of concept was evaluated in a multicentre study.
Setting
Dutch primary care physiotherapy practices (n = 21 therapists).
Participants
Adults with non-specific LBP (n = 41).
Intervention
e-Exercise LBP was developed based on clinical LBP guidelines and the focus groups, using the Center for eHealth Research Roadmap. Face-to-face physiotherapy sessions were integrated with a web application consisting of 12 information lessons, video-supported exercises and a physical activity module with the option to gradually increase individuals’ level of physical activity. The intervention could be tailored to patients’ risk of persistent disabling LBP, according to the STarT Back Screening Tool.
Main outcome measures
Functional disability, pain, physical activity, sedentary behaviour and fear-avoidance beliefs, measured at baseline and 12 weeks.
Results
After 12 weeks, improvements were found in functional disability [Quebec Back Pain Disability Scale: mean difference (MD) −12.2/100; 95% confidence interval (CI) 8.3 to 16.1], pain (Numeric Pain Rating Scale: MD −2.8/10; 95% CI 2.1 to 3.6), subjective physical activity (Short Questionnaire to Assess Health Enhancing Physical Activity: MD 11.5 minutes/day; 95% CI −47.8 to 24.8) and objective sedentary behaviour (ActiGraph: MD −23.0 minutes/day; 95% CI −8.9 to 55.0). Small improvements were found in objective physical activity and fear-avoidance beliefs. The option to gradually increase physical activity was activated for six patients (15%). On average, patients received seven face-to-face sessions alongside the web application.
Conclusions
The results of this study provide the first indication of the effectiveness of e-Exercise LBP, particularly for disability and pain among patients with LBP. Future studies will focus on end-user experiences and (cost-) effectiveness.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Participating in an exercise group after anterior cruciate ligament reconstruction (ACLR) is perceived to influence psychosocial factors and successful recovery: a focus group qualitative study Type de document : Article Auteurs : Fanny Poget ; Tiffany Blackburn ; Fanny Descloux Année de publication : 2019 Article en page(s) : p. 492-500 Note générale : https://doi.org/10.1016/j.physio.2018.12.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Réadaptation ; Recherche qualitative ; Reconstruction du ligament croisé antérieur ; Techniques de physiothérapie ; Traitement par les exercices physiquesRésumé : Objectives
To explore the patients’ experiences of participating in an exercise group following anterior cruciate ligament reconstruction (ACLR).
Design
Hermaneutic phenomenological qualitative study of two focus groups.
Setting
Outpatient care, private rehabilitation centre.
Participants
Nine adults who had participated in an exercise group led by a physiotherapist following ACLR.
Results
Three major themes emerged from the data: psychosocial factors, physical outcomes and identity of the exercise group. The most significant perception of engaging in an exercise group following ACLR was its influence on psychosocial factors, especially motivation, self-confidence and social support. The group influenced the participants’ motivation, enjoyment and commitment to exercise during their rehabilitation. Social support, self-confidence and reassurance were mostly gained. The participants taking part in sport experienced the ACLR group as a substitute for sport trainings. The group was perceived to help enhance speed of recovery and facilitate the return to normal life, especially for participants with lower reported motivation and adherence to home-exercises. The authors interpreted that the subjective physical outcomes’ improvements described by all the participants was potentially an increased level of self-efficacy.
The challenging role of the physiotherapist was highlighted as well as the promotion of shared accountability between patients and the group’s leader. The exercise group’s identity was questioned within the rehabilitation process, and the need for more knowledge of its existence in order to promote exercise group therapy was suggested.
Conclusion
Participating in an exercise group therapy influences psychosocial factors such as motivation, self-confidence, social support, potentially self-efficacy and helps enhance a faster successful recovery following ACLR. Our findings indicate that participants with a lower reported adherence to home-exercises may especially benefit from it.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 492-500[article] Participating in an exercise group after anterior cruciate ligament reconstruction (ACLR) is perceived to influence psychosocial factors and successful recovery: a focus group qualitative study [Article] / Fanny Poget ; Tiffany Blackburn ; Fanny Descloux . - 2019 . - p. 492-500.
https://doi.org/10.1016/j.physio.2018.12.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 4 (2019) . - p. 492-500
Descripteurs : HE Vinci
Réadaptation ; Recherche qualitative ; Reconstruction du ligament croisé antérieur ; Techniques de physiothérapie ; Traitement par les exercices physiquesRésumé : Objectives
To explore the patients’ experiences of participating in an exercise group following anterior cruciate ligament reconstruction (ACLR).
Design
Hermaneutic phenomenological qualitative study of two focus groups.
Setting
Outpatient care, private rehabilitation centre.
Participants
Nine adults who had participated in an exercise group led by a physiotherapist following ACLR.
Results
Three major themes emerged from the data: psychosocial factors, physical outcomes and identity of the exercise group. The most significant perception of engaging in an exercise group following ACLR was its influence on psychosocial factors, especially motivation, self-confidence and social support. The group influenced the participants’ motivation, enjoyment and commitment to exercise during their rehabilitation. Social support, self-confidence and reassurance were mostly gained. The participants taking part in sport experienced the ACLR group as a substitute for sport trainings. The group was perceived to help enhance speed of recovery and facilitate the return to normal life, especially for participants with lower reported motivation and adherence to home-exercises. The authors interpreted that the subjective physical outcomes’ improvements described by all the participants was potentially an increased level of self-efficacy.
The challenging role of the physiotherapist was highlighted as well as the promotion of shared accountability between patients and the group’s leader. The exercise group’s identity was questioned within the rehabilitation process, and the need for more knowledge of its existence in order to promote exercise group therapy was suggested.
Conclusion
Participating in an exercise group therapy influences psychosocial factors such as motivation, self-confidence, social support, potentially self-efficacy and helps enhance a faster successful recovery following ACLR. Our findings indicate that participants with a lower reported adherence to home-exercises may especially benefit from it.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Paru le : 01/09/2019
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Titre : A smartphone oximeter with a fingertip probe for use during exercise training: usability, validity and reliability in individuals with chronic lung disease and healthy controls Type de document : Article Auteurs : C. Chan ; J.A. Inskip ; A.R. Kirkham Année de publication : 2019 Article en page(s) : p. 297-306 Note générale : https://doi.org/10.1016/j.physio.2018.07.015 Langues : Anglais (eng) Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; Consommation d'oxygène ; Oxygene ; Réadaptation ; TéléréadaptationRésumé : Background and aim
Telehealth is a strategy to expand the reach of pulmonary rehabilitation (PR). Smartphones can monitor and transmit oxygen saturation (SpO2) and heart rate (HR) data to ensure patient safety during home-based or other exercise. The purpose of this study was to evaluate the usability, validity and reliability of a Kenek O2 pulse oximeter and custom prototype smartphone application (smartphone oximeter) during rest and exercise in healthy participants and those with chronic lung disease.
Methods
Fifteen individuals with chronic lung disease and 15 healthy controls were recruited. SpO2 and HR were evaluated at rest and during cycling and walking. SpO2 was valid if the mean bias was within +± 2%, the level of agreement (LoA) was within ± 4%; HR was valid if the mean bias was within ± 5 beats per min (bpm), LoA was within ± 10 bpm. Usability was assessed with a questionnaire and direct observation.
Results
The smartphone oximeter was deemed easy to use. At rest, SpO2 measures were valid in both groups (bias 10 bpm) in either group.
Conclusions
The smartphone oximeter did not record HR or SpO2 accurately in patients with chronic lung disease during exercise, although SpO2 was valid at rest. During exercise, patients with chronic lung disease should pause to ensure greatest accuracy of SpO2 and HR measurement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 297-306[article] A smartphone oximeter with a fingertip probe for use during exercise training: usability, validity and reliability in individuals with chronic lung disease and healthy controls [Article] / C. Chan ; J.A. Inskip ; A.R. Kirkham . - 2019 . - p. 297-306.
https://doi.org/10.1016/j.physio.2018.07.015
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 297-306
Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; Consommation d'oxygène ; Oxygene ; Réadaptation ; TéléréadaptationRésumé : Background and aim
Telehealth is a strategy to expand the reach of pulmonary rehabilitation (PR). Smartphones can monitor and transmit oxygen saturation (SpO2) and heart rate (HR) data to ensure patient safety during home-based or other exercise. The purpose of this study was to evaluate the usability, validity and reliability of a Kenek O2 pulse oximeter and custom prototype smartphone application (smartphone oximeter) during rest and exercise in healthy participants and those with chronic lung disease.
Methods
Fifteen individuals with chronic lung disease and 15 healthy controls were recruited. SpO2 and HR were evaluated at rest and during cycling and walking. SpO2 was valid if the mean bias was within +± 2%, the level of agreement (LoA) was within ± 4%; HR was valid if the mean bias was within ± 5 beats per min (bpm), LoA was within ± 10 bpm. Usability was assessed with a questionnaire and direct observation.
Results
The smartphone oximeter was deemed easy to use. At rest, SpO2 measures were valid in both groups (bias 10 bpm) in either group.
Conclusions
The smartphone oximeter did not record HR or SpO2 accurately in patients with chronic lung disease during exercise, although SpO2 was valid at rest. During exercise, patients with chronic lung disease should pause to ensure greatest accuracy of SpO2 and HR measurement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : A survey of current management of Benign Paroxysmal Positional Vertigo (BPPV) by physiotherapists’ interested in vestibular rehabilitation in the UK Type de document : Article Auteurs : A.J. Male ; G.M. Ramdharry ; R. Grant Année de publication : 2019 Article en page(s) : p. 307-314 Note générale : https://doi.org/10.1016/j.physio.2018.08.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation des résultats des patients ; Kinésithérapie (spécialité) ; Pratique factuelle ; Thérapeutique ; Vertige ; Vertige positionnel paroxystique benin (VPPB) (BPPV)Résumé : Objectives
Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of dizziness. Extensive research has identified the best assessment and treatment manoeuvres for each subtype of BPPV. Education in vestibular rehabilitation (VR) is inconsistent. It is unclear if the evidence has been adopted by UK physiotherapists in clinical practice and no research has investigated this specifically.
Design
An online survey with closed- and open-text answers.
Participants
A purposive sample of physiotherapists interested in VR. A response rate of 67% (100/150) was obtained, from which 20 responses were excluded.
Results
Participants had good evidence-based awareness in assessment (79/80, 99%) and treatment (72/80, 90%) of posterior BPPV. Horizontal BPPV assessment awareness was lower than treatment (37/80, 46% vs 60/80, 75%). Differential diagnosis was poor in subjective (20/80, 25%) and objective stages of assessment (34/80, 43%). Thirty six percent (29/80) were able to list ≥3 test precautions with all three nystagmus characteristics described by 29% (23/80). Eighty one percent (65/80) encourage activity restrictions post-treatment. Only 28% (22/80) were aware of practice guidelines or Cochrane reviews in BPPV.
External courses were rated the top method for learning how to manage BPPV. Lack of peer support (26/77, 34%) was the main challenge faced whilst learning. Recommendations for improving BPPV education included more external courses (23/87, 26%) and competency guidelines (13/87, 15%).
Conclusions
Good awareness of research evidence was observed in some aspects of BPPV management but many areas require development. Translation and implementation of evidence remains poor and suggests changes in education and knowledge dissemination are warranted.
Previous article in issueDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 307-314[article] A survey of current management of Benign Paroxysmal Positional Vertigo (BPPV) by physiotherapists’ interested in vestibular rehabilitation in the UK [Article] / A.J. Male ; G.M. Ramdharry ; R. Grant . - 2019 . - p. 307-314.
https://doi.org/10.1016/j.physio.2018.08.007
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 307-314
Descripteurs : HE Vinci
Évaluation des résultats des patients ; Kinésithérapie (spécialité) ; Pratique factuelle ; Thérapeutique ; Vertige ; Vertige positionnel paroxystique benin (VPPB) (BPPV)Résumé : Objectives
Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of dizziness. Extensive research has identified the best assessment and treatment manoeuvres for each subtype of BPPV. Education in vestibular rehabilitation (VR) is inconsistent. It is unclear if the evidence has been adopted by UK physiotherapists in clinical practice and no research has investigated this specifically.
Design
An online survey with closed- and open-text answers.
Participants
A purposive sample of physiotherapists interested in VR. A response rate of 67% (100/150) was obtained, from which 20 responses were excluded.
Results
Participants had good evidence-based awareness in assessment (79/80, 99%) and treatment (72/80, 90%) of posterior BPPV. Horizontal BPPV assessment awareness was lower than treatment (37/80, 46% vs 60/80, 75%). Differential diagnosis was poor in subjective (20/80, 25%) and objective stages of assessment (34/80, 43%). Thirty six percent (29/80) were able to list ≥3 test precautions with all three nystagmus characteristics described by 29% (23/80). Eighty one percent (65/80) encourage activity restrictions post-treatment. Only 28% (22/80) were aware of practice guidelines or Cochrane reviews in BPPV.
External courses were rated the top method for learning how to manage BPPV. Lack of peer support (26/77, 34%) was the main challenge faced whilst learning. Recommendations for improving BPPV education included more external courses (23/87, 26%) and competency guidelines (13/87, 15%).
Conclusions
Good awareness of research evidence was observed in some aspects of BPPV management but many areas require development. Translation and implementation of evidence remains poor and suggests changes in education and knowledge dissemination are warranted.
Previous article in issueDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Effect of pelvic floor and transversus abdominis muscle contraction on inter-rectus distance in postpartum women: a cross-sectional experimental study Type de document : Article Auteurs : N.-M. Theodorsen ; L.I. Strand ; K. Bo Année de publication : 2019 Article en page(s) : p. 315-320 Note générale : https://doi.org/10.1016/j.physio.2018.08.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Diastasis de la symphyse pubienne ; Diastasis musculaire ; Échographie ; Muscles abdominauxRésumé : Objectives
To investigate the effect of acute isometric contraction of the pelvic floor muscles (PFM) and transversus abdominis muscle (TrAM) on inter-rectus distance (IRD) from resting values in postpartum women with diastasis rectus abdominis (DRA).
Design
Cross sectional experimental study.
Setting
Physiotherapy clinic.
Participants
Thirty eight postpartum women presenting with DRA of at least two finger widths.
Methods
Two dimensional ultrasound images of IRD were recorded using a linear probe (5 to 10 MHz) at rest, during PFM contraction, during TrAM contraction, and during combined PFM and TrAM contraction. IRD data were normally distributed.
Main outcome measure
Change in IRD.
Results
There was a significant increase in IRD during PFM and TrAM contraction compared with IRD at rest. At 2 cm above the umbilicus, mean PFM was 26.9 [standard deviation (SD) 8.8] mm vs rest 25.7 (SD 8.5) mm {mean difference 1.2 [95% confidence interval (CI) 0.7 to 1.7] mm}; and mean TrAM was 28.4 (SD 9.0) mm vs rest 25.7 (SD 8.5) mm [mean difference 2.8 (95% CI 1.9 to 3.6) mm]. Similarly, 2 cm below the umbilicus, mean PFM was 22 (SD 8.3) mm vs rest 21 (SD 7.9) mm [mean difference 0.9 (95% CI 0.4 to 1.6) mm]; and mean TrAM was 23.3 (SD 8.7) mm vs rest 21 (SD 7.9) mm [mean difference 2.3 (95% CI 1.5 to 3.1) mm]. Combined TrAM and PFM contraction measured 2 cm above the umbilicus caused the greatest increase in IRD: mean PFM + TrAM 29.6 (SD 9.4) mm vs rest 25.7 (SD 8.5) mm [mean difference 3.9 (95% CI 2.8 to 5.0) mm].
Conclusion
Both PFM and TrAM contraction, and combined PFM and TrAM contraction increased IRD in postpartum women with DRA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 315-320[article] Effect of pelvic floor and transversus abdominis muscle contraction on inter-rectus distance in postpartum women: a cross-sectional experimental study [Article] / N.-M. Theodorsen ; L.I. Strand ; K. Bo . - 2019 . - p. 315-320.
https://doi.org/10.1016/j.physio.2018.08.009
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 315-320
Descripteurs : HE Vinci
Diastasis de la symphyse pubienne ; Diastasis musculaire ; Échographie ; Muscles abdominauxRésumé : Objectives
To investigate the effect of acute isometric contraction of the pelvic floor muscles (PFM) and transversus abdominis muscle (TrAM) on inter-rectus distance (IRD) from resting values in postpartum women with diastasis rectus abdominis (DRA).
Design
Cross sectional experimental study.
Setting
Physiotherapy clinic.
Participants
Thirty eight postpartum women presenting with DRA of at least two finger widths.
Methods
Two dimensional ultrasound images of IRD were recorded using a linear probe (5 to 10 MHz) at rest, during PFM contraction, during TrAM contraction, and during combined PFM and TrAM contraction. IRD data were normally distributed.
Main outcome measure
Change in IRD.
Results
There was a significant increase in IRD during PFM and TrAM contraction compared with IRD at rest. At 2 cm above the umbilicus, mean PFM was 26.9 [standard deviation (SD) 8.8] mm vs rest 25.7 (SD 8.5) mm {mean difference 1.2 [95% confidence interval (CI) 0.7 to 1.7] mm}; and mean TrAM was 28.4 (SD 9.0) mm vs rest 25.7 (SD 8.5) mm [mean difference 2.8 (95% CI 1.9 to 3.6) mm]. Similarly, 2 cm below the umbilicus, mean PFM was 22 (SD 8.3) mm vs rest 21 (SD 7.9) mm [mean difference 0.9 (95% CI 0.4 to 1.6) mm]; and mean TrAM was 23.3 (SD 8.7) mm vs rest 21 (SD 7.9) mm [mean difference 2.3 (95% CI 1.5 to 3.1) mm]. Combined TrAM and PFM contraction measured 2 cm above the umbilicus caused the greatest increase in IRD: mean PFM + TrAM 29.6 (SD 9.4) mm vs rest 25.7 (SD 8.5) mm [mean difference 3.9 (95% CI 2.8 to 5.0) mm].
Conclusion
Both PFM and TrAM contraction, and combined PFM and TrAM contraction increased IRD in postpartum women with DRA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Decline in functional status after intensive care unit discharge is associated with ICU readmission: a prospective cohort study Type de document : Article Auteurs : Leda Tomiko Yamada da Silveira ; Janete Maria da Silva ; Clarice Tanaka Année de publication : 2019 Article en page(s) : p. 321-327 Note générale : https://doi.org/10.1016/j.physio.2018.07.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Réadaptation ; Réadmission du patient ; Soins de réanimation ; Techniques de physiothérapieRésumé : Objectives
To compare the functional status at intensive care unit (ICU) discharge of patients who were later readmitted to the ICU and patients discharged home and to verify whether a decline in functional status is associated with ICU readmission.
Design
Prospective cohort study.
Setting
ICU at a tertiary teaching hospital.
Participants
Patients admitted to the ICU, ≥18 years old, submitted to invasive mechanical ventilation (IMV), and discharged to the ward.
Interventions
Functional assessment at ICU discharge. Discharge Group (DG) (patients discharged home) and Readmission Group (RG) (patients who returned to the ICU) were compared with Mann–Whitney and Chi-square or Exact Fisher tests. Multiple logistic regression verified association.
Main outcome measures
Barthel Index, key pinch strength, clinical and demographic data.
Results
Patients in the readmission group presented lower Barthel Index [Median 40 (IQR 20–75) vs 60 (33–83), P = 0.033], greater relative variation (pre and post ICU) of the Barthel Index (P = 0.04), lower key pinch strength [3.4 (1.8–4.5) vs 4.5 (2.7–6.8) kg·f, P = 0.006] and higher APACHE II [18 (12–22) vs 15 (11–20), P = 0.027]. Multiple regression found that the relative variation of the Barthel Index was independently associated with ICU readmission (P Conclusion
Readmitted patients presented poorer functional status and lower pinch strength. Relative variation of the Barthel Index was associated with ICU readmission despite other factors, as was higher APACHE II, shorter IMV duration and admission without clear diagnosis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 321-327[article] Decline in functional status after intensive care unit discharge is associated with ICU readmission: a prospective cohort study [Article] / Leda Tomiko Yamada da Silveira ; Janete Maria da Silva ; Clarice Tanaka . - 2019 . - p. 321-327.
https://doi.org/10.1016/j.physio.2018.07.010
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 321-327
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Réadaptation ; Réadmission du patient ; Soins de réanimation ; Techniques de physiothérapieRésumé : Objectives
To compare the functional status at intensive care unit (ICU) discharge of patients who were later readmitted to the ICU and patients discharged home and to verify whether a decline in functional status is associated with ICU readmission.
Design
Prospective cohort study.
Setting
ICU at a tertiary teaching hospital.
Participants
Patients admitted to the ICU, ≥18 years old, submitted to invasive mechanical ventilation (IMV), and discharged to the ward.
Interventions
Functional assessment at ICU discharge. Discharge Group (DG) (patients discharged home) and Readmission Group (RG) (patients who returned to the ICU) were compared with Mann–Whitney and Chi-square or Exact Fisher tests. Multiple logistic regression verified association.
Main outcome measures
Barthel Index, key pinch strength, clinical and demographic data.
Results
Patients in the readmission group presented lower Barthel Index [Median 40 (IQR 20–75) vs 60 (33–83), P = 0.033], greater relative variation (pre and post ICU) of the Barthel Index (P = 0.04), lower key pinch strength [3.4 (1.8–4.5) vs 4.5 (2.7–6.8) kg·f, P = 0.006] and higher APACHE II [18 (12–22) vs 15 (11–20), P = 0.027]. Multiple regression found that the relative variation of the Barthel Index was independently associated with ICU readmission (P Conclusion
Readmitted patients presented poorer functional status and lower pinch strength. Relative variation of the Barthel Index was associated with ICU readmission despite other factors, as was higher APACHE II, shorter IMV duration and admission without clear diagnosis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : A mixed methods exploration of physiotherapist’s approaches to analgesic use among patients with hip osteoarthritis Type de document : Article Auteurs : M.A. Holden ; R. Whittle ; J. Waterfield Année de publication : 2019 Article en page(s) : p. 328-337 Note générale : https://doi.org/10.1016/j.physio.2018.08.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Analgésiques ; Coxarthrose ; Kinésithérapie (spécialité) ; Médicaments sur ordonnanceDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 328-337[article] A mixed methods exploration of physiotherapist’s approaches to analgesic use among patients with hip osteoarthritis [Article] / M.A. Holden ; R. Whittle ; J. Waterfield . - 2019 . - p. 328-337.
https://doi.org/10.1016/j.physio.2018.08.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 328-337
Descripteurs : HE Vinci
Analgésiques ; Coxarthrose ; Kinésithérapie (spécialité) ; Médicaments sur ordonnanceDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Effect of 4 weeks of whole-body vibration training in treating stress urinary incontinence after prostate cancer surgery: a randomised controlled trial Type de document : Article Auteurs : Sayed A. Tantawy ; Hany M.I. Elgohary ; Walid K. Abdelbasset Année de publication : 2019 Article en page(s) : p. 338-345 Note générale : https://doi.org/10.1016/j.physio.2018.07.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Incontinence urinaire ; Plancher pelvien ; Qualité de vie ; Réadaptation ; Traitement par les exercices physiques ; Tumeurs de la prostate ; VibrationRésumé : Background
Stress urinary incontinence is common in men after prostate cancer surgery. Rehabilitative interventions incorporate pelvic floor muscle training, biofeedback, electrical stimulation, lifestyle changes, or a combination of these strategies. However, little is known about the physiological impact of whole-body vibration for stress urinary incontinence after radical prostatectomy.
Objective
To investigate the effect of whole-body vibration training on stress urinary incontinence after prostate cancer surgery.
Design
Randomised controlled trial.
Setting
Tertiary university hospitals.
Participants
Sixty-one patients with mild stress urinary incontinence after radical prostatectomy.
Intervention
Group 1 included 30 patients who performed pelvic floor muscle training and whole-body vibration training with a frequency and amplitude of 20 Hz/2 mm for the first two sessions and 40 Hz/4 mm for the rest of the intervention. Group 2 included 31 patients who performed pelvic floor muscle training alone. The intervention in both groups was conducted three times per week for 4 weeks.
Main outcomes
Incontinence Visual Analogue Scale (I-VAS) score, International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) score and 24-hour pad test result.
Results
I-VAS score, ICIQ-UI-SF score and 24-hour pad test result showed significant within-group differences at each assessment with the exception of the baseline and post-intervention I-VAS score in Group 2. For example, Group 1 I-VAS score had a median difference of 3.9 cm [95% confidence interval (CI) −4.0 to −3.8] from baseline to first follow-up, and a median difference of −2.0 cm (95% CI −2.2 to −1.8) at 4-week follow-up. Comparisons between the groups demonstrated significant differences in favour of Group 1 after 4 weeks of intervention and at follow-up for all measured parameters.
Conclusion
Whole-body vibration training is an effective modality for treating patients with stress urinary incontinence after prostatectomy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 338-345[article] Effect of 4 weeks of whole-body vibration training in treating stress urinary incontinence after prostate cancer surgery: a randomised controlled trial [Article] / Sayed A. Tantawy ; Hany M.I. Elgohary ; Walid K. Abdelbasset . - 2019 . - p. 338-345.
https://doi.org/10.1016/j.physio.2018.07.013
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 338-345
Descripteurs : HE Vinci
Exercice physique ; Incontinence urinaire ; Plancher pelvien ; Qualité de vie ; Réadaptation ; Traitement par les exercices physiques ; Tumeurs de la prostate ; VibrationRésumé : Background
Stress urinary incontinence is common in men after prostate cancer surgery. Rehabilitative interventions incorporate pelvic floor muscle training, biofeedback, electrical stimulation, lifestyle changes, or a combination of these strategies. However, little is known about the physiological impact of whole-body vibration for stress urinary incontinence after radical prostatectomy.
Objective
To investigate the effect of whole-body vibration training on stress urinary incontinence after prostate cancer surgery.
Design
Randomised controlled trial.
Setting
Tertiary university hospitals.
Participants
Sixty-one patients with mild stress urinary incontinence after radical prostatectomy.
Intervention
Group 1 included 30 patients who performed pelvic floor muscle training and whole-body vibration training with a frequency and amplitude of 20 Hz/2 mm for the first two sessions and 40 Hz/4 mm for the rest of the intervention. Group 2 included 31 patients who performed pelvic floor muscle training alone. The intervention in both groups was conducted three times per week for 4 weeks.
Main outcomes
Incontinence Visual Analogue Scale (I-VAS) score, International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) score and 24-hour pad test result.
Results
I-VAS score, ICIQ-UI-SF score and 24-hour pad test result showed significant within-group differences at each assessment with the exception of the baseline and post-intervention I-VAS score in Group 2. For example, Group 1 I-VAS score had a median difference of 3.9 cm [95% confidence interval (CI) −4.0 to −3.8] from baseline to first follow-up, and a median difference of −2.0 cm (95% CI −2.2 to −1.8) at 4-week follow-up. Comparisons between the groups demonstrated significant differences in favour of Group 1 after 4 weeks of intervention and at follow-up for all measured parameters.
Conclusion
Whole-body vibration training is an effective modality for treating patients with stress urinary incontinence after prostatectomy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The impact of health literacy on health outcomes in individuals with chronic pain: a cross-sectional study Type de document : Article Auteurs : Laura M. Mackey ; Catherine Blake ; Maire-Brid Casey Année de publication : 2019 Article en page(s) : p. 346-353 Note générale : https://doi.org/10.1016/j.physio.2018.11.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Compétence informationnelle en santé ; Douleur chronique ; Gestion de soi ; ReligionRésumé : Objective
To establish if health literacy (HL) is linked to poorer outcomes and behaviours in patients with chronic pain.
Design
A prospective cross-sectional observational study.
Setting
Multidisciplinary out-patient pain clinics in three university teaching hospitals.
Patients
New patients (n = 131) referred to the pain clinic with a history of chronic pain (>12 weeks).
Methods
A questionnaire was distributed to chronic pain patients attending their first appointment. Those eligible for inclusion were newly referred patients who had pain lasting longer than three months. The questionnaire comprised the following sections: demographics, chronic pain status and disease-related knowledge, quality of life (SF-36), beliefs (Beliefs About Pain Control Questionnaire), and a validated HL tool (Newest Vital Sign).
Results
Of the 131 participants recruited, 54% had inadequate HL. The group was subsequently stratified according to HL level. In bivariate analysis, inadequate HL was associated with older age (p Conclusion
Inadequate HL is prevalent in chronic pain patients, and may impact on the development of certain characteristics necessary for effective self-management.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 346-353[article] The impact of health literacy on health outcomes in individuals with chronic pain: a cross-sectional study [Article] / Laura M. Mackey ; Catherine Blake ; Maire-Brid Casey . - 2019 . - p. 346-353.
https://doi.org/10.1016/j.physio.2018.11.006
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 346-353
Descripteurs : HE Vinci
Compétence informationnelle en santé ; Douleur chronique ; Gestion de soi ; ReligionRésumé : Objective
To establish if health literacy (HL) is linked to poorer outcomes and behaviours in patients with chronic pain.
Design
A prospective cross-sectional observational study.
Setting
Multidisciplinary out-patient pain clinics in three university teaching hospitals.
Patients
New patients (n = 131) referred to the pain clinic with a history of chronic pain (>12 weeks).
Methods
A questionnaire was distributed to chronic pain patients attending their first appointment. Those eligible for inclusion were newly referred patients who had pain lasting longer than three months. The questionnaire comprised the following sections: demographics, chronic pain status and disease-related knowledge, quality of life (SF-36), beliefs (Beliefs About Pain Control Questionnaire), and a validated HL tool (Newest Vital Sign).
Results
Of the 131 participants recruited, 54% had inadequate HL. The group was subsequently stratified according to HL level. In bivariate analysis, inadequate HL was associated with older age (p Conclusion
Inadequate HL is prevalent in chronic pain patients, and may impact on the development of certain characteristics necessary for effective self-management.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Are plain-language summaries included in published reports of evidence about physiotherapy interventions? Analysis of 4421 randomised trials, systematic reviews and guidelines on the Physiotherapy Evidence Database (PEDro) Type de document : Article Auteurs : Flavia A. Carvalho ; Mark R. Elkins ; Marcia R. Franco Année de publication : 2019 Article en page(s) : p. 354-361 Note générale : https://doi.org/10.1016/j.physio.2018.11.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Compréhension ; Information en santé des consommateurs ; Kinésithérapie (spécialité) ; Rapport de rechercheRésumé : Background
A plain-language summary is a short and clearly stated version of a study’s results using non-scientific vocabulary that provide many advantages for patients and clinicians in the process of shared decision-making.
Objectives
The primary objective was to investigate the extent to which published reports of physiotherapy interventions provide plain-language summaries. We investigate as the secondary objectives if the available plain-language summaries are at a suitable reading level for a lay person and if inclusion of plain-language summaries in these reports is increasing over time and is associated with trial quality (i.e. PEDro score).
Data sources
All 4421 randomised controlled trials (RCT), systematic reviews and clinical practice guidelines that included plain-language summaries indexed on Physiotherapy Evidence Database (PEDro) were included.
Main outcome measures
Proportion of published reports with plain-language summaries, Flesch Reading Ease Score (FRES) and the Flesch–Kincaid Grade Level (FKGL).
Results
The number of published reports with a plain-language summary doubled in the last 6 years. From a total of 34,444 reports indexed on PEDro, only 4421 reports had English plain-language summaries. RCTs with plain-language summaries had higher PEDro scores than RCTs without plain-language summaries (mean difference = 0.8 points, 95%CI 0.7 to 0.8). Only 2% of reports were considered at a suitable reading level by the FKGL formula and 0.1% by the FRES formula.
Conclusions
Although the publication of plain-language summaries is increasing over time, the current number corresponds to only 13% of all published reports. In addition the majority of plain-language summaries are written at an advanced reading level.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 354-361[article] Are plain-language summaries included in published reports of evidence about physiotherapy interventions? Analysis of 4421 randomised trials, systematic reviews and guidelines on the Physiotherapy Evidence Database (PEDro) [Article] / Flavia A. Carvalho ; Mark R. Elkins ; Marcia R. Franco . - 2019 . - p. 354-361.
https://doi.org/10.1016/j.physio.2018.11.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 354-361
Descripteurs : HE Vinci
Compréhension ; Information en santé des consommateurs ; Kinésithérapie (spécialité) ; Rapport de rechercheRésumé : Background
A plain-language summary is a short and clearly stated version of a study’s results using non-scientific vocabulary that provide many advantages for patients and clinicians in the process of shared decision-making.
Objectives
The primary objective was to investigate the extent to which published reports of physiotherapy interventions provide plain-language summaries. We investigate as the secondary objectives if the available plain-language summaries are at a suitable reading level for a lay person and if inclusion of plain-language summaries in these reports is increasing over time and is associated with trial quality (i.e. PEDro score).
Data sources
All 4421 randomised controlled trials (RCT), systematic reviews and clinical practice guidelines that included plain-language summaries indexed on Physiotherapy Evidence Database (PEDro) were included.
Main outcome measures
Proportion of published reports with plain-language summaries, Flesch Reading Ease Score (FRES) and the Flesch–Kincaid Grade Level (FKGL).
Results
The number of published reports with a plain-language summary doubled in the last 6 years. From a total of 34,444 reports indexed on PEDro, only 4421 reports had English plain-language summaries. RCTs with plain-language summaries had higher PEDro scores than RCTs without plain-language summaries (mean difference = 0.8 points, 95%CI 0.7 to 0.8). Only 2% of reports were considered at a suitable reading level by the FKGL formula and 0.1% by the FRES formula.
Conclusions
Although the publication of plain-language summaries is increasing over time, the current number corresponds to only 13% of all published reports. In addition the majority of plain-language summaries are written at an advanced reading level.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Positional changes in distance to the pleura and in muscle thickness for dry needling Type de document : Article Auteurs : Ulrike H. Mitchell ; Wayne A. Johnson ; Robert E. Larson Année de publication : 2019 Article en page(s) : p. 362-369 Note générale : https://doi.org/10.1016/j.physio.2018.08.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Pneumothorax ; PoumonRésumé : Objective
This study was conducted to measure and to determine differences in tissue depth in the upper back for two prone positions and to stratify the results by body composition and sex of the patient. In addition, muscle thickness changes with positioning were assessed. This information is important for clinicians who dry needle in the thorax area, cognizant of the dangers of inadvertently piercing the pleura or lung tissue.
Design
Descriptive cross-sectional.
Setting
Health and Human Performance laboratory at a university campus.
Participants
Sample of convenience of 60 college-aged subjects, 20 subjects in three body composition groups.
Main outcome measures
Distances from skin to lung tissue, skin to ribs and muscle thickness were measured and compared between two prone positions.
Results
There was a significant increase in depth to the lung tissue (0.7 cm, 95% confidence interval 0.4–1.0 cm) when using a bolster under the shoulder. There were also differences in depths between body composition classifications and between sexes, but not between sides. The average thickness of all muscles increased significantly by up to 0.4 cm (95% confidence interval 0.3–0.5) when the shoulder was positioned in retraction.
Conclusions
Positioning, body constitution and sex of the patient change tissue depth significantly and should be considered when dry needling. This change is largely attributed to a modification in muscle thickness.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 362-369[article] Positional changes in distance to the pleura and in muscle thickness for dry needling [Article] / Ulrike H. Mitchell ; Wayne A. Johnson ; Robert E. Larson . - 2019 . - p. 362-369.
https://doi.org/10.1016/j.physio.2018.08.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 362-369
Descripteurs : HE Vinci
Pneumothorax ; PoumonRésumé : Objective
This study was conducted to measure and to determine differences in tissue depth in the upper back for two prone positions and to stratify the results by body composition and sex of the patient. In addition, muscle thickness changes with positioning were assessed. This information is important for clinicians who dry needle in the thorax area, cognizant of the dangers of inadvertently piercing the pleura or lung tissue.
Design
Descriptive cross-sectional.
Setting
Health and Human Performance laboratory at a university campus.
Participants
Sample of convenience of 60 college-aged subjects, 20 subjects in three body composition groups.
Main outcome measures
Distances from skin to lung tissue, skin to ribs and muscle thickness were measured and compared between two prone positions.
Results
There was a significant increase in depth to the lung tissue (0.7 cm, 95% confidence interval 0.4–1.0 cm) when using a bolster under the shoulder. There were also differences in depths between body composition classifications and between sexes, but not between sides. The average thickness of all muscles increased significantly by up to 0.4 cm (95% confidence interval 0.3–0.5) when the shoulder was positioned in retraction.
Conclusions
Positioning, body constitution and sex of the patient change tissue depth significantly and should be considered when dry needling. This change is largely attributed to a modification in muscle thickness.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : A randomised controlled trial of wax baths as an additive therapy to hand exercises in patients with systemic sclerosis Type de document : Article Auteurs : William J. Gregory ; Jack Wilkinson ; Ariane L. Herrick Année de publication : 2019 Article en page(s) : p. 370-377 Note générale : https://doi.org/10.1016/j.physio.2018.08.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Kinésithérapie (spécialité) ; Réadaptation ; Sclérodermie systémiqueRésumé : Objective
The musculoskeletal features of systemic sclerosis (SSc) are a major cause of disability, causing limitations to movement and function. The study aim was to compare the effects of daily hand exercises with or without daily home wax bath hand treatment in patients with SSc.
Design
Assessor-blinded randomised controlled trial of parallel group design.
Setting
Single participating centre, undertaken in secondary care and in participants homes.
Participants
36 participants with hand skin tightening of SSc, two participants lost to follow up.
Interventions
Participants were randomised into wax bath versus no wax bath groups. Both groups in addition performed regular hand exercises as part of standard care. The study period was 9 weeks, with further measures of outcome undertaken at 18 weeks.
Main outcome measures
The primary outcome measure was the Hand Mobility in Scleroderma test (HAMIS). Secondary outcomes measures were the Scleroderma Health Assessment Questionnaire, grip and pinch strength and the Cochin Hand Function Scale.
Results
Between group comparisons of HAMIS scores showed no evidence of effectiveness of the wax bath treatment at 9-week follow up (adjusted difference in means (95% CI) experimental-control −1.47 (−3.55 to 0.61), P = 0.16) or at 18-week follow up (adjusted difference in means (95% CI) experimental-control 1.94 (−1.07 to 4.95), P = 0.20). Analysis of secondary outcomes also showed no evidence for effectiveness of the wax bath treatment at either 9 or 18 weeks.
Conclusion
Our findings suggest that the addition of regular wax bath treatment confers no additional beneficial effect to standard care with daily home exercises.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 370-377[article] A randomised controlled trial of wax baths as an additive therapy to hand exercises in patients with systemic sclerosis [Article] / William J. Gregory ; Jack Wilkinson ; Ariane L. Herrick . - 2019 . - p. 370-377.
https://doi.org/10.1016/j.physio.2018.08.008
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 370-377
Descripteurs : HE Vinci
Exercice physique ; Kinésithérapie (spécialité) ; Réadaptation ; Sclérodermie systémiqueRésumé : Objective
The musculoskeletal features of systemic sclerosis (SSc) are a major cause of disability, causing limitations to movement and function. The study aim was to compare the effects of daily hand exercises with or without daily home wax bath hand treatment in patients with SSc.
Design
Assessor-blinded randomised controlled trial of parallel group design.
Setting
Single participating centre, undertaken in secondary care and in participants homes.
Participants
36 participants with hand skin tightening of SSc, two participants lost to follow up.
Interventions
Participants were randomised into wax bath versus no wax bath groups. Both groups in addition performed regular hand exercises as part of standard care. The study period was 9 weeks, with further measures of outcome undertaken at 18 weeks.
Main outcome measures
The primary outcome measure was the Hand Mobility in Scleroderma test (HAMIS). Secondary outcomes measures were the Scleroderma Health Assessment Questionnaire, grip and pinch strength and the Cochin Hand Function Scale.
Results
Between group comparisons of HAMIS scores showed no evidence of effectiveness of the wax bath treatment at 9-week follow up (adjusted difference in means (95% CI) experimental-control −1.47 (−3.55 to 0.61), P = 0.16) or at 18-week follow up (adjusted difference in means (95% CI) experimental-control 1.94 (−1.07 to 4.95), P = 0.20). Analysis of secondary outcomes also showed no evidence for effectiveness of the wax bath treatment at either 9 or 18 weeks.
Conclusion
Our findings suggest that the addition of regular wax bath treatment confers no additional beneficial effect to standard care with daily home exercises.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Keeping physically active with rheumatoid arthritis: semi-structured interviews to explore patient perspectives, experiences and strategies Type de document : Article Auteurs : R. Thomas ; S. Hewlett ; C. Swales Année de publication : 2019 Article en page(s) : p. 378-384 Note générale : https://doi.org/10.1016/j.physio.2018.09.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Participation des patients ; Polyarthrite rhumatoideRésumé : Background
Regular physical activity is safe and beneficial for people with rheumatoid arthritis (RA) but the majority of people with RA are less active than the general population and have a higher risk of co-morbidities. Exploring strategies used by physically active people with RA could inform effective methods to support those who are less active.
Objective
To explore the perspectives, experiences and strategies employed by people with RA who successfully engage with regular physical activity.
Design
Individual semi-structured interviews and thematic analysis.
Participants
A purposive sample of physically active people with RA.
Results
Twelve females and three males participated (mean age 56, range 29 to 80; mean disease duration 13 years, range 10 months to 46 years). Analysis revealed eight constructs clustered into three themes. Theme 1: ‘the individual’ incorporated constructs of symptoms, feelings and role; theme 2: ‘management’ incorporated medical and self-management; theme 3: ‘physical activity’ incorporated constructs of type of physical activity, including barriers or facilitators. Participants reported a long history of physical activity prior to diagnosis and good support networks. All participants recognised that physical activity was key to their RA management, acknowledged the benefits from engaging in physical activity and were able to overcome barriers. Participants had strong beliefs that physical function would decline without regular physical activity.
Conclusions
People with RA who successfully maintain physical activity are motivated by a desire to manage symptoms, resist functional decline and maintain health and independence. These findings should be explored with a wider range of people with RA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 378-384[article] Keeping physically active with rheumatoid arthritis: semi-structured interviews to explore patient perspectives, experiences and strategies [Article] / R. Thomas ; S. Hewlett ; C. Swales . - 2019 . - p. 378-384.
https://doi.org/10.1016/j.physio.2018.09.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 378-384
Descripteurs : HE Vinci
Exercice physique ; Participation des patients ; Polyarthrite rhumatoideRésumé : Background
Regular physical activity is safe and beneficial for people with rheumatoid arthritis (RA) but the majority of people with RA are less active than the general population and have a higher risk of co-morbidities. Exploring strategies used by physically active people with RA could inform effective methods to support those who are less active.
Objective
To explore the perspectives, experiences and strategies employed by people with RA who successfully engage with regular physical activity.
Design
Individual semi-structured interviews and thematic analysis.
Participants
A purposive sample of physically active people with RA.
Results
Twelve females and three males participated (mean age 56, range 29 to 80; mean disease duration 13 years, range 10 months to 46 years). Analysis revealed eight constructs clustered into three themes. Theme 1: ‘the individual’ incorporated constructs of symptoms, feelings and role; theme 2: ‘management’ incorporated medical and self-management; theme 3: ‘physical activity’ incorporated constructs of type of physical activity, including barriers or facilitators. Participants reported a long history of physical activity prior to diagnosis and good support networks. All participants recognised that physical activity was key to their RA management, acknowledged the benefits from engaging in physical activity and were able to overcome barriers. Participants had strong beliefs that physical function would decline without regular physical activity.
Conclusions
People with RA who successfully maintain physical activity are motivated by a desire to manage symptoms, resist functional decline and maintain health and independence. These findings should be explored with a wider range of people with RA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The motivations and aspirations of Indian physiotherapists who migrate overseas to study and work: a grounded theory study Type de document : Article Auteurs : Kate Grafton ; Frances Gordon Année de publication : 2019 Article en page(s) : p. 385-395 Note générale : https://doi.org/10.1016/j.physio.2018.11.005
Under a Creative Commons licenseLangues : Anglais (eng) Descripteurs : HE Vinci
Autonomie personnelle ; Inde ; Kinésithérapie (spécialité) ; Population de passage et migrants ; RespectRésumé : Objective
To explore why Indian physiotherapists seek to migrate overseas for study and work.
Design
Qualitative research using Constructivist Grounded Theory (CGT) methodology.
Setting
Individual interviews and focus groups were conducted in the UK and India, at university, clinic or hotel locations convenient to the participants.
Participants
Nineteen physiotherapists from across India. Thirteen had studied or worked in the UK, Australia or Kuwait, and six had no overseas experience.
Findings
The participants desired a ‘better life’ due to factors perceived as less favourable in India: pay levels, professional respect and professional development. These elements were inter-dependent and their importance varied between participants and according to gender. Indian societal values amplified the importance of pay for male physiotherapists, whereas females prioritised professional development. Migrant physiotherapists aspired to professional autonomy through the development of knowledge, skills and experience. Respect was important, but there were different perspectives on its achievement and the relevance of titles. For those studying overseas, work was sought to recoup the cost of that study, and, importantly to consolidate learning and experience of autonomous physiotherapy practice. They all planned to return to India and wished to transfer their knowledge and skills back into practice in India.
Conclusion
Pay, respect and professional development are all motivators for Indian physiotherapists to study and work overseas. An ability to practise physiotherapy autonomously is a key factor underpinning the achievement of each of these elements and thus the ultimate aspiration to have a ‘better life’.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 385-395[article] The motivations and aspirations of Indian physiotherapists who migrate overseas to study and work: a grounded theory study [Article] / Kate Grafton ; Frances Gordon . - 2019 . - p. 385-395.
https://doi.org/10.1016/j.physio.2018.11.005
Under a Creative Commons license
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 3 (2019) . - p. 385-395
Descripteurs : HE Vinci
Autonomie personnelle ; Inde ; Kinésithérapie (spécialité) ; Population de passage et migrants ; RespectRésumé : Objective
To explore why Indian physiotherapists seek to migrate overseas for study and work.
Design
Qualitative research using Constructivist Grounded Theory (CGT) methodology.
Setting
Individual interviews and focus groups were conducted in the UK and India, at university, clinic or hotel locations convenient to the participants.
Participants
Nineteen physiotherapists from across India. Thirteen had studied or worked in the UK, Australia or Kuwait, and six had no overseas experience.
Findings
The participants desired a ‘better life’ due to factors perceived as less favourable in India: pay levels, professional respect and professional development. These elements were inter-dependent and their importance varied between participants and according to gender. Indian societal values amplified the importance of pay for male physiotherapists, whereas females prioritised professional development. Migrant physiotherapists aspired to professional autonomy through the development of knowledge, skills and experience. Respect was important, but there were different perspectives on its achievement and the relevance of titles. For those studying overseas, work was sought to recoup the cost of that study, and, importantly to consolidate learning and experience of autonomous physiotherapy practice. They all planned to return to India and wished to transfer their knowledge and skills back into practice in India.
Conclusion
Pay, respect and professional development are all motivators for Indian physiotherapists to study and work overseas. An ability to practise physiotherapy autonomously is a key factor underpinning the achievement of each of these elements and thus the ultimate aspiration to have a ‘better life’.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
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Titre : Models used for case-mix adjustment of patient reported outcome measures (PROMs) in musculoskeletal healthcare: A systematic review of the literature Type de document : Article Auteurs : R. Burgess ; A. Bishop ; M. Lewis Année de publication : 2019 Article en page(s) : p. 137-146 Langues : Anglais (eng) Descripteurs : HE Vinci
Appareil locomoteur ; Mesures des résultats rapportés par les patients (PROM) ; Revue systématiqueRésumé : Background
Case-mix adjustment is an established method to take account of variations across cohorts in baseline patient factors, when comparing health outcomes. Although commonplace, there is a lack of evidence as to the most appropriate case-mix adjustment model to use to enable fair comparisons of PROM data in musculoskeletal services.
Objectives
To conduct a systematic review summarising evidence of the development, validation, and performance of musculoskeletal case-mix adjustment models, and to make recommendations for future methods.
Data Sources
Searches included; AMED, CINAHL, EMBASE, HMIC, MEDLINE, and grey literature.
Eligibility Criteria
Studies; from January 1992-May 2017, English language, musculoskeletal adult population, developing or validating a case-mix adjustment model, using a relevant PROM, and using patient factors feasible for clinical collection.
Data Synthesis
Two reviewers evaluated selected papers. The CASP Cohort Tool was used to assess quality.
Results
Fourteen studies were included; eight US studies on the Focus on Therapeutic Outcomes model (pooled n = 546,726 patients (with pre/post treatment data)) and six UK studies related to the UK National PROMs Programme model (pooled n = 282,424 patients (with pre/post treatment data)). The majority used retrospective data, restricted to complete datasets. Both US and UK models showed good predictive ability (R2 18-42%). Common model variables were; baseline PROM score, age, sex, comorbidities, symptom duration, and surgical history. Reduced quality scores were mainly due to acceptability of patient recruitment, and completeness and length of patient follow up.
Conclusion
Significant methodological crossover was found. Further studies are however needed to externally validate and develop models across musculoskeletal settings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 137-146[article] Models used for case-mix adjustment of patient reported outcome measures (PROMs) in musculoskeletal healthcare: A systematic review of the literature [Article] / R. Burgess ; A. Bishop ; M. Lewis . - 2019 . - p. 137-146.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 137-146
Descripteurs : HE Vinci
Appareil locomoteur ; Mesures des résultats rapportés par les patients (PROM) ; Revue systématiqueRésumé : Background
Case-mix adjustment is an established method to take account of variations across cohorts in baseline patient factors, when comparing health outcomes. Although commonplace, there is a lack of evidence as to the most appropriate case-mix adjustment model to use to enable fair comparisons of PROM data in musculoskeletal services.
Objectives
To conduct a systematic review summarising evidence of the development, validation, and performance of musculoskeletal case-mix adjustment models, and to make recommendations for future methods.
Data Sources
Searches included; AMED, CINAHL, EMBASE, HMIC, MEDLINE, and grey literature.
Eligibility Criteria
Studies; from January 1992-May 2017, English language, musculoskeletal adult population, developing or validating a case-mix adjustment model, using a relevant PROM, and using patient factors feasible for clinical collection.
Data Synthesis
Two reviewers evaluated selected papers. The CASP Cohort Tool was used to assess quality.
Results
Fourteen studies were included; eight US studies on the Focus on Therapeutic Outcomes model (pooled n = 546,726 patients (with pre/post treatment data)) and six UK studies related to the UK National PROMs Programme model (pooled n = 282,424 patients (with pre/post treatment data)). The majority used retrospective data, restricted to complete datasets. Both US and UK models showed good predictive ability (R2 18-42%). Common model variables were; baseline PROM score, age, sex, comorbidities, symptom duration, and surgical history. Reduced quality scores were mainly due to acceptability of patient recruitment, and completeness and length of patient follow up.
Conclusion
Significant methodological crossover was found. Further studies are however needed to externally validate and develop models across musculoskeletal settings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Effectiveness of interventions for non-specific low back pain in older adults. A systematic review and meta-analysis Type de document : Article Auteurs : Paulo R.C. do Nascimento ; Leonardo O.P. Costa ; Amanda C. Araujo Année de publication : 2019 Article en page(s) : p. 147-162 Langues : Anglais (eng) Descripteurs : HE Vinci
Lombalgie ; Réadaptation ; Sujet âgé ; Sujet âgé de 80 ans ou plus ; ThérapeutiqueRésumé : Objectives
Systematically review the literature about all available interventions to manage non-specific low back pain (NSLBP) in older adults (≥60 years).
Design
We searched the Medline, EMBASE, CINAHL, LILACS, PEDro, and Cochrane CENTRAL databases reference lists for randomized controlled trials (RCTs) testing interventions for NSLBP. Two independent reviewers extracted data, assessed the risk of bias and completeness of the description of interventions.
Results
Eighteen (RCTs) fulfilled the eligibility criteria. Evidence about interventions to manage NSLBP in older adults is weak. Very low to moderate quality evidence showed that complementary health approach (i.e., manual therapy, acupuncture, mindfulness, yoga), percutaneous electrical nerve stimulation (PENS), education, exercise or pharmacological agents were not effective to produce a clinically significant reduction in pain and disability at short-term and intermediate-term compared to sham, usual care or minimal intervention. Interventions were moderately well-described according to the template for intervention description and replication (TIDieR) and the risk of bias was moderate 6.4 points on the 10-point PEDro Scale (SD = 1.44).
Conclusion
Evidence about interventions for NSLP in older adults is limited and new studies are highly likely to change these results. This result may impact healthcare providers due to the lack of effective evidence based interventions, patients, and policy makers that will expend financial resources with interventions that provide in the best scenario a not significant improvement of the clinical symptoms. Researchers need to consider the importance of designing clinical trials targeting older adults and examine possible outcome modifiers present in this population allowing the recommendation of more efficacious evidence-based interventions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 147-162[article] Effectiveness of interventions for non-specific low back pain in older adults. A systematic review and meta-analysis [Article] / Paulo R.C. do Nascimento ; Leonardo O.P. Costa ; Amanda C. Araujo . - 2019 . - p. 147-162.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 147-162
Descripteurs : HE Vinci
Lombalgie ; Réadaptation ; Sujet âgé ; Sujet âgé de 80 ans ou plus ; ThérapeutiqueRésumé : Objectives
Systematically review the literature about all available interventions to manage non-specific low back pain (NSLBP) in older adults (≥60 years).
Design
We searched the Medline, EMBASE, CINAHL, LILACS, PEDro, and Cochrane CENTRAL databases reference lists for randomized controlled trials (RCTs) testing interventions for NSLBP. Two independent reviewers extracted data, assessed the risk of bias and completeness of the description of interventions.
Results
Eighteen (RCTs) fulfilled the eligibility criteria. Evidence about interventions to manage NSLBP in older adults is weak. Very low to moderate quality evidence showed that complementary health approach (i.e., manual therapy, acupuncture, mindfulness, yoga), percutaneous electrical nerve stimulation (PENS), education, exercise or pharmacological agents were not effective to produce a clinically significant reduction in pain and disability at short-term and intermediate-term compared to sham, usual care or minimal intervention. Interventions were moderately well-described according to the template for intervention description and replication (TIDieR) and the risk of bias was moderate 6.4 points on the 10-point PEDro Scale (SD = 1.44).
Conclusion
Evidence about interventions for NSLP in older adults is limited and new studies are highly likely to change these results. This result may impact healthcare providers due to the lack of effective evidence based interventions, patients, and policy makers that will expend financial resources with interventions that provide in the best scenario a not significant improvement of the clinical symptoms. Researchers need to consider the importance of designing clinical trials targeting older adults and examine possible outcome modifiers present in this population allowing the recommendation of more efficacious evidence-based interventions.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Predictors of upper limb spasticity after stroke? A systematic review and meta-analysis Type de document : Article Auteurs : Lisa Tedesco Triccas ; Niamh Kennedy ; Toby Smith Année de publication : 2019 Article en page(s) : p. 163-173 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Contracture ; Hypertonie musculaire ; Hypotonie musculaire ; Membre supérieur ; RéadaptationRésumé : Objective
To determine the predictive markers for the occurrence of upper limb spasticity in the first 12 months after stroke.
Data sources
A systematic review was undertaken of the databases MEDLINE, EMBASE, CINAHL and PEDRO to 31st December 2017.
Study selection
Non-experimental or experimental studies that included a control group with spasticity who did not receive an experimental intervention which investigated at least one variable (explanatory variable) measured at baseline against the development (or not) of spasticity at a future time point within 12 months post stroke were selected independently by two reviewers. Eleven papers met the selection criteria.
Study appraisal
Data were extracted into tabular format using predefined data fields by two reviewers. Study quality was evaluated using the modified Downs and Black tool. Data were analysed using a meta-analysis or narrative review.
Results
Ten studies, including 856 participants were analysed. The predictive markers of upper limb spasticity at one month post stroke were: motor 11.25 (odds ratio, OR); [95% CI:2.48, 51.04] and sensory impairments 4.91 (OR); [1.24, 19.46]; haemorrhagic stroke 3.70 (OR); [1.05, 12.98] and age 0.01 (OR) [0.00, 69.89]. Only motor impairment was found as a significant predictor at six months post stroke 30.68 (OR); [1.60, 587.06].
Limitations
Low number of studies exploring biomechanical and neurophysiological in addition to behavioural predictors of spasticity were included.
Conclusion and implications of key findings
Using the results, the identified predictive markers have potential to better inform clinical decision-making and to plan specific rehabilitation interventions by physiotherapists for stroke survivors with upper limb spasticity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 163-173[article] Predictors of upper limb spasticity after stroke? A systematic review and meta-analysis [Article] / Lisa Tedesco Triccas ; Niamh Kennedy ; Toby Smith . - 2019 . - p. 163-173.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 163-173
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Contracture ; Hypertonie musculaire ; Hypotonie musculaire ; Membre supérieur ; RéadaptationRésumé : Objective
To determine the predictive markers for the occurrence of upper limb spasticity in the first 12 months after stroke.
Data sources
A systematic review was undertaken of the databases MEDLINE, EMBASE, CINAHL and PEDRO to 31st December 2017.
Study selection
Non-experimental or experimental studies that included a control group with spasticity who did not receive an experimental intervention which investigated at least one variable (explanatory variable) measured at baseline against the development (or not) of spasticity at a future time point within 12 months post stroke were selected independently by two reviewers. Eleven papers met the selection criteria.
Study appraisal
Data were extracted into tabular format using predefined data fields by two reviewers. Study quality was evaluated using the modified Downs and Black tool. Data were analysed using a meta-analysis or narrative review.
Results
Ten studies, including 856 participants were analysed. The predictive markers of upper limb spasticity at one month post stroke were: motor 11.25 (odds ratio, OR); [95% CI:2.48, 51.04] and sensory impairments 4.91 (OR); [1.24, 19.46]; haemorrhagic stroke 3.70 (OR); [1.05, 12.98] and age 0.01 (OR) [0.00, 69.89]. Only motor impairment was found as a significant predictor at six months post stroke 30.68 (OR); [1.60, 587.06].
Limitations
Low number of studies exploring biomechanical and neurophysiological in addition to behavioural predictors of spasticity were included.
Conclusion and implications of key findings
Using the results, the identified predictive markers have potential to better inform clinical decision-making and to plan specific rehabilitation interventions by physiotherapists for stroke survivors with upper limb spasticity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Treadmill training may be an effective form of task-specific training for improving mobility in people with Parkinson’s disease and multiple sclerosis: a systematic review and meta-analysis Type de document : Article Auteurs : Alexandra G. Robinson ; Amy M. Dennett ; David A. Snowdon Année de publication : 2019 Article en page(s) : p. 174-186 Langues : Anglais (eng) Descripteurs : HE Vinci
Epreuve d'effort ; Kinésithérapie (spécialité) ; Maladie de Parkinson ; Sclérose en plaquesRésumé : Background
Task-specific training is an effective form of rehabilitation for improving mobility in neurological conditions. However, it remains unclear if task-specific training is effective in people with progressive disease.
Objective
To establish the efficacy of task-specific training on the mobility of individuals with progressive neurological conditions.
Data sources
Electronic databases MEDLINE, EMBASE, CINAHL and Cochrane Database of Systematic Reviews.
Study eligibility criteria
Randomised controlled trials investigating the effect of task-specific training on mobility and falls rate in individuals with progressive neurological conditions.
Study appraisal/synthesis methods
Risk of bias of individual studies was assessed using the Physiotherapy Evidence Database (PEDro) Scale. Mean differences (MD) and 95% confidence intervals were calculated and combined in meta-analysis.
Results
Analysis of 16 trials found treadmill training improved comfortable walking velocity (m/second) in people with Parkinson’s disease (MD 0.21 m/second, 95%CI 0.15 to 0.27) and multiple sclerosis (MD 0.36 m/second, 95%CI 0.20 to 0.52). Treadmill training improved stride length (m) (MD 0.12 m, 95%CI 0.02 to 0.23) and step length (m) (MD 0.12 m, 95%CI 0.01 to 0.23) in people with Parkinson’s disease and walking endurance in people with multiple sclerosis (MD 26.53 m, 95%CI 12.23 to 40.84). Treadmill training had no effect on cadence and did not improve walking endurance in Parkinson’s disease. Over-ground walking did not improve mobility in Parkinson’s disease or multiple sclerosis.
Limitations
Study sample sizes were small and findings must be interpreted with caution.
Conclusion
Treadmill training may be effective for improving mobility in people with Parkinson’s disease and multiple sclerosis. The effectiveness of over-ground walking is uncertain.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 174-186[article] Treadmill training may be an effective form of task-specific training for improving mobility in people with Parkinson’s disease and multiple sclerosis: a systematic review and meta-analysis [Article] / Alexandra G. Robinson ; Amy M. Dennett ; David A. Snowdon . - 2019 . - p. 174-186.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 174-186
Descripteurs : HE Vinci
Epreuve d'effort ; Kinésithérapie (spécialité) ; Maladie de Parkinson ; Sclérose en plaquesRésumé : Background
Task-specific training is an effective form of rehabilitation for improving mobility in neurological conditions. However, it remains unclear if task-specific training is effective in people with progressive disease.
Objective
To establish the efficacy of task-specific training on the mobility of individuals with progressive neurological conditions.
Data sources
Electronic databases MEDLINE, EMBASE, CINAHL and Cochrane Database of Systematic Reviews.
Study eligibility criteria
Randomised controlled trials investigating the effect of task-specific training on mobility and falls rate in individuals with progressive neurological conditions.
Study appraisal/synthesis methods
Risk of bias of individual studies was assessed using the Physiotherapy Evidence Database (PEDro) Scale. Mean differences (MD) and 95% confidence intervals were calculated and combined in meta-analysis.
Results
Analysis of 16 trials found treadmill training improved comfortable walking velocity (m/second) in people with Parkinson’s disease (MD 0.21 m/second, 95%CI 0.15 to 0.27) and multiple sclerosis (MD 0.36 m/second, 95%CI 0.20 to 0.52). Treadmill training improved stride length (m) (MD 0.12 m, 95%CI 0.02 to 0.23) and step length (m) (MD 0.12 m, 95%CI 0.01 to 0.23) in people with Parkinson’s disease and walking endurance in people with multiple sclerosis (MD 26.53 m, 95%CI 12.23 to 40.84). Treadmill training had no effect on cadence and did not improve walking endurance in Parkinson’s disease. Over-ground walking did not improve mobility in Parkinson’s disease or multiple sclerosis.
Limitations
Study sample sizes were small and findings must be interpreted with caution.
Conclusion
Treadmill training may be effective for improving mobility in people with Parkinson’s disease and multiple sclerosis. The effectiveness of over-ground walking is uncertain.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community: a systematic review and meta-analysis Type de document : Article Auteurs : Susanne Finnegan ; Kate Seers ; Julie Bruce Année de publication : 2019 Article en page(s) : p. 187-199 Langues : Anglais (eng) Descripteurs : HE Vinci
Chutes accidentelles ; Exercice physique ; Prévention ; Prévention des accidents ; Sujet âgé ; TempsRésumé : Background
Fall-related injuries are the leading cause of accident-related mortality for older adults, with 30% of those aged 65 years and over falling annually. Exercise is effective in reducing rate and risk of falls in community-dwelling adults; however, there is lack of evidence for the long-term effects of exercise.
Objectives
To assess the long-term effect of exercise interventions on preventing falls in community-dwelling older adults.
Data Sources
Searches were undertaken on MEDLINE, EMBASE, AMED, CINAHL, psycINFO, the Physiotherapy Evidence Database (PEDro) and The Cochrane Library from inception to April 2017.
Study selection
Randomised controlled trials (RCTs), cohort studies or secondary analyses of RCTs with long-term follow-up (>12 months) of exercise interventions involving community-dwelling older adults (65 and over) compared to a control group.
Data extraction/ Data synthesis
Pairs of review authors independently extracted data. Review Manager (RevMan 5.1) was used for meta-analysis and data were extracted using rate ratio (RaR) and risk ratio (RR).
Results
Twenty-four studies (7818 participants) were included. The overall pooled estimate of the effect of exercise on rate of falling beyond 12-month follow-up was rate ratio (RaR) 0.79 (95% confidence interval (CI) 0.71 to 0.88) and risk of falling was risk ratio (RR) 0.83 (95% CI 0.76 to 0.92) Subgroup analyses revealed that there was no sustained effect on rate or risk of falling beyond two years post intervention.
Conclusions
Falls prevention exercise programmes have sustained long-term effects on the number of people falling and the number of falls for up to two years after an exercise intervention.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 187-199[article] Long-term follow-up of exercise interventions aimed at preventing falls in older people living in the community: a systematic review and meta-analysis [Article] / Susanne Finnegan ; Kate Seers ; Julie Bruce . - 2019 . - p. 187-199.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 187-199
Descripteurs : HE Vinci
Chutes accidentelles ; Exercice physique ; Prévention ; Prévention des accidents ; Sujet âgé ; TempsRésumé : Background
Fall-related injuries are the leading cause of accident-related mortality for older adults, with 30% of those aged 65 years and over falling annually. Exercise is effective in reducing rate and risk of falls in community-dwelling adults; however, there is lack of evidence for the long-term effects of exercise.
Objectives
To assess the long-term effect of exercise interventions on preventing falls in community-dwelling older adults.
Data Sources
Searches were undertaken on MEDLINE, EMBASE, AMED, CINAHL, psycINFO, the Physiotherapy Evidence Database (PEDro) and The Cochrane Library from inception to April 2017.
Study selection
Randomised controlled trials (RCTs), cohort studies or secondary analyses of RCTs with long-term follow-up (>12 months) of exercise interventions involving community-dwelling older adults (65 and over) compared to a control group.
Data extraction/ Data synthesis
Pairs of review authors independently extracted data. Review Manager (RevMan 5.1) was used for meta-analysis and data were extracted using rate ratio (RaR) and risk ratio (RR).
Results
Twenty-four studies (7818 participants) were included. The overall pooled estimate of the effect of exercise on rate of falling beyond 12-month follow-up was rate ratio (RaR) 0.79 (95% confidence interval (CI) 0.71 to 0.88) and risk of falling was risk ratio (RR) 0.83 (95% CI 0.76 to 0.92) Subgroup analyses revealed that there was no sustained effect on rate or risk of falling beyond two years post intervention.
Conclusions
Falls prevention exercise programmes have sustained long-term effects on the number of people falling and the number of falls for up to two years after an exercise intervention.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The effects of unimanual and bimanual massed practice on upper limb function in adults with cervical spinal cord injury: a systematic review Type de document : Article Auteurs : Anna Anderson ; Jenny Alexanders ; Christine Addington Année de publication : 2019 Article en page(s) : p. 200-213 Langues : Anglais (eng) Descripteurs : HE Vinci
Membre supérieur ; Revue systématique ; Traumatismes de la moelle épinièreRésumé : Background
Individuals with cervical spinal cord injury (cSCI) have identified improving upper limb function as their most important rehabilitation goal. Unimanual massed practice (UMP) and bimanual massed practice (BMP) may help achieve this.
Objectives
To evaluate and compare the effects of UMP and BMP on upper limb function in adults with cSCI.
Data sources
Cochrane Central Register of Controlled Trials, PubMed, CINAHL, Web of Science and PEDro until April 2016.
Study selection
Studies investigating the effects of UMP and/or BMP on upper limb function in adults with cSCI.
Data extraction and synthesis
Data was extracted using a standardised form. Studies were appraised using a modified version of the Cochrane risk of bias tool. The findings were qualitatively synthesised.
Results
Five randomised controlled trials and two case studies were included. Six studies included UMP, three included BMP, and two compared these approaches. Overall the studies reported that UMP and BMP improved upper limb function, particularly when combined with electrical stimulation, with no clear differences between UMP and BMP. These findings should be interpreted with caution however, as six studies presented a high or unclear risk of bias for all functional upper limb outcome measures included, and the remaining study was a small pilot study with no control group.
Conclusion
Although the findings of the included studies support the use of UMP and BMP in adults with cSCI, only seven studies, all with significant limitations, were included; hence robust conclusions cannot be drawn and further research is warranted.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 200-213[article] The effects of unimanual and bimanual massed practice on upper limb function in adults with cervical spinal cord injury: a systematic review [Article] / Anna Anderson ; Jenny Alexanders ; Christine Addington . - 2019 . - p. 200-213.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 200-213
Descripteurs : HE Vinci
Membre supérieur ; Revue systématique ; Traumatismes de la moelle épinièreRésumé : Background
Individuals with cervical spinal cord injury (cSCI) have identified improving upper limb function as their most important rehabilitation goal. Unimanual massed practice (UMP) and bimanual massed practice (BMP) may help achieve this.
Objectives
To evaluate and compare the effects of UMP and BMP on upper limb function in adults with cSCI.
Data sources
Cochrane Central Register of Controlled Trials, PubMed, CINAHL, Web of Science and PEDro until April 2016.
Study selection
Studies investigating the effects of UMP and/or BMP on upper limb function in adults with cSCI.
Data extraction and synthesis
Data was extracted using a standardised form. Studies were appraised using a modified version of the Cochrane risk of bias tool. The findings were qualitatively synthesised.
Results
Five randomised controlled trials and two case studies were included. Six studies included UMP, three included BMP, and two compared these approaches. Overall the studies reported that UMP and BMP improved upper limb function, particularly when combined with electrical stimulation, with no clear differences between UMP and BMP. These findings should be interpreted with caution however, as six studies presented a high or unclear risk of bias for all functional upper limb outcome measures included, and the remaining study was a small pilot study with no control group.
Conclusion
Although the findings of the included studies support the use of UMP and BMP in adults with cSCI, only seven studies, all with significant limitations, were included; hence robust conclusions cannot be drawn and further research is warranted.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Effectiveness of scoliosis-specific exercises for adolescent idiopathic scoliosis compared with other non-surgical interventions: a systematic review and meta-analysis Type de document : Article Auteurs : J.Y. Thompson ; E.M. Williamson ; M.A. Williams Année de publication : 2019 Article en page(s) : p. 214-234 Langues : Anglais (eng) Descripteurs : HE Vinci
Adolescent ; Méta-analyse ; Revue de la littérature ; Scoliose ; Traitement par les exercices physiquesRésumé : Study design
Systematic review and meta-analysis.
Objective
To assess the effectiveness of scoliosis-specific exercises (SSE) on adolescent idiopathic scoliosis (AIS) compared with other non-surgical interventions.
Background
AIS is a complex deformity of the spine that develops between the age of 10 years and skeletal maturity. SSE are prescribed to patients to reduce or slow curve progression, although their effectiveness is unknown.
Methods
Electronic databases were searched for relevant studies. Randomised controlled trials were eligible if they compared SSE with non-surgical interventions for individuals with AIS. Three authors independently extracted data, evaluated methodological quality and assessed the quality of evidence. Meta-analysis was performed where possible; otherwise, descriptive syntheses are reported.
Results
Nine randomised controlled trials were included. Four had a high risk of bias, three had an unclear risk and two had a low risk. Very-low-quality evidence indicated that SSE improved some measures of spinal deformity, function, pain and overall health-related quality of life (HRQoL). Very-low-quality evidence suggested that SSE had no effect on self-image and mental health. Very-low-quality evidence showed that bracing was more effective than SSE on measures of spinal deformity. However, SSE showed greater improvements in function, HRQoL, self-image, mental health and patient satisfaction with treatment. No differences were found for pain or trunk rotation.
Conclusions
SSE may be effective for improving measures of spinal deformity for people with AIS, but the evidence is of very low quality. Future studies should evaluate relevant clinical measures and cost-effectiveness using rigorous methods and reporting standards.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 214-234[article] Effectiveness of scoliosis-specific exercises for adolescent idiopathic scoliosis compared with other non-surgical interventions: a systematic review and meta-analysis [Article] / J.Y. Thompson ; E.M. Williamson ; M.A. Williams . - 2019 . - p. 214-234.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 214-234
Descripteurs : HE Vinci
Adolescent ; Méta-analyse ; Revue de la littérature ; Scoliose ; Traitement par les exercices physiquesRésumé : Study design
Systematic review and meta-analysis.
Objective
To assess the effectiveness of scoliosis-specific exercises (SSE) on adolescent idiopathic scoliosis (AIS) compared with other non-surgical interventions.
Background
AIS is a complex deformity of the spine that develops between the age of 10 years and skeletal maturity. SSE are prescribed to patients to reduce or slow curve progression, although their effectiveness is unknown.
Methods
Electronic databases were searched for relevant studies. Randomised controlled trials were eligible if they compared SSE with non-surgical interventions for individuals with AIS. Three authors independently extracted data, evaluated methodological quality and assessed the quality of evidence. Meta-analysis was performed where possible; otherwise, descriptive syntheses are reported.
Results
Nine randomised controlled trials were included. Four had a high risk of bias, three had an unclear risk and two had a low risk. Very-low-quality evidence indicated that SSE improved some measures of spinal deformity, function, pain and overall health-related quality of life (HRQoL). Very-low-quality evidence suggested that SSE had no effect on self-image and mental health. Very-low-quality evidence showed that bracing was more effective than SSE on measures of spinal deformity. However, SSE showed greater improvements in function, HRQoL, self-image, mental health and patient satisfaction with treatment. No differences were found for pain or trunk rotation.
Conclusions
SSE may be effective for improving measures of spinal deformity for people with AIS, but the evidence is of very low quality. Future studies should evaluate relevant clinical measures and cost-effectiveness using rigorous methods and reporting standards.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review Type de document : Article Auteurs : Christopher Myers ; Moira Smith Année de publication : 2019 Article en page(s) : p. 235-243 Langues : Anglais (eng) Descripteurs : HE Vinci
Dysfonctionnement érectile ; Ejaculation précoce ; Plancher pelvien ; RéadaptationRésumé : Background
Erectile dysfunction (ED) and premature ejaculation (PE) often have underlying musculoskeletal abnormalities. Despite this, traditional management has focused on pharmaceutical prescription.
Objective
To investigate the efficacy of pelvic floor muscle training in treating ED and PE.
Data sources
A computerized literature search of CINAHL®, Cochrane, InFormit, Ovid Medline, Pedro, and Scopus (from inception until January 2018) was conducted of type of dysfunction and intervention. Secondary search strategies included Medical Subject Headings expansion, hand searching of conference abstracts, key authors, reference lists and forward citation searching via Web of Science.
Study selection
All studies where participants were males greater than 18 years with ED or PE, with no history of neurological injury or previous major urological surgery were included.
Study appraisal
Two independent reviewers assessed methodological quality using the Crowe Critical Appraisal Tool. Disagreements between reviewers were resolved by consensus.
Results
Ten trials were included for review. Among the measures of ED, all trials showed comparative improvement and cure rates in response to treatment. Within PE outcomes, the majority of trials showed comparative improvement rates, with a greater range in overall cure rates in response to treatment. Training protocols varied significantly in overall therapist contact, concurrent interventions, intervention length, training frequency and intensity.
Limitations
The included studies were of low to moderate methodological quality with discrepancies in reporting. Study heterogeneity was not conducive to data pooling.
Conclusion
Pelvic floor muscle training appears effective in treating ED and PE; however, no optimal training protocol has been identified.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 235-243[article] Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review [Article] / Christopher Myers ; Moira Smith . - 2019 . - p. 235-243.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 235-243
Descripteurs : HE Vinci
Dysfonctionnement érectile ; Ejaculation précoce ; Plancher pelvien ; RéadaptationRésumé : Background
Erectile dysfunction (ED) and premature ejaculation (PE) often have underlying musculoskeletal abnormalities. Despite this, traditional management has focused on pharmaceutical prescription.
Objective
To investigate the efficacy of pelvic floor muscle training in treating ED and PE.
Data sources
A computerized literature search of CINAHL®, Cochrane, InFormit, Ovid Medline, Pedro, and Scopus (from inception until January 2018) was conducted of type of dysfunction and intervention. Secondary search strategies included Medical Subject Headings expansion, hand searching of conference abstracts, key authors, reference lists and forward citation searching via Web of Science.
Study selection
All studies where participants were males greater than 18 years with ED or PE, with no history of neurological injury or previous major urological surgery were included.
Study appraisal
Two independent reviewers assessed methodological quality using the Crowe Critical Appraisal Tool. Disagreements between reviewers were resolved by consensus.
Results
Ten trials were included for review. Among the measures of ED, all trials showed comparative improvement and cure rates in response to treatment. Within PE outcomes, the majority of trials showed comparative improvement rates, with a greater range in overall cure rates in response to treatment. Training protocols varied significantly in overall therapist contact, concurrent interventions, intervention length, training frequency and intensity.
Limitations
The included studies were of low to moderate methodological quality with discrepancies in reporting. Study heterogeneity was not conducive to data pooling.
Conclusion
Pelvic floor muscle training appears effective in treating ED and PE; however, no optimal training protocol has been identified.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Reliability and validity of the Four Square Step Test in patients with hip osteoarthritis before and after total hip replacement Type de document : Article Auteurs : M. Batting ; K.L. Barker Année de publication : 2019 Article en page(s) : p. 244-253 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de hanche ; Arthrose ; Démarche ; Équilibre postural ; Évaluation des résultats des patients ; Reproductibilité des résultatsRésumé : Objective
To determine the validity and inter- and intra-rater reliability of the Four Square Step Test (FSST) in assessing gait performance, balance and physical function for patients with hip osteoarthritis before and after total hip replacement (THR).
Design
Observational, repeated measures.
Setting
A specialist orthopaedic hospital.
Participants
Fifty-eight participants with moderate to severe hip osteoarthritis scheduled to receive primary hip replacement within 4 months from recruitment.
Main outcome measure
Time to complete the FSST, time and steps to complete the Figure of 8 Walk Test (F8W) and Berg Balance Scale score (BBS).
Results
The Bland and Altman limits of agreement for intra-rater measurements of the FSST were −3.2 s to 3.5 seconds before THR and −1.5 to 2.0 seconds after THR. Limits of agreement for two different raters were −2.2 to 3.4 seconds, all with small mean differences indicating little bias between raters or replications. Concurrent validity was assessed, and the FSST correlated highly with the F8W (r = 0.7, P Conclusions
The FSST is a valid and reliable measure of multi-directional stepping speed and balance, giving a more informative measure of gait performance than the F8W and BBS, and is feasible for use in a clinical population of patients both before and after THR.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 244-253[article] Reliability and validity of the Four Square Step Test in patients with hip osteoarthritis before and after total hip replacement [Article] / M. Batting ; K.L. Barker . - 2019 . - p. 244-253.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 244-253
Descripteurs : HE Vinci
Arthroplastie prothétique de hanche ; Arthrose ; Démarche ; Équilibre postural ; Évaluation des résultats des patients ; Reproductibilité des résultatsRésumé : Objective
To determine the validity and inter- and intra-rater reliability of the Four Square Step Test (FSST) in assessing gait performance, balance and physical function for patients with hip osteoarthritis before and after total hip replacement (THR).
Design
Observational, repeated measures.
Setting
A specialist orthopaedic hospital.
Participants
Fifty-eight participants with moderate to severe hip osteoarthritis scheduled to receive primary hip replacement within 4 months from recruitment.
Main outcome measure
Time to complete the FSST, time and steps to complete the Figure of 8 Walk Test (F8W) and Berg Balance Scale score (BBS).
Results
The Bland and Altman limits of agreement for intra-rater measurements of the FSST were −3.2 s to 3.5 seconds before THR and −1.5 to 2.0 seconds after THR. Limits of agreement for two different raters were −2.2 to 3.4 seconds, all with small mean differences indicating little bias between raters or replications. Concurrent validity was assessed, and the FSST correlated highly with the F8W (r = 0.7, P Conclusions
The FSST is a valid and reliable measure of multi-directional stepping speed and balance, giving a more informative measure of gait performance than the F8W and BBS, and is feasible for use in a clinical population of patients both before and after THR.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Gait and balance one year after stroke; relationships with lesion side, subtypes of cognitive impairment and neuroimaging findings—a longitudinal, cohort study Type de document : Article Auteurs : Marie Hélène Ursin ; Astrid Bergland ; Brynjar Fure Année de publication : 2019 Article en page(s) : p. 254-261 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Démarche ; Démence ; Équilibre posturalRésumé : Objectives
The aims of this study are to investigate impairments of balance and gait in various types of dementia and cognitive impairment, and neuroimaging correlates in patients one year after first-ever stroke or transient ischemic attack.
Design
This is a longitudinal cohort study.
Participants
180 participants were included and a total of 156 participated in the assessments at the one-year follow-up.
Main outcome measures
Measurements of balance and gait comprised the Berg Balance Scale (BBS) and the 10 meter walk test (10 MWT). Dementia was diagnosed with the International Classification of Diseases 10th revision. Magnet Resonance Imaging assessed vascular and degenerative changes in the brain. Multivariate linear regressions were conducted regarding associations between the motoric test performances, white matter lesions, lesion of the stroke and cognition.
Results
Cognitive impairment was significant associated with BBS (β = −7.28, P = 0.005) and MWS (β = 1.89, P = 0.046) in the linear regression analyses. An association between 10 MWT to living arrangements (β = 1.58, P = 0.049) and lesion side of the stroke (β = −1.50, P = 0.037) was also observed. Pairwise associations with Mann–Whitney U test showed that participants with mixed pathology differed significantly from degenerative pathology (P = 0.04, z = −2.1) with more impaired balance measured by BBS.
Conclusions
Impaired balance and gait are associated with cognitive impairment, and a lesion in the right hemisphere is related to impaired gait in this cohort of stroke survivors.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 254-261[article] Gait and balance one year after stroke; relationships with lesion side, subtypes of cognitive impairment and neuroimaging findings—a longitudinal, cohort study [Article] / Marie Hélène Ursin ; Astrid Bergland ; Brynjar Fure . - 2019 . - p. 254-261.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 254-261
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Démarche ; Démence ; Équilibre posturalRésumé : Objectives
The aims of this study are to investigate impairments of balance and gait in various types of dementia and cognitive impairment, and neuroimaging correlates in patients one year after first-ever stroke or transient ischemic attack.
Design
This is a longitudinal cohort study.
Participants
180 participants were included and a total of 156 participated in the assessments at the one-year follow-up.
Main outcome measures
Measurements of balance and gait comprised the Berg Balance Scale (BBS) and the 10 meter walk test (10 MWT). Dementia was diagnosed with the International Classification of Diseases 10th revision. Magnet Resonance Imaging assessed vascular and degenerative changes in the brain. Multivariate linear regressions were conducted regarding associations between the motoric test performances, white matter lesions, lesion of the stroke and cognition.
Results
Cognitive impairment was significant associated with BBS (β = −7.28, P = 0.005) and MWS (β = 1.89, P = 0.046) in the linear regression analyses. An association between 10 MWT to living arrangements (β = 1.58, P = 0.049) and lesion side of the stroke (β = −1.50, P = 0.037) was also observed. Pairwise associations with Mann–Whitney U test showed that participants with mixed pathology differed significantly from degenerative pathology (P = 0.04, z = −2.1) with more impaired balance measured by BBS.
Conclusions
Impaired balance and gait are associated with cognitive impairment, and a lesion in the right hemisphere is related to impaired gait in this cohort of stroke survivors.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Development and delivery of the BOOST (Better Outcomes for Older adults with Spinal Trouble) intervention for older adults with neurogenic claudication Type de document : Article Auteurs : Lesley Ward ; Esther Williamson ; Zara Hansen Année de publication : 2019 Article en page(s) : p. 262-274 Langues : Anglais (eng) Descripteurs : HE Vinci
Claudication intermittente ; Essai contrôlé randomisé ; Exercice physique ; Sténose du canal vertébralRésumé : Neurogenic claudication due to spinal stenosis is a common cause of disability in older adults. Conservative treatments are a favourable treatment option. This paper describes the development and delivery of the BOOST (Better Outcomes for Older adults with Spinal Trouble) intervention, a physiotherapist-delivered physical and psychological intervention for the management of neurogenic claudication in older adults. The BOOST intervention is being tested in a multi-centre, randomised controlled trial in UK National Health Service Trusts; delivered by physiotherapists registered with the Health and Care Professionals Council. Participants are aged 65 years or older, registered with a primary care practice, and report symptoms consistent with neurogenic claudication. Intervention content and delivery was initially informed by clinical and patient experts, research evidence, and behaviour change guidelines; and refined following an intervention development day attended by researchers, health professionals, and Patient and Public Involvement representatives. The BOOST intervention comprises 12 group sessions, promoting sustained adherence with a long term home and physical activity programme. Each session includes education and group discussion, individually tailored exercises, and walking. Initial exercise levels are set at a one-to-one assessment. Continued home exercise adherence and increased physical activity following completion of the sessions is facilitated through support telephone calls. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 262-274[article] Development and delivery of the BOOST (Better Outcomes for Older adults with Spinal Trouble) intervention for older adults with neurogenic claudication [Article] / Lesley Ward ; Esther Williamson ; Zara Hansen . - 2019 . - p. 262-274.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 262-274
Descripteurs : HE Vinci
Claudication intermittente ; Essai contrôlé randomisé ; Exercice physique ; Sténose du canal vertébralRésumé : Neurogenic claudication due to spinal stenosis is a common cause of disability in older adults. Conservative treatments are a favourable treatment option. This paper describes the development and delivery of the BOOST (Better Outcomes for Older adults with Spinal Trouble) intervention, a physiotherapist-delivered physical and psychological intervention for the management of neurogenic claudication in older adults. The BOOST intervention is being tested in a multi-centre, randomised controlled trial in UK National Health Service Trusts; delivered by physiotherapists registered with the Health and Care Professionals Council. Participants are aged 65 years or older, registered with a primary care practice, and report symptoms consistent with neurogenic claudication. Intervention content and delivery was initially informed by clinical and patient experts, research evidence, and behaviour change guidelines; and refined following an intervention development day attended by researchers, health professionals, and Patient and Public Involvement representatives. The BOOST intervention comprises 12 group sessions, promoting sustained adherence with a long term home and physical activity programme. Each session includes education and group discussion, individually tailored exercises, and walking. Initial exercise levels are set at a one-to-one assessment. Continued home exercise adherence and increased physical activity following completion of the sessions is facilitated through support telephone calls. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The validity and reliability of the Incremental Shuttle Walk Test and Six-minute Walk Test compared to an Incremental Cycle Test for people who have had a mild-to-moderate stroke Type de document : Article Auteurs : Nicola Clague-Baker ; Thompson Robinson ; Annegret Hagenberg Année de publication : 2019 Article en page(s) : p. 275-282 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Epreuve d'effort ; Psychométrie ; RéadaptationRésumé : Objective
To determine the construct validity and test re-test reliability of the Six-minute Walk Test (6MWT) and Incremental Shuttle Walk Test (ISWT) in the sub-acute recovery phase following mild-to-moderate severity stroke.
Participants
40 stroke patients (mean age: 68.27 years, SD: 13.48) of median National Institutes of Health Stroke Scale (NIHSS) score 1.2 (range: 0 to 8) within six months of stroke.
Method
Each participant completed one Incremental Cycle Test (ICT) followed by two ISWT and two 6MWT in a randomised order. Pearson’s Correlation Coefficients were used to determine the validity and Bland Altman plots were used to determine the test re-test reliability.
Results
The Incremental Cycle Test (ICT) was positively correlated with the ISWT (r = 0.59, 95% confidence intervals 0.35 to 0.76, P = 0.001) and the 6MWT (0.55, 0.35 to 0.71, P Conclusion
The ISWT and 6MWT have a significant, modest correlation with the ICT for stroke patients in the sub-acute recovery phase. The ISWT and 6MWT are not strongly correlated with ICT (VO2 peak) in a stroke population that is disabled. The test–retest reliability of the ISWT and 6MWT indicated that two tests may be needed to accurately assess an individual’s capabilities.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 275-282[article] The validity and reliability of the Incremental Shuttle Walk Test and Six-minute Walk Test compared to an Incremental Cycle Test for people who have had a mild-to-moderate stroke [Article] / Nicola Clague-Baker ; Thompson Robinson ; Annegret Hagenberg . - 2019 . - p. 275-282.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 275-282
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Epreuve d'effort ; Psychométrie ; RéadaptationRésumé : Objective
To determine the construct validity and test re-test reliability of the Six-minute Walk Test (6MWT) and Incremental Shuttle Walk Test (ISWT) in the sub-acute recovery phase following mild-to-moderate severity stroke.
Participants
40 stroke patients (mean age: 68.27 years, SD: 13.48) of median National Institutes of Health Stroke Scale (NIHSS) score 1.2 (range: 0 to 8) within six months of stroke.
Method
Each participant completed one Incremental Cycle Test (ICT) followed by two ISWT and two 6MWT in a randomised order. Pearson’s Correlation Coefficients were used to determine the validity and Bland Altman plots were used to determine the test re-test reliability.
Results
The Incremental Cycle Test (ICT) was positively correlated with the ISWT (r = 0.59, 95% confidence intervals 0.35 to 0.76, P = 0.001) and the 6MWT (0.55, 0.35 to 0.71, P Conclusion
The ISWT and 6MWT have a significant, modest correlation with the ICT for stroke patients in the sub-acute recovery phase. The ISWT and 6MWT are not strongly correlated with ICT (VO2 peak) in a stroke population that is disabled. The test–retest reliability of the ISWT and 6MWT indicated that two tests may be needed to accurately assess an individual’s capabilities.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Effect of inspiratory rise time on sputum movement during ventilator hyperinflation in a test lung model Type de document : Article Auteurs : R.L. Chapman ; H. Shannon ; E. Koutoumanou Année de publication : 2019 Article en page(s) : p. 283-289 Langues : Anglais (eng) Descripteurs : HE Vinci
Débit expiratoire de pointe ; Expectoration ; Kinésithérapeutes ; Respirateurs artificiels ; Volume courantRésumé : Objectives
Physiotherapists may use ventilator hyperinflation to enhance secretion clearance for intubated patients. This study investigated the effects of altering percentage inspiratory rise time (IRT) on sputum movement, ratio of peak inspiratory to expiratory flow rate (PIF:PEF ratio) and net peak expiratory flow (PEF) during ventilator hyperinflation in a test lung model.
Design
Laboratory-based bench study.
Interventions
Simulated sputum (two viscosities) was inserted into clean, clear tubing and connected between a ventilator and a resuscitation bag. Thirty-six ventilator hyperinflation breaths were applied for each 5% incremental increase in IRT between 0% and 20%.
Main outcome measures
The primary outcome was sputum displacement (cm). Secondary outcomes included PIF:PEF ratio and net PEF.
Results
Significant cephalad sputum movement of 2.42 cm (1.59 to 3.94) occurred with IRT between 5% and 20%, compared with caudad movement of 0.53 cm (0.31 to 1.53) at 0% IRT (median sputum movement difference 3.7 cm, 95% confidence interval 2.2 to 4.8, P Conclusions
Significant increases in sputum movement occurred when IRT percentage was lengthened to achieve the optimal PIF:PEF ratio, irrespective of sputum viscosity. This provides a theoretical rationale for therapists to consider this technique when treating mechanically ventilated patients. As no additional sputum movement was seen beyond the critical PIF:PEF ratio threshold, a low IRT percentage may potentially be used to achieve effective sputum movement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 283-289[article] Effect of inspiratory rise time on sputum movement during ventilator hyperinflation in a test lung model [Article] / R.L. Chapman ; H. Shannon ; E. Koutoumanou . - 2019 . - p. 283-289.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 2 (2019) . - p. 283-289
Descripteurs : HE Vinci
Débit expiratoire de pointe ; Expectoration ; Kinésithérapeutes ; Respirateurs artificiels ; Volume courantRésumé : Objectives
Physiotherapists may use ventilator hyperinflation to enhance secretion clearance for intubated patients. This study investigated the effects of altering percentage inspiratory rise time (IRT) on sputum movement, ratio of peak inspiratory to expiratory flow rate (PIF:PEF ratio) and net peak expiratory flow (PEF) during ventilator hyperinflation in a test lung model.
Design
Laboratory-based bench study.
Interventions
Simulated sputum (two viscosities) was inserted into clean, clear tubing and connected between a ventilator and a resuscitation bag. Thirty-six ventilator hyperinflation breaths were applied for each 5% incremental increase in IRT between 0% and 20%.
Main outcome measures
The primary outcome was sputum displacement (cm). Secondary outcomes included PIF:PEF ratio and net PEF.
Results
Significant cephalad sputum movement of 2.42 cm (1.59 to 3.94) occurred with IRT between 5% and 20%, compared with caudad movement of 0.53 cm (0.31 to 1.53) at 0% IRT (median sputum movement difference 3.7 cm, 95% confidence interval 2.2 to 4.8, P Conclusions
Significant increases in sputum movement occurred when IRT percentage was lengthened to achieve the optimal PIF:PEF ratio, irrespective of sputum viscosity. This provides a theoretical rationale for therapists to consider this technique when treating mechanically ventilated patients. As no additional sputum movement was seen beyond the critical PIF:PEF ratio threshold, a low IRT percentage may potentially be used to achieve effective sputum movement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
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Titre : Effectiveness of Mulligan’s mobilization with movement techniques on pain and disability of peripheral joints: a systematic review with meta-analysis between 2008–2017 Type de document : Article Auteurs : Nikolaos Stathopoulos ; Zacharias Dimitriadis ; George A. Koumantakis Année de publication : 2019 Article en page(s) : p. 1-9 Langues : Anglais (eng) Descripteurs : HE Vinci
Articulations ; Manipulations de l'appareil locomoteur ; Revue systématiqueRésumé : Background
The Mulligan method of manual therapy advocates the use of ‘mobilization with movement (MWM)’ techniques to effectively manage peripheral joint ‘positional fault’ dysfunctions.
Objectives
To provide an updated evidence-based systematic review and meta-analysis regarding the effectiveness of MWM techniques.
Data sources
PubMed, EBSCOhost, PEDro, Cochrane Library and Google Scholar between 1st August 2008–31st August 2017.
Study selection
Two reviewers applied the population intervention comparison outcome (PICO) question to screen the studies for this review. Only RCTs/CCTs were included.
Data extraction
Information on study design, subjects, intervention, outcome measures and efficacy results were extracted. Methodological quality was independently assessed by two reviewers using the PEDro Scale.
Data synthesis
Sixteen studies with 576 participants were included in four separate meta-analyses for pain and disability. The I2 index assessed the heterogeneity between studies.
Results
MWMs have demonstrated statistically significant improvements against sham treatment, passive and control intervention techniques for pain [mean difference (95%CI): −16.12 (−19.77, −12.48) & I2 = 72%] and disability [mean difference (95%CI): −17.51 (−22.84, −12.19) & I2 = 88%] or against another manual therapy treatment [pain mean difference (95%CI): −10.43 (−11.38, −9.48) & I2 = 0%], however not against another manual therapy treatment for disability. The clinical significance of the pooled differences was compared against Minimal Clinically Important Difference values.
Limitations
No long-term effectiveness data were identified in any of the included studies.
Conclusions and implications of key findings
The overall post-intervention short-term statistical and clinical significance of MWM techniques has been verified, although the high heterogeneity identified may require further validation of those methods.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 1-9[article] Effectiveness of Mulligan’s mobilization with movement techniques on pain and disability of peripheral joints: a systematic review with meta-analysis between 2008–2017 [Article] / Nikolaos Stathopoulos ; Zacharias Dimitriadis ; George A. Koumantakis . - 2019 . - p. 1-9.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 1-9
Descripteurs : HE Vinci
Articulations ; Manipulations de l'appareil locomoteur ; Revue systématiqueRésumé : Background
The Mulligan method of manual therapy advocates the use of ‘mobilization with movement (MWM)’ techniques to effectively manage peripheral joint ‘positional fault’ dysfunctions.
Objectives
To provide an updated evidence-based systematic review and meta-analysis regarding the effectiveness of MWM techniques.
Data sources
PubMed, EBSCOhost, PEDro, Cochrane Library and Google Scholar between 1st August 2008–31st August 2017.
Study selection
Two reviewers applied the population intervention comparison outcome (PICO) question to screen the studies for this review. Only RCTs/CCTs were included.
Data extraction
Information on study design, subjects, intervention, outcome measures and efficacy results were extracted. Methodological quality was independently assessed by two reviewers using the PEDro Scale.
Data synthesis
Sixteen studies with 576 participants were included in four separate meta-analyses for pain and disability. The I2 index assessed the heterogeneity between studies.
Results
MWMs have demonstrated statistically significant improvements against sham treatment, passive and control intervention techniques for pain [mean difference (95%CI): −16.12 (−19.77, −12.48) & I2 = 72%] and disability [mean difference (95%CI): −17.51 (−22.84, −12.19) & I2 = 88%] or against another manual therapy treatment [pain mean difference (95%CI): −10.43 (−11.38, −9.48) & I2 = 0%], however not against another manual therapy treatment for disability. The clinical significance of the pooled differences was compared against Minimal Clinically Important Difference values.
Limitations
No long-term effectiveness data were identified in any of the included studies.
Conclusions and implications of key findings
The overall post-intervention short-term statistical and clinical significance of MWM techniques has been verified, although the high heterogeneity identified may require further validation of those methods.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Biofeedback for pelvic floor muscle training in women with stress urinary incontinence: a systematic review with meta-analysis Type de document : Article Auteurs : Erica Feio Carneiro Nunes ; Luciana Maria Malosá Sampaio ; Daniela Aparecida Biasotto-Gonzalez Année de publication : 2019 Article en page(s) : p. 10-23 Langues : Anglais (eng) Descripteurs : HE Vinci
Incontinence urinaire ; Méta-analyse ; Plancher pelvien ; Rétroaction biologique (psychologie) ; Revue systématiqueRésumé : Background
Several clinical effects have been attributed to the use of biofeedback (BF) as an adjuvant in the treatment of women with stress urinary incontinence (SUI).
Objectives
To determine whether BF is more effective than other interventions for women with SUI in terms of quantification of urine leakage, episodes of urinary loss, quality of life and muscle strength.
Data sources
Science Direct, Embase, MEDLINE, Pedro, SciELO, CINAHL and LILACS from January 2000 to February 2017.
Study selection
Randomised controlled trials (RCTs) addressing the effects of pelvic muscle floor training (PFMT) with BF for the conservative treatment of women with SUI.
Data extraction and data synthesis
Two independent assessors extracted data from articles. The risk of bias for individual studies was assessed using the Jadad scale and Physiotherapy Evidence Database (PEDro) scale. Mean differences (MD) and 95% confidence intervals were calculated and combined in meta-analyses.
Results
In total, 1194 studies were retrieved and 11 were included in this review. Only two RCTs demonstrated a low risk of bias according to the PEDro scale. The results demonstrated that PFMT with BF was no better than alternative interventions in terms of muscle strength measured using a perineometer.
Limitations
Low methodological quality of studies, heterogeneity of outcomes, and differences in implementation of intervention protocols and BF modalities.
Conclusions
PFMT with BF does not offer therapeutic benefits over alternative interventions (no training, PFMT alone and vaginal electrical stimulation) for the treatment of female SUI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 10-23[article] Biofeedback for pelvic floor muscle training in women with stress urinary incontinence: a systematic review with meta-analysis [Article] / Erica Feio Carneiro Nunes ; Luciana Maria Malosá Sampaio ; Daniela Aparecida Biasotto-Gonzalez . - 2019 . - p. 10-23.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 10-23
Descripteurs : HE Vinci
Incontinence urinaire ; Méta-analyse ; Plancher pelvien ; Rétroaction biologique (psychologie) ; Revue systématiqueRésumé : Background
Several clinical effects have been attributed to the use of biofeedback (BF) as an adjuvant in the treatment of women with stress urinary incontinence (SUI).
Objectives
To determine whether BF is more effective than other interventions for women with SUI in terms of quantification of urine leakage, episodes of urinary loss, quality of life and muscle strength.
Data sources
Science Direct, Embase, MEDLINE, Pedro, SciELO, CINAHL and LILACS from January 2000 to February 2017.
Study selection
Randomised controlled trials (RCTs) addressing the effects of pelvic muscle floor training (PFMT) with BF for the conservative treatment of women with SUI.
Data extraction and data synthesis
Two independent assessors extracted data from articles. The risk of bias for individual studies was assessed using the Jadad scale and Physiotherapy Evidence Database (PEDro) scale. Mean differences (MD) and 95% confidence intervals were calculated and combined in meta-analyses.
Results
In total, 1194 studies were retrieved and 11 were included in this review. Only two RCTs demonstrated a low risk of bias according to the PEDro scale. The results demonstrated that PFMT with BF was no better than alternative interventions in terms of muscle strength measured using a perineometer.
Limitations
Low methodological quality of studies, heterogeneity of outcomes, and differences in implementation of intervention protocols and BF modalities.
Conclusions
PFMT with BF does not offer therapeutic benefits over alternative interventions (no training, PFMT alone and vaginal electrical stimulation) for the treatment of female SUI.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Relationship between diastasis of the rectus abdominis muscle (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review Type de document : Article Auteurs : Deenika R. Benjamin ; Helena C. Frawley ; Nora Shields Année de publication : 2019 Article en page(s) : p. 24-34 Langues : Anglais (eng) Descripteurs : HE Vinci
Diastasis musculaire ; Douleur pelvienne ; Incontinence urinaire ; Lombalgie ; Muscle droit de l'abdomen ; Muscles abdominaux ; Prolapsus d'organe pelvienRésumé : Background
Diastasis of the rectus abdominis muscle (DRAM) is common during and after pregnancy.
Objectives
To determine the association between: the presence of DRAM and low back pain, lumbo-pelvic pain, incontinence, pelvic organ prolapse, abdominal muscle performance or health-related quality of life; and between DRAM width and severity of these outcomes.
Data sources
Six electronic databases (EMBASE, Medline, CINAHL, PUBMED, AMED and PEDro).
Study selection
Included studies of all designs with adults with DRAM that assessed low back pain, lumbo-pelvic pain incontinence, pelvic organ prolapse, abdominal performance or health-related quality of life.
Study appraisal & synthesis methods
Methodological quality was assessed using the Effective Public Health Practice Project tool. A narrative summary was completed for DRAM presence and presence of the various musculoskeletal dysfunctions, and DRAM width and the severity of these dysfunctions.
Results
Twelve studies involving 2242 participants were included. There was no significant association between the presence of DRAM and lumbo-pelvic pain or incontinence. There was a small association between the presence of DRAM and pelvic organ prolapse. DRAM width may be associated with health-related quality of life, abdominal muscle strength and severity of low back pain.
Limitations
Quality of studies was weak. There was variability in the methods used to assess DRAM.
Conclusion
There is weak evidence that DRAM presence may be associated with pelvic organ prolapse, and DRAM severity with impaired health-related quality of life, impaired abdominal muscle strength and low back pain severity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 24-34[article] Relationship between diastasis of the rectus abdominis muscle (DRAM) and musculoskeletal dysfunctions, pain and quality of life: a systematic review [Article] / Deenika R. Benjamin ; Helena C. Frawley ; Nora Shields . - 2019 . - p. 24-34.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 24-34
Descripteurs : HE Vinci
Diastasis musculaire ; Douleur pelvienne ; Incontinence urinaire ; Lombalgie ; Muscle droit de l'abdomen ; Muscles abdominaux ; Prolapsus d'organe pelvienRésumé : Background
Diastasis of the rectus abdominis muscle (DRAM) is common during and after pregnancy.
Objectives
To determine the association between: the presence of DRAM and low back pain, lumbo-pelvic pain, incontinence, pelvic organ prolapse, abdominal muscle performance or health-related quality of life; and between DRAM width and severity of these outcomes.
Data sources
Six electronic databases (EMBASE, Medline, CINAHL, PUBMED, AMED and PEDro).
Study selection
Included studies of all designs with adults with DRAM that assessed low back pain, lumbo-pelvic pain incontinence, pelvic organ prolapse, abdominal performance or health-related quality of life.
Study appraisal & synthesis methods
Methodological quality was assessed using the Effective Public Health Practice Project tool. A narrative summary was completed for DRAM presence and presence of the various musculoskeletal dysfunctions, and DRAM width and the severity of these dysfunctions.
Results
Twelve studies involving 2242 participants were included. There was no significant association between the presence of DRAM and lumbo-pelvic pain or incontinence. There was a small association between the presence of DRAM and pelvic organ prolapse. DRAM width may be associated with health-related quality of life, abdominal muscle strength and severity of low back pain.
Limitations
Quality of studies was weak. There was variability in the methods used to assess DRAM.
Conclusion
There is weak evidence that DRAM presence may be associated with pelvic organ prolapse, and DRAM severity with impaired health-related quality of life, impaired abdominal muscle strength and low back pain severity.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Minimal change in physical activity after lower limb joint arthroplasty, but the outcome measure may be contributing to the problem: a systematic review and meta-analysis Type de document : Article Auteurs : Kathryn Mills ; Brooke Falchi ; Caitlin Duckett Année de publication : 2019 Article en page(s) : p. 35-45 Langues : Anglais (eng) Descripteurs : HE Vinci
Accélérométrie ; Arthroplastie prothétique de genou ; Exercice physique ; Hanche ; Mesures des résultats rapportés par les patients (PROM)Résumé : Background
The literature pertaining to changes in physical activity (PA) in people who have undergone lower limb arthroplasty is controversial, but it is unknown whether this is due to participant characteristics or how physical activity is measured.
Objectives
To determine whether PA changes after total knee or hip arthroplasty and what explains contradictory results between different published studies.
Data sources
Five online databases were searched for keywords and MeSH headings. Reference lists were also hand-searched.
Study selection
Cohort studies and the control groups of clinical trials that examined PA levels prior to total arthroplasty as well as 6- and/or 12-month post-operative included. PA could be measured using accelerometery, pedometery or patient reported outcomes.
Data extraction
PA outcomes were categorised into frequency, intensity, duration and type. Meta-analysis was performed when possible.
Results
Eleven studies, examining 277 individuals with THA and 406 people with TKA were included. Studies differed in the outcome measure reported, device used and placement of accelerometers. When measured as steps per day, pooled data revealed a small increase in the frequency of PA at 12 months post-TKA (SMD 0.44 [0.2, 0.67] I2 = 0%) and moderate increase in individuals post-THA (SMD 0.65 [0.32, 0.97] I2 = 0%). Pooled evidence indicated no change in PA duration when measured as time spent active (SMD 0.05 [−0.42, 0.52] I2 = 46%) or proportion of time spent active (SMD 0.5 [−0.17, 1.16] I2 = 75%) 6-months post-TKA. Data examining PA duration, intensity and type at 12-months could not be pooled.
Conclusion
The true nature of changes in PA post-surgery remains largely unclear. While frequency of PA may increase, the balance of evidence indicates that PA does not substantially increase post total joint arthroplasty. Improvements in the consistency of device type, placement and outcome measure would substantially assist in improving knowledge in this area.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 35-45[article] Minimal change in physical activity after lower limb joint arthroplasty, but the outcome measure may be contributing to the problem: a systematic review and meta-analysis [Article] / Kathryn Mills ; Brooke Falchi ; Caitlin Duckett . - 2019 . - p. 35-45.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 35-45
Descripteurs : HE Vinci
Accélérométrie ; Arthroplastie prothétique de genou ; Exercice physique ; Hanche ; Mesures des résultats rapportés par les patients (PROM)Résumé : Background
The literature pertaining to changes in physical activity (PA) in people who have undergone lower limb arthroplasty is controversial, but it is unknown whether this is due to participant characteristics or how physical activity is measured.
Objectives
To determine whether PA changes after total knee or hip arthroplasty and what explains contradictory results between different published studies.
Data sources
Five online databases were searched for keywords and MeSH headings. Reference lists were also hand-searched.
Study selection
Cohort studies and the control groups of clinical trials that examined PA levels prior to total arthroplasty as well as 6- and/or 12-month post-operative included. PA could be measured using accelerometery, pedometery or patient reported outcomes.
Data extraction
PA outcomes were categorised into frequency, intensity, duration and type. Meta-analysis was performed when possible.
Results
Eleven studies, examining 277 individuals with THA and 406 people with TKA were included. Studies differed in the outcome measure reported, device used and placement of accelerometers. When measured as steps per day, pooled data revealed a small increase in the frequency of PA at 12 months post-TKA (SMD 0.44 [0.2, 0.67] I2 = 0%) and moderate increase in individuals post-THA (SMD 0.65 [0.32, 0.97] I2 = 0%). Pooled evidence indicated no change in PA duration when measured as time spent active (SMD 0.05 [−0.42, 0.52] I2 = 46%) or proportion of time spent active (SMD 0.5 [−0.17, 1.16] I2 = 75%) 6-months post-TKA. Data examining PA duration, intensity and type at 12-months could not be pooled.
Conclusion
The true nature of changes in PA post-surgery remains largely unclear. While frequency of PA may increase, the balance of evidence indicates that PA does not substantially increase post total joint arthroplasty. Improvements in the consistency of device type, placement and outcome measure would substantially assist in improving knowledge in this area.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Introduction of an innovative day surgery pathway for unicompartmental knee replacement: no need for early knee flexion Type de document : Article Auteurs : Cathy Jenkins ; William Jackson ; Nicholas Bottomley Année de publication : 2019 Article en page(s) : p. 46-52 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Durée du séjour ; Procédures de chirurgie ambulatoireRésumé : Objectives
To evaluate the introduction of an innovative rehabilitation protocol, delaying knee flexion, for patients receiving unicompartmental knee replacement.
Design
Longitudinal cohort.
Setting
Specialist Orthopaedic Unit within an NHS Foundation Trust.
Participants
669 consecutive patients undergoing unicompartmental knee replacement.
Intervention
An innovative rehabilitation protocol, delaying knee flexion.
Main Outcome Measures
Length of stay, range of movement, Surgical Satisfaction Questionnaire.
Results
There were 669 consecutive primary unilateral unicompartmental knee replacements from September 2016 to February 2018. In total 264 patients (39%) went home on the day of surgery, 253 (38%) on day 1 and 152 (23%) stayed in 2 or more days (range 2 to 28 days). The mean length of stay reduced from 2.6 to 1.2 days (median 1 day). Mean flexion was 110° (range 30 to 140) at 6 weeks. The surgical satisfaction questionnaire showed that 90% of patients discharged on day 0 were very satisfied with the results of surgery.
Conclusion
Many components of traditional care were altered to introduce this protocol. The most important factors were delayed knee flexion providing benefits in terms of early mobilisation with no short term detriment, physiotherapists working late shifts, a consistent message and patient education. It was safe, effective and patient satisfaction was high.
Previous article in issueDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 46-52[article] Introduction of an innovative day surgery pathway for unicompartmental knee replacement: no need for early knee flexion [Article] / Cathy Jenkins ; William Jackson ; Nicholas Bottomley . - 2019 . - p. 46-52.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 46-52
Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Durée du séjour ; Procédures de chirurgie ambulatoireRésumé : Objectives
To evaluate the introduction of an innovative rehabilitation protocol, delaying knee flexion, for patients receiving unicompartmental knee replacement.
Design
Longitudinal cohort.
Setting
Specialist Orthopaedic Unit within an NHS Foundation Trust.
Participants
669 consecutive patients undergoing unicompartmental knee replacement.
Intervention
An innovative rehabilitation protocol, delaying knee flexion.
Main Outcome Measures
Length of stay, range of movement, Surgical Satisfaction Questionnaire.
Results
There were 669 consecutive primary unilateral unicompartmental knee replacements from September 2016 to February 2018. In total 264 patients (39%) went home on the day of surgery, 253 (38%) on day 1 and 152 (23%) stayed in 2 or more days (range 2 to 28 days). The mean length of stay reduced from 2.6 to 1.2 days (median 1 day). Mean flexion was 110° (range 30 to 140) at 6 weeks. The surgical satisfaction questionnaire showed that 90% of patients discharged on day 0 were very satisfied with the results of surgery.
Conclusion
Many components of traditional care were altered to introduce this protocol. The most important factors were delayed knee flexion providing benefits in terms of early mobilisation with no short term detriment, physiotherapists working late shifts, a consistent message and patient education. It was safe, effective and patient satisfaction was high.
Previous article in issueDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Individualised manual therapy plus guideline-based advice vs advice alone for people with clinical features of lumbar zygapophyseal joint pain: a randomised controlled trial Type de document : Article Auteurs : Jon J. Ford ; Sarah L. Slater ; Matthew C. Richards Année de publication : 2019 Article en page(s) : p. 53-64 Langues : Anglais (eng) Descripteurs : HE Vinci
Articulation zygapophysaire ; Dorsalgie ; Essai clinique ; Manipulations de l'appareil locomoteur ; RachisRésumé : Objectives
To determine whether individualised manual therapy plus guideline-based advice results in superior outcomes to advice alone in participants with clinical features potentially indicative of lumbar zygapophyseal joint pain.
Design
Multi centre parallel group randomised controlled trial.
Setting
14 physiotherapy clinics in Melbourne, Australia.
Participants
Sixty-four participants with clinical features potentially indicative of lumbar zygapophyseal joint pain.
Interventions
10-weeks of physiotherapy comprising individualised manual therapy based on pathoanatomical, psychosocial and neurophysiological barriers to recovery plus guideline-based advice (10 sessions) or advice alone (two sessions).
Main outcome measures
Primary outcomes were activity limitation (Oswestry Disability Index), and separate 0 to 10 numerical rating scales for leg pain and back pain. Measures were taken at baseline and 5, 10, 26 and 52-week.
Results
Between-group differences for back pain favoured individualised manual therapy over advice for back pain at 5 (1.0; 95% CI 0.6 to 2.0), 10 (1.5; 95% CI 0.5 to 2.4) and 26-weeks (1.4; 95% CI 0.4 to 2.3) as well as for activity limitation at 26 (8.3; 95% CI 2.6 to 14.2) and 52-weeks (8.2; 95% CI 2.3 to 14.2). There were no significant between-group differences for leg pain. Secondary outcomes and responder analyses also favoured individualised manual therapy at almost all time-points.
Conclusions
In participants with clinical features potentially indicative of lumbar zygapophyseal joint pain, individualised manual therapy led to greater reduction in back pain at 5, 10 and 26-week follow-up as well as activity limitation at 26 and 52-weeks. Between-group differences were likely to be clinically important.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 53-64[article] Individualised manual therapy plus guideline-based advice vs advice alone for people with clinical features of lumbar zygapophyseal joint pain: a randomised controlled trial [Article] / Jon J. Ford ; Sarah L. Slater ; Matthew C. Richards . - 2019 . - p. 53-64.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 53-64
Descripteurs : HE Vinci
Articulation zygapophysaire ; Dorsalgie ; Essai clinique ; Manipulations de l'appareil locomoteur ; RachisRésumé : Objectives
To determine whether individualised manual therapy plus guideline-based advice results in superior outcomes to advice alone in participants with clinical features potentially indicative of lumbar zygapophyseal joint pain.
Design
Multi centre parallel group randomised controlled trial.
Setting
14 physiotherapy clinics in Melbourne, Australia.
Participants
Sixty-four participants with clinical features potentially indicative of lumbar zygapophyseal joint pain.
Interventions
10-weeks of physiotherapy comprising individualised manual therapy based on pathoanatomical, psychosocial and neurophysiological barriers to recovery plus guideline-based advice (10 sessions) or advice alone (two sessions).
Main outcome measures
Primary outcomes were activity limitation (Oswestry Disability Index), and separate 0 to 10 numerical rating scales for leg pain and back pain. Measures were taken at baseline and 5, 10, 26 and 52-week.
Results
Between-group differences for back pain favoured individualised manual therapy over advice for back pain at 5 (1.0; 95% CI 0.6 to 2.0), 10 (1.5; 95% CI 0.5 to 2.4) and 26-weeks (1.4; 95% CI 0.4 to 2.3) as well as for activity limitation at 26 (8.3; 95% CI 2.6 to 14.2) and 52-weeks (8.2; 95% CI 2.3 to 14.2). There were no significant between-group differences for leg pain. Secondary outcomes and responder analyses also favoured individualised manual therapy at almost all time-points.
Conclusions
In participants with clinical features potentially indicative of lumbar zygapophyseal joint pain, individualised manual therapy led to greater reduction in back pain at 5, 10 and 26-week follow-up as well as activity limitation at 26 and 52-weeks. Between-group differences were likely to be clinically important.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial Type de document : Article Auteurs : Liane de Brito Macedo ; Jim Richards ; Daniel Tezoni Borges Année de publication : 2019 Article en page(s) : p. 65-75 Langues : Anglais (eng) Descripteurs : HE Vinci
Bandage ; Electromyographie ; Muscles du dos ; RachisRésumé : Objective
To investigate the effects of Kinesio Taping® (KT) on chronic non-specific low back pain (LBP).
Design
Randomised controlled trial with intention-to-treat analysis.
Setting
University laboratory.
Participants
One hundred and eight women with chronic non-specific LBP underwent an evaluation pre, 3 and 10 days after intervention.
Interventions
After randomisation, participants were assigned to four groups: KT with tension group (KTT) applied KT® with tension in the region of the erector spinae muscles; KT no tension group (KTNT) applied KT® with no tension in the same region; Micropore group (MP) applied Micropore® tape on the erector spinae muscles; and control group (CG) did not receive any intervention.
Main outcome measures
The primary outcome was pain sensation, measured by numerical pain rating scale. Secondary outcomes were: disability (Roland Morris Disability questionnaire), trunk range of motion (inclinometry), strength (dynamometry) and electromyographic amplitude (electromyography).
Results
Improved pain relief was observed for KTT group (mean difference 2.0; 95% CI 0.5 to 3.4; P = 0.003) and KTNT group [mean difference (MD) 1.9; 95% CI 0.5 to 3.4; P = 0.004] compared with CG at 3 days after application of the tape. For disability, there was a difference between CG and KTT group at 3 days (MD 3.5; 95% CI 0.8 to 6.1; P = 0.004) and 10 days (MD 32; 95% CI 0.4 to 6.0; P = 0.016). For all the other variables, there were no differences between groups.
Conclusion
KT with or without tension reduces pain 3 days after its application. Additionally, when applied with tension, it improves disability after 3 and 10 days in patients with LBP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 65-75[article] Kinesio Taping reduces pain and improves disability in low back pain patients: a randomised controlled trial [Article] / Liane de Brito Macedo ; Jim Richards ; Daniel Tezoni Borges . - 2019 . - p. 65-75.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 65-75
Descripteurs : HE Vinci
Bandage ; Electromyographie ; Muscles du dos ; RachisRésumé : Objective
To investigate the effects of Kinesio Taping® (KT) on chronic non-specific low back pain (LBP).
Design
Randomised controlled trial with intention-to-treat analysis.
Setting
University laboratory.
Participants
One hundred and eight women with chronic non-specific LBP underwent an evaluation pre, 3 and 10 days after intervention.
Interventions
After randomisation, participants were assigned to four groups: KT with tension group (KTT) applied KT® with tension in the region of the erector spinae muscles; KT no tension group (KTNT) applied KT® with no tension in the same region; Micropore group (MP) applied Micropore® tape on the erector spinae muscles; and control group (CG) did not receive any intervention.
Main outcome measures
The primary outcome was pain sensation, measured by numerical pain rating scale. Secondary outcomes were: disability (Roland Morris Disability questionnaire), trunk range of motion (inclinometry), strength (dynamometry) and electromyographic amplitude (electromyography).
Results
Improved pain relief was observed for KTT group (mean difference 2.0; 95% CI 0.5 to 3.4; P = 0.003) and KTNT group [mean difference (MD) 1.9; 95% CI 0.5 to 3.4; P = 0.004] compared with CG at 3 days after application of the tape. For disability, there was a difference between CG and KTT group at 3 days (MD 3.5; 95% CI 0.8 to 6.1; P = 0.004) and 10 days (MD 32; 95% CI 0.4 to 6.0; P = 0.016). For all the other variables, there were no differences between groups.
Conclusion
KT with or without tension reduces pain 3 days after its application. Additionally, when applied with tension, it improves disability after 3 and 10 days in patients with LBP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The reliability and validity of the Figure of 8 Walk test in older people with knee replacement: does the setting have an impact? Type de document : Article Auteurs : Karen L. Barker ; Martha Batting ; Michael Schlüssel Année de publication : 2019 Article en page(s) : p. 76-83 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Arthrose ; Démarche ; Équilibre postural ; Évaluation des résultats des patientsRésumé : Objective
To determine the reliability and validity of the Figure of 8 Walk test (F8W) for older people after knee replacement surgery in the home setting.
Design
Observational repeated measures.
Setting
A specialist orthopaedic hospital and participants homes.
Participants
Seventy-four older adults aged over 55 years one year following knee replacement surgery participated in two assessments more than one week apart.
Main Outcome Measure
The time to complete, steps, boundary limits and smoothness score from the Figure of 8 Walk test (F8W), the time to complete the Timed Up and Go (TUG) test and the time to complete the Timed Walk Test (TWT).
Results
Overall, on 95% of occasions, the difference between the measurements for intra-rater reliability were within 1.8 second of the two test times. The difference between the measurements for inter-rater reliability were found to be narrower than for intra-rater reliability with scores within 1.2 second overall on 95% of occasions. The time to perform the F8W was highly correlated to the Timed Up and Go (overall sample r = 0.921) and the variability spread within narrow limits (−0.8 to 0.8 z-scores). This was also true for the Timed Walk Test (overall sample r = 0.834) with a narrow limit of variability on almost all of the observations (−1.16 to 1.16 z-scores).
Conclusions
The F8W test has good reliability and validity when used in either a clinical or home setting for patients around one year following knee replacement surgery.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 76-83[article] The reliability and validity of the Figure of 8 Walk test in older people with knee replacement: does the setting have an impact? [Article] / Karen L. Barker ; Martha Batting ; Michael Schlüssel . - 2019 . - p. 76-83.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 76-83
Descripteurs : HE Vinci
Arthroplastie prothétique de genou ; Arthrose ; Démarche ; Équilibre postural ; Évaluation des résultats des patientsRésumé : Objective
To determine the reliability and validity of the Figure of 8 Walk test (F8W) for older people after knee replacement surgery in the home setting.
Design
Observational repeated measures.
Setting
A specialist orthopaedic hospital and participants homes.
Participants
Seventy-four older adults aged over 55 years one year following knee replacement surgery participated in two assessments more than one week apart.
Main Outcome Measure
The time to complete, steps, boundary limits and smoothness score from the Figure of 8 Walk test (F8W), the time to complete the Timed Up and Go (TUG) test and the time to complete the Timed Walk Test (TWT).
Results
Overall, on 95% of occasions, the difference between the measurements for intra-rater reliability were within 1.8 second of the two test times. The difference between the measurements for inter-rater reliability were found to be narrower than for intra-rater reliability with scores within 1.2 second overall on 95% of occasions. The time to perform the F8W was highly correlated to the Timed Up and Go (overall sample r = 0.921) and the variability spread within narrow limits (−0.8 to 0.8 z-scores). This was also true for the Timed Walk Test (overall sample r = 0.834) with a narrow limit of variability on almost all of the observations (−1.16 to 1.16 z-scores).
Conclusions
The F8W test has good reliability and validity when used in either a clinical or home setting for patients around one year following knee replacement surgery.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The reliability and validity of the L-test in people with Parkinson’s disease Type de document : Article Auteurs : Bernhard Haas ; Elizabeth Clarke ; Laura Elver Année de publication : 2019 Article en page(s) : p. 84-89 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche ; Maladie de Parkinson ; Reproductibilité des résultatsRésumé : Objective
To evaluate the test–retest and concurrent validity of the L-test in a group of participants with mild to moderate Parkinson’s disease. The L-test is an extended version of the Timed up and Go test, incorporating a longer walking distance and turns in two directions.
Design
Cross-sectional.
Setting
Community.
Participants
16 participants (13 male), mean age 75 (SD 6.7) mean duration since diagnosis 7.1 years (±2.8). Disease severity was mild to moderate on the Hoehn and Yahr scale (mean 2.1; mode 2; range 1–3). 14 participants (12 male) completed the study.
Interventions
Not applicable.
Main outcome measures
A Bland and Altman plot examined the agreement between first and second testing occasion of the L-test. Intra-class correlation coefficients (ICC) assessed the test–retest reliability. Concurrent validity was established by correlating the L-test with the Timed up and Go test (TUG). The Minimal Detectable Change with 95% confidence interval (MDC95) was calculated to determine the true change not due to chance.
Results
The L-test showed excellent test–retest reliability on the Bland & Altman plot and the ICC. There was a high degree of agreement between measurements taken on days 1 and 2. The L-test correlated strongly with the Timed up and Go test on both measurement days with r = 0.97 (p Conclusions
The L-test is a reliable and valid outcome measurement for the assessment of walking ability in participants with mild to moderate Parkinson’s disease.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 84-89[article] The reliability and validity of the L-test in people with Parkinson’s disease [Article] / Bernhard Haas ; Elizabeth Clarke ; Laura Elver . - 2019 . - p. 84-89.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 84-89
Descripteurs : HE Vinci
Démarche ; Maladie de Parkinson ; Reproductibilité des résultatsRésumé : Objective
To evaluate the test–retest and concurrent validity of the L-test in a group of participants with mild to moderate Parkinson’s disease. The L-test is an extended version of the Timed up and Go test, incorporating a longer walking distance and turns in two directions.
Design
Cross-sectional.
Setting
Community.
Participants
16 participants (13 male), mean age 75 (SD 6.7) mean duration since diagnosis 7.1 years (±2.8). Disease severity was mild to moderate on the Hoehn and Yahr scale (mean 2.1; mode 2; range 1–3). 14 participants (12 male) completed the study.
Interventions
Not applicable.
Main outcome measures
A Bland and Altman plot examined the agreement between first and second testing occasion of the L-test. Intra-class correlation coefficients (ICC) assessed the test–retest reliability. Concurrent validity was established by correlating the L-test with the Timed up and Go test (TUG). The Minimal Detectable Change with 95% confidence interval (MDC95) was calculated to determine the true change not due to chance.
Results
The L-test showed excellent test–retest reliability on the Bland & Altman plot and the ICC. There was a high degree of agreement between measurements taken on days 1 and 2. The L-test correlated strongly with the Timed up and Go test on both measurement days with r = 0.97 (p Conclusions
The L-test is a reliable and valid outcome measurement for the assessment of walking ability in participants with mild to moderate Parkinson’s disease.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) tool predicts reduction in sedentary time following pulmonary rehabilitation in people with chronic obstructive pulmonary disease (COPD) Type de document : Article Auteurs : Athina Liacos ; Christine F. McDonald ; Ajay Mahal Année de publication : 2019 Article en page(s) : p. 90-97 Langues : Anglais (eng) Descripteurs : HE Vinci
Auto-efficacité ; Broncho-pneumopathie chronique obstructive ; Exercice physiqueRésumé : Objectives
To examine the predictive validity, minimal important difference (MID) and responsiveness of the PRAISE tool.
Design
Retrospective data analysis from HomeBase trial of home vs centre-based pulmonary rehabilitation.
Setting
Tertiary health service.
Participants
One hundred and sixty-six participants with COPD (100 men) with mean age 69 (SD 9) years, FEV1% predicted 50% (19).
Interventions
Eight-week pulmonary rehabilitation program, conducted at the hospital or at home.
Main outcome measures
The 15-item PRAISE tool comprising 10 general and five pulmonary rehabilitation-specific self-efficacy questions. Predictive validity was examined by exploring the relationship between baseline PRAISE score and objective change in physical activity following pulmonary rehabilitation using the SenseWear Armband. The MID was evaluated using anchor-based and distribution-based methods. Responsiveness was assessed with effect sizes.
Results
A higher baseline PRAISE score (indicating better self-efficacy) was an independent predictor of reduced sedentary time following pulmonary rehabilitation (P = 0.03). A one point increase in PRAISE was associated with a decrease in sedentary time of 4 minutes/day (95% confidence interval −7.8 to −0.4 minutes/day). Anchor-based estimates of the MID were 0.5 to 1.5 points; however sensitivity and specificity were modest (area under the curve Conclusions
The PRAISE tool has predictive validity and may be useful to identify those with high self-efficacy who are more likely to achieve important health behaviour changes with pulmonary rehabilitation. The small effect size suggests that the PRAISE tool was not responsive to changes following pulmonary rehabilitation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 90-97[article] The Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) tool predicts reduction in sedentary time following pulmonary rehabilitation in people with chronic obstructive pulmonary disease (COPD) [Article] / Athina Liacos ; Christine F. McDonald ; Ajay Mahal . - 2019 . - p. 90-97.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 90-97
Descripteurs : HE Vinci
Auto-efficacité ; Broncho-pneumopathie chronique obstructive ; Exercice physiqueRésumé : Objectives
To examine the predictive validity, minimal important difference (MID) and responsiveness of the PRAISE tool.
Design
Retrospective data analysis from HomeBase trial of home vs centre-based pulmonary rehabilitation.
Setting
Tertiary health service.
Participants
One hundred and sixty-six participants with COPD (100 men) with mean age 69 (SD 9) years, FEV1% predicted 50% (19).
Interventions
Eight-week pulmonary rehabilitation program, conducted at the hospital or at home.
Main outcome measures
The 15-item PRAISE tool comprising 10 general and five pulmonary rehabilitation-specific self-efficacy questions. Predictive validity was examined by exploring the relationship between baseline PRAISE score and objective change in physical activity following pulmonary rehabilitation using the SenseWear Armband. The MID was evaluated using anchor-based and distribution-based methods. Responsiveness was assessed with effect sizes.
Results
A higher baseline PRAISE score (indicating better self-efficacy) was an independent predictor of reduced sedentary time following pulmonary rehabilitation (P = 0.03). A one point increase in PRAISE was associated with a decrease in sedentary time of 4 minutes/day (95% confidence interval −7.8 to −0.4 minutes/day). Anchor-based estimates of the MID were 0.5 to 1.5 points; however sensitivity and specificity were modest (area under the curve Conclusions
The PRAISE tool has predictive validity and may be useful to identify those with high self-efficacy who are more likely to achieve important health behaviour changes with pulmonary rehabilitation. The small effect size suggests that the PRAISE tool was not responsive to changes following pulmonary rehabilitation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Treatment using 448 kHz capacitive resistive monopolar radiofrequency improves pain and function in patients with osteoarthritis of the knee joint: a randomised controlled trial Type de document : Article Auteurs : Binoy Kumaran ; Tim Watson Année de publication : 2019 Article en page(s) : p. 98-107 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthralgie ; Gonarthrose ; Qualité de vie ; Traitement par radiofréquence pulséeRésumé : Objective
This study investigated whether capacitive resistive monopolar radiofrequency (CRMRF)-based treatment improves pain and function among patients with osteoarthritis of the knee.
Design and setting
Three-group randomised controlled trial with concealed allocation, participant blinding and intention-to-treat analysis. Forty-five patients diagnosed with osteoarthritis, from the waiting list for physiotherapy at a local hospital were enrolled.
Intervention
Participants in the active and sham groups received eight sessions of CRMRF and sham-CRMRF respectively over four weeks, along with standard care. The control group received standard care only.
Assessment
Pain and function were measured at four time points: week zero (baseline), week four (post intervention), week eight and week 16 (two follow-ups) using visual analogue scale (VAS), Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, timed up and go (TUG) test and knee range of motion (ROM).
Results
For pain (VAS), there were clinically significant changes in the active group at post treatment compared to sham (Mean difference: 0.79 (95% CI: 0.29 to 1.3), effect size: 1.3) and control (Mean difference: 0.82 (95% CI: 0.32 to 1.3), effect size: 1.5), and at one-month follow-up compared to control (Mean difference: 0.68 (95% CI: 0.10 to 1.3), effect size: 1.1). For function (WOMAC), there was clinically significant change in the active group at post treatment compared to control (Mean difference: 1.3 (95% CI: 0.02 to 2.6), effect size: 0.94), but not compared to sham. No meaningful differences were noted for TUG or knee ROM. No differences were noted at three-month follow-up for any outcomes.
Conclusion
CRMRF treatment can improve pain and function in patients with knee osteoarthritis in the short term.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 98-107[article] Treatment using 448 kHz capacitive resistive monopolar radiofrequency improves pain and function in patients with osteoarthritis of the knee joint: a randomised controlled trial [Article] / Binoy Kumaran ; Tim Watson . - 2019 . - p. 98-107.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 98-107
Descripteurs : HE Vinci
Arthralgie ; Gonarthrose ; Qualité de vie ; Traitement par radiofréquence pulséeRésumé : Objective
This study investigated whether capacitive resistive monopolar radiofrequency (CRMRF)-based treatment improves pain and function among patients with osteoarthritis of the knee.
Design and setting
Three-group randomised controlled trial with concealed allocation, participant blinding and intention-to-treat analysis. Forty-five patients diagnosed with osteoarthritis, from the waiting list for physiotherapy at a local hospital were enrolled.
Intervention
Participants in the active and sham groups received eight sessions of CRMRF and sham-CRMRF respectively over four weeks, along with standard care. The control group received standard care only.
Assessment
Pain and function were measured at four time points: week zero (baseline), week four (post intervention), week eight and week 16 (two follow-ups) using visual analogue scale (VAS), Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index, timed up and go (TUG) test and knee range of motion (ROM).
Results
For pain (VAS), there were clinically significant changes in the active group at post treatment compared to sham (Mean difference: 0.79 (95% CI: 0.29 to 1.3), effect size: 1.3) and control (Mean difference: 0.82 (95% CI: 0.32 to 1.3), effect size: 1.5), and at one-month follow-up compared to control (Mean difference: 0.68 (95% CI: 0.10 to 1.3), effect size: 1.1). For function (WOMAC), there was clinically significant change in the active group at post treatment compared to control (Mean difference: 1.3 (95% CI: 0.02 to 2.6), effect size: 0.94), but not compared to sham. No meaningful differences were noted for TUG or knee ROM. No differences were noted at three-month follow-up for any outcomes.
Conclusion
CRMRF treatment can improve pain and function in patients with knee osteoarthritis in the short term.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Advocacy for use of the modified Iowa Level of Assistance Scale for clinical use in patients after hip replacement: an observational study Type de document : Article Auteurs : J. Elings ; S. Zoethout ; P.M. ten Klooster Année de publication : 2019 Article en page(s) : p. 108-113 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Arthroplastie prothétique de hanche ; Patients hospitalisésRésumé : Objectives
To test the internal consistency and item difficulty of the modified Iowa Level of Assistance Scale (mILAS).
Design
Retrospective observational study.
Setting
Two orthopaedic wards of two general hospitals.
Participants
Following elective primary unilateral total hip replacement surgery, all participants performed mILAS activities that were scored daily to assess their recovery of activities during hospitalisation.
Main outcome measures
The internal consistency and the level of assistance needed by the patient (item difficulty) of the mILAS were calculated using data from Deventer Hospital, Deventer, the Netherlands (n = 255). A cross-validation was performed using data from Nij Smellinghe Hospital, Drachten, the Netherlands (n = 224).
Results
The internal consistency of the mILAS was acceptable on all three postoperative days (α = 0.84 to 0.97). Cronbach’s α and Rasch analysis revealed a misfit of stair climbing with the other items of the mILAS. The item difficulty of the mILAS items changed over the first two postoperative days. During the first three postoperative days, the sit to supine transfer was generally the most difficult item to achieve, and the sit to stand transfer was the least difficult item to achieve as rated by physiotherapists. The cross-validation analysis revealed similar results.
Conclusions
The mILAS is a clinically sound measurement tool to assess the ability of patients to perform five functional tasks safely during hospitalisation. Stair climbing appears to be the easiest item to complete, and the sit to supine transfer is generally the most difficult after surgery.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 108-113[article] Advocacy for use of the modified Iowa Level of Assistance Scale for clinical use in patients after hip replacement: an observational study [Article] / J. Elings ; S. Zoethout ; P.M. ten Klooster . - 2019 . - p. 108-113.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 108-113
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Arthroplastie prothétique de hanche ; Patients hospitalisésRésumé : Objectives
To test the internal consistency and item difficulty of the modified Iowa Level of Assistance Scale (mILAS).
Design
Retrospective observational study.
Setting
Two orthopaedic wards of two general hospitals.
Participants
Following elective primary unilateral total hip replacement surgery, all participants performed mILAS activities that were scored daily to assess their recovery of activities during hospitalisation.
Main outcome measures
The internal consistency and the level of assistance needed by the patient (item difficulty) of the mILAS were calculated using data from Deventer Hospital, Deventer, the Netherlands (n = 255). A cross-validation was performed using data from Nij Smellinghe Hospital, Drachten, the Netherlands (n = 224).
Results
The internal consistency of the mILAS was acceptable on all three postoperative days (α = 0.84 to 0.97). Cronbach’s α and Rasch analysis revealed a misfit of stair climbing with the other items of the mILAS. The item difficulty of the mILAS items changed over the first two postoperative days. During the first three postoperative days, the sit to supine transfer was generally the most difficult item to achieve, and the sit to stand transfer was the least difficult item to achieve as rated by physiotherapists. The cross-validation analysis revealed similar results.
Conclusions
The mILAS is a clinically sound measurement tool to assess the ability of patients to perform five functional tasks safely during hospitalisation. Stair climbing appears to be the easiest item to complete, and the sit to supine transfer is generally the most difficult after surgery.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Prevalence, impact and specialised treatment of urinary incontinence in women with chronic lung disease Type de document : Article Auteurs : B.M. Button ; A.E. Holland ; M.S. Sherburn Année de publication : 2019 Article en page(s) : p. 114-119 Langues : Anglais (eng) Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; Femmes ; Incontinence urinaire ; Mucoviscidose ; Symptômes de l'appareil urinaire inférieurRésumé : Objectives
To determine in women with clinically stable chronic lung disease (CLD) and healthy women; (1) prevalence of urinary incontinence; (2) risk factors for urinary incontinence; (3) effects of a standard course of specialised physiotherapy treatment (PT) in women with CLD.
Design
Prospective prevalence study; PT study in CLD subgroup.
Setting
Tertiary metropolitan public hospital.
Participants
Women with cystic fibrosis (CF, n = 38), chronic obstructive pulmonary disease (COPD, n = 27) and 69 healthy women without CLD. PT study — 10 women with CLD.
Interventions
Five continence PT sessions over 3 months.
Main outcome measures
Prevalence and impact of incontinence (questionnaire), number of leakage episodes (7-day accident diary), pelvic floor muscle function (ultrasound imaging) and quality of life (King’s Health Questionnaire).
Results
The majority of women in all three groups reported episodes of incontinence (CF 71%; COPD 70%; healthy women 55%). Compared to age-matched healthy controls, women with CF reported more episodes of incontinence (P = 0.006) and more commonly reported stress incontinence (P = 0.001). A logistic regression model revealed that women with CLD were twice as likely to develop incontinence than healthy women (P = 0.05). Women with COPD reported significantly more ‘bother’ with incontinence than age-matched women with incontinence. There was a significant reduction in incontinence episodes following treatment, which was maintained after three months.
Conclusions
The presence of CLD is an independent predictor of incontinence in women. In older women this is associated with more distress than in age-matched peers without CLD. Larger treatment studies are indicated for women with CLD and incontinence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 114-119[article] Prevalence, impact and specialised treatment of urinary incontinence in women with chronic lung disease [Article] / B.M. Button ; A.E. Holland ; M.S. Sherburn . - 2019 . - p. 114-119.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 114-119
Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; Femmes ; Incontinence urinaire ; Mucoviscidose ; Symptômes de l'appareil urinaire inférieurRésumé : Objectives
To determine in women with clinically stable chronic lung disease (CLD) and healthy women; (1) prevalence of urinary incontinence; (2) risk factors for urinary incontinence; (3) effects of a standard course of specialised physiotherapy treatment (PT) in women with CLD.
Design
Prospective prevalence study; PT study in CLD subgroup.
Setting
Tertiary metropolitan public hospital.
Participants
Women with cystic fibrosis (CF, n = 38), chronic obstructive pulmonary disease (COPD, n = 27) and 69 healthy women without CLD. PT study — 10 women with CLD.
Interventions
Five continence PT sessions over 3 months.
Main outcome measures
Prevalence and impact of incontinence (questionnaire), number of leakage episodes (7-day accident diary), pelvic floor muscle function (ultrasound imaging) and quality of life (King’s Health Questionnaire).
Results
The majority of women in all three groups reported episodes of incontinence (CF 71%; COPD 70%; healthy women 55%). Compared to age-matched healthy controls, women with CF reported more episodes of incontinence (P = 0.006) and more commonly reported stress incontinence (P = 0.001). A logistic regression model revealed that women with CLD were twice as likely to develop incontinence than healthy women (P = 0.05). Women with COPD reported significantly more ‘bother’ with incontinence than age-matched women with incontinence. There was a significant reduction in incontinence episodes following treatment, which was maintained after three months.
Conclusions
The presence of CLD is an independent predictor of incontinence in women. In older women this is associated with more distress than in age-matched peers without CLD. Larger treatment studies are indicated for women with CLD and incontinence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Comparison of the effects of 1 MHz and 3 MHz therapeutic ultrasound on endothelium-dependent vasodilation of humans: a randomised clinical trial Type de document : Article Auteurs : M. Hauck ; C. Noronha Martins ; M. Borges Moraes Année de publication : 2019 Article en page(s) : p. 120-125 Langues : Anglais (eng) Descripteurs : HE Vinci
Endothélium vasculaire ; Monoxyde d'azote ; UltrasonothérapieRésumé : Objective
To compare the effects of different waveforms of 1 MHz and 3 MHz therapeutic ultrasound on endothelial function in healthy subjects.
Design
Randomised placebo-controlled, crossover study with concealed allocation and assessor blinding.
Setting
Imaging Centre of the University Hospital.
Participants
Thirty volunteers aged between 18 and 35 years were divided into two homogeneous groups (1 MHz and 3 MHz).
Interventions
Continuous (CUT; 0.4 W/cm2SATA), pulsed (PUT; 20% duty cycle, 0.08 W/cm2SATA) and placebo waveforms (equipment off) of ultrasound (1 MHz and 3 MHz) were randomized and applied over the brachial artery for 5 minutes.
Main outcome measures
Endothelial function was evaluated using the flow-mediated dilation (FMD) technique.
Results
Both 1 MHz [CUT: mean difference 4%, 95% confidence interval (CI) 2 to 6%, P Conclusion
Both CUT and PUT ultrasound waveforms improved endothelial function. The 1 MHz and 3 MHz frequencies of therapeutic ultrasound led to similar improvement in endothelial function in healthy volunteers.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 120-125[article] Comparison of the effects of 1 MHz and 3 MHz therapeutic ultrasound on endothelium-dependent vasodilation of humans: a randomised clinical trial [Article] / M. Hauck ; C. Noronha Martins ; M. Borges Moraes . - 2019 . - p. 120-125.
Langues : Anglais (eng)
in Physiotherapy > Vol. 105, n° 1 (2019) . - p. 120-125
Descripteurs : HE Vinci
Endothélium vasculaire ; Monoxyde d'azote ; UltrasonothérapieRésumé : Objective
To compare the effects of different waveforms of 1 MHz and 3 MHz therapeutic ultrasound on endothelial function in healthy subjects.
Design
Randomised placebo-controlled, crossover study with concealed allocation and assessor blinding.
Setting
Imaging Centre of the University Hospital.
Participants
Thirty volunteers aged between 18 and 35 years were divided into two homogeneous groups (1 MHz and 3 MHz).
Interventions
Continuous (CUT; 0.4 W/cm2SATA), pulsed (PUT; 20% duty cycle, 0.08 W/cm2SATA) and placebo waveforms (equipment off) of ultrasound (1 MHz and 3 MHz) were randomized and applied over the brachial artery for 5 minutes.
Main outcome measures
Endothelial function was evaluated using the flow-mediated dilation (FMD) technique.
Results
Both 1 MHz [CUT: mean difference 4%, 95% confidence interval (CI) 2 to 6%, P Conclusion
Both CUT and PUT ultrasound waveforms improved endothelial function. The 1 MHz and 3 MHz frequencies of therapeutic ultrasound led to similar improvement in endothelial function in healthy volunteers.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
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Paru le : 01/12/2018
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Titre : 50 years of randomised controlled trials published in the journal Physiotherapy: a review 1967 to 2017 Type de document : Article Auteurs : Gráinne Kelly ; Aoife Reilly ; Hannah Moloney Article en page(s) : p. 359-366 Langues : Anglais (eng) Descripteurs : HE Vinci
Contrôle de qualitéMots-clés : Randomized Controlled Trials as Topic Essais contrôlés randomisés comme sujet Quality Control Résumé : Background
Randomised controlled trials (RCTs) are described as the gold standard of investigative clinical research. Evidence based practice is critical to the physiotherapy profession, and it is therefore important to explore the research underpinning practice by examining published RCTs.
Objectives
The main aims of this review were to profile the quantity and quality of RCTs published in the journal Physiotherapy over the past 50 years.
Data sources
Physiotherapy journal, hand searched (1967 to 1987) and electronically (1988 to 2017).
Study selection or eligibility criteria
Studies identified as RCTs.
Study appraisal and synthesis methods
Quality assessed via PEDRO criteria.
Results
120 RCTs were identified from January 1967 to January 2017. The frequency of RCTs published has increased steadily and the UK was the most common source of RCTs, but the prevalence of non-UK based trials is increasing. The quality of RCTs improved steadily over the decades, with a mean PEDro score of 6.9 in the most recent decade (2017 to 2008), indicative of ‘high quality’. The mean number of trial participants was 60 and the most commonly evaluated area was musculoskeletal physiotherapy.
Limitations
RCTs were not evaluated against CONSORT criteria.
Conclusion and implications of key findings
Frequency of publication of RCTs in the journal Physiotherapy has increased over this time, mirroring trends in the wider medical literature. This highlights the predominance of some areas of research such as musculoskeletal and exercise-based research while other prominent areas such as neurology appear to be less researched.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 104, n° 4 (2018) . - p. 359-366[article] 50 years of randomised controlled trials published in the journal Physiotherapy: a review 1967 to 2017 [Article] / Gráinne Kelly ; Aoife Reilly ; Hannah Moloney . - p. 359-366.
Langues : Anglais (eng)
in Physiotherapy > Vol. 104, n° 4 (2018) . - p. 359-366
Descripteurs : HE Vinci
Contrôle de qualitéMots-clés : Randomized Controlled Trials as Topic Essais contrôlés randomisés comme sujet Quality Control Résumé : Background
Randomised controlled trials (RCTs) are described as the gold standard of investigative clinical research. Evidence based practice is critical to the physiotherapy profession, and it is therefore important to explore the research underpinning practice by examining published RCTs.
Objectives
The main aims of this review were to profile the quantity and quality of RCTs published in the journal Physiotherapy over the past 50 years.
Data sources
Physiotherapy journal, hand searched (1967 to 1987) and electronically (1988 to 2017).
Study selection or eligibility criteria
Studies identified as RCTs.
Study appraisal and synthesis methods
Quality assessed via PEDRO criteria.
Results
120 RCTs were identified from January 1967 to January 2017. The frequency of RCTs published has increased steadily and the UK was the most common source of RCTs, but the prevalence of non-UK based trials is increasing. The quality of RCTs improved steadily over the decades, with a mean PEDro score of 6.9 in the most recent decade (2017 to 2008), indicative of ‘high quality’. The mean number of trial participants was 60 and the most commonly evaluated area was musculoskeletal physiotherapy.
Limitations
RCTs were not evaluated against CONSORT criteria.
Conclusion and implications of key findings
Frequency of publication of RCTs in the journal Physiotherapy has increased over this time, mirroring trends in the wider medical literature. This highlights the predominance of some areas of research such as musculoskeletal and exercise-based research while other prominent areas such as neurology appear to be less researched.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Use of thoracic ultrasound by physiotherapists: a scoping review of the literature Type de document : Article Auteurs : S.A. Hayward ; J. Janssen Article en page(s) : p. 367-375 Langues : Anglais (eng) Descripteurs : HE Vinci
Echographie-doppler ; Kinésithérapie (spécialité) ; Poumon ; ThoraxMots-clés : Ultrasonography Doppler Radiographie thoracique Physical Therapy Specialty Résumé : Background
Use of diagnostic thoracic ultrasound (TUS) in medical professions to examine the pleura, lung parenchyma and diaphragm is gaining in popularity, however the ways in which physiotherapists are using TUS is unclear.
Objective
The aim of this scoping review is to gain an understanding of the emerging evidence base surrounding physiotherapy use of TUS to inform research and clinical practice.
Data sources
A systematic search was conducted of the following databases: Cochrane, EPPI centre, PROSPERO, Medline, CINAHL, AMED, EMBASE, HMIC, and BNI.
Study selection
Inclusion criteria: primary research reporting the use of diagnostic TUS; a physiotherapist as part of the study design or as the chief investigator; published in English.
Synthesis methods
Data regarding demographics, design, type of conditions and anatomical structures investigated and profession leading the TUS of included papers were compiled in a tabular format.
Results
Of the 26 included papers, nine studied healthy participants, four studied COPD and four studied critical care patients. Most papers (n = 23) involved scanning the diaphragm. In eight studies the physiotherapist operated the TUS.
Limitations
The paper selection process was performed by one author; with no cross-checking by another individual.
Conclusion
Use of TUS by physiotherapists is an emerging area in both diaphragm and lung diagnostics. A wide range of patient populations may benefit from physiotherapists using TUS. Papers in this review are heterogeneous making any generalisability difficult but does show its potential for varied uses. TUS is an innovative skill in the hands of physiotherapists, but more research is needed.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 104, n° 4 (2018) . - p. 367-375[article] Use of thoracic ultrasound by physiotherapists: a scoping review of the literature [Article] / S.A. Hayward ; J. Janssen . - p. 367-375.
Langues : Anglais (eng)
in Physiotherapy > Vol. 104, n° 4 (2018) . - p. 367-375
Descripteurs : HE Vinci
Echographie-doppler ; Kinésithérapie (spécialité) ; Poumon ; ThoraxMots-clés : Ultrasonography Doppler Radiographie thoracique Physical Therapy Specialty Résumé : Background
Use of diagnostic thoracic ultrasound (TUS) in medical professions to examine the pleura, lung parenchyma and diaphragm is gaining in popularity, however the ways in which physiotherapists are using TUS is unclear.
Objective
The aim of this scoping review is to gain an understanding of the emerging evidence base surrounding physiotherapy use of TUS to inform research and clinical practice.
Data sources
A systematic search was conducted of the following databases: Cochrane, EPPI centre, PROSPERO, Medline, CINAHL, AMED, EMBASE, HMIC, and BNI.
Study selection
Inclusion criteria: primary research reporting the use of diagnostic TUS; a physiotherapist as part of the study design or as the chief investigator; published in English.
Synthesis methods
Data regarding demographics, design, type of conditions and anatomical structures investigated and profession leading the TUS of included papers were compiled in a tabular format.
Results
Of the 26 included papers, nine studied healthy participants, four studied COPD and four studied critical care patients. Most papers (n = 23) involved scanning the diaphragm. In eight studies the physiotherapist operated the TUS.
Limitations
The paper selection process was performed by one author; with no cross-checking by another individual.
Conclusion
Use of TUS by physiotherapists is an emerging area in both diaphragm and lung diagnostics. A wide range of patient populations may benefit from physiotherapists using TUS. Papers in this review are heterogeneous making any generalisability difficult but does show its potential for varied uses. TUS is an innovative skill in the hands of physiotherapists, but more research is needed.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : Unipedal balance test for older adults: a systematic review and meta-analysis of studies providing normative data Type de document : Article Auteurs : Richard W. Bohannon ; Frank Tudini Article en page(s) : p. 376-382 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Mobilité réduite ; Sujet âgéMots-clés : Postural balance Équilibre postural Activities of Daily Living Mobility Limitation Aged Résumé : Background
The unipedal balance test (UBT) is widely used with older adults, but interpreting performance on the test requires the availability of normative values.
Objective
To use meta-analysis to provide normative values for the UBT for adults ≥ 60 years.
Data sources
Electronic searches of PubMed, CINAHL, and Scopus as well as hand searches.
Study selection
Inclusion required that articles provided means and standard deviations for UBT time for strata including at least 30 participants without pathology.
Study appraisal and synthesis
The two authors independently abstracted information on UBT procedures and performance. The Comprehensive Meta Analysis (3.0) program (random effects model) was used to consolidate UBT data from 23 articles. A custom six component (14 point) checklist was used to rate article quality.
Results
Meta-analysis showed the mean UBT time for 13,454 tested individuals to be 26.9 seconds. Times were longer for individuals who were younger, male, and allowed longer test durations (e.g. ≥ 120 seconds vs 30 seconds).
Limitations
Although the UBT norms presented herein provide a better estimate of normal performance than individual studies, differences between studies in age and gender strata and test durations limit the generalizability of some of the normative values generated using meta-analysis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
in Physiotherapy > Vol. 104, n° 4 (2018) . - p. 376-382[article] Unipedal balance test for older adults: a systematic review and meta-analysis of studies providing normative data [Article] / Richard W. Bohannon ; Frank Tudini . - p. 376-382.
Langues : Anglais (eng)
in Physiotherapy > Vol. 104, n° 4 (2018) . - p. 376-382
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Mobilité réduite ; Sujet âgéMots-clés : Postural balance Équilibre postural Activities of Daily Living Mobility Limitation Aged Résumé : Background
The unipedal balance test (UBT) is widely used with older adults, but interpreting performance on the test requires the availability of normative values.
Objective
To use meta-analysis to provide normative values for the UBT for adults ≥ 60 years.
Data sources
Electronic searches of PubMed, CINAHL, and Scopus as well as hand searches.
Study selection
Inclusion required that articles provided means and standard deviations for UBT time for strata including at least 30 participants without pathology.
Study appraisal and synthesis
The two authors independently abstracted information on UBT procedures and performance. The Comprehensive Meta Analysis (3.0) program (random effects model) was used to consolidate UBT data from 23 articles. A custom six component (14 point) checklist was used to rate article quality.
Results
Meta-analysis showed the mean UBT time for 13,454 tested individuals to be 26.9 seconds. Times were longer for individuals who were younger, male, and allowed longer test durations (e.g. ≥ 120 seconds vs 30 seconds).
Limitations
Although the UBT norms presented herein provide a better estimate of normal performance than individual studies, differences between studies in age and gender strata and test durations limit the generalizability of some of the normative values generated using meta-analysis.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...]
Titre : The Berg Balance Scale as a clinical screening tool to predict fall risk in older adults: a systematic review Type de document : Article Auteurs : C.A. Lima ; N.A. Ricci ; E.C. Nogueira Article en page(s) : p. 383-394 Langues : Anglais (eng) Descripteurs : HE Vinci