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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Ajouter le résultat dans votre panierCore competencies for physiotherapists working with refugees: a scoping review / Emer McGowan in Physiotherapy, Vol. 108 (2020)
Titre : Core competencies for physiotherapists working with refugees: a scoping review Type de document : Article Auteurs : Emer McGowan ; Nicole Beamish ; Emma Stokes ; Rachael Lowe Année de publication : 2020 Article en page(s) : p. 10-21 Note générale : https://doi.org/10.1016/j.physio.2020.04.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Compétence clinique ; Kinésithérapie (spécialité) ; Réadaptation ; RéfugiésRésumé : Objective
To summarise the existing knowledge base that can inform the development of a core competency profile for physiotherapists to support and deliver rehabilitation services to refugees.
Method
In this scoping review, a comprehensive search of peer-reviewed and grey literature was conducted. The search parameters included studies relevant to the physiotherapy profession and published between 2000 and 2019. MEDLINE, EMBASE, CINAHL, PEDro, and Ovid PsycINFO databases were searched. Grey literature was accessed through website searches, Google Scholar, and direct requests.
Findings
Three themes were identified in the literature. The first theme encompassed the physical and mental health of refugees. The second theme explored the cultural competence physiotherapists need to work with refugees. This theme included the cultural influences on health and healthcare and communication strategies that could be used to optimise healthcare for refugees. The last theme described refugees and the healthcare system which encompassed the challenges that refugees face in accessing healthcare and navigating the healthcare system. The main physiotherapy competencies detected in the literature were an understanding of refugee health, the administration of culturally competent care and knowledge of healthcare systems as they relate to refugees.
Conclusion
This comprehensive search identified three themes that can be used to inform the development of a competency profile for physiotherapists working with refugees. These themes are, however, rather vague and non-specific and signal the need for research to further examine the physiotherapy competencies necessary to provide the highest quality of care for this growing population.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260386
in Physiotherapy > Vol. 108 (2020) . - p. 10-21[article] Core competencies for physiotherapists working with refugees: a scoping review [Article] / Emer McGowan ; Nicole Beamish ; Emma Stokes ; Rachael Lowe . - 2020 . - p. 10-21.
https://doi.org/10.1016/j.physio.2020.04.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 10-21
Descripteurs : HE Vinci
Compétence clinique ; Kinésithérapie (spécialité) ; Réadaptation ; RéfugiésRésumé : Objective
To summarise the existing knowledge base that can inform the development of a core competency profile for physiotherapists to support and deliver rehabilitation services to refugees.
Method
In this scoping review, a comprehensive search of peer-reviewed and grey literature was conducted. The search parameters included studies relevant to the physiotherapy profession and published between 2000 and 2019. MEDLINE, EMBASE, CINAHL, PEDro, and Ovid PsycINFO databases were searched. Grey literature was accessed through website searches, Google Scholar, and direct requests.
Findings
Three themes were identified in the literature. The first theme encompassed the physical and mental health of refugees. The second theme explored the cultural competence physiotherapists need to work with refugees. This theme included the cultural influences on health and healthcare and communication strategies that could be used to optimise healthcare for refugees. The last theme described refugees and the healthcare system which encompassed the challenges that refugees face in accessing healthcare and navigating the healthcare system. The main physiotherapy competencies detected in the literature were an understanding of refugee health, the administration of culturally competent care and knowledge of healthcare systems as they relate to refugees.
Conclusion
This comprehensive search identified three themes that can be used to inform the development of a competency profile for physiotherapists working with refugees. These themes are, however, rather vague and non-specific and signal the need for research to further examine the physiotherapy competencies necessary to provide the highest quality of care for this growing population.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260386
Titre : Patients’ perceptions of rehabilitation in the community following hip fracture surgery. A qualitative thematic synthesis Type de document : Article Auteurs : J. Blackburn ; G. Yeowell Année de publication : 2020 Article en page(s) : p. 63-75 Note générale : https://doi.org/10.1016/j.physio.2020.02.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Fractures de la hanche ; Perception ; RéadaptationRésumé : Background
Hip fracture is one of the most common injuries in adults and can be a life changing experience for most. Many patients are ill-prepared for the changes in their normal daily activity that often occur in the following months after surgery. Community rehabilitation services vary, as management often focuses on acute over community services. This can impact on the patient’s experience post hip fracture.
Objectives
The aim of this review was to understand and examine patients’ perspective, views and experiences of physiotherapy rehabilitation in the community after hip fracture surgery, to improve future clinical practice for this population.
Design
A qualitative thematic synthesis was undertaken to investigate the aim. A content thematic analysis approach was used to analyse the qualitative data.
Data sources
A systematic search was carried out of the following databases: CINAHL, PEDro, PubMed, Whiley Online, AMED & CINAHL. Further searches were performed in Google Scholar and backwards citation was used to search within included studies.
Study selection
A review of qualitative studies was performed using the SPIDER tool for identification of suitable studies and the CASP tool for analysis of quality. Studies were included if they were qualitative or part qualitative and involved patients’ perceptions of rehabilitation after hip fracture following hospital discharge.
Results
Full text review was performed on 35 studies of which, 10 were identified as suitable. Three key themes were identified regarding experiences of rehabilitation within the community after hip fracture: Engaging in physical activity; Maintaining a positive perspective, and Support.
Conclusion
Findings support the need for the patient perspective and experience to be considered in the improvement of hip fracture care pathways regarding rehabilitation in the community setting after hip fracture. This can help identify key areas of improvement in rehabilitation to enhance and improve the patient journey after hip fracture.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260388
in Physiotherapy > Vol. 108 (2020) . - p. 63-75[article] Patients’ perceptions of rehabilitation in the community following hip fracture surgery. A qualitative thematic synthesis [Article] / J. Blackburn ; G. Yeowell . - 2020 . - p. 63-75.
https://doi.org/10.1016/j.physio.2020.02.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 63-75
Descripteurs : HE Vinci
Fractures de la hanche ; Perception ; RéadaptationRésumé : Background
Hip fracture is one of the most common injuries in adults and can be a life changing experience for most. Many patients are ill-prepared for the changes in their normal daily activity that often occur in the following months after surgery. Community rehabilitation services vary, as management often focuses on acute over community services. This can impact on the patient’s experience post hip fracture.
Objectives
The aim of this review was to understand and examine patients’ perspective, views and experiences of physiotherapy rehabilitation in the community after hip fracture surgery, to improve future clinical practice for this population.
Design
A qualitative thematic synthesis was undertaken to investigate the aim. A content thematic analysis approach was used to analyse the qualitative data.
Data sources
A systematic search was carried out of the following databases: CINAHL, PEDro, PubMed, Whiley Online, AMED & CINAHL. Further searches were performed in Google Scholar and backwards citation was used to search within included studies.
Study selection
A review of qualitative studies was performed using the SPIDER tool for identification of suitable studies and the CASP tool for analysis of quality. Studies were included if they were qualitative or part qualitative and involved patients’ perceptions of rehabilitation after hip fracture following hospital discharge.
Results
Full text review was performed on 35 studies of which, 10 were identified as suitable. Three key themes were identified regarding experiences of rehabilitation within the community after hip fracture: Engaging in physical activity; Maintaining a positive perspective, and Support.
Conclusion
Findings support the need for the patient perspective and experience to be considered in the improvement of hip fracture care pathways regarding rehabilitation in the community setting after hip fracture. This can help identify key areas of improvement in rehabilitation to enhance and improve the patient journey after hip fracture.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260388
Titre : Effect of exercise interventions in the early phase to improve physical function after hip fracture – A systematic review and meta-analysis Type de document : Article Auteurs : Monica Beckmann ; Vigdis Bruun-olsen ; Are Hugo Pripp ; Astrid Bergland ; Toby Smith ; Kristi E. Heiberg Année de publication : 2020 Article en page(s) : p. 90-97 Note générale : https://doi.org/10.1016/j.physio.2020.04.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Fractures de la hanche ; Méta-analyse ; Récupération fonctionnelle ; Revue systématiqueRésumé : Background
The efficacy of exercise interventions in the early recovery phase, i.e. started within the first three months after hip fracture, has been poorly studied compared to prolonged exercise interventions.
Objective
To examine the effect of exercise interventions to improve physical function in the early phase after hip fracture.
Data sources
Seven databases including MEDLINE via Ovid, The Cochrane Library, Embase, Cinahl, Pedro, AMED and Web of Science were comprehensively searched till December 2019.
Eligibility criteria
Randomised controlled trials (RCTs) of exercise interventions initiated within the first three months after hip fracture to improve physical function, were eligible for inclusion. Primary outcome was physical function assessed using walking ability, walking speed, balance, muscle strength, mobility, and endurance.
Data extraction and data synthesis
We conducted subgroup analyses specifically to investigate outcomes of these individual measurements. A meta-analysis was conducted to examine the overall effect of early exercise interventions. A meta-regression was conducted to examine the impact of study characteristic on exercise interventions. We used the PEDro score to determine quality of the included studies.
Results
Nine studies (669 patients) were included. Despite high statistical heterogeneity, there was high to moderate quality evidence that exercise provided benefit in improving physical function (standardised mean difference (SMD) 1.07; 95% CI: 0.44 to 1.70; p 0.05). Meta-regression demonstrated no statistically significant association between study characteristics and exercise interventions (p > 0.05).
Conclusion
Exercise in the early phase of hip fracture rehabilitation can improve physical function. It remains unclear what type of exercise is superior in the early phase after hip fracture.
Limitations
This conclusion should be interpreted with caution given the high statistical heterogeneity reported and non-significant subgroup analyses of specific physical function measures, which were underpowered.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260394
in Physiotherapy > Vol. 108 (2020) . - p. 90-97[article] Effect of exercise interventions in the early phase to improve physical function after hip fracture – A systematic review and meta-analysis [Article] / Monica Beckmann ; Vigdis Bruun-olsen ; Are Hugo Pripp ; Astrid Bergland ; Toby Smith ; Kristi E. Heiberg . - 2020 . - p. 90-97.
https://doi.org/10.1016/j.physio.2020.04.009
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 90-97
Descripteurs : HE Vinci
Exercice physique ; Fractures de la hanche ; Méta-analyse ; Récupération fonctionnelle ; Revue systématiqueRésumé : Background
The efficacy of exercise interventions in the early recovery phase, i.e. started within the first three months after hip fracture, has been poorly studied compared to prolonged exercise interventions.
Objective
To examine the effect of exercise interventions to improve physical function in the early phase after hip fracture.
Data sources
Seven databases including MEDLINE via Ovid, The Cochrane Library, Embase, Cinahl, Pedro, AMED and Web of Science were comprehensively searched till December 2019.
Eligibility criteria
Randomised controlled trials (RCTs) of exercise interventions initiated within the first three months after hip fracture to improve physical function, were eligible for inclusion. Primary outcome was physical function assessed using walking ability, walking speed, balance, muscle strength, mobility, and endurance.
Data extraction and data synthesis
We conducted subgroup analyses specifically to investigate outcomes of these individual measurements. A meta-analysis was conducted to examine the overall effect of early exercise interventions. A meta-regression was conducted to examine the impact of study characteristic on exercise interventions. We used the PEDro score to determine quality of the included studies.
Results
Nine studies (669 patients) were included. Despite high statistical heterogeneity, there was high to moderate quality evidence that exercise provided benefit in improving physical function (standardised mean difference (SMD) 1.07; 95% CI: 0.44 to 1.70; p 0.05). Meta-regression demonstrated no statistically significant association between study characteristics and exercise interventions (p > 0.05).
Conclusion
Exercise in the early phase of hip fracture rehabilitation can improve physical function. It remains unclear what type of exercise is superior in the early phase after hip fracture.
Limitations
This conclusion should be interpreted with caution given the high statistical heterogeneity reported and non-significant subgroup analyses of specific physical function measures, which were underpowered.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260394
Titre : Cost-effectiveness of physiotherapeutic interventions for low back pain: a systematic review Type de document : Article Auteurs : F. Fatoye ; J.M. Wright ; T. Gebrye Année de publication : 2020 Article en page(s) : p. 98-107 Note générale : https://doi.org/10.1016/j.physio.2020.04.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Analyse coût-bénéfice ; Kinésithérapie (spécialité) ; Lombalgie ; Revue systématiqueRésumé : Background
Due to the rapid increase in healthcare costs of low back pain (LBP), it is important to provide clinically effective and cost-effective interventions to individuals with the condition.
Objective
To evaluate all recent economic evaluations of physiotherapeutic interventions for patients with LBP.
Data sources
A literature search of Cumulative Index to Nursing and Allied Health Literature, MEDLINE, the National Health Service Economic Evaluation Database, Health Technology Assessment and Database of Abstracts of Review of Effects (January 2008 to October 2018) was undertaken.
Study selection
Randomised controlled trials and cohort studies that assessed the cost- effectiveness of physiotherapeutic interventions on patients with LBP compared with a control group were included in this review. A Consolidated Health Economic Evaluation Reporting Standards checklist was used to assess the quality of studies.
Data extraction/data synthesis
Two authors extracted data independently. A descriptive synthesis was conducted to summarise the data.
Results
In total, 1531 articles were identified and 11 studies met the inclusion criteria for this review. The total number of study participants in this review was 2633 and their ages ranged from 18 to 80 years. The duration of LBP in these patients ranged from 3 weeks to 1 year. Excluding one study, all studies reported that the physiotherapeutic intervention was cost-effective compared with the control arm. Meta-analysis was not possible due to heterogeneity of the studies.
Conclusion
Although most studies in this review suggested that physiotherapeutic interventions were cost-effective, it is difficult to pool their results for conclusive evidence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260397
in Physiotherapy > Vol. 108 (2020) . - p. 98-107[article] Cost-effectiveness of physiotherapeutic interventions for low back pain: a systematic review [Article] / F. Fatoye ; J.M. Wright ; T. Gebrye . - 2020 . - p. 98-107.
https://doi.org/10.1016/j.physio.2020.04.010
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 98-107
Descripteurs : HE Vinci
Analyse coût-bénéfice ; Kinésithérapie (spécialité) ; Lombalgie ; Revue systématiqueRésumé : Background
Due to the rapid increase in healthcare costs of low back pain (LBP), it is important to provide clinically effective and cost-effective interventions to individuals with the condition.
Objective
To evaluate all recent economic evaluations of physiotherapeutic interventions for patients with LBP.
Data sources
A literature search of Cumulative Index to Nursing and Allied Health Literature, MEDLINE, the National Health Service Economic Evaluation Database, Health Technology Assessment and Database of Abstracts of Review of Effects (January 2008 to October 2018) was undertaken.
Study selection
Randomised controlled trials and cohort studies that assessed the cost- effectiveness of physiotherapeutic interventions on patients with LBP compared with a control group were included in this review. A Consolidated Health Economic Evaluation Reporting Standards checklist was used to assess the quality of studies.
Data extraction/data synthesis
Two authors extracted data independently. A descriptive synthesis was conducted to summarise the data.
Results
In total, 1531 articles were identified and 11 studies met the inclusion criteria for this review. The total number of study participants in this review was 2633 and their ages ranged from 18 to 80 years. The duration of LBP in these patients ranged from 3 weeks to 1 year. Excluding one study, all studies reported that the physiotherapeutic intervention was cost-effective compared with the control arm. Meta-analysis was not possible due to heterogeneity of the studies.
Conclusion
Although most studies in this review suggested that physiotherapeutic interventions were cost-effective, it is difficult to pool their results for conclusive evidence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260397
Titre : Effect of extended scope physiotherapists assessments in orthopaedic diagnostic setting: a systematic review Type de document : Article Auteurs : J. Trøstrup ; C.B. Juhl ; L.R. Mikkelsen Année de publication : 2020 Article en page(s) : p. 120-128 Note générale : https://doi.org/10.1016/j.physio.2017.08.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapeutes ; Maladies ostéomusculaires ; Orthopedie ; Prise de décision clinique ; Revue systématique ; Satisfaction des patientsRésumé : Background
Patients with musculoskeletal diseases can potentially be assessed by an extended scope physiotherapist (ESP) instead of by an orthopaedic surgeon (OS).
Objectives
To evaluate the effectiveness of the diagnostic musculoskeletal assessment performed by ESP compared to OS.
Data sources
MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, CINAHL, PEDro and reference lists of included studies and previous reviews were searched in November 2015.
Eligibility criteria
Studies were included if they evaluated adults with a musculoskeletal disease referred to an outpatient orthopaedic clinic where a diagnostic assessment had been conducted by an ESP.
Data extraction
Data were extracted using a customised data extraction sheet. Two reviewers using checklists evaluated methodological independently.
Results
We included one randomised controlled trial and 31 observational studies. Diagnostic agreement between ESPs and OSs was 65 to 100% across studies. Health care cost savings for diagnostic assessments performed by ESPs were 27 to 49% compared to OSs. Overall, 77 to 100% of the patients were satisfied with the ESP assessment. Results were comparable on diagnostic agreement, cost and satisfaction in studies with high, moderate and low risk of bias.
Limitations
Risk of bias in the included studies.
Conclusion and implication of key findings
Diagnostic assessments performed by ESP may be as beneficial as or even better than assessment performed by OSs in terms diagnostic agreement, costs and satisfaction. However, the methodological quality was generally too low to determine the clear effectiveness of ESP assessment, and more high quality studies are needed.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260401
in Physiotherapy > Vol. 108 (2020) . - p. 120-128[article] Effect of extended scope physiotherapists assessments in orthopaedic diagnostic setting: a systematic review [Article] / J. Trøstrup ; C.B. Juhl ; L.R. Mikkelsen . - 2020 . - p. 120-128.
https://doi.org/10.1016/j.physio.2017.08.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 120-128
Descripteurs : HE Vinci
Kinésithérapeutes ; Maladies ostéomusculaires ; Orthopedie ; Prise de décision clinique ; Revue systématique ; Satisfaction des patientsRésumé : Background
Patients with musculoskeletal diseases can potentially be assessed by an extended scope physiotherapist (ESP) instead of by an orthopaedic surgeon (OS).
Objectives
To evaluate the effectiveness of the diagnostic musculoskeletal assessment performed by ESP compared to OS.
Data sources
MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, CINAHL, PEDro and reference lists of included studies and previous reviews were searched in November 2015.
Eligibility criteria
Studies were included if they evaluated adults with a musculoskeletal disease referred to an outpatient orthopaedic clinic where a diagnostic assessment had been conducted by an ESP.
Data extraction
Data were extracted using a customised data extraction sheet. Two reviewers using checklists evaluated methodological independently.
Results
We included one randomised controlled trial and 31 observational studies. Diagnostic agreement between ESPs and OSs was 65 to 100% across studies. Health care cost savings for diagnostic assessments performed by ESPs were 27 to 49% compared to OSs. Overall, 77 to 100% of the patients were satisfied with the ESP assessment. Results were comparable on diagnostic agreement, cost and satisfaction in studies with high, moderate and low risk of bias.
Limitations
Risk of bias in the included studies.
Conclusion and implication of key findings
Diagnostic assessments performed by ESP may be as beneficial as or even better than assessment performed by OSs in terms diagnostic agreement, costs and satisfaction. However, the methodological quality was generally too low to determine the clear effectiveness of ESP assessment, and more high quality studies are needed.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260401
Titre : Provision of first contact physiotherapy in primary care across the UK: a survey of the service Type de document : Article Auteurs : Serena Halls ; Rachel Thomas ; Hannah Stott ; Margaret E. Cupples ; Paula Kersten ; Fiona Cramp ; Dave Foster ; Nicola Walsh Année de publication : 2020 Article en page(s) : p. 2-9 Note générale : https://doi.org/10.1016/j.physio.2020.04.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Maladies ostéomusculaires ; Médecine générale ; Soins de santé primairesRésumé : Background
First Contact Physiotherapy (FCP) is an emerging model of care whereby a specialist physiotherapist located within general practice undertakes the first patient assessment, diagnosis and management without a prior GP consultation. Despite institutional and professional body support for this model and NHS commitment to its implementation, data regarding current FCP provision are limited.
Objectives
To identify current FCP service provision across the UK, including models of provision and key professional capabilities.
Design
Cross-sectional online survey, targeting physiotherapists and service managers involved in FCP.
Methods
Recruitment involved non-probability sampling targeting those involved in FCP service provision through emails to members of known clinical networks, snowballing and social media. The survey gathered data about respondents, FCP services and the role and scope of physiotherapists providing FCP.
Results
The authors received 102 responses; 32 from service managers and 70 working in FCP practice from England (n = 60), Scotland (n = 22), Wales (n = 14), and Northern Ireland (n = 2). Most practitioners were NHS band 7 or 8a (91%, n = 63), with additional skills (e.g. requesting investigations, prescribing). 17% (12/70) worked 37.5 hours/week; 37% (26/70) ≤10 hours; most (71%, 50/70) used 20-minute appointments (range 10–30 minutes); varying arrangements were reported for administration and follow-up. Services covered populations of 1200 to 600,000 (75% Conclusions
This survey provides new evidence regarding variation in FCP practice across the UK, indicating that evidence-informed, context specific guidance on optimal models of provision is required.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260404
in Physiotherapy > Vol. 108 (2020) . - p. 2-9[article] Provision of first contact physiotherapy in primary care across the UK: a survey of the service [Article] / Serena Halls ; Rachel Thomas ; Hannah Stott ; Margaret E. Cupples ; Paula Kersten ; Fiona Cramp ; Dave Foster ; Nicola Walsh . - 2020 . - p. 2-9.
https://doi.org/10.1016/j.physio.2020.04.005
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 2-9
Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Maladies ostéomusculaires ; Médecine générale ; Soins de santé primairesRésumé : Background
First Contact Physiotherapy (FCP) is an emerging model of care whereby a specialist physiotherapist located within general practice undertakes the first patient assessment, diagnosis and management without a prior GP consultation. Despite institutional and professional body support for this model and NHS commitment to its implementation, data regarding current FCP provision are limited.
Objectives
To identify current FCP service provision across the UK, including models of provision and key professional capabilities.
Design
Cross-sectional online survey, targeting physiotherapists and service managers involved in FCP.
Methods
Recruitment involved non-probability sampling targeting those involved in FCP service provision through emails to members of known clinical networks, snowballing and social media. The survey gathered data about respondents, FCP services and the role and scope of physiotherapists providing FCP.
Results
The authors received 102 responses; 32 from service managers and 70 working in FCP practice from England (n = 60), Scotland (n = 22), Wales (n = 14), and Northern Ireland (n = 2). Most practitioners were NHS band 7 or 8a (91%, n = 63), with additional skills (e.g. requesting investigations, prescribing). 17% (12/70) worked 37.5 hours/week; 37% (26/70) ≤10 hours; most (71%, 50/70) used 20-minute appointments (range 10–30 minutes); varying arrangements were reported for administration and follow-up. Services covered populations of 1200 to 600,000 (75% Conclusions
This survey provides new evidence regarding variation in FCP practice across the UK, indicating that evidence-informed, context specific guidance on optimal models of provision is required.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260404
Titre : Can a brief behavioural change intervention encourage hospital patients with low physical activity levels to engage and initiate a change in physical activity behaviour? Type de document : Article Auteurs : I. Waite ; D. Grant ; J. Mayes ; S. Greenwood Année de publication : 2020 Article en page(s) : p. 22-28 Note générale : https://doi.org/10.1016/j.physio.2020.04.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement ; Entretien motivationnel ; Exercice physiqueRésumé : Background
Regular physical activity (PA) reduces risk factors for chronic disease. This novel study evaluates self-reported engagement with PA in recently discharged patients, identified as having low PA levels, who agreed to participate in an in-patient behaviour change intervention.
Method
This exploratory study invited hospital in-patients, who were classified as ‘moderately inactive’ or ‘inactive’, to participate in a brief individual physiotherapy-led motivational interviewing (MI) behavioural change intervention. Patients were encouraged to set individual exercise and activity goals, and an appropriate programme referral was identified and agreed upon.
Results
Three hundred and forty-two of 526 patients, who were screened between January 2017 and March 2018, were classified ‘inactive’ or ‘moderately inactive’. Seventy-seven percent of patients consented to participate in the brief MI intervention (n = 58 ‘moderately active’, n = 206 ‘inactive’). One hundred percent participants who received the brief intervention agreed to attend a PA programme. At telephone follow-up, 66% self-reported engagement in community exercise or independent PA initiatives.
Conclusion
This exploratory study demonstrates that a brief, MI-facilitated, behaviour change intervention is feasible and has the potential to aid PA engagement for hospital patients with low PA levels upon discharge from hospital. Considering that the ‘first-step’ with engagement in PA is often the biggest challenge for patients, this initiative has promise to improve PA behaviour and could be rolled out across the National Health Service (NHS).Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260408
in Physiotherapy > Vol. 108 (2020) . - p. 22-28[article] Can a brief behavioural change intervention encourage hospital patients with low physical activity levels to engage and initiate a change in physical activity behaviour? [Article] / I. Waite ; D. Grant ; J. Mayes ; S. Greenwood . - 2020 . - p. 22-28.
https://doi.org/10.1016/j.physio.2020.04.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 22-28
Descripteurs : HE Vinci
Comportement ; Entretien motivationnel ; Exercice physiqueRésumé : Background
Regular physical activity (PA) reduces risk factors for chronic disease. This novel study evaluates self-reported engagement with PA in recently discharged patients, identified as having low PA levels, who agreed to participate in an in-patient behaviour change intervention.
Method
This exploratory study invited hospital in-patients, who were classified as ‘moderately inactive’ or ‘inactive’, to participate in a brief individual physiotherapy-led motivational interviewing (MI) behavioural change intervention. Patients were encouraged to set individual exercise and activity goals, and an appropriate programme referral was identified and agreed upon.
Results
Three hundred and forty-two of 526 patients, who were screened between January 2017 and March 2018, were classified ‘inactive’ or ‘moderately inactive’. Seventy-seven percent of patients consented to participate in the brief MI intervention (n = 58 ‘moderately active’, n = 206 ‘inactive’). One hundred percent participants who received the brief intervention agreed to attend a PA programme. At telephone follow-up, 66% self-reported engagement in community exercise or independent PA initiatives.
Conclusion
This exploratory study demonstrates that a brief, MI-facilitated, behaviour change intervention is feasible and has the potential to aid PA engagement for hospital patients with low PA levels upon discharge from hospital. Considering that the ‘first-step’ with engagement in PA is often the biggest challenge for patients, this initiative has promise to improve PA behaviour and could be rolled out across the National Health Service (NHS).Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260408
Titre : First point of contact physiotherapy; a qualitative study Type de document : Article Auteurs : Rob Goodwin ; Fiona Moffatt ; Paul Hendrick ; Stephen Timmons ; Neil Chadborn ; Pip Logan Année de publication : 2020 Article en page(s) : p. 29-36 Note générale : https://doi.org/10.1016/j.physio.2020.02.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapeutes ; Manipulations de l'appareil locomoteur ; Recherche qualitativeRésumé : Objectives
First point of contact physiotherapy (FPCP) provides patients direct access to a physiotherapist. Literature demonstrates efficacy of FPCP. Evidence has highlighted the need for cultural shifts from both patient and professional perspectives to optimise FPCP. This study explored stakeholder perceptions of patient awareness and understanding of FPCP to better inform FPCP implementation.
Design, setting, participants
A qualitative methodology utilised semi-structured interviews and focus groups. Findings from a previous realist review were used to generate a priori topic guides. Participants included patients, physiotherapists, GPs, administration staff, and commissioners. A thematic analysis was undertaken.
Results
Four themes emerged that are described: level of patient awareness of the FPCP role situated against the GP as first contact practitioner, patients attain an awareness of FPCP from a variety of sources, patient understanding of physiotherapy arises from several sources and is poorly aligned with the FPCP model, characteristics and behaviours of patients influence access to FPCP services. Patient awareness and understanding was poor. Patients tended to view the GP as the default first contact practitioner. Traditional advertising approaches appeared on the whole invisible to patients and there was a reliance on signposting to facilitate patient access.
Conclusion
Findings from this study can inform implementation of FPCP. Several obstacles to the optimisation of FPCP were highlighted. Improved marketing of physiotherapy generally and FPCP specifically may increase patient awareness and understanding. However, it is likely further time will be required to bring about the cultural shift in public perception required to optimise the potential of FPCP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260410
in Physiotherapy > Vol. 108 (2020) . - p. 29-36[article] First point of contact physiotherapy; a qualitative study [Article] / Rob Goodwin ; Fiona Moffatt ; Paul Hendrick ; Stephen Timmons ; Neil Chadborn ; Pip Logan . - 2020 . - p. 29-36.
https://doi.org/10.1016/j.physio.2020.02.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 29-36
Descripteurs : HE Vinci
Kinésithérapeutes ; Manipulations de l'appareil locomoteur ; Recherche qualitativeRésumé : Objectives
First point of contact physiotherapy (FPCP) provides patients direct access to a physiotherapist. Literature demonstrates efficacy of FPCP. Evidence has highlighted the need for cultural shifts from both patient and professional perspectives to optimise FPCP. This study explored stakeholder perceptions of patient awareness and understanding of FPCP to better inform FPCP implementation.
Design, setting, participants
A qualitative methodology utilised semi-structured interviews and focus groups. Findings from a previous realist review were used to generate a priori topic guides. Participants included patients, physiotherapists, GPs, administration staff, and commissioners. A thematic analysis was undertaken.
Results
Four themes emerged that are described: level of patient awareness of the FPCP role situated against the GP as first contact practitioner, patients attain an awareness of FPCP from a variety of sources, patient understanding of physiotherapy arises from several sources and is poorly aligned with the FPCP model, characteristics and behaviours of patients influence access to FPCP services. Patient awareness and understanding was poor. Patients tended to view the GP as the default first contact practitioner. Traditional advertising approaches appeared on the whole invisible to patients and there was a reliance on signposting to facilitate patient access.
Conclusion
Findings from this study can inform implementation of FPCP. Several obstacles to the optimisation of FPCP were highlighted. Improved marketing of physiotherapy generally and FPCP specifically may increase patient awareness and understanding. However, it is likely further time will be required to bring about the cultural shift in public perception required to optimise the potential of FPCP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260410
Titre : Effect of an abdominal hypopressive technique programme on pelvic floor muscle tone and urinary incontinence in women: a randomised crossover trial Type de document : Article Auteurs : L. Soriano ; C. González-Millán ; M.M. Álvarez Sáez ; R. Curbelo ; L. Carmona Année de publication : 2020 Article en page(s) : p. 37-44 Note générale : https://doi.org/10.1016/j.physio.2020.02.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Plancher pelvien ; Service de santé pour les femmes ; Technique abdominale hypopressive ; Troubles du plancher pelvienRésumé : Objectives
To test the effect of a structured abdominal hypopressive technique (AHT) programme on pelvic floor muscle (PFM) tone and urinary incontinence (UI) in women.
Design
Crossover trial with random assignment of women to one of two groups: Group 1 (AHT followed by rest) and Group 2 (rest followed by AHT).
Setting
Two cultural centres in Madrid, Spain.
Participants
Women aged 20–65 years.
Interventions
Two months of supervised AHT exercises compared with 2 months of rest.
Main outcome measures
Variation in PFM tone and score on the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF)].
Results
Forty-two women were randomised to two groups (both n = 21). No sequence or period effect was noted. The mean difference in PFM tone after the 2-month AHT programme was 59 g/cm² [95% confidence interval (CI) 37 to 82]; the between-group difference was 83 g/cm² (95% CI 50 to 116; P Conclusions
A structured 2-month AHT programme for women showed short-term benefits in PFM tone and UI. In addition, study participants reported improved body image and sense of well-being, and programme satisfaction, as demonstrated by questionnaire at the end of the intervention period. Further research is needed to test the long-term effects and effectiveness of AHT compared with other PFM exercises.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260412
in Physiotherapy > Vol. 108 (2020) . - p. 37-44[article] Effect of an abdominal hypopressive technique programme on pelvic floor muscle tone and urinary incontinence in women: a randomised crossover trial [Article] / L. Soriano ; C. González-Millán ; M.M. Álvarez Sáez ; R. Curbelo ; L. Carmona . - 2020 . - p. 37-44.
https://doi.org/10.1016/j.physio.2020.02.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 37-44
Descripteurs : HE Vinci
Plancher pelvien ; Service de santé pour les femmes ; Technique abdominale hypopressive ; Troubles du plancher pelvienRésumé : Objectives
To test the effect of a structured abdominal hypopressive technique (AHT) programme on pelvic floor muscle (PFM) tone and urinary incontinence (UI) in women.
Design
Crossover trial with random assignment of women to one of two groups: Group 1 (AHT followed by rest) and Group 2 (rest followed by AHT).
Setting
Two cultural centres in Madrid, Spain.
Participants
Women aged 20–65 years.
Interventions
Two months of supervised AHT exercises compared with 2 months of rest.
Main outcome measures
Variation in PFM tone and score on the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF)].
Results
Forty-two women were randomised to two groups (both n = 21). No sequence or period effect was noted. The mean difference in PFM tone after the 2-month AHT programme was 59 g/cm² [95% confidence interval (CI) 37 to 82]; the between-group difference was 83 g/cm² (95% CI 50 to 116; P Conclusions
A structured 2-month AHT programme for women showed short-term benefits in PFM tone and UI. In addition, study participants reported improved body image and sense of well-being, and programme satisfaction, as demonstrated by questionnaire at the end of the intervention period. Further research is needed to test the long-term effects and effectiveness of AHT compared with other PFM exercises.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260412
Titre : Investigating physiotherapy stakeholders’ preferences for the development of performance-based assessment in practice education Type de document : Article Auteurs : A. O'Connor ; N. Krucien ; P. Cantillon ; M. Parker ; A. McCurtin Année de publication : 2020 Article en page(s) : p. 46-54 Note générale : https://doi.org/10.1016/j.physio.2020.04.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Étudiants ; Etudiants en kinésithérapie ; Evaluation ; Kinésithérapie (spécialité) ; Pratique professionnelleMots-clés : Méthode des choix discrets Résumé : Objectives
Discrete choice experiments (DCEs) are used in healthcare to measure the relative importance that stakeholders give to different features (or attributes) of medical treatments or services. They may also help to address research questions in health professional education. Several challenges exist regarding the performance-based assessment process (PBA) employed in physiotherapy practice-based education, a process which determines students’ readiness for independent practice. Evidence highlights many commonalities among these challenges, but it is unknown which factors are the most important to stakeholders. The use of DCE methodology may provide answers and help to prioritise areas for development. Thus, this study employed DCE to identify clinical educators’, practice tutors and physiotherapy students’ preferences for developing the PBA process in physiotherapy.
Design
Attributes (aspects of the PBA process known to be important to stakeholders) were derived from focus group interviews conducted with three groups; physiotherapy students, clinical educators (practising clinicians) and practice tutors (dedicated educational roles in the workplace). These attributes included the PBA tool, grading mechanisms, assessors involved, and, feedback mechanisms. Preferences for each group were calculated using a logistic regression model.
Results
Seventy-two students, 124 clinical educators and 49 practice tutors (n = 245) participated. Priorities identified centred primarily on the mandatory inclusion of two assessors in the PBA process and on refinement of the PBA tool.
Conclusion
Employment of DCE enabled the prioritisation of stakeholder-informed challenges related to PBA in physiotherapy practice-based education. This corroborates findings from previous qualitative work and facilitates a prioritised pathway for development of this process.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260413
in Physiotherapy > Vol. 108 (2020) . - p. 46-54[article] Investigating physiotherapy stakeholders’ preferences for the development of performance-based assessment in practice education [Article] / A. O'Connor ; N. Krucien ; P. Cantillon ; M. Parker ; A. McCurtin . - 2020 . - p. 46-54.
https://doi.org/10.1016/j.physio.2020.04.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 46-54
Descripteurs : HE Vinci
Étudiants ; Etudiants en kinésithérapie ; Evaluation ; Kinésithérapie (spécialité) ; Pratique professionnelleMots-clés : Méthode des choix discrets Résumé : Objectives
Discrete choice experiments (DCEs) are used in healthcare to measure the relative importance that stakeholders give to different features (or attributes) of medical treatments or services. They may also help to address research questions in health professional education. Several challenges exist regarding the performance-based assessment process (PBA) employed in physiotherapy practice-based education, a process which determines students’ readiness for independent practice. Evidence highlights many commonalities among these challenges, but it is unknown which factors are the most important to stakeholders. The use of DCE methodology may provide answers and help to prioritise areas for development. Thus, this study employed DCE to identify clinical educators’, practice tutors and physiotherapy students’ preferences for developing the PBA process in physiotherapy.
Design
Attributes (aspects of the PBA process known to be important to stakeholders) were derived from focus group interviews conducted with three groups; physiotherapy students, clinical educators (practising clinicians) and practice tutors (dedicated educational roles in the workplace). These attributes included the PBA tool, grading mechanisms, assessors involved, and, feedback mechanisms. Preferences for each group were calculated using a logistic regression model.
Results
Seventy-two students, 124 clinical educators and 49 practice tutors (n = 245) participated. Priorities identified centred primarily on the mandatory inclusion of two assessors in the PBA process and on refinement of the PBA tool.
Conclusion
Employment of DCE enabled the prioritisation of stakeholder-informed challenges related to PBA in physiotherapy practice-based education. This corroborates findings from previous qualitative work and facilitates a prioritised pathway for development of this process.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260413
Titre : Hot and cold knees: exploring differences in patella skin temperature in patients with patellofemoral pain Type de document : Article Auteurs : Jessie Janssen ; James Selfe ; Phillip Gichuru ; Jim Richards ; Hayri Baran Yosmaoglu ; Sonmezer Emel ; Renuka Erande ; Peter Resteghini ; Paola Dey Année de publication : 2020 Article en page(s) : p. 55-62 Note générale : https://doi.org/10.1016/j.physio.2020.04.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Courbe ROC ; Syndrome fémoropatellaire ; Température cutanéeRésumé : Objectives
To investigate the distribution of patella skin temperature (Tsk) measurements and to explore the presence of temperature subgroups in patellofemoral pain (PFP) patients.
Design
Cross-sectional observational study design.
Participants
One dataset of 58 healthy participants and 232 PFP patients from three different datasets.
Main outcome measures
Patella skin temperature, measured by physiotherapists using a low cost hand held digital thermometer. The distribution of patella skin temperature was assessed and compared across datasets. To objectively determine the clinically meaningful number of subgroups, we used the average silhouette method. Finite mixture models were then used to examine the presence of PFP temperature subgroups. Receiver operating characteristic curves were used to estimate optimal patella Tsk thresholds for allocation of participants into the identified subgroups.
Results
In contrast to healthy participants, the patella skin temperature had an obvious bimodal distribution with wide dispersion present across all three PFP datasets. The fitted finite mixture model suggested three temperature subgroups (cold, normal and hot) that had been recommended by the average silhouette method with discrimination cut-off thresholds for subgroup membership based on receiver operating curve analysis of Cold = Conclusion
A low cost hand held digital thermometer appears to be a useful clinical tool to identify three PFP temperature subgroups. Further research is recommended to deepen understanding of these clinical findings and to explore the implications to different treatments.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260442
in Physiotherapy > Vol. 108 (2020) . - p. 55-62[article] Hot and cold knees: exploring differences in patella skin temperature in patients with patellofemoral pain [Article] / Jessie Janssen ; James Selfe ; Phillip Gichuru ; Jim Richards ; Hayri Baran Yosmaoglu ; Sonmezer Emel ; Renuka Erande ; Peter Resteghini ; Paola Dey . - 2020 . - p. 55-62.
https://doi.org/10.1016/j.physio.2020.04.007
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 55-62
Descripteurs : HE Vinci
Courbe ROC ; Syndrome fémoropatellaire ; Température cutanéeRésumé : Objectives
To investigate the distribution of patella skin temperature (Tsk) measurements and to explore the presence of temperature subgroups in patellofemoral pain (PFP) patients.
Design
Cross-sectional observational study design.
Participants
One dataset of 58 healthy participants and 232 PFP patients from three different datasets.
Main outcome measures
Patella skin temperature, measured by physiotherapists using a low cost hand held digital thermometer. The distribution of patella skin temperature was assessed and compared across datasets. To objectively determine the clinically meaningful number of subgroups, we used the average silhouette method. Finite mixture models were then used to examine the presence of PFP temperature subgroups. Receiver operating characteristic curves were used to estimate optimal patella Tsk thresholds for allocation of participants into the identified subgroups.
Results
In contrast to healthy participants, the patella skin temperature had an obvious bimodal distribution with wide dispersion present across all three PFP datasets. The fitted finite mixture model suggested three temperature subgroups (cold, normal and hot) that had been recommended by the average silhouette method with discrimination cut-off thresholds for subgroup membership based on receiver operating curve analysis of Cold = Conclusion
A low cost hand held digital thermometer appears to be a useful clinical tool to identify three PFP temperature subgroups. Further research is recommended to deepen understanding of these clinical findings and to explore the implications to different treatments.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260442
Titre : Airway clearance techniques and use of mucoactive agents for adult critically ill patients with acute respiratory failure: a qualitative study exploring UK physiotherapy practice Type de document : Article Auteurs : Bronwen Connolly ; Matthew Barclay ; Bronagh Blackwood ; Judy Bradley ; Rohan Anand ; Mark Borthwick ; Marc Chikhani ; Paul Dark ; Murali Shyamsundar ; John Warburton ; Daniel F. McAuley ; Brenda O'Neill Année de publication : 2020 Article en page(s) : p. 78-87 Note générale : https://doi.org/10.1016/j.physio.2020.06.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Insuffisance respiratoire ; Kinésithérapie respiratoire ; Prise en charge des voies aériennes ; Techniques de physiothérapieRésumé : Objectives
To explore and describe current UK physiotherapy practice relating to airway clearance techniques and mucoactive agents in critically ill adult patients with acute respiratory failure in the intensive care unit.
Design
A descriptive, qualitative study using focus group interviews. Focus groups were audio-recorded, independently transcribed, and data analysed thematically. Participants Senior, experienced physiotherapists, clinically active in critical care.
Results
Fifteen physiotherapists participated in four interview sessions. Five themes emerged describing airway clearance techniques: 'Repertoire of airway clearance techniques', 'Staffing and skillset', 'Commencing respiratory physiotherapy', 'Technique selection', and 'Determining effectiveness' were themes related to airway clearance techniques. Five themes were also identified in relation to mucoactive agents: 'Use in clinical practice', 'Decision to commence', 'Selection of agent', 'Stopping mucoactive agents', and 'Determining effectiveness'. A summary of key features of standard practice was developed.
Conclusions
Standard UK physiotherapy practice of airway clearance techniques is variable, but patient-centred and targeted to individual need, with adjunctive use of mucoactive agents to enhance and optimise patient management if required. Based on this study, key features of airway clearance techniques have been summarised to help capture standard care, which could be used in future trials involving ACT as part of usual care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260443
in Physiotherapy > Vol. 108 (2020) . - p. 78-87[article] Airway clearance techniques and use of mucoactive agents for adult critically ill patients with acute respiratory failure: a qualitative study exploring UK physiotherapy practice [Article] / Bronwen Connolly ; Matthew Barclay ; Bronagh Blackwood ; Judy Bradley ; Rohan Anand ; Mark Borthwick ; Marc Chikhani ; Paul Dark ; Murali Shyamsundar ; John Warburton ; Daniel F. McAuley ; Brenda O'Neill . - 2020 . - p. 78-87.
https://doi.org/10.1016/j.physio.2020.06.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 78-87
Descripteurs : HE Vinci
Insuffisance respiratoire ; Kinésithérapie respiratoire ; Prise en charge des voies aériennes ; Techniques de physiothérapieRésumé : Objectives
To explore and describe current UK physiotherapy practice relating to airway clearance techniques and mucoactive agents in critically ill adult patients with acute respiratory failure in the intensive care unit.
Design
A descriptive, qualitative study using focus group interviews. Focus groups were audio-recorded, independently transcribed, and data analysed thematically. Participants Senior, experienced physiotherapists, clinically active in critical care.
Results
Fifteen physiotherapists participated in four interview sessions. Five themes emerged describing airway clearance techniques: 'Repertoire of airway clearance techniques', 'Staffing and skillset', 'Commencing respiratory physiotherapy', 'Technique selection', and 'Determining effectiveness' were themes related to airway clearance techniques. Five themes were also identified in relation to mucoactive agents: 'Use in clinical practice', 'Decision to commence', 'Selection of agent', 'Stopping mucoactive agents', and 'Determining effectiveness'. A summary of key features of standard practice was developed.
Conclusions
Standard UK physiotherapy practice of airway clearance techniques is variable, but patient-centred and targeted to individual need, with adjunctive use of mucoactive agents to enhance and optimise patient management if required. Based on this study, key features of airway clearance techniques have been summarised to help capture standard care, which could be used in future trials involving ACT as part of usual care.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260443
Titre : Characteristics of patients with knee and ankle symptoms accessing physiotherapy: self-referral vs general practitioner’s referral Type de document : Article Auteurs : N.E. Lankhorst ; J.A. Barten ; R. Meerhof ; S.M.A. Bierma-Zeinstra ; M. Van middelkoop Année de publication : 2020 Article en page(s) : p. 112-119 Note générale : https://doi.org/10.1016/j.physio.2017.03.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Cheville ; Genou ; Kinésithérapie (spécialité) ; Médecins de premier recoursRésumé : Objectives
To determine patient characteristics, frequency of use, type of symptoms and treatment outcomes in patients with knee or ankle symptoms, separately, for patients referred by their general practitioner (GP) and patients who self-referred.
Design
Longitudinal study.
Setting
Dutch primary care physical therapy practices.
Participants
All patients who visited a physiotherapist with knee or ankle symptoms between 2006 and 2012.
Method
Data were collected from the NIVEL Primary Care Database. The mode of access (self-referred or GP-referred) was determined for all patients. For analyses, descriptive statistics, unpaired t-tests, Chi-square test and logistic regression analyses were applied.
Results
The study included 6179 patients with knee or ankle symptoms. The use of self-referral increased from 26% in 2006 to 56% in 2012, and stabilised between 2010 and 2012. Self-referred patients were younger, had a higher education level and had a shorter duration of symptoms compared with GP-referred patients. Self-referred patients had fewer treatment sessions than GP-referred patients.
Conclusions
Among patients with knee or ankle symptoms, younger patients, and those with a higher education level, a shorter duration of symptoms and recurrent symptoms were more likely to self-refer than other patients. Self-referred patients had fewer treatment sessions. After 2009, the frequency of self-referrals to physical therapists stabilised. Future studies should examine the effectiveness of physical therapy for patients who self-refer with acute knee and ankle symptoms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260445
in Physiotherapy > Vol. 108 (2020) . - p. 112-119[article] Characteristics of patients with knee and ankle symptoms accessing physiotherapy: self-referral vs general practitioner’s referral [Article] / N.E. Lankhorst ; J.A. Barten ; R. Meerhof ; S.M.A. Bierma-Zeinstra ; M. Van middelkoop . - 2020 . - p. 112-119.
https://doi.org/10.1016/j.physio.2017.03.008
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 112-119
Descripteurs : HE Vinci
Cheville ; Genou ; Kinésithérapie (spécialité) ; Médecins de premier recoursRésumé : Objectives
To determine patient characteristics, frequency of use, type of symptoms and treatment outcomes in patients with knee or ankle symptoms, separately, for patients referred by their general practitioner (GP) and patients who self-referred.
Design
Longitudinal study.
Setting
Dutch primary care physical therapy practices.
Participants
All patients who visited a physiotherapist with knee or ankle symptoms between 2006 and 2012.
Method
Data were collected from the NIVEL Primary Care Database. The mode of access (self-referred or GP-referred) was determined for all patients. For analyses, descriptive statistics, unpaired t-tests, Chi-square test and logistic regression analyses were applied.
Results
The study included 6179 patients with knee or ankle symptoms. The use of self-referral increased from 26% in 2006 to 56% in 2012, and stabilised between 2010 and 2012. Self-referred patients were younger, had a higher education level and had a shorter duration of symptoms compared with GP-referred patients. Self-referred patients had fewer treatment sessions than GP-referred patients.
Conclusions
Among patients with knee or ankle symptoms, younger patients, and those with a higher education level, a shorter duration of symptoms and recurrent symptoms were more likely to self-refer than other patients. Self-referred patients had fewer treatment sessions. After 2009, the frequency of self-referrals to physical therapists stabilised. Future studies should examine the effectiveness of physical therapy for patients who self-refer with acute knee and ankle symptoms.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260445
Titre : Outcomes of physical activity for people living with dementia: qualitative study to inform a Core Outcome Set Type de document : Article Auteurs : Ana-Carolina Gonçalves ; Alda Marques ; Dinesh Samuel ; Sara Demain Année de publication : 2020 Article en page(s) : p. 129-139 Note générale : https://doi.org/10.1016/j.physio.2019.05.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Démence ; Exercice physique ; Recherche qualitativeRésumé : Background
The need for a Core Outcome Set to evaluate physical activity interventions for people living with dementia, across stages of disease and intervention settings has been established. This qualitative study precedes the consensus phase of developing this Core Outcome Set and aims to: (i) compare the outcomes identified by patients, carers and professionals to those previously reported in the literature; (ii) and understand why certain outcomes are considered important.
Design and methods
In-depth semi-structured interviews were conducted with people living with dementia, family carers and professionals (n = 29). The outcomes identified in the interviews were mapped to a list of outcomes reported in a recent literature review. An in-depth thematic analysis was conducted to understand the importance of physical activity in dementia care.
Results
A comprehensive, inductively derived list of 77 outcomes, common across stages of dementia and intervention setting, was put together for the consensus phase of this Core Outcome Set: ten of these were new outcomes generated by this qualitative study. Five themes explained why stakeholders perceived physical activity outcomes as important for people living with dementia: “being well and staying well”, “having a role towards others”, “maintaining identity”, “being connected to the present” and “delivering good quality care”.
Conclusion
Ten new outcomes of physical activity, not previously reported in recent literature, were identified. Physical activity is considered important to people living with dementia due to its positive impact on multiple health outcomes for both patients and carers.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260446
in Physiotherapy > Vol. 108 (2020) . - p. 129-139[article] Outcomes of physical activity for people living with dementia: qualitative study to inform a Core Outcome Set [Article] / Ana-Carolina Gonçalves ; Alda Marques ; Dinesh Samuel ; Sara Demain . - 2020 . - p. 129-139.
https://doi.org/10.1016/j.physio.2019.05.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 108 (2020) . - p. 129-139
Descripteurs : HE Vinci
Démence ; Exercice physique ; Recherche qualitativeRésumé : Background
The need for a Core Outcome Set to evaluate physical activity interventions for people living with dementia, across stages of disease and intervention settings has been established. This qualitative study precedes the consensus phase of developing this Core Outcome Set and aims to: (i) compare the outcomes identified by patients, carers and professionals to those previously reported in the literature; (ii) and understand why certain outcomes are considered important.
Design and methods
In-depth semi-structured interviews were conducted with people living with dementia, family carers and professionals (n = 29). The outcomes identified in the interviews were mapped to a list of outcomes reported in a recent literature review. An in-depth thematic analysis was conducted to understand the importance of physical activity in dementia care.
Results
A comprehensive, inductively derived list of 77 outcomes, common across stages of dementia and intervention setting, was put together for the consensus phase of this Core Outcome Set: ten of these were new outcomes generated by this qualitative study. Five themes explained why stakeholders perceived physical activity outcomes as important for people living with dementia: “being well and staying well”, “having a role towards others”, “maintaining identity”, “being connected to the present” and “delivering good quality care”.
Conclusion
Ten new outcomes of physical activity, not previously reported in recent literature, were identified. Physical activity is considered important to people living with dementia due to its positive impact on multiple health outcomes for both patients and carers.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=260446
Paru le : 01/06/2020
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Titre : Early rehabilitation reduces the likelihood of developing intensive care unit-acquired weakness: a systematic review and meta-analysis Type de document : Article Auteurs : David E. Anekwe ; Sharmistha Biswas ; André Bussières ; Jadranka Spahija Année de publication : 2020 Article en page(s) : p. 1-10 Note générale : https://doi.org/10.1016/j.physio.2019.12.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Lever précoce ; Mortalité ; Neurostimulation électrique transcutanée (TENS) ; Unités de soins intensifs ; Ventilation artificielleRésumé : Background
Intensive care unit-acquired weakness (ICUAW) is associated with significant impairments in body structure and function, activity limitation, and participation restriction. The etiology and management of ICUAW remain uncertain.
Objective
To estimate the extent to which early rehabilitation interventions (early mobilization [EM] and/or neuromuscular electrical stimulation [NMES]) compared to usual care reduce the incidence of ICUAW in critically ill patients.
Data sources
We searched MEDLINE, EMBASE, CINAHL, Cochrane Central and Physiotherapy Evidence Database databases from inception to May 1st, 2017.
Eligibility criteria
Randomized controlled trials of EM and/or NMES interventions in critically ill adults.
Data extraction and data synthesis
Data on the incidence of ICUAW and secondary outcomes were extracted. Both odds and risk ratios for ICUAW were pooled using the random-effects model.
Results
We identified 1421 reports after duplicate removal. Nine studies including 841 patients (419 intervention and 422 usual care) were included in the final analysis. The interventions involved EM in five trials, NMES in three trials, and both EM and NMES in one trial. Early rehabilitation decreased the likelihood of developing ICUAW: odds ratio of 0.63 (95% CI: 0.43 to 0.92) in the screened population, and 0.71 (95% CI: 0.53 to 0.95) in the randomized population.
Conclusion, implications of key findings
Early rehabilitation was associated with a decreased likelihood of developing ICUAW. Our findings support early rehabilitation in the ICU. While results were consistent in both the screened and randomized populations, the wide confidence intervals suggest that well-conducted trials are needed to validate our findings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258844
in Physiotherapy > Vol. 107 (2020) . - p. 1-10[article] Early rehabilitation reduces the likelihood of developing intensive care unit-acquired weakness: a systematic review and meta-analysis [Article] / David E. Anekwe ; Sharmistha Biswas ; André Bussières ; Jadranka Spahija . - 2020 . - p. 1-10.
https://doi.org/10.1016/j.physio.2019.12.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 1-10
Descripteurs : HE Vinci
Lever précoce ; Mortalité ; Neurostimulation électrique transcutanée (TENS) ; Unités de soins intensifs ; Ventilation artificielleRésumé : Background
Intensive care unit-acquired weakness (ICUAW) is associated with significant impairments in body structure and function, activity limitation, and participation restriction. The etiology and management of ICUAW remain uncertain.
Objective
To estimate the extent to which early rehabilitation interventions (early mobilization [EM] and/or neuromuscular electrical stimulation [NMES]) compared to usual care reduce the incidence of ICUAW in critically ill patients.
Data sources
We searched MEDLINE, EMBASE, CINAHL, Cochrane Central and Physiotherapy Evidence Database databases from inception to May 1st, 2017.
Eligibility criteria
Randomized controlled trials of EM and/or NMES interventions in critically ill adults.
Data extraction and data synthesis
Data on the incidence of ICUAW and secondary outcomes were extracted. Both odds and risk ratios for ICUAW were pooled using the random-effects model.
Results
We identified 1421 reports after duplicate removal. Nine studies including 841 patients (419 intervention and 422 usual care) were included in the final analysis. The interventions involved EM in five trials, NMES in three trials, and both EM and NMES in one trial. Early rehabilitation decreased the likelihood of developing ICUAW: odds ratio of 0.63 (95% CI: 0.43 to 0.92) in the screened population, and 0.71 (95% CI: 0.53 to 0.95) in the randomized population.
Conclusion, implications of key findings
Early rehabilitation was associated with a decreased likelihood of developing ICUAW. Our findings support early rehabilitation in the ICU. While results were consistent in both the screened and randomized populations, the wide confidence intervals suggest that well-conducted trials are needed to validate our findings.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258844
Titre : ‘Mind the gap’ — a scoping review of long term, physical, self-management in Parkinson’s Type de document : Article Auteurs : Sophia M. Hulbert ; Victoria A. Goodwin Année de publication : 2020 Article en page(s) : p. 88-99 Note générale : https://doi.org/10.1016/j.physio.2019.12.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Gestion de soi ; Maladie de Parkinson ; Revue systématiqueRésumé : Background
Parkinson’s is a common progressive neurological condition characterised by impairments of movement and balance; and non-motor deficits. It is now accepted that physical activity is a fundamental for people with Parkinson’s (PwP), despite this PwP remain inactive. There is a social and financial drive to increase physical activity for PwP through physical self-management, however little is known about this concept.
Objective
This scoping review provides an overview of the literature concerning physical self-management for PwP and its provision, participation and uptake by PwP.
Design and sources of evidence
Systematic search of the databases; Medline, EMBASE, HMIC, CDSR, Cochrane Methods Studies, DARE, CINAHL, PEDro, PsycINFO and Cochrane Library using the search terms ‘Parkinson*’ and ‘self-manag*’ was undertaken alongside citation and grey literature searching and a consultation exercise.
Charting methods
A narrative summary was undertaken to describe the current state of the literature.
Results
1959 studies were identified with nineteen papers from seventeen studies meeting the inclusion criteria - Three reviews, four experimental studies, three pre–post-test designs, six cross-sectional designs, one qualitative interview design and two mixed method designs.
Conclusion
The findings of this scoping review suggest a need for clarity on what ‘physical self-management’ means and involves, with a gap between what the evidence promotes and what is being achieved by PwP. Further research should focus on the amount, type, intensity and duration of physical self-management models including behavioural change approaches and how, where and by whom this should be implemented.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258845
in Physiotherapy > Vol. 107 (2020) . - p. 88-99[article] ‘Mind the gap’ — a scoping review of long term, physical, self-management in Parkinson’s [Article] / Sophia M. Hulbert ; Victoria A. Goodwin . - 2020 . - p. 88-99.
https://doi.org/10.1016/j.physio.2019.12.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 88-99
Descripteurs : HE Vinci
Exercice physique ; Gestion de soi ; Maladie de Parkinson ; Revue systématiqueRésumé : Background
Parkinson’s is a common progressive neurological condition characterised by impairments of movement and balance; and non-motor deficits. It is now accepted that physical activity is a fundamental for people with Parkinson’s (PwP), despite this PwP remain inactive. There is a social and financial drive to increase physical activity for PwP through physical self-management, however little is known about this concept.
Objective
This scoping review provides an overview of the literature concerning physical self-management for PwP and its provision, participation and uptake by PwP.
Design and sources of evidence
Systematic search of the databases; Medline, EMBASE, HMIC, CDSR, Cochrane Methods Studies, DARE, CINAHL, PEDro, PsycINFO and Cochrane Library using the search terms ‘Parkinson*’ and ‘self-manag*’ was undertaken alongside citation and grey literature searching and a consultation exercise.
Charting methods
A narrative summary was undertaken to describe the current state of the literature.
Results
1959 studies were identified with nineteen papers from seventeen studies meeting the inclusion criteria - Three reviews, four experimental studies, three pre–post-test designs, six cross-sectional designs, one qualitative interview design and two mixed method designs.
Conclusion
The findings of this scoping review suggest a need for clarity on what ‘physical self-management’ means and involves, with a gap between what the evidence promotes and what is being achieved by PwP. Further research should focus on the amount, type, intensity and duration of physical self-management models including behavioural change approaches and how, where and by whom this should be implemented.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258845
Titre : Water-based exercises for improving walking speed, balance, and strength after stroke: a systematic review with meta-analyses of randomized trials Type de document : Article Auteurs : Lucas R. Nascimento ; Louise C. Flores ; Kênia K.P. de Menezes ; Luci F. Teixeira-Salmela Année de publication : 2020 Article en page(s) : p. 100-110 Note générale : https://doi.org/10.1016/j.physio.2019.10.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Démarche ; Équilibre postural ; Hydrothérapie ; RéadaptationRésumé : Background
Water-based exercises have the potential to reduce impairments and walking limitations after stroke.
Objective
To examine the effects of water-based exercises on walking speed, balance, and strength after stroke.
Data sources
Eletronic searches on MEDLINE, CINAHL, EMBASE, Cochrane, PsycINFO, and PEDro databases.
Eligibility criteria
The review included randomized trials. Participants in the reviewed studies were ambulatory adults, who have had a stroke. The experimental intervention was comprised of water-based exercises.
Data synthesis
Outcome data related to walking speed, balance, and strength were extracted from the eligible trials and combined in meta-analyses. The quality of the included trials was assessed by the PEDro scores and the quality of evidence was determined according to the Grading of Recommendations Assessment, Development, and Evaluation system.
Results
Thirteen trials involving 464 participants were included. Random-effects meta-analyses provided moderate-quality evidence that water-based exercises significantly increase walking speed by 0.06 m/second (95% CI 0.01 to 0.10) and balance by 4.5 points on the Berg Balance scale (95% CI 2.2 to 6.8), compared with land-based exercises, without concurrent changes in strength (MD 5.2 Nm/kg; 95% CI −1.4 to 11.9).
Conclusions
This systematic review provided low-quality evidence regarding the efficacy of water-based exercises, compared with no intervention. However, there is moderate quality evidence, which suggested significant benefits of water-based exercises in walking speed and balance, compared with land-based exercises. Differences appear small to be considered clinically relevant, and, therefore, water-based exercises can be prescribed as alternative interventions, based upon individuals’ exercise preferences.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258846
in Physiotherapy > Vol. 107 (2020) . - p. 100-110[article] Water-based exercises for improving walking speed, balance, and strength after stroke: a systematic review with meta-analyses of randomized trials [Article] / Lucas R. Nascimento ; Louise C. Flores ; Kênia K.P. de Menezes ; Luci F. Teixeira-Salmela . - 2020 . - p. 100-110.
https://doi.org/10.1016/j.physio.2019.10.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 100-110
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Démarche ; Équilibre postural ; Hydrothérapie ; RéadaptationRésumé : Background
Water-based exercises have the potential to reduce impairments and walking limitations after stroke.
Objective
To examine the effects of water-based exercises on walking speed, balance, and strength after stroke.
Data sources
Eletronic searches on MEDLINE, CINAHL, EMBASE, Cochrane, PsycINFO, and PEDro databases.
Eligibility criteria
The review included randomized trials. Participants in the reviewed studies were ambulatory adults, who have had a stroke. The experimental intervention was comprised of water-based exercises.
Data synthesis
Outcome data related to walking speed, balance, and strength were extracted from the eligible trials and combined in meta-analyses. The quality of the included trials was assessed by the PEDro scores and the quality of evidence was determined according to the Grading of Recommendations Assessment, Development, and Evaluation system.
Results
Thirteen trials involving 464 participants were included. Random-effects meta-analyses provided moderate-quality evidence that water-based exercises significantly increase walking speed by 0.06 m/second (95% CI 0.01 to 0.10) and balance by 4.5 points on the Berg Balance scale (95% CI 2.2 to 6.8), compared with land-based exercises, without concurrent changes in strength (MD 5.2 Nm/kg; 95% CI −1.4 to 11.9).
Conclusions
This systematic review provided low-quality evidence regarding the efficacy of water-based exercises, compared with no intervention. However, there is moderate quality evidence, which suggested significant benefits of water-based exercises in walking speed and balance, compared with land-based exercises. Differences appear small to be considered clinically relevant, and, therefore, water-based exercises can be prescribed as alternative interventions, based upon individuals’ exercise preferences.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258846
Titre : Effects of joint mobilisation on clinical manifestations of sympathetic nervous system activity: a systematic review and meta-analysis Type de document : Article Auteurs : Marcos J. Navarro-Santana ; Guido F. Gómez-Chiguano ; Mihai D. Somkereki ; César Fernández-de-las-Peñas ; Joshua A. Cleland ; Gustavo Plaza-Manzano Année de publication : 2020 Article en page(s) : p. 118-132 Note générale : https://doi.org/10.1016/j.physio.2019.07.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Lever et mobilisation de patient ; Maladies du système nerveux autonome ; Pratique factuelle ; Température cutanéeRésumé : Background
A potential mechanism of action of manual therapy is the activation of a sympathetic-excitatory response.
Objective
To evaluate the effects of joint mobilisation on changes in clinical manifestations of sympathetic nervous system activity.
Data sources
MEDLINE, EMBASE, AMED, CINAHL, EBSCO, PubMed, PEDro, Cochrane Collaboration Trials Register, Cochrane Database of Systematic Reviews and SCOPUS databases.
Study selection
Randomised controlled trials that compared a mobilisation technique applied to the spine or the extremities with a control or placebo.
Data extraction and data synthesis
Human studies collecting data on skin conductance or skin temperature were used. Data were extracted by two reviewers. Risk of bias was assessed using the Cochrane guidelines, and quality of evidence was assessed using the GRADE approach. Standardised mean differences (SMD) and random effects were calculated.
Results
Eighteen studies were included in the review and 17 were included in the meta-analysis. The meta-analysis found a significant increase in skin conductance [SMD 1.21, 95% confidence interval (CI) 0.88 to 1.53, n = 269] and a decrease in temperature (SMD 0.92, 95% CI −1.47 to −0.37, n = 128) after mobilisation compared with the control group. An increase in skin conductance (SMD 0.73, 95% CI 0.51 to 0.96, n = 293) and a decrease in temperature (SMD −0.50, 95% CI −0.82 to −0.18, n = 134) were seen after mobilisation compared with placebo. The risk of bias was generally low, but the heterogenicity of the results downgraded the level of evidence.
Limitations
Most trials (14/18) were conducted on asymptomatic healthy subjects.
Conclusion
There is moderate evidence suggesting a sympatho-excitatory effect of joint mobilisation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258858
in Physiotherapy > Vol. 107 (2020) . - p. 118-132[article] Effects of joint mobilisation on clinical manifestations of sympathetic nervous system activity: a systematic review and meta-analysis [Article] / Marcos J. Navarro-Santana ; Guido F. Gómez-Chiguano ; Mihai D. Somkereki ; César Fernández-de-las-Peñas ; Joshua A. Cleland ; Gustavo Plaza-Manzano . - 2020 . - p. 118-132.
https://doi.org/10.1016/j.physio.2019.07.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 118-132
Descripteurs : HE Vinci
Lever et mobilisation de patient ; Maladies du système nerveux autonome ; Pratique factuelle ; Température cutanéeRésumé : Background
A potential mechanism of action of manual therapy is the activation of a sympathetic-excitatory response.
Objective
To evaluate the effects of joint mobilisation on changes in clinical manifestations of sympathetic nervous system activity.
Data sources
MEDLINE, EMBASE, AMED, CINAHL, EBSCO, PubMed, PEDro, Cochrane Collaboration Trials Register, Cochrane Database of Systematic Reviews and SCOPUS databases.
Study selection
Randomised controlled trials that compared a mobilisation technique applied to the spine or the extremities with a control or placebo.
Data extraction and data synthesis
Human studies collecting data on skin conductance or skin temperature were used. Data were extracted by two reviewers. Risk of bias was assessed using the Cochrane guidelines, and quality of evidence was assessed using the GRADE approach. Standardised mean differences (SMD) and random effects were calculated.
Results
Eighteen studies were included in the review and 17 were included in the meta-analysis. The meta-analysis found a significant increase in skin conductance [SMD 1.21, 95% confidence interval (CI) 0.88 to 1.53, n = 269] and a decrease in temperature (SMD 0.92, 95% CI −1.47 to −0.37, n = 128) after mobilisation compared with the control group. An increase in skin conductance (SMD 0.73, 95% CI 0.51 to 0.96, n = 293) and a decrease in temperature (SMD −0.50, 95% CI −0.82 to −0.18, n = 134) were seen after mobilisation compared with placebo. The risk of bias was generally low, but the heterogenicity of the results downgraded the level of evidence.
Limitations
Most trials (14/18) were conducted on asymptomatic healthy subjects.
Conclusion
There is moderate evidence suggesting a sympatho-excitatory effect of joint mobilisation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258858
Titre : Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials Type de document : Article Auteurs : Sherief Ghozy ; Nguyen Minh Dung ; Mostafa Ebraheem Morra ; Sara Morsy ; Ghadeer Gamal Elsayed ; Linh Tran ; Le Huu Nhat Minh ; Alzhraa Salah Abbas ; Tran Thai Huu Loc ; Truong Hong Hieu ; Truong Cong Dung ; Nguyen Tien Huy Année de publication : 2020 Article en page(s) : p. 176-188 Note générale : https://doi.org/10.1016/j.physio.2019.12.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Bande adhésive de contention ; Essais cliniques comme sujet ; Méta-analyse ; Revue systématique ; ScapulalgieRésumé : Background
Kinesio tape is an elastic therapeutic tape used for treating sports injuries and various other disorders. A systematic review and network meta-analysis approach was used to synthesise all related evidence on the clinical effectiveness of kinesio taping for the treatment of shoulder pain.
Methods
A literature search was performed using 10 major databases. Randomised clinical trials reporting usage of kinesio taping for shoulder pain have been included. Quality and risk of bias were assessed using the Cochrane Collaboration's quality assessment tool. Meta-analysis was conducted to calculate standardised mean differences and corresponding 95% confidence intervals (CI). The corresponding 95% CI of pooled effect size were calculated using a fixed-effects or random-effects model based on the level of heterogeneity. In addition, meta-regression was used to assess the influence of underlying shoulder disease on the efficacy of kinesio taping.
Results
This systematic review and meta-analysis included 12 studies, with a total of 555 participants. Pairwise comparisons inferred that kinesio taping only showed significant improvement of shoulder pain and disability when combined with exercise. However, kinesio taping did not produce better results than placebo or treatment with steroids. The duration of treatment and underlying shoulder pathology did not influence the efficacy of kinesio taping.
Conclusion
There is insufficient evidence to support the use of kinesio taping in clinical practice as a treatment for shoulder pain. However, there is limited evidence of its benefit as a complementary treatment in shoulder pain syndromes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258863
in Physiotherapy > Vol. 107 (2020) . - p. 176-188[article] Efficacy of kinesio taping in treatment of shoulder pain and disability: a systematic review and meta-analysis of randomised controlled trials [Article] / Sherief Ghozy ; Nguyen Minh Dung ; Mostafa Ebraheem Morra ; Sara Morsy ; Ghadeer Gamal Elsayed ; Linh Tran ; Le Huu Nhat Minh ; Alzhraa Salah Abbas ; Tran Thai Huu Loc ; Truong Hong Hieu ; Truong Cong Dung ; Nguyen Tien Huy . - 2020 . - p. 176-188.
https://doi.org/10.1016/j.physio.2019.12.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 176-188
Descripteurs : HE Vinci
Bande adhésive de contention ; Essais cliniques comme sujet ; Méta-analyse ; Revue systématique ; ScapulalgieRésumé : Background
Kinesio tape is an elastic therapeutic tape used for treating sports injuries and various other disorders. A systematic review and network meta-analysis approach was used to synthesise all related evidence on the clinical effectiveness of kinesio taping for the treatment of shoulder pain.
Methods
A literature search was performed using 10 major databases. Randomised clinical trials reporting usage of kinesio taping for shoulder pain have been included. Quality and risk of bias were assessed using the Cochrane Collaboration's quality assessment tool. Meta-analysis was conducted to calculate standardised mean differences and corresponding 95% confidence intervals (CI). The corresponding 95% CI of pooled effect size were calculated using a fixed-effects or random-effects model based on the level of heterogeneity. In addition, meta-regression was used to assess the influence of underlying shoulder disease on the efficacy of kinesio taping.
Results
This systematic review and meta-analysis included 12 studies, with a total of 555 participants. Pairwise comparisons inferred that kinesio taping only showed significant improvement of shoulder pain and disability when combined with exercise. However, kinesio taping did not produce better results than placebo or treatment with steroids. The duration of treatment and underlying shoulder pathology did not influence the efficacy of kinesio taping.
Conclusion
There is insufficient evidence to support the use of kinesio taping in clinical practice as a treatment for shoulder pain. However, there is limited evidence of its benefit as a complementary treatment in shoulder pain syndromes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258863
Titre : Patient and public beliefs about the role of imaging in the management of non-specific low back pain: a scoping review Type de document : Article Auteurs : Stéphanie Taylor ; Annette Bishop Année de publication : 2020 Article en page(s) : p. 224-233 Note générale : https://doi.org/10.1016/j.physio.2019.08.014 Langues : Anglais (eng) Descripteurs : HE Vinci
Imagerie par résonance magnétique ; Lombalgie ; OPINION PUBLIQUERésumé : Background or context
Routine imaging for non-specific low back pain is advised against in guidelines yet imaging continues to occur. Patient and public beliefs regarding imaging may be a driving factor contributing to this.
Objectives
To review the current evidence in relation to patient and public beliefs regarding imaging for low back pain.
Data sources
A systematic scoping review was conducted in databases Medline, Embase, Cinahl, Psyc info (inception - Jan 2018).
Study selection
Any method of study including beliefs of adults about imaging for non-specific low back pain.
Data extraction and data synthesis
Descriptive data was extracted and patient and public beliefs about imaging for low back pain was analysed using conventional qualitative content analysis.
Results
12 studies from an initial search finding of 1135 were analysed. 3 main themes emerged; (1) The Desire for imaging; (2) Influences on patient desire for imaging including (a) clinical presentation, (b) past experience and (c)relationships with care professionals and (3) Negative consequences of imaging.
Limitations
Few qualitative studies were found, all studies were in English language, the majority of studies were older than 2003.
Conclusion and implications of key findings
There is little available evidence on patient and public beliefs about imaging but what evidence there is suggests that imaging is seen as positive in the management of low back pain and patient desire for a diagnosis is a big driver of this. There is also a suggestion that these beliefs may still be being influenced by health care professionals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258869
in Physiotherapy > Vol. 107 (2020) . - p. 224-233[article] Patient and public beliefs about the role of imaging in the management of non-specific low back pain: a scoping review [Article] / Stéphanie Taylor ; Annette Bishop . - 2020 . - p. 224-233.
https://doi.org/10.1016/j.physio.2019.08.014
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 224-233
Descripteurs : HE Vinci
Imagerie par résonance magnétique ; Lombalgie ; OPINION PUBLIQUERésumé : Background or context
Routine imaging for non-specific low back pain is advised against in guidelines yet imaging continues to occur. Patient and public beliefs regarding imaging may be a driving factor contributing to this.
Objectives
To review the current evidence in relation to patient and public beliefs regarding imaging for low back pain.
Data sources
A systematic scoping review was conducted in databases Medline, Embase, Cinahl, Psyc info (inception - Jan 2018).
Study selection
Any method of study including beliefs of adults about imaging for non-specific low back pain.
Data extraction and data synthesis
Descriptive data was extracted and patient and public beliefs about imaging for low back pain was analysed using conventional qualitative content analysis.
Results
12 studies from an initial search finding of 1135 were analysed. 3 main themes emerged; (1) The Desire for imaging; (2) Influences on patient desire for imaging including (a) clinical presentation, (b) past experience and (c)relationships with care professionals and (3) Negative consequences of imaging.
Limitations
Few qualitative studies were found, all studies were in English language, the majority of studies were older than 2003.
Conclusion and implications of key findings
There is little available evidence on patient and public beliefs about imaging but what evidence there is suggests that imaging is seen as positive in the management of low back pain and patient desire for a diagnosis is a big driver of this. There is also a suggestion that these beliefs may still be being influenced by health care professionals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258869
Titre : Sociocultural factors influencing physiotherapy management in culturally and linguistically diverse people with persistent pain: a scoping review Type de document : Article Auteurs : Koji Yoshikawa ; Bernadette Brady ; Meredith Perry ; Hemakumar Devan Année de publication : 2020 Article en page(s) : p. 292-305 Note générale : https://doi.org/10.1016/j.physio.2019.08.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Adhésion et observance thérapeutiques ; Compétence culturelle ; Ethnies ; Facteurs socioéconomiques ; Kinésithérapie (spécialité) ; Relations médecin-patientRésumé : Background
People with persistent pain from culturally and linguistically diverse (CALD) communities experience significant health inequities.
Objective
To synthesise the sociocultural factors influencing pain management between CALD patients with persistent pain and physiotherapists treating CALD patients.
Data sources
Major electronic databases MEDLINE, AMED, Scopus, Web of Science, PsycINFO and Google Scholar were searched until July 2018.
Study selection
Studies were included if they explored clinical interactions between physiotherapists and patients with persistent pain from diverse ethnocultural backgrounds.
Study appraisal
The methodological quality of qualitative and quantitative studies were assessed using the Critical Appraisal Skills Programme (CASP) Checklist and Mixed Methods Appraisal Tool (MMAT) respectively.
Synthesis method
A thematic synthesis approach was used to extract the common themes.
Results
Sixteen articles from 16 studies were included. Eleven studies were qualitative and five studies were quantitative. Ten explored patients’ perspectives, four explored physiotherapists’ perspectives, and two explored both. Key factors included: (a) language competence; (b) active vs passive coping strategies; (c) gendered influences; (d) cultural-spiritual beliefs, illness perceptions and expression of pain; (e) treatment satisfaction and; (f) barriers to access.
Conclusion
Discordant perspectives on causation, pain management approaches, and patient autonomy in management are evident between CALD patients and physiotherapists. Such discordance potentially create stress in the therapeutic alliance and undermines the efficacy of pain management interventions. To mitigate such barriers, it is crucial to foster cultural competence in physiotherapy and equip physiotherapists with opportunities to maximise their sociocultural awareness, knowledge and skill practising physiotherapy in cultural plural societies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258873
in Physiotherapy > Vol. 107 (2020) . - p. 292-305[article] Sociocultural factors influencing physiotherapy management in culturally and linguistically diverse people with persistent pain: a scoping review [Article] / Koji Yoshikawa ; Bernadette Brady ; Meredith Perry ; Hemakumar Devan . - 2020 . - p. 292-305.
https://doi.org/10.1016/j.physio.2019.08.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 292-305
Descripteurs : HE Vinci
Adhésion et observance thérapeutiques ; Compétence culturelle ; Ethnies ; Facteurs socioéconomiques ; Kinésithérapie (spécialité) ; Relations médecin-patientRésumé : Background
People with persistent pain from culturally and linguistically diverse (CALD) communities experience significant health inequities.
Objective
To synthesise the sociocultural factors influencing pain management between CALD patients with persistent pain and physiotherapists treating CALD patients.
Data sources
Major electronic databases MEDLINE, AMED, Scopus, Web of Science, PsycINFO and Google Scholar were searched until July 2018.
Study selection
Studies were included if they explored clinical interactions between physiotherapists and patients with persistent pain from diverse ethnocultural backgrounds.
Study appraisal
The methodological quality of qualitative and quantitative studies were assessed using the Critical Appraisal Skills Programme (CASP) Checklist and Mixed Methods Appraisal Tool (MMAT) respectively.
Synthesis method
A thematic synthesis approach was used to extract the common themes.
Results
Sixteen articles from 16 studies were included. Eleven studies were qualitative and five studies were quantitative. Ten explored patients’ perspectives, four explored physiotherapists’ perspectives, and two explored both. Key factors included: (a) language competence; (b) active vs passive coping strategies; (c) gendered influences; (d) cultural-spiritual beliefs, illness perceptions and expression of pain; (e) treatment satisfaction and; (f) barriers to access.
Conclusion
Discordant perspectives on causation, pain management approaches, and patient autonomy in management are evident between CALD patients and physiotherapists. Such discordance potentially create stress in the therapeutic alliance and undermines the efficacy of pain management interventions. To mitigate such barriers, it is crucial to foster cultural competence in physiotherapy and equip physiotherapists with opportunities to maximise their sociocultural awareness, knowledge and skill practising physiotherapy in cultural plural societies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258873
Titre : The experience of fatigue in neurological patients with Multiple Sclerosis: a thematic synthesis Type de document : Article Auteurs : Georgina Newton ; Amy Griffith ; Andy Soundy Année de publication : 2020 Article en page(s) : p. 306-316 Note générale : https://doi.org/10.1016/j.physio.2016.11.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Fatigue ; Recherche qualitative ; Sclérose en plaquesRésumé : Objectives
To identify the experiences that result from MS-related fatigue (MSRF) through a systematic review and thematic synthesis of qualitative literature.
Design
The thematic synthesis was undertaken in three stages: (1) a systematic review of the literature, searching relevant databases from their inception to March 2016. (2) A critical appraisal of included studies, and (3) a double blind 2-phase synthesis of results was undertaken.
Setting
Participants were included from articles using primary and secondary care settings.
Participants
The synthesis included nine articles that incorporated a total of one hundred and fifty two participants (103 females and 49 males) in the review.
Results
No articles were excluded following critical appraisal. Two major themes were synthesised: (1) biopsychosocial experiences of fatigue, which illustrated the physical, cognitive and social challenges patients experience and (2) experiences that alter the impact of fatigue including the strategies individual employ to help manage fatigue. These major themes were further split into five subthemes.
Limitations
Only the most common experiences of MSRF were identified. Findings did not break down results by key demographics e.g. disease type. Only English language studies were included.
Conclusion
Physiotherapists are able to support the management by: (a) having a greater understanding of MSRF and (b) being able to help patients manage the factors that influence it.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258878
in Physiotherapy > Vol. 107 (2020) . - p. 306-316[article] The experience of fatigue in neurological patients with Multiple Sclerosis: a thematic synthesis [Article] / Georgina Newton ; Amy Griffith ; Andy Soundy . - 2020 . - p. 306-316.
https://doi.org/10.1016/j.physio.2016.11.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 306-316
Descripteurs : HE Vinci
Fatigue ; Recherche qualitative ; Sclérose en plaquesRésumé : Objectives
To identify the experiences that result from MS-related fatigue (MSRF) through a systematic review and thematic synthesis of qualitative literature.
Design
The thematic synthesis was undertaken in three stages: (1) a systematic review of the literature, searching relevant databases from their inception to March 2016. (2) A critical appraisal of included studies, and (3) a double blind 2-phase synthesis of results was undertaken.
Setting
Participants were included from articles using primary and secondary care settings.
Participants
The synthesis included nine articles that incorporated a total of one hundred and fifty two participants (103 females and 49 males) in the review.
Results
No articles were excluded following critical appraisal. Two major themes were synthesised: (1) biopsychosocial experiences of fatigue, which illustrated the physical, cognitive and social challenges patients experience and (2) experiences that alter the impact of fatigue including the strategies individual employ to help manage fatigue. These major themes were further split into five subthemes.
Limitations
Only the most common experiences of MSRF were identified. Findings did not break down results by key demographics e.g. disease type. Only English language studies were included.
Conclusion
Physiotherapists are able to support the management by: (a) having a greater understanding of MSRF and (b) being able to help patients manage the factors that influence it.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258878
Titre : Shared decision making should be an integral part of physiotherapy practice Type de document : Article Auteurs : Tammy Hoffmann ; Jeremy Lewis ; Chris Maher Année de publication : 2020 Article en page(s) : p. 43-49 Note générale : https://doi.org/10.1016/j.physio.2019.08.012 Langues : Anglais (eng) Descripteurs : HE Vinci
Pratique factuelle ; Prise de décision ; Soins aux patients ; Soins centrés sur le patientRésumé : Shared decision making is integral to high-quality, evidence-based, and patient-centred physiotherapy practice. It involves therapists and patients collaboratively making a health-related decision after having discussed the options, the likely benefits and harms of each option, and considered the patient's values, preferences and circumstances. Despite being a crucial part of the final step in evidence-based practice, the skills needed to facilitate shared decision making are rarely taught to physiotherapists. This Debate article explores the reasons for the importance of shared decision making to physiotherapy practice; its fundamental role in improving therapist-patient communication, informed decision-making, and evidence-based care; and illustrates some of the processes involved using clinical scenarios. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258879
in Physiotherapy > Vol. 107 (2020) . - p. 43-49[article] Shared decision making should be an integral part of physiotherapy practice [Article] / Tammy Hoffmann ; Jeremy Lewis ; Chris Maher . - 2020 . - p. 43-49.
https://doi.org/10.1016/j.physio.2019.08.012
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 43-49
Descripteurs : HE Vinci
Pratique factuelle ; Prise de décision ; Soins aux patients ; Soins centrés sur le patientRésumé : Shared decision making is integral to high-quality, evidence-based, and patient-centred physiotherapy practice. It involves therapists and patients collaboratively making a health-related decision after having discussed the options, the likely benefits and harms of each option, and considered the patient's values, preferences and circumstances. Despite being a crucial part of the final step in evidence-based practice, the skills needed to facilitate shared decision making are rarely taught to physiotherapists. This Debate article explores the reasons for the importance of shared decision making to physiotherapy practice; its fundamental role in improving therapist-patient communication, informed decision-making, and evidence-based care; and illustrates some of the processes involved using clinical scenarios. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258879
Titre : Precision health: a primer for physiotherapists Type de document : Article Auteurs : Cameron Dickson ; Elina Hyppönen Année de publication : 2020 Article en page(s) : p. 66-70 Note générale : https://doi.org/10.1016/j.physio.2019.08.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Genetique ; Guide de bonnes pratiques ; Kinésithérapie (spécialité) ; Médecine de précisionRésumé : Health care provision is changing, and so is the information we use to guide decisions related to patient care. Increasingly, health practitioners will need to deal with genetics and ‘big data’ in the context of clinical practice. Indeed, commercial packages for consumer genetic testing are already widely available, and devices enabling self-monitoring of health are in daily use by many of our patients. “Precision health” (distinct from “precision medicine”) provides a model, which allows us to bring our genome together with our external environment (lifestyles, societal influences etc.) and eventually, our transient internal environment (reflected by ‘omics’), to optimise disease prevention and care. Such advancements have given rise to a need for primary health care clinicians to understand basic genetic and precision health concepts. This editorial meets this need, serving as a primer by providing the following: an introduction to current primary health challenges; description of the key elements of the precision health model; an overview of basic genetic, and associated research concepts; a snapshot of some clinically pertinent research in the context of precision health; and a brief discussion of challenges and future directions. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258881
in Physiotherapy > Vol. 107 (2020) . - p. 66-70[article] Precision health: a primer for physiotherapists [Article] / Cameron Dickson ; Elina Hyppönen . - 2020 . - p. 66-70.
https://doi.org/10.1016/j.physio.2019.08.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 66-70
Descripteurs : HE Vinci
Genetique ; Guide de bonnes pratiques ; Kinésithérapie (spécialité) ; Médecine de précisionRésumé : Health care provision is changing, and so is the information we use to guide decisions related to patient care. Increasingly, health practitioners will need to deal with genetics and ‘big data’ in the context of clinical practice. Indeed, commercial packages for consumer genetic testing are already widely available, and devices enabling self-monitoring of health are in daily use by many of our patients. “Precision health” (distinct from “precision medicine”) provides a model, which allows us to bring our genome together with our external environment (lifestyles, societal influences etc.) and eventually, our transient internal environment (reflected by ‘omics’), to optimise disease prevention and care. Such advancements have given rise to a need for primary health care clinicians to understand basic genetic and precision health concepts. This editorial meets this need, serving as a primer by providing the following: an introduction to current primary health challenges; description of the key elements of the precision health model; an overview of basic genetic, and associated research concepts; a snapshot of some clinically pertinent research in the context of precision health; and a brief discussion of challenges and future directions. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258881
Titre : The effect of five isometric exercises on glenohumeral translations in healthy subjects and patients with the hypermobility type of the ehlers-danlos syndrome (heds) or hypermobility spectrum disorder (hsd) with multidirectional shoulder instability: an observational study Type de document : Article Auteurs : Valentien Spanhove ; Inge De Wandele ; Birgitte Hougs Kjær ; Fransiska Malfait ; Fran Vanderstukken ; Ann Cools Année de publication : 2020 Article en page(s) : p. 11-18 Note générale : https://doi.org/10.1016/j.physio.2019.06.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Échographie ; Epaule ; Instabilité articulaire ; Syndrome d'Ehlers-DanlosRésumé : Objectives
To examine whether patients, diagnosed with the hypermobility type of the Ehlers-Danlos syndrome (hEDS) or Hypermobility Spectrum Disorder (HSD), with multidirectional shoulder instability (MDI) have increased humeral head translations compared to healthy controls and to describe the direction of the humeral translations during five exercises.
Design
Observational study.
Setting
Ghent University Hospital.
Participants
Twenty-seven female patients (aged mean (SD) 35 (13) years) with hEDS/HSD and MDI and 20 female healthy controls (aged 34 (11) years) participated in this study.
Interventions
The acromiohumeral (AHD) and humeralglenoid distance (HGD) were measured using ultrasound during five isometric exercises: shoulder external rotation, shoulder extension, shoulder flexion, elbow extension and holding a 2 kg dumbbell.
Main outcome measures
Ultrasound measures of the AHD and HGD.
Results
During isometric shoulder extension, elbow extension and dumbbell loading, patients had a significantly larger change in AHD compared to controls. In patients, the AHD was significantly smaller during isometric shoulder flexion, extension and elbow extension compared to the AHD measured in rest. By contrast, the AHD was significantly larger during isometric external rotation and dumbbell loading compared to the AHD measured in rest. Regarding the HGD, no significant differences between patients and controls were observed. However, significantly smaller HGD values were found in patients during isometric shoulder flexion compared to the HGD in rest.
Conclusions
Isometric external rotation and holding a 2 kg dumbbell caused an inferior translation in patients with hEDS/HSD and MDI, whereas isometric shoulder flexion and shoulder/elbow extension respectively led to an anterior-superior and superior translation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258890
in Physiotherapy > Vol. 107 (2020) . - p. 11-18[article] The effect of five isometric exercises on glenohumeral translations in healthy subjects and patients with the hypermobility type of the ehlers-danlos syndrome (heds) or hypermobility spectrum disorder (hsd) with multidirectional shoulder instability: an observational study [Article] / Valentien Spanhove ; Inge De Wandele ; Birgitte Hougs Kjær ; Fransiska Malfait ; Fran Vanderstukken ; Ann Cools . - 2020 . - p. 11-18.
https://doi.org/10.1016/j.physio.2019.06.010
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 11-18
Descripteurs : HE Vinci
Échographie ; Epaule ; Instabilité articulaire ; Syndrome d'Ehlers-DanlosRésumé : Objectives
To examine whether patients, diagnosed with the hypermobility type of the Ehlers-Danlos syndrome (hEDS) or Hypermobility Spectrum Disorder (HSD), with multidirectional shoulder instability (MDI) have increased humeral head translations compared to healthy controls and to describe the direction of the humeral translations during five exercises.
Design
Observational study.
Setting
Ghent University Hospital.
Participants
Twenty-seven female patients (aged mean (SD) 35 (13) years) with hEDS/HSD and MDI and 20 female healthy controls (aged 34 (11) years) participated in this study.
Interventions
The acromiohumeral (AHD) and humeralglenoid distance (HGD) were measured using ultrasound during five isometric exercises: shoulder external rotation, shoulder extension, shoulder flexion, elbow extension and holding a 2 kg dumbbell.
Main outcome measures
Ultrasound measures of the AHD and HGD.
Results
During isometric shoulder extension, elbow extension and dumbbell loading, patients had a significantly larger change in AHD compared to controls. In patients, the AHD was significantly smaller during isometric shoulder flexion, extension and elbow extension compared to the AHD measured in rest. By contrast, the AHD was significantly larger during isometric external rotation and dumbbell loading compared to the AHD measured in rest. Regarding the HGD, no significant differences between patients and controls were observed. However, significantly smaller HGD values were found in patients during isometric shoulder flexion compared to the HGD in rest.
Conclusions
Isometric external rotation and holding a 2 kg dumbbell caused an inferior translation in patients with hEDS/HSD and MDI, whereas isometric shoulder flexion and shoulder/elbow extension respectively led to an anterior-superior and superior translation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=258890
Titre : Telerehabilitation is non-inferior to usual care following total hip replacement — a randomized controlled non-inferiority trial Type de document : Article Auteurs : M. Nelson ; M. Bourke ; K. Crossley ; T. Russell Année de publication : 2020 Article en page(s) : p. 19-27 Note générale : https://doi.org/10.1016/j.physio.2019.06.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Arthroplastie prothétique de hanche ; Essai contrôlé randomisé ; Kinésithérapie (spécialité) ; TélémédecineRésumé : Objectives
Determine if outpatient physiotherapy care via telerehabilitation is as effective as in-person physiotherapy care after total hip replacement.
Design
Randomised, single-blind, controlled, non-inferiority clinical trial.
Setting
QEII Jubilee Hospital, Brisbane, Australia.
Participants
Seventy patients receiving a total hip replacement entered the study, sixty-nine completed the study.
Interventions
The control group (n = 35;
age 67; female 60%) received in-person outpatient physiotherapy and a paper-based home exercise programme. The intervention group (n = 35;
age 62; female 66%) received remotely delivered telerehabilitation directly into their homes and a technology-based home exercise program using an iPad application.
Main outcome measures
The primary outcome was the quality of life subscale of the Hip disability and Osteoarthritis Outcome Score measured at six weeks post-operatively. Secondary outcomes included objective strength and balance outcomes, self-reported function and satisfaction outcomes, and home exercise program compliance.
Results
No between group difference was detected in the Hip disability and Osteoarthritis Outcome Score quality of life subscale at the primary end point of six weeks (P = 0.970). Strength, balance and self-reported function showed no between group differences. Overall satisfaction was high across both groups, with the intervention group scoring higher for ease of attending appointments (intervention 95 (10), control 86 (18), mean difference 9 (95% CI 2 to 16), P = 0.017. The intervention group were more compliant with their home exercise programme (intervention 86% (20%), control 74% (26%), mean difference 12% (95% CI 1% to 23%), P = 0.048).
Conclusions
Telerehabilitation programmes can be delivered to total hip replacement patients in their own homes, using readily available technology while maintaining high levels of satisfaction. More importantly, telerehabilitation patients appear to achieve non-inferior physical and functional outcomes as those receiving in-person rehabilitation programmes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259047
in Physiotherapy > Vol. 107 (2020) . - p. 19-27[article] Telerehabilitation is non-inferior to usual care following total hip replacement — a randomized controlled non-inferiority trial [Article] / M. Nelson ; M. Bourke ; K. Crossley ; T. Russell . - 2020 . - p. 19-27.
https://doi.org/10.1016/j.physio.2019.06.006
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 19-27
Descripteurs : HE Vinci
Arthroplastie prothétique de hanche ; Essai contrôlé randomisé ; Kinésithérapie (spécialité) ; TélémédecineRésumé : Objectives
Determine if outpatient physiotherapy care via telerehabilitation is as effective as in-person physiotherapy care after total hip replacement.
Design
Randomised, single-blind, controlled, non-inferiority clinical trial.
Setting
QEII Jubilee Hospital, Brisbane, Australia.
Participants
Seventy patients receiving a total hip replacement entered the study, sixty-nine completed the study.
Interventions
The control group (n = 35;
age 67; female 60%) received in-person outpatient physiotherapy and a paper-based home exercise programme. The intervention group (n = 35;
age 62; female 66%) received remotely delivered telerehabilitation directly into their homes and a technology-based home exercise program using an iPad application.
Main outcome measures
The primary outcome was the quality of life subscale of the Hip disability and Osteoarthritis Outcome Score measured at six weeks post-operatively. Secondary outcomes included objective strength and balance outcomes, self-reported function and satisfaction outcomes, and home exercise program compliance.
Results
No between group difference was detected in the Hip disability and Osteoarthritis Outcome Score quality of life subscale at the primary end point of six weeks (P = 0.970). Strength, balance and self-reported function showed no between group differences. Overall satisfaction was high across both groups, with the intervention group scoring higher for ease of attending appointments (intervention 95 (10), control 86 (18), mean difference 9 (95% CI 2 to 16), P = 0.017. The intervention group were more compliant with their home exercise programme (intervention 86% (20%), control 74% (26%), mean difference 12% (95% CI 1% to 23%), P = 0.048).
Conclusions
Telerehabilitation programmes can be delivered to total hip replacement patients in their own homes, using readily available technology while maintaining high levels of satisfaction. More importantly, telerehabilitation patients appear to achieve non-inferior physical and functional outcomes as those receiving in-person rehabilitation programmes.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259047
Titre : Minimal important difference for London Chest Activity of Daily Living scale in patients with chronic obstructive pulmonary disease Type de document : Article Auteurs : Aline Almeida Gulart ; Cintia Laura Pereira de Araujo ; Anelise Bauer Munari ; Barbara Ferreira Schneider ; Pedro Dal Lago ; Anamaria Fleig Mayer Année de publication : 2020 Article en page(s) : p. 28-35 Note générale : https://doi.org/10.1016/j.physio.2019.08.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Broncho-pneumopathie chronique obstructive ; Différence minimale cliniquement importante ; Évaluation des résultats des patients ; RéadaptationRésumé : Objectives
To determine the minimal important difference (MID) for the London Chest Activity of Daily Living scale (LCADL) in patients with chronic obstructive pulmonary disease (COPD), focusing on the percentage of the total score (LCADL%total), using an anchor-based method in addition to distribution-based methods.
Design
Non-controlled before-and-after study.
Setting
Two outpatient centres.
Participants
Seventy-seven patients with COPD (GOLD II–IV, 47 males, forced expiratory volume in 1 second mean 37 (SD 14) % predicted).
Interventions
Aerobic training and localised training for upper and lower limbs was conducted for 24 sessions, three times per week.
Main outcome measures
The main outcome was LCADL score pre- and post-exercise training. The MID was established using distribution and anchor-based methods. The modified Saint George Respiratory Questionnaire was the anchor for the analysis of sensitivity and specificity of the MID.
Results
The established MIDs ranged from −2.1 to −5.9 points for LCADLtotal and from −2 to −6 points for LCADL%total. The receiver operating characteristic curve indicated a cut-off point of −3 points for LCADLtotal (sensitivity 51%, specificity 82%; P = 0.01) and −4 points for LCADL%total (sensitivity 56%, specificity 82%; P = 0.04).
Conclusions
The present findings suggest −3 points and −4 points as the MIDs for LCADLtotal and LCADL%total, respectively.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259049
in Physiotherapy > Vol. 107 (2020) . - p. 28-35[article] Minimal important difference for London Chest Activity of Daily Living scale in patients with chronic obstructive pulmonary disease [Article] / Aline Almeida Gulart ; Cintia Laura Pereira de Araujo ; Anelise Bauer Munari ; Barbara Ferreira Schneider ; Pedro Dal Lago ; Anamaria Fleig Mayer . - 2020 . - p. 28-35.
https://doi.org/10.1016/j.physio.2019.08.007
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 28-35
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Broncho-pneumopathie chronique obstructive ; Différence minimale cliniquement importante ; Évaluation des résultats des patients ; RéadaptationRésumé : Objectives
To determine the minimal important difference (MID) for the London Chest Activity of Daily Living scale (LCADL) in patients with chronic obstructive pulmonary disease (COPD), focusing on the percentage of the total score (LCADL%total), using an anchor-based method in addition to distribution-based methods.
Design
Non-controlled before-and-after study.
Setting
Two outpatient centres.
Participants
Seventy-seven patients with COPD (GOLD II–IV, 47 males, forced expiratory volume in 1 second mean 37 (SD 14) % predicted).
Interventions
Aerobic training and localised training for upper and lower limbs was conducted for 24 sessions, three times per week.
Main outcome measures
The main outcome was LCADL score pre- and post-exercise training. The MID was established using distribution and anchor-based methods. The modified Saint George Respiratory Questionnaire was the anchor for the analysis of sensitivity and specificity of the MID.
Results
The established MIDs ranged from −2.1 to −5.9 points for LCADLtotal and from −2 to −6 points for LCADL%total. The receiver operating characteristic curve indicated a cut-off point of −3 points for LCADLtotal (sensitivity 51%, specificity 82%; P = 0.01) and −4 points for LCADL%total (sensitivity 56%, specificity 82%; P = 0.04).
Conclusions
The present findings suggest −3 points and −4 points as the MIDs for LCADLtotal and LCADL%total, respectively.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259049
Titre : Stroke survivors’ recommendations for the visual representation of movement analysis measures: a technical report Type de document : Article Auteurs : Kathleen Lane ; Elizabeth Chandler ; David Payne ; Valérie M. Pomeroy Année de publication : 2020 Article en page(s) : p. 36-42 Note générale : https://doi.org/10.1016/j.physio.2019.08.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Cinésiologie appliquée ; Electromyographie ; Mouvement ; Réadaptation ; RétroactionRésumé : Background
Stroke survivors do not have routine access to objective feedback on their movement performance.
Objective
To devise visual representation of objective measures of movement performance that are understandable by and meaningful to stroke survivors.
Design
Co-production through interviews and generative discussion.
Participants
Eight people, mean age 65 years, who were at least one year after stroke with low, medium or high functional ability. All provided informed consent.
Data collection
Participants performed standardised upper and lower limb functional tasks. Their movement was measured using the Vicon motion analysis system and surface electromyography. Participants returned six months later when they were shown anonymised visual representations of the movement tasks. Nobody saw their own data. Visual representations were provided of people with low, medium and high functional ability. A generative discussion elicited participants’ views on how the measures should be presented visually to maximise understandability and meaningfulness.
Findings
Participants’ understanding of the visual presentation of movement analysis was enhanced with the addition of everyday symbols such as a stick-figure and a brief explanation from a physiotherapist/researcher. Meaningfulness was seen in terms of motivation to participate in and ownership of their rehabilitation.
Implications
These findings justify further development of objective measures of movement performance for use in routine clinical practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259059
in Physiotherapy > Vol. 107 (2020) . - p. 36-42[article] Stroke survivors’ recommendations for the visual representation of movement analysis measures: a technical report [Article] / Kathleen Lane ; Elizabeth Chandler ; David Payne ; Valérie M. Pomeroy . - 2020 . - p. 36-42.
https://doi.org/10.1016/j.physio.2019.08.008
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 36-42
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Cinésiologie appliquée ; Electromyographie ; Mouvement ; Réadaptation ; RétroactionRésumé : Background
Stroke survivors do not have routine access to objective feedback on their movement performance.
Objective
To devise visual representation of objective measures of movement performance that are understandable by and meaningful to stroke survivors.
Design
Co-production through interviews and generative discussion.
Participants
Eight people, mean age 65 years, who were at least one year after stroke with low, medium or high functional ability. All provided informed consent.
Data collection
Participants performed standardised upper and lower limb functional tasks. Their movement was measured using the Vicon motion analysis system and surface electromyography. Participants returned six months later when they were shown anonymised visual representations of the movement tasks. Nobody saw their own data. Visual representations were provided of people with low, medium and high functional ability. A generative discussion elicited participants’ views on how the measures should be presented visually to maximise understandability and meaningfulness.
Findings
Participants’ understanding of the visual presentation of movement analysis was enhanced with the addition of everyday symbols such as a stick-figure and a brief explanation from a physiotherapist/researcher. Meaningfulness was seen in terms of motivation to participate in and ownership of their rehabilitation.
Implications
These findings justify further development of objective measures of movement performance for use in routine clinical practice.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259059
Titre : The feasibility of increasing physical activity in care home residents: Active Residents in Care Homes (ARCH) programme Type de document : Article Auteurs : Michael V. Hurley ; Julia Wood ; Raymond Smith ; Robert Grant ; Jake Jordan ; Heather Gage ; Liezl West Anderson ; Bernadette Kennedy ; Fiona Jones Année de publication : 2020 Article en page(s) : p. 50-57 Note générale : https://doi.org/10.1016/j.physio.2019.06.007 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Qualité de vie ; Services de soins à domicile ; Sujet âgéRésumé : Objectives
Maintaining physical activity for older residents in care homes maximises their physical and mental health and wellbeing, independence, dignity and quality of life. Unfortunately, most residents do not participate in regular physical activity. Active Residents in Care Homes, ARCH, was designed to increase physical activity by facilitating whole-system change in a care home. We evaluated whether ARCH can be delivered, its effects on resident’s physical activity, wellbeing and costs.
Design
Feasibility study.
Setting
Three residential care homes.
Participants
Care home residents and staff.
Intervention
Occupational and physiotherapists implemented ARCH over 4 months with an 8-month follow-up.
Main outcome measures
Assessment of Physical Activity, Pool Activity Level, EQ5D-5L, Dementia Care Mapping, cost of implementing ARCH, health and social care utilisation.
Results
After implementing ARCH, residents displayed more positive behaviours, better mood and engagement and higher physical activity levels, but these improvements were not sustained at 8-month follow-up. The cost (2016 prices) of implementing ARCH was £61,037, which equates to £1,650/resident. Healthcare utilisation was £295/resident (SD 320) in the 4 months prior to ARCH, £308/resident (SD 406) during the 4-month implementation and £676/resident (SD 438) in the 8-month follow-up.
Conclusions
The ARCH programme can be delivered, it may have some short-term benefits and is affordable. Rather than have unrealistic increases in the health and longevity of older care home residents, ARCH may slow the decline in physical, mental and emotional well-being usually seen in older people in care homes, return some dignity and improve their quality of life in their last months or years.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259072
in Physiotherapy > Vol. 107 (2020) . - p. 50-57[article] The feasibility of increasing physical activity in care home residents: Active Residents in Care Homes (ARCH) programme [Article] / Michael V. Hurley ; Julia Wood ; Raymond Smith ; Robert Grant ; Jake Jordan ; Heather Gage ; Liezl West Anderson ; Bernadette Kennedy ; Fiona Jones . - 2020 . - p. 50-57.
https://doi.org/10.1016/j.physio.2019.06.007
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 50-57
Descripteurs : HE Vinci
Exercice physique ; Qualité de vie ; Services de soins à domicile ; Sujet âgéRésumé : Objectives
Maintaining physical activity for older residents in care homes maximises their physical and mental health and wellbeing, independence, dignity and quality of life. Unfortunately, most residents do not participate in regular physical activity. Active Residents in Care Homes, ARCH, was designed to increase physical activity by facilitating whole-system change in a care home. We evaluated whether ARCH can be delivered, its effects on resident’s physical activity, wellbeing and costs.
Design
Feasibility study.
Setting
Three residential care homes.
Participants
Care home residents and staff.
Intervention
Occupational and physiotherapists implemented ARCH over 4 months with an 8-month follow-up.
Main outcome measures
Assessment of Physical Activity, Pool Activity Level, EQ5D-5L, Dementia Care Mapping, cost of implementing ARCH, health and social care utilisation.
Results
After implementing ARCH, residents displayed more positive behaviours, better mood and engagement and higher physical activity levels, but these improvements were not sustained at 8-month follow-up. The cost (2016 prices) of implementing ARCH was £61,037, which equates to £1,650/resident. Healthcare utilisation was £295/resident (SD 320) in the 4 months prior to ARCH, £308/resident (SD 406) during the 4-month implementation and £676/resident (SD 438) in the 8-month follow-up.
Conclusions
The ARCH programme can be delivered, it may have some short-term benefits and is affordable. Rather than have unrealistic increases in the health and longevity of older care home residents, ARCH may slow the decline in physical, mental and emotional well-being usually seen in older people in care homes, return some dignity and improve their quality of life in their last months or years.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259072
Titre : Effects of land- and water-based exercise programmes on postural balance in individuals with COPD: additional results from a randomised clinical trial Type de document : Article Auteurs : Larissa A. de Castro ; Josiane M. Felcar ; Débora R. de Carvalho ; Laís S. Vidotto ; Rubens A. Da Silva ; Fabio Pitta ; Vanessa S. Probst Année de publication : 2020 Article en page(s) : p. 58-65 Note générale : https://doi.org/10.1016/j.physio.2019.08.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; Chutes accidentelles ; Équilibre postural ; Hydrothérapie ; Traitement par les exercices physiquesRésumé : Objective
To investigate the effects of water-based exercise training on postural balance in individuals with chronic obstructive pulmonary disease (COPD), and compare the effects of two similar protocols of land- and water-based exercise programmes on postural balance in this population.
Design
Randomised clinical trial.
Setting
University-based, outpatient, physical therapy clinic.
Subjects
Fifty individuals with COPD.
Interventions
Participants were assigned at random to the land group (LG; n = 27) or the water group (WG; n = 23), and underwent high-intensity endurance and strength training three times per week for 3 months.
Main outcome measures
Functional balance was assessed by the timed up and go test (TUG), and static balance was assessed with a force platform in the following conditions: standing with feet hip-width apart and eyes open; standing with feet hip-width apart and eyes closed; standing on a short base; and one-legged stance.
Results
Seventeen subjects completed the intervention in the LG {nine males, mean age 64 [standard deviation (SD) 8] years, mean forced expiratory volume in 1 second (FEV1) 48 (SD 17) %predicted} compared with 14 subjects in the WG [nine males, mean age 65 (SD 8) years, FEV1 51 (SD 15) %predicted]. Water-based exercise training had a positive effect on functional balance [TUG: mean difference −1.17 (−1.93 to −0.41 95% confidence interval) seconds; P = 0.006], whereas static balance remained unaltered for both groups. There was no between-group difference in postural balance after exercise training; however, a higher proportion of participants who had a clinically relevant improvement in the TUG were in the WG (LG 35%, WG 64%; P Conclusion
Functional balance improved after 3 months of high-intensity exercise training performed in water. Despite the environment, non-specific training seems to be insufficient to improve static balance.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259124
in Physiotherapy > Vol. 107 (2020) . - p. 58-65[article] Effects of land- and water-based exercise programmes on postural balance in individuals with COPD: additional results from a randomised clinical trial [Article] / Larissa A. de Castro ; Josiane M. Felcar ; Débora R. de Carvalho ; Laís S. Vidotto ; Rubens A. Da Silva ; Fabio Pitta ; Vanessa S. Probst . - 2020 . - p. 58-65.
https://doi.org/10.1016/j.physio.2019.08.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 58-65
Descripteurs : HE Vinci
Broncho-pneumopathie chronique obstructive ; Chutes accidentelles ; Équilibre postural ; Hydrothérapie ; Traitement par les exercices physiquesRésumé : Objective
To investigate the effects of water-based exercise training on postural balance in individuals with chronic obstructive pulmonary disease (COPD), and compare the effects of two similar protocols of land- and water-based exercise programmes on postural balance in this population.
Design
Randomised clinical trial.
Setting
University-based, outpatient, physical therapy clinic.
Subjects
Fifty individuals with COPD.
Interventions
Participants were assigned at random to the land group (LG; n = 27) or the water group (WG; n = 23), and underwent high-intensity endurance and strength training three times per week for 3 months.
Main outcome measures
Functional balance was assessed by the timed up and go test (TUG), and static balance was assessed with a force platform in the following conditions: standing with feet hip-width apart and eyes open; standing with feet hip-width apart and eyes closed; standing on a short base; and one-legged stance.
Results
Seventeen subjects completed the intervention in the LG {nine males, mean age 64 [standard deviation (SD) 8] years, mean forced expiratory volume in 1 second (FEV1) 48 (SD 17) %predicted} compared with 14 subjects in the WG [nine males, mean age 65 (SD 8) years, FEV1 51 (SD 15) %predicted]. Water-based exercise training had a positive effect on functional balance [TUG: mean difference −1.17 (−1.93 to −0.41 95% confidence interval) seconds; P = 0.006], whereas static balance remained unaltered for both groups. There was no between-group difference in postural balance after exercise training; however, a higher proportion of participants who had a clinically relevant improvement in the TUG were in the WG (LG 35%, WG 64%; P Conclusion
Functional balance improved after 3 months of high-intensity exercise training performed in water. Despite the environment, non-specific training seems to be insufficient to improve static balance.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259124
Titre : Effectiveness of spinal manipulation and myofascial release compared with spinal manipulation alone on health-related outcomes in individuals with non-specific low back pain: randomized controlled trial Type de document : Article Auteurs : Taise Angeli Boff ; Fernanda Pasinato ; Ângela Jornada Ben ; Judith E. Bosmans ; Rodrigo Luiz Carregaro Année de publication : 2020 Article en page(s) : p. 71-80 Note générale : https://doi.org/10.1016/j.physio.2019.11.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Équilibre postural ; Lombalgie ; Manipulations de l'appareil locomoteur ; Personnes handicapées ; Qualité de vie ; Résultat thérapeutiqueRésumé : Objective
To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP).
Design
Randomized controlled trial with three months follow-up.
Setting
Rehabilitation clinic.
Participants
Seventy-two individuals (between 18 and 50 years of age; CNLBP ≥12 consecutive weeks) were enrolled and randomly allocated to one of two groups: (1) Spinal manipulation and myofascial release – SMMRG; n = 36) or (2) Spinal manipulation alone (SMG; n = 36).
Interventions
Combined spinal manipulation (characterized by high velocity/low amplitude thrusts) of the sacroiliac and lumbar spine and myofascial release of lumbar and sacroiliac muscles vs manipulation of the sacroiliac and lumbar spine alone, twice a week, for three weeks.
Main outcome measures
Assessments were performed at baseline, three weeks post intervention and three months follow-up. Primary outcomes were pain intensity and disability. Secondary outcomes were quality of life, pressure pain-threshold and dynamic balance.
Results
No significant differences were found between SMMRG vs SMG in pain intensity and disability post intervention and at follow-up. We found an overall significant difference between-groups for CNLBP disability (SMG-SMMRG: mean difference of 5.0; 95% confidence interval of difference 9.9; −0.1), though this effect was not clinically important and was not sustained at follow-up.
Conclusions
We demonstrated that spinal manipulation combined with myofascial release was not more effective compared to spinal manipulation alone for patients with CNLBP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259137
in Physiotherapy > Vol. 107 (2020) . - p. 71-80[article] Effectiveness of spinal manipulation and myofascial release compared with spinal manipulation alone on health-related outcomes in individuals with non-specific low back pain: randomized controlled trial [Article] / Taise Angeli Boff ; Fernanda Pasinato ; Ângela Jornada Ben ; Judith E. Bosmans ; Rodrigo Luiz Carregaro . - 2020 . - p. 71-80.
https://doi.org/10.1016/j.physio.2019.11.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 71-80
Descripteurs : HE Vinci
Équilibre postural ; Lombalgie ; Manipulations de l'appareil locomoteur ; Personnes handicapées ; Qualité de vie ; Résultat thérapeutiqueRésumé : Objective
To investigate the effectiveness of spinal manipulation combined with myofascial release compared with spinal manipulation alone, in individuals with chronic non-specific low back pain (CNLBP).
Design
Randomized controlled trial with three months follow-up.
Setting
Rehabilitation clinic.
Participants
Seventy-two individuals (between 18 and 50 years of age; CNLBP ≥12 consecutive weeks) were enrolled and randomly allocated to one of two groups: (1) Spinal manipulation and myofascial release – SMMRG; n = 36) or (2) Spinal manipulation alone (SMG; n = 36).
Interventions
Combined spinal manipulation (characterized by high velocity/low amplitude thrusts) of the sacroiliac and lumbar spine and myofascial release of lumbar and sacroiliac muscles vs manipulation of the sacroiliac and lumbar spine alone, twice a week, for three weeks.
Main outcome measures
Assessments were performed at baseline, three weeks post intervention and three months follow-up. Primary outcomes were pain intensity and disability. Secondary outcomes were quality of life, pressure pain-threshold and dynamic balance.
Results
No significant differences were found between SMMRG vs SMG in pain intensity and disability post intervention and at follow-up. We found an overall significant difference between-groups for CNLBP disability (SMG-SMMRG: mean difference of 5.0; 95% confidence interval of difference 9.9; −0.1), though this effect was not clinically important and was not sustained at follow-up.
Conclusions
We demonstrated that spinal manipulation combined with myofascial release was not more effective compared to spinal manipulation alone for patients with CNLBP.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259137
Titre : Volume of water added to crushed ice affects the efficacy of cryotherapy: a randomised, single-blind, crossover trial Type de document : Article Auteurs : Daniela de Estéfani ; Caroline Ruschel ; Inaihá Laureano Benincá ; Daniela Pacheco dos Santos Haupenthal ; Núbia Carelli Pereirade Avelar ; Alessandro Haupenthal Année de publication : 2020 Article en page(s) : p. 81-87 Note générale : https://doi.org/10.1016/j.physio.2019.12.005 Langues : Anglais (eng) Descripteurs : HE Vinci
Techniques de physiothérapie ; Température cutanée ; Thermographie ; Utilisations thérapeutiquesRésumé : Objective
To compare the effects of different cryotherapeutic preparations.
Design
Randomised, single-blind, crossover trial.
Setting
University laboratory.
Participants
Sixteen healthy women.
Interventions
Participants were randomised to receive three cryotherapeutic preparations: pure ice (500 g), watered ice (500 g of ice in 500 ml of water) and wetted ice (500 g of ice in 50 ml of water).
Main outcome measures
The primary outcome was skin surface temperature after cryotherapy, measured at the central point of application, and the minimum temperature of the region of interest (ROI). The secondary outcome was the surface area cooled to Results
After application of ice, mean skin surface temperature at the central point was 4.6 [standard deviation (SD) 1.9] °C for the pure ice preparation, 4.9 (SD 2.5) °C for the wetted ice preparation, and 9.6 (SD 1.8) °C for the watered ice preparation. When compared with the watered ice preparation, this represented a mean difference (MD) of 5.0 °C for the pure ice preparation [95% confidence interval (CI) 4.0 to 6.0; P Conclusions
Application of pure ice or wetted ice led to a greater decrease in skin surface temperature compared with watered ice. For clinical purposes, combining equal parts of water and ice could decrease this effect.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259144
in Physiotherapy > Vol. 107 (2020) . - p. 81-87[article] Volume of water added to crushed ice affects the efficacy of cryotherapy: a randomised, single-blind, crossover trial [Article] / Daniela de Estéfani ; Caroline Ruschel ; Inaihá Laureano Benincá ; Daniela Pacheco dos Santos Haupenthal ; Núbia Carelli Pereirade Avelar ; Alessandro Haupenthal . - 2020 . - p. 81-87.
https://doi.org/10.1016/j.physio.2019.12.005
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 81-87
Descripteurs : HE Vinci
Techniques de physiothérapie ; Température cutanée ; Thermographie ; Utilisations thérapeutiquesRésumé : Objective
To compare the effects of different cryotherapeutic preparations.
Design
Randomised, single-blind, crossover trial.
Setting
University laboratory.
Participants
Sixteen healthy women.
Interventions
Participants were randomised to receive three cryotherapeutic preparations: pure ice (500 g), watered ice (500 g of ice in 500 ml of water) and wetted ice (500 g of ice in 50 ml of water).
Main outcome measures
The primary outcome was skin surface temperature after cryotherapy, measured at the central point of application, and the minimum temperature of the region of interest (ROI). The secondary outcome was the surface area cooled to Results
After application of ice, mean skin surface temperature at the central point was 4.6 [standard deviation (SD) 1.9] °C for the pure ice preparation, 4.9 (SD 2.5) °C for the wetted ice preparation, and 9.6 (SD 1.8) °C for the watered ice preparation. When compared with the watered ice preparation, this represented a mean difference (MD) of 5.0 °C for the pure ice preparation [95% confidence interval (CI) 4.0 to 6.0; P Conclusions
Application of pure ice or wetted ice led to a greater decrease in skin surface temperature compared with watered ice. For clinical purposes, combining equal parts of water and ice could decrease this effect.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259144
Titre : Do therapist effects determine outcome in patients with shoulder pain in a primary care physiotherapy setting? Type de document : Article Auteurs : Margit K. Kooijman ; Elisah M. Buining ; Ilse C.S. Swinkels ; Bart W. Koes ; Cindy Veenhof Année de publication : 2020 Article en page(s) : p. 111-117 Note générale : https://doi.org/10.1016/j.physio.2019.08.009 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapeutes ; Personnalité ; ScapulalgieRésumé : Objectives
To explore whether a therapist effect exists in physiotherapists treating patients with shoulder pain and to identify if personality traits of the physiotherapist influences patients outcome.
Design
Observational cohort study.
Setting
Primary care physiotherapy practices.
Participants
Data on patients with shoulder complaints that started and finished treatment between 2009 and 2012 were derived from the NIVEL Primary Care Database. Personality traits of the physiotherapist were identified using the Big Five Inventory. Data of 2814 patients and 56 physiotherapists were analysed using multi level linear regression.
Main outcome measure
Severity of complaint was measured on a 10-point Likert scale at the start and end of treatment. Change score is used as outcome.
Results
A therapist effect exists in the rehabilitation of patients with shoulder complaints in a physiotherapy setting; the physiotherapist explained 12% of variance and the personality trait extraversion showed a significant association (P = 0.03) with change in treatment outcome.
Conclusion
Current explorative study suggests that patients who were treated by therapists that tend to be more outgoing and energetic achieved better treatment results. Additional studies are needed to unravel the interplay between personality traits and other variables of importance, like patients’ personality traits or psychological factors, in treating patients with shoulder complaints.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259146
in Physiotherapy > Vol. 107 (2020) . - p. 111-117[article] Do therapist effects determine outcome in patients with shoulder pain in a primary care physiotherapy setting? [Article] / Margit K. Kooijman ; Elisah M. Buining ; Ilse C.S. Swinkels ; Bart W. Koes ; Cindy Veenhof . - 2020 . - p. 111-117.
https://doi.org/10.1016/j.physio.2019.08.009
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 111-117
Descripteurs : HE Vinci
Kinésithérapeutes ; Personnalité ; ScapulalgieRésumé : Objectives
To explore whether a therapist effect exists in physiotherapists treating patients with shoulder pain and to identify if personality traits of the physiotherapist influences patients outcome.
Design
Observational cohort study.
Setting
Primary care physiotherapy practices.
Participants
Data on patients with shoulder complaints that started and finished treatment between 2009 and 2012 were derived from the NIVEL Primary Care Database. Personality traits of the physiotherapist were identified using the Big Five Inventory. Data of 2814 patients and 56 physiotherapists were analysed using multi level linear regression.
Main outcome measure
Severity of complaint was measured on a 10-point Likert scale at the start and end of treatment. Change score is used as outcome.
Results
A therapist effect exists in the rehabilitation of patients with shoulder complaints in a physiotherapy setting; the physiotherapist explained 12% of variance and the personality trait extraversion showed a significant association (P = 0.03) with change in treatment outcome.
Conclusion
Current explorative study suggests that patients who were treated by therapists that tend to be more outgoing and energetic achieved better treatment results. Additional studies are needed to unravel the interplay between personality traits and other variables of importance, like patients’ personality traits or psychological factors, in treating patients with shoulder complaints.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259146
Titre : Relevance of medical comorbidities for functional mobility in people with limb loss: retrospective explanatory models for a clinical walking measure and a patient-reported functional outcome Type de document : Article Auteurs : Christopher K. Wong ; Stanford T. Chihuri ; Elizabeth G. Santo ; Ryan A. White Année de publication : 2020 Article en page(s) : p. 133-141 Note générale : https://doi.org/10.1016/j.physio.2020.01.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Amputation ; Équilibre postural ; Évaluation de résultat (soins) ; Membres ; Prothèses et implantsRésumé : Objectives
Various modifiable and non-modifiable factors affect functional mobility, but subjective patient-reported and objective performance-based measures are rarely combined in explanatory analyses of functional mobility in people with limb loss. This study determined separate explanatory models for patient-reported function using the Prosthetic Evaluation Questionnaire Mobility Subscale (PEQ-MS), and performance-based 2-Minute Walk Test (2MWT).
Design
Retrospective cross-sectional observational analysis.
Setting
Wellness-walking program.
Participants
Three hundred five volunteers with lower limb loss participated. Sixty nine percent were men, mean age 56 (15) years. Fifty two percent had vascular amputation causes, 42% had surgical levels above the knee, and 82% had medical comorbidities. Walking levels included limited-household (21%), limited-community (30%), and independent-community (49%). Outcome measures included patient-reported PEQ-MS, Activities-specific Balance Confidence (ABC) and Houghton scales; and performance-based balance and walking.
Main outcomes
Separate PEQ-MS and 2MWT multiple regression models fit using backward deletion.
Results
Modifiable (balance ability, ABC, Houghton score; P Conclusions
Both modifiable and non-modifiable factors explained prosthetic functional mobility. Performance-based walking was explained by modifiable factors including balance ability and confidence, prosthesis and walking aid use. Patient-reported function was also explained by prosthesis and walking aid use, walking speed and medical comorbidities. Modifiable factors for objective and subjective prosthetic mobility may provide a clinical roadmap for rehabilitation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259154
in Physiotherapy > Vol. 107 (2020) . - p. 133-141[article] Relevance of medical comorbidities for functional mobility in people with limb loss: retrospective explanatory models for a clinical walking measure and a patient-reported functional outcome [Article] / Christopher K. Wong ; Stanford T. Chihuri ; Elizabeth G. Santo ; Ryan A. White . - 2020 . - p. 133-141.
https://doi.org/10.1016/j.physio.2020.01.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 133-141
Descripteurs : HE Vinci
Amputation ; Équilibre postural ; Évaluation de résultat (soins) ; Membres ; Prothèses et implantsRésumé : Objectives
Various modifiable and non-modifiable factors affect functional mobility, but subjective patient-reported and objective performance-based measures are rarely combined in explanatory analyses of functional mobility in people with limb loss. This study determined separate explanatory models for patient-reported function using the Prosthetic Evaluation Questionnaire Mobility Subscale (PEQ-MS), and performance-based 2-Minute Walk Test (2MWT).
Design
Retrospective cross-sectional observational analysis.
Setting
Wellness-walking program.
Participants
Three hundred five volunteers with lower limb loss participated. Sixty nine percent were men, mean age 56 (15) years. Fifty two percent had vascular amputation causes, 42% had surgical levels above the knee, and 82% had medical comorbidities. Walking levels included limited-household (21%), limited-community (30%), and independent-community (49%). Outcome measures included patient-reported PEQ-MS, Activities-specific Balance Confidence (ABC) and Houghton scales; and performance-based balance and walking.
Main outcomes
Separate PEQ-MS and 2MWT multiple regression models fit using backward deletion.
Results
Modifiable (balance ability, ABC, Houghton score; P Conclusions
Both modifiable and non-modifiable factors explained prosthetic functional mobility. Performance-based walking was explained by modifiable factors including balance ability and confidence, prosthesis and walking aid use. Patient-reported function was also explained by prosthesis and walking aid use, walking speed and medical comorbidities. Modifiable factors for objective and subjective prosthetic mobility may provide a clinical roadmap for rehabilitation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259154
Titre : Shoulder pain after recent stroke (SPARS): hemiplegic shoulder pain incidence within 72 hours post-stroke and 8–10 week follow-up Type de document : Article Auteurs : Martine Nadler ; Mathilde Pauls ; Gillian Cluckie ; Barry Moynihan ; Anthony C. Pereira Année de publication : 2020 Article en page(s) : p. 142-149 Note générale : https://doi.org/10.1016/j.physio.2019.08.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Hémiplégie ; Luxation de l'épaule ; Réadaptation ; ScapulalgieRésumé : Objectives
This study aimed to identify very early incidence of hemiplegic shoulder pain within 72 hours (HSP), how clinical assessment was related to pain at 8–10 week follow-up and explore current standard therapy/management.
Design
Observational, prospective.
Setting
Teaching hospital hyper-acute and follow-up stroke services.
Participants
121 consecutive patients with confirmed cerebral infarct/haemorrhage recruited within 72 hours of stroke onset.
Interventions
N/A.
Main outcome measures
Subjective report of pain severity and aggravating factors: using numerical rating scales and pain questionnaire (ShoulderQ), shoulder abductor and flexor muscle strength (Oxford MRC Scale), Neer’s Test of sub-acromial pain, shoulder subluxation and soft tissue shoulder palpation.
Results
At initial assessment ( Conclusion
This study reports HSP at an earlier time point after stroke than previous publications. Patients with severe arm weakness and/or shoulder subluxation within 72 hours are at significantly higher risk of HSP at 8–10 weeks. These data highlight the high incidence of HSP, the non-standardized therapy approach, and can inform sample size calculations for future intervention studies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259165
in Physiotherapy > Vol. 107 (2020) . - p. 142-149[article] Shoulder pain after recent stroke (SPARS): hemiplegic shoulder pain incidence within 72 hours post-stroke and 8–10 week follow-up [Article] / Martine Nadler ; Mathilde Pauls ; Gillian Cluckie ; Barry Moynihan ; Anthony C. Pereira . - 2020 . - p. 142-149.
https://doi.org/10.1016/j.physio.2019.08.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 142-149
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Hémiplégie ; Luxation de l'épaule ; Réadaptation ; ScapulalgieRésumé : Objectives
This study aimed to identify very early incidence of hemiplegic shoulder pain within 72 hours (HSP), how clinical assessment was related to pain at 8–10 week follow-up and explore current standard therapy/management.
Design
Observational, prospective.
Setting
Teaching hospital hyper-acute and follow-up stroke services.
Participants
121 consecutive patients with confirmed cerebral infarct/haemorrhage recruited within 72 hours of stroke onset.
Interventions
N/A.
Main outcome measures
Subjective report of pain severity and aggravating factors: using numerical rating scales and pain questionnaire (ShoulderQ), shoulder abductor and flexor muscle strength (Oxford MRC Scale), Neer’s Test of sub-acromial pain, shoulder subluxation and soft tissue shoulder palpation.
Results
At initial assessment ( Conclusion
This study reports HSP at an earlier time point after stroke than previous publications. Patients with severe arm weakness and/or shoulder subluxation within 72 hours are at significantly higher risk of HSP at 8–10 weeks. These data highlight the high incidence of HSP, the non-standardized therapy approach, and can inform sample size calculations for future intervention studies.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259165
Titre : Identifying Priorities for Physiotherapy Research in the UK: the James Lind Alliance Physiotherapy Priority Setting Partnership Type de document : Article Auteurs : Gabrielle Rankin ; Rachael Summers ; Katherine Cowan ; Karen Barker ; Kate Button ; Sean Paul Carroll ; Billy Fashanu ; Fidelma Moran ; Brenda O'Neill ; Ruth ten Hove ; Jackie Waterfield ; Sarah Westwater-Wood ; Ian Wellwood Année de publication : 2020 Article en page(s) : p. 161-168 Note générale : https://doi.org/10.1016/j.physio.2019.07.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Consensus ; Kinésithérapie (spécialité) ; RechercheRésumé : Objectives
To identify unanswered questions for physiotherapy research and help set and prioritise the top 10 generic research priorities for the UK physiotherapy profession; updating previous clinical condition- specific priorities to include patient and carer perspectives, and reflect changes in physiotherapy practice, service provision and new technologies.
Design
The James Lind Alliance (JLA) Priority Setting Partnership (PSP) methodology was adopted, utilising evidence review, survey and consensus methods.
Participants
Anyone with experience and/or an interest in UK physiotherapy: patients, carers, members of the public, physiotherapists, student physiotherapists, other healthcare professionals, researchers, educators, service providers, commissioners and policy makers.
Results
Five hundred and ten respondents (50% patients, carers or members of the public) identified 2152 questions (termed “uncertainties”). Sixty-five indicative questions were developed from the uncertainties using peer reviewed thematic analysis. These were ranked in a second national survey (1,020 responses (62% were complete)). The top 25 questions were reviewed in a final prioritisation workshop using an adapted nominal group technique. The top 10 research priorities focused on optimisation (top priority); access; effectiveness; patient and carer knowledge, experiences, needs and expectations; supporting patient engagement and self-management; diagnosis and prediction.
Conclusions
This study is currently the UK’s most inclusive consultation exercise to identify patients‘and healthcare professionals‘priorities for physiotherapy research. The exercise deliberately sought to capture generic issues relevant to all specialisms within physiotherapy. The research priorities identified a range of gaps in existing evidence to inform physiotherapy policy and practice. The results will assist research commissioning bodies and inform funding decisions and strategy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259170
in Physiotherapy > Vol. 107 (2020) . - p. 161-168[article] Identifying Priorities for Physiotherapy Research in the UK: the James Lind Alliance Physiotherapy Priority Setting Partnership [Article] / Gabrielle Rankin ; Rachael Summers ; Katherine Cowan ; Karen Barker ; Kate Button ; Sean Paul Carroll ; Billy Fashanu ; Fidelma Moran ; Brenda O'Neill ; Ruth ten Hove ; Jackie Waterfield ; Sarah Westwater-Wood ; Ian Wellwood . - 2020 . - p. 161-168.
https://doi.org/10.1016/j.physio.2019.07.006
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 161-168
Descripteurs : HE Vinci
Consensus ; Kinésithérapie (spécialité) ; RechercheRésumé : Objectives
To identify unanswered questions for physiotherapy research and help set and prioritise the top 10 generic research priorities for the UK physiotherapy profession; updating previous clinical condition- specific priorities to include patient and carer perspectives, and reflect changes in physiotherapy practice, service provision and new technologies.
Design
The James Lind Alliance (JLA) Priority Setting Partnership (PSP) methodology was adopted, utilising evidence review, survey and consensus methods.
Participants
Anyone with experience and/or an interest in UK physiotherapy: patients, carers, members of the public, physiotherapists, student physiotherapists, other healthcare professionals, researchers, educators, service providers, commissioners and policy makers.
Results
Five hundred and ten respondents (50% patients, carers or members of the public) identified 2152 questions (termed “uncertainties”). Sixty-five indicative questions were developed from the uncertainties using peer reviewed thematic analysis. These were ranked in a second national survey (1,020 responses (62% were complete)). The top 25 questions were reviewed in a final prioritisation workshop using an adapted nominal group technique. The top 10 research priorities focused on optimisation (top priority); access; effectiveness; patient and carer knowledge, experiences, needs and expectations; supporting patient engagement and self-management; diagnosis and prediction.
Conclusions
This study is currently the UK’s most inclusive consultation exercise to identify patients‘and healthcare professionals‘priorities for physiotherapy research. The exercise deliberately sought to capture generic issues relevant to all specialisms within physiotherapy. The research priorities identified a range of gaps in existing evidence to inform physiotherapy policy and practice. The results will assist research commissioning bodies and inform funding decisions and strategy.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259170
Titre : The oxygen cost of rehabilitation interventions in mechanically ventilated patients: an observational study Type de document : Article Auteurs : Claire Black ; Micheal Grocott ; Mervyn Singer Année de publication : 2020 Article en page(s) : p. 169-175 Note générale : https://doi.org/10.1016/j.physio.2019.06.008 Langues : Anglais (eng) Descripteurs : HE Vinci
Exercice physique ; Maladie grave ; Réadaptation ; Ventilation artificielleRésumé : Objective
Early rehabilitation is assumed to be a crucial intervention to facilitate weaning from mechanical ventilation in critically ill patients and to limit their long-term functional dependence. However, little is known about the physiological load imposed on patients during such interventions. Without the ability to quantify the exercise intensity of rehabilitation interventions it is impossible to establish a clear separation between usual care and intervention groups in randomised controlled trials. This may explain the lack of definitive benefit of rehabilitation in published trials. We sought to characterise the physiological load, measured as oxygen consumption (
), of the physical activities carried out during rehabilitation interventions in mechanically ventilated participants.
Design
Observational study.
Setting
Single centre medical-surgical university hospital ICU.
Participants
26 mechanically ventilated participants ventilated >7 days, able to participate in a rehabilitation program.
Intervention
Oxygen consumption (measured by the Medgraphics Ultima breath-by-breath gas exchange analysis system) and heart rate were measured continuously pre-, during and post-standard rehabilitation sessions.
Results
52 sessions were recorded in 26 participants. There was considerable variation in the oxygen cost of the physical activities between participants. The recovery time for 1 in 4 rehabilitation sessions was longer than the rehabilitation activity time.
Conclusions
Absolute exercise intensity in mechanically ventilated ICU participants, as measured by oxygen consumption, is not activity-dependent.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259214
in Physiotherapy > Vol. 107 (2020) . - p. 169-175[article] The oxygen cost of rehabilitation interventions in mechanically ventilated patients: an observational study [Article] / Claire Black ; Micheal Grocott ; Mervyn Singer . - 2020 . - p. 169-175.
https://doi.org/10.1016/j.physio.2019.06.008
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 169-175
Descripteurs : HE Vinci
Exercice physique ; Maladie grave ; Réadaptation ; Ventilation artificielleRésumé : Objective
Early rehabilitation is assumed to be a crucial intervention to facilitate weaning from mechanical ventilation in critically ill patients and to limit their long-term functional dependence. However, little is known about the physiological load imposed on patients during such interventions. Without the ability to quantify the exercise intensity of rehabilitation interventions it is impossible to establish a clear separation between usual care and intervention groups in randomised controlled trials. This may explain the lack of definitive benefit of rehabilitation in published trials. We sought to characterise the physiological load, measured as oxygen consumption (
), of the physical activities carried out during rehabilitation interventions in mechanically ventilated participants.
Design
Observational study.
Setting
Single centre medical-surgical university hospital ICU.
Participants
26 mechanically ventilated participants ventilated >7 days, able to participate in a rehabilitation program.
Intervention
Oxygen consumption (measured by the Medgraphics Ultima breath-by-breath gas exchange analysis system) and heart rate were measured continuously pre-, during and post-standard rehabilitation sessions.
Results
52 sessions were recorded in 26 participants. There was considerable variation in the oxygen cost of the physical activities between participants. The recovery time for 1 in 4 rehabilitation sessions was longer than the rehabilitation activity time.
Conclusions
Absolute exercise intensity in mechanically ventilated ICU participants, as measured by oxygen consumption, is not activity-dependent.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259214
Titre : Construct validity of the 9-Hole Peg Test and Purdue Pegboard Test in people with mild to moderately severe Parkinson’s disease Type de document : Article Auteurs : Elizabeth L. Proud ; Kimberly J. Miller ; Belinda Bilney ; Meg E. Morris ; Jennifer L. McGinley Année de publication : 2020 Article en page(s) : p. 2020-208 Note générale : https://doi.org/10.1016/j.physio.2019.12.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Activités de la vie quotidienne ; Ergotherapie ; Évaluation des résultats des patients ; Kinésithérapie (spécialité) ; Main ; Maladie de ParkinsonRésumé : Objectives
To evaluate the construct validity of two dexterity measures, the 9-Hole Peg Test (9HPT) and Purdue Pegboard Test (PPT) in people with Parkinson’s disease (PD).
Design
Cross-sectional observational study.
Setting
Testing was conducted at the university or in participants’ homes.
Participants
Thirty community dwelling people with mild to moderately severe PD and no major upper limb comorbidities or cognitive impairments.
Interventions
Pegboard tests were administered in the ‘on’ and ‘end-of-dose’ phases of participants’ PD medication cycles. Participants rated hand function with two self-report questionnaires – the Manual Ability Measure-36 (MAM-36) and a subset of upper limb items from the MDS-UPDRS. To explore construct validity, we compared ‘on’ phase pegboard scores with normative values for unimpaired men and women and investigated relationships between pegboard scores and hand function questionnaires.
Results
In the ‘on’ phase, pegboard scores were poorer than normative values. Differences in individual subtest scores ranged between 10 and 41%. Correlations between self-reported hand function and pegboard scores were weak to moderately strong in the ‘on’ phase (r = 0.21–0.51), and weak at ‘end-of-dose’ (r = 0.13–0.22). Higher correlation coefficients were observed between hand function and PPT subtest scores than with hand function and 9HPT scores. Most participants reported difficulty with daily hand tasks.
Conclusions
We found evidence for construct validity supporting the use of the 9HPT and PPT to evaluate people with mild to moderately severe PD when ‘on’, but not at the ‘end-of-dose’. Results also suggest that the PPT may be more sensitive to PD-related changes in dexterity than the 9HPT.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259218
in Physiotherapy > Vol. 107 (2020) . - p. 2020-208[article] Construct validity of the 9-Hole Peg Test and Purdue Pegboard Test in people with mild to moderately severe Parkinson’s disease [Article] / Elizabeth L. Proud ; Kimberly J. Miller ; Belinda Bilney ; Meg E. Morris ; Jennifer L. McGinley . - 2020 . - p. 2020-208.
https://doi.org/10.1016/j.physio.2019.12.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 2020-208
Descripteurs : HE Vinci
Activités de la vie quotidienne ; Ergotherapie ; Évaluation des résultats des patients ; Kinésithérapie (spécialité) ; Main ; Maladie de ParkinsonRésumé : Objectives
To evaluate the construct validity of two dexterity measures, the 9-Hole Peg Test (9HPT) and Purdue Pegboard Test (PPT) in people with Parkinson’s disease (PD).
Design
Cross-sectional observational study.
Setting
Testing was conducted at the university or in participants’ homes.
Participants
Thirty community dwelling people with mild to moderately severe PD and no major upper limb comorbidities or cognitive impairments.
Interventions
Pegboard tests were administered in the ‘on’ and ‘end-of-dose’ phases of participants’ PD medication cycles. Participants rated hand function with two self-report questionnaires – the Manual Ability Measure-36 (MAM-36) and a subset of upper limb items from the MDS-UPDRS. To explore construct validity, we compared ‘on’ phase pegboard scores with normative values for unimpaired men and women and investigated relationships between pegboard scores and hand function questionnaires.
Results
In the ‘on’ phase, pegboard scores were poorer than normative values. Differences in individual subtest scores ranged between 10 and 41%. Correlations between self-reported hand function and pegboard scores were weak to moderately strong in the ‘on’ phase (r = 0.21–0.51), and weak at ‘end-of-dose’ (r = 0.13–0.22). Higher correlation coefficients were observed between hand function and PPT subtest scores than with hand function and 9HPT scores. Most participants reported difficulty with daily hand tasks.
Conclusions
We found evidence for construct validity supporting the use of the 9HPT and PPT to evaluate people with mild to moderately severe PD when ‘on’, but not at the ‘end-of-dose’. Results also suggest that the PPT may be more sensitive to PD-related changes in dexterity than the 9HPT.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259218
Titre : Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy: A cross-sectional study Type de document : Article Auteurs : Grace Lavelle ; Marika Noorkoiv ; Nicola Theis ; Thomas Korff ; Cherry Kilbride ; Vasilios Baltzopoulos ; Adam Shortland ; Wendy Levin ; Jennifer M. Ryan Année de publication : 2020 Article en page(s) : p. 209-215 Note générale : https://doi.org/10.1016/j.physio.2019.08.013 Langues : Anglais (eng) Descripteurs : HE Vinci
Accélérométrie ; Autorapport ; Exercice physique ; Paralysie cérébrale ; Reproductibilité des résultatsRésumé : Objectives
The aim of this study was to examine the validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy (CP).
Design
Cross-sectional.
Setting
Participants were recruited through 8 National Health Service (NHS) trusts, one school, one university and through organisations that provide services for people with disabilities in England.
Participants
Sixty-four, ambulatory young people aged 10–19 years with CP [Gross Motor Function Classification System (GMFCS) levels I–III] participated in this study.
Main outcome measure
The IPAQ-SF was administered to participants. Participants were then asked to wear a wGT3X-BT triaxial accelerometer (ActiGraph, Pensacola, FL) for 7 days to objectively assess PA. Time spent in sedentary behaviour, in moderate to vigorous PA (MVPA) and in total PA (TPA) was compared between measures.
Results
Young people with CP self-reported less time in sedentary behaviour and underestimated the time spent in TPA, when compared to accelerometer measurements. Bland–Altman plots demonstrated poor agreement between the measures for MVPA, with upper and lower 95% limits of agreement of −147 to 148.9 minute. After adjusting for gender and GMFCS level, age was a predictor of the difference between measures for MVPA (P Conclusions
These findings suggest that the IPAQ-SF is not a valid method of measuring TPA or sedentary behaviour in young people with CP and it is not appropriate for use when assessing an individual’s time in MVPA. Therefore, where feasible, an objective measure of PA should be used.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259220
in Physiotherapy > Vol. 107 (2020) . - p. 209-215[article] Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy: A cross-sectional study [Article] / Grace Lavelle ; Marika Noorkoiv ; Nicola Theis ; Thomas Korff ; Cherry Kilbride ; Vasilios Baltzopoulos ; Adam Shortland ; Wendy Levin ; Jennifer M. Ryan . - 2020 . - p. 209-215.
https://doi.org/10.1016/j.physio.2019.08.013
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 209-215
Descripteurs : HE Vinci
Accélérométrie ; Autorapport ; Exercice physique ; Paralysie cérébrale ; Reproductibilité des résultatsRésumé : Objectives
The aim of this study was to examine the validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy (CP).
Design
Cross-sectional.
Setting
Participants were recruited through 8 National Health Service (NHS) trusts, one school, one university and through organisations that provide services for people with disabilities in England.
Participants
Sixty-four, ambulatory young people aged 10–19 years with CP [Gross Motor Function Classification System (GMFCS) levels I–III] participated in this study.
Main outcome measure
The IPAQ-SF was administered to participants. Participants were then asked to wear a wGT3X-BT triaxial accelerometer (ActiGraph, Pensacola, FL) for 7 days to objectively assess PA. Time spent in sedentary behaviour, in moderate to vigorous PA (MVPA) and in total PA (TPA) was compared between measures.
Results
Young people with CP self-reported less time in sedentary behaviour and underestimated the time spent in TPA, when compared to accelerometer measurements. Bland–Altman plots demonstrated poor agreement between the measures for MVPA, with upper and lower 95% limits of agreement of −147 to 148.9 minute. After adjusting for gender and GMFCS level, age was a predictor of the difference between measures for MVPA (P Conclusions
These findings suggest that the IPAQ-SF is not a valid method of measuring TPA or sedentary behaviour in young people with CP and it is not appropriate for use when assessing an individual’s time in MVPA. Therefore, where feasible, an objective measure of PA should be used.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259220
Titre : Recovery of upper limb function is greatest early after stroke but does continue to improve during the chronic phase: a two-year, observational study Type de document : Article Auteurs : Karen N. Borschmann ; Kathryn S. Hayward Année de publication : 2020 Article en page(s) : p. 216-223 Note générale : https://doi.org/10.1016/j.physio.2019.10.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Médecine physique et de réadaptation ; Membre supérieur ; Récupération fonctionnelleRésumé : Objectives
Investigate upper limb (UL) capacity and performance from Design
Longitudinal study of participants with acute stroke, assessed ≤14-days, 6-weeks, 3-, 6-, 12-, 18-, and 24-months post stroke.
Setting
Two acute stroke units.
Main outcome measures
Examination of UL capacity using Chedoke McMaster Stroke Assessment (combined arm and hand scores, 0–14), performance using Motor Activity Log (amount of movement and quality of movement, scored 0–5), and grip strength (kg) using Jamar dynamometer. Random effects regression models were performed to explore the change in outcomes at each time point. Routine clinical imaging was used to describe stroke location as cortical, subcortical or mixed.
Results
Thirty-four participants were enrolled: median age 67.7 years (IQR 60.7–76.2), NIHSS 11.5 (IQR 8.5–16), female n = 10 (36%). The monthly rate of change for all measures was consistently greatest in the 6-weeks post baseline. On average, significant improvements were observed to 12-months in amount of use (median improvement 1.81, 95% CI 1.35 to 2.27) and strength (median improvement 8.29, 95% CI 5.90 to 10.67); while motor capacity (median improvement 4.70, 95% CI 3.8 to 5.6) and quality of movement (median improvement 1.83, 95% CI 1.37 to 2.3) improved to 18-months post stroke. Some individuals were still demonstrating gains at 24-months post stroke within each stroke location group.
Conclusion
This study highlights that the greatest rate of improvement of UL capacity and performance occurs early post stroke. At the group level, improvements were evident at 12- to 18-months post stroke, but at the individual level improvements were observed at 24-months.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259226
in Physiotherapy > Vol. 107 (2020) . - p. 216-223[article] Recovery of upper limb function is greatest early after stroke but does continue to improve during the chronic phase: a two-year, observational study [Article] / Karen N. Borschmann ; Kathryn S. Hayward . - 2020 . - p. 216-223.
https://doi.org/10.1016/j.physio.2019.10.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 216-223
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Médecine physique et de réadaptation ; Membre supérieur ; Récupération fonctionnelleRésumé : Objectives
Investigate upper limb (UL) capacity and performance from Design
Longitudinal study of participants with acute stroke, assessed ≤14-days, 6-weeks, 3-, 6-, 12-, 18-, and 24-months post stroke.
Setting
Two acute stroke units.
Main outcome measures
Examination of UL capacity using Chedoke McMaster Stroke Assessment (combined arm and hand scores, 0–14), performance using Motor Activity Log (amount of movement and quality of movement, scored 0–5), and grip strength (kg) using Jamar dynamometer. Random effects regression models were performed to explore the change in outcomes at each time point. Routine clinical imaging was used to describe stroke location as cortical, subcortical or mixed.
Results
Thirty-four participants were enrolled: median age 67.7 years (IQR 60.7–76.2), NIHSS 11.5 (IQR 8.5–16), female n = 10 (36%). The monthly rate of change for all measures was consistently greatest in the 6-weeks post baseline. On average, significant improvements were observed to 12-months in amount of use (median improvement 1.81, 95% CI 1.35 to 2.27) and strength (median improvement 8.29, 95% CI 5.90 to 10.67); while motor capacity (median improvement 4.70, 95% CI 3.8 to 5.6) and quality of movement (median improvement 1.83, 95% CI 1.37 to 2.3) improved to 18-months post stroke. Some individuals were still demonstrating gains at 24-months post stroke within each stroke location group.
Conclusion
This study highlights that the greatest rate of improvement of UL capacity and performance occurs early post stroke. At the group level, improvements were evident at 12- to 18-months post stroke, but at the individual level improvements were observed at 24-months.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259226
Titre : Does cardiac rehabilitation for people with stroke in the sub-acute phase of recovery lead to physical behaviour change? Results from compositional analysis of accelerometry-derived data Type de document : Article Auteurs : Mark W. Orme ; Nicola J. Clague-Baker ; Matthew Richardson ; Sophie Drewry ; Thompson Robinson ; Sally J. Singh Année de publication : 2020 Article en page(s) : p. 234-242 Note générale : https://doi.org/10.1016/j.physio.2019.10.003 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Mode de vie sédentaire ; Réadaptation cardiaqueRésumé : Objectives
Does adapted cardiac rehabilitation (CR) improve the physical behaviours of people with mild-to-moderate stroke in the sub-acute recovery phase using a compositional data analysis (CoDA) approach?
Design
Before-after.
Setting
University Hospitals of Leicester, Glenfield Hospital, UK.
Participants
24 individuals completed CR and provided valid physical activity (PA) data (mean (SD) 63.1 (14.6) years, 58% male (14/24)).
Intervention
6-week adapted CR program within 6-months of stroke.
Main outcome measures
Physical behaviours were assessed using waist-worn accelerometry. Step count, stationary time (ST), light PA (LPA), and moderate-to-vigorous PA (MVPA) were compared pre post CR using conventional analyses and CoDA. Analysed compositions were: Waking day (ST, LPA, MVPA); ST (1–9-minutes, 10–29-minutes, ≥30-minutes bouts); and MVPA (1–4-minutes, 5–9-minutes, ≥10-minutes bouts).
Results
Following CR, patients took significantly more steps (mean (SD) 3255 (2864) vs 3908 (3399) steps/day, P = 0.004) and engaged in more bouts of MVPA lasting ≥5 and ≥10-minutes (≥5-minutes: mean (SD) 0.7 (1.4) vs 1.2 (1.8) bouts/day, P = 0.008). Using CoDA, no changes in waking day or ST compositions occurred. For waking day, 42% (10/24) increased their LPA and MVPA at the expense of ST. For ST, 33% (8/24) increased their short bouts at the expense of medium and long bouts. For MVPA, 13% (3/24) increased their medium and long bouts at the expense of short bouts.
Conclusion
People with stroke in the sub-acute stage of recovery exhibited low levels of PA. CR appears to be an effective intervention to increase step count but did not alter the overall proportion of time individuals spent being sedentary, or engaging in LPA or in MVPA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259236
in Physiotherapy > Vol. 107 (2020) . - p. 234-242[article] Does cardiac rehabilitation for people with stroke in the sub-acute phase of recovery lead to physical behaviour change? Results from compositional analysis of accelerometry-derived data [Article] / Mark W. Orme ; Nicola J. Clague-Baker ; Matthew Richardson ; Sophie Drewry ; Thompson Robinson ; Sally J. Singh . - 2020 . - p. 234-242.
https://doi.org/10.1016/j.physio.2019.10.003
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 234-242
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Exercice physique ; Mode de vie sédentaire ; Réadaptation cardiaqueRésumé : Objectives
Does adapted cardiac rehabilitation (CR) improve the physical behaviours of people with mild-to-moderate stroke in the sub-acute recovery phase using a compositional data analysis (CoDA) approach?
Design
Before-after.
Setting
University Hospitals of Leicester, Glenfield Hospital, UK.
Participants
24 individuals completed CR and provided valid physical activity (PA) data (mean (SD) 63.1 (14.6) years, 58% male (14/24)).
Intervention
6-week adapted CR program within 6-months of stroke.
Main outcome measures
Physical behaviours were assessed using waist-worn accelerometry. Step count, stationary time (ST), light PA (LPA), and moderate-to-vigorous PA (MVPA) were compared pre post CR using conventional analyses and CoDA. Analysed compositions were: Waking day (ST, LPA, MVPA); ST (1–9-minutes, 10–29-minutes, ≥30-minutes bouts); and MVPA (1–4-minutes, 5–9-minutes, ≥10-minutes bouts).
Results
Following CR, patients took significantly more steps (mean (SD) 3255 (2864) vs 3908 (3399) steps/day, P = 0.004) and engaged in more bouts of MVPA lasting ≥5 and ≥10-minutes (≥5-minutes: mean (SD) 0.7 (1.4) vs 1.2 (1.8) bouts/day, P = 0.008). Using CoDA, no changes in waking day or ST compositions occurred. For waking day, 42% (10/24) increased their LPA and MVPA at the expense of ST. For ST, 33% (8/24) increased their short bouts at the expense of medium and long bouts. For MVPA, 13% (3/24) increased their medium and long bouts at the expense of short bouts.
Conclusion
People with stroke in the sub-acute stage of recovery exhibited low levels of PA. CR appears to be an effective intervention to increase step count but did not alter the overall proportion of time individuals spent being sedentary, or engaging in LPA or in MVPA.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259236
Titre : Impact of hypertonic saline nebulisation combined with oscillatory positive expiratory pressure on sputum expectoration and related symptoms in cystic fibrosis: a randomised crossover trial Type de document : Article Auteurs : Marta San Miguel-Pagola ; Grégory Reychler ; María A. Cebrià i Iranzo ; Marta Gómez-Romero ; Fernando Díaz-Gutiérrez ; Beatriz Herrero-Cortina Année de publication : 2020 Article en page(s) : p. 243-251 Note générale : https://doi.org/10.1016/j.physio.2019.11.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Acide hyaluronique ; Expectoration ; Mucoviscidose ; Solution saline hypertoniqueRésumé : Objective
To evaluate the impact of combining nebulised hyaluronic acid plus hypertonic saline (HA + HS) with oscillatory positive expiratory pressure (oscillatory-PEP) on sputum expectoration and related symptoms in adults with cystic fibrosis (CF).
Design
Randomised crossover trial.
Setting
Seven centres.
Participants
Twenty-two outpatients with CF.
Interventions
Usual care (HA + HS followed by autogenic drainage) and combined therapy (HA + HS with oscillatory-PEP followed by autogenic drainage]. Each treatment was performed for 5 days.
Main outcome measures
Sputum expectoration was measured during the nebulisation period (primary outcome), during autogenic drainage and for 24 hours post intervention. The Cough and Sputum Assessment Questionnaire (CASA-Q) and its domains (cough symptoms, cough impact, sputum symptoms and sputum impact), the Leicester Cough Questionnaire (LCQ) and lung function tests were used. Tolerance and patient preference were registered.
Results
Twenty-two participants [mean age 25 (standard deviation 8) years, percentage predicted forced expiratory volume in 1 second 67 (22)] were recruited. Combined therapy promoted greater sputum expectoration than usual care during the nebulisation period {median difference 1.8 ml [95% confidence interval (CI) 0.2–6.2]}. Both treatments led to similar expectoration during autogenic drainage and for 24 hours post intervention. Combined therapy led to a greater improvement in the sputum symptoms domain [6.7 points (95% CI 3.3–13.3] and total CASA-Q score [2.4 points (95% CI 0.1–9.3)] compared with usual care. No differences in LCQ score or lung function were observed. Fewer adverse events were reported using combined therapy, which was selected as the preferred intervention.
Conclusions
Combined nebulisation increased immediate sputum expectoration, improved sputum symptoms and reduced adverse events compared with usual care in patients with CF.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259248
in Physiotherapy > Vol. 107 (2020) . - p. 243-251[article] Impact of hypertonic saline nebulisation combined with oscillatory positive expiratory pressure on sputum expectoration and related symptoms in cystic fibrosis: a randomised crossover trial [Article] / Marta San Miguel-Pagola ; Grégory Reychler ; María A. Cebrià i Iranzo ; Marta Gómez-Romero ; Fernando Díaz-Gutiérrez ; Beatriz Herrero-Cortina . - 2020 . - p. 243-251.
https://doi.org/10.1016/j.physio.2019.11.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 243-251
Descripteurs : HE Vinci
Acide hyaluronique ; Expectoration ; Mucoviscidose ; Solution saline hypertoniqueRésumé : Objective
To evaluate the impact of combining nebulised hyaluronic acid plus hypertonic saline (HA + HS) with oscillatory positive expiratory pressure (oscillatory-PEP) on sputum expectoration and related symptoms in adults with cystic fibrosis (CF).
Design
Randomised crossover trial.
Setting
Seven centres.
Participants
Twenty-two outpatients with CF.
Interventions
Usual care (HA + HS followed by autogenic drainage) and combined therapy (HA + HS with oscillatory-PEP followed by autogenic drainage]. Each treatment was performed for 5 days.
Main outcome measures
Sputum expectoration was measured during the nebulisation period (primary outcome), during autogenic drainage and for 24 hours post intervention. The Cough and Sputum Assessment Questionnaire (CASA-Q) and its domains (cough symptoms, cough impact, sputum symptoms and sputum impact), the Leicester Cough Questionnaire (LCQ) and lung function tests were used. Tolerance and patient preference were registered.
Results
Twenty-two participants [mean age 25 (standard deviation 8) years, percentage predicted forced expiratory volume in 1 second 67 (22)] were recruited. Combined therapy promoted greater sputum expectoration than usual care during the nebulisation period {median difference 1.8 ml [95% confidence interval (CI) 0.2–6.2]}. Both treatments led to similar expectoration during autogenic drainage and for 24 hours post intervention. Combined therapy led to a greater improvement in the sputum symptoms domain [6.7 points (95% CI 3.3–13.3] and total CASA-Q score [2.4 points (95% CI 0.1–9.3)] compared with usual care. No differences in LCQ score or lung function were observed. Fewer adverse events were reported using combined therapy, which was selected as the preferred intervention.
Conclusions
Combined nebulisation increased immediate sputum expectoration, improved sputum symptoms and reduced adverse events compared with usual care in patients with CF.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259248
Titre : Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial Type de document : Article Auteurs : David J. Keene ; Hessam Soutakbar ; Sally Hopewell ; Peter Heine ; Anju Jaggi ; Chris Littlewood ; Zara Hansen ; Karen Barker ; Willie Hamilton ; Andrew J. Carr ; Sarah E. Lamb Année de publication : 2020 Article en page(s) : p. 252-266 Note générale : https://doi.org/10.1016/j.physio.2019.07.002 Langues : Anglais (eng) Descripteurs : HE Vinci
Essai clinique ; Exercice physique ; ScapulalgieRésumé : Objectives
The Getting it Right: Addressing Shoulder Pain (GRASP) trial is a large-scale, multicentre, 2 × 2 factorial randomised controlled trial investigating clinical and cost-effectiveness of a progressive exercise programme versus best-practice advice, with or without corticosteroid injection, for treating people with rotator cuff disorders. Here we describe the development, implementation and details of the physiotherapy-led interventions.
Methods
Medical Research Council guidance for developing complex interventions were used, taking into account clinical guidelines, expert and patient opinion, research evidence, current practice variation, and deliverability. A stakeholder meeting of 26 experts, clinicians, researchers, and patient representatives was used to design key components of the interventions. Stakeholders prioritised strengthening posterior rotator cuff muscles and using practical, easy-to-do exercises. The interventions were designed to be deliverable across the UK National Health Service.
Results
Progressive exercise consists of up to six sessions with a physiotherapist over 16 weeks. The best-practice advice consists of one face-to-face session with a physiotherapist with substantially greater reliance on self-management. Both interventions include self-management advice, home-exercise instruction, and behaviour-change strategies to target exercise adherence. All participants receive a Participant Information Booklet. The best-practice advice intervention is a self-guided system of progressively challenging exercises, with demonstration videos and written materials. The progressive exercise intervention has a wider range of exercise options, and greater flexibility for tailoring, progression, supervised practice and feedback.
Conclusion
GRASP has recruited 708 participants and will provide high quality evidence to inform management of people with shoulder pain due to a rotator cuff disorder. Results are anticipated in 2020.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259262
in Physiotherapy > Vol. 107 (2020) . - p. 252-266[article] Development and implementation of the physiotherapy-led exercise interventions for the treatment of rotator cuff disorders for the ‘Getting it Right: Addressing Shoulder Pain’ (GRASP) trial [Article] / David J. Keene ; Hessam Soutakbar ; Sally Hopewell ; Peter Heine ; Anju Jaggi ; Chris Littlewood ; Zara Hansen ; Karen Barker ; Willie Hamilton ; Andrew J. Carr ; Sarah E. Lamb . - 2020 . - p. 252-266.
https://doi.org/10.1016/j.physio.2019.07.002
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 252-266
Descripteurs : HE Vinci
Essai clinique ; Exercice physique ; ScapulalgieRésumé : Objectives
The Getting it Right: Addressing Shoulder Pain (GRASP) trial is a large-scale, multicentre, 2 × 2 factorial randomised controlled trial investigating clinical and cost-effectiveness of a progressive exercise programme versus best-practice advice, with or without corticosteroid injection, for treating people with rotator cuff disorders. Here we describe the development, implementation and details of the physiotherapy-led interventions.
Methods
Medical Research Council guidance for developing complex interventions were used, taking into account clinical guidelines, expert and patient opinion, research evidence, current practice variation, and deliverability. A stakeholder meeting of 26 experts, clinicians, researchers, and patient representatives was used to design key components of the interventions. Stakeholders prioritised strengthening posterior rotator cuff muscles and using practical, easy-to-do exercises. The interventions were designed to be deliverable across the UK National Health Service.
Results
Progressive exercise consists of up to six sessions with a physiotherapist over 16 weeks. The best-practice advice consists of one face-to-face session with a physiotherapist with substantially greater reliance on self-management. Both interventions include self-management advice, home-exercise instruction, and behaviour-change strategies to target exercise adherence. All participants receive a Participant Information Booklet. The best-practice advice intervention is a self-guided system of progressively challenging exercises, with demonstration videos and written materials. The progressive exercise intervention has a wider range of exercise options, and greater flexibility for tailoring, progression, supervised practice and feedback.
Conclusion
GRASP has recruited 708 participants and will provide high quality evidence to inform management of people with shoulder pain due to a rotator cuff disorder. Results are anticipated in 2020.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259262
Titre : A qualitative study of the dementia-care experiences and educational needs of physiotherapists in the Republic of Ireland Type de document : Article Auteurs : Tony Foley ; Cormac Sheehan ; Aisling A. Jennings ; Trish O'Sullivan Année de publication : 2020 Article en page(s) : p. 267-274 Note générale : https://doi.org/10.1016/j.physio.2019.08.006 Langues : Anglais (eng) Descripteurs : HE Vinci
Démence ; Education ; Groupes de discussion ; Kinésithérapie (spécialité) ; Recherche qualitativeRésumé : Objectives
Gait disturbance and impaired balance lead to a greater risk of falls and hip fractures for people with dementia. Physiotherapists play an important role in multidisciplinary dementia care. This study aimed to explore physiotherapists’ experiences of dementia care and sought to identify their dementia-specific educational needs.
Design
Qualitative design, using focus group interviews.
Setting
Primary care and secondary care physiotherapy services in the Republic of Ireland.
Participants
Six focus groups with thirty-two physiotherapists, working in community care and hospital settings.
Results
Physiotherapists described a significant dementia-related workload. Challenges to care included absence of a formal diagnosis, clinical uncertainty, scarcity of resources, physical working environment and the assessment of rehabilitation potential. Dementia care was enhanced by the involvement of family members and by collaboration with other allied healthcare professionals. Participants expressed a wish to receive further dementia training and clear evidence-based physiotherapy guidelines. Identified areas of educational need included enhanced communication techniques, use and interpretation of cognitive screening tools, sub-typing of dementia, and ethical issues in dementia care.
Conclusions
Our findings indicate that physiotherapists remain challenged by complex aspects of dementia care. Tailored dementia training for physiotherapists should be developed, focusing on their educational needs. Delivery of training should incorporate interactive case-based activities and interprofessional education with other allied healthcare professionals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259265
in Physiotherapy > Vol. 107 (2020) . - p. 267-274[article] A qualitative study of the dementia-care experiences and educational needs of physiotherapists in the Republic of Ireland [Article] / Tony Foley ; Cormac Sheehan ; Aisling A. Jennings ; Trish O'Sullivan . - 2020 . - p. 267-274.
https://doi.org/10.1016/j.physio.2019.08.006
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 267-274
Descripteurs : HE Vinci
Démence ; Education ; Groupes de discussion ; Kinésithérapie (spécialité) ; Recherche qualitativeRésumé : Objectives
Gait disturbance and impaired balance lead to a greater risk of falls and hip fractures for people with dementia. Physiotherapists play an important role in multidisciplinary dementia care. This study aimed to explore physiotherapists’ experiences of dementia care and sought to identify their dementia-specific educational needs.
Design
Qualitative design, using focus group interviews.
Setting
Primary care and secondary care physiotherapy services in the Republic of Ireland.
Participants
Six focus groups with thirty-two physiotherapists, working in community care and hospital settings.
Results
Physiotherapists described a significant dementia-related workload. Challenges to care included absence of a formal diagnosis, clinical uncertainty, scarcity of resources, physical working environment and the assessment of rehabilitation potential. Dementia care was enhanced by the involvement of family members and by collaboration with other allied healthcare professionals. Participants expressed a wish to receive further dementia training and clear evidence-based physiotherapy guidelines. Identified areas of educational need included enhanced communication techniques, use and interpretation of cognitive screening tools, sub-typing of dementia, and ethical issues in dementia care.
Conclusions
Our findings indicate that physiotherapists remain challenged by complex aspects of dementia care. Tailored dementia training for physiotherapists should be developed, focusing on their educational needs. Delivery of training should incorporate interactive case-based activities and interprofessional education with other allied healthcare professionals.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259265
Titre : “WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions Type de document : Article Auteurs : Catherine J. Minns Lowe ; Paul Kelly ; Karen Milton ; Charlie Foster ; Karen Barker Année de publication : 2020 Article en page(s) : p. 275-285 Note générale : https://doi.org/10.1016/j.physio.2019.08.010 Langues : Anglais (eng) Descripteurs : HE Vinci
Appareil locomoteur ; Douleur musculosquelettique ; Etudes de faisabilité ; Exercice physique ; Maladies ostéomusculaires ; Marche à piedRésumé : Objectives
To explore the feasibility of delivering and evaluating a web-based walking intervention for people with long term musculoskeletal conditions (LTMCs), to determine its acceptability and the feasibility of conducting a definitive trial.
Design
Prospective randomised feasibility study, with blind outcome assessment at baseline, 3 and 6 months.
Setting
Hospital based physiotherapy service.
Participants
Forty one adults referred for assessment and advice for any mild/moderate LTMCs. doing Interventions
Participants randomised to: 1. Usual care: one usual physiotherapy advice and assessment session, including setting a physical activity goal and one follow up session (8 weeks). 2. “Walk30 × 5”: session one, usual care plus intervention of walking programme. Participants were shown the website and podcasts and practiced how to use them. One follow up session (8 weeks).
Outcome measures
Primary: timed six minute walk test (T6MWT). Secondary: step count, self-reported pain, fatigue, mood, self-efficacy, happiness, objective blood pressure, peak expiratory flow rate, and self-report and accelerometer measured physical activity.
Results
Recruitment target achieved. No adverse events occurred. Adherence was high and the intervention acceptable. Loss to follow up n = 3 (7%) at 3 months, n = 8 (20%) at 6 months. T6MWT and step count proved suitable outcomes, unlike accelerometry. Estimated sample size for a definitive trial is 216.
Conclusions
“Walk30 × 5” is ready for evaluation in a future, appropriately powered (n = 216), phase III trial. If effective, the intervention will provide a cheap, highly accessible intervention to enable people with mild/moderate LTMCs to achieve UK physical activity guidelines.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259268
in Physiotherapy > Vol. 107 (2020) . - p. 275-285[article] “WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions [Article] / Catherine J. Minns Lowe ; Paul Kelly ; Karen Milton ; Charlie Foster ; Karen Barker . - 2020 . - p. 275-285.
https://doi.org/10.1016/j.physio.2019.08.010
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 275-285
Descripteurs : HE Vinci
Appareil locomoteur ; Douleur musculosquelettique ; Etudes de faisabilité ; Exercice physique ; Maladies ostéomusculaires ; Marche à piedRésumé : Objectives
To explore the feasibility of delivering and evaluating a web-based walking intervention for people with long term musculoskeletal conditions (LTMCs), to determine its acceptability and the feasibility of conducting a definitive trial.
Design
Prospective randomised feasibility study, with blind outcome assessment at baseline, 3 and 6 months.
Setting
Hospital based physiotherapy service.
Participants
Forty one adults referred for assessment and advice for any mild/moderate LTMCs. doing Interventions
Participants randomised to: 1. Usual care: one usual physiotherapy advice and assessment session, including setting a physical activity goal and one follow up session (8 weeks). 2. “Walk30 × 5”: session one, usual care plus intervention of walking programme. Participants were shown the website and podcasts and practiced how to use them. One follow up session (8 weeks).
Outcome measures
Primary: timed six minute walk test (T6MWT). Secondary: step count, self-reported pain, fatigue, mood, self-efficacy, happiness, objective blood pressure, peak expiratory flow rate, and self-report and accelerometer measured physical activity.
Results
Recruitment target achieved. No adverse events occurred. Adherence was high and the intervention acceptable. Loss to follow up n = 3 (7%) at 3 months, n = 8 (20%) at 6 months. T6MWT and step count proved suitable outcomes, unlike accelerometry. Estimated sample size for a definitive trial is 216.
Conclusions
“Walk30 × 5” is ready for evaluation in a future, appropriately powered (n = 216), phase III trial. If effective, the intervention will provide a cheap, highly accessible intervention to enable people with mild/moderate LTMCs to achieve UK physical activity guidelines.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259268
Titre : Elicitation interview study to identify salient beliefs about exercise participation in adults with cystic fibrosis Type de document : Article Auteurs : Tiffany J. Dwyer ; Barbara N. Griffin ; Peter T.P. Bye ; Jennifer A. Alison Année de publication : 2020 Article en page(s) : p. 286-291 Note générale : https://doi.org/10.1016/j.physio.2019.10.004 Langues : Anglais (eng) Descripteurs : HE Vinci
Comportement ; Comportement social ; Exercice physique ; Mucoviscidose ; PsychosociologieRésumé : Objectives
Conduct an elicitation study, using the Theory of Planned Behaviour framework, to identify salient beliefs about exercise participation in adults with cystic fibrosis (CF). Specifically, identify attitudes on advantages and disadvantages of exercise (behavioural beliefs); individuals and groups who apply social pressure to exercise (normative beliefs); and perceived control over facilitators and barriers to exercise (control beliefs) for adults with CF.
Design
Qualitative interviews using open-ended, structured questions.
Setting
Adult CF clinic in a large Australian hospital.
Participants
Sixteen adults with CF, three relatives/friends of adults with CF and six CF clinic staff.
Results
The most common positive attitudes about exercise were to keep fit and healthy (68%) and feel better and happier (60%), and negative attitude was to feel breathless (36%). Social pressure to exercise mainly came from parents/family (72%) and friends (52%), and 60% of participants reported that no-one discourages exercise. Having someone to exercise with (44%) and be encouraged (36%) were the most common facilitators of perceived control to exercise, whereas being unwell (96%) and not having sufficient time (56%) were the most common barriers.
Conclusions
Attitudes, social pressure and perceived control to exercise for adults with CF were similar to beliefs previously reported by the general population and some patient groups. A number of CF-specific exercise beliefs, mainly related to pulmonary function, were also reported. These findings can help develop questionnaires for larger groups of adults with CF, interpret relationships between exercise beliefs and participation, and inform clinicians to target interventions to increase exercise participation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259272
in Physiotherapy > Vol. 107 (2020) . - p. 286-291[article] Elicitation interview study to identify salient beliefs about exercise participation in adults with cystic fibrosis [Article] / Tiffany J. Dwyer ; Barbara N. Griffin ; Peter T.P. Bye ; Jennifer A. Alison . - 2020 . - p. 286-291.
https://doi.org/10.1016/j.physio.2019.10.004
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 286-291
Descripteurs : HE Vinci
Comportement ; Comportement social ; Exercice physique ; Mucoviscidose ; PsychosociologieRésumé : Objectives
Conduct an elicitation study, using the Theory of Planned Behaviour framework, to identify salient beliefs about exercise participation in adults with cystic fibrosis (CF). Specifically, identify attitudes on advantages and disadvantages of exercise (behavioural beliefs); individuals and groups who apply social pressure to exercise (normative beliefs); and perceived control over facilitators and barriers to exercise (control beliefs) for adults with CF.
Design
Qualitative interviews using open-ended, structured questions.
Setting
Adult CF clinic in a large Australian hospital.
Participants
Sixteen adults with CF, three relatives/friends of adults with CF and six CF clinic staff.
Results
The most common positive attitudes about exercise were to keep fit and healthy (68%) and feel better and happier (60%), and negative attitude was to feel breathless (36%). Social pressure to exercise mainly came from parents/family (72%) and friends (52%), and 60% of participants reported that no-one discourages exercise. Having someone to exercise with (44%) and be encouraged (36%) were the most common facilitators of perceived control to exercise, whereas being unwell (96%) and not having sufficient time (56%) were the most common barriers.
Conclusions
Attitudes, social pressure and perceived control to exercise for adults with CF were similar to beliefs previously reported by the general population and some patient groups. A number of CF-specific exercise beliefs, mainly related to pulmonary function, were also reported. These findings can help develop questionnaires for larger groups of adults with CF, interpret relationships between exercise beliefs and participation, and inform clinicians to target interventions to increase exercise participation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259272
Titre : Experience of an upper limb training program with a non-immersive virtual reality system in patients after stroke: a qualitative study Type de document : Article Auteurs : Isabelle Lehmann ; Gillian Baer ; Corina Schuster-Amft Année de publication : 2020 Article en page(s) : p. 317-326 Note générale : https://doi.org/10.1016/j.physio.2017.03.001 Langues : Anglais (eng) Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Phénoménologie ; Récupération fonctionnelle ; Thérapie par réalité virtuelleRésumé : Objectives
The YouGrabber (YG) is a new virtual reality training system that focuses on unilateral and bimanual activities. This nested study was part of a larger multicenter randomized controlled trial and explored experiences of people with chronic stroke during a 4 weeks intensive upper limb training with YG.
Design
A qualitative design using semi-structured, face-to-face interviews. A phenomenological descriptive approach was used, with data coded, categorized and summarized using a thematic analysis. Topics investigated included: the experience of YG training, perceived impact of YG training on arm function, and the role of the treating therapist.
Results
Five people were interviewed (one female, age range 55 to 75 years, 1 to 6 years poststroke). Seven main themes were identified: (1) general experience, (2) expectations, (3) feedback, (4) arm function, (5) physiotherapist’s role, (6) fatigue, (7) motivation. Key experiences reported included feelings of motivation and satisfaction, with positive factors identified as challenge, competition, fun and effort. The YG training appeared to trigger greater effort, however fatigue was experienced at the end of the training. Overall, patients described positive changes in upper limb motor function and activity level, e.g. automatic arm use. While the opportunity for self-practice was appreciated, input from the therapist at the start of the intervention was deemed important for safety and confidence.
Conclusions
Reported experiences were mostly positive and the participants were motivated to practice intensively. They enjoyed the challenging component of the games.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259273
in Physiotherapy > Vol. 107 (2020) . - p. 317-326[article] Experience of an upper limb training program with a non-immersive virtual reality system in patients after stroke: a qualitative study [Article] / Isabelle Lehmann ; Gillian Baer ; Corina Schuster-Amft . - 2020 . - p. 317-326.
https://doi.org/10.1016/j.physio.2017.03.001
Langues : Anglais (eng)
in Physiotherapy > Vol. 107 (2020) . - p. 317-326
Descripteurs : HE Vinci
Accident vasculaire cérébral (AVC) ; Membre supérieur ; Phénoménologie ; Récupération fonctionnelle ; Thérapie par réalité virtuelleRésumé : Objectives
The YouGrabber (YG) is a new virtual reality training system that focuses on unilateral and bimanual activities. This nested study was part of a larger multicenter randomized controlled trial and explored experiences of people with chronic stroke during a 4 weeks intensive upper limb training with YG.
Design
A qualitative design using semi-structured, face-to-face interviews. A phenomenological descriptive approach was used, with data coded, categorized and summarized using a thematic analysis. Topics investigated included: the experience of YG training, perceived impact of YG training on arm function, and the role of the treating therapist.
Results
Five people were interviewed (one female, age range 55 to 75 years, 1 to 6 years poststroke). Seven main themes were identified: (1) general experience, (2) expectations, (3) feedback, (4) arm function, (5) physiotherapist’s role, (6) fatigue, (7) motivation. Key experiences reported included feelings of motivation and satisfaction, with positive factors identified as challenge, competition, fun and effort. The YG training appeared to trigger greater effort, however fatigue was experienced at the end of the training. Overall, patients described positive changes in upper limb motor function and activity level, e.g. automatic arm use. While the opportunity for self-practice was appreciated, input from the therapist at the start of the intervention was deemed important for safety and confidence.
Conclusions
Reported experiences were mostly positive and the participants were motivated to practice intensively. They enjoyed the challenging component of the games.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=259273
Paru le : 01/05/2020
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Paru le : 01/03/2020
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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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254081
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254081
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254110
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254110
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254111
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254111
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254113
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254113
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#! Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254114
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#! Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254114
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254117
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254117
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254125
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254125
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254126
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254126
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254127
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254127
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254128
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254128
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254129
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254129
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254130
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254130
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254131
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254131
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254132
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254132
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254154
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254154
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254158
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254158
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254179
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254179
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254180
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254180
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254206
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254206
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254209
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 [...] Permalink : https://bib.vinci.be/opac_css/index.php?lvl=notice_display&id=254209
Paru le : 01/12/2019
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