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An evaluation of the usefulness of Comprehensive Geriatric Assessmentin patients after a fracture within the proximal femoral epiphysis whilestaying at a nursing home – a pilot study 综合老年评估在住院期间股骨近端骨骺骨折患者中的有效性评估——一项初步研究
Q3 Health Professions Pub Date : 2023-01-01 DOI: 10.5114/pq.2023.125752
Wioletta Dziubek, J. Kowalska
Introduction. The aim of this study was to evaluate the usefulness of Comprehensive Geriatric Assessment (CGA) in patients after a fracture within the proximal femoral epiphysis, staying at a nursing home (NH). Methods. The study was conducted at a NH centre on 15 people after a fracture within the proximal femoral epiphysis (mean aged 76.9 ± 10.8). The CGA assessment was performed twice: before and after a 12 week stay at the centre. Physiotherapy was carried out five times a week for one hour (Monday to Friday). Results. The analysis showed a significant improvement in the Activities of daily Living scale (AdL). in the case of the physical condition of the patients, the physiotherapy led to significant improvements, predominantly in the gait and balance of the patients. Significant correlations, at the start and end of the study, were found between the AdL and Tinetti scale. Conclusions. There was a significant relationship found between the functional status and physical health of the patients undergoing physiotherapy staying at the NH. The systematic 3-month physiotherapy significantly improved the functional and physical condition of elderly patients. CGA can be a tool for evaluating the efficacy of the rehabilitation process of elderly patients staying at a NH. The results are a pilot study, but confirm that CGA can and should be routinely used in geriatric centres in Poland.
介绍。本研究的目的是评估综合老年评估(CGA)对住在养老院(NH)的股骨近端骨骺骨折患者的有用性。方法。该研究是在NH中心对15名股骨近端骨骺骨折患者(平均年龄76.9±10.8岁)进行的。CGA评估进行了两次:在中心停留12周之前和之后。物理治疗每周进行5次,每次1小时(周一至周五)。结果。分析显示,日常生活活动量表(AdL)有显著改善。在病人的身体状况方面,物理治疗带来了显著的改善,主要是在病人的步态和平衡方面。在研究开始和结束时,AdL和Tinetti量表之间发现了显著的相关性。结论。在NH接受物理治疗的患者的功能状态与身体健康之间存在显著的关系。系统的3个月物理治疗明显改善了老年患者的功能和身体状况。CGA可作为评估老年住院患者康复过程疗效的工具。结果是一项试点研究,但证实了CGA可以而且应该在波兰的老年中心常规使用。
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引用次数: 0
Effect of Pilates exercise on balance and spinal curvature in subjects with upper cross syndrome: a randomized controlled clinical trial 普拉提运动对上交叉综合征患者平衡和脊柱弯曲的影响:一项随机对照临床试验
Q3 Health Professions Pub Date : 2023-01-01 DOI: 10.5114/pq.2024.130504
R. Karkousha, Jermeen Yousef, Neveen A. Abdel Raoof, M. Grase
Introduction: To investigate the outcomes of Pilates exercise compared to traditional treatment for management of the upper cross syndrome (UCS). Methods: Forty participants (females) with UCS were randomly divided into two equal groups: group A (control group) and group B (experimental group). Both groups received two sessions per week for four consecutive weeks. Group A received traditional physical therapy program in form of stretching, strengthening and postural correction exercises while Group B received Pilates exercise program. Primary outcome measures were balance, spinal curvature, Craniovertebral angle (CV), and rounded shoulders while the Neck Disability Index and Visual Analogue Scale served as secondary outcome measures. Measurements were recorded before and after treatment. Results: Comparison between pre-and post-treatment test results showed that all dependent variables significantly improved for both groups ( p > 0.001). However, Pilates exercise resulted in greater improvement in terms of balance, spinal curvature, CVA, and pain ( p > 0.001). Conclusions: Pilates exercise program proved better than traditional physical therapy program in improving spinal curvature, balance, and function and reducing pain in UCS.
前言:研究普拉提运动与传统治疗上交叉综合征(UCS)的效果比较。方法:40例女性UCS患者随机分为两组:A组(对照组)和B组(实验组)。两组患者每周接受两次治疗,连续4周。A组采用传统的物理治疗方案,包括拉伸、强化和体位矫正练习,B组采用普拉提运动方案。主要指标是平衡、脊柱曲度、颅椎角(CV)和圆肩,而颈部残疾指数和视觉模拟量表是次要指标。记录治疗前后的测量结果。结果:治疗前后检验结果比较,两组所有因变量均显著改善(p < 0.001)。然而,普拉提运动在平衡、脊柱弯曲、CVA和疼痛方面有更大的改善(p < 0.001)。结论:普拉提运动方案在改善脊柱曲度、平衡、功能和减轻UCS疼痛方面优于传统的物理治疗方案。
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引用次数: 0
Functional outcomes of modified constraint-induced movement therapy versus Kinesio taping in children with Erb’s palsy 改良约束诱导运动疗法与肌内修贴在Erb麻痹儿童中的功能结局
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.103555
Radwa S. Abdul-Rahman, T. El-Saeed
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引用次数: 0
Effect of functional task training versus resistance training in improving activities of daily living performance in Indian community-dwelling older adults 功能任务训练与阻力训练对改善印度社区老年人日常生活活动表现的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.103562
R. Mohammed, Pallavi Dangat, G. Bhatnagar
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引用次数: 0
Critical review of the justification of limitations in physical therapy and activities of daily living in cardiac surgery patients 对心脏手术患者物理治疗和日常生活活动限制的合理性进行批判性审查
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.108676
V. Vitomskyi
Introduction. The study aim was to analyse the justification of limitations in physical therapy and activities of daily living in patients after cardiac surgery via sternotomy. Methods. A narrative review design was followed. This study is the result of analysing and comparing the data obtained through investigating sternal closure stability after sternotomy, the load on the sternum during physical therapy, activities of daily living and coughing, as well as the effectiveness of sternum external fixation. Results. Sternum closure stability after sternotomy and the force of the load on the sternum during cough are greater than when performing upper extremity movements and most of the activities of daily living. The benefits of using sternum external fixation are not marked. Mathematically, most of the presented statistical benefits of sternum external fixation were achieved owing to the large number of individuals in the samples. Therefore, it is important to analyse such statistical indicators as odds ratio, attributable risk, the number needed to treat in terms of such a ‘harmful factor’ as lack of sternum external fixation. The use of sternum external fixation should be biomechanically grounded. Conclusions. Conventional restrictions and recommendations for patients after cardiac surgery via sternotomy lack theoretical justification and research to confirm their necessity.
介绍。本研究的目的是分析经胸骨切开术的心脏手术患者在物理治疗和日常生活活动方面的局限性。方法。采用叙述回顾设计。本研究是通过对胸骨切开术后胸骨闭合稳定性、物理治疗期间胸骨负荷、日常生活活动和咳嗽情况以及胸骨外固定效果等数据进行分析比较的结果。结果。胸骨切开术后胸骨闭合稳定性和咳嗽时胸骨负荷力大于上肢运动和大部分日常生活活动时。使用胸骨外固定的好处并不明显。从数学上讲,胸骨外固定所带来的大多数统计学上的好处都是由于样本中的大量个体而实现的。因此,重要的是分析这些统计指标,如优势比、归因风险、需要治疗的数量等“有害因素”,如缺乏胸骨外固定架。胸骨外固定的使用应以生物力学为基础。结论。传统的胸骨切开术对心脏手术后患者的限制和建议缺乏理论依据和研究来证实其必要性。
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引用次数: 1
Analysis of racial/ethnic differences in pain perception, quality of life, and self-efficacy among chronic neck pain patients 慢性颈部疼痛患者疼痛感知、生活质量和自我效能感的种族差异分析
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2022.116447
Sonia Dewan, Rahul Kutty, Lau Siew
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引用次数: 0
Reliability and minimal detectable change of the Step Test in patients with knee osteoarthritis 膝关节骨关节炎患者步进试验的可靠性和最小可检测变化
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2020.102160
Abdurrahman Nalbant, B. Unver, V. Karatosun
Introduction. The study aim was to evaluate the test-retest reliability and minimal detectable change of the Step Test in patients with knee osteoarthritis. Methods. The intraclass correlation coefficient was used to assess the test-retest reliability of the Step Test. The minimal detectable change with 95% confidence interval (MdC95) was calculated to determine the true change. The inclusion criteria involved a diagnosis of knee osteoarthritis and age of 40 years. Results. Thirty-eight participants who met the inclusion criteria were investigated. Seven were male and the mean age equalled 61.23 ± 9.31 years. Three patients had radiographic findings indicative of Kellgren-Lawrence grade ii, 10 of grade iii, and 25 of grade iV. The Step Test presented excellent test-retest reliability. The intraclass correlation coefficient was 0.97, standard error of the mean was 0.46, and the MdC95 was 1.27. Conclusions. The Step Test is a reliable outcome measurement for the assessment of balance in patients with knee osteoar- thritis, and it showed excellent test-retest reliability in these patients. The test may assist clinicians and researchers in evaluating balance and planning rehabilitation in patients with knee osteoarthritis.
介绍。本研究的目的是评估Step测试在膝关节骨关节炎患者中的重测可靠性和最小可检测变化。方法。用类内相关系数评价步进检验的重测信度。计算具有95%置信区间的最小可检测变化(MdC95)以确定真实变化。纳入标准包括膝盖骨关节炎诊断和年龄40岁。结果。38名符合纳入标准的参与者接受了调查。男性7例,平均年龄61.23±9.31岁。3例患者的影像学表现为Kellgren-Lawrence ii级,10例为iii级,25例为iV级。steptest显示了极好的重测信度。类内相关系数为0.97,平均标准误差为0.46,MdC95为1.27。结论。Step测试是评估膝关节骨性关节炎患者平衡性的一种可靠的结果测量方法,并且在这些患者中显示出极好的重测信度。该测试可以帮助临床医生和研究人员评估膝关节骨关节炎患者的平衡和计划康复。
{"title":"Reliability and minimal detectable change of the Step Test in patients with knee osteoarthritis","authors":"Abdurrahman Nalbant, B. Unver, V. Karatosun","doi":"10.5114/pq.2020.102160","DOIUrl":"https://doi.org/10.5114/pq.2020.102160","url":null,"abstract":"Introduction. The study aim was to evaluate the test-retest reliability and minimal detectable change of the Step Test in patients with knee osteoarthritis. Methods. The intraclass correlation coefficient was used to assess the test-retest reliability of the Step Test. The minimal detectable change with 95% confidence interval (MdC95) was calculated to determine the true change. The inclusion criteria involved a diagnosis of knee osteoarthritis and age of 40 years. Results. Thirty-eight participants who met the inclusion criteria were investigated. Seven were male and the mean age equalled 61.23 ± 9.31 years. Three patients had radiographic findings indicative of Kellgren-Lawrence grade ii, 10 of grade iii, and 25 of grade iV. The Step Test presented excellent test-retest reliability. The intraclass correlation coefficient was 0.97, standard error of the mean was 0.46, and the MdC95 was 1.27. Conclusions. The Step Test is a reliable outcome measurement for the assessment of balance in patients with knee osteoar- thritis, and it showed excellent test-retest reliability in these patients. The test may assist clinicians and researchers in evaluating balance and planning rehabilitation in patients with knee osteoarthritis.","PeriodicalId":37315,"journal":{"name":"Physiotherapy Quarterly","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70514740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Contralateral effect of unilateral motor priming on grasping in children with unilateral spastic cerebral palsy 单侧运动启动对单侧痉挛性脑瘫患儿抓握的影响
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2020.102166
M. Ismaeel
Introduction. Cross-training, as a type of unilateral movement-based priming, could enhance the affected side depending on strengthening of the non-affected side. it was aimed to investigate the effect of unilateral movement-based priming on handgrip strength and fine motor developmental outcomes of the affected upper extremity in children with unilateral spastic cerebral palsy. Methods. overall, 32 patients participated in this study; they were randomly classified into 2 groups. Group A subjects engaged in a selected occupational therapy program based on fine motor development, while those in group B received exercises to increase contralateral hand strength followed by application of the same program as group A. The treatment programs were conducted 3 times per week for 10 successive weeks. The outcomes included affected handgrip strength as a primary outcome and age equivalent for grasping in the Peabody developmental Motor Scale – Fine Motor (PdMS-FM). These measures were recorded before and after the application of the allocated interventions. Results. There were statistically significant differences when comparing pre- and post-treatment mean values in each group. Also, there was a significant difference in favour of the study group when comparing post-treatment mean values ( p < 0.05). Conclusions. Unilateral motor priming through cross-training is effective in improving grasping outcomes of the affected upper extremity concerning strength and fine motor development in children with unilateral spastic cerebral palsy.
介绍。交叉训练,作为一种基于单侧运动的启动,可以通过加强非受累侧来增强受累侧。目的探讨单侧运动启动对单侧痉挛性脑瘫患儿上肢手部握力和精细运动发育的影响。方法。总共有32名患者参与了这项研究;随机分为两组。A组受试者根据精细运动的发展进行选择的职业治疗方案,B组受试者接受锻炼以增加对侧手的力量,然后应用与A组相同的方案。治疗方案每周进行3次,连续10周。结果包括受影响的握力作为主要结果,以及皮博迪发育运动量表-精细运动(PdMS-FM)中握力的年龄等量值。在应用分配的干预措施之前和之后记录这些措施。结果。各组治疗前后均值比较,差异有统计学意义。此外,在比较治疗后平均值时,研究组的优势也有显著差异(p < 0.05)。结论。通过交叉训练单侧运动启动能有效改善单侧痉挛性脑瘫患儿上肢力量和精细运动发育方面的抓握结果。
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引用次数: 0
Directed cough manoeuvres in the early period after open abdominal surgery 腹部开腹手术后早期的定向咳嗽手法
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2021.103553
M. Yıldırım, S. Ozyurek, Ersin Avci, S. Savcı, T. Egeli, D. Karadibak
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引用次数: 0
Sun Salutation yoga in patients with subacute low back pain: a feasibility study 日式瑜伽治疗亚急性腰痛的可行性研究
Q3 Health Professions Pub Date : 2022-01-01 DOI: 10.5114/pq.2022.116641
N. Arovah, W. Kushartanti, R. Ambardini
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引用次数: 1
期刊
Physiotherapy Quarterly
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