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Development of a Questionnaire to Investigate Study Design Factors Influencing Participation in Gait Rehabilitation Research by People with Stroke: A Brief Report. 制定一份调查问卷,以调查影响中风患者参与步态康复研究的研究设计因素:简要报告。
Pub Date : 2015-06-25 DOI: 10.3138/ptc.2014-12
K. Patterson, N. Gallant, Tracey Ormiston, Chad Patience, Mandy Whitechurch, A. Mansfield, Janet Brown
PURPOSEThe main objective of this study was to evaluate the feasibility of a newly developed questionnaire to assess the influence of study design on participation in gait rehabilitation research in a pilot test with individuals with stroke. A secondary objective was to investigate the relationship between participation in gait rehabilitation research and social and clinical factors of interest after stroke.METHODSA questionnaire was developed with expert opinion and guidance from related previous research. The questionnaire was pilot tested in a group of 21 people with stroke, and social and clinical factors (including gait function) were collected. Gait function was assessed using a pressure-sensitive mat; social and clinical characteristics were extracted from patient charts. Correlations were performed to investigate relationships between questionnaire responses and gait function, motor impairment, and chronicity; t-tests were used to examine response differences between people with a caregiver at home and those without.RESULTSA total of 21 people with stroke completed the questionnaire without difficulty; mean completion time was 7.2 (SD 3.5) minutes, with a range of responses across participants. Borderline significant associations were found between gait function and the number of studies in which a person would participate and between stroke chronicity and the location of studies in which a person would participate.CONCLUSIONSA questionnaire to investigate the influence of study design factors on participation in rehabilitation research is feasible for administration in the post-stroke population and has potential to inform the design of future studies.
目的本研究的主要目的是评估新开发的问卷的可行性,以评估研究设计对卒中患者参与步态康复研究的影响。第二个目的是调查卒中后参与步态康复研究与社会和临床因素之间的关系。方法在专家意见的基础上,借鉴前人相关研究成果,编制问卷。该问卷在21名中风患者中进行了初步测试,并收集了社会和临床因素(包括步态功能)。采用压敏垫评估步态功能;从患者病历中提取社会和临床特征。对问卷回答与步态功能、运动损伤和慢性之间的关系进行相关性研究;使用t检验来检查家中有护理人员和没有护理人员的人之间的反应差异。结果共21例脑卒中患者顺利完成问卷;平均完成时间为7.2 (SD 3.5)分钟,参与者的反应范围不同。步态功能与受试者参与研究的数量、中风的慢性程度与受试者参与研究的地点之间存在显著的关联。结论采用问卷调查研究设计因素对卒中后人群参与康复研究的影响是可行的,并有可能为未来研究的设计提供参考。
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引用次数: 0
Reliability of the Berg Balance Scale as a Clinical Measure of Balance in Community-Dwelling Older Adults with Mild to Moderate Alzheimer Disease: A Pilot Study. Berg平衡量表作为轻度至中度阿尔茨海默病社区老年人临床平衡测量的可靠性:一项初步研究
Pub Date : 2015-06-25 DOI: 10.3138/ptc.2014-32
S. Muir-Hunter, Laura J Graham, Manuel Montero Odasso
PURPOSETo measure test-retest and interrater reliability of the Berg Balance Scale (BBS) in community-dwelling adults with mild to moderate Alzheimer disease (AD). Method : A sample of 15 adults (mean age 80.20 [SD 5.03] years) with AD performed three balance tests: the BBS, timed up-and-go test (TUG), and Functional Reach Test (FRT). Both relative reliability, using the intra-class correlation coefficient (ICC), and absolute reliability, using standard error of measurement (SEM) and minimal detectable change (MDC95) values, were calculated; Bland-Altman plots were constructed to evaluate inter-tester agreement. The test-retest interval was 1 week. Results : For the BBS, relative reliability values were 0.95 (95% CI, 0.85-0.98) for test-retest reliability and 0.72 (95% CI, 0.31-0.91) for interrater reliability; SEM was 6.01 points and MDC95 was 16.66 points; and interrater agreement was 16.62 points. The BBS performed better in test-retest reliability than the TUG and FRT, tests with established reliability in AD. Between 33% and 50% of participants required cueing beyond standardized instructions because they were unable to remember test instructions. Conclusions : The BBS achieved relative reliability values that support its clinical utility, but MDC95 and agreement values indicate the scale has performance limitations in AD. Further research to optimize balance assessment for people with AD is required.
目的探讨社区生活成人轻、中度阿尔茨海默病(AD)患者Berg平衡量表(BBS)的重测信度和解释者信度。方法:15例AD患者(平均年龄80.20 [SD 5.03]岁)进行了三种平衡测试:BBS、定时起跑测试(TUG)和功能到达测试(FRT)。用类内相关系数(ICC)计算相对信度,用测量标准误差(SEM)和最小可检测变化(MDC95)值计算绝对信度;构建Bland-Altman图来评估测试者之间的一致性。测试-重测间隔为1周。结果:对于BBS,重测信度的相对信度值为0.95 (95% CI, 0.85-0.98),互测信度的相对信度值为0.72 (95% CI, 0.31-0.91);SEM为6.01分,MDC95为16.66分;相互间的一致度为16.62分。BBS在重测信度上优于TUG和FRT,后者在AD中具有已建立的信度。33%到50%的参与者因为记不住测试说明而需要超出标准说明的提示。结论:BBS获得了支持其临床应用的相对可靠性值,但MDC95和一致性值表明该量表在AD中存在性能局限性。需要进一步的研究来优化AD患者的平衡评估。
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引用次数: 40
Mapping the Physiotherapy Profession in Saskatchewan: Examining Rural versus Urban Practice Patterns. 绘制萨斯喀彻温省物理治疗专业:检查农村与城市实践模式。
Pub Date : 2015-06-25 DOI: 10.3138/ptc.2014-53
B. Bath, Jeffery Gabrush, Rachel Fritzler, Nathan Dickson, Derek Bisaro, K. Bryan, T. Shah
PURPOSEPeople living in rural and remote regions need support to overcome difficulties in accessing health care. The objectives of the study were (1) to compare demographic characteristics, professional engagement indicators, and clinical characteristics between physiotherapists practising in rural settings and those practising in urban settings and (2) to map the distribution of physiotherapists in Saskatchewan.METHODThis cross-sectional study used de-identified data collected from the 2013 Saskatchewan College of Physical Therapists membership renewal (n=643), linked with the Saskatchewan Physiotherapy Association's (SPA) 2012 membership list and a list of physiotherapists who had served as clinical instructors. Employment location (rural vs. urban) was determined by postal code.RESULTSOnly 11.2% of Saskatchewan physiotherapists listed a rural primary employment location, and a higher density of physiotherapists per 10,000 people work in health regions with large urban centres. Compared with urban physiotherapists, rural physiotherapists are more likely to provide direct patient care, to provide care to people of all ages, and to have a mixed client level, and they are less likely to be SPA members.CONCLUSIONSRural and urban physiotherapists in Saskatchewan have different practice and professional characteristics. This information may have implications for health human resource recruitment and retention policies as well as advocacy for equitable access to physiotherapy care in rural and remote regions.
目的:生活在农村和偏远地区的人们需要得到支持,以克服在获得保健方面的困难。该研究的目的是(1)比较农村和城市物理治疗师的人口学特征、专业参与指标和临床特征;(2)绘制萨斯喀彻温省物理治疗师的分布图。本横断面研究使用了2013年萨斯喀彻温省物理治疗师学院会员更新(n=643)中收集的去识别数据,与萨斯喀彻温省物理治疗协会(SPA) 2012年会员名单和曾担任临床讲师的物理治疗师名单相关联。就业地点(农村与城市)由邮政编码决定。结果只有11.2%的萨斯喀彻温省物理治疗师列出了农村的主要就业地点,每万人中物理治疗师的密度更高,在拥有大型城市中心的卫生地区工作。与城市物理治疗师相比,农村物理治疗师更有可能提供直接的患者护理,为所有年龄段的人提供护理,并且有混合的客户水平,他们不太可能成为SPA会员。结论萨斯喀彻温省农村和城市物理治疗师具有不同的执业特点和专业特点。这一信息可能对卫生人力资源的招聘和保留政策以及在农村和偏远地区倡导公平获得物理治疗护理产生影响。
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引用次数: 34
Physiotherapy Management of People Diagnosed with de Quervain's Disease: A Case Series. 诊断为de Quervain病的人的物理治疗管理:一个病例系列。
Pub Date : 2015-06-25 DOI: 10.3138/ptc.2014-47
Alon Rabin, T. Israeli, Zvi Kozol
Purpose : To report the outcomes of a physiotherapy management approach for de Quervain's disease (DQD), a common hand disorder for which evidence for physiotherapy management is lacking, in 4 consecutive patients with DQD. Methods : Participants underwent a median of eight treatment sessions, consisting of mobilizations with movement, eccentric muscle training, and high-voltage electrical stimulation. Outcomes were assessed with an 11-point numeric pain rating scale (NPRS; range 1-10) and the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH; range 0%-100%). Result s: Median NPRS and DASH scores decreased from a baseline of 5 and 48, respectively, to 2.8 and 19 after treatment; at 6-month follow-up, all participants reported minimal pain and disability, but one participant required a corticosteroid injection shortly after discharge from physiotherapy. Conclusions : Overall outcome was considered successful for three of four patients, comparable to the success rate previously reported for corticosteroid injections. A randomized clinical trial evaluating the efficacy of this intervention seems warranted.
目的:报道一种物理治疗方法治疗de Quervain's disease (DQD)的结果,DQD是一种常见的手部疾病,缺乏物理治疗管理证据,连续4例DQD患者。方法:参与者接受了中位数为8个疗程的治疗,包括运动动员、偏心肌肉训练和高压电刺激。采用11分数值疼痛评定量表(NPRS;范围1-10)和手臂、肩膀和手的残疾问卷(DASH;范围0% - -100%)。结果:NPRS和DASH评分中位数分别从基线的5分和48分下降到治疗后的2.8分和19分;在6个月的随访中,所有参与者都报告了最小的疼痛和残疾,但一名参与者在物理治疗出院后不久需要注射皮质类固醇。结论:4例患者中有3例的总体结果被认为是成功的,与先前报道的皮质类固醇注射的成功率相当。一项评估这种干预效果的随机临床试验似乎是合理的。
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引用次数: 13
Use of Clinical Anatomy Resources by Musculoskeletal Outpatient Physiotherapists in Australian Public Hospitals: A Cross-Sectional Study. 澳大利亚公立医院肌肉骨骼门诊物理治疗师对临床解剖学资源的使用:一项横断面研究。
Pub Date : 2015-05-07 DOI: 10.3138/ptc.2014-38E
S. Farrell, Tilman M. Davies, J. Cornwall
PURPOSETo investigate how musculoskeletal outpatient physiotherapists in public hospitals interact with and perceive clinical anatomy resources in the workplace.METHODThis cross-sectional study used a postal survey sent to musculoskeletal outpatient physiotherapists in 64 Australian public hospitals. Survey questions examined demographics, qualifications, experience, types of resources used, whether resources meet requirements, and what improvements could be made to current resources.RESULTSA total of 193 physiotherapists responded (75% response rate; 60% female), of whom 49% were age 35 years or younger; 67% had only an undergraduate qualification, and 37% had practised for 5 years or less. More experienced physiotherapists used resources significantly less frequently ([odds ratio]=1.35; 95% CI, 1.17-1.57), and we found no significant associations between preference for online versus printed resources and age, sex, qualifications, or experience. Trends included less experienced physiotherapists identifying the absence of online access as a barrier to resource use and provision of improved online facilities as necessary to improve access to clinical anatomy resources.CONCLUSIONRESULTS indicate distinct trends in physiotherapists' use of clinical anatomy resources, including a desire for improved online resource access on the part of less experienced physiotherapists. The findings are relevant to hospital outpatient clinics, particularly those that employ less experienced physiotherapists.
目的了解公立医院肌肉骨骼门诊物理治疗师与工作场所临床解剖学资源的互动和感知情况。方法本研究采用邮寄调查方式,对澳大利亚64家公立医院的肌肉骨骼门诊物理治疗师进行调查。调查问题审查了人口统计、资格、经验、使用的资源类型、资源是否满足要求,以及对现有资源可以作出哪些改进。结果共有193名物理治疗师回复(有效率75%;60%为女性),其中49%年龄在35岁或以下;67%的人只有本科学历,37%的人实习时间不超过5年。经验丰富的物理治疗师使用资源的频率明显较低([优势比]=1.35;95% CI, 1.17-1.57),我们发现对在线资源和印刷资源的偏好与年龄、性别、资格或经验之间没有显著关联。趋势包括经验不足的物理治疗师认为缺乏在线访问是资源使用的障碍,提供改进的在线设施是改善临床解剖学资源获取的必要条件。结论:结果表明物理治疗师对临床解剖学资源的使用有明显的趋势,包括缺乏经验的物理治疗师希望改善在线资源访问。研究结果与医院门诊有关,特别是那些雇用经验不足的物理治疗师的医院。
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引用次数: 2
What Does the Cochrane Collaboration Say about Exercise for People Living with Cancer? 科克伦协作组对癌症患者的锻炼说了什么?
Pub Date : 1900-01-01 DOI: 10.3138/ptc.67.3.cochrane
Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2012;11:CD006145. http://dx.doi.org/10.1002/ 14651858.CD006145.pub3. Medline:23152233 Felbel S, Meerpohl JJ, Monsef I, et al. Yoga in addition to standard care for patients with haematological malignancies. Cochrane Database Syst Rev. 2014;6:CD010146. http:// dx.doi.org/10.1002/14651858.CD010146.pub2. Medline:24919720
运动对成人癌症相关疲劳的管理。Cochrane数据库系统,2012;11:CD006145。http://dx.doi.org/10.1002/ 14651858. cd006145.pub3。Felbel S, Meerpohl JJ, Monsef I,等。瑜珈是血液系统恶性肿瘤患者标准治疗的补充。Cochrane数据库系统,2014;6:CD010146。http:// dx.doi.org/10.1002/14651858.CD010146.pub2。Medline: 24919720
{"title":"What Does the Cochrane Collaboration Say about Exercise for People Living with Cancer?","authors":"","doi":"10.3138/ptc.67.3.cochrane","DOIUrl":"https://doi.org/10.3138/ptc.67.3.cochrane","url":null,"abstract":"Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev. 2012;11:CD006145. http://dx.doi.org/10.1002/ 14651858.CD006145.pub3. Medline:23152233 Felbel S, Meerpohl JJ, Monsef I, et al. Yoga in addition to standard care for patients with haematological malignancies. Cochrane Database Syst Rev. 2014;6:CD010146. http:// dx.doi.org/10.1002/14651858.CD010146.pub2. Medline:24919720","PeriodicalId":390485,"journal":{"name":"Physiotherapy Canada. Physiotherapie Canada","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125562794","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: 2
Future Rehabilitation Professionals' Intentions to Use Self-Management Support: Helping Students to Help Patients. 未来康复专业人员使用自我管理支持的意向:帮助学生帮助病人。
Pub Date : 1900-01-01 DOI: 10.3138/ptc.2015-68E
Sabrina Figueiredo, N. Mayo, A. Thomas
Purpose: We evaluated whether education in self-management support (SMS) increases future clinicians' intentions to use a new way of delivering rehabilitation services. Methods: A convenience sample of 10 students took a 5-week theoretical course, followed by 6 weeks spent assessing patients, establishing treatment plans, and monitoring their performance by telephone. Focus groups were held before and after the educational modules, with deductive mapping of themes to the Theory of Planned Behaviour and inductive analysis of additional themes. Results: Five themes and 22 subcategories emerged from the deductive-inductive focus group content analysis. After participating in the educational modules, students reported gaining knowledge about SMS and highlighted the lack of similar preparation during their academic courses. Nonetheless, they were hesitant to adopt SMS. Conclusion: Future clinicians gained knowledge and skills after being exposed to SMS courses, but their intention to adopt SMS in their future daily practice remained low. We also noted a lack of formal training in SMS in the academic setting. The findings from this study support incorporating SMS training into the curriculum, but to increase students' intention to use SMS as part of patient care, training may need to be in more depth than it was in the modules we used.
目的:我们评估自我管理支持(SMS)教育是否会增加未来临床医生使用新方式提供康复服务的意愿。方法:方便抽样10名学生参加为期5周的理论课程,然后用6周的时间对患者进行评估,制定治疗方案,并通过电话监测其表现。在教育单元之前和之后举行了焦点小组讨论,将主题演绎到计划行为理论,并对其他主题进行归纳分析。结果:从演绎-归纳焦点小组内容分析中得到5个主题和22个小类别。在参加了教育模块后,学生们报告说他们获得了关于短信的知识,并强调在学术课程中缺乏类似的准备。尽管如此,他们对采用短信还是犹豫不决。结论:未来的临床医生在接受短信课程后获得了知识和技能,但他们在未来的日常实践中采用短信的意愿仍然很低。我们还注意到在学术环境中缺乏SMS的正式培训。本研究的结果支持将短信培训纳入课程,但为了提高学生使用短信作为患者护理一部分的意愿,培训可能需要比我们使用的模块更深入。
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引用次数: 4
Clinician's Commentary on King et al. 临床医师对King等人的评论。
Pub Date : 1900-01-01 DOI: 10.3138/ptc-2018-47-cc
M. Riopel
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引用次数: 0
Reaching Consensus on Measuring Professional Behaviour in Physical Therapy Objective Structured Clinical Examinations. 对物理治疗专业行为测量的共识。
Pub Date : 1900-01-01 DOI: 10.3138/ptc.2015-45E
Robyn Davies, C. Ellerton, C. Evans
Purpose: We determined which professional behaviours (PBs) are important and feasible to measure in an objective structured clinical examination (OSCE) intended to assess the hands-on skills and knowledge of students in a Canadian physical therapy (PT) program. Methods: We used a modified Delphi technique to identify the criteria required to assess PBs in PT students during an OSCE. We conducted a focus group to better understand the results of the modified Delphi process. Results: Experienced local OSCE examiners participated in the modified Delphi panel, which consisted of two rounds of surveys: round 1 (n=12) and round 2 (n=10). A total of 31 PBs were reduced to 18 through the two rounds. Five of the panellists participated in the focus group, reduced the 18 PBs to 15, and then identified 4 as clinical skills. Participants categorized the remaining 11 as mixed PBs and clinical skills (1 item), PBs (4 items), or communication skills (6 items). Conclusion: This study provides preliminary evidence to support the feasibility and importance of evaluating 5 PB items in practical skills OSCEs for entry-to-practice PT students.
目的:我们确定哪些专业行为(PBs)在客观结构化临床检查(OSCE)中是重要和可行的,旨在评估加拿大物理治疗(PT)项目中学生的实践技能和知识。方法:我们使用改进的德尔菲技术来确定在OSCE期间评估PT学生PBs所需的标准。我们进行了一个焦点小组,以更好地了解改进的德尔菲过程的结果。结果:经验丰富的当地欧安组织审查员参与了改进的德尔菲小组,该小组由两轮调查组成:第一轮(n=12)和第二轮(n=10)。经过两轮的推演,共有31个PBs减至18个。五名小组成员参加了焦点小组,将18项PBs减少到15项,然后确定了4项临床技能。参与者将其余11项分为混合PBs和临床技能(1项)、PBs(4项)或沟通技能(6项)。结论:本研究提供了初步的证据,支持在实习PT学生的实践技能oses中评估5个PB项目的可行性和重要性。
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引用次数: 7
Exploring Mentorship from the Perspective of Physiotherapy Mentors in Canada. 从加拿大物理治疗导师的角度探讨师徒关系。
Pub Date : 1900-01-01 DOI: 10.3138/ptc.2015-52
L. Yoon, Taylor Campbell, Wesley Bellemore, Nadine Ghawi, P. Lai, L. Desveaux, M. Quesnel, D. Brooks
Purpose: This study explored the factors that influence mentors in the profession of physiotherapy (PT) in Canada when engaging in a mentorship relationship. Methods: We conducted a quantitative, cross-sectional, Web-based survey. The target population consisted of Canadian physiotherapists who had experience as mentors. We used a modified Dillman approach to disseminate an online questionnaire to members of the Canadian Physiotherapy Association and its divisions using their respective e-blasts. We collected data on the nature and extent, facilitators, barriers, and benefits of mentorship and then analyzed them using descriptive statistics. Results: A total of 302 respondents were included in this study. They reported being a mentor to fellow PT colleagues (91%), undergraduate students (85%), graduate students (64%), and inter-professional colleagues (64%). We found that although many factors facilitated the respondents' ability to mentor, barriers to mentorship had minimal impact. Responses also reflected many perceived benefits of mentorship. Conclusions: This study provides novel evidence relating to the experience of mentorship from the perspective of mentors in the profession of PT. It reinforces the literature by highlighting the positive aspects of mentorship, and it underscores the continued need for support from professional associations, institutions, and physiotherapists to improve current mentorship experiences in PT.
目的:本研究探讨影响加拿大物理治疗专业(PT)导师师徒关系的因素。方法:我们进行了一项定量的、横断面的、基于网络的调查。目标人群由具有导师经验的加拿大物理治疗师组成。我们使用改良的Dillman方法向加拿大物理治疗协会及其部门的成员分发在线问卷,并使用他们各自的电子炸弹。我们收集了关于指导的性质和范围、促进因素、障碍和益处的数据,然后使用描述性统计对它们进行了分析。结果:本研究共纳入302名调查对象。他们是PT同事(91%)、本科生(85%)、研究生(64%)和跨专业同事(64%)的导师。我们发现,尽管许多因素促进了受访者的指导能力,但指导障碍的影响最小。回答也反映了导师的许多好处。结论:本研究从PT专业导师的角度提供了与师徒关系体验相关的新证据。它通过强调师徒关系的积极方面来强化文献,并强调了专业协会、机构和物理治疗师的持续支持,以改善目前的PT师徒关系体验。
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引用次数: 15
期刊
Physiotherapy Canada. Physiotherapie Canada
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