Hong Kong Physiotherapy Journal最新文献

Level of self-efficacy among skill-based allied health students in the University of Santo Tomas-Enriched Virtual Mode of learning: A cross-sectional study. 圣托马斯大学强化虚拟学习模式中以技能为基础的专职医疗学生的自我效能感水平：横断面研究。

IF 1.5 Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2024-12-01 Epub Date: 2023-10-20 DOI: 10.1142/S1013702524500057

Donald G Manlapaz, Cristine Rose S Versales, John Micko A Pazcoguin, Justin Jeremiah A Ching, Marcela Joyce P Bartolome, Samantha Lavin Da Silva, Kertlouie Gabriel Z Edquila, Lara Francheska Fulo, Yvonne Geisel Benezet J Male, Joey Patricia Y Peña, Ramon Miguel C Pineda

Background: Self-efficacy expresses a learner's perception of how well they can do in the online academic setting. Although students' academic successes can be measured by online learning self-efficacy, there is a scarcity of evidence targeted toward allied health students.

Objective: The primary aim of this study is to determine the level of online self-efficacy among students from skill-based allied health programs. The secondary aim is to correlate online self-efficacy with age, sex, year level, and program of the students.

Methods: This cross-sectional analytic study utilized the Online Learning Self-Efficacy Scale (OLSE) to determine students' level of self-efficacy via a survey conducted with students who underwent the Enriched Virtual Mode of learning. Descriptive statistics was used to characterize the study participants, describe the level of self-efficacy, and compare the subscales of OLSE. Inferential statistics using Spearman's rho was performed to determine the correlation.

Results: A total of 117 respondents with a mean age ± SD of 20.59 ± 0.11 years old, predominantly female (71%) were included in the study. The students from allied health programs had an online self-efficacy overall mean score of 3.83 ( $SD = 0.05$ ; range 2.64-5.00) with the use of technology subscales weighted the highest mean score (4.24). Females have a higher average OLSE score ( $M = 3.92$ , $SD = 0.05$ ) compared to males. Significant correlation was found between OLSE scores to sex ( $r = 0.260$ , $p = 0.005$ ) and year level ( $r =- 0.199$ , $p = 0.031$ ) while nonsignificant correlation was found between OLSE scores to the program ( $r =- 0.048$ , $p = 0.604$ ) and age ( $r =- 0.123$ , $p = 0.185$ ).

Conclusion: Students of allied health programs generally have a very good level of online self-efficacy. This study assists educators in developing proactive strategies and approaches to promote students' self-confidence across all domains and encourage them to adopt a dynamic remote learning-based approach. Educational institutions should use this opportunity to assess how well they have implemented remote learning to ensure educational continuity, especially in times of crisis.

背景：自我效能感表达了学习者对自己在在线学术环境中的表现的看法。虽然学生的学业成就可以通过在线学习自我效能感来衡量，但针对专职医疗学生的证据却很少：本研究的主要目的是确定技能型专职医疗项目学生的在线自我效能感水平。次要目的是将在线自我效能感与学生的年龄、性别、年级和专业相关联：这项横断面分析研究采用在线学习自我效能感量表（OLSE），通过对采用丰富虚拟学习模式的学生进行调查，确定学生的自我效能感水平。描述性统计用于描述研究参与者的特征、自我效能感水平以及比较 OLSE 的子量表。使用 Spearman's rho 进行推理统计以确定相关性：共有 117 名受访者参与了研究，平均年龄（± SD）为 20.59±0.11 岁，以女性为主（71%）。专职医疗项目学生的在线自我效能感总平均分为 3.83（标准差=0.05；范围为 2.64-5.00），其中技术使用分量表的平均分最高（4.24）。与男性相比，女性的 OLSE 平均得分更高（M=3.92，SD=0.05）。OLSE得分与性别（r=0.260，p=0.005）和年级（r=-0.199，p=0.031）之间存在显著相关性，而OLSE得分与专业（r=-0.048，p=0.604）和年龄（r=-0.123，p=0.185）之间不存在显著相关性：专职医疗项目的学生普遍具有很好的在线自我效能感。这项研究有助于教育工作者制定积极主动的策略和方法，以促进学生在各个领域的自信心，并鼓励他们采用基于远程学习的动态方法。教育机构应利用这次机会，评估其实施远程学习的情况，以确保教育的连续性，尤其是在危机时刻。

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引用次数: 0

Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study 改善斜视手术后间歇性外斜视控制的物理疗法练习：随机对照研究

IF 1.5 Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2023-12-22 DOI: 10.1142/s1013702524500100

A. Wahid, Sameh G. Taher, Ayah Mohmoud Mohamed, Doaa Atef

Background: Exotropia control is deteriorated by post-strabismus surgery in many cases. Improving this control is considered as an important factor for success of the strabismus surgery like ocular motor alignment. Objective: To determine the therapeutic effect of postoperative eye exercises on exodeviation eye control after the strabismus surgery. Methods: Forty patients suffering from intermittent exotropia after strabismus surgery were randomly divided into experimental group and control groups. Both groups received the usual medical care, while the experimental group received different types of eye exercises using physiotherapy modalities in 24 sessions over three months (two sessions a week). The measurement of exotropia control for near target and far target using the office-based scale was done before and after the treatment. Results: There was a significant improvement in near eye control post-treatment ([Formula: see text]) in the experimental group compared with control group ([Formula: see text]) as the mean difference was −3.20 and 95% CI of the difference between them was −3.645–−2.755 with [Formula: see text]. Also, far eye control improved post-treatment in the experimental group ([Formula: see text]) compared with control group ([Formula: see text]) with mean difference of −3.250 and 95% CI of the difference between them was −3.727–−2.773 with [Formula: see text]. Conclusions: For patients with intermittent exotropia who had undergone strabismus surgery, the addition of physiotherapy exercises for the eye provided significant improvements in exotropia control for near target and far target.

背景：在许多情况下，斜视手术后的外斜视控制会恶化。改善外斜控制被认为是斜视手术成功的重要因素，就像眼球运动对齐一样。研究目的确定术后眼保健操对斜视手术后外斜视控制的治疗效果。方法：将 40 例斜视手术后间歇性外斜患者随机分为实验组和对照组。两组均接受常规的医疗护理，而实验组则在三个月内接受不同类型的理疗模式眼保健操，共 24 次（每周两次）。在治疗前后，使用办公室量表测量外斜对近目标和远目标的控制情况。结果：与对照组（[计算公式：见正文]）相比，实验组在治疗后的近眼控制能力（[计算公式：见正文]）有明显改善，平均差异为-3.20，两者之间差异的 95% CI 为-3.645--2.755（[计算公式：见正文]）。此外，实验组（[计算公式：见正文]）与对照组（[计算公式：见正文]）相比，治疗后远视力控制也有所改善，平均差为-3.250，两者之间差异的 95% CI 为-3.727--2.773（计算公式：见正文）。结论对于接受过斜视手术的间歇性外斜患者来说，增加眼部物理治疗练习能显著改善近目标和远目标的外斜控制。

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引用次数: 0

Reliability and validity of modified upper limb neurodynamic tests in patients with cervical radiculopathy 颈椎病患者改良上肢神经动力测试的可靠性和有效性

IF 1.5 Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2023-12-15 DOI: 10.1142/s1013702524500112

Rupa Zanwar, S. Wani

Background: Neurodynamic Tests (NDTs) are used to assess neural mechanosensitivity in various conditions such as neural sliding, tension or inflammatory dysfunction. But in some upper quadrant dysfunctions, standard testing procedure of NDT cannot be assessed or tolerated by patient. Objective: The purpose of the study was to determine the validity, intra-rater and inter-rater reliability of modified NDTs via median and ulnar nerve in patients with cervical radiculopathy. Methods: Thirty-three patients (18 men and 15 women, mean age ± SD [Formula: see text]) with cervical radiculopathy having positive response to standard NDTs were included in the study. Modified neurodynamic tests for median & ulnar nerve were performed with modification in the sequencing of standard neurodynamic test at lower degrees of glenohumeral abduction and external rotation. Outcome measures used were angle of elbow extension for median nerve and angle elbow flexion for ulnar nerve at the point of pain onset indicated by “OP” (Onset of Pain). Results: Reliability of OP was evaluated using measurement of Intra-class Correlation Coefficient (ICC), Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC) values. Results indicated high ICC values and low SEM values for OP during modified median and modified ulnar NDTs (M-MNT1 and M-UNT) on symptomatic side of patients with cervical radiculopathy. Spearman correlation analysis for validity of test score showed strong correlation ([Formula: see text]) with standard NDT. Conclusion: There was strong correlation between Modified NDTs and standard tests depicting good validity and substantial reliability of OP during M-MNT1 and M-UNT for positive NDT response in patients with cervical radiculopathy.

背景：神经动力测试（NDT）用于评估神经滑动、紧张或炎症功能障碍等各种情况下的神经机械敏感性。但在某些上象限功能障碍中，神经动力测试的标准测试程序无法评估或患者无法耐受。研究目的本研究旨在确定颈椎病患者通过正中神经和尺神经进行改良无损检测的有效性、评分者内部和评分者之间的可靠性。研究方法研究纳入了 33 名对标准无损检测有积极反应的颈椎病患者（18 名男性和 15 名女性，平均年龄 ± SD [公式：见正文]）。对正中神经和尺神经进行了改良神经动力测试，并在较低的盂肱外展和外旋程度下对标准神经动力测试的顺序进行了修改。结果测量指标为正中神经的伸肘角度和尺神经的屈肘角度，以 "OP"（疼痛发作）表示疼痛发作点。结果：通过测量类内相关系数（ICC）、测量标准误差（SEM）和最小可检测变化（MDC）值来评估 OP 的可靠性。结果表明，在颈椎病患者有症状的一侧进行改良正中和改良尺侧无损检测（M-MNT1 和 M-UNT）时，OP 的 ICC 值较高，SEM 值较低。对测试得分有效性的斯皮尔曼相关分析表明，测试得分与标准无损检测具有很强的相关性（[公式：见正文]）。结论改良无损检测与标准检测之间存在很强的相关性，说明在对颈椎病患者的无损检测反应进行阳性检测时，M-MNT1 和 M-UNT 的 OP 具有很好的有效性和很高的可靠性。

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引用次数: 0

The test-induced warm-up effect on hamstring flexibility tests 测试引发的热身对腿筋柔韧性测试的影响

IF 1.5 Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2023-11-24 DOI: 10.1142/s1013702524500094

Wootaek Lim

Background: Although the effect of active warm-up (WU) on acute flexibility enhancement is well documented, the test-induced WU effect in muscle length test has not been widely studied. Objective: This study aimed to verify the test-induced WU effect on hamstring flexibility tests. Methods: The active knee extension (AKE) was performed using the right leg, whereas the straight leg raise (SLR) was performed using the left leg. Ten trials of AKE or SLR were performed: two as the pre-intervention trials (Pre); six as the WU intervention; and another two trials as the post-intervention (Post). During WU, subjects in the WO-Hold group performed six trials of the AKE or SLR without hold, and those in the W-Hold group performed six trials of the AKE or SLR with a 5[Formula: see text]s hold. Results: A significant difference was noted between Pre-AKE and Post-AKE, and between Pre-SLR and Post-SLR, respectively, in both the groups. The effect of WU is clear when performing consecutive AKE or SLR without any additional hold. Conclusion: Practitioners should be cautious in interpreting the testing result to avoid overestimation of the treatment effect since the test itself may induce substantial WU effect to the target tissues.

背景：虽然主动热身（WU）对急性柔韧性增强的效果已被充分证明，但在肌肉长度测试中，测试诱导的 WU 效果尚未得到广泛研究。目的：本研究旨在验证主动热身对增强急性柔韧性的影响：本研究旨在验证测试诱导的 WU 对腿筋柔韧性测试的影响。研究方法使用右腿进行主动伸膝（AKE），使用左腿进行直腿抬高（SLR）。共进行了 10 次主动伸膝或直腿抬高试验：2 次作为干预前试验（Pre）；6 次作为 WU 干预试验；另外 2 次作为干预后试验（Post）。在WU期间，WO-Hold组的受试者进行了六次无保持的AKE或SLR试验，而W-Hold组的受试者进行了六次保持5[公式：见正文]s的AKE或SLR试验。结果：两组的 AKE 前和 AKE 后以及 SLR 前和 SLR 后分别存在明显差异。在连续进行 AKE 或 SLR 时，WU 的效果非常明显，无需额外保持。结论：从业人员在解释测试结果时应谨慎，以免高估治疗效果，因为测试本身可能会对目标组织产生大量的 WU 效应。

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引用次数: 0

Effect of Kinesio taping versus mechanical cervical traction combined with physiotherapy program on chronic neck pain in young female university students 肌内修贴与机械颈椎牵引联合物理治疗对年轻女大学生慢性颈部疼痛的影响

Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2023-11-04 DOI: 10.1142/s1013702524500082

Amany E. Abd-Eltawab, Mariam A. Ameer

Background: Mechanical neck pain is common among young female university students and can lead to disability and reduced physical activity. Objectives: The aim of this study was to compare the effect of Kinesio taping (KT) to mechanical cervical traction (MCT) on young female university students with chronic neck pain. Methods: Sixty young female university students with mechanical neck pain participated in this study; their ages ranged from 19 years to 23 years. They were assigned to three equal groups: the control group (A) received infrared, massage, stretching, and strengthening exercises three days per week for 6 weeks. Experimental group B received cervical traction in addition to the same program as the control, and experimental group C received KT in addition to the same program as the control group. Absolute pain intensity by the visual analogue scale (VAS) and neck disability index (NDI) were measured pre-and post-treatment intervention. Data were gathered at baseline, and after 6 weeks of intervention for three groups. Results: The MANOVA test showed a significant reduction in NDI and pain level after 6 weeks between pre-and post-treatment intervention in group B ([Formula: see text] and [Formula: see text], respectively). There was a significant reduction in pain after 6 weeks in group C. There was also a significant reduction in NDI and pain level after 6 weeks in group B versus control group ([Formula: see text] and [Formula: see text], respectively). In addition, a significant reduction in pain level and NDI after 6 weeks was detected in group B compared to group C ([Formula: see text], [Formula: see text], respectively) while a significant reduction in pain level only between the control group (A) and group C was detected ([Formula: see text]). Conclusion: In young female university students with mechanical neck pain, cervical traction combined with physiotherapy program was found to be more effective than KT with physiotherapy program or physiotherapy program alone in reducing pain and enhancing functional abilities after 6 weeks. This will help physiotherapists make more informed decisions concerning the clinical effects of MCT.

背景:机械性颈痛在年轻女大学生中很常见，可导致残疾和体力活动减少。目的:本研究的目的是比较肌内效贴(KT)与机械颈椎牵引(MCT)对年轻女大学生慢性颈部疼痛的疗效。方法:选取60名患有机械性颈痛的年轻女大学生为研究对象;他们的年龄从19岁到23岁不等。他们被分为三组:对照组(A组)接受红外线、按摩、拉伸和强化锻炼，每周三天，持续6周。实验B组在与对照组程序相同的基础上给予颈椎牵引，实验C组在与对照组程序相同的基础上给予KT。采用视觉模拟量表(VAS)和颈部残疾指数(NDI)测量干预前后患者的绝对疼痛强度。在基线和干预6周后对三组进行数据收集。结果:MANOVA检验显示，B组治疗前后干预6周后NDI和疼痛水平显著降低(分别为[公式:见文]和[公式:见文])。6周后，c组疼痛明显减轻。与对照组相比，B组6周后NDI和疼痛水平也显著降低(分别为[公式:见文]和[公式:见文])。此外，与C组相比，6周后B组疼痛水平和NDI均显著降低([公式:见文]，[公式:见文])，而仅对照组(a)和C组之间疼痛水平显著降低([公式:见文])。结论:对机械性颈痛的年轻女大学生，经6周后，颈椎牵引联合物理治疗方案在减轻疼痛和增强功能方面优于KT联合物理治疗方案或单独物理治疗方案。这将有助于物理治疗师对MCT的临床效果做出更明智的决定。

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引用次数: 0

Students’ perceptions and experiences of remote learning amid covid-19 pandemic in Ghana covid-19大流行期间加纳学生对远程学习的看法和经验

Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2023-11-04 DOI: 10.1142/s1013702524500070

Rockson Kumi, Jonathan Quartey, Samuel Koranteng Kwakye, Emmanuella Dufie Oppong

Background: The COVID-19 pandemic had a significant impact on students, instructors, and educational organisations all around the world. Remote learning was an emergency response by most universities in Ghana during this pandemic to ensure the continuation of their academic calendar. Conducting this study among Ghanaian undergraduate students is crucial because factors like socioeconomic status, technological resources, and individual learning preferences can significantly impact their experience and the perception of remote learning, which may differ from studies conducted elsewhere. Objective: To determine the perceptions and experiences of remote learning among allied health sciences students during the COVID-19 pandemic. Methods: This cross-sectional study involved 218 second, third, and final year Allied Health Sciences students in the University of Ghana. A questionnaire was used to obtain data concerning health professions students’ perception and experience of remote learning. The readiness of students in respect to the emergency remote learning, attitudes towards remote learning, perception of remote learning, satisfaction, and the level of anxiety was calculated using mean and mean percentages. Kruskal–Wallis test was used to analyse differences between programmes of study and the perceptions and experiences of remote learning. Results: One hundred and fifteen (53.1%) of the participants had moderate perceptions of independence and responsibility in their learning experiences while 80 (36.7%) students reported that their satisfaction levels regarding remote learning was high. Seventy-seven (38.4%) students reported that they had a burden of anxiety. There was no statistically significant difference between anxiety level and programme of study. Conclusion: Ghana Allied Health Sciences students had positive perceptions and experiences towards remote learning. They could adapt to the new teaching method with appropriate technology integration. Despite a number of students who were anxious about using remote learning. Adequate support towards transitioning into the use of technology may be a good consideration.

背景:2019冠状病毒病大流行对世界各地的学生、教师和教育机构产生了重大影响。远程学习是加纳大多数大学在本次大流行期间采取的紧急应对措施，以确保其学历得以延续。在加纳本科生中进行这项研究至关重要，因为社会经济地位、技术资源和个人学习偏好等因素会显著影响他们的体验和对远程学习的看法，这可能与其他地方进行的研究不同。目的:了解2019冠状病毒病疫情期间卫生专业学生远程学习的认知和体验。方法:这项横断面研究涉及218名加纳大学联合健康科学专业二年级、三年级和最后一年级的学生。采用问卷调查法了解卫生专业学生对远程学习的感知和体验情况。学生对紧急远程学习的准备程度、对远程学习的态度、对远程学习的感知、满意度和焦虑水平采用平均百分比和平均百分比进行计算。Kruskal-Wallis测试用于分析学习计划与远程学习的感知和体验之间的差异。结果:115名(53.1%)学生在学习过程中具有中等程度的独立性和责任感，80名(36.7%)学生对远程学习的满意度较高。77名(38.4%)学生报告有焦虑负担。焦虑水平和学习计划之间没有统计学上的显著差异。结论:加纳联合健康科学专业学生对远程学习有积极的认知和体验。通过适当的技术整合，他们能够适应新的教学方法。尽管许多学生对使用远程学习感到焦虑。适当地支持过渡到使用技术可能是一个很好的考虑。

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引用次数: 0

Comparison between effects of instrument-assisted soft tissue mobilization and manual myofascial release on pain, range of motion and function in myofascial pain syndrome of upper trapezius — A randomized controlled trial 器械辅助软组织活动与手动肌筋膜松解对斜方肌上部肌筋膜疼痛综合征患者疼痛、活动度和功能影响的比较——一项随机对照试验

Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2023-10-26 DOI: 10.1142/s1013702524500069

Shweta Agarwal, Nilima Bedekar, Ashok Shyam, Parag Sancheti

Background: Myofascial pain syndrome (MPS) is a muscle pain disorder characterized by the presence of Myofascial Trigger Point (MTrP) within a taut band, local tenderness, referral of pain to a distant site, restricted range of motion, and autonomic phenomena. The upper trapezius is the muscle most often affected by MTrPs. Manual myofascial release (MFR) and Instrument-Assisted Soft Tissue Mobilization (IASTM) are techniques of soft tissue release that are used to resolve MPS. Fifty six percent of physiotherapists complain of pain in multiple areas due to the massage and manual therapy that they have to perform. Objective: The objective of this study is to find whether IASTM is better than manual MFR in treating patients with MPS in upper trapezius. Methods: This study was a single-blinded randomized controlled trial that included 31 participants, both males and females between the age groups of 18–50 years. Participants were randomly divided into two groups. Three sessions were given over a period of one week for both groups. Group A received IASTM along with conventional treatment and Group B received Manual MFR along with the conventional treatment. The outcome measures evaluated were pain, cervical range of motion, pain pressure threshold (PPT) of trigger points, and the neck disability index. Pre- and post-measurements were taken and the analysis was done. Results: Both the treatment methods significantly reduced pain, improved PPT, range of motion, and function. The effects between the groups showed that IASTM was significantly better than manual MFR to reduce pain. The improvement in PPT, range of motion and function were equal in both the groups. Conclusion: IASTM and manual MFR both are effective individually as treatment procedures for pain, PPT, range of motion, and function. Neither of the treatment options can be considered better that the other. The clinician can decide based on the availability of the instrument, training, patient’s preference, and his/her comfort whether which of the two treatment methods should be used.

背景:肌筋膜疼痛综合征(MPS)是一种肌肉疼痛障碍，其特征是肌筋膜触发点(MTrP)位于紧绷带内，局部压痛，疼痛转移到远处，活动范围受限和自主现象。上斜方肌是最常受MTrPs影响的肌肉。手动肌筋膜释放(MFR)和器械辅助软组织动员(IASTM)是用于解决MPS的软组织释放技术。56%的物理治疗师抱怨说，由于他们必须进行按摩和手工治疗，他们的多个部位疼痛。目的:本研究的目的是发现IASTM是否优于手动MFR治疗上斜方肌MPS患者。方法:本研究采用单盲随机对照试验，纳入31名年龄在18-50岁之间的男性和女性。参与者被随机分为两组。两组在一周内进行了三次治疗。A组采用IASTM联合常规治疗，B组采用Manual MFR联合常规治疗。评估的结局指标为疼痛、颈椎活动度、触发点痛压阈值(PPT)和颈部残疾指数。进行了前后测量，并进行了分析。结果:两种治疗方法均能明显减轻疼痛，改善PPT、活动度和功能。两组间的镇痛效果显示IASTM明显优于手动MFR。两组患者在PPT、活动范围和功能方面的改善相同。结论:IASTM和手动MFR作为治疗疼痛、PPT、活动范围和功能的方法都是有效的。这两种治疗方案都不能被认为比另一种更好。临床医生可以根据仪器的可用性、培训情况、患者的偏好和患者的舒适度来决定是否应该使用两种治疗方法中的哪一种。

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引用次数: 0

Physiotherapy students’ rating on lecturers’ and supervisors’ clinical education attributes 物理治疗专业学生对讲师和导师临床教育属性的评价

Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2023-10-05 DOI: 10.1142/s1013702524500045

Nana Kwame Safo-Kantanka, Jonathan Quartey, Samuel Koranteng Kwakye

Background: Clinical education is considered a vital aspect of education of health science students. Attributes of clinical educators play a crucial role in determining the outcome of clinical teaching and learning. A good clinical educator ensures that students get maximum benefits of the clinical learning experience. Objective: To determine the ratings of physiotherapy students on clinical education attributes of lecturers and clinical supervisors. Methods: The study was conducted with 81 clinical physiotherapy students from two universities in Ghana. Two copies of McGill clinical teachers’ evaluation (CTE) tool were used to obtain students’ ratings on their clinical supervisors’ and lecturers’ clinical education attributes. Independent t-test was used to compare the means of students’ level of study and ratings regarding the clinical education attributes of clinical supervisors and lecturers. Results: Students had a high rating on their clinical education attributes of supervisors and lecturers with a mean score of ([Formula: see text]) and ([Formula: see text]), respectively. Rating on clinical education attributes of supervisors ([Formula: see text]) and lecturers ([Formula: see text]) did not differ significantly between the different levels of study. Conclusion: Clinical physiotherapy students rated the clinical education attributes of their lecturers and supervisors high.

背景:临床教育被认为是健康科学专业学生教育的一个重要方面。临床教育工作者的属性在决定临床教学效果方面起着至关重要的作用。一个好的临床教育者可以确保学生在临床学习中获得最大的收益。目的:了解物理治疗专业学生对讲师和临床督导临床教育属性的评价。方法:对来自加纳两所大学的81名临床理疗专业学生进行研究。使用麦吉尔临床教师评价(CTE)工具两份，获得学生对其临床导师和讲师临床教育属性的评分。采用独立t检验比较学生的学习水平与临床督导与讲师临床教育属性评分的均值。结果:学生对导师和讲师的临床教育属性评价较高，平均得分分别为([公式:见文])和([公式:见文])。督导([公式:见文])和讲师([公式:见文])的临床教育属性评分在不同学习水平之间无显著差异。结论:临床理疗专业学生对讲师和导师的临床教育属性评价较高。

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引用次数: 0

Clinical application of intrapulmonary percussive ventilation: A scoping review 肺内冲击通气的临床应用:范围综述

Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2023-09-30 DOI: 10.1142/s1013702524500033

Anwar Hassan, Sidney Takacs, Sam Orde, Jennifer A. Alison, Stephen Huang, Maree A. Milross

Impaired respiratory function secondary to acute or chronic respiratory disease poses a significant clinical and healthcare burden. Intrapulmonary percussive ventilation (IPV) is used in various clinical settings to treat excessive airway secretions, pulmonary atelectasis, and impaired gas exchange. Despite IPV’s wide use, there is a lack of clinical guidance on IPV application which may lead to inconsistency in clinical practice. This scoping review aimed to summarise the clinical application methods and dosage of IPV used by clinicians and researchers to provide guidance. A two-staged systematic search was conducted to retrieve studies that used IPV in inpatient and outpatient settings. MEDLINE, EMBASE, CINAHL, Scopus, and Google scholar were searched from January 1979 till 2022. Studies with patients aged ≥16 years and published in any language were included. Two reviewers independently screened the title and abstract, reviewed full text articles, and extracted data. Search yielded 514 studies. After removing duplicates and irrelevant studies, 25 studies with 905 participants met the inclusion criteria. This is the first scoping review to summarise IPV application methods and dosages from the available studies in intensive care unit (ICU), acute inpatient (non-ICU), and outpatient settings. Some variations in clinical applications and prescribed dosages of IPV were noted. Despite variations, common trends in clinical application and prescription of IPV dosages were observed and summarised to assist clinicians with IPV intervention. Although an evidence-based clinical guideline could not be provided, this review provides detailed information on IPV application and dosages in order to provide clinical guidance and lays a foundation towards developing a clinical practice guideline in the future.

急性或慢性呼吸系统疾病继发的呼吸功能受损造成了重大的临床和医疗负担。肺内冲击通气(IPV)在各种临床环境中用于治疗气道分泌物过多，肺不张和气体交换受损。虽然IPV应用广泛，但临床对IPV的应用缺乏指导，这可能导致临床实践中的不一致。本综述旨在总结临床医生和研究人员使用的IPV的临床应用方法和剂量，以提供指导。进行了两阶段的系统检索，以检索在住院和门诊环境中使用IPV的研究。检索时间为1979年1月至2022年1月的MEDLINE、EMBASE、CINAHL、Scopus和谷歌scholar。纳入患者年龄≥16岁且以任何语言发表的研究。两位审稿人独立筛选标题和摘要，审阅全文文章，并提取数据。搜索产生了514项研究。在剔除重复和不相关的研究后，有25项研究905名受试者符合纳入标准。这是第一次从重症监护室(ICU)、急性住院(非ICU)和门诊环境中总结IPV应用方法和剂量的范围综述。注意到IPV在临床应用和处方剂量方面的一些变化。尽管存在差异，但观察和总结了IPV临床应用和处方剂量的共同趋势，以协助临床医生进行IPV干预。虽然无法提供循证临床指南，但本文提供了IPV应用和剂量的详细信息，为今后制定临床实践指南奠定了基础。

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引用次数: 0

The importance of developing evidence-based clinical examinations for low back pain 发展以证据为基础的腰痛临床检查的重要性

IF 1.5 Q4 REHABILITATION

Hong Kong Physiotherapy Journal

Pub Date : 2018-12-01 DOI: 10.1142/S1013702518010023

A. Wong

Low back pain (LBP) is the number one cause of years lived with disability in the world. Approximately 80% of people experience LBP at least once in their lifetime and many of them remain to have LBP at older ages. Despite the high prevalence of LBP, approximately 90% of LBP are labelled as non-speci ̄c LBP because no clear etiologies can be found. Given that medical imaging has limited values in diagnosing patients with LBP, lumbar imaging is recommended only when serious pathologies (e.g., malignancy, fracture, infection) are suspected. In order to prescribe treatments for patients with LBP, physical therapists need to rely on patient history and clinical examinations to inform clinical decisions. In the absence of robust evidence or knowledge on the assessment criteria for identifying patients with di®erent underlying causes of non-speci ̄c LBP, a Delphi process is commonly used to solicit expert opinions regarding the most appropriate assessment criteria for classifying patients into di®erent subgroups for treatment allocations. Following the Delphi process, further studies should be conducted to evaluate the clinimetric properties of the recommended assessment criteria. Since some clinical examinations initially thought to be useful for di®erentiating di®erent patient subgroups for treatment allocations may display suboptimal clinical values in some patient populations later, any clinical examinations derived from the Delphi process must be evaluated thoroughly before applying them in clinical practice. In this issue of Hong Kong Physiotherapy Journal, Vongsirinavarat and co-workers conducted a single-group, repeated measures reliability study to evaluate the agreement of two experienced physical therapists in using nine assessment criteria derived from a Delphi study to diagnose patients with lumbar facet joint pain in a clinical setting. Speci ̄cally, the assessment criteria include three subjective assessments (i.e., localized unilateral pain, referred pain above knee, and no radicular pain), three movement tests (i.e., pain reduction in °exion, pain in extension, and pain in extension with side °exion and rotation

腰痛(LBP)是世界上导致残疾的第一大原因。大约80%的人一生中至少经历过一次腰痛，其中许多人在老年时仍然患有腰痛。尽管腰痛的发病率很高，但由于找不到明确的病因，大约90%的腰痛被标记为非特异性腰痛。鉴于医学影像学对腰痛患者的诊断价值有限，建议仅在怀疑严重病变(如恶性肿瘤、骨折、感染)时进行腰椎影像学检查。为了给LBP患者开处方，物理治疗师需要依靠患者病史和临床检查来为临床决策提供信息。在缺乏强有力的证据或知识的评估标准，以确定非特异性腰痛的不同潜在原因的患者，德尔福过程通常用于征求专家意见，关于最合适的评估标准，将患者分为不同的亚组进行治疗分配。在德尔菲过程之后，应该进行进一步的研究来评估推荐的评估标准的临床特性。由于一些最初被认为对区分不同患者亚组进行治疗分配有用的临床检查可能在某些患者群体中显示出不理想的临床价值，因此在将德尔菲过程衍生的任何临床检查应用于临床实践之前必须进行彻底评估。在这一期的香港物理治疗杂志上，Vongsirinavarat和他的同事进行了一项单组、重复测量的可靠性研究，以评估两位经验丰富的物理治疗师在临床上使用来自德尔菲研究的九项评估标准诊断腰椎小关节痛患者时的一致性。具体来说，评估标准包括三个主观评估(即局部单侧疼痛、膝关节以上的牵涉性疼痛和无神经根性疼痛)，三个运动测试(即°外展疼痛减轻、延伸疼痛和侧°外展和旋转的延伸疼痛)

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引用次数: 0