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Establishment of a normative database of drivers’ job demands for a valid functional assessment of fitness for driving 建立规范的驾驶员工作需求数据库,进行有效的驾驶适应性功能评价
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.014
Y.H.P. Poon MSc, W.K.R. To MSc, C.W. Tse MSc, Y.F. Ly MSc, K.P. Kwok MSc, M.Y.A.B. Suen MSc
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引用次数: 0
Pain management programme for Chinese patients: A 10-year outcome review 中国患者疼痛管理方案:10年结果回顾
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.008
M.C. Chu FFPMANZCA , R.K.Y. Law MPhil , L.C.T. Cheung MSc , M.L. Ma MNurs , E.Y.W. Tse MSc , T.C.M. Wong PhD , P.P. Chen FFPMANZCA
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引用次数: 0
Catastrophising, pain, and disability in patients with nonspecific low back pain 非特异性腰痛患者的灾难、疼痛和残疾
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.03.001
Michael Opeoluwa Ogunlana MSc, Adesola Christiana Odole PhD, Adebayo Adejumo PhD, Nse Odunaiya MEd

Background

Attention has been drawn to examining the contributions of “catastrophising” to the prediction of pain and disability in individuals with low back pain (LBP).

Objectives

This study investigated the proportion of patients with LBP who engaged in catastrophic thinking about pain and its association with pain intensity and disability. We also investigated the components of pain catastrophising that is predictive of disability.

Methods

A total of 275 participants with nonspecific LBP completed the Pain Catastrophizing Scale, the quadruple visual analog scale, and the Revised Oswestry Disability Questionnaire (RODQ). The associations among pain intensity, disability, and catastrophising were investigated using t test. The components of catastrophising that best predicts disability were investigated using multiple linear regressions, and the level of significance was set at 0.05.

Results

The majority (85.5%) of the participants had LBP for more than 6 weeks, with 45.5% of the participants having moderate disability and 52.7% being high catastrophisers. High catastrophisers to pain had a significantly higher rating of pain intensity (p < 0.001) and higher score on the RODQ than low catastrophisers to pain. The main components of catastrophising that predicts disability were magnification (p < 0.001) and rumination (p = 0.006).

Conclusion

Clinicians should screen patients with nonspecific LBP for a heightened level of catastrophic thinking and endeavour to manage such when present.

研究“灾难化”对下腰痛(LBP)患者疼痛和残疾预测的贡献已经引起了人们的关注。目的探讨腰痛患者发生灾难性疼痛思维的比例及其与疼痛强度和残疾的关系。我们还研究了预测残疾的疼痛灾难的组成部分。方法对275例非特异性腰痛患者进行疼痛化量表、四重视觉模拟量表和修正Oswestry残疾问卷(RODQ)的测试。采用t检验研究疼痛强度、残疾和灾难化之间的关系。使用多元线性回归研究灾变中最能预测残疾的成分,显著性水平设为0.05。结果大多数参与者(85.5%)的LBP持续时间超过6周,其中45.5%的参与者为中度残疾,52.7%的参与者为高灾变者。高痛苦灾难者的疼痛强度评分显著更高(p <0.001),并且在RODQ上的得分高于对疼痛的低灾难者。预测残疾的灾变的主要成分是放大(p <0.001)和反刍(p = 0.006)。结论临床医生应筛查非特异性腰痛患者是否存在高水平的灾难性思维,并在出现这种思维时努力加以控制。
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引用次数: 22
Community ambulation training programme for enhancing ability of elderly in safe outdoor ambulation 社区步行训练计划,以提高长者安全户外步行的能力
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.024
Y.Y. Man MSc, P.M. Cheung BSc, P.Y.H. Poon MSc
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引用次数: 0
Could Tai Chi retard ageing-associated cognitive and physical decline in the elderly? 太极拳能延缓老年人与年龄相关的认知和身体衰退吗?
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.021
C.K. Fong BSc, C.C. Chan BSc, Y.H. Lu BSc, K.H. Ma, BSc, K.Y. Wong BSc, S.P.C. Ngai PhD
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引用次数: 0
Development of the Hong Kong Chinese Örebro Musculoskeletal Pain Screening Questionnaire Short Form 香港华人Örebro肌肉骨骼疼痛筛查问卷简表的发展
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.011
E. Lee PhD , T. Wong MPhil , J. Lau MSc , R. Tsang MSc , S. Kwong MSc , M. Poon MSc , E. So MSc , R. Law MPhil, Working Group on Validation of Örebro Musculoskeletal Pain Screening Questionnaire, Coordinating Committee in Physiotherapy, Hospital Authority
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引用次数: 0
Using STarT Back Screening Tool for managing chronic low back pain and treatment for subgroup with high risk of psychosocial factors 使用STarT背部筛查工具管理慢性腰痛和治疗高危心理社会因素亚组
IF 1.5 Q4 REHABILITATION Pub Date : 2015-12-01 DOI: 10.1016/j.hkpj.2015.09.003
J. Lau MSc, A. Yeung MSc, I. Wong MPhil
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引用次数: 0
Exercise training improves functional walking capacity and activity level of Nigerians with chronic biventricular heart failure 运动训练提高尼日利亚慢性双心室心力衰竭患者的功能性步行能力和活动水平
IF 1.5 Q4 REHABILITATION Pub Date : 2015-06-01 DOI: 10.1016/j.hkpj.2014.11.002
O.A. Ajiboye PhD , C.N. Anigbogu PhD , J.N. Ajuluchukwu MD , S.I. Jaja PhD

Background

Exercise training (ET) has been recommended as an adjunctive therapy in chronic heart failure but the role of ET in people with biventricular heart failure (BVF) has not been explored in Nigeria.

Objective

This study aimed to investigate the role of ET on functional walking capacity and activity level of Nigerians with BVF.

Methods

Sixty-six patients with chronic BVF in New York Heart Association Class II and III (mean age 54.0 ± 1.6 years) recruited from a Nigerian tertiary hospital participated in the study. They were randomized into either the exercise group or control group. These patients were on their prescribed medications and underwent education/counselling sessions. In addition, patients in the exercise group performed aerobic and resistance training thrice weekly for 12 weeks. Functional walking capacity was assessed using the 6-minute walk test, oxygen consumption was estimated using the Duke Activity Status Index questionnaire while the Veterans' Specific Activity questionnaire was used to assess the activity level.

Results

The exercise group had significant improvements in all components of functional walking capacity and activity level. No significant improvement was observed in controls (p < 0.05).

Conclusion

Supervised and structured ET is safe and beneficial for patients with BVF.

运动训练(ET)已被推荐作为慢性心力衰竭的辅助治疗,但在尼日利亚尚未探讨ET在双心室心力衰竭(BVF)患者中的作用。目的探讨ET对尼日利亚BVF患者功能性步行能力和活动水平的影响。方法从尼日利亚某三级医院招募纽约心脏协会II级和III级慢性BVF患者66例(平均年龄54.0±1.6岁)。他们被随机分为运动组和对照组。这些患者服用处方药,并接受教育/咨询。此外,运动组患者每周进行3次有氧和阻力训练,持续12周。采用6分钟步行测试评估功能步行能力,使用Duke活动状态指数问卷评估耗氧量,使用退伍军人特定活动问卷评估活动水平。结果运动组在功能步行能力和活动水平各组成部分均有显著改善。对照组未见明显改善(p <0.05)。结论有监督和有组织的ET治疗BVF是安全有益的。
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引用次数: 14
Screening for noncommunicable disease risk factors at a workplace in India: A physiotherapy initiative in a healthcare setting 在印度工作场所筛查非传染性疾病风险因素:医疗保健环境中的物理治疗倡议
IF 1.5 Q4 REHABILITATION Pub Date : 2015-06-01 DOI: 10.1016/j.hkpj.2014.12.001
Aditi Ravindra Ketkar MPT, Sundar Kumar Veluswamy MPTh, PhD, Nivedita Prabhu MPT, Arun Gundmi Maiya PhD

Background

Noncommunicable diseases (NCDs) account for two-thirds of all deaths globally. Physiotherapists have the requisite expertise to initiate and lead NCD risk factor screening and prevention programmes. The workplace can provide an ideal setting for physiotherapists to screen for risk factors and implement prevention programmes.

Objective

This study was designed to identify the common modifiable risk factors for NCD among employees of a healthcare institution.

Methods

A cross-sectional study of NCD risk factors was conducted in a large healthcare teaching institution. Employees from four of the seven constituent institutes of the healthcare institution were evaluated using the World Health Organisation STEPS Instrument (Steps I and II). Continuous variables were expressed as mean ± standard deviation. Categorical variables and the prevalence of risk factors were expressed as frequencies and percentages.

Results

A total of 247 employees (response rate 68.2%) participated in the study. Poor dietary habits, suboptimal blood pressure, and physical inactivity were identified as the most common modifiable NCD risk factors in this population.

Conclusion

Knowledge of NCD risk factors can be used by physiotherapists to implement health promotion programmes in the workplace as a means of reducing NCD-related economic and social burdens in India.

背景非传染性疾病(NCDs)占全球所有死亡人数的三分之二。物理治疗师具有启动和领导非传染性疾病风险因素筛查和预防规划所需的专业知识。工作场所可以为物理治疗师提供理想的环境,以筛选风险因素和实施预防方案。目的本研究旨在确定医疗机构员工非传染性疾病的常见可改变危险因素。方法对某大型卫生教学机构的非传染性疾病危险因素进行横断面调查。使用世界卫生组织STEPS仪器(步骤一和步骤二)对医疗机构七个组成研究所中的四个研究所的员工进行评估。连续变量以平均值±标准差表示。分类变量和危险因素的流行程度用频率和百分比表示。结果共有247名员工参与调查,回复率为68.2%。不良的饮食习惯、次优血压和缺乏运动被确定为该人群中最常见的可改变的非传染性疾病危险因素。结论物理治疗师可以利用对非传染性疾病危险因素的了解,在工作场所实施健康促进计划,作为减少印度非传染性疾病相关经济和社会负担的一种手段。
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引用次数: 14
Walking devices used by community-dwelling elderly: Proportion, types, and associated factors 社区居住老年人使用的步行设备:比例、类型及相关因素
IF 1.5 Q4 REHABILITATION Pub Date : 2015-06-01 DOI: 10.1016/j.hkpj.2014.11.001
Patcharawan Suwannarat PT, PhD Candidate , Thiwabhorn Thaweewannakij PT, PhD , Supapon Kaewsanmung PT, MSc , Lugkana Mato PT, PhD , Sugalya Amatachaya PT, PhD

Background

Advancing age is likely to increase the requirement for walking devices. However, the existing evidence mostly involves all types of external devices used from participants in developed countries with or without medical problems. The findings may be different from the data on the use of walking devices exclusively, particularly for the elderly who live in a rural community of a developing country.

Objective

This study explored the proportion, types, and factors associated with the use of walking devices in 343 elderly aged ≥ 65 years who live in a rural area of Thailand.

Methods

The participants were interviewed and assessed for their walking device used and functional mobility.

Results

The data demonstrated that 74 participants (22%) used a walking device for mobility. Most of them used a modified walking stick (70%), followed by a standard single cane (27%), and a walker (3%). Although most of these participants used a walking device due to their own determination with only a few of them using it according to medical prescription, their functional ability was significantly poorer than those who walked without a walking device (p < 0.05). Being unable to walk faster than 1 m/s and having a caregiver had the strongest relationship with the use of a walking device. The findings may be related to the study's locations. Being in a rural community of a developing country with a low level of education, participants may encounter some difficulty in accessing proper medical services. Therefore they used a device that could possibly help them to execute daily activities independently.

Conclusion

Our findings may provide an insight into planning programmes for health monitoring and promotion, and medical services for community-dwelling elderly who live in a similar context.

年龄的增长可能会增加对步行设备的需求。然而,现有证据主要涉及发达国家参与者使用的所有类型的外部装置,无论是否存在医疗问题。研究结果可能与仅使用步行设备的数据不同,特别是对于生活在发展中国家农村社区的老年人。目的探讨泰国农村地区343名≥65岁老年人使用步行设备的比例、类型及相关因素。方法对参与者进行访谈,并对其使用的步行设备和功能活动能力进行评估。结果74名参与者(22%)使用步行设备进行活动。其中大多数人使用改良手杖(70%),其次是标准单手杖(27%)和助行器(3%)。虽然这些参与者大多是出于自己的决定而使用步行设备,只有少数人是根据医生的处方使用的,但他们的功能能力明显不如没有步行设备的人(p <0.05)。行走速度不能超过1米/秒和有看护人与行走设备的使用关系最密切。这些发现可能与研究的地点有关。由于在发展中国家的农村社区,受教育程度较低,参与者在获得适当的医疗服务方面可能会遇到一些困难。因此,他们使用了一种可能帮助他们独立执行日常活动的设备。结论本研究结果可为社区居住老年人的健康监测和促进计划以及医疗服务提供参考。
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引用次数: 9
期刊
Hong Kong Physiotherapy Journal
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