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Non-communicable diseases are the biggest challenges of the 21st century: What is the physiotherapist's role in global health? 非传染性疾病是21世纪最大的挑战:物理治疗师在全球健康中扮演什么角色?
IF 1.5 Q4 REHABILITATION Pub Date : 2016-12-01 DOI: 10.1016/j.hkpj.2016.10.002
Veronika Schoeb PhD
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引用次数: 2
Copyright Transfer Agreement 版权转让协议
IF 1.5 Q4 REHABILITATION Pub Date : 2016-12-01 DOI: 10.1016/S1013-7025(16)30087-2
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引用次数: 0
Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II 阿德利套装与神经发育联合治疗对大运动功能分级为I级和II级的痉挛型脑瘫患儿的疗效
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/j.hkpj.2015.09.036
Mi-Ra Kim MS, PT , Byoung-Hee Lee PhD , Dae-Sung Park PT, PhD

Background

Children with cerebral palsy (CP) exhibit diverse gait patterns depending on their neurological deficits and musculoskeletal problems. The Adeli suit treatment (AST) has been proposed as an intensive exercise protocol in the management of CP.

Objectives

The aim of this study was to compare the effects of a 6-week programme of combined AST and neurodevelopment treatment (NDT) with those of NDT alone on Gross Motor Function Measure (GMFM), balance, and gait in children with CP.

Methods

Twenty children with CP of Gross Motor Function Classification System levels I and II were randomly assigned to one of the following two groups: (1) NDT or (2) AST/NDT. The participants were assessed using the GMFM, Pediatric Balance Scale (PBS), Timed Up and Go (TUG) test, and spatiotemporal gait parameters.

Results

The GMFM, PBS, and TUG test for both groups showed a statistically significant increase (p < 0.05). Three children were excluded. Compared to the NDT group (n = 9), the AST/NDT group (n = 8) demonstrated a significant increase in spatiotemporal gait parameters (p < 0.05).

Conclusion

These results provide evidence for the greater effectiveness of combined AST/NDT than NDT alone in improving spatiotemporal gait parameters but not GMFM, PBS, and TUG test.

脑瘫儿童因其神经缺陷和肌肉骨骼问题表现出不同的步态模式。埃德里适合治疗(AST)已被建议作为一个密集的锻炼协议管理CP.ObjectivesThe本研究的目的是比较计划为期6周的影响结合AST和神经发育疗法与无损检测(NDT)独自粗大运动功能测量(GMFM),平衡,和儿童步态CP.MethodsTwenty CP患儿的粗大运动功能分类系统水平I和II被随机分配到下列两组:(1)无损检测或(2)AST/无损检测。采用GMFM、小儿平衡量表(PBS)、Timed Up and Go (TUG)测试和时空步态参数对参与者进行评估。结果两组患者GMFM、PBS、TUG评分均有统计学差异(p <0.05)。3名儿童被排除在外。与NDT组(n = 9)相比,AST/NDT组(n = 8)表现出时空步态参数的显著增加(p <0.05)。结论AST/NDT联合治疗对大鼠时空步态参数的改善效果优于NDT单独治疗,而GMFM、PBS和TUG试验对大鼠时空步态参数的改善效果不显著。
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引用次数: 17
Musculoskeletal pain among postmenopausal women in Nigeria: Association with overall and central obesity 尼日利亚绝经后妇女的肌肉骨骼疼痛:与整体和中枢性肥胖的关系
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/j.hkpj.2015.06.001
Omoyemi O. Ogwumike PhD , Ade Fatai Adeniyi PhD , Oluwakemi O. Orogbemi BPT

Background

Menopausal women experience musculoskeletal changes such as muscle atrophy, muscle weakness and osteoporosis—symptoms associated with advancing age coupled with depletion of the female sex hormone, estrogen. Estrogen is important in the maintenance of the integrity of the musculoskeletal system and its reduction in the circulation due to menopausal transition results in reduced resting metabolic rate, lowered energy expenditure, increase in fat mass, and central adipose tissue accumulation.

Objective

This study investigated the prevalence of musculoskeletal pain (MSP) in postmenopausal women (PMW) in Nigeria. We examined the association of overall and central obesity with complaints of MSP and the screening potential of obesity measures for risk of musculoskeletal problems among PMW in Nigeria.

Methods

This was a cross-sectional survey of MSP in 310 PMW in Ibadan, Nigeria. MSP was assessed using the Standardized Nordic Musculoskeletal Questionnaire, and overall and central obesity were assessed using body mass index (BMI), waist/height ratio (WHtR), waist circumference, and waist/hip ratio. Data were analysed using descriptive statistics, chi-square test, and logistic regression models with the probability level at p = 0.05.

Results

Participants were of the modal age group (51–60 years). The highest prevalence rates of MSP were in the lower extremity (189; 61.0%) and the back (164; 52.9%). A direct association was observed between the categories of BMI and lower extremity symptoms (p < 0.05), and the categories of WHtR and waist circumference were associated with back and lower extremity symptoms (p < 0.05). Postmenopausal women had greater odds of reporting MSP across various classes of BMI. WHtR revealed the greatest odds for back (odds ratio = 1.70, 95% confidence interval 1.07–2.75) and lower extremity symptoms (odds ratio = 2.33, 95% confidence interval 1.44–3.78).

Conclusion

Lower extremity and back pain symptoms were the most prevalent. For overall and central obesity directly associated with MSP, WHtR seemed the best obesity screening tool for MSP in postmenopausal women.

绝经期妇女会经历肌肉骨骼的变化,如肌肉萎缩、肌肉无力和骨质疏松症——这些症状与年龄的增长以及雌性激素的消耗有关。雌激素在维持肌肉骨骼系统的完整性方面很重要,由于更年期过渡,雌激素在循环中的减少导致静息代谢率降低,能量消耗降低,脂肪量增加和中央脂肪组织积累。目的本研究调查尼日利亚绝经后妇女(PMW)肌肉骨骼疼痛(MSP)的患病率。我们研究了总体和中心肥胖与MSP投诉的关系,以及尼日利亚PMW中肥胖措施对肌肉骨骼问题风险的筛查潜力。方法对尼日利亚伊巴丹市310名产妇的MSP进行横断面调查。使用标准化北欧肌肉骨骼问卷评估MSP,使用体重指数(BMI)、腰高比(WHtR)、腰围和腰臀比评估整体和中心性肥胖。数据分析采用描述性统计、卡方检验和logistic回归模型,概率水平p = 0.05。结果研究对象均为51 ~ 60岁的模态年龄组。MSP患病率最高的是下肢(189;61.0%)和背部(164;52.9%)。BMI分类与下肢症状之间存在直接关联(p <WHtR和腰围的分类与背部和下肢症状相关(p <0.05)。绝经后妇女在各种BMI等级中报告MSP的几率更大。WHtR显示背部(优势比= 1.70,95%可信区间1.07-2.75)和下肢症状(优势比= 2.33,95%可信区间1.44-3.78)的几率最大。结论下肢及背部疼痛症状最常见。对于与MSP直接相关的整体和中心肥胖,WHtR似乎是绝经后妇女MSP的最佳肥胖筛查工具。
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引用次数: 12
Musculoskeletal pain in postmenopausal women—Implications for future research 绝经后妇女的肌肉骨骼疼痛-对未来研究的启示
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/j.hkpj.2016.03.001
Arnold Y.L. Wong PhD
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引用次数: 4
Relationship between self-efficacy, beliefs, and physical activity in inflammatory arthritis 炎性关节炎患者自我效能感、信念与身体活动的关系
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/j.hkpj.2015.10.001
Louise Larkin MSc , Stephen Gallagher PhD , Alexander D. Fraser MD, FRCPI , Norelee Kennedy PhD

Background

The benefits of physical activity (PA) in inflammatory arthritis (IA) patients are well-established. However, levels of PA in the IA population are suboptimal and the psychological determinants of PA are poorly understood.

Objective

The study aimed to examine the self-reported PA levels and psychological determinants of PA for the IA population.

Methods

A cross-sectional study of people with rheumatoid arthritis (RA) and psoriatic arthritis (PsA) was conducted to explore the association between demographic and psychological variables such as self-efficacy and belief about PA, and levels of PA and energy expenditure (EE). PA was recorded using the Yale Physical Activity Survey (YPAS).

Results

A total of 102 participants were included in the study. Participants reported low levels of PA [mean ± standard deviation (SD), 24.3 ± 18.2]. Beliefs about PA, but not self-efficacy, correlated with levels of self-report PA over the past week (r = 0.25, p = 0.01), over the past month (r = 0.21, p = 0.04), and EE (r = 0.31, p = 0.01).

Conclusion

People with IA have decreased levels of PA. Beliefs about PA are associated with levels of self-report PA and EE in this population. These data provide a useful signpost for guiding and designing interventions to improve PA levels in IA populations by altering beliefs about PA.

背景:身体活动(PA)对炎症性关节炎(IA)患者的益处是公认的。然而,IA人群的PA水平并不理想,而且对PA的心理决定因素了解甚少。目的研究IA人群自我报告的PA水平和PA的心理决定因素。方法对类风湿关节炎(RA)和银屑病关节炎(PsA)患者进行横断面研究,探讨自我效能感、PA信念、PA水平和能量消耗(EE)等人口学和心理变量之间的关系。使用耶鲁体育活动调查(YPAS)记录PA。结果本研究共纳入102名受试者。参与者报告低水平的PA[均数±标准差(SD), 24.3±18.2]。自我效能感与自我报告的过去一周(r = 0.25, p = 0.01)、过去一个月(r = 0.21, p = 0.04)和情感表达(r = 0.31, p = 0.01)相关。结论IA患者PA水平明显降低。在这一人群中,对PA的信念与自我报告的PA和情感表达水平有关。这些数据为指导和设计干预措施提供了有用的路标,通过改变对PA的信念来提高IA人群的PA水平。
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引用次数: 14
Checklist 检查表
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/S1013-7025(16)30025-2
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引用次数: 0
Extracorporeal shock-wave therapy: Can it be used for the management of any calcific tendinopathy? 体外冲击波治疗:可用于任何钙化肌腱病的治疗吗?
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/j.hkpj.2016.03.003
Stasinopoulos Dimitrios PhD
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引用次数: 1
The effect of mirror therapy on balance ability of subacute stroke patients 镜像疗法对亚急性脑卒中患者平衡能力的影响
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/j.hkpj.2015.12.001
Myoung-Kwon Kim PT, PhD , Sang-Gu Ji PT, PhD , Hyun-Gyu Cha PT, PhD

Background

Rehabilitation of subacute stroke patients represents a major challenge.

Objective

This study was conducted to examine the effects of mirror therapy on balance ability among subacute stroke patients.

Methods

The patients were assigned to a mirror therapy group (n = 17) or a sham therapy group (n = 17). Participants in the experimental group received mirror therapy and conventional rehabilitation therapy for a total of 60 minutes (mirror therapy: 30 minutes; conventional rehabilitation therapy: 30 minutes) per day, with a 10 minute rest period halfway through the session. Participants in the experimental group received training 5 days/week for 4 weeks. Participants in the control group received sham therapy and conventional rehabilitation therapy for a total of 60 minutes (sham therapy: 30 minutes, conventional rehabilitation therapy: 30 minutes) per day on the same day. Balance Index (BI) scores were obtained using a balance measurement system.

Results

A significant difference in post-training gains for the overall stability index and medial and lateral stability index was observed between the experimental group and the control group (p < 0.05).

Conclusion

We conclude that mirror therapy may be beneficial in improving balance ability among subacute stroke patients.

亚急性脑卒中患者的康复是一项重大挑战。目的探讨镜像疗法对亚急性脑卒中患者平衡能力的影响。方法将患者分为镜像治疗组(n = 17)和假治疗组(n = 17)。实验组接受镜像治疗和常规康复治疗,共60分钟(镜像治疗:30分钟;常规康复治疗:每天30分钟,中间休息10分钟。实验组受试者每周训练5天,连续4周。对照组在同一天接受假治疗和常规康复治疗,每天共60分钟(假治疗:30分钟,常规康复治疗:30分钟)。使用平衡测量系统获得平衡指数(BI)分数。结果实验组与对照组在训练后整体稳定性指数、内侧和外侧稳定性指数的增益有显著差异(p <0.05)。结论镜像疗法有助于改善亚急性脑卒中患者的平衡能力。
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引用次数: 25
Functional ability and health status of community-dwelling late age elderly people with and without a history of falls 有和无跌倒史的社区居住老年老年人功能能力与健康状况
IF 1.5 Q4 REHABILITATION Pub Date : 2016-06-01 DOI: 10.1016/j.hkpj.2015.08.001
Thiwabhorn Thaweewannakij PT, PhD , Patcharawan Suwannarat PT, PhD candidate , Lugkana Mato PT, PhD , Sugalya Amatachaya PT, PhD

Background

Obvious functional deterioration is demonstrated in elderly people aged 75 years and older. However, there is only little objective evidence relating to falls in these individuals.

Objective

This cross-sectional study compared functional abilities and health status in the elderly age at least 75 years with no fall, single fall (1 fall), and multiple falls (≥2 falls) during the past 6 months. Furthermore, the study describes fall information of the participants.

Methods

Ninety participants (30 individuals/group) were interviewed for their health status and fall history within the past 6 months. Then they were objectively assessed in terms of their functional ability to conduct daily activities independently.

Results

The findings indicated that the functional abilities of participants with multiple falls were significantly poorer, with the number of those requiring a walking device significantly greater than that in the other groups. These individuals reported loss of balance as a major factor for falls, whereas individuals with a single fall reported an environmental hazard as a common cause of falls.

Conclusion

Although the cross-sectional findings may be unable to clearly confirm the causal relationship of the outcomes, the data support the influence of intrinsic impairments and can be used to promote functional ability and minimise fall risk in these individuals.

背景:在75岁及以上的老年人中表现出明显的功能退化。然而,与这些人跌倒有关的客观证据很少。目的比较75岁以上老年人在过去6个月内无跌倒、单次跌倒(1次跌倒)和多次跌倒(≥2次跌倒)的功能能力和健康状况。此外,研究描述了参与者的跌倒信息。方法对90名参与者(30人/组)进行6个月内的健康状况和跌倒史调查。然后对他们独立进行日常活动的功能能力进行客观评估。结果研究结果表明,多次跌倒的参与者的功能能力明显较差,需要步行装置的人数明显多于其他组。这些人报告失去平衡是跌倒的主要因素,而只跌倒过一次的人报告环境危害是跌倒的常见原因。尽管横断面研究结果可能无法清楚地证实结果的因果关系,但数据支持内在损伤的影响,并可用于促进这些个体的功能能力和降低跌倒风险。
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引用次数: 23
期刊
Hong Kong Physiotherapy Journal
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