Pub Date : 2021-08-14DOI: 10.1080/21679169.2021.1960600
S. Tarvonen-Schröder, Tuuli Niemi, S. Hurme, M. Koivisto
Abstract Introduction No single tool is able to distinguish fallers from non-fallers. The aim of this study was to detect subacute stroke inpatients at higher risk for falls, predictors for the number of falls and near falls and the impact of these incidents on functional outcome. Methods An observational prospective cohort study comparing clinical differences between non-fallers, onetime and repeat fallers. Bivariate and multivariate Poisson regression analyses with length of stay as an offset variable were conducted. Results Fallers had mostly intermediate level of impairment and disability (NIHSS, FIM, mRS, the ICF minimal generic data set). The onetime fallers who were oldest, most disabled and most often institutionalised achieved the same functional improvement as the non-fallers, however, after significantly longer inpatient rehabilitation. The repeat fallers who were youngest and had the longest rehabilitation in-stay, achieved equal functioning as the non-fallers having faster motor gain and the greatest overall functional improvement compared to the other two subgroups. Conclusions Right hemispheric stroke, previous myocardial infarction and shorter time from stroke onset were independent predictors for the number of incidents. In the future, larger studies are recommended to investigate fall rate and different severities of incidents, falls and near falls separately.
{"title":"Fall assessment in subacute inpatient stroke rehabilitation using clinical characteristics and the most preferred stroke severity and outcome measures","authors":"S. Tarvonen-Schröder, Tuuli Niemi, S. Hurme, M. Koivisto","doi":"10.1080/21679169.2021.1960600","DOIUrl":"https://doi.org/10.1080/21679169.2021.1960600","url":null,"abstract":"Abstract Introduction No single tool is able to distinguish fallers from non-fallers. The aim of this study was to detect subacute stroke inpatients at higher risk for falls, predictors for the number of falls and near falls and the impact of these incidents on functional outcome. Methods An observational prospective cohort study comparing clinical differences between non-fallers, onetime and repeat fallers. Bivariate and multivariate Poisson regression analyses with length of stay as an offset variable were conducted. Results Fallers had mostly intermediate level of impairment and disability (NIHSS, FIM, mRS, the ICF minimal generic data set). The onetime fallers who were oldest, most disabled and most often institutionalised achieved the same functional improvement as the non-fallers, however, after significantly longer inpatient rehabilitation. The repeat fallers who were youngest and had the longest rehabilitation in-stay, achieved equal functioning as the non-fallers having faster motor gain and the greatest overall functional improvement compared to the other two subgroups. Conclusions Right hemispheric stroke, previous myocardial infarction and shorter time from stroke onset were independent predictors for the number of incidents. In the future, larger studies are recommended to investigate fall rate and different severities of incidents, falls and near falls separately.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"60 - 72"},"PeriodicalIF":1.4,"publicationDate":"2021-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47061500","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}
Pub Date : 2021-08-11DOI: 10.1080/21679169.2021.1948101
Elizabeth Dean, Monika Fagevik Olsén
We, the Publisher and Editor of European Journal of Physiotherapy are removing the following article: Article title: “A health and lifestyle framework for management of post COVID-19 syndrome based on evidence-informed management of post-polio syndrome: a narrative review” Authors: Elizabeth Dean & Monika Fagevik Olsén Journal: European Journal of Physiotherapy Version of Record Published Online: 11 August 2021 DOI: https://doi.org/10.1080/21679169.2021.1948101 This article was published with the incorrect article text in error. The correct version of the article can be found at https://doi.org/10.1080/21679169.2021.2000150.
{"title":"Statement of Removal","authors":"Elizabeth Dean, Monika Fagevik Olsén","doi":"10.1080/21679169.2021.1948101","DOIUrl":"https://doi.org/10.1080/21679169.2021.1948101","url":null,"abstract":"We, the Publisher and Editor of European Journal of Physiotherapy are removing the following article: Article title: “A health and lifestyle framework for management of post COVID-19 syndrome based on evidence-informed management of post-polio syndrome: a narrative review” Authors: Elizabeth Dean & Monika Fagevik Olsén Journal: European Journal of Physiotherapy Version of Record Published Online: 11 August 2021 DOI: https://doi.org/10.1080/21679169.2021.1948101 This article was published with the incorrect article text in error. The correct version of the article can be found at https://doi.org/10.1080/21679169.2021.2000150.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"24 1","pages":"i - i"},"PeriodicalIF":1.4,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42698438","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}
Pub Date : 2021-08-06DOI: 10.1080/21679169.2021.1947369
Kathleen C. Madara, Moiyad S. Aljehani, A. Marmon, S. Dellose, James J. Rubano, J. Zeni
Abstract Objective To identify pre-operative patient characteristics associated with early recovery of knee range of motion and ambulation without an assistive device after TKA. Design 95 subjects completed testing 2-4 weeks prior to surgery and 1 month after surgery. Binary logistic regression models were performed using patient’s pre-operative measures to predict knee functional knee range of motion (ROM) and early independent mobility 1 month after TKA. Functional ROM was defined as active knee flexion ≥100° and Ext ≤5°. Independent mobility was defined as no need for an assistive device during the Six Minute Walk (6 MW) test. Nagelkerke’s R2, and model and step significance were assessed. Results One month after surgery, 56 (58.9%) subjects did not have functional ROM. 75 (78.9%) subjects did not use an AD during the 6 MW. There were no significant predictors of early ROM recovery (R2=0.142, p-value = 0.06) or independent mobility (R2 N=0.138, p-value = 0.116). Conclusion Pre-operative measures were not predictive of early recovery rates one month after TKA, making pre-operative ROM and mobility risk stratification difficult. Future research should evaluate other factors, such as surgical pain and swelling, which may be better predictors of early outcomes after TKA.
{"title":"Pre-operative predictors of early mobility and knee motion in patients undergoing a total knee arthroplasty","authors":"Kathleen C. Madara, Moiyad S. Aljehani, A. Marmon, S. Dellose, James J. Rubano, J. Zeni","doi":"10.1080/21679169.2021.1947369","DOIUrl":"https://doi.org/10.1080/21679169.2021.1947369","url":null,"abstract":"Abstract Objective To identify pre-operative patient characteristics associated with early recovery of knee range of motion and ambulation without an assistive device after TKA. Design 95 subjects completed testing 2-4 weeks prior to surgery and 1 month after surgery. Binary logistic regression models were performed using patient’s pre-operative measures to predict knee functional knee range of motion (ROM) and early independent mobility 1 month after TKA. Functional ROM was defined as active knee flexion ≥100° and Ext ≤5°. Independent mobility was defined as no need for an assistive device during the Six Minute Walk (6 MW) test. Nagelkerke’s R2, and model and step significance were assessed. Results One month after surgery, 56 (58.9%) subjects did not have functional ROM. 75 (78.9%) subjects did not use an AD during the 6 MW. There were no significant predictors of early ROM recovery (R2=0.142, p-value = 0.06) or independent mobility (R2 N=0.138, p-value = 0.116). Conclusion Pre-operative measures were not predictive of early recovery rates one month after TKA, making pre-operative ROM and mobility risk stratification difficult. Future research should evaluate other factors, such as surgical pain and swelling, which may be better predictors of early outcomes after TKA.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"24 1","pages":"386 - 389"},"PeriodicalIF":1.4,"publicationDate":"2021-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21679169.2021.1947369","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42060752","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}
Pub Date : 2021-08-04DOI: 10.1080/21679169.2021.1950208
Gurpreet Singh, George McNamee, Laura Sharpe, Michael Lucas, Paul Lewis, C. Newton, P. O'Sullivan, I. Lin, K. O’Sullivan
Abstract Purpose Psychological, social and lifestyle (multidimensional) factors predict low back pain (LBP). The Short Form Örebro Musculoskeletal Questionnaire (SFÖQ) helps clinicians identify these factors in people with LBP and was mandated in a physiotherapy department at one NHS Hospital Trust in the UK. This study examined (i) use of the SFÖQ by physiotherapists with varying levels of clinical experience; (ii) whether psychological, social, and lifestyle factors were documented in patient records; and (iii) physiotherapists views on using the SFÖQ, and screening for these factors. Methods A retrospective audit of the physiotherapy records of 100 people referred with LBP. Results Eighty-one patient records were eligible for analysis. The SFÖQ was completed in 52 records. Fourteen of the completed SFÖQ’s were used by physiotherapists. Screening for, and documentation of, multidimensional factors varied between factors ((i) psychological: cognitive (20%), emotional (26%); (ii) social (41%) and (iii) lifestyle (62%)). 67% of the most senior physiotherapists screened and documented emotional factors. Physiotherapists identified a lack of training, confidence and time as barriers to screening for multidimensional factors and using the SFÖQ. Conclusion Physiotherapists rarely used the SFÖQ and did not consistently screen or document multidimensional factors. However, more senior physiotherapists more consistently screened and documented emotional factors.
{"title":"Psychological, social and lifestyle screening of people with low back pain treated by physiotherapists in a National Health Service musculoskeletal service: an audit","authors":"Gurpreet Singh, George McNamee, Laura Sharpe, Michael Lucas, Paul Lewis, C. Newton, P. O'Sullivan, I. Lin, K. O’Sullivan","doi":"10.1080/21679169.2021.1950208","DOIUrl":"https://doi.org/10.1080/21679169.2021.1950208","url":null,"abstract":"Abstract Purpose Psychological, social and lifestyle (multidimensional) factors predict low back pain (LBP). The Short Form Örebro Musculoskeletal Questionnaire (SFÖQ) helps clinicians identify these factors in people with LBP and was mandated in a physiotherapy department at one NHS Hospital Trust in the UK. This study examined (i) use of the SFÖQ by physiotherapists with varying levels of clinical experience; (ii) whether psychological, social, and lifestyle factors were documented in patient records; and (iii) physiotherapists views on using the SFÖQ, and screening for these factors. Methods A retrospective audit of the physiotherapy records of 100 people referred with LBP. Results Eighty-one patient records were eligible for analysis. The SFÖQ was completed in 52 records. Fourteen of the completed SFÖQ’s were used by physiotherapists. Screening for, and documentation of, multidimensional factors varied between factors ((i) psychological: cognitive (20%), emotional (26%); (ii) social (41%) and (iii) lifestyle (62%)). 67% of the most senior physiotherapists screened and documented emotional factors. Physiotherapists identified a lack of training, confidence and time as barriers to screening for multidimensional factors and using the SFÖQ. Conclusion Physiotherapists rarely used the SFÖQ and did not consistently screen or document multidimensional factors. However, more senior physiotherapists more consistently screened and documented emotional factors.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"20 - 26"},"PeriodicalIF":1.4,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21679169.2021.1950208","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49327789","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}
Pub Date : 2021-08-02DOI: 10.1080/21679169.2021.1958055
Shabnam ShahAli, Haniyeh Choobsaz, R. Ebrahimi
Abstract Aims To determine COVID-19 related knowledge, assess the anxiety/depression and physical activity and their association with demographic variables among Iranian people with relapsing-remitting multiple sclerosis (MS) during the COVID-19 pandemic. It also attempted to find the association between COVID-19 related knowledge and physical activity with anxiety and depression. Methods One hundred and forty MS patients participated in an online cross-sectional survey. The survey, including the COVID-19 related knowledge questionnaire, hospital anxiety, depression scale and International Physical Activity Questionnaire, was carried out through Google forms. Results Most of the participants had an appropriate level of knowledge regarding COVID-19 (achieved more than 70% of the total score). More than 40% of participants experienced anxiety, depression and more than 50% were lowly active during COVID-19 pandemic. Participants with higher education levels had higher knowledge, physical activity scores and lower anxiety, depression level. Younger participants were more physically active. A negative association between patients’ knowledge, physical activity and the symptoms of anxiety, depression was found. Conclusions Despite the appropriate level of knowledge, it is recommended to provide updated information regarding COVID-19 to ensure MS patients' safety during the pandemic. In addition, the results emphasise the need to implement appropriate strategies to improve physical and mental health.
{"title":"COVID-19 related knowledge, anxiety, depression and physical activity among Iranian people with relapsing-remitting multiple sclerosis during COVID-19 pandemic: an online cross-sectional survey","authors":"Shabnam ShahAli, Haniyeh Choobsaz, R. Ebrahimi","doi":"10.1080/21679169.2021.1958055","DOIUrl":"https://doi.org/10.1080/21679169.2021.1958055","url":null,"abstract":"Abstract Aims To determine COVID-19 related knowledge, assess the anxiety/depression and physical activity and their association with demographic variables among Iranian people with relapsing-remitting multiple sclerosis (MS) during the COVID-19 pandemic. It also attempted to find the association between COVID-19 related knowledge and physical activity with anxiety and depression. Methods One hundred and forty MS patients participated in an online cross-sectional survey. The survey, including the COVID-19 related knowledge questionnaire, hospital anxiety, depression scale and International Physical Activity Questionnaire, was carried out through Google forms. Results Most of the participants had an appropriate level of knowledge regarding COVID-19 (achieved more than 70% of the total score). More than 40% of participants experienced anxiety, depression and more than 50% were lowly active during COVID-19 pandemic. Participants with higher education levels had higher knowledge, physical activity scores and lower anxiety, depression level. Younger participants were more physically active. A negative association between patients’ knowledge, physical activity and the symptoms of anxiety, depression was found. Conclusions Despite the appropriate level of knowledge, it is recommended to provide updated information regarding COVID-19 to ensure MS patients' safety during the pandemic. In addition, the results emphasise the need to implement appropriate strategies to improve physical and mental health.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"43 - 50"},"PeriodicalIF":1.4,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47437087","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}
Pub Date : 2021-08-02DOI: 10.1080/21679169.2021.1958007
Paul Chesterton, Jennifer Chesterton, J. Alexanders
Abstract Objectives The study aimed to explore new United Kingdom (UK) graduate physiotherapists’ perceived preparedness for clinical practice to provide valuable information to support curriculum development. Methods An online, mixed method cross-sectional questionnaire was used. Newly qualified UK physiotherapists completed a survey, capturing how physiotherapy degrees prepared them for practice against (1) UK proficiency standards and (2) cross-discipline physiotherapy related clinical skills. Respondents were asked for reflections of their degree course including teaching and effectiveness. Data were converted into proportions with a 95% confidence interval. Likert-scale questions were treated as numeric variables with the mean and standard deviation (SD) calculated for combined responses. Thematic analysis reported patterns of data extracted from open-ended questions. Results Of a total of 376 respondents, 365 were included in data analysis. Overall respondents perceived that courses prepared them ‘well’ against 12 of the 15 standards, on a Likert scale of 1–5. Respondents reported that perceived competence was ‘indifferent’ for manual therapy skills (mean 3.14 ± SD 1.13), red flag (3.45 ± 1.11) and clinical flag management (2.92 ± 1.16). Exercise prescription (2.42 ± 1.35), psychosocial skills (2.27 ± 1.23) and patient management (2.41 ± 1.12) were areas identified for further teaching focus. Placements were the preferred teaching method most applicable to practice followed by practical seminars. Conclusion Respondents felt sufficiently prepared for practice against UK proficiency standards but not physiotherapy related clinical skills. Areas for curricula development included exercise prescription, psychology and pain management.
{"title":"New graduate physiotherapists’ perceived preparedness for clinical practice. A cross-sectional survey","authors":"Paul Chesterton, Jennifer Chesterton, J. Alexanders","doi":"10.1080/21679169.2021.1958007","DOIUrl":"https://doi.org/10.1080/21679169.2021.1958007","url":null,"abstract":"Abstract Objectives The study aimed to explore new United Kingdom (UK) graduate physiotherapists’ perceived preparedness for clinical practice to provide valuable information to support curriculum development. Methods An online, mixed method cross-sectional questionnaire was used. Newly qualified UK physiotherapists completed a survey, capturing how physiotherapy degrees prepared them for practice against (1) UK proficiency standards and (2) cross-discipline physiotherapy related clinical skills. Respondents were asked for reflections of their degree course including teaching and effectiveness. Data were converted into proportions with a 95% confidence interval. Likert-scale questions were treated as numeric variables with the mean and standard deviation (SD) calculated for combined responses. Thematic analysis reported patterns of data extracted from open-ended questions. Results Of a total of 376 respondents, 365 were included in data analysis. Overall respondents perceived that courses prepared them ‘well’ against 12 of the 15 standards, on a Likert scale of 1–5. Respondents reported that perceived competence was ‘indifferent’ for manual therapy skills (mean 3.14 ± SD 1.13), red flag (3.45 ± 1.11) and clinical flag management (2.92 ± 1.16). Exercise prescription (2.42 ± 1.35), psychosocial skills (2.27 ± 1.23) and patient management (2.41 ± 1.12) were areas identified for further teaching focus. Placements were the preferred teaching method most applicable to practice followed by practical seminars. Conclusion Respondents felt sufficiently prepared for practice against UK proficiency standards but not physiotherapy related clinical skills. Areas for curricula development included exercise prescription, psychology and pain management.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"196 1","pages":"33 - 42"},"PeriodicalIF":1.4,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21679169.2021.1958007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41275931","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}
Pub Date : 2021-08-02DOI: 10.1080/21679169.2021.1912169
Sanna Vuorenpää, M. Anttila, H. Kivistö, T. Sjögren
Abstract Purpose The aim of this study was to investigate the effects of technology-utilising rehabilitation on different intensities of physical activity (PA) and determine the explanatory factors of PA change. Material and methods This was a prospective cohort study. Cardiac, musculoskeletal and vocational rehabilitees (N = 36) had 6 months of rehabilitation, which included guided training and counselling face-to-face as well as through distance technology. PA (total, light, moderate, vigorous) was measured by an activity tracker. Biopsychosocial questionnaires, waist circumference, PA measurements and m-coach activity were used to determine the factors that influence PA change. Main results Technology-utilising rehabilitation improved light PA (+20 min/d, 95% CI 4–35 min/d, p = 0.002). Within subgroups, only cardiac rehabilitees improved their light physical activity (LPA) (p = 0.014), but the change was not significantly different compared with subgroups. There were no differences in the change in moderate, vigorous or total PA in either the study group or the subgroups. The improvement of LPA was related to lower age (p = 0.004) and lower activity (p = 0.004) at the baseline, impairments in experienced psychological health (p = 0.016) and satisfaction with social relationships (p = 0.014), improved satisfaction with environment (p = 0.002), strengthened significance of exercise (p = 0.037) and weakened pleasure of exercise (p = 0.040). The model explained 47% of the variation in the change in LPA. Conclusion Technology-utilising PA training seems to be a complex phenomenon in the rehabilitation context that is related to both biopsychosocial and environmental factors. This should be considered in future PA research and rehabilitation.
{"title":"The effects of technology-utilising rehabilitation on rehabilitees' physical activity: a prospective cohort study","authors":"Sanna Vuorenpää, M. Anttila, H. Kivistö, T. Sjögren","doi":"10.1080/21679169.2021.1912169","DOIUrl":"https://doi.org/10.1080/21679169.2021.1912169","url":null,"abstract":"Abstract Purpose The aim of this study was to investigate the effects of technology-utilising rehabilitation on different intensities of physical activity (PA) and determine the explanatory factors of PA change. Material and methods This was a prospective cohort study. Cardiac, musculoskeletal and vocational rehabilitees (N = 36) had 6 months of rehabilitation, which included guided training and counselling face-to-face as well as through distance technology. PA (total, light, moderate, vigorous) was measured by an activity tracker. Biopsychosocial questionnaires, waist circumference, PA measurements and m-coach activity were used to determine the factors that influence PA change. Main results Technology-utilising rehabilitation improved light PA (+20 min/d, 95% CI 4–35 min/d, p = 0.002). Within subgroups, only cardiac rehabilitees improved their light physical activity (LPA) (p = 0.014), but the change was not significantly different compared with subgroups. There were no differences in the change in moderate, vigorous or total PA in either the study group or the subgroups. The improvement of LPA was related to lower age (p = 0.004) and lower activity (p = 0.004) at the baseline, impairments in experienced psychological health (p = 0.016) and satisfaction with social relationships (p = 0.014), improved satisfaction with environment (p = 0.002), strengthened significance of exercise (p = 0.037) and weakened pleasure of exercise (p = 0.040). The model explained 47% of the variation in the change in LPA. Conclusion Technology-utilising PA training seems to be a complex phenomenon in the rehabilitation context that is related to both biopsychosocial and environmental factors. This should be considered in future PA research and rehabilitation.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"24 1","pages":"364 - 371"},"PeriodicalIF":1.4,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21679169.2021.1912169","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44281977","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}
Pub Date : 2021-07-26DOI: 10.1080/21679169.2021.1956582
K. Mcpherson, I. Nahon, G. Waddington
Abstract Purpose Women’s and men’s health physiotherapy are expanding areas of clinical practice. The aims of this study were to examine the course content and its perceived importance of specific content on women’s and men’s health within physiotherapy programs and identify any barriers to delivering the content. Methods An online survey, with open and closed questions was distributed to universities in Australia with an entry-level physiotherapy program, in 2019. The ‘Likert’ scale responses were then analysed by assigning a scale from 1–5. The open responses were descriptively analysed for themes. Results There were 15 responses from the 22 university programs in Australia. Content that should be covered ‘well’ to ‘very well’ include pelvic floor first exercise; pelvic floor anatomy; incontinence urinary and bowel; exercise – during pregnancy and post-natal; pelvic girdle pain; pelvic organ prolapse; rectus diastasis; osteoporosis; the role of physiotherapist in maternity ward; and pelvic floor muscle assessment-external with real time ultrasound; and in men’s health: male culture and pelvic health; and prostate cancer pre and post-surgical rehabilitation. A barrier to teach content for some courses included space within the curriculum. Clinical placements and research projects were not available in all programs. Conclusion Women’s and men’s health content is perceived to be important to be taught in entry level physiotherapy programs. Identifying what is perceived important content to cover may assist future curriculum design.
{"title":"Women's and men's health physiotherapy, the content covered and it's perceived importance within entry-level physiotherapy programs in Australia – an observational study","authors":"K. Mcpherson, I. Nahon, G. Waddington","doi":"10.1080/21679169.2021.1956582","DOIUrl":"https://doi.org/10.1080/21679169.2021.1956582","url":null,"abstract":"Abstract Purpose Women’s and men’s health physiotherapy are expanding areas of clinical practice. The aims of this study were to examine the course content and its perceived importance of specific content on women’s and men’s health within physiotherapy programs and identify any barriers to delivering the content. Methods An online survey, with open and closed questions was distributed to universities in Australia with an entry-level physiotherapy program, in 2019. The ‘Likert’ scale responses were then analysed by assigning a scale from 1–5. The open responses were descriptively analysed for themes. Results There were 15 responses from the 22 university programs in Australia. Content that should be covered ‘well’ to ‘very well’ include pelvic floor first exercise; pelvic floor anatomy; incontinence urinary and bowel; exercise – during pregnancy and post-natal; pelvic girdle pain; pelvic organ prolapse; rectus diastasis; osteoporosis; the role of physiotherapist in maternity ward; and pelvic floor muscle assessment-external with real time ultrasound; and in men’s health: male culture and pelvic health; and prostate cancer pre and post-surgical rehabilitation. A barrier to teach content for some courses included space within the curriculum. Clinical placements and research projects were not available in all programs. Conclusion Women’s and men’s health content is perceived to be important to be taught in entry level physiotherapy programs. Identifying what is perceived important content to cover may assist future curriculum design.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"27 - 32"},"PeriodicalIF":1.4,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/21679169.2021.1956582","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48186176","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}
Pub Date : 2021-07-15DOI: 10.1080/21679169.2021.1949038
Kathrin Scholz, R. van Oorsouw, S. Hermsen, T. Hoogeboom
Abstract Purpose To examine the feasibility and potential effectiveness of a behavioural intervention to increase physical activity in patients admitted to the cardiology ward. Methods In this proof-of concept study, we developed an intervention supporting self-efficacy and diminishing inertia by means of autonomy support and action planning. Data collection took place from April till July 2018, including a three-week intervention period. Feasibility was assessed with a semi-structured interview among patients (n = 34), a survey among nurses (n = 20), and a focus group among physical therapists (n = 4). Potential effectiveness was assessed as change in action planning, autonomy support and self-efficacy (determined using psychological questionnaires) in 30 patients, and change in physical activity (determined using behavioural mapping) before (n = 90) and after (n = 83) implementation. Results Feasibility of the behavioural intervention was deemed adequate by patients, nurses and physical therapists. Potential effectiveness was demonstrated by an increase in action planning (mean difference: 1.76; 95%-CI: 0.92–2.60), autonomy support (0.84; 0.35–1.34) and self-efficacy (0.57; 0.11–1.03). Patients in the after-group spent less time lying down (-5.96; −8.86 to −2.86) and more time standing/walking (3.34; 1.82–4.87). Conclusion The developed behavioural intervention appears to be feasible in daily clinical practice and may enhance relevant psychological determinants and physical activity in patients admitted to the cardiology ward.
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