Pub Date : 2023-03-04DOI: 10.1080/21679169.2023.2187971
T. Rebbeck
Physiotherapy as a profession has exponentially evolved over the past 20 years. In the case of musculoskeletal physiotherapy, the profession has moved from providing largely passive therapy (e.g. manual therapy and electrotherapy) that was therapist-centred to one where the approach to care is more active and patient-centred. This paradigm shift followed the introduction of evidence-based practice in the early 1990s. Clinicians were encouraged to implement the evidence, and change behaviour from their usual practice (e.g. dominance of electrotherapy) to provide different practices (e.g. targeted advice/exercise). Physiotherapy has embraced these changes and de-implemented some aspects of care while implementing others. As different models of care emerge, and we enter the next paradigm, I find that the question to answer is whether physiotherapy is willing, ready and able to implement different models of care. Using musculoskeletal conditions such as whiplash as an example, the journey has taken us to consider stratified care, yet there are still barriers to implementation. In this editorial, the ideal research design, and key barriers to address are suggested as ways forward. The paradigm of evidence-based care led us to consider that randomised controlled trials (and their synthesis (systematic reviews or clinical guidelines) became the highest form of evidence on which to base our practice. Yet many trials show equivocal effects for the new intervention studied vs usual care and are unable to identify responders to the intervention. An example was our very own trial where a single session of “advice” provided similar outcomes to a comprehensive physiotherapy exercise programme in people with chronic whiplash [1]. As a clinician– researcher, my “researcher” hat understands this result, however, my “clinician” hat’s experience is very different. We found that more people did in fact “respond” to the comprehensive exercise than did not. People told us many things, including “I’m more likely to respond if the exercise reduces pain immediately [2] and that trial measures of recovery did not agree with patient-measured recovery [3]. This led us to understand that the RCT is in its purest form and may not answer the questions such as who needs less and who needs more care and how should we measure success. Stratified care based on the risk of poor prognosis is one way to test this model of care, however, has mixed results to date when tested in musculoskeletal conditions [4,5]. We had hoped that this may show a benefit in people with whiplash, however, both pain and disability outcomes were similar between a stratified and non-stratified care approach [6]. However, as a profession, we do have a responsibility to reduce care when not needed (de-implementation) and recognise who needs more comprehensive care when needed and provide earlier access to this care (implementation). We are capable of doing this, given we have de-implemented some of our practi
{"title":"Is physiotherapy willing, ready and able to implement different models of care?","authors":"T. Rebbeck","doi":"10.1080/21679169.2023.2187971","DOIUrl":"https://doi.org/10.1080/21679169.2023.2187971","url":null,"abstract":"Physiotherapy as a profession has exponentially evolved over the past 20 years. In the case of musculoskeletal physiotherapy, the profession has moved from providing largely passive therapy (e.g. manual therapy and electrotherapy) that was therapist-centred to one where the approach to care is more active and patient-centred. This paradigm shift followed the introduction of evidence-based practice in the early 1990s. Clinicians were encouraged to implement the evidence, and change behaviour from their usual practice (e.g. dominance of electrotherapy) to provide different practices (e.g. targeted advice/exercise). Physiotherapy has embraced these changes and de-implemented some aspects of care while implementing others. As different models of care emerge, and we enter the next paradigm, I find that the question to answer is whether physiotherapy is willing, ready and able to implement different models of care. Using musculoskeletal conditions such as whiplash as an example, the journey has taken us to consider stratified care, yet there are still barriers to implementation. In this editorial, the ideal research design, and key barriers to address are suggested as ways forward. The paradigm of evidence-based care led us to consider that randomised controlled trials (and their synthesis (systematic reviews or clinical guidelines) became the highest form of evidence on which to base our practice. Yet many trials show equivocal effects for the new intervention studied vs usual care and are unable to identify responders to the intervention. An example was our very own trial where a single session of “advice” provided similar outcomes to a comprehensive physiotherapy exercise programme in people with chronic whiplash [1]. As a clinician– researcher, my “researcher” hat understands this result, however, my “clinician” hat’s experience is very different. We found that more people did in fact “respond” to the comprehensive exercise than did not. People told us many things, including “I’m more likely to respond if the exercise reduces pain immediately [2] and that trial measures of recovery did not agree with patient-measured recovery [3]. This led us to understand that the RCT is in its purest form and may not answer the questions such as who needs less and who needs more care and how should we measure success. Stratified care based on the risk of poor prognosis is one way to test this model of care, however, has mixed results to date when tested in musculoskeletal conditions [4,5]. We had hoped that this may show a benefit in people with whiplash, however, both pain and disability outcomes were similar between a stratified and non-stratified care approach [6]. However, as a profession, we do have a responsibility to reduce care when not needed (de-implementation) and recognise who needs more comprehensive care when needed and provide earlier access to this care (implementation). We are capable of doing this, given we have de-implemented some of our practi","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"58 - 59"},"PeriodicalIF":1.4,"publicationDate":"2023-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44930237","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 : 2023-01-20DOI: 10.1080/21679169.2023.2168749
Kristine Grimen Danielsen, Mette Bøymo Kaarbø, K. S. Groven, A. Helgesen, G. K. Haugstad, Slawomir Wojniusz
{"title":"Towards improved sexual health among women with provoked vestibulodynia: experiences from a somatocognitive therapy approach","authors":"Kristine Grimen Danielsen, Mette Bøymo Kaarbø, K. S. Groven, A. Helgesen, G. K. Haugstad, Slawomir Wojniusz","doi":"10.1080/21679169.2023.2168749","DOIUrl":"https://doi.org/10.1080/21679169.2023.2168749","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" 38","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41311303","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 : 2023-01-17DOI: 10.1080/21679169.2023.2164939
Αnna Christakou, Μalwina-Εufemia Fijalkowska, Eirini Lazari, G. Georgoudis
{"title":"Translation, validation, and reliability of the Greek version of the Arthritis Self-Efficacy Scale","authors":"Αnna Christakou, Μalwina-Εufemia Fijalkowska, Eirini Lazari, G. Georgoudis","doi":"10.1080/21679169.2023.2164939","DOIUrl":"https://doi.org/10.1080/21679169.2023.2164939","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44208553","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 : 2023-01-12DOI: 10.1080/21679169.2022.2156599
A. Nayak, Aishwarya C. Bhave, Z. Misri, B. Unnikrishnan, Amreen Mahmood, A. Joshua, S. Karthikbabu
Abstract Purpose This scoping review attempts to identify the factors influencing community reintegration (CR) among individuals with stroke and classify them as facilitators and barriers. Methods A thorough search was run through PubMed, Scopus, Cochrane, ProQuest, EMBASE, CINHAL, and PEDRO for studies published from 2014 to August 2021. The review was based on Preferred Reporting Items for Systematic Review and Meta-analysis for Scoping Reviews (PRISMA-ScR) guidelines. The retrieved articles were screened for title and abstract using the Rayyan QCRI software. The quality of the included studies was determined using National Heart, Lung, and Blood Institute (NIH) tool. Results Of the 1466 studies retrieved, 14 that included 1383 stroke individuals fulfilled the eligibility criteria and were selected for review. Based on the scores obtained on the NIH tool for quality assessment, the methodological quality of 6 studies was found to be good, and remaining 8 were fair. Individuals with better motor function, good balance, greater functional independence and quality of life, optimal support from the family and community, longer post-stroke duration, higher levels of education, and employment had higher CR and hence were facilitators of CR. Older age, diabetes mellitus, smoking, severe stroke, impaired cognition, depression, falls, gait impairments, and use of assistive devices were identified as barriers to CR. Conclusion The review identified factors that were either facilitators or barriers to CR. A multidisciplinary rehabilitation addressing modifiable facilitators and barriers such as motor function, balance, fear of fall, functional dependence, depression, comorbidities, and impaired cognition is necessary to improve CR in stroke survivors.
{"title":"Facilitators and barriers of community reintegration among individuals with stroke: a scoping review","authors":"A. Nayak, Aishwarya C. Bhave, Z. Misri, B. Unnikrishnan, Amreen Mahmood, A. Joshua, S. Karthikbabu","doi":"10.1080/21679169.2022.2156599","DOIUrl":"https://doi.org/10.1080/21679169.2022.2156599","url":null,"abstract":"Abstract Purpose This scoping review attempts to identify the factors influencing community reintegration (CR) among individuals with stroke and classify them as facilitators and barriers. Methods A thorough search was run through PubMed, Scopus, Cochrane, ProQuest, EMBASE, CINHAL, and PEDRO for studies published from 2014 to August 2021. The review was based on Preferred Reporting Items for Systematic Review and Meta-analysis for Scoping Reviews (PRISMA-ScR) guidelines. The retrieved articles were screened for title and abstract using the Rayyan QCRI software. The quality of the included studies was determined using National Heart, Lung, and Blood Institute (NIH) tool. Results Of the 1466 studies retrieved, 14 that included 1383 stroke individuals fulfilled the eligibility criteria and were selected for review. Based on the scores obtained on the NIH tool for quality assessment, the methodological quality of 6 studies was found to be good, and remaining 8 were fair. Individuals with better motor function, good balance, greater functional independence and quality of life, optimal support from the family and community, longer post-stroke duration, higher levels of education, and employment had higher CR and hence were facilitators of CR. Older age, diabetes mellitus, smoking, severe stroke, impaired cognition, depression, falls, gait impairments, and use of assistive devices were identified as barriers to CR. Conclusion The review identified factors that were either facilitators or barriers to CR. A multidisciplinary rehabilitation addressing modifiable facilitators and barriers such as motor function, balance, fear of fall, functional dependence, depression, comorbidities, and impaired cognition is necessary to improve CR in stroke survivors.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"291 - 304"},"PeriodicalIF":1.4,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48124685","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 : 2023-01-02DOI: 10.1080/21679169.2022.2162962
Joaquín Salazar-Méndez, I. Leao Ribeiro, María Garrido-Castillo, José Gacitúa
{"title":"Effects of pain neuroscience education on psycho-emotional and cognitive variables in individuals with chronic musculoskeletal pain: a systematic review of randomised clinical trials","authors":"Joaquín Salazar-Méndez, I. Leao Ribeiro, María Garrido-Castillo, José Gacitúa","doi":"10.1080/21679169.2022.2162962","DOIUrl":"https://doi.org/10.1080/21679169.2022.2162962","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" 22","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41252437","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 : 2023-01-02DOI: 10.1080/21679169.2022.2164793
Alaa Abou Khzam
I have read with great interest the study that was authored by Asplin and colleagues and published in the European Journal of Physiotherapy [1]. In this article, the authors investigated the concurrent validity of the traffic light system-BasicADL (TLS-BasicADL) on 50 patients with mixed medical diagnosis admitted to an oncologic/geriatric unit. In addition to that the authors evaluated the responsiveness of the TLS-BasicADL on 107 patients admitted to a geriatric/orthopaedic unit following hip fracture. The TLS-BasicADL is a scale to measure the level of functional independence to perform basic activities of daily living among the elderly population admitted to acute geriatric hospital settings [2]. The TLS-BasicADL is a scale that provides the multidisciplinary team with an understandable visual aid describing the independence of the geriatric population thus improving the communication of the multidisciplinary team [2]. The scale exhibited high inter-rater and fair intra-rater reliability among elderly individuals in a geriatric unit [2]. In their study, Asplin and colleagues [1] reported that the TLS-BasicADL displayed strong to excellent correlations for individual items with the modified Barthel index as well as the modified functional independence measure. The total score of the TLS-BasicADL was strongly correlated with the total score of the modified Barthel index as well as the total score of the modified functional independence measure. The authors of the study reported as well that most items were responsive to the changes in the function of the patients following the hip surgery. Communication is essential to the proper functioning of a hospital [3]. It is no surprise that physical therapists spend a considerable amount of time communicating with patients [4], this might be due to physical therapists being an integral part of the rehabilitation of patients to improve/regain their function. Thus, it is of paramount importance that researchers develop new methods that can improve the level of communication between therapists and other healthcare professionals. This is can be done largely due to the TLSBasicADL not just providing a simple system to describe a patient’s functioning but also can explain in detail without the need of much writing the extent that is needed by a patient to accomplish a specific task. Concerning geriatric patient satisfaction with physical therapy services, a recent cross-sectional analysis reported that more than half of elderly patients were dissatisfied with physical therapy [5]. The authors of the previously mentioned study recommended that physical therapists emphasise patient education [5]. Since the TLS-BasicADL is very understandable, physical therapists working in geriatric units and nursing homes can take advantage of the simplicity of the TLS-BasicADL to educate their patients about their level of functioning concerning their activities of daily living. The TLS-BasicADL can be used as well to help t
{"title":"The traffic light system-BasicADL and person-centred care: a commentary on Asplin et al.","authors":"Alaa Abou Khzam","doi":"10.1080/21679169.2022.2164793","DOIUrl":"https://doi.org/10.1080/21679169.2022.2164793","url":null,"abstract":"I have read with great interest the study that was authored by Asplin and colleagues and published in the European Journal of Physiotherapy [1]. In this article, the authors investigated the concurrent validity of the traffic light system-BasicADL (TLS-BasicADL) on 50 patients with mixed medical diagnosis admitted to an oncologic/geriatric unit. In addition to that the authors evaluated the responsiveness of the TLS-BasicADL on 107 patients admitted to a geriatric/orthopaedic unit following hip fracture. The TLS-BasicADL is a scale to measure the level of functional independence to perform basic activities of daily living among the elderly population admitted to acute geriatric hospital settings [2]. The TLS-BasicADL is a scale that provides the multidisciplinary team with an understandable visual aid describing the independence of the geriatric population thus improving the communication of the multidisciplinary team [2]. The scale exhibited high inter-rater and fair intra-rater reliability among elderly individuals in a geriatric unit [2]. In their study, Asplin and colleagues [1] reported that the TLS-BasicADL displayed strong to excellent correlations for individual items with the modified Barthel index as well as the modified functional independence measure. The total score of the TLS-BasicADL was strongly correlated with the total score of the modified Barthel index as well as the total score of the modified functional independence measure. The authors of the study reported as well that most items were responsive to the changes in the function of the patients following the hip surgery. Communication is essential to the proper functioning of a hospital [3]. It is no surprise that physical therapists spend a considerable amount of time communicating with patients [4], this might be due to physical therapists being an integral part of the rehabilitation of patients to improve/regain their function. Thus, it is of paramount importance that researchers develop new methods that can improve the level of communication between therapists and other healthcare professionals. This is can be done largely due to the TLSBasicADL not just providing a simple system to describe a patient’s functioning but also can explain in detail without the need of much writing the extent that is needed by a patient to accomplish a specific task. Concerning geriatric patient satisfaction with physical therapy services, a recent cross-sectional analysis reported that more than half of elderly patients were dissatisfied with physical therapy [5]. The authors of the previously mentioned study recommended that physical therapists emphasise patient education [5]. Since the TLS-BasicADL is very understandable, physical therapists working in geriatric units and nursing homes can take advantage of the simplicity of the TLS-BasicADL to educate their patients about their level of functioning concerning their activities of daily living. The TLS-BasicADL can be used as well to help t","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"56 - 57"},"PeriodicalIF":1.4,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41844894","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 : 2022-12-30DOI: 10.1080/21679169.2022.2161628
H. Chan, Pui Yan Lam, C. Cheung, Kai Tak Chow, Chun Ho Lau, Ka Ying Lee, Sing Yu Po, N. Askin, R. Rabbani, R. Zarychanski, A. Abou-Setta
{"title":"Inclined treadmill training (ITT) for people with chronic stroke - a systematic review and meta-analysis","authors":"H. Chan, Pui Yan Lam, C. Cheung, Kai Tak Chow, Chun Ho Lau, Ka Ying Lee, Sing Yu Po, N. Askin, R. Rabbani, R. Zarychanski, A. Abou-Setta","doi":"10.1080/21679169.2022.2161628","DOIUrl":"https://doi.org/10.1080/21679169.2022.2161628","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"1 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42077916","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 : 2022-12-15DOI: 10.1080/21679169.2022.2155240
A. Sturm, Amanda L. Ager, R. Roth
{"title":"Western ideals and global realities – physiotherapists’ views on factors that play a role in ethical decision-making: an international qualitative analysis","authors":"A. Sturm, Amanda L. Ager, R. Roth","doi":"10.1080/21679169.2022.2155240","DOIUrl":"https://doi.org/10.1080/21679169.2022.2155240","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44016102","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 : 2022-12-09DOI: 10.1080/21679169.2022.2153303
M. Kalu, V. Dal Bello-Haas, M. Griffin, Sheila A. Boamah, Jocelyn Harris, Mashal Zaide, D. Rayner, Nura Khattab, V. Bhatt, Claire Goodin, Ji Won (Beth) Song, Justin Smal, Natalie Budd
Abstract Objective To synthesise the available evidence on physical factors, such as muscle strength and power, body mass index and their association with older adults’ self-reported and performance-based mobility outcomes. Method This review followed the Askey and O'Malley framework. We systematically searched PubMed, EMBASE, PsychINFO, Web of Science, AgeLine, Allied and Complementary Medicine Database, and Cumulative Index to Nursing and Allied Health Literature databases, from Jan. 2000 to Jan. 2022. Teams of two reviewers independently conducted title, abstract, full-text screening, and data extraction using predefined inclusion and exclusion criteria. Result A total of 239 quantitative articles, mostly cross-sectional design, conducted in 32 countries were included in this review. We identified 18 physical factors significantly associated with mobility outcomes in the expected direction. Muscle strength, body composition, falls (number and history of), and chronic conditions (number of and type) were the most studied physical factors. Conclusion Older adults with muscle weakness, weight concerns, history of falls, and chronic conditions had poorer mobility outcomes, such as slower gait speed, poor balance, limited community mobility and poor driving outcomes compared to their counterparts. Studies exploring the role of physical factors on the use of an assisted device, transportation, or driving, are limited.
{"title":"Physical mobility determinants among older adults: a scoping review of self-reported and performance-based measures","authors":"M. Kalu, V. Dal Bello-Haas, M. Griffin, Sheila A. Boamah, Jocelyn Harris, Mashal Zaide, D. Rayner, Nura Khattab, V. Bhatt, Claire Goodin, Ji Won (Beth) Song, Justin Smal, Natalie Budd","doi":"10.1080/21679169.2022.2153303","DOIUrl":"https://doi.org/10.1080/21679169.2022.2153303","url":null,"abstract":"Abstract Objective To synthesise the available evidence on physical factors, such as muscle strength and power, body mass index and their association with older adults’ self-reported and performance-based mobility outcomes. Method This review followed the Askey and O'Malley framework. We systematically searched PubMed, EMBASE, PsychINFO, Web of Science, AgeLine, Allied and Complementary Medicine Database, and Cumulative Index to Nursing and Allied Health Literature databases, from Jan. 2000 to Jan. 2022. Teams of two reviewers independently conducted title, abstract, full-text screening, and data extraction using predefined inclusion and exclusion criteria. Result A total of 239 quantitative articles, mostly cross-sectional design, conducted in 32 countries were included in this review. We identified 18 physical factors significantly associated with mobility outcomes in the expected direction. Muscle strength, body composition, falls (number and history of), and chronic conditions (number of and type) were the most studied physical factors. Conclusion Older adults with muscle weakness, weight concerns, history of falls, and chronic conditions had poorer mobility outcomes, such as slower gait speed, poor balance, limited community mobility and poor driving outcomes compared to their counterparts. Studies exploring the role of physical factors on the use of an assisted device, transportation, or driving, are limited.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47873983","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 : 2022-11-01DOI: 10.1080/21679169.2022.2140824
A. Odole, Omoniyi Ayodele Alegbeleye, E. Ekediegwu, O. K. Onyeso, C. Mbada, C. Akosile
Abstract Background Psychosocial factors such as pain catastrophising (PC), kinesiophobia, and pain self-efficacy (PSE) complicate disease burden among people with chronic pain and disability. Purpose To investigate the psychosocial correlates of neck pain intensity and disability among Nigerians with non-specific neck pain (NSNP). Methods We conducted a cross-sectional study of Nigerians with NSNP through hospitals-based consecutive sampling. Numeric Pain Rating Scale and the Neck Disability Index questionnaire were used to assess participants’ pain intensity (PI) and neck disability (ND), respectively. Kinesiophobia, PC, and PSE were assessed using Tampa Scale for Kinesiophobia (TSK), Pain Catastrophising Scale, and Pain Self-efficacy Questionnaire, respectively. Data analyses were completed using descriptive statistics, independent samples t-test, Pearson’s correlation coefficient, and multiple linear regression at p ≤ 0.05. Results Participants were (24 males, 48 females) aged 51.56 ± 14.31 years. The average PI (5.28 ± 1.80) and ND (35.03 ± 17.85) were moderate. There were significant correlations between PC and PI (r = 0.350, p = 0.003), and ND (r = 0.339, p = 0.004); kinesiophobia and ND (r = 0.314, p = 0.007); and PSE and ND (r = − 0.561, p < 0.001). Multiple linear regression analysis showed that PC (β = 0.270, p = 0.026) and ND (β = 0.494, p = 0.001) significantly predicts PI, while age (β = 0.197, p = 0.038), PI (β = 0.344, p = 0.001), and PSE (β= −0.474, p < 0.001) predicts ND. There were no statistically significant gender differences in PC, kinesiophobia and PSE. Conclusion Non-specific neck pain and ND correlates with psychosocial factors such as PC and PSE, respectively. There were no gendered differences in psychosocial responses to NSNP, however, older individuals tend to have more severe ND. Assessment of age and psychosocial factors should be included in management of NSNP.
{"title":"Psychosocial correlates of pain intensity and neck disability index among people with non-specific neck pain in a low-resource setting: a cross-sectional study","authors":"A. Odole, Omoniyi Ayodele Alegbeleye, E. Ekediegwu, O. K. Onyeso, C. Mbada, C. Akosile","doi":"10.1080/21679169.2022.2140824","DOIUrl":"https://doi.org/10.1080/21679169.2022.2140824","url":null,"abstract":"Abstract Background Psychosocial factors such as pain catastrophising (PC), kinesiophobia, and pain self-efficacy (PSE) complicate disease burden among people with chronic pain and disability. Purpose To investigate the psychosocial correlates of neck pain intensity and disability among Nigerians with non-specific neck pain (NSNP). Methods We conducted a cross-sectional study of Nigerians with NSNP through hospitals-based consecutive sampling. Numeric Pain Rating Scale and the Neck Disability Index questionnaire were used to assess participants’ pain intensity (PI) and neck disability (ND), respectively. Kinesiophobia, PC, and PSE were assessed using Tampa Scale for Kinesiophobia (TSK), Pain Catastrophising Scale, and Pain Self-efficacy Questionnaire, respectively. Data analyses were completed using descriptive statistics, independent samples t-test, Pearson’s correlation coefficient, and multiple linear regression at p ≤ 0.05. Results Participants were (24 males, 48 females) aged 51.56 ± 14.31 years. The average PI (5.28 ± 1.80) and ND (35.03 ± 17.85) were moderate. There were significant correlations between PC and PI (r = 0.350, p = 0.003), and ND (r = 0.339, p = 0.004); kinesiophobia and ND (r = 0.314, p = 0.007); and PSE and ND (r = − 0.561, p < 0.001). Multiple linear regression analysis showed that PC (β = 0.270, p = 0.026) and ND (β = 0.494, p = 0.001) significantly predicts PI, while age (β = 0.197, p = 0.038), PI (β = 0.344, p = 0.001), and PSE (β= −0.474, p < 0.001) predicts ND. There were no statistically significant gender differences in PC, kinesiophobia and PSE. Conclusion Non-specific neck pain and ND correlates with psychosocial factors such as PC and PSE, respectively. There were no gendered differences in psychosocial responses to NSNP, however, older individuals tend to have more severe ND. Assessment of age and psychosocial factors should be included in management of NSNP.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48637675","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}
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