Pub Date : 2022-10-26DOI: 10.1080/21679169.2022.2136754
C. Boge-Olsnes, Mette Bech Risør, G. K. Øberg
{"title":"Chronic pelvic pain sufferers’ experiences of Norwegian psychomotor physiotherapy: a qualitative study on an embodied approach to pain","authors":"C. Boge-Olsnes, Mette Bech Risør, G. K. Øberg","doi":"10.1080/21679169.2022.2136754","DOIUrl":"https://doi.org/10.1080/21679169.2022.2136754","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44839509","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 : 2022-10-19DOI: 10.1080/21679169.2022.2134449
D. D. Iucksch, B. Yamaguchi, Luize Bueno de Araújo, V. Israel
Abstract Purpose: To improve the social participation of people with Parkinson’s disease (PD), it is important to establish the functional profile and variables that influence gait, as gait is a predictive factor for independence. Based on the biopsychosocial approach of the International Classification of Functioning, Disability and Health (BPS-ICF), this paper aimed to characterise the functional profile of people with PD and correlate measures related to gait speed. Methods: Cross-sectional research with 50 people with PD, systematically assessed with functional measures, analysed based on the ICF dimensions. From this framework, multiple linear regression analyses were used to determine the gait speed predicting variables. Results: The participants’ mean age was 63.16 ± 12.68 years; 58% (n = 29) were men; 30 participants (60%) were classified into Hoehn & Yahr stages 1 and 2. Multiple linear regression analysis indicates that gait speed is significantly influenced by Mini BESTest, 6-Minute Walk Test, and handgrip strength. Conclusions: The functional profile based on the BPS-ICF model was outlined, and findings related to personal and environmental factors were described. The triad – body balance, aerobic conditioning, and muscle strength – was identified as predictive variables for gait speed in people with PD.
{"title":"Functional profile in Parkinson’s disease and predictors of gait speed","authors":"D. D. Iucksch, B. Yamaguchi, Luize Bueno de Araújo, V. Israel","doi":"10.1080/21679169.2022.2134449","DOIUrl":"https://doi.org/10.1080/21679169.2022.2134449","url":null,"abstract":"Abstract Purpose: To improve the social participation of people with Parkinson’s disease (PD), it is important to establish the functional profile and variables that influence gait, as gait is a predictive factor for independence. Based on the biopsychosocial approach of the International Classification of Functioning, Disability and Health (BPS-ICF), this paper aimed to characterise the functional profile of people with PD and correlate measures related to gait speed. Methods: Cross-sectional research with 50 people with PD, systematically assessed with functional measures, analysed based on the ICF dimensions. From this framework, multiple linear regression analyses were used to determine the gait speed predicting variables. Results: The participants’ mean age was 63.16 ± 12.68 years; 58% (n = 29) were men; 30 participants (60%) were classified into Hoehn & Yahr stages 1 and 2. Multiple linear regression analysis indicates that gait speed is significantly influenced by Mini BESTest, 6-Minute Walk Test, and handgrip strength. Conclusions: The functional profile based on the BPS-ICF model was outlined, and findings related to personal and environmental factors were described. The triad – body balance, aerobic conditioning, and muscle strength – was identified as predictive variables for gait speed in people with PD.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45288068","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 : 2022-10-10DOI: 10.1080/21679169.2022.2131152
E. Ekvall Hansson
New technology opens new possibilities in the field of prevention and rehabilitation, both in research and in clinical practice. For example, wearable sensors such as accelerometers, gyroscopes and insole force inducers, are used for fall risk assessment [1], for fall detection [2,3] and in rehabilitation programs [4]. Furthermore, there is some evidence that virtual reality and video gaming may be a useful adjunct to stroke rehabilitation for the upper limb but there is insufficient evidence about the effect of those on balance and function [5] or for hand dexterity and gait [6]. However, affordable and feasible technology, e.g. from the video gaming industry and improved algorithms for image analyses of video recordings, allow for valid and reliable objective measurements of movement behaviour [7]. These technologies open new possibilities for clinical assessments as well as feedback based training protocols, including specific methods for assessment of proprioception [8]. Mobile health technology like smart phones and smart watches also offers new approaches for personalised interventions with feedback on own behaviour and has the potential to increase uptake of interventions and change behaviour over time [9]. In our more and more stressful working life as practicing physiotherapist, it is of course tempting to adopt new technology that might have all the advantages mentioned above. However, to evidence-base clinical practice, all these new technologies need to be scrutinised in the same scientific way as all therapies and methods for measuring function, used in physiotherapy practice and as is done in science. Hence, technology need to be tested for validity and reliability in the same way as other methods for retrieving information in physiotherapy practice. Additionally, the effect of different interventions, including modern technology, must also be tested in a scientific way. Therefore, research including test for validity and reliability of new technology, as well as randomised controlled trials to measure the effect of interventions including technology, is highly demanded. One example of ongoing research in the effectiveness area, is a hip-rehabilitation project in Malm€ o, Sweden, where wearable mobility trackers are used as add-on in rehabilitation [4]. The intervention in the randomised controlled trial comprises of structured rehabilitation with an Inertial Measurement Unit (IMU) called the Stumbelometer (www.infonomy.com) as an add-on the structured rehabilitation. The IMU collects data on time spent in sitting, standing, lying down and on steps per day, walking speed and step length. The physiotherapist gets specific knowledge about progression on function and can both give feedback to the patient and use the information for individualising exercises during rehabilitation. As a researcher and a practicing physiotherapist, I urge all my colleagues to use your knowledge and skills of scientific methods and best available evidence
{"title":"Technology in the field of prevention and rehabilitation - Editorial","authors":"E. Ekvall Hansson","doi":"10.1080/21679169.2022.2131152","DOIUrl":"https://doi.org/10.1080/21679169.2022.2131152","url":null,"abstract":"New technology opens new possibilities in the field of prevention and rehabilitation, both in research and in clinical practice. For example, wearable sensors such as accelerometers, gyroscopes and insole force inducers, are used for fall risk assessment [1], for fall detection [2,3] and in rehabilitation programs [4]. Furthermore, there is some evidence that virtual reality and video gaming may be a useful adjunct to stroke rehabilitation for the upper limb but there is insufficient evidence about the effect of those on balance and function [5] or for hand dexterity and gait [6]. However, affordable and feasible technology, e.g. from the video gaming industry and improved algorithms for image analyses of video recordings, allow for valid and reliable objective measurements of movement behaviour [7]. These technologies open new possibilities for clinical assessments as well as feedback based training protocols, including specific methods for assessment of proprioception [8]. Mobile health technology like smart phones and smart watches also offers new approaches for personalised interventions with feedback on own behaviour and has the potential to increase uptake of interventions and change behaviour over time [9]. In our more and more stressful working life as practicing physiotherapist, it is of course tempting to adopt new technology that might have all the advantages mentioned above. However, to evidence-base clinical practice, all these new technologies need to be scrutinised in the same scientific way as all therapies and methods for measuring function, used in physiotherapy practice and as is done in science. Hence, technology need to be tested for validity and reliability in the same way as other methods for retrieving information in physiotherapy practice. Additionally, the effect of different interventions, including modern technology, must also be tested in a scientific way. Therefore, research including test for validity and reliability of new technology, as well as randomised controlled trials to measure the effect of interventions including technology, is highly demanded. One example of ongoing research in the effectiveness area, is a hip-rehabilitation project in Malm€ o, Sweden, where wearable mobility trackers are used as add-on in rehabilitation [4]. The intervention in the randomised controlled trial comprises of structured rehabilitation with an Inertial Measurement Unit (IMU) called the Stumbelometer (www.infonomy.com) as an add-on the structured rehabilitation. The IMU collects data on time spent in sitting, standing, lying down and on steps per day, walking speed and step length. The physiotherapist gets specific knowledge about progression on function and can both give feedback to the patient and use the information for individualising exercises during rehabilitation. As a researcher and a practicing physiotherapist, I urge all my colleagues to use your knowledge and skills of scientific methods and best available evidence ","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"24 1","pages":"326 - 326"},"PeriodicalIF":1.4,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49041139","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 : 2022-10-05DOI: 10.1080/21679169.2022.2128408
B. Sørensen, C. L. Straszek, R. Kerry, K. O’Sullivan
Abstract Objective To highlight the necessity for on-going vigilance of serious pathology when assessing and managing people with spinal pain. Methods A case report of a young male patient who sought physiotherapy treatment for his acute thoracic pain. Following physiotherapy assessment, it seemed unlikely that the pain was related to a musculoskeletal problem. Besides pain-induced vomiting, there were no overt signs of serious pathology. However, he had a family history of cardiac issues. The patient was referred back to his general practitioner (GP) for further assessment. Results The patient was subsequently diagnosed with perimyocarditis following investigations and was treated accordingly. At 6, 12 and 24 months follow-up, he reported good health. Conclusions and impact statement Physiotherapists must remain vigilant of serious pathology even if patients have been examined by other healthcare professionals. This case also raises the issue of whether ‘vascular profiling’ should be part of routine practice protocols.
{"title":"Perimyocarditis presenting as thoracic spinal pain in a physiotherapy outpatient clinic – a case report","authors":"B. Sørensen, C. L. Straszek, R. Kerry, K. O’Sullivan","doi":"10.1080/21679169.2022.2128408","DOIUrl":"https://doi.org/10.1080/21679169.2022.2128408","url":null,"abstract":"Abstract Objective To highlight the necessity for on-going vigilance of serious pathology when assessing and managing people with spinal pain. Methods A case report of a young male patient who sought physiotherapy treatment for his acute thoracic pain. Following physiotherapy assessment, it seemed unlikely that the pain was related to a musculoskeletal problem. Besides pain-induced vomiting, there were no overt signs of serious pathology. However, he had a family history of cardiac issues. The patient was referred back to his general practitioner (GP) for further assessment. Results The patient was subsequently diagnosed with perimyocarditis following investigations and was treated accordingly. At 6, 12 and 24 months follow-up, he reported good health. Conclusions and impact statement Physiotherapists must remain vigilant of serious pathology even if patients have been examined by other healthcare professionals. This case also raises the issue of whether ‘vascular profiling’ should be part of routine practice protocols.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44483809","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 : 2022-09-24DOI: 10.1080/21679169.2022.2126518
C. Fernandes, B. Magalhães, José Augusto Gomes, A. Lima, Célia Santos
Abstract Objective We aimed to systematically review and synthesise the impact of rehabilitation with games in people after knee arthroplasty. Methods We conducted a systematic review following the Preferred Reporting Items for the declaration of Systematic Reviews (PRISMA – Preferred Reporting Items for Systematic Reviews and Meta-Analysis). The summary of evidence was developed using the Grading of Recommendations, Assessment, Development, and Assessment (GRADE). The review included randomised controlled trials that used characteristics of games in rehabilitation. Results Eight articles from a total of 1289 identified articles were included after duplicates were removed. In total, 239 participants participated. There were no statistically significant changes between the groups using the exergames and control groups. The level of evidence was rated using GRADE and was very low or moderate. The difference in grouped means was not significant for Knee Flexion, Knee extension, Range of Motion, WOMAC (Western Ontario and McMaster Universities Arthritis Index), AKSS (American Knee Society Score), Self-Efficacy, Five Times Sit-to-Stand Test time, Pain, or Proprioception. Conclusions The results of the different studies did not find significant changes in the intervention groups with exergames in the physical domains, especially in studies with shorter interventions. Therefore, further investment in future studies on developing and evaluating games is suggested to enhance training during the recovery process.
{"title":"Exergames to improve rehabilitation after knee arthroplasty: a systematic review and grade evidence synthesis","authors":"C. Fernandes, B. Magalhães, José Augusto Gomes, A. Lima, Célia Santos","doi":"10.1080/21679169.2022.2126518","DOIUrl":"https://doi.org/10.1080/21679169.2022.2126518","url":null,"abstract":"Abstract Objective We aimed to systematically review and synthesise the impact of rehabilitation with games in people after knee arthroplasty. Methods We conducted a systematic review following the Preferred Reporting Items for the declaration of Systematic Reviews (PRISMA – Preferred Reporting Items for Systematic Reviews and Meta-Analysis). The summary of evidence was developed using the Grading of Recommendations, Assessment, Development, and Assessment (GRADE). The review included randomised controlled trials that used characteristics of games in rehabilitation. Results Eight articles from a total of 1289 identified articles were included after duplicates were removed. In total, 239 participants participated. There were no statistically significant changes between the groups using the exergames and control groups. The level of evidence was rated using GRADE and was very low or moderate. The difference in grouped means was not significant for Knee Flexion, Knee extension, Range of Motion, WOMAC (Western Ontario and McMaster Universities Arthritis Index), AKSS (American Knee Society Score), Self-Efficacy, Five Times Sit-to-Stand Test time, Pain, or Proprioception. Conclusions The results of the different studies did not find significant changes in the intervention groups with exergames in the physical domains, especially in studies with shorter interventions. Therefore, further investment in future studies on developing and evaluating games is suggested to enhance training during the recovery process.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45970587","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 : 2022-09-03DOI: 10.1080/21679169.2022.2117448
M. Sterling
The global disability burden of musculoskeletal pain conditions has been well documented in recent years [1]. Whiplash Associated Disorder (WAD) is a common musculoskeletal condition, traumatic in onset usually from a road traffic crash, that incurs substantial costs related to treatment of physical and mental health as well as lost productivity [2]. Whilst the cardinal symptom of WAD is neck pain, the condition appears to be more complex than neck pain of nontraumatic onset, at least for some individuals. For example, people with WAD report higher pain, disability [3] and distress [4], greater cognitive problems [5], and more marked features of nociplastic pain including greater pain sensitivity [6] and loss of endogenous modulation [5]. The Global Burden of Disease initiative does not differentiate traumatic and non-traumatic musculoskeletal pain, but it is likely that WAD contributes significantly to global disability burden. Progress in improving health outcomes after whiplash injury has been slow. The majority of treatments including physical and psychological approaches have mostly small effects on pain and disability [7,8]. Inconsistency and heterogeneity in the use of patient-reported outcome measures in clinical trials of treatments for WAD has hampered comparisons between clinical trials and limited capacity for data pooling in systematic reviews [9,10]. To address this problem, in 2017, we established an International Steering Committee that aimed to develop a Core Outcome Set (COS) for clinical trials of interventions for patients with WAD (the CATWAD initiative). The committee adhered to the recommendations of the Core Outcome Measures in Effectiveness Trials (COMETs), the protocol was registered in the COMET database and published in detail [11]. The first step in the process of COS development is to agree upon core outcome domains that should be measured. Through a 3-stage Delphi consensus process with stakeholder groups including clinical researchers, clinicians, patients and insurance personnel, six core domains were recommended: Physical Functioning, Perceived Recovery, Work and Social Functioning, Psychological Functioning, Quality of Life and Pain [12]. Following this process, systematic reviews were conducted for each core domain to identify potential core outcome instruments and evaluate their measurement properties, feasibility, and ease of use. In terms of identifying core outcome instruments shown to have sound psychometric properties in WAD, the results of the systematic reviews were disappointing. Numerous PROMS were identified covering the six core domains, but none had undergone evaluation of content validity in patients with WAD, although some had moderate to high quality evidence for sufficient internal structure. The reviews found that PROMs for pain and disability had undergone more extensive evaluation than some of the other domains [13,14]. In particular, psychological PROMs were not well evaluated in patients w
{"title":"A core outcome measurement set for whiplash associated disorders—Editorial","authors":"M. Sterling","doi":"10.1080/21679169.2022.2117448","DOIUrl":"https://doi.org/10.1080/21679169.2022.2117448","url":null,"abstract":"The global disability burden of musculoskeletal pain conditions has been well documented in recent years [1]. Whiplash Associated Disorder (WAD) is a common musculoskeletal condition, traumatic in onset usually from a road traffic crash, that incurs substantial costs related to treatment of physical and mental health as well as lost productivity [2]. Whilst the cardinal symptom of WAD is neck pain, the condition appears to be more complex than neck pain of nontraumatic onset, at least for some individuals. For example, people with WAD report higher pain, disability [3] and distress [4], greater cognitive problems [5], and more marked features of nociplastic pain including greater pain sensitivity [6] and loss of endogenous modulation [5]. The Global Burden of Disease initiative does not differentiate traumatic and non-traumatic musculoskeletal pain, but it is likely that WAD contributes significantly to global disability burden. Progress in improving health outcomes after whiplash injury has been slow. The majority of treatments including physical and psychological approaches have mostly small effects on pain and disability [7,8]. Inconsistency and heterogeneity in the use of patient-reported outcome measures in clinical trials of treatments for WAD has hampered comparisons between clinical trials and limited capacity for data pooling in systematic reviews [9,10]. To address this problem, in 2017, we established an International Steering Committee that aimed to develop a Core Outcome Set (COS) for clinical trials of interventions for patients with WAD (the CATWAD initiative). The committee adhered to the recommendations of the Core Outcome Measures in Effectiveness Trials (COMETs), the protocol was registered in the COMET database and published in detail [11]. The first step in the process of COS development is to agree upon core outcome domains that should be measured. Through a 3-stage Delphi consensus process with stakeholder groups including clinical researchers, clinicians, patients and insurance personnel, six core domains were recommended: Physical Functioning, Perceived Recovery, Work and Social Functioning, Psychological Functioning, Quality of Life and Pain [12]. Following this process, systematic reviews were conducted for each core domain to identify potential core outcome instruments and evaluate their measurement properties, feasibility, and ease of use. In terms of identifying core outcome instruments shown to have sound psychometric properties in WAD, the results of the systematic reviews were disappointing. Numerous PROMS were identified covering the six core domains, but none had undergone evaluation of content validity in patients with WAD, although some had moderate to high quality evidence for sufficient internal structure. The reviews found that PROMs for pain and disability had undergone more extensive evaluation than some of the other domains [13,14]. In particular, psychological PROMs were not well evaluated in patients w","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"24 1","pages":"260 - 261"},"PeriodicalIF":1.4,"publicationDate":"2022-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42220080","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 : 2022-08-26DOI: 10.1080/21679169.2022.2113138
Ebrar Atak, Farzin Hajebrahimi, Z. Algun
Abstract Purpose The aim of this study was to evaluate the effect of dual-task balance training (DTBT) in improving the mental performance of children with intellectual disabilities. Materials and Methods Forty-five children (aged 6–13 years) with mild mental retardation (intelligence quotient: 50–79) were randomised to receive cognitive training and DTBT (group A), standard balance and cognitive training (group B), or only cognitive training (control group). The intervention was provided twice a week for 12 weeks (totally 24 sessions). The WISC-R intelligence and MOXO attention tests were used for outcome analysis. All outcome assessments were made before, after, and three months after the study. Results There were significant improvements after using DTBT compared to the other two sets of interventions, at least in selected aspects of intelligence and mental performance. Conclusions A precisely planned, progressive DTBT program can be effective in developing and sustaining improvements in mental abilities among children with intellectual disabilities. This study is recorded in ClinicalTrials.gov (Identifier: NCT04114487)
{"title":"The effect of Dual-Task balance exercises on cognitive functions among children with mild and borderline mental retardation: a randomized controlled trial","authors":"Ebrar Atak, Farzin Hajebrahimi, Z. Algun","doi":"10.1080/21679169.2022.2113138","DOIUrl":"https://doi.org/10.1080/21679169.2022.2113138","url":null,"abstract":"Abstract Purpose The aim of this study was to evaluate the effect of dual-task balance training (DTBT) in improving the mental performance of children with intellectual disabilities. Materials and Methods Forty-five children (aged 6–13 years) with mild mental retardation (intelligence quotient: 50–79) were randomised to receive cognitive training and DTBT (group A), standard balance and cognitive training (group B), or only cognitive training (control group). The intervention was provided twice a week for 12 weeks (totally 24 sessions). The WISC-R intelligence and MOXO attention tests were used for outcome analysis. All outcome assessments were made before, after, and three months after the study. Results There were significant improvements after using DTBT compared to the other two sets of interventions, at least in selected aspects of intelligence and mental performance. Conclusions A precisely planned, progressive DTBT program can be effective in developing and sustaining improvements in mental abilities among children with intellectual disabilities. This study is recorded in ClinicalTrials.gov (Identifier: NCT04114487)","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45270729","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 : 2022-08-23DOI: 10.1080/21679169.2022.2112754
Marlene Firing Kroman, V. Jørgensen, K. S. Groven
Abstract Background There is limited knowledge of how individuals with incomplete spinal cord injuries (iSCI) experience being physically active, and how they experience their bodies within movement contexts of their everyday lives. Methods Seven ambulatory individuals with a traumatic, cervical to lumbar iSCI took part in an in-depth, semi-structured interview. The interviews were audio recorded, transcribed verbatim, and analysed using an inductive approach of Braun and Clarks’ thematic analysis. Merleau-Ponty’s phenomenology of the lived body and Leder’s phenomenology of the surface and inner body were used as theoretical framework in the study. Results Two themes identified: ‘Struggles of life in-between’ and ‘Unpredictability of the inner body’ encompass an ongoing discrepancy between the visible body and invisible ailments. Participants experienced pain when working out, but physical activity was also a way to regain control and was related to hope of improvement. Clinical implications Our results indicate that focusing on helping patients exploring meaningful activities and paying less attention on the intensity of exercises can be of great value. A phenomenological perspective of the body may be helpful as a clinical framework helping patients living more meaningful lives with less emphasis on pain and the problematic aspects of their bodies.
{"title":"Making sense of invisible bodily changes and new ways of doing physical activity experiences of individuals following traumatic incomplete spinal cord injury","authors":"Marlene Firing Kroman, V. Jørgensen, K. S. Groven","doi":"10.1080/21679169.2022.2112754","DOIUrl":"https://doi.org/10.1080/21679169.2022.2112754","url":null,"abstract":"Abstract Background There is limited knowledge of how individuals with incomplete spinal cord injuries (iSCI) experience being physically active, and how they experience their bodies within movement contexts of their everyday lives. Methods Seven ambulatory individuals with a traumatic, cervical to lumbar iSCI took part in an in-depth, semi-structured interview. The interviews were audio recorded, transcribed verbatim, and analysed using an inductive approach of Braun and Clarks’ thematic analysis. Merleau-Ponty’s phenomenology of the lived body and Leder’s phenomenology of the surface and inner body were used as theoretical framework in the study. Results Two themes identified: ‘Struggles of life in-between’ and ‘Unpredictability of the inner body’ encompass an ongoing discrepancy between the visible body and invisible ailments. Participants experienced pain when working out, but physical activity was also a way to regain control and was related to hope of improvement. Clinical implications Our results indicate that focusing on helping patients exploring meaningful activities and paying less attention on the intensity of exercises can be of great value. A phenomenological perspective of the body may be helpful as a clinical framework helping patients living more meaningful lives with less emphasis on pain and the problematic aspects of their bodies.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46448763","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 : 2022-08-01DOI: 10.1080/21679169.2022.2101692
M. Fagevik Olsén, L. Lannefors, M. Nygren-Bonnier, E. Johansson
Abstract Background The aim of this study was to describe and analyse the variety of respiratory appearances in Long COVID subjects who were not hospitalised during the acute phase of the infection. Methods A consecutive series of 60 subjects participated 10.8 months (SD 4.5) after the acute phase of the infection. Respiratory function was tested concerning lung volumes, expiratory flow, muscle strength, physical capacity including concurrent oxygen saturation, chest expansion, lung sounds, pain and breathing pattern. Differences between those with or without positive test and duration of symptoms more or less than 6 months were analysed with T-test, Chi-square test and Fisher’s exact test. Results Decreased forced vital capacity was found in 6/60 (10%), and forced expiratory volume in 1 s and 7/60 (12%), low maximal inspiratory pressure in 38/58 (54%) and low maximal expiratory pressure in 10/58 (17%). Decreased physical capacity was registered in 36/52 (69%), and thoracic expansion in 26/46 (56%). Pathologic lung sounds had 15/58 (26%) and six patients desaturated during the test of physical capacity. A majority (36/58, 67%) presented pain in the ribcage. All but three patients (95%) showed a dysfunctional breathing pattern in sitting and standing. Only poor and fair correlations were found between age, duration and level of physical capacity compared to spirometry, respiratory muscle strength and thoracic expansion. Conclusion Abnormal breathing pattern and respiratory movements as well as pain, and reduced lung volumes, flow, respiratory muscle strength, physical capacity and thoracic expansion may be involved in Long COVID. The breathing symptoms should therefore be looked for in a wider picture beyond spirometry and oximetry.
{"title":"Long COVID – respiratory symptoms in non-hospitalised subjects – a cross-sectional study","authors":"M. Fagevik Olsén, L. Lannefors, M. Nygren-Bonnier, E. Johansson","doi":"10.1080/21679169.2022.2101692","DOIUrl":"https://doi.org/10.1080/21679169.2022.2101692","url":null,"abstract":"Abstract Background The aim of this study was to describe and analyse the variety of respiratory appearances in Long COVID subjects who were not hospitalised during the acute phase of the infection. Methods A consecutive series of 60 subjects participated 10.8 months (SD 4.5) after the acute phase of the infection. Respiratory function was tested concerning lung volumes, expiratory flow, muscle strength, physical capacity including concurrent oxygen saturation, chest expansion, lung sounds, pain and breathing pattern. Differences between those with or without positive test and duration of symptoms more or less than 6 months were analysed with T-test, Chi-square test and Fisher’s exact test. Results Decreased forced vital capacity was found in 6/60 (10%), and forced expiratory volume in 1 s and 7/60 (12%), low maximal inspiratory pressure in 38/58 (54%) and low maximal expiratory pressure in 10/58 (17%). Decreased physical capacity was registered in 36/52 (69%), and thoracic expansion in 26/46 (56%). Pathologic lung sounds had 15/58 (26%) and six patients desaturated during the test of physical capacity. A majority (36/58, 67%) presented pain in the ribcage. All but three patients (95%) showed a dysfunctional breathing pattern in sitting and standing. Only poor and fair correlations were found between age, duration and level of physical capacity compared to spirometry, respiratory muscle strength and thoracic expansion. Conclusion Abnormal breathing pattern and respiratory movements as well as pain, and reduced lung volumes, flow, respiratory muscle strength, physical capacity and thoracic expansion may be involved in Long COVID. The breathing symptoms should therefore be looked for in a wider picture beyond spirometry and oximetry.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"283 - 290"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46949086","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 : 2022-07-18DOI: 10.1080/21679169.2022.2100928
Luke Davies, R. Hinman, T. Russell, B. Lawford, M. Merolli, K. Bennell
Abstract Objective To investigate the self-reported confidence of final year Australian physiotherapy students and recent graduates in their capability to deliver care via videoconferencing. Design A national cross-sectional survey Participants Australian physiotherapy students enrolled in their final year of an entry-to-practice physiotherapy program and recent graduates (graduating year 2020 or 2021) from an entry-to-practice physiotherapy program. Methods Participants were recruited via email invitation from their university, direct invitation during a lecture/tutorial and advertisements on social media. Participants rated their confidence (using 4-point Likert scales) in performing 60 individual core capabilities across seven domains from an international core capability framework developed for physiotherapists delivering quality care via videoconferencing. Data were dichotomised with ‘moderately confident’ and ‘extremely confident’ deemed as ‘confident’ and ‘slightly confident’ and ‘not confident’ deemed as ‘not confident’. Results 343 participants from 20 (out of 25) Australian universities offering entry-to-practice physiotherapy programs completed the survey. The most common program participants were enrolled in/completed was a Bachelor of Physiotherapy (61%, n = 209). Overall, most (75–100%) participants were confident in the domain ‘delivery of telehealth’, many (51–74%) were confident in domains of ‘patient privacy and confidentiality’, ‘patient safety’, ‘assessment and diagnosis’, ‘care planning and management’, and some (25–50%) were confident in ‘technology skills’ and ‘compliance’ issues. Conclusion Findings from this study highlight areas where final year entry-to-practice physiotherapy students and recent graduates may need additional support and training to deliver quality care via videoconferencing. These findings can inform the content of telehealth physiotherapy curricula.
{"title":"Self-reported confidence of final year Australian physiotherapy entry-to-practice students and recent graduates in their capability to deliver care via videoconferencing","authors":"Luke Davies, R. Hinman, T. Russell, B. Lawford, M. Merolli, K. Bennell","doi":"10.1080/21679169.2022.2100928","DOIUrl":"https://doi.org/10.1080/21679169.2022.2100928","url":null,"abstract":"Abstract Objective To investigate the self-reported confidence of final year Australian physiotherapy students and recent graduates in their capability to deliver care via videoconferencing. Design A national cross-sectional survey Participants Australian physiotherapy students enrolled in their final year of an entry-to-practice physiotherapy program and recent graduates (graduating year 2020 or 2021) from an entry-to-practice physiotherapy program. Methods Participants were recruited via email invitation from their university, direct invitation during a lecture/tutorial and advertisements on social media. Participants rated their confidence (using 4-point Likert scales) in performing 60 individual core capabilities across seven domains from an international core capability framework developed for physiotherapists delivering quality care via videoconferencing. Data were dichotomised with ‘moderately confident’ and ‘extremely confident’ deemed as ‘confident’ and ‘slightly confident’ and ‘not confident’ deemed as ‘not confident’. Results 343 participants from 20 (out of 25) Australian universities offering entry-to-practice physiotherapy programs completed the survey. The most common program participants were enrolled in/completed was a Bachelor of Physiotherapy (61%, n = 209). Overall, most (75–100%) participants were confident in the domain ‘delivery of telehealth’, many (51–74%) were confident in domains of ‘patient privacy and confidentiality’, ‘patient safety’, ‘assessment and diagnosis’, ‘care planning and management’, and some (25–50%) were confident in ‘technology skills’ and ‘compliance’ issues. Conclusion Findings from this study highlight areas where final year entry-to-practice physiotherapy students and recent graduates may need additional support and training to deliver quality care via videoconferencing. These findings can inform the content of telehealth physiotherapy curricula.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47168686","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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