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Core muscle strengthening exercises in the management of hip osteoarthritis: outcomes of a 12-week programme 核心肌肉强化训练在髋关节骨关节炎管理中的作用:12周方案的结果
IF 1.4 Q3 Health Professions Pub Date : 2023-03-29 DOI: 10.1080/21679169.2023.2194319
Ilona Dalmas, T. Agius, A. Sciriha
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引用次数: 0
Muscle Energy Techniques in patients with COPD: a randomised controlled trial COPD患者的肌肉能量技术:一项随机对照试验
IF 1.4 Q3 Health Professions Pub Date : 2023-03-23 DOI: 10.1080/21679169.2023.2192766
K. Sevasta, T. Agius, A. Sciriha
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引用次数: 0
The impact of multimodal physiotherapy in an interdisciplinary setting for the management of women with persistent pelvic pain and pelvic floor tension myalgia 多模式物理疗法在跨学科环境中对女性持续性骨盆疼痛和盆底张力肌痛的治疗效果
IF 1.4 Q3 Health Professions Pub Date : 2023-03-16 DOI: 10.1080/21679169.2023.2188901
R. Schubert, Sophia Song, R. Everist, E. Nesbitt-Hawes, J. Abbott
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引用次数: 0
Is physiotherapy willing, ready and able to implement different models of care? 理疗是否愿意、准备好并能够实施不同的护理模式?
IF 1.4 Q3 Health Professions Pub Date : 2023-03-04 DOI: 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
物理治疗作为一种职业在过去的20年里有了指数级的发展。就肌肉骨骼物理治疗而言,该行业已经从主要提供以治疗师为中心的被动治疗(例如手工治疗和电疗)转变为更积极和以患者为中心的护理方法。这种范式转变是在20世纪90年代初引入循证实践之后发生的。临床医生被鼓励实施这些证据,并改变他们通常的做法(例如电疗的主导地位),以提供不同的做法(例如有针对性的建议/锻炼)。物理治疗已经接受了这些变化,并在实施其他方面的同时取消了一些护理方面的实施。随着不同的护理模式的出现,我们进入下一个范式,我发现要回答的问题是物理治疗是否愿意,准备好并且能够实施不同的护理模式。以颈部扭伤等肌肉骨骼疾病为例,这一过程使我们考虑了分层护理,但实施起来仍然存在障碍。在这篇社论中,提出了理想的研究设计和需要解决的主要障碍作为前进的方向。循证护理的范例使我们认为随机对照试验(及其综合(系统评价或临床指南))成为我们实践所依据的最高形式的证据。然而,许多试验表明,研究的新干预措施与常规护理的效果模棱两可,并且无法确定干预措施的应答者。一个例子是我们自己的试验,在慢性鞭扭伤患者中,单次“建议”提供的结果与综合物理治疗锻炼计划相似。作为一个临床研究者,我的“研究者”理解这个结果,然而,我的“临床医生”的经验是非常不同的。我们发现,实际上对综合练习有“反应”的人比没有反应的人要多。人们告诉我们很多事情,包括“如果运动能立即减轻疼痛,我更有可能做出反应”,以及“试验测量的恢复情况与患者测量的恢复情况不一致”。这让我们明白,随机对照试验是最纯粹的形式,可能无法回答诸如谁需要更少的照顾,谁需要更多的照顾以及我们应该如何衡量成功等问题。基于预后不良风险的分层护理是检验这种护理模式的一种方法,然而,迄今为止,在肌肉骨骼疾病中进行测试时,结果好坏参半[4,5]。我们曾希望这可能对扭伤患者有益,然而,分层和非分层护理方法的疼痛和残疾结果相似[10]。然而,作为一种职业,我们确实有责任在不需要的时候减少护理(去实施),并在需要的时候认识到谁需要更全面的护理,并提供更早获得这种护理的机会(实施)。我们有能力做到这一点,因为我们已经取消了之前的一些实践,但是下一步应该采取什么方法呢?
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引用次数: 0
Towards improved sexual health among women with provoked vestibulodynia: experiences from a somatocognitive therapy approach 改善诱发性前庭痛妇女的性健康:来自体认知治疗方法的经验
IF 1.4 Q3 Health Professions Pub Date : 2023-01-20 DOI: 10.1080/21679169.2023.2168749
Kristine Grimen Danielsen, Mette Bøymo Kaarbø, K. S. Groven, A. Helgesen, G. K. Haugstad, Slawomir Wojniusz
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引用次数: 0
Translation, validation, and reliability of the Greek version of the Arthritis Self-Efficacy Scale 希腊版关节炎自我效能量表的翻译、验证和可靠性
IF 1.4 Q3 Health Professions Pub Date : 2023-01-17 DOI: 10.1080/21679169.2023.2164939
Αnna Christakou, Μalwina-Εufemia Fijalkowska, Eirini Lazari, G. Georgoudis
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引用次数: 0
Facilitators and barriers of community reintegration among individuals with stroke: a scoping review 中风患者重返社区的促进者和障碍:范围界定综述
IF 1.4 Q3 Health Professions Pub Date : 2023-01-12 DOI: 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.
摘要目的本范围综述试图确定影响中风患者社区重新融合(CR)的因素,并将其归类为促进因素和障碍因素。方法通过PubMed、Scopus、Cochrane、ProQuest、EMBASE、CINHAL和PEDRO对2014年至2021年8月发表的研究进行全面检索。该审查基于系统审查首选报告项目和范围界定审查荟萃分析(PRISMA ScR)指南。使用Rayyan QCRI软件对检索到的文章进行标题和摘要筛选。纳入研究的质量是使用美国国立心肺血液研究所(NIH)的工具确定的。结果在检索到的1466项研究中,包括1383名中风患者在内的14项符合资格标准,并被选中进行审查。根据NIH质量评估工具获得的分数,6项研究的方法学质量良好,其余8项尚可。具有更好的运动功能、良好的平衡、更大的功能独立性和生活质量、来自家庭和社区的最佳支持、更长的卒中后持续时间、更高的教育水平和就业的个体具有更高的CR,因此是CR的促进者,和辅助设备的使用被确定为CR的障碍。结论该综述确定了CR的促进因素或障碍因素。多学科康复解决了可改变的促进因素和障碍,如运动功能、平衡、跌倒恐惧、功能依赖、抑郁、合并症,并且认知受损对于改善中风幸存者的CR是必要的。
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引用次数: 0
Effects of pain neuroscience education on psycho-emotional and cognitive variables in individuals with chronic musculoskeletal pain: a systematic review of randomised clinical trials 疼痛神经科学教育对慢性肌肉骨骼疼痛患者心理、情绪和认知变量的影响:随机临床试验的系统综述
IF 1.4 Q3 Health Professions Pub Date : 2023-01-02 DOI: 10.1080/21679169.2022.2162962
Joaquín Salazar-Méndez, I. Leao Ribeiro, María Garrido-Castillo, José Gacitúa
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引用次数: 2
The traffic light system-BasicADL and person-centred care: a commentary on Asplin et al. 交通信号灯系统——基本adl和以人为本的护理:对Asplin等人的评论。
IF 1.4 Q3 Health Professions Pub Date : 2023-01-02 DOI: 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
我怀着极大的兴趣阅读了阿斯普林及其同事发表在《欧洲物理治疗杂志》上的研究报告。在本文中,作者研究了交通灯系统-基本adl (tls -基本adl)在50例肿瘤/老年住院的混合医学诊断患者中的并发有效性。此外,作者还评估了107例髋部骨折后入院的老年/骨科患者的TLS-BasicADL的反应性。TLS-BasicADL是一种衡量急性老年医院收治的老年人口进行基本日常生活活动的功能独立水平的量表[10]。TLS-BasicADL量表为多学科团队提供了一个可理解的视觉辅助工具,描述了老年人群的独立性,从而改善了多学科团队的沟通bbb。该量表在老年病单位bbb的老年人中表现出较高的评分间信度和公平的评分内信度。在他们的研究中,Asplin和同事[1]报告了TLS-BasicADL与修改后的Barthel指数以及修改后的功能独立性测量在单个项目上表现出很强的相关性。TLS-BasicADL总分与修正Barthel指数总分、修正功能独立性量表总分呈显著正相关。该研究的作者还报告说,大多数项目对髋关节手术后患者功能的变化有反应。沟通对医院的正常运作至关重要。毫无疑问,物理治疗师花费大量时间与患者交流,这可能是因为物理治疗师是患者康复中不可或缺的一部分,以改善/恢复他们的功能。因此,研究人员开发新的方法来提高治疗师和其他医疗保健专业人员之间的沟通水平是至关重要的。这在很大程度上是由于TLSBasicADL不仅提供了一个简单的系统来描述患者的功能,而且还可以在不需要太多文字的情况下详细解释患者完成特定任务所需的程度。关于老年患者对物理治疗服务的满意度,最近的一项横断面分析报告称,超过一半的老年患者对物理治疗不满意。前面提到的研究的作者建议物理治疗师强调病人教育。由于TLS-BasicADL非常容易理解,在老年病房和养老院工作的物理治疗师可以利用TLS-BasicADL的简单性来教育他们的病人关于他们日常生活活动的功能水平。TLS-BasicADL也可以用来帮助患者设定自己的物理治疗目标。通过这样做,老年患者将成为治疗关系的中心,治疗师提供的护理将以患者为中心。从物理治疗师的角度来看,我认为建议医院和养老院的老年病房开始整合使用TLS-BasicADL。这是由于[1]量表具有优异的并发效度和反应性,更不用说[2]量表在老年人中应用时具有较高的量表间信度和相当的量表内信度。此外,使用TLS-BasicADL可以促进患者教育和促进以人为本的老年康复护理。
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引用次数: 0
Inclined treadmill training (ITT) for people with chronic stroke - a systematic review and meta-analysis 慢性脑卒中患者的倾斜跑步机训练(ITT)——一项系统综述和荟萃分析
IF 1.4 Q3 Health Professions Pub Date : 2022-12-30 DOI: 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
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引用次数: 0
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European Journal of Physiotherapy
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