Pub Date : 2021-12-22DOI: 10.1080/21679169.2021.2000150
E. Dean, M. Olsén
Abstract Post covid-19 syndrome includes symptoms common to post-polio syndrome, i.e. weakness; fatigue and pain like myalgic encephalomyelitis/chronic fatigue syndrome; breathlessness; and cognitive disturbances. We conducted a narrative review to establish the basis for an evidence-informed health and lifestyle framework, that underlies the management of post-polio syndrome, as a prototype for managing post covid-19 syndrome. Multi-morbidity, the non-communicable diseases (NCDs) and their risk factors, is strongly associated with SARS-CoV-2 susceptibility and poor outcomes including death. Poliomyelitis survivors may exhibit debilitating sequelae decades after infection, thus their presentations are often confounded by limitations associated with NCDs and their risk factors. An evidence-informed health and lifestyle framework is described. Its three levels of analysis and intervention include: (1) health status; (2) lifestyle practices (smoking; nutrition; weight; sedentariness, activity/exercise; sleep; stress); and (3) the three levels of the WHO’s International Classification of Functioning, Disability and Health (body structures and function consistent with the conventional biomedical approach; activity; and participation). Maximising health practices of covid-19 survivors, like poliomyelitis survivors, augments function, and strengthens immunity and patients’ capacities to heal, repair, and recover; as well as reduce manifestations of NCDs and their risk factors. Avenues for future research are proposed to complement findings from clinical trials.
{"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":"E. Dean, M. Olsén","doi":"10.1080/21679169.2021.2000150","DOIUrl":"https://doi.org/10.1080/21679169.2021.2000150","url":null,"abstract":"Abstract Post covid-19 syndrome includes symptoms common to post-polio syndrome, i.e. weakness; fatigue and pain like myalgic encephalomyelitis/chronic fatigue syndrome; breathlessness; and cognitive disturbances. We conducted a narrative review to establish the basis for an evidence-informed health and lifestyle framework, that underlies the management of post-polio syndrome, as a prototype for managing post covid-19 syndrome. Multi-morbidity, the non-communicable diseases (NCDs) and their risk factors, is strongly associated with SARS-CoV-2 susceptibility and poor outcomes including death. Poliomyelitis survivors may exhibit debilitating sequelae decades after infection, thus their presentations are often confounded by limitations associated with NCDs and their risk factors. An evidence-informed health and lifestyle framework is described. Its three levels of analysis and intervention include: (1) health status; (2) lifestyle practices (smoking; nutrition; weight; sedentariness, activity/exercise; sleep; stress); and (3) the three levels of the WHO’s International Classification of Functioning, Disability and Health (body structures and function consistent with the conventional biomedical approach; activity; and participation). Maximising health practices of covid-19 survivors, like poliomyelitis survivors, augments function, and strengthens immunity and patients’ capacities to heal, repair, and recover; as well as reduce manifestations of NCDs and their risk factors. Avenues for future research are proposed to complement findings from clinical trials.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"24 1","pages":"56 - 60"},"PeriodicalIF":1.4,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45930307","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 : 2021-12-10DOI: 10.1080/21679169.2021.2005138
E. McCabe, M. Roduta Roberts, M. Miciak, H. Sun, D. Gross
Abstract Purpose The therapeutic relationship between a patient and physiotherapist has been associated with improved physiotherapy outcomes. However, there is no agreed upon measure of therapeutic relationship in physiotherapy. This paper describes a validation study of a new patient-reported measure, the Physiotherapy Therapeutic Relationship Measure (P-TREM). Methods In this multi-site validation study, participants with musculoskeletal conditions (n = 163) completed a survey containing the P-TREM, demographic questions, a Trust in Healthcare Providers scale, and a therapeutic relationship global rating for construct validation. We investigated item quality, internal structure using exploratory factor analysis (EFA), unidimensionality, internal consistency, and construct validity. We eliminated poor performing items to optimise the length of the P-TREM. Results The final version of the P-TREM has 30 items. EFA suggests two domains: ‘Physiotherapist role’ and ‘Patient role’, correlation between factors was 0.71. Internal consistency was excellent. We found a low-moderate correlation between P-TREM scores and Trust in Healthcare Providers and a strong correlation between P-TREM scores and the therapeutic relationship global rating, confirming our hypotheses for convergent and concurrent validity. Conclusions The P-TREM can be considered for use in clinical research to understand therapeutic relationship in the care of people with longstanding musculoskeletal conditions in outpatient, in-person settings.
{"title":"An investigation of the measurement properties of the physiotherapy therapeutic relationship measure in patients with musculoskeletal conditions","authors":"E. McCabe, M. Roduta Roberts, M. Miciak, H. Sun, D. Gross","doi":"10.1080/21679169.2021.2005138","DOIUrl":"https://doi.org/10.1080/21679169.2021.2005138","url":null,"abstract":"Abstract Purpose The therapeutic relationship between a patient and physiotherapist has been associated with improved physiotherapy outcomes. However, there is no agreed upon measure of therapeutic relationship in physiotherapy. This paper describes a validation study of a new patient-reported measure, the Physiotherapy Therapeutic Relationship Measure (P-TREM). Methods In this multi-site validation study, participants with musculoskeletal conditions (n = 163) completed a survey containing the P-TREM, demographic questions, a Trust in Healthcare Providers scale, and a therapeutic relationship global rating for construct validation. We investigated item quality, internal structure using exploratory factor analysis (EFA), unidimensionality, internal consistency, and construct validity. We eliminated poor performing items to optimise the length of the P-TREM. Results The final version of the P-TREM has 30 items. EFA suggests two domains: ‘Physiotherapist role’ and ‘Patient role’, correlation between factors was 0.71. Internal consistency was excellent. We found a low-moderate correlation between P-TREM scores and Trust in Healthcare Providers and a strong correlation between P-TREM scores and the therapeutic relationship global rating, confirming our hypotheses for convergent and concurrent validity. Conclusions The P-TREM can be considered for use in clinical research to understand therapeutic relationship in the care of people with longstanding musculoskeletal conditions in outpatient, in-person settings.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"114 - 126"},"PeriodicalIF":1.4,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45979656","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 : 2021-12-02DOI: 10.1080/21679169.2021.2011401
Seyed Mehdi Mohsenipour, Ali Zaman Vaziri, F. Jafarzadeh
{"title":"A glance at Iran National Action Guideline of physiotherapy services in COVID-19 pandemic: strengths and weaknesses","authors":"Seyed Mehdi Mohsenipour, Ali Zaman Vaziri, F. Jafarzadeh","doi":"10.1080/21679169.2021.2011401","DOIUrl":"https://doi.org/10.1080/21679169.2021.2011401","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"24 1","pages":"61 - 62"},"PeriodicalIF":1.4,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45523761","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 : 2021-11-17DOI: 10.1080/21679169.2021.2001567
A. Melsom Myhre, L. Strand
Abstract Objectives The PainDETECT Questionnaire (PD-Q) is a self-reported questionnaire aiming to assist in detecting neuropathic pain in individual patients. However, measurement properties of the Norwegian translated version should be examined, and the aim of the present study was to examine its test-retest reliability. Methods A total of 107 patients were initially recruited to the study from physiotherapy clinics. After screening for inclusion- and exclusion criteria, 67 participants remained for examining reliability of separate items. They were to fill out the PD-Q twice at an interval of 14 days. Intraclass correlation coefficient (ICC) and standard error of measurement (SEM) of total scores, and Kappa statistics and percentage of agreement of separate items and screening data were used in the analysis. Results Fifty-two participants filled out all items correctly, a prerequisite for determining the reliability of the total score and screening category. The ICC for the total score was 0.84 (95% confidence interval 0.73–0.91), SEM 2.5. The Kappa value for the screening category was 0.50 (95% confidence interval 0.31–0.69), and percentage of agreement 69%. Single items were found with reasonable to substantial reliability. Conclusion The Norwegian version of the PD-Q showed good test-retest reliability for the total score, but only moderate reliability of the screening category classifying the likelihood of neuropathic pain. The high number of missing answers indicates that some guidance from a health care professional is needed when filling out the questionnaire.
{"title":"Reliability of the Norwegian version of PainDETECT: a test-retest study","authors":"A. Melsom Myhre, L. Strand","doi":"10.1080/21679169.2021.2001567","DOIUrl":"https://doi.org/10.1080/21679169.2021.2001567","url":null,"abstract":"Abstract Objectives The PainDETECT Questionnaire (PD-Q) is a self-reported questionnaire aiming to assist in detecting neuropathic pain in individual patients. However, measurement properties of the Norwegian translated version should be examined, and the aim of the present study was to examine its test-retest reliability. Methods A total of 107 patients were initially recruited to the study from physiotherapy clinics. After screening for inclusion- and exclusion criteria, 67 participants remained for examining reliability of separate items. They were to fill out the PD-Q twice at an interval of 14 days. Intraclass correlation coefficient (ICC) and standard error of measurement (SEM) of total scores, and Kappa statistics and percentage of agreement of separate items and screening data were used in the analysis. Results Fifty-two participants filled out all items correctly, a prerequisite for determining the reliability of the total score and screening category. The ICC for the total score was 0.84 (95% confidence interval 0.73–0.91), SEM 2.5. The Kappa value for the screening category was 0.50 (95% confidence interval 0.31–0.69), and percentage of agreement 69%. Single items were found with reasonable to substantial reliability. Conclusion The Norwegian version of the PD-Q showed good test-retest reliability for the total score, but only moderate reliability of the screening category classifying the likelihood of neuropathic pain. The high number of missing answers indicates that some guidance from a health care professional is needed when filling out the questionnaire.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"106 - 113"},"PeriodicalIF":1.4,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41890918","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 : 2021-10-27DOI: 10.1080/21679169.2021.1995896
H. Razmjou, A. Savona, Analia Szafirowicz, Lauren Deel, Robin Richards
Abstract Objectives The objective of this study was to examine the association between a cumulative number of psychosocial factors and pain, physical disability, mental well-being, clinical examination, and work status following a compensable knee injury. Methods This study involved a secondary analysis of electronic data of consecutive injured workers. Pain and functional difficulty were measured by the Numeric Pain Rating Scale (NPRS) and the lower extremity functional scale (LEFS), respectively. Anxiety and depression were measured by the Hospital Anxiety and Depression Scale (HADS). Results Data of 150 patients, 47 (31%) females and 103 (69%) males, mean age = 47 (13) were analysed. The cumulative number of psychosocial factors had a statistically significant relationship with LEFS (p = 0.0003), anxiety (p = 0.0001), depression (p < 0.0001), knee flexion (p = 0.02), knee extension (p = 0.005), and work status (p = 0.042). Conclusions The presence of three or more psychosocial risk factors following a knee injury is an indication of higher levels of mental and physical disability and poorer work status. The positive association between psychosocial flag signs and clinical examination merits a bio-psychosocial approach in workers with knee injuries.
{"title":"Psychosocial risk factors and physical and mental well-being following a compensable knee injury","authors":"H. Razmjou, A. Savona, Analia Szafirowicz, Lauren Deel, Robin Richards","doi":"10.1080/21679169.2021.1995896","DOIUrl":"https://doi.org/10.1080/21679169.2021.1995896","url":null,"abstract":"Abstract Objectives The objective of this study was to examine the association between a cumulative number of psychosocial factors and pain, physical disability, mental well-being, clinical examination, and work status following a compensable knee injury. Methods This study involved a secondary analysis of electronic data of consecutive injured workers. Pain and functional difficulty were measured by the Numeric Pain Rating Scale (NPRS) and the lower extremity functional scale (LEFS), respectively. Anxiety and depression were measured by the Hospital Anxiety and Depression Scale (HADS). Results Data of 150 patients, 47 (31%) females and 103 (69%) males, mean age = 47 (13) were analysed. The cumulative number of psychosocial factors had a statistically significant relationship with LEFS (p = 0.0003), anxiety (p = 0.0001), depression (p < 0.0001), knee flexion (p = 0.02), knee extension (p = 0.005), and work status (p = 0.042). Conclusions The presence of three or more psychosocial risk factors following a knee injury is an indication of higher levels of mental and physical disability and poorer work status. The positive association between psychosocial flag signs and clinical examination merits a bio-psychosocial approach in workers with knee injuries.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"100 - 105"},"PeriodicalIF":1.4,"publicationDate":"2021-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42411103","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 : 2021-10-13DOI: 10.1080/21679169.2021.1991111
C. Winberg
{"title":"Joy and challenges in being a leader – Guest editorial","authors":"C. Winberg","doi":"10.1080/21679169.2021.1991111","DOIUrl":"https://doi.org/10.1080/21679169.2021.1991111","url":null,"abstract":"","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"23 1","pages":"331 - 331"},"PeriodicalIF":1.4,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47963014","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 : 2021-10-13DOI: 10.1080/21679169.2021.1987517
Annette Vistven, K. S. Groven
Abstract Background There has been little research on the experiences of individuals in the early stages of Parkinson’s disease (PD) when they participate in intensive interdisciplinary rehabilitation programs emphasising self-management. In addition, little is known about such individuals’ transition back to everyday life following rehabilitation. This paper seeks to provide insights into such experiences. Methods A qualitative approach was utilised in the study on which this paper is based. Semi-structured interviews were conducted with seven individuals approximately three months after they had completed a 3-week interdisciplinary rehabilitation program. Following transcription, the interviews were analysed on the basis of Brown & Clarke’s six stage framework for thematic analysis. Results Analysis of the data yielded three core themes: being oneself during rehabilitation; believing in oneself again; and managing one’s everyday life following rehabilitation. Conclusions Our results demonstrate how an intensive interdisciplinary rehabilitation program can contribute to improved physical function and self-esteem for individuals in an early phase of PD. The results also reveal ambivalence regarding relational aspects of the rehabilitation program and point to the need for more emphasis on including emotional, mental and family aspects into the program.
{"title":"Experiences of an intensive interdisciplinary rehabilitation for people with early-stage Parkinson's disease","authors":"Annette Vistven, K. S. Groven","doi":"10.1080/21679169.2021.1987517","DOIUrl":"https://doi.org/10.1080/21679169.2021.1987517","url":null,"abstract":"Abstract Background There has been little research on the experiences of individuals in the early stages of Parkinson’s disease (PD) when they participate in intensive interdisciplinary rehabilitation programs emphasising self-management. In addition, little is known about such individuals’ transition back to everyday life following rehabilitation. This paper seeks to provide insights into such experiences. Methods A qualitative approach was utilised in the study on which this paper is based. Semi-structured interviews were conducted with seven individuals approximately three months after they had completed a 3-week interdisciplinary rehabilitation program. Following transcription, the interviews were analysed on the basis of Brown & Clarke’s six stage framework for thematic analysis. Results Analysis of the data yielded three core themes: being oneself during rehabilitation; believing in oneself again; and managing one’s everyday life following rehabilitation. Conclusions Our results demonstrate how an intensive interdisciplinary rehabilitation program can contribute to improved physical function and self-esteem for individuals in an early phase of PD. The results also reveal ambivalence regarding relational aspects of the rehabilitation program and point to the need for more emphasis on including emotional, mental and family aspects into the program.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"92 - 99"},"PeriodicalIF":1.4,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44275271","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 : 2021-09-30DOI: 10.1080/21679169.2021.1976272
Srishti Banerjee, Filip Maric
Abstract Non-steroidal anti-inflammatory drugs (NSAIDs) continue to be amongst the most frequently used pharmaceutical treatments for mild to moderate musculoskeletal pain globally. In this short communication, we continue to expand the growing field of environmental physiotherapy by tracing NSAIDs journey through aquatic ecosystems, and the potential of physiotherapy to mitigate these negative environmental impacts and so contribute to achieving a range of UN Agenda 2030 Sustainable Development Goals and the aspirations of One Health. Through metabolic excretion into waterways, NSAIDs negatively impact the health and survival of various aquatic lifeforms, which, in turn, has consequences for human health. By reducing and delaying the need for pharmacotherapy for mild to moderate musculoskeletal pain, physiotherapy presents an important sustainable healthcare solution. Beyond this, however, the ecological persistence of NSAIDs also underscores the need for transformative change in healthcare and physiotherapy, towards the full recognition of the interconnected nature of human, animal, and ecosystems health and the complex questions and responsibilities this raises. For this, we need to increase our understanding of the entangled nature of health and its negotiation with human and non-human others and develop approaches to include them in our thinking, pursuit, and practice of health and care.
{"title":"Mitigating the environmental impact of NSAIDs - physiotherapy as a contribution to One Health and the SDGs","authors":"Srishti Banerjee, Filip Maric","doi":"10.1080/21679169.2021.1976272","DOIUrl":"https://doi.org/10.1080/21679169.2021.1976272","url":null,"abstract":"Abstract Non-steroidal anti-inflammatory drugs (NSAIDs) continue to be amongst the most frequently used pharmaceutical treatments for mild to moderate musculoskeletal pain globally. In this short communication, we continue to expand the growing field of environmental physiotherapy by tracing NSAIDs journey through aquatic ecosystems, and the potential of physiotherapy to mitigate these negative environmental impacts and so contribute to achieving a range of UN Agenda 2030 Sustainable Development Goals and the aspirations of One Health. Through metabolic excretion into waterways, NSAIDs negatively impact the health and survival of various aquatic lifeforms, which, in turn, has consequences for human health. By reducing and delaying the need for pharmacotherapy for mild to moderate musculoskeletal pain, physiotherapy presents an important sustainable healthcare solution. Beyond this, however, the ecological persistence of NSAIDs also underscores the need for transformative change in healthcare and physiotherapy, towards the full recognition of the interconnected nature of human, animal, and ecosystems health and the complex questions and responsibilities this raises. For this, we need to increase our understanding of the entangled nature of health and its negotiation with human and non-human others and develop approaches to include them in our thinking, pursuit, and practice of health and care.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"51 - 55"},"PeriodicalIF":1.4,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47679814","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 : 2021-09-23DOI: 10.1080/21679169.2021.1967446
R. Holopainen, Mikko Lausmaa, Sarah Edlund, J. Carstens-Söderstrand, J. Karppinen, P. O'Sullivan, S. Linton
Abstract Objective The aim of this study was to investigate physiotherapists’ validating and invalidating communication, before and after brief Cognitive Functional Therapy (CFT) training that included a session on validation skills. Associations between validation/invalidation and the characteristics of the interviews and physiotherapists were also explored. Methods Eighteen physiotherapists treating patients with low back pain participated in the study. The study had a within-group design in which validation and invalidation for physiotherapists were rated before and after training using a reliable observational scale. We also collected data on interview length and physiotherapists’ and patients’ speech percentages. Results The physiotherapists’ validating responses increased and invalidating responses decreased from pre- to post-training. The within-group effect size was large for validating responses and medium for invalidating responses. The interview length increased from pre- to post-training (large effect size). However, the reason for this was related to factors other than validation and invalidation. The results indicate that increased validation is associated with an increase in physiotherapists’ speech percentage. Conclusions The results of this study show changes in validating and invalidating communication among physiotherapists from pre- to post-CFT training. The study also found associations between specific interview characteristics and validating communication. Future studies with larger samples and control groups are needed.
{"title":"Physiotherapists’ validating and invalidating communication before and after participating in brief cognitive functional therapy training. Test of concept study","authors":"R. Holopainen, Mikko Lausmaa, Sarah Edlund, J. Carstens-Söderstrand, J. Karppinen, P. O'Sullivan, S. Linton","doi":"10.1080/21679169.2021.1967446","DOIUrl":"https://doi.org/10.1080/21679169.2021.1967446","url":null,"abstract":"Abstract Objective The aim of this study was to investigate physiotherapists’ validating and invalidating communication, before and after brief Cognitive Functional Therapy (CFT) training that included a session on validation skills. Associations between validation/invalidation and the characteristics of the interviews and physiotherapists were also explored. Methods Eighteen physiotherapists treating patients with low back pain participated in the study. The study had a within-group design in which validation and invalidation for physiotherapists were rated before and after training using a reliable observational scale. We also collected data on interview length and physiotherapists’ and patients’ speech percentages. Results The physiotherapists’ validating responses increased and invalidating responses decreased from pre- to post-training. The within-group effect size was large for validating responses and medium for invalidating responses. The interview length increased from pre- to post-training (large effect size). However, the reason for this was related to factors other than validation and invalidation. The results indicate that increased validation is associated with an increase in physiotherapists’ speech percentage. Conclusions The results of this study show changes in validating and invalidating communication among physiotherapists from pre- to post-CFT training. The study also found associations between specific interview characteristics and validating communication. Future studies with larger samples and control groups are needed.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"73 - 79"},"PeriodicalIF":1.4,"publicationDate":"2021-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45354229","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 : 2021-09-22DOI: 10.1080/21679169.2021.1969427
Frédéric Xavier, Emmanuelle Chouin, M. Montava, B. Tighilet, J. Lavieille, C. Chabbert
Abstract Purpose This study was carried out within the framework of a research on the non-medicinal managment of the dizzy patient. In order to carry out an inventory of vestibular rehabilitation practices in France, we conducted this research among practitioners recognized in this exercise. Materials and Methods We conducted a survey using a thoretical questionnaire submitted to the whole community of french vestibular physiotherapists. We benefited from a statistically signifiant recruitment of this population and we were able to perform a statistical treatment of the data in order to answer questions concerning the current practice of vestibular rehabilitation. Results We observed autonomous therapeutic behaviours and the development of the practices of French vestibular physiotherapist which can be considered like a ‘clinician of the vertigo re-education’. Continuing education nevertheless remains heterogeneous, and a national diploma resulting from standardised and adapted teaching does not sanction vestibular rehabilitation. Conclusion This study is a ‘snapshot’ of the vestibular physiotherapist profession in France in 2019. It reveals a population of dynamic practitioners questioning their action in terms of health and their role regarding their prescribers, colleagues and other paramedical professions (osteopaths, orthoptists and psychomotricians).
{"title":"Status of rehabilitation of the dizzy patient in France: focus on vestibular physiotherapy","authors":"Frédéric Xavier, Emmanuelle Chouin, M. Montava, B. Tighilet, J. Lavieille, C. Chabbert","doi":"10.1080/21679169.2021.1969427","DOIUrl":"https://doi.org/10.1080/21679169.2021.1969427","url":null,"abstract":"Abstract Purpose This study was carried out within the framework of a research on the non-medicinal managment of the dizzy patient. In order to carry out an inventory of vestibular rehabilitation practices in France, we conducted this research among practitioners recognized in this exercise. Materials and Methods We conducted a survey using a thoretical questionnaire submitted to the whole community of french vestibular physiotherapists. We benefited from a statistically signifiant recruitment of this population and we were able to perform a statistical treatment of the data in order to answer questions concerning the current practice of vestibular rehabilitation. Results We observed autonomous therapeutic behaviours and the development of the practices of French vestibular physiotherapist which can be considered like a ‘clinician of the vertigo re-education’. Continuing education nevertheless remains heterogeneous, and a national diploma resulting from standardised and adapted teaching does not sanction vestibular rehabilitation. Conclusion This study is a ‘snapshot’ of the vestibular physiotherapist profession in France in 2019. It reveals a population of dynamic practitioners questioning their action in terms of health and their role regarding their prescribers, colleagues and other paramedical professions (osteopaths, orthoptists and psychomotricians).","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":"25 1","pages":"80 - 91"},"PeriodicalIF":1.4,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48111761","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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