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":null,"pages":null},"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":null,"pages":null},"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: 10.1080/21679169.2022.2093968
Paul Chesterton, M. Richardson, Craig Tears
Abstract Purpose To establish UK Physiotherapy lecturers’ perceptions of online learning during the COVID-19 pandemic. Materials and methods A cross-sectional mixed methods electronic survey of UK higher education lecturers, actively teaching pre-registration undergraduate or postgraduate physiotherapy degrees, was conducted between October 2020 and February 2021. Data was converted into proportions with a 95% confidence interval. Likert scale questions were treated as numeric variables with the mean and standard deviation calculated for combined responses. The thematic analysis reported patterns of data extracted from open-ended questions. Results 96 respondents completed the survey, reporting some positive attributes attached to online learning. 81% (n = 78, 95% CI 72–88) agreed that students developed their digital skills and were able to learn conveniently at their own pace (n = 75, 78%, 95% CI 69–85). However, 62.5% (n = 60, 95% CI 23–72) of respondents felt that students were overall disadvantaged with online learning, with 72% (n = 69, 95% CI 62–80) reporting that online learning was not comparable to face-to-face to teaching. The reasons for perceived student disadvantage were categorised into three themes; 1) a lack of ability in sessions to practice handling techniques, 2) the inability to gauge student understanding and check practical skill competence and 3) the lack of student self-directed practice time. UK physiotherapy lecturers did indicate they would continue to incorporate online learning in the future (n = 84, 87.5%, 95% CI 79–93). Such responses were based on two key themes; an improved work-life balance and the perception that online learning was no more challenging than traditional on-campus delivery. Conclusions UK physiotherapy lecturers reported that students were disadvantaged with online learning delivery compared to face-to-face teaching. Lecturers indicated a willingness to continue with aspects of online learning across the curriculum, despite suggesting it had a negative impact on students subject understanding.
目的了解新冠肺炎疫情期间英国物理治疗讲师对在线学习的看法。材料与方法在2020年10月至2021年2月期间，对积极教授预注册本科或研究生物理治疗学位的英国高等教育讲师进行了横断面混合方法电子调查。数据被转换成95%置信区间的比例。李克特量表问题被视为数值变量，计算了组合回答的平均值和标准差。专题分析报告了从开放式问题中提取的数据模式。96名受访者完成了调查，报告了在线学习的一些积极因素。81% (n = 78, 95% CI 72-88)同意学生发展了他们的数字技能，能够按照自己的节奏方便地学习(n = 75, 78%， 95% CI 69-85)。然而，62.5% (n = 60, 95% CI 23-72)的受访者认为学生在在线学习方面总体处于不利地位，72% (n = 69, 95% CI 62-80)的受访者报告称在线学习与面对面教学无法相提并论。感知学生劣势的原因分为三个主题;1)缺乏练习处理技巧的能力，2)无法衡量学生的理解和检查实践技能能力，3)缺乏学生自主练习的时间。英国物理治疗讲师确实表示他们将在未来继续纳入在线学习(n = 84, 87.5%， 95% CI 79-93)。这些答复基于两个关键主题;工作与生活的平衡得到改善，人们认为在线学习并不比传统的校园教学更具挑战性。英国物理治疗讲师报告说，与面对面教学相比，学生在在线学习中处于不利地位。讲师们表示愿意在整个课程中继续在线学习，尽管这对学生的学科理解有负面影响。
{"title":"Physiotherapy lecturers’ perceptions of online curriculum delivery during the COVID-19 pandemic: a cross-sectional survey","authors":"Paul Chesterton, M. Richardson, Craig Tears","doi":"10.1080/21679169.2022.2093968","DOIUrl":"https://doi.org/10.1080/21679169.2022.2093968","url":null,"abstract":"Abstract Purpose To establish UK Physiotherapy lecturers’ perceptions of online learning during the COVID-19 pandemic. Materials and methods A cross-sectional mixed methods electronic survey of UK higher education lecturers, actively teaching pre-registration undergraduate or postgraduate physiotherapy degrees, was conducted between October 2020 and February 2021. Data was converted into proportions with a 95% confidence interval. Likert scale questions were treated as numeric variables with the mean and standard deviation calculated for combined responses. The thematic analysis reported patterns of data extracted from open-ended questions. Results 96 respondents completed the survey, reporting some positive attributes attached to online learning. 81% (n = 78, 95% CI 72–88) agreed that students developed their digital skills and were able to learn conveniently at their own pace (n = 75, 78%, 95% CI 69–85). However, 62.5% (n = 60, 95% CI 23–72) of respondents felt that students were overall disadvantaged with online learning, with 72% (n = 69, 95% CI 62–80) reporting that online learning was not comparable to face-to-face to teaching. The reasons for perceived student disadvantage were categorised into three themes; 1) a lack of ability in sessions to practice handling techniques, 2) the inability to gauge student understanding and check practical skill competence and 3) the lack of student self-directed practice time. UK physiotherapy lecturers did indicate they would continue to incorporate online learning in the future (n = 84, 87.5%, 95% CI 79–93). Such responses were based on two key themes; an improved work-life balance and the perception that online learning was no more challenging than traditional on-campus delivery. Conclusions UK physiotherapy lecturers reported that students were disadvantaged with online learning delivery compared to face-to-face teaching. Lecturers indicated a willingness to continue with aspects of online learning across the curriculum, despite suggesting it had a negative impact on students subject understanding.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43366526","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":null,"pages":null},"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}
Pub Date : 2022-07-04DOI: 10.1080/21679169.2022.2092963
I. Huijnen, A. Köke, C. Lamper, J. Verbunt
Twenty percent of the European population perceive chronic pain. The most frequent reported chronic pain complaint is chronic musculoskeletal pain (CMP) (e.g. low back pain). In line with an ageing population, the number of people with disability from CMP is rapidly increasing. CMP has a considerable impact on quality of life of patients, and due to its associated high socioeconomic costs, it has a high societal impact. It has been shown that low back pain, one of the CMP conditions, accounts for many years lived with disability (disability-adjusted life-years) even more than conditions such as, COPD, diabetes, and major depression [1–3]. For patients with CMP, interdisciplinary biopsychosocial rehabilitation programs (IBRPs) have been developed showing moderate but promising effects [1,2,4]. IBRPs are aimed to modify pain cognitions, stimulate active coping behaviour, self-management, and improve the level of functioning despite pain. Current IBRPs are often quite extensive and are often chosen as a last resort option [3]. Therefore, most patients enter an IBPRP after a long and often frustrating journey (over five years) through health care. The current organisation of care for patients with CMP, is fragmented and organised per ‘body part or system’ in so called ‘silos’. This results in a wide variety of monodisciplinary treatments, which are restricted in resources. Patients with CMP often do not receive the right care, at the right place, at the right time, resulting in overand under-treatment. The increasing number of patients with CMP and the mismatch of current care to their needs seem both important to re-consider the organisation of health care in general and more specific for chronic conditions such as CMP. In the subacute phase, when normal recovery is lagging, a shift in treatment focus from solely pain reduction towards improving functioning despite pain is needed to prevent secondary long-term disability, lower quality of life and unnecessary costs. The World Health Organization (WHO) developed a guideline for redesigning rehabilitation in health systems [5]. It indicates that rehabilitation services should be integrated within primary care, as well as between primary, secondary, and tertiary levels of health systems. Healthcare professionals should be trained not only to deliver a broader biopsychosocial intervention, but also to recognise and manage patients at risk becoming chronic pain patients. This shift in organisation of care is assumed to have a favourable impact on all four domains of the Quadruple Aim [6]: improving population health, reducing costs, enhancing patient experience of care, and improving the work life of healthcare professionals. This could be achieved by organising an integrated, transmural biopsychosocial rehabilitation care network. In this network, healthcare professionals from different backgrounds, working within primary, secondary and tertiary care offer diagnostic and therapeutic services from an int
{"title":"The organisation of biopsychosocial pain rehabilitation treatment; who should deliver?","authors":"I. Huijnen, A. Köke, C. Lamper, J. Verbunt","doi":"10.1080/21679169.2022.2092963","DOIUrl":"https://doi.org/10.1080/21679169.2022.2092963","url":null,"abstract":"Twenty percent of the European population perceive chronic pain. The most frequent reported chronic pain complaint is chronic musculoskeletal pain (CMP) (e.g. low back pain). In line with an ageing population, the number of people with disability from CMP is rapidly increasing. CMP has a considerable impact on quality of life of patients, and due to its associated high socioeconomic costs, it has a high societal impact. It has been shown that low back pain, one of the CMP conditions, accounts for many years lived with disability (disability-adjusted life-years) even more than conditions such as, COPD, diabetes, and major depression [1–3]. For patients with CMP, interdisciplinary biopsychosocial rehabilitation programs (IBRPs) have been developed showing moderate but promising effects [1,2,4]. IBRPs are aimed to modify pain cognitions, stimulate active coping behaviour, self-management, and improve the level of functioning despite pain. Current IBRPs are often quite extensive and are often chosen as a last resort option [3]. Therefore, most patients enter an IBPRP after a long and often frustrating journey (over five years) through health care. The current organisation of care for patients with CMP, is fragmented and organised per ‘body part or system’ in so called ‘silos’. This results in a wide variety of monodisciplinary treatments, which are restricted in resources. Patients with CMP often do not receive the right care, at the right place, at the right time, resulting in overand under-treatment. The increasing number of patients with CMP and the mismatch of current care to their needs seem both important to re-consider the organisation of health care in general and more specific for chronic conditions such as CMP. In the subacute phase, when normal recovery is lagging, a shift in treatment focus from solely pain reduction towards improving functioning despite pain is needed to prevent secondary long-term disability, lower quality of life and unnecessary costs. The World Health Organization (WHO) developed a guideline for redesigning rehabilitation in health systems [5]. It indicates that rehabilitation services should be integrated within primary care, as well as between primary, secondary, and tertiary levels of health systems. Healthcare professionals should be trained not only to deliver a broader biopsychosocial intervention, but also to recognise and manage patients at risk becoming chronic pain patients. This shift in organisation of care is assumed to have a favourable impact on all four domains of the Quadruple Aim [6]: improving population health, reducing costs, enhancing patient experience of care, and improving the work life of healthcare professionals. This could be achieved by organising an integrated, transmural biopsychosocial rehabilitation care network. In this network, healthcare professionals from different backgrounds, working within primary, secondary and tertiary care offer diagnostic and therapeutic services from an int","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44190458","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 : 2022-06-17DOI: 10.1080/21679169.2022.2085789
Shabnam ShahAli, S. Shahabi, Noushin Kohan, Ismail Ebrahimi Takamjani, R. Ebrahimi
Abstract Aim To assess the effectiveness of e-learning methods in comparison with traditional learning on physiotherapy students’ knowledge, skills and satisfaction/attitude. Methods Seven databases including PubMed, Web of Science, Embase, Scopus, ProQuest, Ovid SP and Cochrane were searched until October 2021. Randomised controlled trials (RCTs) that compared e-learning with traditional learning or another form of digital education among physiotherapy students and assessed knowledge, skills and satisfaction/attitude were included. Cochrane effective practice and organisation of care tool was used to assess risk of bias. Results Nineteen RCTs were included. The results suggested that blended learning approach is better than traditional methods for improving skills and satisfaction/attitude in physiotherapy students, with moderate to low level of evidence. There was no difference between blended learning and traditional learning for knowledge acquisition. Pure e-learning revealed an equal result with traditional learning in all measured outcomes. Due to limited number of studies that compared one e-learning method with another form of digital education, the findings were inconclusive. Conclusion e-Learning methods made changes in knowledge, skills, satisfaction/attitude. Based on moderate to low evidence, blended learning method may be more effective than traditional learning in terms of skill acquisition and satisfaction/attitude.
摘要目的评估电子学习方法与传统学习方法在物理治疗学生知识、技能和满意度/态度方面的有效性。方法检索PubMed、Web of Science、Embase、Scopus、ProQuest、Ovid SP和Cochrane等7个数据库，直至2021年10月。随机对照试验（RCT）将物理治疗学生的电子学习与传统学习或其他形式的数字教育进行了比较，并评估了知识、技能和满意度/态度。使用Cochrane有效实践和护理组织工具来评估偏倚风险。结果纳入19项随机对照试验。研究结果表明，在提高物理治疗学生的技能和满意度/态度方面，混合学习方法优于传统方法，证据水平从中到低。混合学习和传统学习在知识获取方面没有区别。纯电子学习在所有衡量结果方面都显示出与传统学习相同的结果。由于将一种电子学习方法与另一种形式的数字教育进行比较的研究数量有限，研究结果没有结论。结论电子学习方法在知识、技能、满意度/态度等方面发生了变化。基于中低证据，混合学习方法在技能获取和满意度/态度方面可能比传统学习更有效。
{"title":"Using e-learning methods for physiotherapy students learning – a systematic review and meta-analysis of the impact on knowledge, skills, satisfaction and attitudes","authors":"Shabnam ShahAli, S. Shahabi, Noushin Kohan, Ismail Ebrahimi Takamjani, R. Ebrahimi","doi":"10.1080/21679169.2022.2085789","DOIUrl":"https://doi.org/10.1080/21679169.2022.2085789","url":null,"abstract":"Abstract Aim To assess the effectiveness of e-learning methods in comparison with traditional learning on physiotherapy students’ knowledge, skills and satisfaction/attitude. Methods Seven databases including PubMed, Web of Science, Embase, Scopus, ProQuest, Ovid SP and Cochrane were searched until October 2021. Randomised controlled trials (RCTs) that compared e-learning with traditional learning or another form of digital education among physiotherapy students and assessed knowledge, skills and satisfaction/attitude were included. Cochrane effective practice and organisation of care tool was used to assess risk of bias. Results Nineteen RCTs were included. The results suggested that blended learning approach is better than traditional methods for improving skills and satisfaction/attitude in physiotherapy students, with moderate to low level of evidence. There was no difference between blended learning and traditional learning for knowledge acquisition. Pure e-learning revealed an equal result with traditional learning in all measured outcomes. Due to limited number of studies that compared one e-learning method with another form of digital education, the findings were inconclusive. Conclusion e-Learning methods made changes in knowledge, skills, satisfaction/attitude. Based on moderate to low evidence, blended learning method may be more effective than traditional learning in terms of skill acquisition and satisfaction/attitude.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44595161","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 : 2022-06-16DOI: 10.1080/21679169.2022.2086293
Philippa Svensson, Matthias Hellberg, Yunan Zhou, A. Wisén, N. Clyne
Abstract Aim To examine adherence, performance, and safety of self-administered aerobic endurance exercise when exercise intensity was prescribed and self-monitored with the Borg RPE scale in patients with chronic kidney disease (CKD), and the relationship between performed exercise and change in walking distance. Materials and Methods 97 men and 50 women (age 66 ± 14 years, measured GFR 22 ± 8 mL/min/1.73m2) were prescribed 60 min aerobic endurance exercise/week at RPE 13–15. The 6-minute walk test was measured at 0, 4, 8 and 12 months of exercise. Results 100 patients completed the study, 80% reported exercise intensity at 12 months, 74% performed exercise within the prescribed RPE. Median RPE was 13 (13–15). Median duration was 56 (33–109) minutes/week. Patients with a short walking distance at baseline performed significantly less minutes of exercise/week (p = 0.039). There was no correlation between weekly duration and change in walking distance. No exercise-related incidents were recorded. Walking distance improved significantly by 30 ± 56 metres (p < 0.001). Conclusions The Borg RPE scale is useful, acceptable, simple and safe for prescribing and monitoring intensity of self-administered aerobic endurance exercise in patients with CKD. A RPE of 13–15 improved walking distance in well-functioning and deconditioned patients, within a wide range of weekly duration of exercise.
{"title":"The Borg scale is a sustainable method for prescribing and monitoring self-administered aerobic endurance exercise in patients with chronic kidney disease","authors":"Philippa Svensson, Matthias Hellberg, Yunan Zhou, A. Wisén, N. Clyne","doi":"10.1080/21679169.2022.2086293","DOIUrl":"https://doi.org/10.1080/21679169.2022.2086293","url":null,"abstract":"Abstract Aim To examine adherence, performance, and safety of self-administered aerobic endurance exercise when exercise intensity was prescribed and self-monitored with the Borg RPE scale in patients with chronic kidney disease (CKD), and the relationship between performed exercise and change in walking distance. Materials and Methods 97 men and 50 women (age 66 ± 14 years, measured GFR 22 ± 8 mL/min/1.73m2) were prescribed 60 min aerobic endurance exercise/week at RPE 13–15. The 6-minute walk test was measured at 0, 4, 8 and 12 months of exercise. Results 100 patients completed the study, 80% reported exercise intensity at 12 months, 74% performed exercise within the prescribed RPE. Median RPE was 13 (13–15). Median duration was 56 (33–109) minutes/week. Patients with a short walking distance at baseline performed significantly less minutes of exercise/week (p = 0.039). There was no correlation between weekly duration and change in walking distance. No exercise-related incidents were recorded. Walking distance improved significantly by 30 ± 56 metres (p < 0.001). Conclusions The Borg RPE scale is useful, acceptable, simple and safe for prescribing and monitoring intensity of self-administered aerobic endurance exercise in patients with CKD. A RPE of 13–15 improved walking distance in well-functioning and deconditioned patients, within a wide range of weekly duration of exercise.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46587604","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 : 2022-06-12DOI: 10.1080/21679169.2022.2070663
Gianfranco Sganzerla, R. Carregaro, P. Martinez, S. A. Oliveira-Júnior
Abstract Objectives This study aims to verify the effectiveness of different weekly frequencies of Nordic hamstring exercise (NHE) on performance and factors associated with injuries in athletes. Methods Randomised clinical trial in adult male athletes practicing intermittent sports (e.g. soccer and/or rugby). Participants will be allocated into two groups, according to the weekly frequency of NHE practice: G1, submitted to one weekly NHE session; and G2, submitted to two weekly NHE sessions. The intensity and volume will be increased progressively (repetitions and series). Intervention period ranges 10 weeks during which the participants continue with sports training in their respective modalities. One week before (baseline) and one week after the intervention (endline), the athletes will perform the single-leg bridge test, sit and reach test, 10 m sprint test, vertical countermovement jump, and 180° change-of-direction test. Muscle soreness in the hamstrings and training load will be verified on each intervention day. Discussion The findings of this study may indicate the use of reduced training volumes, especially regarding the weekly frequency of NHE application in athletes, likely increasing their adherence. Trial registration Brazilian Registry of Clinical Trials (ReBEC): RBR-8mdbmcp (03/17/2021)
{"title":"Effectiveness of different weekly frequencies of nordic hamstring exercise on performance and injury-associated factors in intermittent sports athletes: protocol of a randomised clinical trial","authors":"Gianfranco Sganzerla, R. Carregaro, P. Martinez, S. A. Oliveira-Júnior","doi":"10.1080/21679169.2022.2070663","DOIUrl":"https://doi.org/10.1080/21679169.2022.2070663","url":null,"abstract":"Abstract Objectives This study aims to verify the effectiveness of different weekly frequencies of Nordic hamstring exercise (NHE) on performance and factors associated with injuries in athletes. Methods Randomised clinical trial in adult male athletes practicing intermittent sports (e.g. soccer and/or rugby). Participants will be allocated into two groups, according to the weekly frequency of NHE practice: G1, submitted to one weekly NHE session; and G2, submitted to two weekly NHE sessions. The intensity and volume will be increased progressively (repetitions and series). Intervention period ranges 10 weeks during which the participants continue with sports training in their respective modalities. One week before (baseline) and one week after the intervention (endline), the athletes will perform the single-leg bridge test, sit and reach test, 10 m sprint test, vertical countermovement jump, and 180° change-of-direction test. Muscle soreness in the hamstrings and training load will be verified on each intervention day. Discussion The findings of this study may indicate the use of reduced training volumes, especially regarding the weekly frequency of NHE application in athletes, likely increasing their adherence. Trial registration Brazilian Registry of Clinical Trials (ReBEC): RBR-8mdbmcp (03/17/2021)","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47234751","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 : 2022-06-12DOI: 10.1080/21679169.2022.2053201
Don Postel, M. Willekens, Saskia Werner, N. Hutting, Martin D M Keesenberg
Abstract Purpose To investigate if a reduction in the frequency of long term physiotherapy leads to an increase of exacerbations, prescriptions of medication and hospital admissions in patients with chronic obstructive pulmonary disease (COPD). Intervention 296 adults with severe COPD (GOLD III & IV) followed a weekly physiotherapy program with a focus on endurance capacity, muscle function and education. In this study, participants were divided into two groups: a High-Frequency Group (HFG) and a Low Frequency Group (LFG). Results The HFG had consistent lower rates of exacerbations (LFG x̄ 4.14; HFG x̄ 2.71), prescriptions antibiotics LFG x̄ 28.63; HFG x̄ 12.64), number of hospital admissions (LFG x̄ 1.22; HFG x̄ 0.36) and days in hospital (LFG x̄ 8.85; HFG x̄ 1.36) compared to LFG. Differences between both groups (Independent samples T-test, p < 0.05) were significant for exacerbations (p = 0.001), antibiotic prescriptions (p = 0.009), hospital admissions (p = 0.000) and days in hospital (p = 0.000). Conclusion Reducing the frequency of long-term physiotherapy leads to significantly higher rates of exacerbations, medication use, hospital admissions and days in hospital in patients with severe COPD.
摘要目的探讨长期物理治疗频率的降低是否会导致慢性阻塞性肺病（COPD）患者病情恶化、药物处方和住院人数的增加。干预296名患有严重COPD的成年人（GOLD III和IV）遵循每周理疗计划，重点关注耐力、肌肉功能和教育。在这项研究中，参与者被分为两组：高频组（HFG）和低频组（LFG）。结果HFG的急性加重率持续较低（LFG x̄4.14；HFG x 771 2.71），处方抗生素LFG x x 772 28.63；HFG x̄12.64）、住院人数（LFG x 7781.22；HFG x x 7720.36）和住院天数（LFG×8.85；HFG×1.36）。两组之间的差异（独立样本T检验，p < 0.05）对急性加重有显著意义（p = 0.001），抗生素处方（p = 0.009），住院人数（p = 0.000）和住院天数（p = 0.000）。结论减少长期物理治疗的频率可显著提高严重COPD患者的病情恶化率、药物使用率、住院率和住院天数。
{"title":"The effects of reducing the frequency of long-term physiotherapy on patients with severe COPD: a Dutch multicenter study","authors":"Don Postel, M. Willekens, Saskia Werner, N. Hutting, Martin D M Keesenberg","doi":"10.1080/21679169.2022.2053201","DOIUrl":"https://doi.org/10.1080/21679169.2022.2053201","url":null,"abstract":"Abstract Purpose To investigate if a reduction in the frequency of long term physiotherapy leads to an increase of exacerbations, prescriptions of medication and hospital admissions in patients with chronic obstructive pulmonary disease (COPD). Intervention 296 adults with severe COPD (GOLD III & IV) followed a weekly physiotherapy program with a focus on endurance capacity, muscle function and education. In this study, participants were divided into two groups: a High-Frequency Group (HFG) and a Low Frequency Group (LFG). Results The HFG had consistent lower rates of exacerbations (LFG x̄ 4.14; HFG x̄ 2.71), prescriptions antibiotics LFG x̄ 28.63; HFG x̄ 12.64), number of hospital admissions (LFG x̄ 1.22; HFG x̄ 0.36) and days in hospital (LFG x̄ 8.85; HFG x̄ 1.36) compared to LFG. Differences between both groups (Independent samples T-test, p < 0.05) were significant for exacerbations (p = 0.001), antibiotic prescriptions (p = 0.009), hospital admissions (p = 0.000) and days in hospital (p = 0.000). Conclusion Reducing the frequency of long-term physiotherapy leads to significantly higher rates of exacerbations, medication use, hospital admissions and days in hospital in patients with severe COPD.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42256933","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 : 2022-06-01DOI: 10.1080/21679169.2022.2063943
Katarina Mortazavi, I. Carlsson, L. Dahlin, Elisabeth Ekstrand
Abstract Purpose To describe hand function, and investigate adherence to a rehabilitation protocol and factors associated with upper extremity disability in non-surgically treated proximal phalangeal fractures. Material and methods In a prospective cohort study, 86 patients (58 women, mean age of 49 years) were assessed at cast removal and 6 weeks follow-up. Adherence was registered in a diary. Factors potentially associated with disability were assessed in a logistic regression model. Results At 6 weeks, the mean total active range of motion in the injured finger was 84% of the uninjured finger and median pain intensity levels were low (VAS <20). Mean grip strength was 66% of the uninjured hand and 28% perceived high upper extremity disability (QuickDASH score ≥30). Most patients adhered to exercise and night splint regime. The strongest associated factors with high upper extremity disability were more days in cast (Odds ratio 1.429, 95% CI 1.110–1.840) and fear of movement (Odds ratio 1.119, 95% CI 0.990–1.256) in the final regression model (Nagelkerke R Square 0.46). Conclusion Most patients regain early satisfactory hand function, but a quarter still perceives high upper extremity disability. Longer immobilisation time in particular and fear of movement are important factors that may negatively affect the early outcome.
摘要目的描述非手术治疗近节指骨骨折的手功能，并研究康复方案的依从性以及与上肢残疾相关的因素。材料和方法在一项前瞻性队列研究中，86名患者（58名女性，平均年龄49岁） 年）进行了评估 周随访。坚持记录在日记中。在逻辑回归模型中评估了可能与残疾相关的因素。6时的结果 周，受伤手指的平均总活动范围为未受伤手指的84%，中位疼痛强度水平较低（VAS<20）。平均握力为66%的未受伤手和28%的高上肢残疾（QuickDASH评分≥30）。大多数患者坚持运动和夜间夹板方案。在最终回归模型（Nagelkerke R Square 0.46）中，与高上肢功能障碍最相关的因素是铸造天数（比值比1.429，95%CI 1.110-1.840）和对运动的恐惧（比值比1.119，95%CI 0.990-1.256）。尤其是更长的固定时间和对运动的恐惧是可能对早期结果产生负面影响的重要因素。
{"title":"Hand function 6 weeks following non-surgically treated proximal phalangeal fractures and factors associated to upper extremity disability","authors":"Katarina Mortazavi, I. Carlsson, L. Dahlin, Elisabeth Ekstrand","doi":"10.1080/21679169.2022.2063943","DOIUrl":"https://doi.org/10.1080/21679169.2022.2063943","url":null,"abstract":"Abstract Purpose To describe hand function, and investigate adherence to a rehabilitation protocol and factors associated with upper extremity disability in non-surgically treated proximal phalangeal fractures. Material and methods In a prospective cohort study, 86 patients (58 women, mean age of 49 years) were assessed at cast removal and 6 weeks follow-up. Adherence was registered in a diary. Factors potentially associated with disability were assessed in a logistic regression model. Results At 6 weeks, the mean total active range of motion in the injured finger was 84% of the uninjured finger and median pain intensity levels were low (VAS <20). Mean grip strength was 66% of the uninjured hand and 28% perceived high upper extremity disability (QuickDASH score ≥30). Most patients adhered to exercise and night splint regime. The strongest associated factors with high upper extremity disability were more days in cast (Odds ratio 1.429, 95% CI 1.110–1.840) and fear of movement (Odds ratio 1.119, 95% CI 0.990–1.256) in the final regression model (Nagelkerke R Square 0.46). Conclusion Most patients regain early satisfactory hand function, but a quarter still perceives high upper extremity disability. Longer immobilisation time in particular and fear of movement are important factors that may negatively affect the early outcome.","PeriodicalId":45694,"journal":{"name":"European Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44828383","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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