Pub Date : 2021-06-16DOI: 10.1080/10833196.2021.1933339
Anthony F. Carusotto, R. Hakim, R. G. Oliveira, Alyssa Piranio, Conor P. Coughlan, Thomas J. MacDonald
Abstract Background Spasticity is a motor disorder often associated with decreased ROM, ADL performance, and QOL. DN has shown potential to improve spasticity by stimulating spastic muscle tissue with a stainless steel monofilament needle. Objective To determine the effects of dry needling (DN) on muscle spasticity in adults with neurological disorders. Methods Literature search of Cochrane, CINAHL, Google Scholar, and ProQuest was conducted. Search limits: English, journals, human subjects, 2009–2019. Selection criteria: Adults 18+ with neurological disorders and interventions included dry needling as treatment for spasticity. Two reviewers, for methodological quality based on Oxford Levels of Evidence, independently assessed each study. Results Ten articles met the selection criteria, all showing reductions in spasticity. Secondary outcomes were reported with improvements at the impairment level including muscle length, range of motion, pain, and motor performance (Fugl-Meyer motor subscale); and at the functional level including hand dexterity (box and block test), balance (computerized dynamic posturography) and mobility (TUG). Conclusions There is low to moderate evidence in support of using DN to decrease spasticity in adults with neurological disorders, specifically in those with a history of stroke. Limitations included lack of follow-up and small sample sizes. Further high-level research is required to determine long-term outcomes of DN in spastic muscles. There was a short-term decrease in spasticity of target muscles after the performance of DN. Evidence included improvements at the impairment and functional levels after the use of DN. DN poses as a safe, feasible option to improve spasticity and impact other targeted outcomes in adults with neurological disorders.
{"title":"Effects of dry needling on muscle spasticity in adults with neurological disorders: a systematic review","authors":"Anthony F. Carusotto, R. Hakim, R. G. Oliveira, Alyssa Piranio, Conor P. Coughlan, Thomas J. MacDonald","doi":"10.1080/10833196.2021.1933339","DOIUrl":"https://doi.org/10.1080/10833196.2021.1933339","url":null,"abstract":"Abstract Background Spasticity is a motor disorder often associated with decreased ROM, ADL performance, and QOL. DN has shown potential to improve spasticity by stimulating spastic muscle tissue with a stainless steel monofilament needle. Objective To determine the effects of dry needling (DN) on muscle spasticity in adults with neurological disorders. Methods Literature search of Cochrane, CINAHL, Google Scholar, and ProQuest was conducted. Search limits: English, journals, human subjects, 2009–2019. Selection criteria: Adults 18+ with neurological disorders and interventions included dry needling as treatment for spasticity. Two reviewers, for methodological quality based on Oxford Levels of Evidence, independently assessed each study. Results Ten articles met the selection criteria, all showing reductions in spasticity. Secondary outcomes were reported with improvements at the impairment level including muscle length, range of motion, pain, and motor performance (Fugl-Meyer motor subscale); and at the functional level including hand dexterity (box and block test), balance (computerized dynamic posturography) and mobility (TUG). Conclusions There is low to moderate evidence in support of using DN to decrease spasticity in adults with neurological disorders, specifically in those with a history of stroke. Limitations included lack of follow-up and small sample sizes. Further high-level research is required to determine long-term outcomes of DN in spastic muscles. There was a short-term decrease in spasticity of target muscles after the performance of DN. Evidence included improvements at the impairment and functional levels after the use of DN. DN poses as a safe, feasible option to improve spasticity and impact other targeted outcomes in adults with neurological disorders.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"380 - 385"},"PeriodicalIF":0.7,"publicationDate":"2021-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1933339","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59715722","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 : 2021-06-07DOI: 10.1080/10833196.2021.1933338
Vriddhi Shetty, A. Sulfikar Ali, Manikandan Natarajan, Senthil Kumaran D
Abstract Background A majority of stroke patients have persisting upper extremity impairments, with a large number of individuals who do not regain the ability to reach and manipulate everyday objects despite receiving prolonged and intensive therapy. Varied interventions have been employed to improve reaching functions. However, there is a lack of a comprehensive and updated review of all the interventions that can be used to improve upper extremity reaching function in stroke. Objective To review the existing interventions aimed to improve upper extremity reaching function in persons with stroke. Inclusion criteria Studies with quantitative, qualitative, and mixed methods design which have employed interventions to improve upper extremity reaching function following stroke and have been published from database inception to 25th February 2021 in English. Methods The proposed scoping review will follow the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist and will be conducted as per the methodological framework proposed by Arksey and O’Malley. A database-specific search strategy will be used in four electronic databases (MEDLINE, Scopus, CINAHL, Web of Science) and four grey literature platforms (ProQuest, MedNAR, OpenGrey, New York Academy of Medicine). The screening and extraction of data from eligible studies will be done independently by two reviewers. The extracted data will be presented with the help of tables and visual representation. Discussion Previously conducted reviews have enumerated the various types of interventions that have been used to improve upper extremity reaching function, but are incomprehensive and in need of an update. This review will provide an overview of all the therapeutic interventions which might aid in clinical decision making during stroke rehabilitation.
摘要背景大多数中风患者都有持续的上肢损伤，尽管接受了长时间的强化治疗，但仍有大量患者无法恢复接触和操作日常物品的能力。采取了各种干预措施来改善外展功能。然而，缺乏对所有可用于改善中风患者上肢伸展功能的干预措施的全面和最新审查。目的探讨改善脑卒中患者上肢伸伸功能的干预措施。纳入标准采用定量、定性和混合方法设计的研究采用了干预措施来改善中风后的上肢伸展功能，并于数据库建立至2021年2月25日以英文发表。方法拟议的范围审查将遵循系统审查的首选报告项目和范围审查的荟萃分析扩展（PRISMA ScR）清单，并将根据Arksey和O'Malley提出的方法框架进行。将在四个电子数据库（MEDLINE、Scopus、CINAHL、Web of Science）和四个灰色文献平台（ProQuest、MedNAR、OpenGrey、纽约医学院）中使用特定于数据库的搜索策略。从符合条件的研究中筛选和提取数据将由两名评审员独立完成。提取的数据将在表格和视觉表示的帮助下呈现。讨论先前进行的审查列举了用于改善上肢伸展功能的各种类型的干预措施，但这些干预措施不全面，需要更新。这篇综述将概述所有可能有助于中风康复临床决策的治疗干预措施。
{"title":"Interventions to improve upper extremity reaching function in persons with stroke: a scoping review protocol","authors":"Vriddhi Shetty, A. Sulfikar Ali, Manikandan Natarajan, Senthil Kumaran D","doi":"10.1080/10833196.2021.1933338","DOIUrl":"https://doi.org/10.1080/10833196.2021.1933338","url":null,"abstract":"Abstract Background A majority of stroke patients have persisting upper extremity impairments, with a large number of individuals who do not regain the ability to reach and manipulate everyday objects despite receiving prolonged and intensive therapy. Varied interventions have been employed to improve reaching functions. However, there is a lack of a comprehensive and updated review of all the interventions that can be used to improve upper extremity reaching function in stroke. Objective To review the existing interventions aimed to improve upper extremity reaching function in persons with stroke. Inclusion criteria Studies with quantitative, qualitative, and mixed methods design which have employed interventions to improve upper extremity reaching function following stroke and have been published from database inception to 25th February 2021 in English. Methods The proposed scoping review will follow the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist and will be conducted as per the methodological framework proposed by Arksey and O’Malley. A database-specific search strategy will be used in four electronic databases (MEDLINE, Scopus, CINAHL, Web of Science) and four grey literature platforms (ProQuest, MedNAR, OpenGrey, New York Academy of Medicine). The screening and extraction of data from eligible studies will be done independently by two reviewers. The extracted data will be presented with the help of tables and visual representation. Discussion Previously conducted reviews have enumerated the various types of interventions that have been used to improve upper extremity reaching function, but are incomprehensive and in need of an update. This review will provide an overview of all the therapeutic interventions which might aid in clinical decision making during stroke rehabilitation.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"398 - 402"},"PeriodicalIF":0.7,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1933338","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42527879","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 : 2021-05-18DOI: 10.1080/10833196.2021.1917843
Aline de Bastos Ferreira, Rômulo Roosevelt da Silva Filho, L. P. Rodrigues, Guilherme Vinicius de Souza, M. Noll, É. A. Silveira
Abstract Background: Sarcopenia is a syndrome highly prevalent in older adults, leading to negative health outcomes such as reduced functionality, increased dependence, hospitalization and mortality. It is diagnosed using high-tech methods that are unavailable to the general population. Thus, it is useful to use low-cost and easily applicable sarcopenia screening methods such as SARC-F or SARC-CalF. However, it is unknown whether sarcopenia, as identified by these methods, is associated with a higher risk of hospitalization in the older adults population. Thus, this systematic review protocol aims to determine whether there is an association between sarcopenia, as diagnosed by the SARC-F and SARC-CalF methods, and hospitalization in community-dwelling older adults. Methods: This study follows the criteria proposed by Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. We will include studies with an observational design, conducted with community-dwelling older adults (≥ 60 years), that used SARC-F/SARC-CalF as screening tool for sarcopenia, and that presented hospitalization indicators. The following databases will be used: PubMed, Scopus, EMBASE, and Lilacs. Studies will be selected based on title, abstract, and full text. The quality of the included studies will be assessed using “Grading of Recommendations, Assessment, Development, and Evaluation” tool. The risk of bias will be assessed using Downs and Black tool. Results: The results of this research may deepen our knowledge of these two methods and their use for identifying and monitoring sarcopenia. Conclusions: Our research will especially benefit if these tools can discriminate the potential risk of hospitalization in older adults and so contribute to reducing early mortality.
{"title":"Association between sarcopenia and hospitalization in community-dwelling older adults, using the SARC-F and SARC-CalF methods: a systematic review protocol","authors":"Aline de Bastos Ferreira, Rômulo Roosevelt da Silva Filho, L. P. Rodrigues, Guilherme Vinicius de Souza, M. Noll, É. A. Silveira","doi":"10.1080/10833196.2021.1917843","DOIUrl":"https://doi.org/10.1080/10833196.2021.1917843","url":null,"abstract":"Abstract Background: Sarcopenia is a syndrome highly prevalent in older adults, leading to negative health outcomes such as reduced functionality, increased dependence, hospitalization and mortality. It is diagnosed using high-tech methods that are unavailable to the general population. Thus, it is useful to use low-cost and easily applicable sarcopenia screening methods such as SARC-F or SARC-CalF. However, it is unknown whether sarcopenia, as identified by these methods, is associated with a higher risk of hospitalization in the older adults population. Thus, this systematic review protocol aims to determine whether there is an association between sarcopenia, as diagnosed by the SARC-F and SARC-CalF methods, and hospitalization in community-dwelling older adults. Methods: This study follows the criteria proposed by Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. We will include studies with an observational design, conducted with community-dwelling older adults (≥ 60 years), that used SARC-F/SARC-CalF as screening tool for sarcopenia, and that presented hospitalization indicators. The following databases will be used: PubMed, Scopus, EMBASE, and Lilacs. Studies will be selected based on title, abstract, and full text. The quality of the included studies will be assessed using “Grading of Recommendations, Assessment, Development, and Evaluation” tool. The risk of bias will be assessed using Downs and Black tool. Results: The results of this research may deepen our knowledge of these two methods and their use for identifying and monitoring sarcopenia. Conclusions: Our research will especially benefit if these tools can discriminate the potential risk of hospitalization in older adults and so contribute to reducing early mortality.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"391 - 397"},"PeriodicalIF":0.7,"publicationDate":"2021-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1917843","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41357975","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 : 2021-05-12DOI: 10.1080/10833196.2021.1914955
Stephen M. Shaffer, Alicia J. Emerson, M. Burr, Leah Einhorn, Garrett S Naze
Abstract Background Many self-report outcome measures (SROMs) exist for measuring Quality of Life (QoL) in patients with painful temporomandibular disorders (TMD). However, it is uncertain which SROM(s) is/are best suited for research and clinical practice. Objectives The aims were to (1) identify clinimetrically sound SROMs for QoL in patients with painful TMD and (2) determine if impaired QoL has diagnostic or prognostic value for this population. Methods PRISMA guidelines were utilized during a systematic search of: CINAHL, Dentistry & Oral Science Source, PsychALL, PubMed, Scopus, and Web of Science. Studies involving adult populations with painful TMD who were assessed for QoL were included. Risks of biases were examined. Results 23 studies were included; 8 clinimetric studies primarily validated language translation whereas other studies were diagnostic (n = 14) or prognostic (n = 1). Of the eight identified SROMs assessed, only the Oral Health Impact Profile (OHIP)-49, OHIP-TMD (OHIP-22), OHIP-14, and the SF-36 are valid and reliable in painful TMD. In regards to the diagnostic studies, both region- and non-region-specific QoL SROMs associated presence of TMD with poor QoL. Study heterogeneity prohibited meta-analysis. The SF-12 demonstrated prognostic capabilities. Conclusion For region-specific SROMs, the OHIP-49, -TMD/-22, and −14 are available to clinicians in multiple languages to capture QoL in patients with painful TMD. For clinicians interested in overall QoL, the SF-36 was found to be valid in this population. Emerging evidence has shown that baseline QoL can predict future outcomes.
{"title":"Quality of life in painful temporomandibular disorders onset: a systematic review of outcome measure clinimetrics and predictive properties","authors":"Stephen M. Shaffer, Alicia J. Emerson, M. Burr, Leah Einhorn, Garrett S Naze","doi":"10.1080/10833196.2021.1914955","DOIUrl":"https://doi.org/10.1080/10833196.2021.1914955","url":null,"abstract":"Abstract Background Many self-report outcome measures (SROMs) exist for measuring Quality of Life (QoL) in patients with painful temporomandibular disorders (TMD). However, it is uncertain which SROM(s) is/are best suited for research and clinical practice. Objectives The aims were to (1) identify clinimetrically sound SROMs for QoL in patients with painful TMD and (2) determine if impaired QoL has diagnostic or prognostic value for this population. Methods PRISMA guidelines were utilized during a systematic search of: CINAHL, Dentistry & Oral Science Source, PsychALL, PubMed, Scopus, and Web of Science. Studies involving adult populations with painful TMD who were assessed for QoL were included. Risks of biases were examined. Results 23 studies were included; 8 clinimetric studies primarily validated language translation whereas other studies were diagnostic (n = 14) or prognostic (n = 1). Of the eight identified SROMs assessed, only the Oral Health Impact Profile (OHIP)-49, OHIP-TMD (OHIP-22), OHIP-14, and the SF-36 are valid and reliable in painful TMD. In regards to the diagnostic studies, both region- and non-region-specific QoL SROMs associated presence of TMD with poor QoL. Study heterogeneity prohibited meta-analysis. The SF-12 demonstrated prognostic capabilities. Conclusion For region-specific SROMs, the OHIP-49, -TMD/-22, and −14 are available to clinicians in multiple languages to capture QoL in patients with painful TMD. For clinicians interested in overall QoL, the SF-36 was found to be valid in this population. Emerging evidence has shown that baseline QoL can predict future outcomes.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"284 - 298"},"PeriodicalIF":0.7,"publicationDate":"2021-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1914955","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45734366","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 : 2021-05-06DOI: 10.1080/10833196.2021.1903209
N. Brady, J. McVeigh, K. McCreesh, E. Rio, Thomas Dekkers, Jeremy S. Lewis
Abstract Background Virtual Reality (VR) is an immersive technology, which transports the user to a three-dimensional ‘virtual world’ and is increasingly used as an innovative treatment modality in various aspects of healthcare. The use of immersive VR in the management of musculoskeletal conditions is relatively new and research is required to demonstrate its effectiveness in this field. Aim The aim of this narrative review is to explore the effectiveness of immersive VR interventions in the management of musculoskeletal conditions. Methods A literature search was carried out on the following databases: Pubmed, Scopus and Medline using the following keywords: Virtual Reality and Pain. Studies of any design were included if they reported clinical outcomes following an immersive VR intervention for individuals with musculoskeletal pain. Results Thirteen studies which investigated the effectiveness of immersive VR in the management of musculoskeletal conditions were identified. Studies included people with various musculoskeletal conditions: neck pain (5), low back pain (1), complex regional pain syndrome (4), peripheral nerve injury (1), fibromyalgia (1) and total knee replacement (2). Only five randomized controlled trials were found. Outcome measures included but were not limited to pain, range of motion and disability. Conclusion Although the current findings are promising and demonstrate that immersive VR interventions may have a useful role in musculoskeletal management and rehabilitation, no conclusive clinical recommendations can be made based on the low quality of available research. Future research should follow a framework with clear standards leading to robust and meaningful outcomes that will guide clinical practice using immersive VR.
{"title":"Exploring the effectiveness of immersive Virtual Reality interventions in the management of musculoskeletal pain: a state-of-the-art review","authors":"N. Brady, J. McVeigh, K. McCreesh, E. Rio, Thomas Dekkers, Jeremy S. Lewis","doi":"10.1080/10833196.2021.1903209","DOIUrl":"https://doi.org/10.1080/10833196.2021.1903209","url":null,"abstract":"Abstract Background Virtual Reality (VR) is an immersive technology, which transports the user to a three-dimensional ‘virtual world’ and is increasingly used as an innovative treatment modality in various aspects of healthcare. The use of immersive VR in the management of musculoskeletal conditions is relatively new and research is required to demonstrate its effectiveness in this field. Aim The aim of this narrative review is to explore the effectiveness of immersive VR interventions in the management of musculoskeletal conditions. Methods A literature search was carried out on the following databases: Pubmed, Scopus and Medline using the following keywords: Virtual Reality and Pain. Studies of any design were included if they reported clinical outcomes following an immersive VR intervention for individuals with musculoskeletal pain. Results Thirteen studies which investigated the effectiveness of immersive VR in the management of musculoskeletal conditions were identified. Studies included people with various musculoskeletal conditions: neck pain (5), low back pain (1), complex regional pain syndrome (4), peripheral nerve injury (1), fibromyalgia (1) and total knee replacement (2). Only five randomized controlled trials were found. Outcome measures included but were not limited to pain, range of motion and disability. Conclusion Although the current findings are promising and demonstrate that immersive VR interventions may have a useful role in musculoskeletal management and rehabilitation, no conclusive clinical recommendations can be made based on the low quality of available research. Future research should follow a framework with clear standards leading to robust and meaningful outcomes that will guide clinical practice using immersive VR.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"262 - 275"},"PeriodicalIF":0.7,"publicationDate":"2021-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1903209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49417772","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 : 2021-05-06DOI: 10.1080/10833196.2021.1917842
H. Manaf, N. Hasnan, A. Ariffin
Abstract Background Inactivity among patients with spinal cord injury causes further deterioration of cardiorespiratory function and muscle strength. A variety of exercise modes, including high-intensity interval training (HIIT), have been applied to this population to aid them in maintaining good physical and mental health. However, an extensive review of the training parameters and efficacy of HIIT in patients with spinal cord injury remains lacking. Objectives This review aims to summarize the training parameters and effects of HIIT on cardiorespiratory function, muscle architecture, and strength among patients with spinal cord injury. Methods All studies were identified from electronic databases from 2005 to 2020. All articles were reviewed, and data were extracted independently by two reviewers. Risk of bias was assessed using the NIH Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group. The methodological quality of randomized control trial (RCT) studies was measured using the PEDro scale. Results A total of 305 studies were identified from all listed databases. After screening, twelve experimental studies comprising three case studies, six quasi-experimental, and three RCTs were selected. Four studies were rated as good, and two studies were rated as fair for the methodology quality of the quasi-experimental study. All three RCT studies scored 5/10 or higher on the PEDro scale. A wide range of training parameters were found for HIIT training. Improvement of VO2peak was reported in seven studies. Information on the effect of HIIT on muscle strength was limited and inconclusive. Conclusion Despite limited evidence, HIIT could be considered effective in improving cardiorespiratory fitness in patients with spinal cord injury. However, whether or not HIIT can significantly improve muscle strength among this population remains inconclusive because of insufficient quality evidence.
{"title":"Training parameters and effects of high-intensity interval training in patients with spinal cord injury: a review of literature","authors":"H. Manaf, N. Hasnan, A. Ariffin","doi":"10.1080/10833196.2021.1917842","DOIUrl":"https://doi.org/10.1080/10833196.2021.1917842","url":null,"abstract":"Abstract Background Inactivity among patients with spinal cord injury causes further deterioration of cardiorespiratory function and muscle strength. A variety of exercise modes, including high-intensity interval training (HIIT), have been applied to this population to aid them in maintaining good physical and mental health. However, an extensive review of the training parameters and efficacy of HIIT in patients with spinal cord injury remains lacking. Objectives This review aims to summarize the training parameters and effects of HIIT on cardiorespiratory function, muscle architecture, and strength among patients with spinal cord injury. Methods All studies were identified from electronic databases from 2005 to 2020. All articles were reviewed, and data were extracted independently by two reviewers. Risk of bias was assessed using the NIH Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group. The methodological quality of randomized control trial (RCT) studies was measured using the PEDro scale. Results A total of 305 studies were identified from all listed databases. After screening, twelve experimental studies comprising three case studies, six quasi-experimental, and three RCTs were selected. Four studies were rated as good, and two studies were rated as fair for the methodology quality of the quasi-experimental study. All three RCT studies scored 5/10 or higher on the PEDro scale. A wide range of training parameters were found for HIIT training. Improvement of VO2peak was reported in seven studies. Information on the effect of HIIT on muscle strength was limited and inconclusive. Conclusion Despite limited evidence, HIIT could be considered effective in improving cardiorespiratory fitness in patients with spinal cord injury. However, whether or not HIIT can significantly improve muscle strength among this population remains inconclusive because of insufficient quality evidence.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"370 - 379"},"PeriodicalIF":0.7,"publicationDate":"2021-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1917842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46317070","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 : 2021-04-07DOI: 10.1080/10833196.2021.1894377
D. Hyde, C. Littlewood, B. Mazuquin, L. Manning
Abstract Optimum rehabilitation following Rotator Cuff Repair (RCR) remains a contentious topic. A wide range of often conflicting evidence and opinion exists regarding several aspects of the rehabilitation process. This has resulted in a wide variety of different post-operative protocols and uncertainty regarding the need for immobilisation, initiation of exercises and rehabilitation progression. In this climate of uncertainty, it appears that rehabilitation protocols have remained largely unchanged for over two decades despite the large volume of new evidence. This narrative review examines common assumptions that surround rehabilitation following RCR in the light of contemporary evidence. It is hoped this will aid clinicians when making decisions for this patient group.
{"title":"Rehabilitation following rotator cuff repair: a narrative review","authors":"D. Hyde, C. Littlewood, B. Mazuquin, L. Manning","doi":"10.1080/10833196.2021.1894377","DOIUrl":"https://doi.org/10.1080/10833196.2021.1894377","url":null,"abstract":"Abstract Optimum rehabilitation following Rotator Cuff Repair (RCR) remains a contentious topic. A wide range of often conflicting evidence and opinion exists regarding several aspects of the rehabilitation process. This has resulted in a wide variety of different post-operative protocols and uncertainty regarding the need for immobilisation, initiation of exercises and rehabilitation progression. In this climate of uncertainty, it appears that rehabilitation protocols have remained largely unchanged for over two decades despite the large volume of new evidence. This narrative review examines common assumptions that surround rehabilitation following RCR in the light of contemporary evidence. It is hoped this will aid clinicians when making decisions for this patient group.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"254 - 261"},"PeriodicalIF":0.7,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1894377","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43283713","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 : 2021-04-05DOI: 10.1080/10833196.2021.1907947
Daniel W. Flowers, Wayne Brewer, Katy Mitchell, J. Ellison
Abstract Background Knee osteoarthritis impairs patients’ ability to function normally, specifically impacting their ability to walk without limitation. Research in other populations at risk for knee injury, including young, active populations, has included core muscle considerations. Treatment regimens for those with knee osteoarthritis have traditionally been joint and extremity specific. Objectives The objectives of this narrative literature review were to determine whether: 1) core training has been beneficial for older adults without knee osteoarthritis, and 2) core activation and/or stabilization have been integrated into the treatment recommendations for patients with knee osteoarthritis to improve their gait and functional ability. Major Findings Although core training has been safe and beneficial in older adults to address balance, fall risk, and mobility, the standard of care approach for treating knee osteoarthritis continues to be either joint/extremity specific or generalized to include more whole-body activity (e.g. cardiovascular training). Some early evidence has shown a relationship between core strength and transversus abdominis muscle integrity; however, using core activation and/or stabilization as an intervention for persons with knee osteoarthritis has not yet been reported. Conclusions Despite findings that core training is beneficial for other populations at risk for or rehabilitating from various knee pathologies, investigations that show it is safe and effective in older adults has not been adapted to/incorporated into treatment recommendations for those with knee osteoarthritis. Early results indicate a relationship between core muscle dimensions, strength, and knee osteoarthritis; however, no interventional studies have yet been published. Future study in this area is indicated.
{"title":"Why are we neglecting the core muscles in patients with knee osteoarthritis? A narrative review of the literature","authors":"Daniel W. Flowers, Wayne Brewer, Katy Mitchell, J. Ellison","doi":"10.1080/10833196.2021.1907947","DOIUrl":"https://doi.org/10.1080/10833196.2021.1907947","url":null,"abstract":"Abstract Background Knee osteoarthritis impairs patients’ ability to function normally, specifically impacting their ability to walk without limitation. Research in other populations at risk for knee injury, including young, active populations, has included core muscle considerations. Treatment regimens for those with knee osteoarthritis have traditionally been joint and extremity specific. Objectives The objectives of this narrative literature review were to determine whether: 1) core training has been beneficial for older adults without knee osteoarthritis, and 2) core activation and/or stabilization have been integrated into the treatment recommendations for patients with knee osteoarthritis to improve their gait and functional ability. Major Findings Although core training has been safe and beneficial in older adults to address balance, fall risk, and mobility, the standard of care approach for treating knee osteoarthritis continues to be either joint/extremity specific or generalized to include more whole-body activity (e.g. cardiovascular training). Some early evidence has shown a relationship between core strength and transversus abdominis muscle integrity; however, using core activation and/or stabilization as an intervention for persons with knee osteoarthritis has not yet been reported. Conclusions Despite findings that core training is beneficial for other populations at risk for or rehabilitating from various knee pathologies, investigations that show it is safe and effective in older adults has not been adapted to/incorporated into treatment recommendations for those with knee osteoarthritis. Early results indicate a relationship between core muscle dimensions, strength, and knee osteoarthritis; however, no interventional studies have yet been published. Future study in this area is indicated.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"276 - 283"},"PeriodicalIF":0.7,"publicationDate":"2021-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1907947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44459356","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 : 2021-03-26DOI: 10.1080/10833196.2021.1908728
Assmaa Magdi, Asma Mohammed Sayed Ahmed, E. Elsayed, Razan Ahmad, S. Ramakrishnan, Marian Grace Gabor
Abstract Background Parkinson’s disease (PD) is a neurodegeneration of dopaminergic neurotransmitters results in disturbance in gait, balance, and impairs the functional activities. Cueing techniques which are spatial stimuli facilitating repetitive movements are used in combination with other interventions to manage these disturbances. Objectives To determine the effects of cueing techniques for PD patients on the outcomes of gait, balance, functional activity, and freezing of gait. Methods The search was conducted in Medline, CINAHL, Cochrane, OVID and PEDro databases. In addition, a manual search in Google Scholar and reference lists of the included studies was conducted. Randomized Controlled Trials (RCTs) that compare the effects of cueing techniques with other interventions on any of the previously mentioned outcomes for PD patients were included according to the eligibility criteria. Results A total of 8 RCTs were included (n = 239 participants); 5 used auditory cueing, 3 used visual, and 1 used proprioceptive. The results revealed a significant medium effect of non-cueing techniques on gait (MD of 0.41(95% CI, 0.14, 0.68; p = 0.003), a non-significant small effect of cueing on balance (MD of −0.13 (95% CI, −0.52, 0.27; p = 0.54)), and a significant effect of cueing on functional activities (MD of −0.54 (95% CI, −0.86, −0.21; p = 0.001). While no quantitative outcome measures were assessing freezing of gait, a meta-analysis for it was not applicable. Conclusions Cueing techniques are beneficial in improving functional activities and balance. It may not provide a significant change on gait parameters when compared to non-cueing techniques unless combined with other treatment programs.
{"title":"Effects of cueing techniques on gait, gait-related mobility, and functional activities in patients with Parkinson’s disease: a systematic review and meta-analysis","authors":"Assmaa Magdi, Asma Mohammed Sayed Ahmed, E. Elsayed, Razan Ahmad, S. Ramakrishnan, Marian Grace Gabor","doi":"10.1080/10833196.2021.1908728","DOIUrl":"https://doi.org/10.1080/10833196.2021.1908728","url":null,"abstract":"Abstract Background Parkinson’s disease (PD) is a neurodegeneration of dopaminergic neurotransmitters results in disturbance in gait, balance, and impairs the functional activities. Cueing techniques which are spatial stimuli facilitating repetitive movements are used in combination with other interventions to manage these disturbances. Objectives To determine the effects of cueing techniques for PD patients on the outcomes of gait, balance, functional activity, and freezing of gait. Methods The search was conducted in Medline, CINAHL, Cochrane, OVID and PEDro databases. In addition, a manual search in Google Scholar and reference lists of the included studies was conducted. Randomized Controlled Trials (RCTs) that compare the effects of cueing techniques with other interventions on any of the previously mentioned outcomes for PD patients were included according to the eligibility criteria. Results A total of 8 RCTs were included (n = 239 participants); 5 used auditory cueing, 3 used visual, and 1 used proprioceptive. The results revealed a significant medium effect of non-cueing techniques on gait (MD of 0.41(95% CI, 0.14, 0.68; p = 0.003), a non-significant small effect of cueing on balance (MD of −0.13 (95% CI, −0.52, 0.27; p = 0.54)), and a significant effect of cueing on functional activities (MD of −0.54 (95% CI, −0.86, −0.21; p = 0.001). While no quantitative outcome measures were assessing freezing of gait, a meta-analysis for it was not applicable. Conclusions Cueing techniques are beneficial in improving functional activities and balance. It may not provide a significant change on gait parameters when compared to non-cueing techniques unless combined with other treatment programs.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"188 - 201"},"PeriodicalIF":0.7,"publicationDate":"2021-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1908728","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41560648","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 : 2021-03-26DOI: 10.1080/10833196.2021.1908729
Nilufer Cetisli-Korkmaz, Furkan Bilek, Tuba Can-Akman, Emre Baskan, Ilke Keser, Esra Dogru-Huzmeli, M. Duray, B. Aras, Buse Kilinc
Abstract Background The 2019 novel coronavirus disease (COVID-19) pandemic has triggered a devastating effect worldwide. In addition to cardiovascular, pulmonary, and musculoskeletal deconditioning, reports of neurological consequences (e.g. stroke, critical illness polyneuropathy, myopathy, vertigo, headaches, facial palsy, and delirium) are growing increasingly common. Objectives Part I of this review of rehabilitation strategies and neurological consequences in patients with COVID-19 sought to consider potential rehabilitation strategies for managing the emerging neurological consequences of COVID-19. Methods An exploratory review was conducted that comprised a narrative synthesis in two parts. Part I focused on neurological consequences and physiotherapy and rehabilitation approaches. Part II focused on the general principles of rehabilitation interventions and precautions that should be considered. Literature on the use of the neurorehabilitation approaches was also included in the review. Results Rehabilitation services include inpatient and outpatient rehabilitation services. With respect to the recovery of mobility and function, an interdisciplinary approach was generally involved. Conclusions A thorough assessment and the development of an individualized, progressive treatment and rehabilitation plan should be implemented by focusing on existing function, any disabilities, the desire to return to participation in society, and maximizing function and quality of life. It should be noted that neurorehabilitation should not be delayed and be completed for all patients with COVID-19 of all levels in need.
{"title":"Rehabilitation strategies and neurological consequences in patients with COVID-19: part I","authors":"Nilufer Cetisli-Korkmaz, Furkan Bilek, Tuba Can-Akman, Emre Baskan, Ilke Keser, Esra Dogru-Huzmeli, M. Duray, B. Aras, Buse Kilinc","doi":"10.1080/10833196.2021.1908729","DOIUrl":"https://doi.org/10.1080/10833196.2021.1908729","url":null,"abstract":"Abstract Background The 2019 novel coronavirus disease (COVID-19) pandemic has triggered a devastating effect worldwide. In addition to cardiovascular, pulmonary, and musculoskeletal deconditioning, reports of neurological consequences (e.g. stroke, critical illness polyneuropathy, myopathy, vertigo, headaches, facial palsy, and delirium) are growing increasingly common. Objectives Part I of this review of rehabilitation strategies and neurological consequences in patients with COVID-19 sought to consider potential rehabilitation strategies for managing the emerging neurological consequences of COVID-19. Methods An exploratory review was conducted that comprised a narrative synthesis in two parts. Part I focused on neurological consequences and physiotherapy and rehabilitation approaches. Part II focused on the general principles of rehabilitation interventions and precautions that should be considered. Literature on the use of the neurorehabilitation approaches was also included in the review. Results Rehabilitation services include inpatient and outpatient rehabilitation services. With respect to the recovery of mobility and function, an interdisciplinary approach was generally involved. Conclusions A thorough assessment and the development of an individualized, progressive treatment and rehabilitation plan should be implemented by focusing on existing function, any disabilities, the desire to return to participation in society, and maximizing function and quality of life. It should be noted that neurorehabilitation should not be delayed and be completed for all patients with COVID-19 of all levels in need.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":"26 1","pages":"211 - 221"},"PeriodicalIF":0.7,"publicationDate":"2021-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1908729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47317612","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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