Pub Date : 2021-09-21DOI: 10.1080/10833196.2021.1978778
B. Kinne, Mikaela Grace Harless, Kyra Ann Lauzon, Jill Renee Wamhoff
Abstract Background The vertigo associated with horizontal canal benign paroxysmal positional vertigo (BPPV) is usually much more intense than that associated with posterior canal BPPV. In addition, horizontal canal BPPV often adversely affects dynamic balance. Objectives The purpose of this systematic review was to determine which current roll and side-lying maneuvers are most effective while treating individuals with geotropic horizontal canal BPPV. Methods CINAHL Complete, PubMed, and Web of Science were the databases accessed from inception through 2020 by all four authors. The search terms were geotropic AND (horizontal OR lateral) AND vertigo. The methodological rigor of the included studies was evaluated using a 10-item tool created by Medlicott and Harris. Results All of the maneuvers included in this systematic review demonstrated high efficacy and few contraindications. Horizontal canal BPPV tends to spontaneously resolve in a relatively short period of time secondary to the anatomical positioning of the semicircular canals. However, the maneuvers described in this systematic review may expedite the natural remission process in individuals with long-term symptoms associated with horizontal canal BPPV. Conclusions It is recommended that clinicians utilize one of the maneuvers identified in this systematic review for individuals with geotropic horizontal canal BPPV. The Gufoni maneuver might be preferable to the Baloh 360-degree roll maneuver and/or the Lempert 270-degree roll maneuver when treating individuals who are elderly, who are obese, and/or who experience immobility. If an individual is unable to tolerate a maneuver or prefers not to have one performed, forced prolonged positioning is another possible option.
背景与水平管良性阵发性位置性眩晕(BPPV)相关的眩晕通常比与后管BPPV相关的眩晕强烈得多。此外，水平管道BPPV通常会对动态平衡产生不利影响。目的:本系统综述的目的是确定在治疗各向异性水平管BPPV患者时，当前的翻滚和侧躺操作是最有效的。方法四名作者从成立到2020年访问CINAHL Complete、PubMed和Web of Science数据库。搜索词是地向性和(水平或横向)和眩晕。纳入研究的方法学严谨性使用由Medlicott和Harris创建的10项工具进行评估。结果本系统评价所采用的手法均疗效高，禁忌症少。由于半规管的解剖定位，水平管BPPV往往会在相对较短的时间内自行消退。然而，本系统综述中描述的操作可能会加速与水平管BPPV相关的长期症状的个体的自然缓解过程。结论:建议临床医生使用本系统综述中确定的一种手法治疗向地性水平管BPPV患者。在治疗老年人、肥胖者和/或行动迟缓者时，Gufoni操作可能比Baloh 360度滚转操作和/或Lempert 270度滚转操作更可取。如果患者无法忍受或不愿意进行操作，则强制延长体位是另一种可能的选择。
{"title":"Roll maneuvers versus side-lying maneuvers for geotropic horizontal canal BPPV: a systematic review","authors":"B. Kinne, Mikaela Grace Harless, Kyra Ann Lauzon, Jill Renee Wamhoff","doi":"10.1080/10833196.2021.1978778","DOIUrl":"https://doi.org/10.1080/10833196.2021.1978778","url":null,"abstract":"Abstract Background The vertigo associated with horizontal canal benign paroxysmal positional vertigo (BPPV) is usually much more intense than that associated with posterior canal BPPV. In addition, horizontal canal BPPV often adversely affects dynamic balance. Objectives The purpose of this systematic review was to determine which current roll and side-lying maneuvers are most effective while treating individuals with geotropic horizontal canal BPPV. Methods CINAHL Complete, PubMed, and Web of Science were the databases accessed from inception through 2020 by all four authors. The search terms were geotropic AND (horizontal OR lateral) AND vertigo. The methodological rigor of the included studies was evaluated using a 10-item tool created by Medlicott and Harris. Results All of the maneuvers included in this systematic review demonstrated high efficacy and few contraindications. Horizontal canal BPPV tends to spontaneously resolve in a relatively short period of time secondary to the anatomical positioning of the semicircular canals. However, the maneuvers described in this systematic review may expedite the natural remission process in individuals with long-term symptoms associated with horizontal canal BPPV. Conclusions It is recommended that clinicians utilize one of the maneuvers identified in this systematic review for individuals with geotropic horizontal canal BPPV. The Gufoni maneuver might be preferable to the Baloh 360-degree roll maneuver and/or the Lempert 270-degree roll maneuver when treating individuals who are elderly, who are obese, and/or who experience immobility. If an individual is unable to tolerate a maneuver or prefers not to have one performed, forced prolonged positioning is another possible option.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41428250","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 : 2021-09-08DOI: 10.1080/10833196.2021.1973776
Rani Othman, N. Swain, S. Tumilty, P. Jayakaran, R. Mani
Abstract Shoulder pain is a common musculoskeletal complaint associated with a significant impact on health and socioeconomic outcomes. Current evidence indicates a poor understanding of the mechanisms driving shoulder pain experience. The heightened nociceptive processing (pro-nociceptive pain modulation profile) within the central nervous system could explain variability in the shoulder pain experience. This topical review and hypothesis-generating paper discuss the current evidence and gaps regarding abnormal nociceptive processing in patients with shoulder pain. This paper also proposes hypotheses to test the presence of a pro-nociceptive pain modulation profile by measuring the pain responses to conditioned pain modulation, mechanical temporal summation and movement-evoked pain procedures. Moreover, this paper proposes whether a pro-nociceptive pain modulation profile can explain the variability in the pain experience in people with shoulder pain. Gaining insights into the abnormal nociceptive processing in people with acute and chronic shoulder pain will guide future research and clinical practice to improve shoulder pain outcomes.
{"title":"Pro-nociceptive pain modulation profile in patients with acute and chronic shoulder pain: a hypothesis-generating topical review","authors":"Rani Othman, N. Swain, S. Tumilty, P. Jayakaran, R. Mani","doi":"10.1080/10833196.2021.1973776","DOIUrl":"https://doi.org/10.1080/10833196.2021.1973776","url":null,"abstract":"Abstract Shoulder pain is a common musculoskeletal complaint associated with a significant impact on health and socioeconomic outcomes. Current evidence indicates a poor understanding of the mechanisms driving shoulder pain experience. The heightened nociceptive processing (pro-nociceptive pain modulation profile) within the central nervous system could explain variability in the shoulder pain experience. This topical review and hypothesis-generating paper discuss the current evidence and gaps regarding abnormal nociceptive processing in patients with shoulder pain. This paper also proposes hypotheses to test the presence of a pro-nociceptive pain modulation profile by measuring the pain responses to conditioned pain modulation, mechanical temporal summation and movement-evoked pain procedures. Moreover, this paper proposes whether a pro-nociceptive pain modulation profile can explain the variability in the pain experience in people with shoulder pain. Gaining insights into the abnormal nociceptive processing in people with acute and chronic shoulder pain will guide future research and clinical practice to improve shoulder pain outcomes.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44604414","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 : 2021-09-03DOI: 10.1080/10833196.2021.1962051
Hope Jervis Rademeyer, C. Gauthier, K. Masani, Maureen Pakosh, K. Musselman
Abstract Background Spinal cord injury/disease (SCI/D) impacts sensory, motor and autonomic function. Epidural stimulation (ES) has the potential to improve function across many domains. Objective To synthesize the effects of ES on functional goals for individuals with SCI/D. Methods Seven biomedical databases were searched. Inclusion criteria required (1) ES as the primary intervention, (2) human participants with SCI/D, (3) pre-post measure of an orthotic and/or therapeutic effect, and (4) original data. Data extracted were participant characteristics, ES and exercise parameters, outcome measures, complications, orthotic and/or therapeutic effects. Data were synthesized descriptively according to functional goal. Critical appraisal was completed using the Downs and Black modified checklist. Results Included studies were case studies or case-series (n = 24), or pre-post interventions (n = 23). One study was a case-control. Research quality was poor to fair. There were mixed results of ES on bladder and sexual function, and standing in participants with SCI/D. Effects of ES included improved bowel function, increased cardiorespiratory and cardiometabolic function, pain reduction, decreased spasms and spasticity, and, when combined with repetitive movement training, improved gait parameters. In the one study focused on the upper extremity, grip strength improved. Conclusions ES shows promise as an intervention to improve functional goals after SCI/D with a focus on locomotion.
{"title":"The effects of epidural stimulation on individuals living with spinal cord injury or disease: a scoping review","authors":"Hope Jervis Rademeyer, C. Gauthier, K. Masani, Maureen Pakosh, K. Musselman","doi":"10.1080/10833196.2021.1962051","DOIUrl":"https://doi.org/10.1080/10833196.2021.1962051","url":null,"abstract":"Abstract Background Spinal cord injury/disease (SCI/D) impacts sensory, motor and autonomic function. Epidural stimulation (ES) has the potential to improve function across many domains. Objective To synthesize the effects of ES on functional goals for individuals with SCI/D. Methods Seven biomedical databases were searched. Inclusion criteria required (1) ES as the primary intervention, (2) human participants with SCI/D, (3) pre-post measure of an orthotic and/or therapeutic effect, and (4) original data. Data extracted were participant characteristics, ES and exercise parameters, outcome measures, complications, orthotic and/or therapeutic effects. Data were synthesized descriptively according to functional goal. Critical appraisal was completed using the Downs and Black modified checklist. Results Included studies were case studies or case-series (n = 24), or pre-post interventions (n = 23). One study was a case-control. Research quality was poor to fair. There were mixed results of ES on bladder and sexual function, and standing in participants with SCI/D. Effects of ES included improved bowel function, increased cardiorespiratory and cardiometabolic function, pain reduction, decreased spasms and spasticity, and, when combined with repetitive movement training, improved gait parameters. In the one study focused on the upper extremity, grip strength improved. Conclusions ES shows promise as an intervention to improve functional goals after SCI/D with a focus on locomotion.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49293444","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 : 2021-09-03DOI: 10.1080/10833196.2021.1957640
D. Manlapaz, Arlene Chiong Maya, Zyra Mae V. Sicat, Audrey Bolintiam, Dean Daniel Duro, Ira Joy De Guzman, Richmae Menor, Edalrish Panga, J. Ramos, Naomi Sasazawa
Abstract Background The increasing popularity of exergaming (exercise and gaming) has already emerged in the rehabilitation setting to help individuals develop, maintain, and restore maximum body movement and physical function. However, there is a lack of attention to the risk of sustaining injuries associated with exergaming. While there are reports of potential harm or injuries for patients using this intervention, ergonomics has still not been given attention or consideration in the deliverance of exergaming during rehabilitation. Objectives The primary aim of this review is to identify the ergonomic considerations in the delivery of exergaming in rehabilitation. The secondary aim is to review the outcome measures used in the results of exergaming to patients with neurologic and orthopedic conditions from the literature gathered and appraised. Methods The study will use a systematic review design to identify the ergonomic considerations and outcome measures in the delivery of exergaming and rehabilitation of neurologic and orthopedic patients by using only randomized controlled trial studies. Centre for Evidence-based Medicine of Oxford University will be used to appraise the reliability and validity of the chosen article and the Mendeley software, Rayyan QCRI application, and a spreadsheet software will be used in the inclusion, critical appraisal, and data gathering process to ensure objectivity. Preferred Reporting Items for Systematic Reviews (PRISMA) will be provided for visualization of the study acquisition and selection process. The extracted data will undergo analysis and will then determine the ergonomic considerations and outcome measures utilized in the studies reviewed.
{"title":"Ergonomic considerations in exergaming delivery in orthopedic and neurologic rehabilitation: a systematic review protocol","authors":"D. Manlapaz, Arlene Chiong Maya, Zyra Mae V. Sicat, Audrey Bolintiam, Dean Daniel Duro, Ira Joy De Guzman, Richmae Menor, Edalrish Panga, J. Ramos, Naomi Sasazawa","doi":"10.1080/10833196.2021.1957640","DOIUrl":"https://doi.org/10.1080/10833196.2021.1957640","url":null,"abstract":"Abstract Background The increasing popularity of exergaming (exercise and gaming) has already emerged in the rehabilitation setting to help individuals develop, maintain, and restore maximum body movement and physical function. However, there is a lack of attention to the risk of sustaining injuries associated with exergaming. While there are reports of potential harm or injuries for patients using this intervention, ergonomics has still not been given attention or consideration in the deliverance of exergaming during rehabilitation. Objectives The primary aim of this review is to identify the ergonomic considerations in the delivery of exergaming in rehabilitation. The secondary aim is to review the outcome measures used in the results of exergaming to patients with neurologic and orthopedic conditions from the literature gathered and appraised. Methods The study will use a systematic review design to identify the ergonomic considerations and outcome measures in the delivery of exergaming and rehabilitation of neurologic and orthopedic patients by using only randomized controlled trial studies. Centre for Evidence-based Medicine of Oxford University will be used to appraise the reliability and validity of the chosen article and the Mendeley software, Rayyan QCRI application, and a spreadsheet software will be used in the inclusion, critical appraisal, and data gathering process to ensure objectivity. Preferred Reporting Items for Systematic Reviews (PRISMA) will be provided for visualization of the study acquisition and selection process. The extracted data will undergo analysis and will then determine the ergonomic considerations and outcome measures utilized in the studies reviewed.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1957640","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47640251","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 : 2021-08-13DOI: 10.1080/10833196.2021.1976019
Katharine Huynh, L. Nategh, S. Jamadar, N. Georgiou‐Karistianis, A. Lampit
Abstract Introduction Cognitive impairments are prevalent in Huntington’s disease (HD), occurring many years prior to clinical diagnosis and are the most impactful on quality of life. Cognitive interventions and exercise have been found to be efficacious in improving cognitive function in several clinical populations (e.g. older adults with mild cognitive impairment and dementia). However, the utility of cognitive interventions has not been systematically reviewed in HD. This systematic review aims to examine the efficacy of cognitive and physical interventions on cognitive function in HD. Methods Electronic databases (MEDLINE, EMBASE, PsycINFO, CENTRAL) were searched from inception until 10 May 2021 for interventional studies investigating the effect of cognition-oriented treatments and physical exercise on cognitive function in individuals with HD, compared to any control or no control. The primary outcome is change on objective measures of cognition. Additional outcomes include change in psychosocial, functional and neuroimaging measures. Variations of effects based on population and study factors will be considered. Risk of bias will be assessed using the Cochrane RoB 2 tool and ROBINS-I tool. Where appropriate, outcomes will be pooled using random-effects meta-analyses, heterogeneity will be examined using tau2 and I2 statistics, and moderators will be examined using meta-regression models. Discussion This review will systematically evaluate the efficacy of cognitive and physical interventions on improving cognitive function in HD. The eligibility criteria and planned analyses will allow for a comprehensive assessment of certainty in the evidence that will inform future trials and clinical practice. Registration This protocol was registered on PROSPERO (CRD42021259152).
认知障碍在亨廷顿舞蹈病(HD)中普遍存在，在临床诊断前多年发生，并且对生活质量影响最大。认知干预和锻炼已被发现对改善一些临床人群的认知功能有效(例如，患有轻度认知障碍和痴呆的老年人)。然而，认知干预在HD中的应用尚未得到系统的回顾。本系统综述旨在探讨认知和身体干预对HD患者认知功能的影响。方法检索电子数据库(MEDLINE, EMBASE, PsycINFO, CENTRAL)，从成立到2021年5月10日，调查认知导向治疗和体育锻炼对HD患者认知功能的影响的介入研究，与任何对照或无对照进行比较。主要结果是认知客观测量的改变。其他结果包括社会心理、功能和神经影像学指标的变化。将考虑基于人口和研究因素的影响变化。偏倚风险将使用Cochrane RoB 2工具和ROBINS-I工具进行评估。在适当的情况下，将使用随机效应荟萃分析汇总结果，使用tau2和I2统计量检查异质性，并使用元回归模型检查调节因子。本文将系统评价认知和身体干预对改善HD患者认知功能的效果。资格标准和计划分析将允许对证据的确定性进行全面评估，这将为未来的试验和临床实践提供信息。注册协议在PROSPERO上注册(CRD42021259152)。
{"title":"Cognition-oriented treatments and physical exercise on cognitive function in Huntington’s disease: protocol for systematic review","authors":"Katharine Huynh, L. Nategh, S. Jamadar, N. Georgiou‐Karistianis, A. Lampit","doi":"10.1080/10833196.2021.1976019","DOIUrl":"https://doi.org/10.1080/10833196.2021.1976019","url":null,"abstract":"Abstract Introduction Cognitive impairments are prevalent in Huntington’s disease (HD), occurring many years prior to clinical diagnosis and are the most impactful on quality of life. Cognitive interventions and exercise have been found to be efficacious in improving cognitive function in several clinical populations (e.g. older adults with mild cognitive impairment and dementia). However, the utility of cognitive interventions has not been systematically reviewed in HD. This systematic review aims to examine the efficacy of cognitive and physical interventions on cognitive function in HD. Methods Electronic databases (MEDLINE, EMBASE, PsycINFO, CENTRAL) were searched from inception until 10 May 2021 for interventional studies investigating the effect of cognition-oriented treatments and physical exercise on cognitive function in individuals with HD, compared to any control or no control. The primary outcome is change on objective measures of cognition. Additional outcomes include change in psychosocial, functional and neuroimaging measures. Variations of effects based on population and study factors will be considered. Risk of bias will be assessed using the Cochrane RoB 2 tool and ROBINS-I tool. Where appropriate, outcomes will be pooled using random-effects meta-analyses, heterogeneity will be examined using tau2 and I2 statistics, and moderators will be examined using meta-regression models. Discussion This review will systematically evaluate the efficacy of cognitive and physical interventions on improving cognitive function in HD. The eligibility criteria and planned analyses will allow for a comprehensive assessment of certainty in the evidence that will inform future trials and clinical practice. Registration This protocol was registered on PROSPERO (CRD42021259152).","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46024825","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 : 2021-07-22DOI: 10.1080/10833196.2021.1935106
K. Hall, A. Grinstead, Jeremy S. Lewis, C. Mercer, A. Moore, C. Ridehalgh
Abstract Background A home exercise program (HEP) is integral in the management of rotator cuff related shoulder pain (RCRSP). There are many methods of measuring HEP adherence and many possible interventions to promote HEP adherence. Understanding the adherence rates to HEP and the strategies used to promote HEP adherence is important in order to interpret the existing evidence for the use of HEP in the management of RCRSP. Objectives To report and synthesize home exercise adherence and strategies to promote home exercise adherence in order to understand the limitations of the current evidence base and make recommendations for clinical practice and future research investigating HEPs in the management of RCRSP. Methods An electronic search of EMBASE, MEDLINE, PubMed, CINAHL, AMED, and CENTRAL was undertaken. Methodological quality was assessed using the Cochrane RoB 2.0, and BC techniques were coded in accordance with the BC technique taxonomy (version 1). Results Seventeen RCTs were retrieved. Forty-seven percent described a formal method of measuring HEP adherence and 29% described adherence rates. The included studies described between three and seventeen BC techniques and the mean number of BC techniques per study was 5.8. Twelve percent of the studies described offering patients an explanation of how the exercise program might help their symptoms resolve. Conclusions Poor reporting of adherence and the underutilisation of BC interventions to promote HEP adherence was prevalent. Recommendations for clinicians and researchers include more widespread use and definitive reporting of BC techniques to promote adherence, and the use of objective, patient self-reported, and clinician-assessed measures of adherence when prescribing HEPs.
摘要背景家庭锻炼计划（HEP）是治疗肩袖相关肩痛（RCRSP）不可或缺的一部分。有许多方法可以测量HEP的依从性，也有许多可能的干预措施来促进HEP的顺应性。了解HEP的依从率和用于促进HEP依从性的策略对于解释在RCRSP管理中使用HEP的现有证据非常重要。目的报告和综合家庭锻炼依从性和促进家庭锻炼依从的策略，以了解当前证据基础的局限性，并为临床实践和未来研究研究HEPs在RCRSP管理中的应用提出建议。方法对EMBASE、MEDLINE、PubMed、CINAHL、AMED和CENTRAL进行电子检索。使用Cochrane RoB 2.0评估方法学质量，并根据BC技术分类法（第1版）对BC技术进行编码。结果检索到17份随机对照试验。47%描述了测量HEP依从性的正式方法，29%描述了依从率。纳入的研究描述了公元前3至17种技术，每次研究的平均公元前技术数量为5.8。12%的研究描述了向患者解释运动计划如何帮助他们解决症状。结论对依从性的报告不足以及BC干预措施在促进HEP依从性方面的利用不足是普遍存在的。对临床医生和研究人员的建议包括更广泛地使用和明确报告BC技术来促进依从性，以及在开HEP时使用客观的、患者自我报告的和临床医生评估的依从性指标。
{"title":"Rotator cuff related shoulder pain. Describing home exercise adherence and the use of behavior change interventions to promote home exercise adherence: a systematic review of randomized controlled trials","authors":"K. Hall, A. Grinstead, Jeremy S. Lewis, C. Mercer, A. Moore, C. Ridehalgh","doi":"10.1080/10833196.2021.1935106","DOIUrl":"https://doi.org/10.1080/10833196.2021.1935106","url":null,"abstract":"Abstract Background A home exercise program (HEP) is integral in the management of rotator cuff related shoulder pain (RCRSP). There are many methods of measuring HEP adherence and many possible interventions to promote HEP adherence. Understanding the adherence rates to HEP and the strategies used to promote HEP adherence is important in order to interpret the existing evidence for the use of HEP in the management of RCRSP. Objectives To report and synthesize home exercise adherence and strategies to promote home exercise adherence in order to understand the limitations of the current evidence base and make recommendations for clinical practice and future research investigating HEPs in the management of RCRSP. Methods An electronic search of EMBASE, MEDLINE, PubMed, CINAHL, AMED, and CENTRAL was undertaken. Methodological quality was assessed using the Cochrane RoB 2.0, and BC techniques were coded in accordance with the BC technique taxonomy (version 1). Results Seventeen RCTs were retrieved. Forty-seven percent described a formal method of measuring HEP adherence and 29% described adherence rates. The included studies described between three and seventeen BC techniques and the mean number of BC techniques per study was 5.8. Twelve percent of the studies described offering patients an explanation of how the exercise program might help their symptoms resolve. Conclusions Poor reporting of adherence and the underutilisation of BC interventions to promote HEP adherence was prevalent. Recommendations for clinicians and researchers include more widespread use and definitive reporting of BC techniques to promote adherence, and the use of objective, patient self-reported, and clinician-assessed measures of adherence when prescribing HEPs.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1935106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48633230","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 : 2021-07-12DOI: 10.1080/10833196.2021.1948752
G. Farrell, C. Chapple, Ewan Kennedy, K. Sampath, A. Gisselman, C. Cook, S. Tumilty
Abstract Background 10-15% of individuals who sustain a concussion develop persistent post-concussion symptoms (PPCS). Presently, there is no consensus regarding the pathophysiology of PPCS. Preliminary evidence suggests that individuals with PPCS have either a dysfunctional autonomic nervous system (ANS) or hypothalamic-pituitary-adrenal axis (HPA-axis). The ANS and HPA-axis collectively make up the two arms of the peripheral stress response. In the presence of a stressor, the two arms work interchangeably to return the body back to homeostasis. With concussion as the stressor, it is plausible that the development and maintenance of PPCS are due to a dysfunctional stress response. Only one study has explored the relationship between PPCS and the two arms of the stress response (ANS and HPA-axis) in combination, which presents a clear gap in the literature. Objective The proposed protocol aims to determine the extent of evidence for dysfunction of the stress response in individuals with PPCS. This review will individually map the literature surrounding quantifiable changes in the (1) ANS and (2) HPA-axis in individuals with PPCS. The review will also highlight any (3) knowledge gaps in this emerging field of research. Methods A scoping review study design has been chosen to facilitate a thorough literature search on this broad exploratory topic. The scoping review proposed will follow the recommended methodological guidelines. Conclusion Understanding the potential role of a dysfunctional stress response in those with PPCS will create more effective treatment pathways and reduce the chronicity of this condition.
{"title":"Dysfunction of the stress response in individuals with persistent post-concussion symptoms: a scoping review protocol","authors":"G. Farrell, C. Chapple, Ewan Kennedy, K. Sampath, A. Gisselman, C. Cook, S. Tumilty","doi":"10.1080/10833196.2021.1948752","DOIUrl":"https://doi.org/10.1080/10833196.2021.1948752","url":null,"abstract":"Abstract Background 10-15% of individuals who sustain a concussion develop persistent post-concussion symptoms (PPCS). Presently, there is no consensus regarding the pathophysiology of PPCS. Preliminary evidence suggests that individuals with PPCS have either a dysfunctional autonomic nervous system (ANS) or hypothalamic-pituitary-adrenal axis (HPA-axis). The ANS and HPA-axis collectively make up the two arms of the peripheral stress response. In the presence of a stressor, the two arms work interchangeably to return the body back to homeostasis. With concussion as the stressor, it is plausible that the development and maintenance of PPCS are due to a dysfunctional stress response. Only one study has explored the relationship between PPCS and the two arms of the stress response (ANS and HPA-axis) in combination, which presents a clear gap in the literature. Objective The proposed protocol aims to determine the extent of evidence for dysfunction of the stress response in individuals with PPCS. This review will individually map the literature surrounding quantifiable changes in the (1) ANS and (2) HPA-axis in individuals with PPCS. The review will also highlight any (3) knowledge gaps in this emerging field of research. Methods A scoping review study design has been chosen to facilitate a thorough literature search on this broad exploratory topic. The scoping review proposed will follow the recommended methodological guidelines. Conclusion Understanding the potential role of a dysfunctional stress response in those with PPCS will create more effective treatment pathways and reduce the chronicity of this condition.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1948752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45326715","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 : 2021-06-29DOI: 10.1080/10833196.2021.1945805
C. Adeagbo, O. Olawale, C. Gbiri
Abstract Introduction Recovery of upper limb motor function remains a major challenge to stroke rehabilitation experts and stroke survivors alike. Stimulation of the motor cortex by noninvasive brain stimulators and therapy focused on repetitive functional activities can increase upper limb functioning after stroke. Hence, this study was designed to determine therapeutic efficacy of transcranial direct current stimulation (tDCS) and repetitive functional task-oriented programme (RFTOP) for upper limb functional rehabilitation in stroke survivors. Materials and Methods A single-blind randomized control trial involving 78 individuals with sub-acute and chronic stroke. They were randomized into three groups: Group 1: Anodal tDCS + RFTOP; Group 2: Cathodal tDCS + RFTOP; Group 3: RFTOP only. Participants had two sessions of therapy in a week for six weeks. Upper limb function was assessed using Fugl-Meyer Assessment Upper Extremity (FMA-UE) and Box and Block Test (BBT). Significance was set at p < 0.05. Results Baseline comparison of the groups showed no significant difference (FMA-UE: p = 0.237; BBT: p = 0.183). All groups showed statistical significant difference between baseline and post intervention in scores of FMA-UE (p ≤ 0.001) and BBT (p < 0.001). Mean difference comparison showed statistical significant difference among groups for FMA-UE hand domain (p = 0.009) and BBT (p = <0.001). Post hoc analysis showed the difference among the groups was between anodal against cathodal and anodal against control. Conclusion tDCS and RFTOP were efficacious for upper limb functional rehabilitation in stroke survivors. Anodal tDCS showed better clinical improvement compared to Cathodal tDCS.
{"title":"Transcranial direct current stimulation and repetitive functional task-oriented programme for upper limb functional rehabilitation in stroke survivors","authors":"C. Adeagbo, O. Olawale, C. Gbiri","doi":"10.1080/10833196.2021.1945805","DOIUrl":"https://doi.org/10.1080/10833196.2021.1945805","url":null,"abstract":"Abstract Introduction Recovery of upper limb motor function remains a major challenge to stroke rehabilitation experts and stroke survivors alike. Stimulation of the motor cortex by noninvasive brain stimulators and therapy focused on repetitive functional activities can increase upper limb functioning after stroke. Hence, this study was designed to determine therapeutic efficacy of transcranial direct current stimulation (tDCS) and repetitive functional task-oriented programme (RFTOP) for upper limb functional rehabilitation in stroke survivors. Materials and Methods A single-blind randomized control trial involving 78 individuals with sub-acute and chronic stroke. They were randomized into three groups: Group 1: Anodal tDCS + RFTOP; Group 2: Cathodal tDCS + RFTOP; Group 3: RFTOP only. Participants had two sessions of therapy in a week for six weeks. Upper limb function was assessed using Fugl-Meyer Assessment Upper Extremity (FMA-UE) and Box and Block Test (BBT). Significance was set at p < 0.05. Results Baseline comparison of the groups showed no significant difference (FMA-UE: p = 0.237; BBT: p = 0.183). All groups showed statistical significant difference between baseline and post intervention in scores of FMA-UE (p ≤ 0.001) and BBT (p < 0.001). Mean difference comparison showed statistical significant difference among groups for FMA-UE hand domain (p = 0.009) and BBT (p = <0.001). Post hoc analysis showed the difference among the groups was between anodal against cathodal and anodal against control. Conclusion tDCS and RFTOP were efficacious for upper limb functional rehabilitation in stroke survivors. Anodal tDCS showed better clinical improvement compared to Cathodal tDCS.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1945805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43137971","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 : 2021-06-18DOI: 10.1080/10833196.2021.1938867
Shawn Leng-Hsien Soh, J. Lane, N. Gleeson, Tianma Xu, Fahria Bte Abdul Rahman, T. Yeh, Benjamin Soon, Chee-Wee Tan
Abstract Background Patient-reported outcome measures (PROMs) provide clinicians a greater understanding of patients’ perceived ability in their physical performance. Existing PROMs on falls efficacy provide meaningful information about the perceived ability in older people to perform common activities of daily living without falling. However, the perceived ability to recover balance from a slip, a trip, or volitional movements has been inadequately assessed. Balance recovery confidence relates to the judgment of self-reactive ability. The scale of balance recovery confidence (BRC) is a new PROM that measures perceived balance recovery self-efficacy. The purpose of the study protocol is to describe the first psychometric evaluation of BRC’s measurement properties. Objective This study is a validation phase of a newly developed PROM conducted in Singapore. Methods Two hundred community-dwelling older adults, aged 65 years and older, will complete five self-reported instruments (BRC, Activities-specific Balance Confidence Scale, Falls Efficacy Scale-International, Late-Life Function and Disability Instrument-Function and Global Perceived Effect) and three performance measures (Hand strength dynamometer, 30-second Chair Stand, Mini BESTest). Classical test theory methods will assess acceptability, data completeness, targeting of the items, scaling assumptions, internal consistency reliability and construct validity. Factor analysis will establish unidimensionality. Rasch analysis will evaluate item fit, differential item functioning, response scale ordering, targeting of persons and items and the reliability. Results The findings from this study will be published in peer-reviewed journals and presented at national and international conferences in rehabilitation-specific context. Conclusions This is the first validation study of BRC. The study will give confidence among clinicians and researchers to use the BRC in fall management research and clinical practice.
{"title":"Validation of a new patient-reported outcome measure of balance recovery confidence (BRC) for community-dwelling older adults: a study protocol","authors":"Shawn Leng-Hsien Soh, J. Lane, N. Gleeson, Tianma Xu, Fahria Bte Abdul Rahman, T. Yeh, Benjamin Soon, Chee-Wee Tan","doi":"10.1080/10833196.2021.1938867","DOIUrl":"https://doi.org/10.1080/10833196.2021.1938867","url":null,"abstract":"Abstract Background Patient-reported outcome measures (PROMs) provide clinicians a greater understanding of patients’ perceived ability in their physical performance. Existing PROMs on falls efficacy provide meaningful information about the perceived ability in older people to perform common activities of daily living without falling. However, the perceived ability to recover balance from a slip, a trip, or volitional movements has been inadequately assessed. Balance recovery confidence relates to the judgment of self-reactive ability. The scale of balance recovery confidence (BRC) is a new PROM that measures perceived balance recovery self-efficacy. The purpose of the study protocol is to describe the first psychometric evaluation of BRC’s measurement properties. Objective This study is a validation phase of a newly developed PROM conducted in Singapore. Methods Two hundred community-dwelling older adults, aged 65 years and older, will complete five self-reported instruments (BRC, Activities-specific Balance Confidence Scale, Falls Efficacy Scale-International, Late-Life Function and Disability Instrument-Function and Global Perceived Effect) and three performance measures (Hand strength dynamometer, 30-second Chair Stand, Mini BESTest). Classical test theory methods will assess acceptability, data completeness, targeting of the items, scaling assumptions, internal consistency reliability and construct validity. Factor analysis will establish unidimensionality. Rasch analysis will evaluate item fit, differential item functioning, response scale ordering, targeting of persons and items and the reliability. Results The findings from this study will be published in peer-reviewed journals and presented at national and international conferences in rehabilitation-specific context. Conclusions This is the first validation study of BRC. The study will give confidence among clinicians and researchers to use the BRC in fall management research and clinical practice.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10833196.2021.1938867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41268703","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：