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‘You must have lived it’: learning from the views of physiotherapists who worked during the COVID-19 pandemic 你一定经历过":从在 COVID-19 大流行期间工作过的理疗师那里汲取经验
IF 0.7 Q3 Medicine Pub Date : 2023-12-16 DOI: 10.1080/10833196.2023.2288478
Brenna van der Westhuizen, C. Killingback
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引用次数: 0
A scoping systematic review of dance application as a rehabilitation tool in adults and older individuals with neurological diseases 舞蹈作为成人和老年神经疾病患者康复工具的应用范围系统综述
Q3 Medicine Pub Date : 2023-11-07 DOI: 10.1080/10833196.2023.2276971
Flávia Guirro Zuliani, Bruno Henrique de Souza Fonseca, Jéssica Mariana de Aquino Miranda, Luciane Aparecida Pascucci Sande de Souza, Gustavo José Luvizutto
AbstractPurpose The implementation of dance during rehabilitation can generate motivation and patient engagement. The compilation about dance style, type of neurological disease, functional profile, and outcomes may facilitate the understanding of dance applications in neurofunctional rehabilitation scenario. Therefore, this review mapped the studies on dance in neurological rehabilitation.Materials and methods Based on Joanna Briggs Institute methodology, this scoping review addressed dance in rehabilitation in various in- and out-of-hospital environments. The search was conducted between December 2021 and July 2022 on MEDLINE/PubMed®, Cochrane Library, PEDro, Scopus, CINAHL, Web of Science, Science Direct, and Springer, with a three-step analysis and categorization of the studies: pre-analysis, exploration of the material, and data processing.Results On a total of 2,256 studies identified, 62 were included. The number of publications in the last two decades were: 1980–1989 (n = 2 studies); 1990–1999 (n = 1); 2000–2009 (n = 4); 2010–2019 (n = 41), and from 2020 (n = 16). Dancers were predominant in older (n = 42) and female (n = 599) individuals, compared to younger (n = 20) and male (n = 589) individuals, respectively. They included ballroom dancing (n = 24), Argentine or Adapted Tango (n = 20), aerobic dance (n = 9), and ballet (n = 8). The predominant neurological conditions were Parkinson’s disease (n = 40), stroke (n = 7), intellectual disability (n = 4), multiple sclerosis (n = 4), dementia or cognitive disabilities (n = 3). The predominant outcomes were balance and gait analysis, cognitive functions, motor coordination, psychological symptoms, and quality of life.Conclusion The application of dance in neurological rehabilitation has increased over the last two decades, with an emphasis on ballroom dancing, Argentine tango, and classical ballet in Parkinson’s disease (PD).Keywords: Dancerehabilitationneurological diseasesscoping reviewfunctionality AcknowledgmentsNo specific funding was received from any bodies in the public, commercial or not-for-profit sectors to carry out the work described in this article.Disclosure statementThe authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.Data availability statementThe datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
【摘要】目的在康复过程中实施舞蹈,可以激发患者的积极性,提高患者的参与度。舞蹈风格、神经系统疾病类型、功能概况和结果的汇编有助于理解舞蹈在神经功能康复方案中的应用。因此,本文对舞蹈在神经康复中的研究进行综述。材料和方法基于乔安娜布里格斯研究所的方法,这篇综述论述了舞蹈在各种院内和院外康复环境中的作用。检索于2021年12月至2022年7月期间在MEDLINE/PubMed®、Cochrane Library、PEDro、Scopus、CINAHL、Web of Science、Science Direct和Springer上进行,对研究进行了三步分析和分类:预分析、材料探索和数据处理。结果在总共2256项研究中,有62项被纳入。过去二十年的出版物数量为:1980-1989年(n = 2项研究);1990-1999年(n = 1);2000-2009年(n = 4);2010-2019年(n = 41)和2020年(n = 16)。与年轻个体(n = 20)和男性个体(n = 589)相比,舞蹈者在老年人(n = 42)和女性个体(n = 599)中占主导地位。包括交际舞(n = 24)、阿根廷探戈(n = 20)、有氧舞(n = 9)和芭蕾舞(n = 8)。主要的神经系统疾病是帕金森病(n = 40)、中风(n = 7)、智力残疾(n = 4)、多发性硬化症(n = 4)、痴呆或认知障碍(n = 3)。主要的结果是平衡和步态分析、认知功能、运动协调、心理症状和生活质量。结论舞蹈在神经康复中的应用在过去的二十年中有所增加,重点是交际舞,阿根廷探戈和古典芭蕾在帕金森病(PD)中的应用。致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢致谢作者声明,本研究是在没有任何可能被解释为潜在利益冲突的商业或财务关系的情况下进行的。数据可用性声明当前研究期间生成和/或分析的数据集可根据通讯作者的合理要求提供。其他信息资金作者报告没有与本文所述工作相关的资金。
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引用次数: 0
Stroke survivors’ acceptance and satisfaction of telerehabilitation delivery of physiotherapy services: a systematic review 中风幸存者对物理治疗服务远程康复的接受度和满意度:一项系统综述
Q3 Medicine Pub Date : 2023-10-23 DOI: 10.1080/10833196.2023.2271301
Connie Lombardo, Md Shahidul Islam
Introduction Telerehabilitation has been explored as a solution to several of the barriers to stroke rehabilitation access, and as a necessary alternative to in-person rehabilitation in response to the COVID-19 pandemic. This review aims to explore stroke survivors’ acceptance and satisfaction of telerehabilitation delivery of physiotherapy services.
为应对COVID-19大流行,远程康复已被探索为解决卒中康复准入的若干障碍,并作为现场康复的必要替代方案。本研究旨在探讨脑卒中幸存者对远程康复物理治疗服务的接受程度和满意度。
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引用次数: 0
The pain attitudes and beliefs scale for physiotherapists: psychometric properties of the Croatian version 物理治疗师的疼痛态度和信念量表:克罗地亚版本的心理测量特性
Q3 Medicine Pub Date : 2023-10-17 DOI: 10.1080/10833196.2023.2271309
Marko Bodrozic, Manuela Filipec
AbstractObjective This study aims to create a Croatian version of the PABS-PT questionnaire and determine the psychometric properties.Design This study is a cross-sectional survey of Croatian physiotherapists.Methods The Pain Attitudes and Beliefs Scale for Physiotherapists is a questionnaire that includes 36 items. Only physiotherapists working with patients suffering from low back pain and who have been working for at least 1 year in the field of musculoskeletal physiotherapy participated in the study. The Factor and Cronbach’s alpha analyses were performed to determine the factor structure and internal consistency.Results A total of 203 physiotherapists (response rate 69.52%) completed the PABS-PT-CRO. The analysis reveals two factors, i.e. a biomedical and biopsychosocial treatment orientation. The two-factor structure explained 25.8% of the total variance, with factor 1 contributing 17.8% and factor 2 contributing 8%. Thirty-six items were reduced to fifteen, with ten items loading on factor 1 and five on factor 2. Cronbach’s alpha was 0.762 for factor 1 (biomedical scale) and 0.666 for factor 2 (biopsychosocial scale).Conclusion The Croatian version of the PABS-PT appears to be equivalent to the original Dutch version and indicates a similar internal consistency. The questionnaire is valuable and necessary in clinical work for physiotherapists.Keywords: Biopsychosocialattitudephysiotherapistlow back painpsychometric properties Author contributionsBoth authors contributed to the conception and design of the study, data analysis, writing, and revising the manuscript. MB was responsible for data collection.Ethical approvalThis study was approved by the Ethics Committee at the Clinical Hospital Sveti Duh.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
摘要目的编制克罗地亚语版PABS-PT问卷,并测定问卷的心理测量特征。本研究是对克罗地亚物理治疗师的横断面调查。方法采用包含36个项目的《物理治疗师疼痛态度与信念量表》问卷。只有在肌肉骨骼物理治疗领域工作至少1年的治疗下腰痛患者的物理治疗师参与了这项研究。采用因子分析和Cronbach 's alpha分析确定因子结构和内部一致性。结果203名物理治疗师(有效率69.52%)完成了PABS-PT-CRO测试。分析揭示了两个因素,即生物医学和生物心理社会治疗取向。双因子结构解释总方差的25.8%,其中因子1贡献17.8%,因子2贡献8%。36个项目减少到15个,其中10个项目加载因子1,5个项目加载因子2。因子1(生物医学量表)的Cronbach’s alpha为0.762,因子2(生物心理社会量表)的Cronbach’s alpha为0.666。结论克罗地亚版本的PABS-PT似乎相当于原来的荷兰版本,并表明类似的内部一致性。问卷调查在物理治疗师的临床工作中是有价值和必要的。关键词:生物心理社会态度物理治疗腰痛心理测量特征作者贡献两位作者对研究的构思和设计、数据分析、撰写和修改稿件都做出了贡献。MB负责数据收集。伦理批准本研究已获得Sveti Duh临床医院伦理委员会的批准。披露声明作者未报告潜在的利益冲突。其他信息资金作者报告没有与本文所述工作相关的资金。
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引用次数: 0
Examining physical activity participation barriers among adults 50 years and older: a scoping review 调查50岁及以上成年人参与体育活动的障碍:一项范围审查
Q3 Medicine Pub Date : 2023-10-13 DOI: 10.1080/10833196.2023.2265767
Mariana Wingood, Michelle G. Criss, Kent E. Irwin, Patricia M. Bamonti, Rebekah Harris, Emma L. Phillips, Jennifer L. Vincenzo, Kevin K. Chui
AbstractBackground Addressing physical activity (PA) barriers is essential for increasing PA levels in middle-aged and older adults. However, there are no recommendations on selecting PA barrier assessment tools.Objectives Thus, we aimed to identify and provide clinimetric properties on PA barrier assessment tools that healthcare providers, exercise experts, and public health officials can use to examine potential barriers faced by community-dwelling adults 50 years and older.Methods We performed a systematic search of the following databases: PubMed, PsycINFO, CINAHL, and Web of Science. Articles were included if they presented clinimetric data on a PA participation barrier assessment tool for community-dwelling participants with a mean age of 50 years and older. The 561 identified articles underwent multiple rounds of blinded reviews. Included articles underwent data extraction for participant characteristics, scoring, constructs, reference tests, and clinimetric properties.Results The 35 included articles reported on 33 different PA participation barrier assessment tools. Eighteen articles reported on participants with cardiovascular, musculoskeletal, or neurological diagnoses, diabetes, hemodialysis, history of cancer, or mobility limitations. Tools with two or more supporting publications included the Exercise Benefits/Barrier Scale (EBBS), Episode-Specific Interpretations of Exercise Inventory (ESIE), and Inventory of Physical Activity and Barriers (IPAB). Due to differences in methodologies, across-tool comparison was not possible.Conclusion The EBBS, ESIE, and IPAB are promising tools for community-dwelling adults 50 years and older. However, additional research is warranted to identify the best PA barrier assessment tool among adults 50 years and older.Keywords: Physical activitybarriersolder adultsprimary prevention AcknowledgementsWe would like to acknowledge the contributions made by Nancy Bianchi, a librarian at the University of Vermont, for her guidance on identifying appropriate search terms and for completing the searches.Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingDr. Vincenzo was supported by the Translational Research Institute (TRI), grant (KL2; TR003108 and UL1 TR003107) through the National Center for Advancing Translational Sciences of the National Institutes of Health and K76AG074920 from the National Institute on Aging.
摘要背景:解决体力活动障碍对于提高中老年人的PA水平至关重要。然而,在选择PA屏障评估工具方面没有建议。因此,我们的目的是确定并提供PA障碍评估工具的临床特性,医疗保健提供者、运动专家和公共卫生官员可以使用这些工具来检查50岁及以上社区居民面临的潜在障碍。方法系统检索PubMed、PsycINFO、CINAHL和Web of Science数据库。如果文章提供了平均年龄在50岁及以上的社区居民参与PA障碍评估工具的临床数据,则纳入。561篇确定的文章进行了多轮盲法评价。对纳入的文章进行了参与者特征、评分、结构、参考测试和临床特性的数据提取。结果纳入的35篇文章报道了33种不同的PA参与障碍评估工具。18篇文章报道了心血管、肌肉骨骼或神经系统诊断、糖尿病、血液透析、癌症史或活动受限的参与者。有两种或两种以上支持出版物的工具包括运动益处/障碍量表(EBBS)、运动量表(ESIE)和身体活动和障碍量表(IPAB)。由于方法上的差异,跨工具比较是不可能的。结论EBBS、ESIE和IPAB是50岁及以上社区居民的有效工具。然而,在50岁及以上的成年人中,需要进一步的研究来确定最佳的PA屏障评估工具。我们要感谢佛蒙特大学图书管理员Nancy Bianchi的贡献,她指导我们确定了合适的搜索词并完成了搜索。披露声明作者未报告潜在的利益冲突。额外的informationFundingDr。Vincenzo由转化研究所(TRI)资助,资助(KL2;TR003108和UL1 TR003107)通过国家卫生研究院推进转化科学中心和国家老龄化研究所的K76AG074920获得。
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引用次数: 0
The role of menstrual cycle phase-based resistance training for women post anterior cruciate ligament reconstruction: a scoping review 基于月经周期阶段的阻力训练对女性前交叉韧带重建后的作用:范围回顾
Q3 Medicine Pub Date : 2023-10-10 DOI: 10.1080/10833196.2023.2266320
Emma O’Loughlin, Duncan Reid, Stacy Sims
Background Strength deficits are common following anterior cruciate ligament reconstruction (ACLR). Best practice guidelines recommend resistance training post-ACLR to target these strength deficits. Research has supported menstrual cycle (MC) phase-based resistance training for eumenorrheic women, however its applicability for women post-ACLR was unknown.
背景:前交叉韧带重建(ACLR)后力量不足是常见的。最佳实践指南建议aclr后进行阻力训练以针对这些力量缺陷。研究支持基于月经周期(MC)阶段的阻力训练用于经期妇女,但其对aclr后妇女的适用性尚不清楚。
{"title":"The role of menstrual cycle phase-based resistance training for women post anterior cruciate ligament reconstruction: a scoping review","authors":"Emma O’Loughlin, Duncan Reid, Stacy Sims","doi":"10.1080/10833196.2023.2266320","DOIUrl":"https://doi.org/10.1080/10833196.2023.2266320","url":null,"abstract":"Background Strength deficits are common following anterior cruciate ligament reconstruction (ACLR). Best practice guidelines recommend resistance training post-ACLR to target these strength deficits. Research has supported menstrual cycle (MC) phase-based resistance training for eumenorrheic women, however its applicability for women post-ACLR was unknown.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136294617","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}
引用次数: 0
Effectiveness of forced prolonged position for geotropic horizontal canal BPPV: a systematic review 强制延长体位治疗各向同性水平管BPPV的有效性:系统回顾
Q3 Medicine Pub Date : 2023-09-20 DOI: 10.1080/10833196.2023.2258714
Bonni Lynn Kinne, Haley Jeanne Anderson, Blair Cristylyn Cremerius, Sylvia Mirai Staltmanis
AbstractBackground Geotropic horizontal canal BPPV may be effectively treated using roll maneuvers or side-lying maneuvers. Forced prolonged position (FPP), initially described in 1997, may be used alone or in conjunction with these roll maneuvers or side-lying maneuvers in the treatment of geotropic horizontal canal BPPV.Objectives The purpose of this systematic review was to determine the effectiveness of FPP for the treatment of geotropic horizontal canal BPPV.Methods A literature search was conducted using CINAHL Complete, ProQuest Medical Database, PubMed, Web of Science, and Wiley Online Library as the databases. The search terms applied were geotropic AND (horizontal OR lateral) AND vertigo AND (‘forced prolonged position’ OR ‘forced prolonged positioning’).Results The efficacy of FPP ranged between 73.0% and 100.0% for the resolution of the vertigo and/or nystagmus associated with geotropic horizontal canal BPPV. FPP appears to be a more suitable intervention than roll maneuvers for individuals with physical impairments such as age-related limitations, obesity, neck pain, back pain, and/or other musculoskeletal disorders. Although the Gufoni maneuver, the most common side-lying maneuver, requires much less time to perform than FPP and may be more appropriate for those individuals who are unable to maintain a side-lying position for a prolonged period, the quick movements required for the performance of this intervention can elicit severe neurovegetative symptoms.Conclusions Therapists should consider using FPP with individuals who have been diagnosed with geotropic horizontal canal BPPV. FPP might be effective if used independently or in combination with another intervention, such as the Gufoni maneuver.Keywords: Benign paroxysmal positional vertigoBPPVforced prolonged positiongeotropichorizontal canal Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.
摘要背景地向性水平管BPPV可通过横摇或侧躺两种方法有效治疗。1997年首次描述的强制延长体位(FPP)可以单独使用,也可以与这些滚转操作或侧躺操作联合使用,用于治疗各向大地水平管BPPV。目的本系统综述的目的是确定FPP治疗各向异性水平管BPPV的有效性。方法采用CINAHL Complete、ProQuest Medical Database、PubMed、Web of Science、Wiley Online Library等数据库进行文献检索。使用的搜索词是地向性和(水平或横向)和眩晕和(“被迫延长位置”或“被迫延长位置”)。结果FPP治疗各向异性水平管BPPV伴发眩晕和/或眼球震颤的有效率在73.0% ~ 100.0%之间。对于有身体缺陷的个体,如年龄相关的限制、肥胖、颈痛、背痛和/或其他肌肉骨骼疾病,FPP似乎是比滚动操作更合适的干预措施。虽然最常见的侧卧手法Gufoni手法所需的时间比FPP要少得多,而且可能更适合那些无法长时间保持侧卧姿势的人,但这种干预措施所需的快速运动可能会引起严重的神经植物症状。结论:治疗师应考虑对诊断为向地性水平管BPPV的患者使用FPP。如果单独使用或与其他干预措施(如Gufoni手法)联合使用,FPP可能有效。关键词:良性阵发性体位性眩晕ppv强迫延长体位地热带水平管披露声明作者未报告潜在的利益冲突。其他信息资金作者报告没有与本文所述工作相关的资金。
{"title":"Effectiveness of forced prolonged position for geotropic horizontal canal BPPV: a systematic review","authors":"Bonni Lynn Kinne, Haley Jeanne Anderson, Blair Cristylyn Cremerius, Sylvia Mirai Staltmanis","doi":"10.1080/10833196.2023.2258714","DOIUrl":"https://doi.org/10.1080/10833196.2023.2258714","url":null,"abstract":"AbstractBackground Geotropic horizontal canal BPPV may be effectively treated using roll maneuvers or side-lying maneuvers. Forced prolonged position (FPP), initially described in 1997, may be used alone or in conjunction with these roll maneuvers or side-lying maneuvers in the treatment of geotropic horizontal canal BPPV.Objectives The purpose of this systematic review was to determine the effectiveness of FPP for the treatment of geotropic horizontal canal BPPV.Methods A literature search was conducted using CINAHL Complete, ProQuest Medical Database, PubMed, Web of Science, and Wiley Online Library as the databases. The search terms applied were geotropic AND (horizontal OR lateral) AND vertigo AND (‘forced prolonged position’ OR ‘forced prolonged positioning’).Results The efficacy of FPP ranged between 73.0% and 100.0% for the resolution of the vertigo and/or nystagmus associated with geotropic horizontal canal BPPV. FPP appears to be a more suitable intervention than roll maneuvers for individuals with physical impairments such as age-related limitations, obesity, neck pain, back pain, and/or other musculoskeletal disorders. Although the Gufoni maneuver, the most common side-lying maneuver, requires much less time to perform than FPP and may be more appropriate for those individuals who are unable to maintain a side-lying position for a prolonged period, the quick movements required for the performance of this intervention can elicit severe neurovegetative symptoms.Conclusions Therapists should consider using FPP with individuals who have been diagnosed with geotropic horizontal canal BPPV. FPP might be effective if used independently or in combination with another intervention, such as the Gufoni maneuver.Keywords: Benign paroxysmal positional vertigoBPPVforced prolonged positiongeotropichorizontal canal Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136306904","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}
引用次数: 0
Do pre-operative therapeutic interventions affect outcome in people undergoing hip and knee joint replacement? A systematic analysis of systematic reviews 术前治疗干预会影响髋关节和膝关节置换术患者的预后吗?系统评价的系统分析
IF 0.7 Q3 Medicine Pub Date : 2023-08-09 DOI: 10.1080/10833196.2023.2243581
Emma Sutton, U. Rahman, E. Karasouli, Heather J. MacKinnon, Anand Radhakrishnan, M. Renna, A. Metcalfe
Abstract Background THR and TKR patients represent one of the largest groups of surgical patients globally, yet we do not know how to optimise pre-operative care to improve post-operative outcomes. Objective To clarify the effect of pre-operative prehabilitation interventions such as exercise, neuromuscular stimulation, and psychological therapies on outcomes for hip (THR) and knee (TKR) replacement patients. Methods We used PRISMA guidelines and guidelines by Smith and colleagues on conducting reviews of reviews. Searches were conducted on Medline, the Cochrane Database of Systematic Reviews, and the Database of Abstracts of Reviews of Effects (DARE). Additional hand searches were also conducted. Articles were selected based on inclusion criteria and we report meta-analyses of data by outcome measures. Major Findings 6848 articles were screened and the full text of 33 reviews were obtained. Twenty systematic reviews were included, containing 67 unique randomised controlled trials. In 70% of the reviews (14/20), intervention fidelity was not reported. The components of prehabilitation that were tested were: exercise, education, nutrition, acupuncture and neuromuscular stimulation. Exercise alone did not affect functional outcome for TKR patients, but it did affect activity levels prior to THR, and pain prior to THR and TKR. Exercise alone may reduce Length of Stay (by between 0.8 and 4 days). Education when combined with exercise can reduce Length of Stay for TKR patients. Relaxation did not affect function or length of stay but gave a modest reduction of pain. Conclusions Providing education alongside exercise as a pre-operative intervention may reduce Length of Stay. One small RCT combined all three elements of exercise, education and dietary advice and there is no robust evidence to determine whether combining these elements can influence functional outcome.
{"title":"Do pre-operative therapeutic interventions affect outcome in people undergoing hip and knee joint replacement? A systematic analysis of systematic reviews","authors":"Emma Sutton, U. Rahman, E. Karasouli, Heather J. MacKinnon, Anand Radhakrishnan, M. Renna, A. Metcalfe","doi":"10.1080/10833196.2023.2243581","DOIUrl":"https://doi.org/10.1080/10833196.2023.2243581","url":null,"abstract":"Abstract Background THR and TKR patients represent one of the largest groups of surgical patients globally, yet we do not know how to optimise pre-operative care to improve post-operative outcomes. Objective To clarify the effect of pre-operative prehabilitation interventions such as exercise, neuromuscular stimulation, and psychological therapies on outcomes for hip (THR) and knee (TKR) replacement patients. Methods We used PRISMA guidelines and guidelines by Smith and colleagues on conducting reviews of reviews. Searches were conducted on Medline, the Cochrane Database of Systematic Reviews, and the Database of Abstracts of Reviews of Effects (DARE). Additional hand searches were also conducted. Articles were selected based on inclusion criteria and we report meta-analyses of data by outcome measures. Major Findings 6848 articles were screened and the full text of 33 reviews were obtained. Twenty systematic reviews were included, containing 67 unique randomised controlled trials. In 70% of the reviews (14/20), intervention fidelity was not reported. The components of prehabilitation that were tested were: exercise, education, nutrition, acupuncture and neuromuscular stimulation. Exercise alone did not affect functional outcome for TKR patients, but it did affect activity levels prior to THR, and pain prior to THR and TKR. Exercise alone may reduce Length of Stay (by between 0.8 and 4 days). Education when combined with exercise can reduce Length of Stay for TKR patients. Relaxation did not affect function or length of stay but gave a modest reduction of pain. Conclusions Providing education alongside exercise as a pre-operative intervention may reduce Length of Stay. One small RCT combined all three elements of exercise, education and dietary advice and there is no robust evidence to determine whether combining these elements can influence functional outcome.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47182543","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}
引用次数: 0
An opportunity for transformative change in the US Healthcare System—cultural safety: a scoping review protocol 美国医疗体系变革的机会——文化安全:范围审查方案
IF 0.7 Q3 Medicine Pub Date : 2023-06-24 DOI: 10.1080/10833196.2023.2226364
Tara Dickson, Tawna Wilkinson, Kim D. Dao, L. Woodhouse, E. Hegedus, A. Gisselman
Abstract Objective We aim to collate and analyze current evidence for implementing cultural safety measures among patients, health professionals, in the education of health professionals, and within healthcare organizations. A second aim is to understand how to best assess the effectiveness of cultural safety interventions. Our third aim is to provide guidance on how culturally safe environments can be implemented in the US healthcare system. Introduction Culturally safe environments can improve health inequities among underrepresented groups. However, there is a paucity of evidence on how cultural safety can be implemented among patients, health professionals, in the education of health professionals, and within healthcare organizations in the United States (US). Inclusion criteria This scoping review will examine the US and international literature on cultural safety implemented by healthcare professionals and the experiences of their patients; educational interventions to improve cultural safety in health professional education; and the organization and systems-level initiatives that create culturally safe environments. Physician groups will not be included as power differentials between physician groups and patients are different from those among other health professionals and patients. Due to the wealth of experience and cultural safety literature in this area from countries outside of the US, international studies will be included. Methods This review will search national and international literature to inform cultural safety practices in the US and will be conducted in accordance with the JBI methodology and PRISMA-ScR extension. Key search sources will include CINAHL, MEDLINE, the Cochrane Library, PsycINFO, Social Work Abstracts, and GoogleScholar from 1988–2022. Reviewed sources will be in English and will include unpublished studies and grey literature. All sources will be reviewed by at least two independent reviewers, with a third independent reviewer to achieve consensus when necessary. Results will be presented in alignment with the four conceptual layers that create culturally safe environments: patients, health professionals, health professionals’ education, and healthcare organizations and systems. Dissemination This scoping review aims to collect, analyze, and disseminate an extensive overview of cultural safety in healthcare to inform guidance on how best to implement culturally safe healthcare and education for health professionals in the US.
{"title":"An opportunity for transformative change in the US Healthcare System—cultural safety: a scoping review protocol","authors":"Tara Dickson, Tawna Wilkinson, Kim D. Dao, L. Woodhouse, E. Hegedus, A. Gisselman","doi":"10.1080/10833196.2023.2226364","DOIUrl":"https://doi.org/10.1080/10833196.2023.2226364","url":null,"abstract":"Abstract Objective We aim to collate and analyze current evidence for implementing cultural safety measures among patients, health professionals, in the education of health professionals, and within healthcare organizations. A second aim is to understand how to best assess the effectiveness of cultural safety interventions. Our third aim is to provide guidance on how culturally safe environments can be implemented in the US healthcare system. Introduction Culturally safe environments can improve health inequities among underrepresented groups. However, there is a paucity of evidence on how cultural safety can be implemented among patients, health professionals, in the education of health professionals, and within healthcare organizations in the United States (US). Inclusion criteria This scoping review will examine the US and international literature on cultural safety implemented by healthcare professionals and the experiences of their patients; educational interventions to improve cultural safety in health professional education; and the organization and systems-level initiatives that create culturally safe environments. Physician groups will not be included as power differentials between physician groups and patients are different from those among other health professionals and patients. Due to the wealth of experience and cultural safety literature in this area from countries outside of the US, international studies will be included. Methods This review will search national and international literature to inform cultural safety practices in the US and will be conducted in accordance with the JBI methodology and PRISMA-ScR extension. Key search sources will include CINAHL, MEDLINE, the Cochrane Library, PsycINFO, Social Work Abstracts, and GoogleScholar from 1988–2022. Reviewed sources will be in English and will include unpublished studies and grey literature. All sources will be reviewed by at least two independent reviewers, with a third independent reviewer to achieve consensus when necessary. Results will be presented in alignment with the four conceptual layers that create culturally safe environments: patients, health professionals, health professionals’ education, and healthcare organizations and systems. Dissemination This scoping review aims to collect, analyze, and disseminate an extensive overview of cultural safety in healthcare to inform guidance on how best to implement culturally safe healthcare and education for health professionals in the US.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44076914","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}
引用次数: 0
Clinical course of pain and function in subacromial shoulder pain: a systematic review with meta-analysis 肩峰下肩痛的疼痛和功能的临床过程:一项系统回顾和荟萃分析
IF 0.7 Q3 Medicine Pub Date : 2023-03-30 DOI: 10.1080/10833196.2023.2192620
Zohreh Jafarian Tangrood, Angela Spontelli Gisselman, G. Sole, Daniel Cury Ribeiro
Abstract Objective To assess the clinical course of pain and function in patients with subacromial pain. Design Systematic review. Methods We searched Medline, Embase, AMED, Web of Science, Cochrane Library, and Scopus for randomized clinical trials and observational studies recruiting participants with subacromial pain. Pain and function scores were extracted for groups receiving either ‘no intervention’ or ‘usual care’. Changes in pain and function from baseline were pooled at 6 weeks, 3, 6, and 12 months follow-up. Random effects meta-analyses and meta-regression were performed to assess the clinical course of pain and function in subacromial pain. Results Nineteen studies were included and 17 studies were pooled. Data from 5 studies in the ‘no intervention’ group were pooled to 3 months, showing minimal improvement for pain (mean difference, MD, 5.3/100, 95%CI −0.8 to 11.4) and function (MD 3.1/100, 95%CI −1.7 to 7.9). Data from 12 studies in ‘usual care’ group were pooled to 12 months, showing significant improvement for pain (MD 32.5/100, 95%CI 22.6 to 42.3) and function (MD 30.3/100, 95%CI 24.4 to 36.1), with approximately 40% of this gain in the first 6 weeks. Conclusion With ‘no intervention’, participants with subacromial pain are unlikely to show changes for pain and function within 3 months. For participants receiving ‘usual care’, recovery continued up to 12 months with almost 40% of this change during the first 6 weeks of care. Individuals with subacromial pain who received ‘usual care’ may have moderate changes in terms of minimal clinical important differences up to 12 months. PROSPERO registration number CRD42016052518.
{"title":"Clinical course of pain and function in subacromial shoulder pain: a systematic review with meta-analysis","authors":"Zohreh Jafarian Tangrood, Angela Spontelli Gisselman, G. Sole, Daniel Cury Ribeiro","doi":"10.1080/10833196.2023.2192620","DOIUrl":"https://doi.org/10.1080/10833196.2023.2192620","url":null,"abstract":"Abstract Objective To assess the clinical course of pain and function in patients with subacromial pain. Design Systematic review. Methods We searched Medline, Embase, AMED, Web of Science, Cochrane Library, and Scopus for randomized clinical trials and observational studies recruiting participants with subacromial pain. Pain and function scores were extracted for groups receiving either ‘no intervention’ or ‘usual care’. Changes in pain and function from baseline were pooled at 6 weeks, 3, 6, and 12 months follow-up. Random effects meta-analyses and meta-regression were performed to assess the clinical course of pain and function in subacromial pain. Results Nineteen studies were included and 17 studies were pooled. Data from 5 studies in the ‘no intervention’ group were pooled to 3 months, showing minimal improvement for pain (mean difference, MD, 5.3/100, 95%CI −0.8 to 11.4) and function (MD 3.1/100, 95%CI −1.7 to 7.9). Data from 12 studies in ‘usual care’ group were pooled to 12 months, showing significant improvement for pain (MD 32.5/100, 95%CI 22.6 to 42.3) and function (MD 30.3/100, 95%CI 24.4 to 36.1), with approximately 40% of this gain in the first 6 weeks. Conclusion With ‘no intervention’, participants with subacromial pain are unlikely to show changes for pain and function within 3 months. For participants receiving ‘usual care’, recovery continued up to 12 months with almost 40% of this change during the first 6 weeks of care. Individuals with subacromial pain who received ‘usual care’ may have moderate changes in terms of minimal clinical important differences up to 12 months. PROSPERO registration number CRD42016052518.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48247392","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}
引用次数: 1
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Physical Therapy Reviews
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