Pub Date : 2022-11-02DOI: 10.1080/10833196.2022.2152553
K. Mcpherson, I. Nahon
Abstract Introduction: Women’s and men’s health physiotherapy involve the assessment and management of pelvic floor dysfunction, incontinence, sexual dysfunction, pelvic pain, and specific areas related to each gender. Dysfunction with these areas has a large impact upon individuals and communities due to the cost of managing the conditions and their symptoms. Indigenous people have poorer health outcomes in Australia due to a lack of access to culturally responsive health care. The aim of this study was to explore if physiotherapists perceived that they could provide culturally responsive women’s and men’s health physiotherapy services to Indigenous people living in regional, rural, and remote Australia. Method: An online survey was distributed through social media Facebook sites to physiotherapists who provide women’s and men’s health physiotherapy services to people living in regional, rural, and remote Australia, from August to November 2020. An inductive approach to analysis was used, linking data to themes. Results: There were 33/54 responses to the question on culturally responsive care, with 29/54 respondents stating that they perceived that they provide culturally responsive women’s and men’s’ physiotherapy services. Examples of services included a weekly clinic with a local Aboriginal medical service, working with aboriginal liaison officers, participating in cultural training and developing culturally sensitive handouts and presentations. A lack of inclusion of culturally responsive practice in postgraduate education was stated as a barrier to gaining knowledge of how to provide services. Low referrals and a low up take of women’s and men’s’ physiotherapy services, lack of funding as well as a lack of culturally appropriate locations to provide services were described as limitations to providing women’s and men’s health physiotherapy services. Conclusion: Physiotherapists may provide culturally responsive, but they feel their knowledge of how to provide culturally responsive services is limited. A lack of referrals and funding also appears to limit their ability to provide women’s and men’s health physiotherapy to all people in regional, rural, and remote Australia.
{"title":"Culturally responsive women’s and men’s health physiotherapy for Indigenous people living in regional, rural, and remote Australia","authors":"K. Mcpherson, I. Nahon","doi":"10.1080/10833196.2022.2152553","DOIUrl":"https://doi.org/10.1080/10833196.2022.2152553","url":null,"abstract":"Abstract Introduction: Women’s and men’s health physiotherapy involve the assessment and management of pelvic floor dysfunction, incontinence, sexual dysfunction, pelvic pain, and specific areas related to each gender. Dysfunction with these areas has a large impact upon individuals and communities due to the cost of managing the conditions and their symptoms. Indigenous people have poorer health outcomes in Australia due to a lack of access to culturally responsive health care. The aim of this study was to explore if physiotherapists perceived that they could provide culturally responsive women’s and men’s health physiotherapy services to Indigenous people living in regional, rural, and remote Australia. Method: An online survey was distributed through social media Facebook sites to physiotherapists who provide women’s and men’s health physiotherapy services to people living in regional, rural, and remote Australia, from August to November 2020. An inductive approach to analysis was used, linking data to themes. Results: There were 33/54 responses to the question on culturally responsive care, with 29/54 respondents stating that they perceived that they provide culturally responsive women’s and men’s’ physiotherapy services. Examples of services included a weekly clinic with a local Aboriginal medical service, working with aboriginal liaison officers, participating in cultural training and developing culturally sensitive handouts and presentations. A lack of inclusion of culturally responsive practice in postgraduate education was stated as a barrier to gaining knowledge of how to provide services. Low referrals and a low up take of women’s and men’s’ physiotherapy services, lack of funding as well as a lack of culturally appropriate locations to provide services were described as limitations to providing women’s and men’s health physiotherapy services. Conclusion: Physiotherapists may provide culturally responsive, but they feel their knowledge of how to provide culturally responsive services is limited. A lack of referrals and funding also appears to limit their ability to provide women’s and men’s health physiotherapy to all people in regional, rural, and remote Australia.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42790218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-02DOI: 10.1080/10833196.2022.2139060
Samantha S. Smith, P. Osmotherly, D. Rivett
Abstract Background Despite exercise being a fundamental component of musculoskeletal rehabilitation, there is a lack concise, evidence-based recommendations to inform the clinician’s development of rehabilitative exercise programs for patients in a one-on-one rehabilitation setting. Current evidence is widely dispersed throughout the literature, with each paper addressing one element of the exercise prescription process in isolation. Objectives The aim of this review is to draw together current and available literature to summarise the elements of the exercise prescription process that a clinician should consider when prescribing exercises programs for musculoskeletal rehabilitation in a one-on-one setting. Methods Literature was first obtained by database searches, then hand searches were performed based on the reference lists from papers from the original search. Literature was then summarised and synthesised to create a collation of the elements of the exercise prescription process a clinician should consider for musculoskeletal rehabilitation in a one-on-one setting. Major Findings The reviewed literature was categorised into two main themes: the clinical considerations and decision making underpinning the exercise prescription and the physical implementation of the exercise prescription to the patient. Each theme contained key elements and sub-elements that may systematically guide a clinician through the exercise prescription process. Conclusion Whilst much evidence on exercise prescription in musculoskeletal rehabilitation is present in the literature, there is a lack of concise collated evidence that explores the elements of the exercise prescription process that could inform a clinicians clinical practice. The summary of these elements provides clinicians with a succinct summary that could aid in improving their exercise prescription process and potentially improve patient outcomes. Further research into the efficacy and importance of each element in clinical practice is needed.
{"title":"What elements of the exercise prescription process should clinicians consider when prescribing exercise for musculoskeletal rehabilitation in a one on one setting? A review of the literature and primer for exercise prescription","authors":"Samantha S. Smith, P. Osmotherly, D. Rivett","doi":"10.1080/10833196.2022.2139060","DOIUrl":"https://doi.org/10.1080/10833196.2022.2139060","url":null,"abstract":"Abstract Background Despite exercise being a fundamental component of musculoskeletal rehabilitation, there is a lack concise, evidence-based recommendations to inform the clinician’s development of rehabilitative exercise programs for patients in a one-on-one rehabilitation setting. Current evidence is widely dispersed throughout the literature, with each paper addressing one element of the exercise prescription process in isolation. Objectives The aim of this review is to draw together current and available literature to summarise the elements of the exercise prescription process that a clinician should consider when prescribing exercises programs for musculoskeletal rehabilitation in a one-on-one setting. Methods Literature was first obtained by database searches, then hand searches were performed based on the reference lists from papers from the original search. Literature was then summarised and synthesised to create a collation of the elements of the exercise prescription process a clinician should consider for musculoskeletal rehabilitation in a one-on-one setting. Major Findings The reviewed literature was categorised into two main themes: the clinical considerations and decision making underpinning the exercise prescription and the physical implementation of the exercise prescription to the patient. Each theme contained key elements and sub-elements that may systematically guide a clinician through the exercise prescription process. Conclusion Whilst much evidence on exercise prescription in musculoskeletal rehabilitation is present in the literature, there is a lack of concise collated evidence that explores the elements of the exercise prescription process that could inform a clinicians clinical practice. The summary of these elements provides clinicians with a succinct summary that could aid in improving their exercise prescription process and potentially improve patient outcomes. Further research into the efficacy and importance of each element in clinical practice is needed.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48069065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-02DOI: 10.1080/10833196.2022.2141527
Steve Freitas dos Santos, M. Almeida, J. Winck
Abstract Background: The mechanical insufflator-exsufflator (MI-E) is a medical device designed to augment the cough mechanism and could be an important add-on in the management of people with spinal cord injury (SCI), in whom ineffective cough is one of the major causes of respiratory complications. Objectives: To search and analyze the effects reported in the literature about the utilization of the MI-E in people with SCI. Methods: An electronic search was carried out in five databases seeking studies that researched the application of MI-E in adult patients with SCI. Results: Eight studies with fair (N = 5) to good (N = 3) methodological quality were included. Significant improvements were reported in peak cough flow, vital capacity, forced vital capacity, forced expiratory volume in the first second, and forced mid-expiratory flow, without any major adverse effects. The studies also reported that MI-E improved bronchial clearance, facilitated the ventilator weaning process, and helped to achieve normative values of peripheral oxygen saturation. Furthermore, participants reported high levels of satisfaction with MI-E. Conclusions: This systematic review shows that there is a lack of studies on the researched topic, especially of good-quality randomized trials. However, the present state of evidence also showed encouraging results in the use of the MI-E device in people with SCI.
{"title":"Effects of mechanical insufflator-exsufflator in people with spinal cord injury: a systematic review","authors":"Steve Freitas dos Santos, M. Almeida, J. Winck","doi":"10.1080/10833196.2022.2141527","DOIUrl":"https://doi.org/10.1080/10833196.2022.2141527","url":null,"abstract":"Abstract Background: The mechanical insufflator-exsufflator (MI-E) is a medical device designed to augment the cough mechanism and could be an important add-on in the management of people with spinal cord injury (SCI), in whom ineffective cough is one of the major causes of respiratory complications. Objectives: To search and analyze the effects reported in the literature about the utilization of the MI-E in people with SCI. Methods: An electronic search was carried out in five databases seeking studies that researched the application of MI-E in adult patients with SCI. Results: Eight studies with fair (N = 5) to good (N = 3) methodological quality were included. Significant improvements were reported in peak cough flow, vital capacity, forced vital capacity, forced expiratory volume in the first second, and forced mid-expiratory flow, without any major adverse effects. The studies also reported that MI-E improved bronchial clearance, facilitated the ventilator weaning process, and helped to achieve normative values of peripheral oxygen saturation. Furthermore, participants reported high levels of satisfaction with MI-E. Conclusions: This systematic review shows that there is a lack of studies on the researched topic, especially of good-quality randomized trials. However, the present state of evidence also showed encouraging results in the use of the MI-E device in people with SCI.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43052427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-02DOI: 10.1080/10833196.2022.2143211
Alexandre Luc, Stephany Tamer, R. Hage, C. Detrembleur, L. Pitance
Abstract Objective To compare the cervical kinematics and sensorimotor control (i.e., all the afferent, efferent, central integration, and processing components involved in maintaining joint stability) of people with chronic non-specific neck pain (CNSNP) to healthy controls, as assessed in an immersive virtual reality (VR) environment. Methods A comprehensive electronic search was conducted in four databases to identify articles published from inception up until June 2022. The search terms were related to ‘neck pain’ and ‘virtual reality’. Inclusion criteria were observational studies, written in English or French, including a majority of people with CNSNP (≥ 60%), and comparing the cervical kinematics or sensorimotor control between people with CNSNP and healthy controls in an immersive VR environment. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Cross-Sectional Studies. The overall certainty of evidence was assessed using the GRADE approach. Results Seven studies were included in the review. A narrative summary of results is provided for each study in relation to the outcomes assessed. Methodological quality was moderate to good. Cervical kinematics seemed to be altered in people with CNSNP compared with healthy controls, except for range of motion and response time. Sensorimotor control assessment showed inconsistent results. The certainty of evidence was very low for both kinematics and sensorimotor control. Conclusion This systematic review provides very low certainty of evidence in favor of different kinematic neck patterns between healthy individuals and people with CNSNP when assessed in an immersive VR environment. No conclusion can be drawn concerning sensorimotor control.
{"title":"Do the kinematics and sensorimotor control of people with chronic non-specific neck pain differ from those of healthy individuals when assessed in an immersive virtual reality environment? A systematic review","authors":"Alexandre Luc, Stephany Tamer, R. Hage, C. Detrembleur, L. Pitance","doi":"10.1080/10833196.2022.2143211","DOIUrl":"https://doi.org/10.1080/10833196.2022.2143211","url":null,"abstract":"Abstract Objective To compare the cervical kinematics and sensorimotor control (i.e., all the afferent, efferent, central integration, and processing components involved in maintaining joint stability) of people with chronic non-specific neck pain (CNSNP) to healthy controls, as assessed in an immersive virtual reality (VR) environment. Methods A comprehensive electronic search was conducted in four databases to identify articles published from inception up until June 2022. The search terms were related to ‘neck pain’ and ‘virtual reality’. Inclusion criteria were observational studies, written in English or French, including a majority of people with CNSNP (≥ 60%), and comparing the cervical kinematics or sensorimotor control between people with CNSNP and healthy controls in an immersive VR environment. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Cross-Sectional Studies. The overall certainty of evidence was assessed using the GRADE approach. Results Seven studies were included in the review. A narrative summary of results is provided for each study in relation to the outcomes assessed. Methodological quality was moderate to good. Cervical kinematics seemed to be altered in people with CNSNP compared with healthy controls, except for range of motion and response time. Sensorimotor control assessment showed inconsistent results. The certainty of evidence was very low for both kinematics and sensorimotor control. Conclusion This systematic review provides very low certainty of evidence in favor of different kinematic neck patterns between healthy individuals and people with CNSNP when assessed in an immersive VR environment. No conclusion can be drawn concerning sensorimotor control.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47137216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-02DOI: 10.1080/10833196.2022.2141039
M. Donaldson, K. Tyler, A. Carroll
Abstract Background Previous systematic review and meta-analysis examining standardized patients (SPs) in Physical Therapy (PT) education yielded 14 articles describing 16 studies; 10 addressed professional behaviors (PB), and six reported providing SP feedback to students. Of those six studies, four were randomized controlled trials (RCTs) emphasizing SP feedback on clinical competencies. Only two studies examined PB or communication in PT students after receiving SP feedback. There appears to be a gap within the current literature to understand better SPs’ ability to impact PT students’ communication and PB as they prepare for clinical education. This systematic review aimed to synthesize and critically appraise the findings of empirical studies (qualitative or quantitative) evaluating the contribution of SPs on the student’s affective learning domain (professional behavior and/or communication) in PT entry-level education. Methods A systematic review was completed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines for Reporting Systematic Reviews on December 1, 2021, using the following electronic databases PubMed, Cochrane Central Register of Control Trials, CINAHL, ERIC, SCOPUS, and Web of Science. Article inclusion criteria: peer-reviewed, assess PT students, assess the affective learning domain, intervention using live, standardized patient learning experiences, and be written in the English language. Studies were excluded if they involved peer-role play as the (SP) or if the authors did not describe the SP process. The risk of bias was evaluated through the Critical Appraisal Skills Programme tool (CASP), given the heterogeneity of study types anticipated for this systematic review, and PEDro if the study design was a RCT. Results There were ten included studies in this review. Two studies were RCT designs that explored Immersive Simulation-Based Learning Experience (SBE) in the clinic’s impact on PB, and all used the Assessment of Physiotherapy Practice (AAP) outcome measure. The other seven studies examined SPs or SBE on PB within the classroom and had significant heterogeneity based on study design and outcomes reported. Discussion Summative results suggest that SP or SBE has some unique attributes, if applied in the clinical environment, may improve students’ PB and core values development, consistent with a PT practice. This systematic review may inform academic leadership and clinical educators in physical therapy education delivery. Integrating experiential and simulated learning experiences into a program may increase efficiency by allowing students to demonstrate clinical competence skills sooner. Limitations Heterogeneity of study design and reported outcomes limited the results and pooling of data.
摘要背景先前对物理治疗（PT）教育中的标准化患者（SP）进行的系统综述和荟萃分析产生了14篇文章，描述了16项研究；10人涉及专业行为（PB），6人报告向学生提供SP反馈。在这六项研究中，有四项是随机对照试验，强调SP对临床能力的反馈。只有两项研究调查了PT学生在收到SP反馈后的PB或沟通。在当前的文献中，似乎存在一个空白，即更好地理解SP在PT学生准备临床教育时影响他们的沟通和PB的能力。本系统综述旨在综合和批判性评价实证研究（定性或定量）的结果，这些研究评估了SP在PT入门教育中对学生情感学习领域（职业行为和/或沟通）的贡献。方法根据2021年12月1日《系统评价和荟萃分析首选报告项目（PRISMA）系统评价报告指南》，使用以下电子数据库PubMed、Cochrane Central Register of Control Trials、CINAHL、ERIC、SCOPUS和Web of Science完成系统评价。文章纳入标准：同行评审，评估PT学生，评估情感学习领域，使用现场标准化患者学习体验进行干预，并用英语写作。如果研究涉及作为（SP）的同伴角色扮演，或者作者没有描述SP过程，则将其排除在外。考虑到本系统综述预期的研究类型的异质性，通过关键评估技能计划工具（CASP）评估偏倚的风险，如果研究设计是随机对照试验，则通过PEDro评估偏倚风险。结果本综述共纳入10项研究。两项研究是随机对照试验设计，探讨了临床上基于沉浸式模拟的学习体验（SBE）对PB的影响，并均使用了物理治疗实践评估（AAP）结果测量。其他七项研究在课堂内检查了SP或SBE对PB的影响，根据研究设计和报告的结果，这些研究具有显著的异质性。讨论总结结果表明，SP或SBE具有一些独特的属性，如果应用于临床环境，可以提高学生的PB和核心价值观的发展，与PT实践相一致。这一系统综述可以为学术领导和临床教育工作者提供物理治疗教育。将体验式和模拟式学习体验融入课程中，可以让学生更快地展示临床能力，从而提高效率。局限性研究设计和报告结果的异质性限制了结果和数据池。
{"title":"The effect of standardized patients for physical therapy students on behaving and communicating as a professional: a systematic review","authors":"M. Donaldson, K. Tyler, A. Carroll","doi":"10.1080/10833196.2022.2141039","DOIUrl":"https://doi.org/10.1080/10833196.2022.2141039","url":null,"abstract":"Abstract Background Previous systematic review and meta-analysis examining standardized patients (SPs) in Physical Therapy (PT) education yielded 14 articles describing 16 studies; 10 addressed professional behaviors (PB), and six reported providing SP feedback to students. Of those six studies, four were randomized controlled trials (RCTs) emphasizing SP feedback on clinical competencies. Only two studies examined PB or communication in PT students after receiving SP feedback. There appears to be a gap within the current literature to understand better SPs’ ability to impact PT students’ communication and PB as they prepare for clinical education. This systematic review aimed to synthesize and critically appraise the findings of empirical studies (qualitative or quantitative) evaluating the contribution of SPs on the student’s affective learning domain (professional behavior and/or communication) in PT entry-level education. Methods A systematic review was completed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines for Reporting Systematic Reviews on December 1, 2021, using the following electronic databases PubMed, Cochrane Central Register of Control Trials, CINAHL, ERIC, SCOPUS, and Web of Science. Article inclusion criteria: peer-reviewed, assess PT students, assess the affective learning domain, intervention using live, standardized patient learning experiences, and be written in the English language. Studies were excluded if they involved peer-role play as the (SP) or if the authors did not describe the SP process. The risk of bias was evaluated through the Critical Appraisal Skills Programme tool (CASP), given the heterogeneity of study types anticipated for this systematic review, and PEDro if the study design was a RCT. Results There were ten included studies in this review. Two studies were RCT designs that explored Immersive Simulation-Based Learning Experience (SBE) in the clinic’s impact on PB, and all used the Assessment of Physiotherapy Practice (AAP) outcome measure. The other seven studies examined SPs or SBE on PB within the classroom and had significant heterogeneity based on study design and outcomes reported. Discussion Summative results suggest that SP or SBE has some unique attributes, if applied in the clinical environment, may improve students’ PB and core values development, consistent with a PT practice. This systematic review may inform academic leadership and clinical educators in physical therapy education delivery. Integrating experiential and simulated learning experiences into a program may increase efficiency by allowing students to demonstrate clinical competence skills sooner. Limitations Heterogeneity of study design and reported outcomes limited the results and pooling of data.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49159289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.1080/10833196.2022.2133885
A. Still, L. Hale, P. Jayakaran
Abstract Background Over 90% of individuals with neurodegenerative Parkinsonism present with non-motor symptoms (NMS), which have a significantly negative impact on their quality of life (QoL) more so than motor symptoms. Currently, NMS remain under-appreciated and under-researched compared to motor symptoms. This contributes to a limited understanding of the inter-relationship between various NMS (i.e. symptom-to-symptom interaction) and the scarcity of effective evidence-based treatment strategies. Physical activity (PA) and exercise are promising therapeutic options, but many people with Parkinsonism are inactive. Currently, there appears to be a limited understanding of the relationship between PA and NMS in this population. Objective This proposed review aims to explore and synthesise what is currently known about (1) the inter-relationship between various NMS and (2) their relationship with habitual PA among adults with neurodegenerative Parkinsonism. This review will also highlight potential research gaps in the literature. Methods Two independent scoping reviews will be completed to address the two distinct objectives. The reviews will follow recommended methodological and reporting guidelines. Conclusion Understanding the inter-relationship between various NMS and their relationship with PA behaviour might help guide which NMS to target therapeutically and help develop effective evidence-based PA recommendations that are feasible for people with neurodegenerative Parkinsonism.
{"title":"The inter-relationship between various non-motor symptoms and with habitual physical activity in Parkinsonism: a scoping review protocol","authors":"A. Still, L. Hale, P. Jayakaran","doi":"10.1080/10833196.2022.2133885","DOIUrl":"https://doi.org/10.1080/10833196.2022.2133885","url":null,"abstract":"Abstract Background Over 90% of individuals with neurodegenerative Parkinsonism present with non-motor symptoms (NMS), which have a significantly negative impact on their quality of life (QoL) more so than motor symptoms. Currently, NMS remain under-appreciated and under-researched compared to motor symptoms. This contributes to a limited understanding of the inter-relationship between various NMS (i.e. symptom-to-symptom interaction) and the scarcity of effective evidence-based treatment strategies. Physical activity (PA) and exercise are promising therapeutic options, but many people with Parkinsonism are inactive. Currently, there appears to be a limited understanding of the relationship between PA and NMS in this population. Objective This proposed review aims to explore and synthesise what is currently known about (1) the inter-relationship between various NMS and (2) their relationship with habitual PA among adults with neurodegenerative Parkinsonism. This review will also highlight potential research gaps in the literature. Methods Two independent scoping reviews will be completed to address the two distinct objectives. The reviews will follow recommended methodological and reporting guidelines. Conclusion Understanding the inter-relationship between various NMS and their relationship with PA behaviour might help guide which NMS to target therapeutically and help develop effective evidence-based PA recommendations that are feasible for people with neurodegenerative Parkinsonism.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41394561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-04DOI: 10.1080/10833196.2022.2129157
C. Killingback, A. Green, John Naylor
Abstract Background There is a growing call for healthcare to focus on person-centred practice. This can lead to improved outcomes for patients in terms of physical and psychological health. Challenges exist around how person-centredness is understood in physiotherapy. Having a physiotherapy framework would help support a shared understanding of the meaning of person-centred physiotherapy. Aim The aim of this study was to locate and synthesise studies which have a conceptualisation of person-centred physiotherapy practice. These were used to develop an overarching conceptual framework for person-centred physiotherapy practice. Methods The framework was developed through a systematic process involving a systematic literature search, screening studies against eligibility criteria, data extraction, data synthesis, naming and defining core constructs of person-centred physiotherapy practice, and generation of a pictorial representation of an overarching conceptual framework. Results The person-centred physiotherapy framework is comprised of four constructs: physiotherapist characteristics, which focuses on the knowledge and skills for clinical proficiency, attributes of the physiotherapist, reflection and self-awareness; person-physiotherapist interaction(s), which focuses on partnership, empowerment and self-management; the environment, which focuses on coordinated healthcare delivery, culture of the organisation and practice environment, and the physical environment; and the ongoing unique journey of the person and self-management. The relationships between the constructs reflect the complex nature of person-centred practice. Conclusions The framework presented can be used to better understand person-centred physiotherapy with a view to enhancing practice. The framework needs to be tested further through empirical research to establish its utility.
{"title":"Development of a framework for person-centred physiotherapy","authors":"C. Killingback, A. Green, John Naylor","doi":"10.1080/10833196.2022.2129157","DOIUrl":"https://doi.org/10.1080/10833196.2022.2129157","url":null,"abstract":"Abstract Background There is a growing call for healthcare to focus on person-centred practice. This can lead to improved outcomes for patients in terms of physical and psychological health. Challenges exist around how person-centredness is understood in physiotherapy. Having a physiotherapy framework would help support a shared understanding of the meaning of person-centred physiotherapy. Aim The aim of this study was to locate and synthesise studies which have a conceptualisation of person-centred physiotherapy practice. These were used to develop an overarching conceptual framework for person-centred physiotherapy practice. Methods The framework was developed through a systematic process involving a systematic literature search, screening studies against eligibility criteria, data extraction, data synthesis, naming and defining core constructs of person-centred physiotherapy practice, and generation of a pictorial representation of an overarching conceptual framework. Results The person-centred physiotherapy framework is comprised of four constructs: physiotherapist characteristics, which focuses on the knowledge and skills for clinical proficiency, attributes of the physiotherapist, reflection and self-awareness; person-physiotherapist interaction(s), which focuses on partnership, empowerment and self-management; the environment, which focuses on coordinated healthcare delivery, culture of the organisation and practice environment, and the physical environment; and the ongoing unique journey of the person and self-management. The relationships between the constructs reflect the complex nature of person-centred practice. Conclusions The framework presented can be used to better understand person-centred physiotherapy with a view to enhancing practice. The framework needs to be tested further through empirical research to establish its utility.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44793445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-03DOI: 10.1080/10833196.2022.2094102
M. Aliprandi, Yvonne Pan, C. Mosley, S. Gough
Abstract Background Virtual reality therapy in neurorehabilitation has demonstrated to be an effective, innovative method in increasing patient outcomes by increasing task repetition, interest, and self-efficacy. Despite this, virtual reality is not commonly used in neurorehabilitation centres or hospitals for conditions such as stroke. Objectives The primary aim of this scoping review is to synthesise existing literature exploring the costs associated with including virtual reality into neurorehabilitation. The second aim is to explore the barriers and challenges that impede its adoption in neurorehabilitation. Methods A literature search was conducted yielding a total of 5,647 articles. Eight studies were eligible to be included in the review. Results Findings indicate that virtual reality may be a cost saving adjunct because it decreases the need for therapist time and decreases transportation costs. In addition, findings suggest that commercial virtual reality devices such as the Nintendo Wii may not be designed optimally for neurorehabilitation and virtual reality may not be suitable for patients with significant cognitive and communication deficits. Conclusions Future research should aim to diversify in neurological patient populations, increase the range of economic evaluations, and explore barriers for virtual reality in neurorehabilitation to assist organisations and practitioners in enhancing treatment and ultimately health outcomes.
{"title":"What is the cost of including virtual reality in neurological rehabilitation? A scoping review","authors":"M. Aliprandi, Yvonne Pan, C. Mosley, S. Gough","doi":"10.1080/10833196.2022.2094102","DOIUrl":"https://doi.org/10.1080/10833196.2022.2094102","url":null,"abstract":"Abstract Background Virtual reality therapy in neurorehabilitation has demonstrated to be an effective, innovative method in increasing patient outcomes by increasing task repetition, interest, and self-efficacy. Despite this, virtual reality is not commonly used in neurorehabilitation centres or hospitals for conditions such as stroke. Objectives The primary aim of this scoping review is to synthesise existing literature exploring the costs associated with including virtual reality into neurorehabilitation. The second aim is to explore the barriers and challenges that impede its adoption in neurorehabilitation. Methods A literature search was conducted yielding a total of 5,647 articles. Eight studies were eligible to be included in the review. Results Findings indicate that virtual reality may be a cost saving adjunct because it decreases the need for therapist time and decreases transportation costs. In addition, findings suggest that commercial virtual reality devices such as the Nintendo Wii may not be designed optimally for neurorehabilitation and virtual reality may not be suitable for patients with significant cognitive and communication deficits. Conclusions Future research should aim to diversify in neurological patient populations, increase the range of economic evaluations, and explore barriers for virtual reality in neurorehabilitation to assist organisations and practitioners in enhancing treatment and ultimately health outcomes.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42664588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-03DOI: 10.1080/10833196.2022.2096195
G. Farrell, Sizhong Wang, C. Chapple, Ewan Kennedy, A. Gisselman, K. Sampath, C. Cook, S. Tumilty
Abstract Background Preliminary evidence suggests that individuals with persistent post-concussion symptoms (PPCS) have a dysfunctional stress response, consisting of the autonomic nervous system (ANS) and hypothalamic pituitary adrenal-axis (HPA-axis). Objectives This review aims to explore the extent of evidence for dysfunction of the stress response in individuals with PPCS by individually mapping the literature surrounding quantifiable changes of the (1) ANS and (2) HPA-axis using non-invasive and clinical tools, and highlighting any (3) knowledge gaps. Methods Nine electronic databases and grey literature were searched on the 1st of June 2021 and 4th of October 2021. Studies were included if their population was classified with PPCS, and their study stated at least one quantifiable marker of the ANS or HPA-axis using non-invasive and clinical tools. Relevant studies were screened, and data extracted. Results A total of 37 articles were included in this scoping review. The majority of studies assessed quantifiable markers of the ANS (n = 34), in comparison to the HPA-axis (n = 2), and ANS and HPA-axis (n = 1). The most common quantifiable markers of the ANS included heart rate (n = 20), blood pressure (n = 16), and heart rate variability (n = 10). Cortisol was the only included quantifiable marker of the HPA-axis (n = 2). Conclusions Most of the evidence in this review supports quantifiable dysfunction of the ANS in those with PPCS. Further research is required investigating quantifiable dysfunction of the HPA-axis, and subsequently ANS and HPA-axis in unison, in those with PPCS.
{"title":"Dysfunction of the stress response in individuals with persistent post-concussion symptoms: a scoping review","authors":"G. Farrell, Sizhong Wang, C. Chapple, Ewan Kennedy, A. Gisselman, K. Sampath, C. Cook, S. Tumilty","doi":"10.1080/10833196.2022.2096195","DOIUrl":"https://doi.org/10.1080/10833196.2022.2096195","url":null,"abstract":"Abstract Background Preliminary evidence suggests that individuals with persistent post-concussion symptoms (PPCS) have a dysfunctional stress response, consisting of the autonomic nervous system (ANS) and hypothalamic pituitary adrenal-axis (HPA-axis). Objectives This review aims to explore the extent of evidence for dysfunction of the stress response in individuals with PPCS by individually mapping the literature surrounding quantifiable changes of the (1) ANS and (2) HPA-axis using non-invasive and clinical tools, and highlighting any (3) knowledge gaps. Methods Nine electronic databases and grey literature were searched on the 1st of June 2021 and 4th of October 2021. Studies were included if their population was classified with PPCS, and their study stated at least one quantifiable marker of the ANS or HPA-axis using non-invasive and clinical tools. Relevant studies were screened, and data extracted. Results A total of 37 articles were included in this scoping review. The majority of studies assessed quantifiable markers of the ANS (n = 34), in comparison to the HPA-axis (n = 2), and ANS and HPA-axis (n = 1). The most common quantifiable markers of the ANS included heart rate (n = 20), blood pressure (n = 16), and heart rate variability (n = 10). Cortisol was the only included quantifiable marker of the HPA-axis (n = 2). Conclusions Most of the evidence in this review supports quantifiable dysfunction of the ANS in those with PPCS. Further research is required investigating quantifiable dysfunction of the HPA-axis, and subsequently ANS and HPA-axis in unison, in those with PPCS.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43937782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-03DOI: 10.1080/10833196.2022.2141529
K. Scrivener, R. Shepherd
In this editorial, we reflect on the history and look forward to the future of neuromuscular physiotherapy. Stroke, a common neuromuscular condition, assessed and managed by physiotherapists, will be the basis for examples. We will put forward three main arguments; firstly, that the ICF framework provides a good conceptual basis for clinical reasoning in neuromuscular physiotherapy, allowing therapists to speak a common language; secondly, acknowledgement of the importance of the integration of movement sciences into neuromuscular physiotherapy, including kinesiology, biomechanics and motor learning; and last, encouraging therapists to prioritise evidence-based interventions and change practice as the evidence shifts.
{"title":"The importance of kinesiology, biomechanics and motor learning for movement analysis and clinical reasoning in neuromuscular physiotherapy","authors":"K. Scrivener, R. Shepherd","doi":"10.1080/10833196.2022.2141529","DOIUrl":"https://doi.org/10.1080/10833196.2022.2141529","url":null,"abstract":"In this editorial, we reflect on the history and look forward to the future of neuromuscular physiotherapy. Stroke, a common neuromuscular condition, assessed and managed by physiotherapists, will be the basis for examples. We will put forward three main arguments; firstly, that the ICF framework provides a good conceptual basis for clinical reasoning in neuromuscular physiotherapy, allowing therapists to speak a common language; secondly, acknowledgement of the importance of the integration of movement sciences into neuromuscular physiotherapy, including kinesiology, biomechanics and motor learning; and last, encouraging therapists to prioritise evidence-based interventions and change practice as the evidence shifts.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46257832","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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