Pub Date : 2022-08-03DOI: 10.1080/10833196.2022.2102748
Claire McFeeters, K. Pedlow, N. Kennedy, H. Colquhoun, S. McDonough
Abstract Background There are challenges implementing physical activity interventions for people across the stroke pathway of care. There is a need to understand the intervention content in addition to the effects. Objective This scoping review maps out the existing systematic review evidence in relation to five objectives. Design Intervention data were extracted to identify and clarify definitions of physical activity as well as key emerging themes, gaps and recommendations for implementation approaches and consensus. Results 50 systematic reviews fulfilled the predefined inclusion criteria. Most reviews (n = 31) focused on a subset of physical activity rather than day to day physical activity (n = 19). In addition, a description of theories underpinning the interventions were lacking. Only 11 reviews used a definition of physical activity. Physical activity outcome measures were reported in 22 reviews. Conclusions Better reporting of physical activity interventions is required to improve implementation. Research should include physical activity outcome measures across the stroke pathway. Determining which physical activity modes and parameters of each intervention would be useful in determining the optimal intervention for stroke survivors with different physical activity capacity levels.
{"title":"A summary of the body of knowledge on physical activity for people following stroke: a scoping review","authors":"Claire McFeeters, K. Pedlow, N. Kennedy, H. Colquhoun, S. McDonough","doi":"10.1080/10833196.2022.2102748","DOIUrl":"https://doi.org/10.1080/10833196.2022.2102748","url":null,"abstract":"Abstract Background There are challenges implementing physical activity interventions for people across the stroke pathway of care. There is a need to understand the intervention content in addition to the effects. Objective This scoping review maps out the existing systematic review evidence in relation to five objectives. Design Intervention data were extracted to identify and clarify definitions of physical activity as well as key emerging themes, gaps and recommendations for implementation approaches and consensus. Results 50 systematic reviews fulfilled the predefined inclusion criteria. Most reviews (n = 31) focused on a subset of physical activity rather than day to day physical activity (n = 19). In addition, a description of theories underpinning the interventions were lacking. Only 11 reviews used a definition of physical activity. Physical activity outcome measures were reported in 22 reviews. Conclusions Better reporting of physical activity interventions is required to improve implementation. Research should include physical activity outcome measures across the stroke pathway. Determining which physical activity modes and parameters of each intervention would be useful in determining the optimal intervention for stroke survivors with different physical activity capacity levels.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41322885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-03DOI: 10.1080/10833196.2022.2106671
Malin Sellberg, A. Halvarsson, M. Nygren-Bonnier, Per J. Palmgren, Riitta Möller
Abstract Background Students’ experiences of the clinical learning environment are crucial to learning and professional development. Earlier research using the Undergraduate Clinical Education Environment Measure shows that students’ perceptions of supervision vary significantly between undergraduate programs, with physiotherapy students scoring higher than other students. Objectives We explored physiotherapy students’ experiences of supervisors’ preparedness, familiarity with learning outcomes, and supervision practices during their first clinical placement. Methods Individual semi-structured interviews were conducted with 13 physiotherapy students. The interviews were analyzed using qualitative content analysis according to Graneheim and Lundman. Major findings Within the latent theme A coherent whole throughout the placement, three manifest categories were found: Establishing a relationship, Fostering active participation, and Cultivating outcome-based learning. The students valued a supervisor who was prepared for the initial meeting and wanted to establish a relationship. When the students experienced a sense of trust, they dared to ask questions. The supervisors encouraged students to move beyond the one-to-one relationship and cooperate with others in the community to develop autonomy. Self-assessment enabled the students to identify their own learning needs and enhanced the possibility of achieving intended learning outcomes. The supervisors repeatedly returned to the learning outcomes. Conclusions Physiotherapy students highly regarded supervisors who established a relationship and fostered active participation by being available, promoting student autonomy, and encouraging cooperation in the community. The continual use of intended learning outcomes helped students identify their learning needs and achieve the outcomes.
{"title":"Relationships matter: a qualitative study of physiotherapy students’ experiences of their first clinical placement","authors":"Malin Sellberg, A. Halvarsson, M. Nygren-Bonnier, Per J. Palmgren, Riitta Möller","doi":"10.1080/10833196.2022.2106671","DOIUrl":"https://doi.org/10.1080/10833196.2022.2106671","url":null,"abstract":"Abstract Background Students’ experiences of the clinical learning environment are crucial to learning and professional development. Earlier research using the Undergraduate Clinical Education Environment Measure shows that students’ perceptions of supervision vary significantly between undergraduate programs, with physiotherapy students scoring higher than other students. Objectives We explored physiotherapy students’ experiences of supervisors’ preparedness, familiarity with learning outcomes, and supervision practices during their first clinical placement. Methods Individual semi-structured interviews were conducted with 13 physiotherapy students. The interviews were analyzed using qualitative content analysis according to Graneheim and Lundman. Major findings Within the latent theme A coherent whole throughout the placement, three manifest categories were found: Establishing a relationship, Fostering active participation, and Cultivating outcome-based learning. The students valued a supervisor who was prepared for the initial meeting and wanted to establish a relationship. When the students experienced a sense of trust, they dared to ask questions. The supervisors encouraged students to move beyond the one-to-one relationship and cooperate with others in the community to develop autonomy. Self-assessment enabled the students to identify their own learning needs and enhanced the possibility of achieving intended learning outcomes. The supervisors repeatedly returned to the learning outcomes. Conclusions Physiotherapy students highly regarded supervisors who established a relationship and fostered active participation by being available, promoting student autonomy, and encouraging cooperation in the community. The continual use of intended learning outcomes helped students identify their learning needs and achieve the outcomes.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43658591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-01DOI: 10.1080/10833196.2022.2105080
O. Oyewole, Adetola C. Adebayo, T. Awotidebe, C. Mbada, C. Fatoye, Blessing Ige, T. Gebrye, F. Fatoye
Abstract Purpose This study was aimed to examine willingness-to-pay (WTP) for physiotherapy services among stroke survivors, and to explore the determinants of WTP in terms of socio-demographic factors, satisfaction with treatment and Health Related Quality of Life (HRQoL). Methods A total of 68 stroke survivors had their WTP, HRQoL and satisfaction with physiotherapy treatment assessed using Willingness-to-pay questionnaire, Stroke Specific Quality of Life Questionnaire, and Physical Therapy Outpatient Satisfaction Survey, respectively. Data was analysed using descriptive and inferential statistics. Results A total of 63.2% expressed WTP for physiotherapy per visit. Majority of the respondents had high HRQoL (66.2%) and satisfaction with physiotherapy (55.9%) respectively. There was a significant association between WTP for physiotherapy and educational status (χ2=6.248; p = 0.044). Stroke survivors with tertiary education were six times more likely to have WTP for physiotherapy services compared with those who had primary education (OR = 6.009, CI = 1.528–23.630, p = 0.01). Stroke survivors with right side affectation were five times more likely to have WTP for physiotherapy compared with those with left side affectation (OR = 5.109, CI = 1.305–19.997, p = 0.019). There was no significant association between WTP for physiotherapy and each of HRQoL and satisfaction with treatment (p > 0.05). Conclusion A high proportion of Nigerian stroke survivors attending public health facility expressed WTP for physiotherapy and it is influenced by educational status and side of affectation.
{"title":"Willingness-to-pay for physiotherapy services and its determinant among Nigerian stroke survivors","authors":"O. Oyewole, Adetola C. Adebayo, T. Awotidebe, C. Mbada, C. Fatoye, Blessing Ige, T. Gebrye, F. Fatoye","doi":"10.1080/10833196.2022.2105080","DOIUrl":"https://doi.org/10.1080/10833196.2022.2105080","url":null,"abstract":"Abstract Purpose This study was aimed to examine willingness-to-pay (WTP) for physiotherapy services among stroke survivors, and to explore the determinants of WTP in terms of socio-demographic factors, satisfaction with treatment and Health Related Quality of Life (HRQoL). Methods A total of 68 stroke survivors had their WTP, HRQoL and satisfaction with physiotherapy treatment assessed using Willingness-to-pay questionnaire, Stroke Specific Quality of Life Questionnaire, and Physical Therapy Outpatient Satisfaction Survey, respectively. Data was analysed using descriptive and inferential statistics. Results A total of 63.2% expressed WTP for physiotherapy per visit. Majority of the respondents had high HRQoL (66.2%) and satisfaction with physiotherapy (55.9%) respectively. There was a significant association between WTP for physiotherapy and educational status (χ2=6.248; p = 0.044). Stroke survivors with tertiary education were six times more likely to have WTP for physiotherapy services compared with those who had primary education (OR = 6.009, CI = 1.528–23.630, p = 0.01). Stroke survivors with right side affectation were five times more likely to have WTP for physiotherapy compared with those with left side affectation (OR = 5.109, CI = 1.305–19.997, p = 0.019). There was no significant association between WTP for physiotherapy and each of HRQoL and satisfaction with treatment (p > 0.05). Conclusion A high proportion of Nigerian stroke survivors attending public health facility expressed WTP for physiotherapy and it is influenced by educational status and side of affectation.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42323060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-27DOI: 10.1080/10833196.2022.2105077
M. Lukacs, Shahan Salim, M. Katchabaw, E. Yeung, Dave M Walton
Abstract Background Digital technologies are increasingly more ubiquitous with every passing year and have the potential to revolutionize how humans interact. In the realm of physical rehabilitation, the use of virtual reality (VR) is an area that has continued to see growth as a technology that could allow for new avenues of physical therapy practice. Objectives This manuscript starts with a narrative review of the emergence of virtual reality technology for use in rehabilitation and the original vision of this relationship as a means to understand its trajectory for the future. We then consider the current benefits and harms of using virtual reality technologies in the physical rehabilitation space. Major Findings VR technologies are becoming smaller and cheaper with every given year, with many new applications in physical rehabilitation (e.g. restoration of range of motion or pain control). We appear to be at a point in history where VR may be able to be successfully used on a wider scale in physical rehabilitation. The use of VR in physical rehabilitation has potential, but greater effort is required to elucidate its standardized operating procedures as well to guide the ethics in its use. Clinicians may also need to learn new competencies to implement VR effectively. Conclusions Collaboration is required between patients, clinicians, and scientists to help guide the use of VR within physical rehabilitation. This work is intended to act as a resource to clinicians and scientists in the field looking to develop a greater understanding of VR within physical rehabilitation.
{"title":"Virtual reality in physical rehabilitation: a narrative review and critical reflection","authors":"M. Lukacs, Shahan Salim, M. Katchabaw, E. Yeung, Dave M Walton","doi":"10.1080/10833196.2022.2105077","DOIUrl":"https://doi.org/10.1080/10833196.2022.2105077","url":null,"abstract":"Abstract Background Digital technologies are increasingly more ubiquitous with every passing year and have the potential to revolutionize how humans interact. In the realm of physical rehabilitation, the use of virtual reality (VR) is an area that has continued to see growth as a technology that could allow for new avenues of physical therapy practice. Objectives This manuscript starts with a narrative review of the emergence of virtual reality technology for use in rehabilitation and the original vision of this relationship as a means to understand its trajectory for the future. We then consider the current benefits and harms of using virtual reality technologies in the physical rehabilitation space. Major Findings VR technologies are becoming smaller and cheaper with every given year, with many new applications in physical rehabilitation (e.g. restoration of range of motion or pain control). We appear to be at a point in history where VR may be able to be successfully used on a wider scale in physical rehabilitation. The use of VR in physical rehabilitation has potential, but greater effort is required to elucidate its standardized operating procedures as well to guide the ethics in its use. Clinicians may also need to learn new competencies to implement VR effectively. Conclusions Collaboration is required between patients, clinicians, and scientists to help guide the use of VR within physical rehabilitation. This work is intended to act as a resource to clinicians and scientists in the field looking to develop a greater understanding of VR within physical rehabilitation.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49649419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-23DOI: 10.1080/10833196.2022.2090088
C. Waller, B. Sangelaji, Claire Hargest, S. Woodley, P. Lamb, S. Kuys, Allyson Calder, L. Hale
Abstract Background Biomechanics of the paretic knee during gait are well documented, yet these data have yet to be systematically summarised and analysed. Objective To analyse three-dimensional optic-based biomechanical data of the paretic knee post-stroke, compared to non-paretic or control participants’ knees, during overground gait. Methods Database searches were completed, with observational studies and baseline data from randomised controlled trials considered. Two reviewers independently screened studies, extracted data, and determined risk of bias using the Downs and Black Quality Index. Quantitative and descriptive analyses were undertaken, with level of evidence considered. Results 31 studies were included, with 719 participants with stroke and 274 controls. Pooled data were heterogenous. Descriptive analyses demonstrated: reduced peak knee flexion at the paretic knee compared to non-paretic knee; reduced knee flexion during swing at the paretic knee compared to control knee; reduced sagittal range of motion at the paretic knee compared to non-paretic, and control knee; and reduced peak (internal) extension moments at the paretic knee compared to non-paretic knee. Most studies were at high risk of bias, demonstrating limited quality evidence in the current evidence base. Conclusion The paretic knee demonstrated reduced peak knee flexion, knee flexion during swing, range of motion, and knee extension moments compared to the non-paretic and/or control knee. Considerable heterogeneity prevented meta-analyses. The current evidence base reflects limited quality, with further research required to better explore biomechanical differences occurring in well documented post-stroke gait patterns.
{"title":"Biomechanics of the paretic knee during overground gait in people with stroke: a systematic review","authors":"C. Waller, B. Sangelaji, Claire Hargest, S. Woodley, P. Lamb, S. Kuys, Allyson Calder, L. Hale","doi":"10.1080/10833196.2022.2090088","DOIUrl":"https://doi.org/10.1080/10833196.2022.2090088","url":null,"abstract":"Abstract Background Biomechanics of the paretic knee during gait are well documented, yet these data have yet to be systematically summarised and analysed. Objective To analyse three-dimensional optic-based biomechanical data of the paretic knee post-stroke, compared to non-paretic or control participants’ knees, during overground gait. Methods Database searches were completed, with observational studies and baseline data from randomised controlled trials considered. Two reviewers independently screened studies, extracted data, and determined risk of bias using the Downs and Black Quality Index. Quantitative and descriptive analyses were undertaken, with level of evidence considered. Results 31 studies were included, with 719 participants with stroke and 274 controls. Pooled data were heterogenous. Descriptive analyses demonstrated: reduced peak knee flexion at the paretic knee compared to non-paretic knee; reduced knee flexion during swing at the paretic knee compared to control knee; reduced sagittal range of motion at the paretic knee compared to non-paretic, and control knee; and reduced peak (internal) extension moments at the paretic knee compared to non-paretic knee. Most studies were at high risk of bias, demonstrating limited quality evidence in the current evidence base. Conclusion The paretic knee demonstrated reduced peak knee flexion, knee flexion during swing, range of motion, and knee extension moments compared to the non-paretic and/or control knee. Considerable heterogeneity prevented meta-analyses. The current evidence base reflects limited quality, with further research required to better explore biomechanical differences occurring in well documented post-stroke gait patterns.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46354455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-15DOI: 10.1080/10833196.2022.2043697
Jambala Jyothikiran, Angeline Rajan, P. Leo Aseer, Venkatesh N, Soundararajan K
Abstract Objectives Neuropathic pain features are frequently observed in subjects with knee osteoarthritis, which reduces their physical performance. This study was done to compare the physical performance between the subjects with neuropathic and nociceptive pain features. In addition, to assess the relationship between pain quality and physical performance in subjects with osteoarthritis of the knee. Methods Eighty subjects, ranging from 40 − 70 years of both genders with symptomatic and radiologically verified unilateral knee osteoarthritis (OA) were included for the study. Before having them in the study, all the subjects completed baseline interviews and demographic data. The subjects were categorized under neuropathic and nociceptive groups using Pain Detect Questionnaire (PDQ). One-time measurement of pain intensity, isometric strength of Quadriceps & hamstrings, and knee joint range of motion were assessed in both groups. Physical performance was measured using Osteoarthritis Research Society International recommended physical performance tests for knee osteoarthritis (40 m Fast Paced Walk Test, 6 min walk test, 30 s chair stand test, Timed up and Go Test, Stair Climb Test) and OA knee-related disability using Knee injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Results Of the eighty subjects, forty subjects were included in the neuropathic group (44%), forty in the nociceptive group based on PDQ. Physical performance (p < 0.05) was significantly reduced in the neuropathic group. There existed a weak negative correlation between pain quality and variables measured (p < 0.05). Conclusion Physical performance was significantly reduced in OA knee subjects with neuropathic pain features. There is a negative correlation between pain quality and most of the physical performance variables.
{"title":"Influence of pain quality on physical performance in subjects with osteoarthritis of knee","authors":"Jambala Jyothikiran, Angeline Rajan, P. Leo Aseer, Venkatesh N, Soundararajan K","doi":"10.1080/10833196.2022.2043697","DOIUrl":"https://doi.org/10.1080/10833196.2022.2043697","url":null,"abstract":"Abstract Objectives Neuropathic pain features are frequently observed in subjects with knee osteoarthritis, which reduces their physical performance. This study was done to compare the physical performance between the subjects with neuropathic and nociceptive pain features. In addition, to assess the relationship between pain quality and physical performance in subjects with osteoarthritis of the knee. Methods Eighty subjects, ranging from 40 − 70 years of both genders with symptomatic and radiologically verified unilateral knee osteoarthritis (OA) were included for the study. Before having them in the study, all the subjects completed baseline interviews and demographic data. The subjects were categorized under neuropathic and nociceptive groups using Pain Detect Questionnaire (PDQ). One-time measurement of pain intensity, isometric strength of Quadriceps & hamstrings, and knee joint range of motion were assessed in both groups. Physical performance was measured using Osteoarthritis Research Society International recommended physical performance tests for knee osteoarthritis (40 m Fast Paced Walk Test, 6 min walk test, 30 s chair stand test, Timed up and Go Test, Stair Climb Test) and OA knee-related disability using Knee injury and Osteoarthritis Outcome Score (KOOS) questionnaire. Results Of the eighty subjects, forty subjects were included in the neuropathic group (44%), forty in the nociceptive group based on PDQ. Physical performance (p < 0.05) was significantly reduced in the neuropathic group. There existed a weak negative correlation between pain quality and variables measured (p < 0.05). Conclusion Physical performance was significantly reduced in OA knee subjects with neuropathic pain features. There is a negative correlation between pain quality and most of the physical performance variables.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43937367","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 : 2022-05-25DOI: 10.1097/PEP.0000000000000934
Amit Kumar, Asir John Samuel
{"title":"How Did the Lockdown Imposed Due to COVID-19 Affect Patients With Cerebral Palsy?","authors":"Amit Kumar, Asir John Samuel","doi":"10.1097/PEP.0000000000000934","DOIUrl":"https://doi.org/10.1097/PEP.0000000000000934","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87971511","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 : 2022-05-19DOI: 10.1080/10833196.2022.2077066
Anthony M Nasser, A. Semciw, A. Grimaldi, E. Rio, T. Pizzari, B. Vicenzino
Abstract Background Proximal hamstring tendinopathy is a common cause of buttock pain in running based sports. A recent systematic review found outcome measures used in research studies on this condition were inconsistent, which impedes synthesis of evidence. To understand the impact tendinopathy has on patients an international collaboration (International Scientific Tendinopathy Symposium Consensus Group) agreed on nine core health domains that should be measured in research on tendinopathy. The aim of this study is to develop an outcome set for proximal hamstring tendinopathy that covers all nine tendinopathy core health domains. This protocol describes the steps taken to develop this core outcome set. Methods This mixed method study will follow two key phases. Phase one: a systematic review will produce a comprehensive list of outcome measures that have been used in studies evaluating proximal hamstring tendinopathy. Outcome measures extracted will be matched to the tendinopathy core health domains by a steering committee of clinicians and researchers. Phase two: following a Delphi process, outcome measures will be considered by experienced clinicians, researchers, and patients. Within this study, outcome measures will be screened and selected using the Outcome Measures in Rheumatology filters of truth, feasibility, and discrimination, with a threshold of 70% agreement set for consensus. Discussion This project aims to provide and disseminate a core outcome set that can be recommended for use in future studies related to proximal hamstring tendinopathy. This will have the potential to improve research quality, allow pooling of studies in meta-analysis and assist in directing future research. Trial registration Protocol registered with the Core Outcome Measures in Effectiveness Trials in May 2021 (http://www.comet-initiative.org). Key points There is no agreed set of outcomes that are consistently used when researching proximal hamstring tendinopathy This protocol outlines the methods to derive a set of outcome measures to use when researching proximal hamstring tendinopathy Researchers, clinicians and patients will participate in a process of selecting outcome measures against the nine core health domains for tendinopathy Where core health domains do not have an outcome measure recommendations for future research will be provided Consistent use of outcome measures will allow pooling of data in meta-analysis and minimise research waste
{"title":"Core outcome set development for proximal hamstring tendinopathy (COS-PHT): a study protocol","authors":"Anthony M Nasser, A. Semciw, A. Grimaldi, E. Rio, T. Pizzari, B. Vicenzino","doi":"10.1080/10833196.2022.2077066","DOIUrl":"https://doi.org/10.1080/10833196.2022.2077066","url":null,"abstract":"Abstract Background Proximal hamstring tendinopathy is a common cause of buttock pain in running based sports. A recent systematic review found outcome measures used in research studies on this condition were inconsistent, which impedes synthesis of evidence. To understand the impact tendinopathy has on patients an international collaboration (International Scientific Tendinopathy Symposium Consensus Group) agreed on nine core health domains that should be measured in research on tendinopathy. The aim of this study is to develop an outcome set for proximal hamstring tendinopathy that covers all nine tendinopathy core health domains. This protocol describes the steps taken to develop this core outcome set. Methods This mixed method study will follow two key phases. Phase one: a systematic review will produce a comprehensive list of outcome measures that have been used in studies evaluating proximal hamstring tendinopathy. Outcome measures extracted will be matched to the tendinopathy core health domains by a steering committee of clinicians and researchers. Phase two: following a Delphi process, outcome measures will be considered by experienced clinicians, researchers, and patients. Within this study, outcome measures will be screened and selected using the Outcome Measures in Rheumatology filters of truth, feasibility, and discrimination, with a threshold of 70% agreement set for consensus. Discussion This project aims to provide and disseminate a core outcome set that can be recommended for use in future studies related to proximal hamstring tendinopathy. This will have the potential to improve research quality, allow pooling of studies in meta-analysis and assist in directing future research. Trial registration Protocol registered with the Core Outcome Measures in Effectiveness Trials in May 2021 (http://www.comet-initiative.org). Key points There is no agreed set of outcomes that are consistently used when researching proximal hamstring tendinopathy This protocol outlines the methods to derive a set of outcome measures to use when researching proximal hamstring tendinopathy Researchers, clinicians and patients will participate in a process of selecting outcome measures against the nine core health domains for tendinopathy Where core health domains do not have an outcome measure recommendations for future research will be provided Consistent use of outcome measures will allow pooling of data in meta-analysis and minimise research waste","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46013923","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 : 2022-04-20DOI: 10.1080/10833196.2022.2062967
Wilson Tang, C. Flavell, A. Grant, K. Doma
Abstract Background Previous reviews have reported the efficacy of exercise interventions following total hip arthroplasty (THA), but poor inter-study comparability of low-quality studies, and outcome measure heterogeneity predominate. Conclusions regarding exercise intervention efficacy following THA are lacking. Objectives Conduct a systematic literature review with meta-analysis to report the effects of exercise following THA, using self-reported outcome measures of function and pain, and clinical tests for gait capacity. Methods An electronic database search of CINAHL, Informit, Medline, Physiotherapy Evidence Database, Scopus, and SportDiscus was conducted. Included studies (1) reported exercise interventions in adult populations following THA; (2) reported outcomes either of physical function, pain intensity, or clinical gait capacity; (3) were randomised controlled trials published in English. Study appraisal was conducted using PEDro scale. A meta-analysis was conducted to report intervention effect size and statistical significance between experimental and control groups. Results Searches yielded 5,997 studies. Twenty-four studies underwent systematic review. Twelve were eligible for meta-analysis. Study quality ranged from fair to excellent (median = 7, range = 5–9/10). Exercise interventions included hydrotherapy, and progressive resistance, gait, task-based, upper-limb, and sports therapy training. Significant between-group differences in self-reported function, pain, and gait velocity were observed at short-term follow-up, favouring exercise intervention groups. At long-term follow-up, these improvements were not significant. Conclusions This review identified that exercise interventions significantly improved self-reported physical function, pain intensity and gait velocity following THA in the short term. Further research is required to clarify long-term exercise effects, and the most effective exercise intervention, in studies which detail the interventions explicitly.
{"title":"The effects of exercise on function and pain following total hip arthroplasty: a systematic literature review and meta-analysis","authors":"Wilson Tang, C. Flavell, A. Grant, K. Doma","doi":"10.1080/10833196.2022.2062967","DOIUrl":"https://doi.org/10.1080/10833196.2022.2062967","url":null,"abstract":"Abstract Background Previous reviews have reported the efficacy of exercise interventions following total hip arthroplasty (THA), but poor inter-study comparability of low-quality studies, and outcome measure heterogeneity predominate. Conclusions regarding exercise intervention efficacy following THA are lacking. Objectives Conduct a systematic literature review with meta-analysis to report the effects of exercise following THA, using self-reported outcome measures of function and pain, and clinical tests for gait capacity. Methods An electronic database search of CINAHL, Informit, Medline, Physiotherapy Evidence Database, Scopus, and SportDiscus was conducted. Included studies (1) reported exercise interventions in adult populations following THA; (2) reported outcomes either of physical function, pain intensity, or clinical gait capacity; (3) were randomised controlled trials published in English. Study appraisal was conducted using PEDro scale. A meta-analysis was conducted to report intervention effect size and statistical significance between experimental and control groups. Results Searches yielded 5,997 studies. Twenty-four studies underwent systematic review. Twelve were eligible for meta-analysis. Study quality ranged from fair to excellent (median = 7, range = 5–9/10). Exercise interventions included hydrotherapy, and progressive resistance, gait, task-based, upper-limb, and sports therapy training. Significant between-group differences in self-reported function, pain, and gait velocity were observed at short-term follow-up, favouring exercise intervention groups. At long-term follow-up, these improvements were not significant. Conclusions This review identified that exercise interventions significantly improved self-reported physical function, pain intensity and gait velocity following THA in the short term. Further research is required to clarify long-term exercise effects, and the most effective exercise intervention, in studies which detail the interventions explicitly.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45031786","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 : 2022-04-04DOI: 10.1080/10833196.2022.2059942
Saleh M. Aloraini, Emtenan Y. Alyosuf, Lamya I. Aloraini, M. Aldaihan
Abstract Background Spasticity is a common impairment following an upper motor neuron lesion. A number of definitions were proposed for spasticity, as it is a complex phenomenon that is difficult to assess. It is important to address the measurement of spasticity and improve clinical practices related to assessing spasticity. There are numerous systematic reviews related to spasticity assessment varying in their quality, framework and methodology. Objective We aimed to systematically evaluate the evidence from published systematic reviews related to assessment of spasticity in people with various neurological conditions. Methods A comprehensive literature search was conducted in the following databases: PubMed, CINAHL, Embase and The Cochrane Library. Two independent reviewers screened the literature search results to include relevant studies. Subsequently, reviewers extracted the data using a standardized form. The quality of studies was assessed using Assessment of Multiple Systematic Reviews (AMSTAR), and the quality of evidence was critically appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE). Results Following the literature search and screening process, a total of 19 studies were included in this overview of systematic reviews. Within these 19 studies, 60 different spasticity assessment tools were found. There were 33 clinical measures of spasticity, 18 biomechanical measures and 8 neurophysiological measures. The majority of systematic reviews were found to have low to moderate rating on AMSTAR and the level of evidence (GRADE) was generally found to be low. Conclusion Overall, our findings suggest that, despite the decades of research, spasticity assessment still requires further investigation. The majority of evidence related to spasticity assessment is low, with the majority of studies relying on methods that assess resistance to passive movement rather than spasticity. Future research is greatly warranted to elucidate the proper approaches for assessing spasticity.
{"title":"Assessment of spasticity: an overview of systematic reviews","authors":"Saleh M. Aloraini, Emtenan Y. Alyosuf, Lamya I. Aloraini, M. Aldaihan","doi":"10.1080/10833196.2022.2059942","DOIUrl":"https://doi.org/10.1080/10833196.2022.2059942","url":null,"abstract":"Abstract Background Spasticity is a common impairment following an upper motor neuron lesion. A number of definitions were proposed for spasticity, as it is a complex phenomenon that is difficult to assess. It is important to address the measurement of spasticity and improve clinical practices related to assessing spasticity. There are numerous systematic reviews related to spasticity assessment varying in their quality, framework and methodology. Objective We aimed to systematically evaluate the evidence from published systematic reviews related to assessment of spasticity in people with various neurological conditions. Methods A comprehensive literature search was conducted in the following databases: PubMed, CINAHL, Embase and The Cochrane Library. Two independent reviewers screened the literature search results to include relevant studies. Subsequently, reviewers extracted the data using a standardized form. The quality of studies was assessed using Assessment of Multiple Systematic Reviews (AMSTAR), and the quality of evidence was critically appraised with Grades of Recommendation, Assessment, Development and Evaluation (GRADE). Results Following the literature search and screening process, a total of 19 studies were included in this overview of systematic reviews. Within these 19 studies, 60 different spasticity assessment tools were found. There were 33 clinical measures of spasticity, 18 biomechanical measures and 8 neurophysiological measures. The majority of systematic reviews were found to have low to moderate rating on AMSTAR and the level of evidence (GRADE) was generally found to be low. Conclusion Overall, our findings suggest that, despite the decades of research, spasticity assessment still requires further investigation. The majority of evidence related to spasticity assessment is low, with the majority of studies relying on methods that assess resistance to passive movement rather than spasticity. Future research is greatly warranted to elucidate the proper approaches for assessing spasticity.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42829147","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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