Pub Date : 2022-01-02DOI: 10.1080/10833196.2021.2000276
C. Ojukwu, E. Anyanwu, Chekwube Benjamin Onyebuchi, C. Uchenwoke, A. Okemuo, C. J. Okafor, C. Ikele
Abstract Background Anatomy education is an integral aspect of physiotherapy training with tremendous effects on clinical education and expertise. Literature is scarce on the current trends in physiotherapy-related anatomy education in Nigeria, making it difficult to identify specific areas that require improvement to enable effective teaching-learning processes. Objectives This cross-sectional study investigated the profile, commitment to, perceptions of relevance and challenges of anatomy education among undergraduate students of Nigerian physiotherapy training programmes. Methods Structured questionnaires, seeking information on knowledge and perceptions of anatomy education as well as its relevance to physiotherapy training and practice were distributed to 429 physiotherapy undergraduates. Results 350 questionnaires were completely filled and returned (81.6% response rate). Students’ anatomy profiles showed that majority of the students were exposed to anatomy education for 3–4 semesters (58.3%) with an average of one hour per lecture period (70.0%) which commonly comprised 401–600 students (58.0%). Despite that all the students reported exposure to dissection classes, only 11.7% reported adequate supervision of such classes. >50% of the students were aware of the relevance of anatomy education to physiotherapy training and practice. However, their commitment to anatomy education was generally poor. Major challenges of effective anatomy education included inadequate time for anatomy education (70.0%), large class size (67.1%) and non-supervision of dissection classes (22.6%). Age, gender and choice of physiotherapy as the primary intended course of study were not (p > 0.05) predictors of students’ commitment to anatomy education. Conclusion Physiotherapy undergraduates are aware of the relevance of anatomy education in physiotherapy training and practice. However, barriers of effective anatomy education were identified. Modifications in anatomy education are required for improved physiotherapy training.
{"title":"Anatomy education in physiotherapy training: perceptions of Nigerian-based undergraduate physiotherapy students","authors":"C. Ojukwu, E. Anyanwu, Chekwube Benjamin Onyebuchi, C. Uchenwoke, A. Okemuo, C. J. Okafor, C. Ikele","doi":"10.1080/10833196.2021.2000276","DOIUrl":"https://doi.org/10.1080/10833196.2021.2000276","url":null,"abstract":"Abstract Background Anatomy education is an integral aspect of physiotherapy training with tremendous effects on clinical education and expertise. Literature is scarce on the current trends in physiotherapy-related anatomy education in Nigeria, making it difficult to identify specific areas that require improvement to enable effective teaching-learning processes. Objectives This cross-sectional study investigated the profile, commitment to, perceptions of relevance and challenges of anatomy education among undergraduate students of Nigerian physiotherapy training programmes. Methods Structured questionnaires, seeking information on knowledge and perceptions of anatomy education as well as its relevance to physiotherapy training and practice were distributed to 429 physiotherapy undergraduates. Results 350 questionnaires were completely filled and returned (81.6% response rate). Students’ anatomy profiles showed that majority of the students were exposed to anatomy education for 3–4 semesters (58.3%) with an average of one hour per lecture period (70.0%) which commonly comprised 401–600 students (58.0%). Despite that all the students reported exposure to dissection classes, only 11.7% reported adequate supervision of such classes. >50% of the students were aware of the relevance of anatomy education to physiotherapy training and practice. However, their commitment to anatomy education was generally poor. Major challenges of effective anatomy education included inadequate time for anatomy education (70.0%), large class size (67.1%) and non-supervision of dissection classes (22.6%). Age, gender and choice of physiotherapy as the primary intended course of study were not (p > 0.05) predictors of students’ commitment to anatomy education. Conclusion Physiotherapy undergraduates are aware of the relevance of anatomy education in physiotherapy training and practice. However, barriers of effective anatomy education were identified. Modifications in anatomy education are required for improved physiotherapy training.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44615822","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 : 2022-01-02DOI: 10.1080/10833196.2022.2029160
C. Gummesson
Experience or provision of information are thus not enough to learn. Information including un-reflected experiences as an undigested burden is a challenge, for us, our students, and patients. Dewey [1] emphasized the importance of reflection to comprehend and learn. I believe we all need to take the time to share reflected insights in ways that may promote a ripple effect of knowledge building, reducing the undigested burden. Reading analyses by others may promote our internal reflection and thus learning. Research plays an important role as a source of information to support our professional educational endeavor, but also research have the risk of being looked at as information sharing only. As teachers, clinical supervisors, and researchers in education, we are invited to reflect on the research results in relation to our own context and experiences. To make our reflections more complex, we may also consider the lenses used for the information collection. As I have been wearing glasses almost all my life, I’m quite aware of the impact the use of different lenses has on information gathering (such as using reading glasses or regular glasses will dramatically change what I see from the same outlook). I think this also applies to our interpretation of research. Which lens we use when addressing a question will impact our reflections and understanding. Therefore, it is valuable that researchers provide us with information using various lenses. In the current issue, researchers in physiotherapy education help us by their use of different lenses, inviting us to gain a richer picture of learning and education. Lenses for learning
{"title":"Lenses for learning","authors":"C. Gummesson","doi":"10.1080/10833196.2022.2029160","DOIUrl":"https://doi.org/10.1080/10833196.2022.2029160","url":null,"abstract":"Experience or provision of information are thus not enough to learn. Information including un-reflected experiences as an undigested burden is a challenge, for us, our students, and patients. Dewey [1] emphasized the importance of reflection to comprehend and learn. I believe we all need to take the time to share reflected insights in ways that may promote a ripple effect of knowledge building, reducing the undigested burden. Reading analyses by others may promote our internal reflection and thus learning. Research plays an important role as a source of information to support our professional educational endeavor, but also research have the risk of being looked at as information sharing only. As teachers, clinical supervisors, and researchers in education, we are invited to reflect on the research results in relation to our own context and experiences. To make our reflections more complex, we may also consider the lenses used for the information collection. As I have been wearing glasses almost all my life, I’m quite aware of the impact the use of different lenses has on information gathering (such as using reading glasses or regular glasses will dramatically change what I see from the same outlook). I think this also applies to our interpretation of research. Which lens we use when addressing a question will impact our reflections and understanding. Therefore, it is valuable that researchers provide us with information using various lenses. In the current issue, researchers in physiotherapy education help us by their use of different lenses, inviting us to gain a richer picture of learning and education. Lenses for learning","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47921931","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 : 2022-01-01Epub Date: 2022-06-11DOI: 10.1080/10833196.2022.2087311
Mariana Wingood, Kent E Irwin, Patricia M Bamonti, Michelle G Criss, Rebekah Harris, Emma Phillips, Jennifer L Vincenzo, Kevin K Chui
Background: Despite the benefits of physical activity (PA), 61% of adults 50 years and older do not meet the recommended levels of PA. One method of increasing PA participation is assessing and addressing PA participation barriers. Currently, no guidance on methodologies for assessing PA participation barriers exist.
Objective: The primary objective of this scoping review is to map the methodologies used to examine potential PA participation barriers faced by community-dwelling adults 50 years and older. A secondary objective is to evaluate the clinimetric properties of these methodologies.
Methods: This scoping review protocol is registered with Open Science Framework (https://osf.io/wd2hx). A systematic search of the following databases will be performed: PubMed, PsycINFO, CINAHL, Web of Science, and PEDro. Included studies will 1) present either a) data on development or clinimetric properties of PA participation barrier tool (s); or b) relative risk or odds ratios of PA participation barrier(s); 2) compare PA participation barriers or PA participation barrier tool(s) to either subjective or objective measures of PA; and 3) comprise of community-dwelling participants with a mean age of 50 years and older. A two-phase blinded independent screening process will be conducted to select the included publications. Data will be extracted using a standardized form and cross-checked by the first author. A narrative summary will accompany the results presented in tables and figures.
Conclusion: This scoping review will provide a comprehensive understanding of current literature and gaps related to PA participation barrier methodologies used with adults 50 years and older.
摘要背景尽管体育活动（PA）有好处，但61%的成年人50 岁及以上未达到推荐的PA水平。增加PA参与的一种方法是评估和解决PA参与障碍。目前，没有关于评估巴勒斯坦权力机构参与障碍的方法的指导意见。目的本范围界定审查的主要目的是绘制用于检查居住在社区的成年人面临的潜在PA参与障碍的方法图50 年及以上。第二个目标是评估这些方法的临床特性。方法本范围界定审查协议已在开放科学框架中注册(https://osf.io/wd2hx)。将对以下数据库进行系统搜索：PubMed、PsycINFO、CINAHL、Web of Science和PEDro。纳入的研究将1）提供a）PA参与屏障工具的发展或临床特性数据；或b）PA参与障碍的相对风险或比值比；2） 将PA参与障碍或PA参与障碍工具与PA的主观或客观测量进行比较；和3）由平均年龄为50岁的社区参与者组成 年及以上。将进行两阶段盲法独立筛选过程，以选择纳入的出版物。数据将使用标准化表格提取，并由第一作者进行交叉检查。在表格和图表中列出的结果将附有叙述性摘要。结论本范围审查将全面了解与成人PA参与障碍方法相关的现有文献和差距50 年及以上。
{"title":"Examining physical activity participation barriers among adults 50 years and older: a scoping review protocol.","authors":"Mariana Wingood, Kent E Irwin, Patricia M Bamonti, Michelle G Criss, Rebekah Harris, Emma Phillips, Jennifer L Vincenzo, Kevin K Chui","doi":"10.1080/10833196.2022.2087311","DOIUrl":"10.1080/10833196.2022.2087311","url":null,"abstract":"<p><strong>Background: </strong>Despite the benefits of physical activity (PA), 61% of adults 50 years and older do not meet the recommended levels of PA. One method of increasing PA participation is assessing and addressing PA participation barriers. Currently, no guidance on methodologies for assessing PA participation barriers exist.</p><p><strong>Objective: </strong>The primary objective of this scoping review is to map the methodologies used to examine potential PA participation barriers faced by community-dwelling adults 50 years and older. A secondary objective is to evaluate the clinimetric properties of these methodologies.</p><p><strong>Methods: </strong>This scoping review protocol is registered with Open Science Framework (https://osf.io/wd2hx). A systematic search of the following databases will be performed: PubMed, PsycINFO, CINAHL, Web of Science, and PEDro. Included studies will 1) present either a) data on development or clinimetric properties of PA participation barrier tool (s); or b) relative risk or odds ratios of PA participation barrier(s); 2) compare PA participation barriers or PA participation barrier tool(s) to either subjective or objective measures of PA; and 3) comprise of community-dwelling participants with a mean age of 50 years and older. A two-phase blinded independent screening process will be conducted to select the included publications. Data will be extracted using a standardized form and cross-checked by the first author. A narrative summary will accompany the results presented in tables and figures.</p><p><strong>Conclusion: </strong>This scoping review will provide a comprehensive understanding of current literature and gaps related to PA participation barrier methodologies used with adults 50 years and older.</p>","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42167983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-30DOI: 10.1080/10833196.2021.2019369
P. Kumar, Chiara Fernando, Deanna Mendoza, Riya Shah
Abstract Introduction Hemiplegic shoulder pain (HSP) is reported in up to 40% of people with stroke and has been associated with spasticity and glenohumeral subluxation. The frequency of HSP has reduced in the last two decades which is most likely due to improved therapy and nursing care. The aim of this systematic literature review was to explore the risk and associated factors for HSP for studies published between 2005 and 2020. Methods A systematic online search was conducted of CINAHL, AMED, MEDLINE and the Cochrane library databases using four key terms (risk factors, hemiplegia, shoulder pain and stroke). The search was supplemented by hand searching of relevant journals and citation tracking of the retrieved papers. All primary studies published in English language fulfilling the review’s inclusion criteria were included. Five reviewers extracted the data and independently appraised the methodological quality of the selected studies. Any discrepancies were resolved following discussions. Results Of the 50 articles that were identified, 21 studies met the criteria. The common risk factors for HSP were: poor motor function (odds ratio (OR) 0.58–3.19; 95% confidence interval (CI), 1.1–7.7); glenohumeral subluxation (OR 2.48–3.5, 95% CI 1.38–9.37) and reduced range of movement at the shoulder (OR 0.14–4.46, 95% CI 0.99–64). Conclusion Despite methodological flaws, complete loss of motor function in the affected arm and glenohumeral subluxation has been recognized as frequently reported risk factors for HSP. Further rigorously designed cohort studies are required to explore the risk factors for HSP.
据报道，高达40%的中风患者出现偏瘫性肩痛(HSP)，并伴有痉挛和肩关节半脱位。在过去的二十年中，热休克的频率已经减少，这很可能是由于治疗和护理的改善。本系统文献综述的目的是探讨2005年至2020年间发表的研究中热休克的风险和相关因素。方法采用危险因素、偏瘫、肩痛、脑卒中4个关键词对CINAHL、AMED、MEDLINE和Cochrane图书馆数据库进行系统的在线检索。检索的补充是手工检索相关期刊，并对检索到的论文进行引文跟踪。所有以英语发表的符合本综述纳入标准的主要研究均被纳入。五名审稿人提取数据并独立评价所选研究的方法学质量。任何分歧都在讨论后得到解决。结果在50篇文章中，有21篇符合标准。HSP的常见危险因素是:运动功能差(优势比(OR) 0.58-3.19;95%置信区间(CI)， 1.1-7.7);肩关节半脱位(OR 2.48-3.5, 95% CI 1.38-9.37)和肩部活动范围缩小(OR 0.14-4.46, 95% CI 0.99-64)。结论:尽管方法学上存在缺陷，但患臂运动功能完全丧失和肩关节半脱位已被认为是HSP的常见危险因素。需要进一步严格设计的队列研究来探索热休克的危险因素。
{"title":"Risk and associated factors for hemiplegic shoulder pain in people with stroke: a systematic literature review","authors":"P. Kumar, Chiara Fernando, Deanna Mendoza, Riya Shah","doi":"10.1080/10833196.2021.2019369","DOIUrl":"https://doi.org/10.1080/10833196.2021.2019369","url":null,"abstract":"Abstract Introduction Hemiplegic shoulder pain (HSP) is reported in up to 40% of people with stroke and has been associated with spasticity and glenohumeral subluxation. The frequency of HSP has reduced in the last two decades which is most likely due to improved therapy and nursing care. The aim of this systematic literature review was to explore the risk and associated factors for HSP for studies published between 2005 and 2020. Methods A systematic online search was conducted of CINAHL, AMED, MEDLINE and the Cochrane library databases using four key terms (risk factors, hemiplegia, shoulder pain and stroke). The search was supplemented by hand searching of relevant journals and citation tracking of the retrieved papers. All primary studies published in English language fulfilling the review’s inclusion criteria were included. Five reviewers extracted the data and independently appraised the methodological quality of the selected studies. Any discrepancies were resolved following discussions. Results Of the 50 articles that were identified, 21 studies met the criteria. The common risk factors for HSP were: poor motor function (odds ratio (OR) 0.58–3.19; 95% confidence interval (CI), 1.1–7.7); glenohumeral subluxation (OR 2.48–3.5, 95% CI 1.38–9.37) and reduced range of movement at the shoulder (OR 0.14–4.46, 95% CI 0.99–64). Conclusion Despite methodological flaws, complete loss of motor function in the affected arm and glenohumeral subluxation has been recognized as frequently reported risk factors for HSP. Further rigorously designed cohort studies are required to explore the risk factors for HSP.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48795233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-28DOI: 10.1080/10833196.2021.2019368
Koya Mine, K. Ono, Nobuhito Tanpo
Abstract Background Assessments and treatments focused on pelvic asymmetry are common amongst health professionals. However, there is no clear evidence for the reliability of palpatory examinations for pelvic landmarks. Objectives This review aimed to investigate the reliability of palpatory examinations for pelvic landmarks. Methods A systematic search was undertaken using eight databases from inceptions to 2021 January 8th, to identify relevant primary studies. Methodological quality of included studies was evaluated using quality appraisal tool for studies of diagnostic reliability (QAREL). Data on kappa statistics were synthesized quantitatively. Results 10 papers were included. Six papers had moderate methodological quality (50–70% in QAREL). Four pelvic landmarks, including anterior superior iliac spine, posterior superior iliac spine, sacral sulcus or inferior lateral angle were examined. For both inter-rater and intra-rater reliability, kappa statistics were consistently lower than 0.60 regardless of examiners’ qualifications or experience levels, or standardisation trainings. As a result of meta-analyses, pooled kappa statics were consistently lower than 0.06 for all landmarks. Conclusions Consistent evidence was found to suggest that palpatory examinations of pelvic landmarks to detect pelvic asymmetry do not have an acceptable reliability. Therefore, the current evidence does not support the use of these tests in clinical or educational settings.
{"title":"The reliability of palpatory examinations for pelvic landmarks to determine pelvic asymmetry: a systematic review and meta-analysis","authors":"Koya Mine, K. Ono, Nobuhito Tanpo","doi":"10.1080/10833196.2021.2019368","DOIUrl":"https://doi.org/10.1080/10833196.2021.2019368","url":null,"abstract":"Abstract Background Assessments and treatments focused on pelvic asymmetry are common amongst health professionals. However, there is no clear evidence for the reliability of palpatory examinations for pelvic landmarks. Objectives This review aimed to investigate the reliability of palpatory examinations for pelvic landmarks. Methods A systematic search was undertaken using eight databases from inceptions to 2021 January 8th, to identify relevant primary studies. Methodological quality of included studies was evaluated using quality appraisal tool for studies of diagnostic reliability (QAREL). Data on kappa statistics were synthesized quantitatively. Results 10 papers were included. Six papers had moderate methodological quality (50–70% in QAREL). Four pelvic landmarks, including anterior superior iliac spine, posterior superior iliac spine, sacral sulcus or inferior lateral angle were examined. For both inter-rater and intra-rater reliability, kappa statistics were consistently lower than 0.60 regardless of examiners’ qualifications or experience levels, or standardisation trainings. As a result of meta-analyses, pooled kappa statics were consistently lower than 0.06 for all landmarks. Conclusions Consistent evidence was found to suggest that palpatory examinations of pelvic landmarks to detect pelvic asymmetry do not have an acceptable reliability. Therefore, the current evidence does not support the use of these tests in clinical or educational settings.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46174212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-22DOI: 10.1080/10833196.2021.2017613
Emma O’Loughlin, D. Reid, S. Sims
Abstract Background Women need to engage in effective quadriceps resistance training programmes following anterior cruciate ligament reconstruction. Recent research has supported follicular phase-based resistance training for enhancing resistance training strength outcomes in eumenorrheic females. It is unclear whether research has investigated menstrual cycle phased resistance training programs in eumenorrheic females post-ACLR or whether there is a gap for further research in this area. Objective This scoping review aims to describe what is known about menstrual cycle phased resistance training programmes in injured and non-injured eumenorrheic females, identify any existing gaps in knowledge, and propose future research. Methods The research team will search five databases using predetermined search terms. Eumenorrheic female participants undergoing a menstrual cycle phased resistance training programme for at least one menstrual cycle length will be included. All studies must be in the English language and published in academic journals. The research team will evaluate relevant titles and abstracts against the eligibility criteria. Potentially relevant sources will be retrieved in full. The full text of selected studies will be assessed in detail against the inclusion criteria by two reviewers. The research team will extract data from included papers using a data charting form. The review will present all results in table format accompanied by a narrative summary. Results Results are not yet known. Discussion This will contribute to the understanding of methodologies and outcomes of menstrual cycle phased resistance training programmes, and indicate whether there is a role for future research in injured and non-injured populations.
{"title":"Is there a role for menstrual cycle phased resistance training programmes for women post anterior cruciate ligament reconstruction? A scoping review protocol","authors":"Emma O’Loughlin, D. Reid, S. Sims","doi":"10.1080/10833196.2021.2017613","DOIUrl":"https://doi.org/10.1080/10833196.2021.2017613","url":null,"abstract":"Abstract Background Women need to engage in effective quadriceps resistance training programmes following anterior cruciate ligament reconstruction. Recent research has supported follicular phase-based resistance training for enhancing resistance training strength outcomes in eumenorrheic females. It is unclear whether research has investigated menstrual cycle phased resistance training programs in eumenorrheic females post-ACLR or whether there is a gap for further research in this area. Objective This scoping review aims to describe what is known about menstrual cycle phased resistance training programmes in injured and non-injured eumenorrheic females, identify any existing gaps in knowledge, and propose future research. Methods The research team will search five databases using predetermined search terms. Eumenorrheic female participants undergoing a menstrual cycle phased resistance training programme for at least one menstrual cycle length will be included. All studies must be in the English language and published in academic journals. The research team will evaluate relevant titles and abstracts against the eligibility criteria. Potentially relevant sources will be retrieved in full. The full text of selected studies will be assessed in detail against the inclusion criteria by two reviewers. The research team will extract data from included papers using a data charting form. The review will present all results in table format accompanied by a narrative summary. Results Results are not yet known. Discussion This will contribute to the understanding of methodologies and outcomes of menstrual cycle phased resistance training programmes, and indicate whether there is a role for future research in injured and non-injured populations.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45426060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-10DOI: 10.1080/10833196.2021.2002641
T. Wilkinson, N. Bishop, R. Billany, C. Lightfoot, E. Castle, Alice C. Smith, S. Greenwood
Abstract Background Kidney transplant recipients (KTRs) are characterised by adverse changes in physical fitness and body composition. Post-transplant management involves being physically active, although evidence for the effect of exercise is limited. Objective To assess the effects of exercise training interventions in KTRs. Methods NCBI PubMed (MEDLINE) and CENTRAL (EMBASE, WHO ICTRP) databases were searched up to March 2021 to identify eligible randomized controlled trials (RCTs) that studied exercise training in adult KTRs. Outcomes included exercise capacity, strength, blood pressure, body composition, heart rate, markers of dyslipidaemia and renal function, and health-related quality of life (QoL). Results Sixteen RCTs, containing 827 KTRs, were included. The median intervention length was 14-weeks with participants exercising between 2–7x/week. Most studies used a mixture of aerobic and resistance exercise. Significant improvements were observed in cardiorespiratory function (VO2peak) (3.21 ml/kg/min, p = 0.003), 6MWT (76.3 meters, p = 0.009), physical function (STS-60, 4.8 repetitions, p = 0.04), and high-density lipoprotein (HDL) (0.13 mg/dL, p = 0.03). A moderate increase in maximum heart rate was seen (p = 0.06). A moderate reduction in creatinine was also observed (0.14 mg/dl, p = 0.05). Isolated studies reported improvements in strength, bone health, lean mass, and QoL. Overall, studies had high risk of bias suggestive of publication bias. Conclusions Exercise training may confer several benefits in adult KTRs, particularly by increasing cardiorespiratory function and exercise capacity, strength, HDL levels, maximum heart rate, and improving QoL. Additional long-term large sampled RCTs, incorporating complex interventions requiring both exercise and dietary behaviour change, are needed to fully understand the effects of exercise in KTRs.
{"title":"The effect of exercise training interventions in adult kidney transplant recipients: a systematic review and meta-analysis of randomised control trials","authors":"T. Wilkinson, N. Bishop, R. Billany, C. Lightfoot, E. Castle, Alice C. Smith, S. Greenwood","doi":"10.1080/10833196.2021.2002641","DOIUrl":"https://doi.org/10.1080/10833196.2021.2002641","url":null,"abstract":"Abstract Background Kidney transplant recipients (KTRs) are characterised by adverse changes in physical fitness and body composition. Post-transplant management involves being physically active, although evidence for the effect of exercise is limited. Objective To assess the effects of exercise training interventions in KTRs. Methods NCBI PubMed (MEDLINE) and CENTRAL (EMBASE, WHO ICTRP) databases were searched up to March 2021 to identify eligible randomized controlled trials (RCTs) that studied exercise training in adult KTRs. Outcomes included exercise capacity, strength, blood pressure, body composition, heart rate, markers of dyslipidaemia and renal function, and health-related quality of life (QoL). Results Sixteen RCTs, containing 827 KTRs, were included. The median intervention length was 14-weeks with participants exercising between 2–7x/week. Most studies used a mixture of aerobic and resistance exercise. Significant improvements were observed in cardiorespiratory function (VO2peak) (3.21 ml/kg/min, p = 0.003), 6MWT (76.3 meters, p = 0.009), physical function (STS-60, 4.8 repetitions, p = 0.04), and high-density lipoprotein (HDL) (0.13 mg/dL, p = 0.03). A moderate increase in maximum heart rate was seen (p = 0.06). A moderate reduction in creatinine was also observed (0.14 mg/dl, p = 0.05). Isolated studies reported improvements in strength, bone health, lean mass, and QoL. Overall, studies had high risk of bias suggestive of publication bias. Conclusions Exercise training may confer several benefits in adult KTRs, particularly by increasing cardiorespiratory function and exercise capacity, strength, HDL levels, maximum heart rate, and improving QoL. Additional long-term large sampled RCTs, incorporating complex interventions requiring both exercise and dietary behaviour change, are needed to fully understand the effects of exercise in KTRs.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43630053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-08DOI: 10.1080/10833196.2021.2011581
D. Hartnett
Abstract Gua sha is a traditional East Asian treatment that involves press-stroking with a rigid instrument along muscular lines with the intent of generating petechiae, helping to alleviate a wide range of pathologies. Despite regular practice in some communities and a rebranding as instrument-assisted soft tissue mobilization in Western physiotherapy and chiropractic medicine, there remains a paucity of scientific literature on the practice. This narrative reviews aims to provide an overview on gua sha and similar scraping practices, including the proposed physiological mechanism behind its purported benefits, while examining the literature for validated studies of the efficacy of gua sha. At present, there is weak evidence supporting the benefits of the therapy in isolation, with potential value as an additional treatment modality complementing conventional manual therapies.
{"title":"Gua sha therapy in the management of musculoskeletal pathology: a narrative review","authors":"D. Hartnett","doi":"10.1080/10833196.2021.2011581","DOIUrl":"https://doi.org/10.1080/10833196.2021.2011581","url":null,"abstract":"Abstract Gua sha is a traditional East Asian treatment that involves press-stroking with a rigid instrument along muscular lines with the intent of generating petechiae, helping to alleviate a wide range of pathologies. Despite regular practice in some communities and a rebranding as instrument-assisted soft tissue mobilization in Western physiotherapy and chiropractic medicine, there remains a paucity of scientific literature on the practice. This narrative reviews aims to provide an overview on gua sha and similar scraping practices, including the proposed physiological mechanism behind its purported benefits, while examining the literature for validated studies of the efficacy of gua sha. At present, there is weak evidence supporting the benefits of the therapy in isolation, with potential value as an additional treatment modality complementing conventional manual therapies.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47628885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-06DOI: 10.1097/pep.0000000000000858
A. te Velde, C. Morgan
{"title":"Gross Motor Function Measure (GMFM-66 & GMFM-88) User's Manual, 3rd Edition, Book Review.","authors":"A. te Velde, C. Morgan","doi":"10.1097/pep.0000000000000858","DOIUrl":"https://doi.org/10.1097/pep.0000000000000858","url":null,"abstract":"","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76226864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-02DOI: 10.1080/10833196.2021.2000810
Abigail Grover Snook, Ásta B. Schram
Abstract Background Faculty development needs to consider the perceived needs of the teachers it serves. However, little is known about the faculty development needs of physical therapy adjuncts (casuals, contingent, non-tenured, sessional). Objectives The aim of this study was to compare the highest-rated faculty development needs identified by physical therapy adjuncts who teach only in the classroom (‘classroom adjuncts’) to those who only teach in clinical placements (‘clinical adjuncts’). Methods Using a cross-sectional, web-based survey, perceived faculty development needs were compared among classroom adjuncts (n = 14) and clinical adjuncts (n = 18) using a Likert scale. Analysis included identifying highest-rated needs (i.e., > 75% agreement) for each group and t-tests to determine if highest-rated needs were significantly different between groups. Results Six of the highest-rated needs of classroom adjuncts were, not surprisingly, focused on needs within the classroom. Four of the highest-rated needs of clinical adjuncts were specific to this group and three were significantly different from classroom adjuncts – mentoring students and peers, learning how to deal with common challenges within teaching, (e.g., diversity, dishonesty, disability and struggling students), and using simulation and skills training. Highest-rated needs of clinical adjuncts appeared to be focused on effective communication with diverse students and how to build a co-operative learning environment that facilitates the students’ own initiatives to learn. Conclusions Faculty development should address context-specific perceived needs to support physical therapy adjuncts.
{"title":"Perceived faculty development needs of physical therapy adjuncts: a comparison study","authors":"Abigail Grover Snook, Ásta B. Schram","doi":"10.1080/10833196.2021.2000810","DOIUrl":"https://doi.org/10.1080/10833196.2021.2000810","url":null,"abstract":"Abstract Background Faculty development needs to consider the perceived needs of the teachers it serves. However, little is known about the faculty development needs of physical therapy adjuncts (casuals, contingent, non-tenured, sessional). Objectives The aim of this study was to compare the highest-rated faculty development needs identified by physical therapy adjuncts who teach only in the classroom (‘classroom adjuncts’) to those who only teach in clinical placements (‘clinical adjuncts’). Methods Using a cross-sectional, web-based survey, perceived faculty development needs were compared among classroom adjuncts (n = 14) and clinical adjuncts (n = 18) using a Likert scale. Analysis included identifying highest-rated needs (i.e., > 75% agreement) for each group and t-tests to determine if highest-rated needs were significantly different between groups. Results Six of the highest-rated needs of classroom adjuncts were, not surprisingly, focused on needs within the classroom. Four of the highest-rated needs of clinical adjuncts were specific to this group and three were significantly different from classroom adjuncts – mentoring students and peers, learning how to deal with common challenges within teaching, (e.g., diversity, dishonesty, disability and struggling students), and using simulation and skills training. Highest-rated needs of clinical adjuncts appeared to be focused on effective communication with diverse students and how to build a co-operative learning environment that facilitates the students’ own initiatives to learn. Conclusions Faculty development should address context-specific perceived needs to support physical therapy adjuncts.","PeriodicalId":46541,"journal":{"name":"Physical Therapy Reviews","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45192312","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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