Nicole Venturino, Kasey Stepansky, Casey Rodak, Samuel Cramer
Background/Aims Parkinson Wellness Recovery Moves is a functional, large-amplitude exercise programme aimed at reducing the symptoms of Parkinson's disease. To date, evidence supports the use of amplitude training to reduce the symptoms of Parkinson's disease; however, evidence is lacking in the feasibility of using Parkinson Wellness Recovery Moves as an adjunct to occupational therapy within inpatient rehabilitation. The aim of this study was to evaluate the feasibility of implementing the Parkinson Wellness Recovery Moves intervention into the treatment of patients with Parkinson's disease, within an inpatient rehabilitation hospital. Methods A total of five adults with Parkinson's disease participated in this 11-week quasi-experimental feasibility trial. The use of Parkinson Wellness Recovery Moves was standardised, requiring each participant to engage in at least two occupational therapy sessions that included Parkinson Wellness Recovery Moves. Outcomes collected included fidelity of intervention implementation, and participant-centred outcomes of quality of life satisfaction and function via the Parkinson's Disease Questionnaire-39 and Section GG respectively. Results Each participant had a positive change in Section GG scores and completed between eight and 13 occupational therapy sessions that included Parkinson Wellness Recovery Moves. Four out of five participants reported higher quality of life at the time of discharge. Conclusions The use of Parkinson Wellness Recovery Moves was found to be feasible to implement within an inpatient rehabilitation hospital, with increased functional performance and improved quality of life.
{"title":"Amplitude training in occupational therapy for the treatment of Parkinson's disease: a feasibility study","authors":"Nicole Venturino, Kasey Stepansky, Casey Rodak, Samuel Cramer","doi":"10.12968/ijtr.2022.0126","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0126","url":null,"abstract":"Background/Aims Parkinson Wellness Recovery Moves is a functional, large-amplitude exercise programme aimed at reducing the symptoms of Parkinson's disease. To date, evidence supports the use of amplitude training to reduce the symptoms of Parkinson's disease; however, evidence is lacking in the feasibility of using Parkinson Wellness Recovery Moves as an adjunct to occupational therapy within inpatient rehabilitation. The aim of this study was to evaluate the feasibility of implementing the Parkinson Wellness Recovery Moves intervention into the treatment of patients with Parkinson's disease, within an inpatient rehabilitation hospital. Methods A total of five adults with Parkinson's disease participated in this 11-week quasi-experimental feasibility trial. The use of Parkinson Wellness Recovery Moves was standardised, requiring each participant to engage in at least two occupational therapy sessions that included Parkinson Wellness Recovery Moves. Outcomes collected included fidelity of intervention implementation, and participant-centred outcomes of quality of life satisfaction and function via the Parkinson's Disease Questionnaire-39 and Section GG respectively. Results Each participant had a positive change in Section GG scores and completed between eight and 13 occupational therapy sessions that included Parkinson Wellness Recovery Moves. Four out of five participants reported higher quality of life at the time of discharge. Conclusions The use of Parkinson Wellness Recovery Moves was found to be feasible to implement within an inpatient rehabilitation hospital, with increased functional performance and improved quality of life.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"65 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135975487","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}
Çağtay Maden, Kezban Bayramlar, Tuba Maden, Melda Sağlam, Sevgi Bilgiç Eltan, Özlem Keskin
Background/Aims The number of studies exploring isolated upper extremity muscle strength and endurance in paediatric patients with cystic fibrosis is limited. The aim of this study was to investigate the relationship between upper extremity muscle strength and endurance with respiratory functions, functional capacity and quality of life in children and adolescents with cystic fibrosis. Methods Children and adolescents with cystic fibrosis performed a flexed arm hang test to measure muscle endurance, movement against a dynamometer to measure muscle strength, a pulmonary function test and 6-minute walk test to measure functional capacity. The Cystic Fibrosis Questionnaire Revised was used to assess quality of life. Results A total of 29 children and adolescents with cystic fibrosis (15 girls, 14 boys) participated in the study. Biceps muscle strength moderately correlated with forced expiratory volume in 1 second predicted percentage, forced vital capacity predicted percentage and the ratio of forced expiratory volume in 1 second to forced vital capacity predicted percentage (r=0.306, P=0.035; r=0.405; P=0.029; r=0.367, P=0.048, respectively). Biceps muscle strength, shoulder abductors muscle strength, hand grip strength and flexed arm hang test correlated with the ratio of forced expiratory volume in 1 second to forced vital capacity predicted percentage. Biceps muscle strength, shoulder abductors muscle strength, hand grip strength and flexed arm hang test correlated with 6-minute walk test distance (r=0.678, p<0.001; r=0.732, p<0.001; r=0.512, P=0.005; r=0.375, P=0.045, respectively). Biceps muscle strength and shoulder abductors muscle strength moderately correlated with emotional functioning and eating disturbances in the Cystic Fibrosis Questionnaire Revised (r=0.451, P=0.014). Conclusions Specific assessment of upper extremity muscle strength and endurance in children and adolescents with cystic fibrosis may be helpful in informing physiotherapists of respiratory function, functional capacity and quality of life status.]
{"title":"The relationships between upper extremity muscle strength and endurance with respiratory function, functional capacity and quality of life in children and adolescents with cystic fibrosis","authors":"Çağtay Maden, Kezban Bayramlar, Tuba Maden, Melda Sağlam, Sevgi Bilgiç Eltan, Özlem Keskin","doi":"10.12968/ijtr.2021.0159","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0159","url":null,"abstract":"Background/Aims The number of studies exploring isolated upper extremity muscle strength and endurance in paediatric patients with cystic fibrosis is limited. The aim of this study was to investigate the relationship between upper extremity muscle strength and endurance with respiratory functions, functional capacity and quality of life in children and adolescents with cystic fibrosis. Methods Children and adolescents with cystic fibrosis performed a flexed arm hang test to measure muscle endurance, movement against a dynamometer to measure muscle strength, a pulmonary function test and 6-minute walk test to measure functional capacity. The Cystic Fibrosis Questionnaire Revised was used to assess quality of life. Results A total of 29 children and adolescents with cystic fibrosis (15 girls, 14 boys) participated in the study. Biceps muscle strength moderately correlated with forced expiratory volume in 1 second predicted percentage, forced vital capacity predicted percentage and the ratio of forced expiratory volume in 1 second to forced vital capacity predicted percentage (r=0.306, P=0.035; r=0.405; P=0.029; r=0.367, P=0.048, respectively). Biceps muscle strength, shoulder abductors muscle strength, hand grip strength and flexed arm hang test correlated with the ratio of forced expiratory volume in 1 second to forced vital capacity predicted percentage. Biceps muscle strength, shoulder abductors muscle strength, hand grip strength and flexed arm hang test correlated with 6-minute walk test distance (r=0.678, p<0.001; r=0.732, p<0.001; r=0.512, P=0.005; r=0.375, P=0.045, respectively). Biceps muscle strength and shoulder abductors muscle strength moderately correlated with emotional functioning and eating disturbances in the Cystic Fibrosis Questionnaire Revised (r=0.451, P=0.014). Conclusions Specific assessment of upper extremity muscle strength and endurance in children and adolescents with cystic fibrosis may be helpful in informing physiotherapists of respiratory function, functional capacity and quality of life status.]","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135975309","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}
Massimiliano Polastri and Gian Maria Paganelli discuss the clinical tools used to predict the clinical progress of patients undergoing lung transplantation.
Massimiliano Polastri和Gian Maria Paganelli讨论了用于预测肺移植患者临床进展的临床工具。
{"title":"Predicting outcomes, describing complications and optimising rehabilitation in patients undergoing lung transplantation","authors":"Massimiliano Polastri, Gian Maria Paganelli","doi":"10.12968/ijtr.2023.0114","DOIUrl":"https://doi.org/10.12968/ijtr.2023.0114","url":null,"abstract":"Massimiliano Polastri and Gian Maria Paganelli discuss the clinical tools used to predict the clinical progress of patients undergoing lung transplantation.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"62 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135975312","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}
Piriformis syndrome is a condition caused by compression of the sciatic nerve, causing pain, tingling and numbness. Although conservative treatment includes hip muscle strengthening and stretching, there is no proven treatment method in the literature. This study was conducted to investigate the effect of stretching and myofascial releasing methods added to traditional physiotherapy in piriformis syndrome. This prospective, randomised controlled study was completed with 63 individuals between the ages of 20 and 40 years. Participants were randomised into three groups: piriformis muscle stretch group (n=22), self-myofascial release group (n=21) and control group (n=20). All participants were enrolled in a 4-week muscle strengthening home exercise programme. In addition, the two intervention groups performed stretching and self-myofascial relaxation exercises respectively. The primary outcome was pain intensity and the secondary outcome was the range of motion of the hip. After 4 weeks of exercises, the level of pain intensity felt in the hip decreased significantly and hip joint range of motion increased significantly in all three groups (P<0.05). In the intergroup analysis, self-myofascial release was found to be more effective in reducing the pain level (F3=3.595, P=0.034). The increase in hip adduction and extension joint range of motion was found to be higher in the control group (F3=4.931, P=0.011 and F3=6.432, P=0.003 respectively). Stretching and myofascial releasing methods applied in addition to conventional exercises might improve pain intensity and range of motion as alternative methods for treating piriformis syndrome.
{"title":"Comparison of self-myofascial release and stretching exercises in individuals with piriformis syndrome: a randomised controlled trial","authors":"Gizem Ergezen, Mustafa Şahin","doi":"10.12968/ijtr.2023.0022","DOIUrl":"https://doi.org/10.12968/ijtr.2023.0022","url":null,"abstract":"Piriformis syndrome is a condition caused by compression of the sciatic nerve, causing pain, tingling and numbness. Although conservative treatment includes hip muscle strengthening and stretching, there is no proven treatment method in the literature. This study was conducted to investigate the effect of stretching and myofascial releasing methods added to traditional physiotherapy in piriformis syndrome. This prospective, randomised controlled study was completed with 63 individuals between the ages of 20 and 40 years. Participants were randomised into three groups: piriformis muscle stretch group (n=22), self-myofascial release group (n=21) and control group (n=20). All participants were enrolled in a 4-week muscle strengthening home exercise programme. In addition, the two intervention groups performed stretching and self-myofascial relaxation exercises respectively. The primary outcome was pain intensity and the secondary outcome was the range of motion of the hip. After 4 weeks of exercises, the level of pain intensity felt in the hip decreased significantly and hip joint range of motion increased significantly in all three groups (P<0.05). In the intergroup analysis, self-myofascial release was found to be more effective in reducing the pain level (F3=3.595, P=0.034). The increase in hip adduction and extension joint range of motion was found to be higher in the control group (F3=4.931, P=0.011 and F3=6.432, P=0.003 respectively). Stretching and myofascial releasing methods applied in addition to conventional exercises might improve pain intensity and range of motion as alternative methods for treating piriformis syndrome.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"9 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139290966","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}
Massimiliano Polastri discusses the different ways in which patients who are hospitalised can receive physiotherapy.
Massimiliano Polastri 讨论了住院病人接受物理治疗的不同方式。
{"title":"Providing physiotherapy in hospital settings via direct access or referral","authors":"M. Polastri","doi":"10.12968/ijtr.2023.0117","DOIUrl":"https://doi.org/10.12968/ijtr.2023.0117","url":null,"abstract":"Massimiliano Polastri discusses the different ways in which patients who are hospitalised can receive physiotherapy.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"59 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139290969","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}
Ayşen Canan Pakeloğlu, Meltem Koç, Aydan Selen Yılmaz, B. Bayar, K. Bayar
The most common spinal anomaly is thoracic kyphosis, which frequently occurs in adolescents and older people. The flexicurve is an instrument commonly used by physiotherapists to assess spinal curvature. However, advancing technology, particularly the rise of mobile applications, has resulted in the replacement of traditional methods. This study aimed to investigate and compare the intra-rater and inter-rater reliability of the smartphone-based Goniometer Pro application and the flexicurve in measuring the thoracic kyphosis angle among healthy university students. A total of 30 participants were assessed by two independent raters using the flexicurve and the Goniometer Pro App to measure the thoracic kyphosis angle. Agreement was assessed using intraclass correlation coefficients, standard error of measurement and minimal detectable change. The flexicurve demonstrated excellent intra-rater reliability (intraclass correlation coefficients=0.87 and intraclass correlation coefficients=0.85 for two raters) and good inter-rater reliability (intraclass correlation coefficients=0.60). Additionally, the standard error of measurement and the minimal detectable change values indicated small measurement errors for the flexicurve. Similarly, the Goniometer Pro application exhibited excellent intra-rater reliability (intraclass correlation coefficients=0.90 and intraclass correlation coefficients=0.89 for two raters) and inter-rater reliability (intraclass correlation coefficients=0.87), along with small measurement errors indicated by the standard error of the measurement and minimal detectable change values. The Goniometer Pro app demonstrated higher inter-rater reliability than the flexicurve when measuring the thoracic kyphosis angle. Consequently, it stands out as a recommended, user-friendly, and time-efficient tool for clinicians involved in the assessment and monitoring of thoracic kyphosis.
最常见的脊柱异常是胸椎后凸，经常发生在青少年和老年人身上。屈曲曲线是物理治疗师常用来评估脊柱弯曲的仪器。然而，随着技术的进步，特别是移动应用的兴起，传统方法已被取代。本研究旨在调查和比较基于智能手机的 Goniometer Pro 应用程序和屈曲曲线在测量健康大学生胸椎后凸角度时的评分者内部和评分者之间的可靠性。两名独立评分员使用屈曲曲线和 Goniometer Pro 应用程序测量胸椎后倾角，共对 30 名参与者进行了评估。使用类内相关系数、测量标准误差和最小可检测变化来评估一致性。屈曲曲线显示出极佳的评分者内部可靠性（两位评分者的类内相关系数=0.87，类内相关系数=0.85）和良好的评分者之间可靠性（类内相关系数=0.60）。此外，测量标准误差和最小可检测变化值表明屈曲曲线的测量误差很小。同样，动态关节角度计 Pro 应用程序也表现出极佳的评分者内部可靠性（类内相关系数=0.90，两名评分者的类内相关系数=0.89）和评分者之间可靠性（类内相关系数=0.87），测量标准误差和最小可检测变化值表明测量误差较小。在测量胸椎后凸角度时，Goniometer Pro 应用程序的评分者间可靠性高于挠性曲线。因此，对于参与胸椎后凸评估和监测的临床医生来说，它是一款值得推荐、用户友好且省时的工具。
{"title":"Comparing the reliability of the Goniometer Pro application and flexicurve for measuring thoracic kyphosis: a cross-sectional study","authors":"Ayşen Canan Pakeloğlu, Meltem Koç, Aydan Selen Yılmaz, B. Bayar, K. Bayar","doi":"10.12968/ijtr.2023.0013","DOIUrl":"https://doi.org/10.12968/ijtr.2023.0013","url":null,"abstract":"The most common spinal anomaly is thoracic kyphosis, which frequently occurs in adolescents and older people. The flexicurve is an instrument commonly used by physiotherapists to assess spinal curvature. However, advancing technology, particularly the rise of mobile applications, has resulted in the replacement of traditional methods. This study aimed to investigate and compare the intra-rater and inter-rater reliability of the smartphone-based Goniometer Pro application and the flexicurve in measuring the thoracic kyphosis angle among healthy university students. A total of 30 participants were assessed by two independent raters using the flexicurve and the Goniometer Pro App to measure the thoracic kyphosis angle. Agreement was assessed using intraclass correlation coefficients, standard error of measurement and minimal detectable change. The flexicurve demonstrated excellent intra-rater reliability (intraclass correlation coefficients=0.87 and intraclass correlation coefficients=0.85 for two raters) and good inter-rater reliability (intraclass correlation coefficients=0.60). Additionally, the standard error of measurement and the minimal detectable change values indicated small measurement errors for the flexicurve. Similarly, the Goniometer Pro application exhibited excellent intra-rater reliability (intraclass correlation coefficients=0.90 and intraclass correlation coefficients=0.89 for two raters) and inter-rater reliability (intraclass correlation coefficients=0.87), along with small measurement errors indicated by the standard error of the measurement and minimal detectable change values. The Goniometer Pro app demonstrated higher inter-rater reliability than the flexicurve when measuring the thoracic kyphosis angle. Consequently, it stands out as a recommended, user-friendly, and time-efficient tool for clinicians involved in the assessment and monitoring of thoracic kyphosis.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"54 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139290458","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}
Nur Syazwani Ibrahim, Wan Ling Lee, Sanjay Rampal, Anwar Suhaimi
Background/Aims Physical activity has been recommended as a secondary prevention strategy to reduce the risk of recurrent adverse events and improve health. While it can be challenging for health practitioners to motivate patients to remain physically active, wrist-worn activity trackers can assist in monitoring adherence. The aim of this study was to identify and summarise the existing scientific literature on wrist-worn activity trackers monitoring physical activity among patients undergoing cardiac rehabilitation. The authors also aimed to identify evidence gaps that require further investigation. Methods A systematic search was conducted in the electronic databases in PubMed, Web of Science, Scopus, SPORTDiscus and the Cumulative Index to Nursing and Allied Health Literature. Method quality was appraised using the Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews instrument. The study focused on any physical activity data collected by wrist-worn activity trackers in cardiac rehabilitation. Results A total of 19 relevant records were identified. Wrist-worn activity trackers generally improved the patient's physical activity and the validity of heart rate and step count measurements was acceptable. Conclusions Wrist-worn activity trackers can help to monitor patients' physical activity when undergoing cardiac rehabilitation. Further research is necessary to strengthen the evidence that wrist-worn activity trackers may be beneficial to evaluate clinical outcomes, determine the intervention cost, acceptability of patients and allied health professionals, as well as explore feedback, including technical issues.
背景/目的体育活动已被推荐为二级预防策略，以减少复发性不良事件的风险并改善健康。虽然对健康从业者来说，激励患者保持身体活动是一项挑战，但手腕上的活动追踪器可以帮助监测患者的坚持情况。本研究的目的是识别和总结现有的关于腕带活动追踪器监测心脏康复患者身体活动的科学文献。作者还旨在确定需要进一步调查的证据差距。方法系统检索PubMed、Web of Science、Scopus、SPORTDiscus电子数据库和护理与相关健康文献累积索引。使用系统评价的首选报告项目和范围评价的元分析扩展工具来评价方法质量。这项研究的重点是在心脏康复过程中，通过腕带活动追踪器收集到的任何身体活动数据。结果共鉴定出相关记录19份。戴在手腕上的活动追踪器通常改善了患者的身体活动，心率和步数测量的有效性是可以接受的。结论腕带运动追踪器可以监测心脏康复患者的运动情况。需要进一步的研究来加强证据，证明腕带活动追踪器可能有利于评估临床结果、确定干预成本、患者和联合卫生专业人员的接受程度，以及探索反馈，包括技术问题。
{"title":"Integrating the wrist-worn tracker in cardiac rehabilitation programmes: a scoping review","authors":"Nur Syazwani Ibrahim, Wan Ling Lee, Sanjay Rampal, Anwar Suhaimi","doi":"10.12968/ijtr.2022.0012","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0012","url":null,"abstract":"Background/Aims Physical activity has been recommended as a secondary prevention strategy to reduce the risk of recurrent adverse events and improve health. While it can be challenging for health practitioners to motivate patients to remain physically active, wrist-worn activity trackers can assist in monitoring adherence. The aim of this study was to identify and summarise the existing scientific literature on wrist-worn activity trackers monitoring physical activity among patients undergoing cardiac rehabilitation. The authors also aimed to identify evidence gaps that require further investigation. Methods A systematic search was conducted in the electronic databases in PubMed, Web of Science, Scopus, SPORTDiscus and the Cumulative Index to Nursing and Allied Health Literature. Method quality was appraised using the Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews instrument. The study focused on any physical activity data collected by wrist-worn activity trackers in cardiac rehabilitation. Results A total of 19 relevant records were identified. Wrist-worn activity trackers generally improved the patient's physical activity and the validity of heart rate and step count measurements was acceptable. Conclusions Wrist-worn activity trackers can help to monitor patients' physical activity when undergoing cardiac rehabilitation. Further research is necessary to strengthen the evidence that wrist-worn activity trackers may be beneficial to evaluate clinical outcomes, determine the intervention cost, acceptability of patients and allied health professionals, as well as explore feedback, including technical issues.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"60 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135975322","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}
Sohel Ahmed, Sharker Md Numan, Mohammad Habibur Rahman
Background/Aims Low back pain is one of the most widespread public health concerns and physiotherapists frequently experience work-related low back pain. The aim of this study was to find out the prevalence of low back pain and the factors associated with the consequences of work-related low back pain among physiotherapists in Bangladesh. Methods A cross-sectional study was conducted from August 2021 to January 2022 among physiotherapists working in Dhaka. A total of 212 male and female physiotherapists, aged between 22 and 40 years, participated in this study. Descriptive statistics (number and percentage) were used to express the prevalence rate and the association between pain and professional practice-related variables was measured by using the Chi-square test or Fisher's exact test where appropriate. Results There were more male physiotherapists (67%) than female therapists (33%). Overall, 25% of participants reported that they had low back pain before they started working as a physiotherapist, which increased to 87.3% after they had started working as a physiotherapist. The most common therapist-related risk was incorrectly using body mechanics (50.5%), working in an awkward position (50%) and repeated bending and twisting movements (49.1%). The most common patient-related risk factor was reported as dealing with a patient who was overweight (44.8%) and the most common work-related factor was reported as lack of sufficient resting time between patients (44.8%). There was a significant association between low back pain with the designation of the therapist, working hours and the number of patients treated in a day. Conclusions Work-related low back pain is prevalent among physiotherapists in Dhaka city. The pain was significantly associated with the designation of the therapist, working hours, and the number of patients treated by the therapist in a day. Preventive strategies, as well as proper patient handling techniques, should be followed while handling patients.
{"title":"Prevalence of work-related low back pain and associated risk factors among physiotherapists in Dhaka, Bangladesh: a cross-sectional study","authors":"Sohel Ahmed, Sharker Md Numan, Mohammad Habibur Rahman","doi":"10.12968/ijtr.2022.0064","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0064","url":null,"abstract":"Background/Aims Low back pain is one of the most widespread public health concerns and physiotherapists frequently experience work-related low back pain. The aim of this study was to find out the prevalence of low back pain and the factors associated with the consequences of work-related low back pain among physiotherapists in Bangladesh. Methods A cross-sectional study was conducted from August 2021 to January 2022 among physiotherapists working in Dhaka. A total of 212 male and female physiotherapists, aged between 22 and 40 years, participated in this study. Descriptive statistics (number and percentage) were used to express the prevalence rate and the association between pain and professional practice-related variables was measured by using the Chi-square test or Fisher's exact test where appropriate. Results There were more male physiotherapists (67%) than female therapists (33%). Overall, 25% of participants reported that they had low back pain before they started working as a physiotherapist, which increased to 87.3% after they had started working as a physiotherapist. The most common therapist-related risk was incorrectly using body mechanics (50.5%), working in an awkward position (50%) and repeated bending and twisting movements (49.1%). The most common patient-related risk factor was reported as dealing with a patient who was overweight (44.8%) and the most common work-related factor was reported as lack of sufficient resting time between patients (44.8%). There was a significant association between low back pain with the designation of the therapist, working hours and the number of patients treated in a day. Conclusions Work-related low back pain is prevalent among physiotherapists in Dhaka city. The pain was significantly associated with the designation of the therapist, working hours, and the number of patients treated by the therapist in a day. Preventive strategies, as well as proper patient handling techniques, should be followed while handling patients.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134968993","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}
In this editorial, Alaa Abou Khzam and Majde Sleem briefly discuss the findings of studies that have investigated the effects of backward gait training for children with cerebral palsy.
{"title":"Replacing forward gait training with backward gait training for children with cerebral palsy: what physical therapists should know","authors":"Alaa Abou Khzam, Majde Sleem","doi":"10.12968/ijtr.2022.0171","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0171","url":null,"abstract":"In this editorial, Alaa Abou Khzam and Majde Sleem briefly discuss the findings of studies that have investigated the effects of backward gait training for children with cerebral palsy.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134968996","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}
Background/Aims A myofascial trigger point is a hyperirritable spot, usually within a taut band of skeletal muscle, that is painful on compression and can cause motor dysfunction. The authors present a case report of a 21-year-old woman with myofascial trigger points in the upper trapezius muscle who reported a pre-assessment pain score of 7 on the visual analogue scale, a pressure pain threshold of 1.32 kg/cm 2 and a reduction in all cervical ranges of motion. To provide more immediate results in comparison to traditional dry needling, the upper trapezius muscle was kept in a stretched position and then dry needling was performed. Methods With the patient lying in the prone position, the therapist stretched the right upper trapezius muscle. Fast in-and-out movements of dry needling were performed to target multiple active myofascial trigger points until the first visible local twitch response occurred. Results Immediately after the procedure, the patient's pain level reduced to a score of 3 on the visual analogue scale, the patient's pressure pain threshold increased to 3.07 kg/cm 2 , and cervical ranges of motions increased between 10 and 20°. Conclusions Stretched myofascial dry needling is effective to treat symptoms immediately related to myofascial trigger points in the upper trapezius muscle, although further research is needed.
{"title":"Immediate effect of stretched myofascial dry needling on the myofascial trigger point in the upper trapezius muscle: a case report","authors":"Priyanka Rajput, Varun Kalia","doi":"10.12968/ijtr.2023.0052","DOIUrl":"https://doi.org/10.12968/ijtr.2023.0052","url":null,"abstract":"Background/Aims A myofascial trigger point is a hyperirritable spot, usually within a taut band of skeletal muscle, that is painful on compression and can cause motor dysfunction. The authors present a case report of a 21-year-old woman with myofascial trigger points in the upper trapezius muscle who reported a pre-assessment pain score of 7 on the visual analogue scale, a pressure pain threshold of 1.32 kg/cm 2 and a reduction in all cervical ranges of motion. To provide more immediate results in comparison to traditional dry needling, the upper trapezius muscle was kept in a stretched position and then dry needling was performed. Methods With the patient lying in the prone position, the therapist stretched the right upper trapezius muscle. Fast in-and-out movements of dry needling were performed to target multiple active myofascial trigger points until the first visible local twitch response occurred. Results Immediately after the procedure, the patient's pain level reduced to a score of 3 on the visual analogue scale, the patient's pressure pain threshold increased to 3.07 kg/cm 2 , and cervical ranges of motions increased between 10 and 20°. Conclusions Stretched myofascial dry needling is effective to treat symptoms immediately related to myofascial trigger points in the upper trapezius muscle, although further research is needed.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134968994","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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