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Overcoming the fear of public speaking: effective communication is a crucial aspect for a career in rehabilitation 克服对公开演讲的恐惧:有效的沟通是康复生涯的一个关键方面
IF 0.5 Q4 REHABILITATION Pub Date : 2023-06-02 DOI: 10.12968/ijtr.2023.0063
M. Polastri
This editorial discusses communicating within rehabilitation, and advises how to become more confident when speaking in public.
这篇社论讨论了康复中的沟通,并建议如何在公共场合说话时变得更加自信。
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引用次数: 0
The effect of transverse friction massage on pain and quality of life in women with chronic pelvic pain: a quasi-experimental study 横向摩擦按摩对慢性盆腔疼痛妇女疼痛和生活质量的影响:一项准实验研究
IF 0.5 Q4 REHABILITATION Pub Date : 2023-06-02 DOI: 10.12968/ijtr.2022.0130
Aybuke Ersin, F. Tarhan, G. Basol, B. Şakul, Z. Algun
Chronic pelvic pain is defined as pain located to the pelvis or lower abdominal region, lasting for at least 6 months, and not associated with menstruation, coitus or pregnancy. The aim of this study was to investigate the feasibility and effectiveness of transverse friction massage on pain and quality of life in women with chronic pelvic pain. A total of 20 women participated in this study. Eight sessions of transverse friction massage were performed twice a week for 4 weeks, with each session lasting 30 minutes. Pelvic floor muscles (in terms of tenderness, trigger point, spasm and scar presence) were evaluated by digital palpation by an expert physiotherapist. The outcome measures used were the visual analogue scale, the 36-item Short Form-36 Survey and the Beck Depression Inventory. Participants were evaluated before treatment, at the end of the treatment, and 4 weeks after the end of the treatment. Participants' mean age was 49.7 ± 0.31 years. There was a decrease in pain intensity and an increase in quality of life scores (P<0.001), but no statistically significant improvement in depression status at the end of the treatment (P>0.001). Four weeks after the end of the treatment, significant decreases in pain severity, quality of life and depression were observed (P<0.001). Transverse friction massage is a feasible treatment option that can safely be used by physiotherapists to treat patients with chronic pelvic pain. It is inexpensive and can help to reduce pain and increase patients' quality of life. Randomised controlled trials are recommended to further confirm the findings from this study.
慢性骨盆痛定义为骨盆或下腹部疼痛,持续至少6个月,与月经、性交或妊娠无关。本研究的目的是探讨横向摩擦按摩对慢性盆腔疼痛妇女疼痛和生活质量的可行性和有效性。共有20名女性参与了这项研究。横向摩擦按摩8次,每周2次,连续4周,每次30分钟。盆底肌肉(在压痛,触发点,痉挛和疤痕存在方面)由专家物理治疗师通过指诊进行评估。使用的结果测量是视觉模拟量表、36项短表-36调查和贝克抑郁量表。在治疗前、治疗结束时和治疗结束后4周对参与者进行评估。参与者平均年龄49.7±0.31岁。疼痛强度降低,生活质量评分增加(P0.001)。治疗结束后4周,疼痛严重程度、生活质量和抑郁程度显著降低(P<0.001)。横向摩擦按摩是一种可行的治疗选择,可以安全地用于物理治疗师治疗慢性盆腔疼痛患者。它价格低廉,可以帮助减轻疼痛,提高患者的生活质量。建议进行随机对照试验以进一步证实本研究的结果。
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引用次数: 0
Recovery of autonomic dysfunction assessed by heart rate variability after acute stroke: an observational study 通过心率变异性评估急性中风后自主神经功能障碍的恢复:一项观察性研究
IF 0.5 Q4 REHABILITATION Pub Date : 2023-06-02 DOI: 10.12968/ijtr.2021.0033
Takashi Hoshino, K. Oguchi, Aiko Hoshino, M. Hoshiyama
Early mobilisation after acute stroke is recommended worldwide, and autonomic dysfunction is a common complication. However, little is known about autonomic adaptation to postural changes during early mobilisation. The aim of the present study was to clarify the recovery process of autonomic dysfunction after acute stroke regarding adaptation to postural changes. A total of 23 patients (mean age 60 ± 11 years) were included in this observational study. Those with a history of arrhythmia, heart failure and diabetes mellitus with diabetic neuropathy were excluded. Autonomic functions were assessed using heart rate variability. Electrocardiograms were recorded when the patients were lying down, sitting up and then lying back down again for 5 minutes in each position. The indices of heart rate variability, total power, high frequency band and low frequency/high frequency ratio, which correspond to total, parasympathetic and sympathetic activity respectively, were calculated to evaluate participants' autonomic function during the 7 days after the onset of stroke. From days 3 to 7 after stroke onset, the low frequency/high frequency ratio was significantly higher, and the total power and high frequency were reciprocally lower in the sitting position than in the supine position. On day 7, the total power and high frequency were significantly higher while the low frequency/high frequency ratio was lower than the total power and high frequency values that were recorded on the second and third days after stroke. Blood pressure levels and heart rates also changed, corresponding to changes in heart rate variability. The patients' autonomic function, as well as heart rate and blood pressure levels, changed gradually during the first 7 days after onset of stroke. The results could lead to optimised clinical practice in safe early stroke rehabilitation.
世界各地都建议急性中风后尽早动员,自主神经功能障碍是一种常见的并发症。然而,对早期运动过程中自主神经对姿势变化的适应知之甚少。本研究的目的是阐明急性卒中后自主神经功能障碍在适应体位变化方面的恢复过程。本观察性研究共纳入23名患者(平均年龄60±11岁)。排除有心律失常、心力衰竭和糖尿病伴糖尿病神经病变病史的患者。使用心率变异性评估自主功能。当患者在每个位置躺下、坐起来,然后再次躺下5分钟时,记录心电图。计算心率变异性、总功率、高频带和低频/高频比指数,分别对应于总活动、副交感神经和交感神经活动,以评估参与者在中风发作后7天的自主神经功能。从中风发作后第3天至第7天,低频率/高频率显著较高,坐姿的总功率和高频率相对低于仰卧位。在第7天,总功率和高频明显更高,而低频/高频比低于中风后第二天和第三天记录的总功率和低频值。血压水平和心率也发生了变化,与心率变异性的变化相对应。患者的自主神经功能、心率和血压水平在中风发作后的前7天逐渐发生变化。研究结果可能会优化安全的早期中风康复的临床实践。
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引用次数: 0
Dementia awareness among healthcare professionals in Kuwait 科威特保健专业人员对痴呆症的认识
IF 0.5 Q4 REHABILITATION Pub Date : 2023-05-02 DOI: 10.12968/ijtr.2022.0087
Fahad S Manee, M. Nadar, Dana Qadoura, M. Rassafiani, Hanan E Badr
Dementia is a progressive disease that can lead to functional limitations, poor quality of life, and dependency among older people. Healthcare professionals play an essential role in assisting individuals who have dementia and their caregivers. This research aimed to investigate the level of knowledge about dementia among healthcare professionals in Kuwait. Healthcare professionals from seven public hospitals in Kuwait participated in the study. The participants’ knowledge level was measured using the Dementia Knowledge Assessment Scale. A total of 1005 participants (36.5% males and 63.5% females) from various healthcare occupations were included in this study; physicians (n=120), occupational therapists (n=31), physical therapists (n=107), pharmacists (n=90), and nurses (n=657). The overall knowledge about dementia was generally low, with an overall mean score of 18.99 out of 50 (standard deviation 5.54). A lack of knowledge about dementia was identified among healthcare professionals in Kuwait. The findings demonstrate the need for more training to improve knowledge and increase awareness about this disease. Improved knowledge of dementia should lead to improved health care provided to patients living with dementia and support caregivers in managing the disease.
痴呆症是一种进行性疾病,可导致老年人的功能受限、生活质量差和依赖性。医疗保健专业人员在帮助痴呆症患者及其护理人员方面发挥着重要作用。这项研究旨在调查科威特医疗保健专业人员对痴呆症的知识水平。科威特七家公立医院的医疗保健专业人员参与了这项研究。参与者的知识水平采用痴呆症知识评估量表进行测量。本研究共有1005名参与者(36.5%为男性,63.5%为女性),来自不同的医疗保健职业;医生(n=120)、职业治疗师(n=31)、物理治疗师(n=107)、药剂师(n=90)和护士(n=657)。对痴呆症的总体了解普遍较低,总体平均分为18.99分(满分50分)(标准差5.54分)。科威特的医疗保健专业人员对痴呆症缺乏了解。研究结果表明,需要更多的培训来提高对这种疾病的认识和认识。提高对痴呆症的认识应能改善对痴呆症患者的医疗保健,并支持护理人员管理疾病。
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引用次数: 0
Assessing occupational competency in children with leukaemia compared to typically developing peers using the Child Occupational Self-Assessment tool: a pilot study 使用儿童职业自我评估工具评估白血病儿童与正常发展同龄人的职业能力:一项试点研究
IF 0.5 Q4 REHABILITATION Pub Date : 2023-05-02 DOI: 10.12968/ijtr.2022.0117
Mahsa Sattari, Mina Ahmadi Kahjoogh, S. Hosseini, S. Mazloomzadeh, N. Jalili, L. Koochakzadeh
Children with leukaemia are less able to perform activities of daily living and participate in leisure activities compared to typically developing children, which can affect their occupational competency. The aim of this study was to compare occupational competency and values between typically developing children and children with leukaemia. In this pilot cross-sectional study, 102 children (52 typically developing children and 50 children with leukaemia) aged 7 to 13 years were assessed using the Child Occupational Self-Assessment tool, which includes occupational competency and occupational value scales for each item. The independent t -test analysis demonstrated that there was a significant difference between the two groups on the competency scale (P=0.02). However, there was no significant difference between the two groups in the value scale (P=0.07). Children with leukaemia feel less competent in carrying out everyday activities than typically developing children. Occupational competency interventions should be prioritised in occupational therapy services.
与正常发育的儿童相比,患有白血病的儿童进行日常生活活动和参加休闲活动的能力较差,这可能影响他们的职业能力。本研究的目的是比较正常发育儿童和白血病儿童的职业能力和价值观。本研究采用儿童职业自我评估工具对102名7 - 13岁的儿童(52名发育正常的儿童和50名患有白血病的儿童)进行评估,该工具包括每个项目的职业能力和职业价值量表。独立t检验分析显示,两组在胜任力量表上存在显著差异(P=0.02)。但两组在数值量表上差异无统计学意义(P=0.07)。与正常发育的儿童相比,患有白血病的儿童在进行日常活动时感觉能力较差。职业能力干预应优先在职业治疗服务。
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引用次数: 0
A ‘spoonful’ of physiotherapy: the importance of the terminology that the multidisciplinary team use when referring patients for treatment 物理治疗的“一勺”:多学科团队在推荐患者进行治疗时使用的术语的重要性
IF 0.5 Q4 REHABILITATION Pub Date : 2023-05-02 DOI: 10.12968/ijtr.2023.0058
M. Polastri
This editorial discusses the role of physiotherapy within therapeutic care, and the process of referrals.
这篇社论讨论了理疗在治疗护理中的作用,以及转诊过程。
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引用次数: 0
Management of low back pain: a survey of physical therapists’ adherence to clinical practice guidelines in the State of Kuwait 腰痛的治疗:科威特国物理治疗师遵守临床实践指南的调查
IF 0.5 Q4 REHABILITATION Pub Date : 2023-05-02 DOI: 10.12968/ijtr.2021.0149
H. Alrowayeh
Physical therapy clinical practice guidelines for the management of low back pain are accessible to most physical therapists in the State of Kuwait. However, guideline adherence remains undocumented. The aims of this study were to describe the low back pain treatment interventions and adherence to clinical practice guidelines by physical therapists in the State of Kuwait. A total of 200 questionnaires were distributed to a convenience sample of physical therapists working in governmental hospitals who treat a variety of neuro-musculoskeletal conditions. The questionnaire contained questions on patients and the treatments applied. Physical therapists with less than 1 year of clinical experience were excluded. Descriptive and inferential statistics (analysis of variance) were used. Overall, 132 physical therapists completed the questionnaire (response rate of 66.0%). One-third of physical therapists’ caseloads included 40-50% of patients with low back pain. Physical therapy treatments most commonly included non-evidence-based treatment, such as superficial heat, interferential therapy and transcutaneous electrical nerve stimulation. Evidence-based treatment, such as exercises and passive stretching techniques, were less frequently used. There was no significant difference between the physical therapists’ years of experience, education or place of work and their treatment of choice. Some physical therapists in the State of Kuwait deviate from clinical practice guidelines and use non-evidence-based treatment instead of evidence-based treatment in the management of low back pain. Therefore, intensive training and revision to current treatment protocols are required.
在科威特,大多数物理治疗师都可以获得腰痛管理的物理治疗临床实践指南。然而,指南的遵守仍然没有记录。本研究的目的是描述科威特物理治疗师对腰痛治疗干预措施和临床实践指南的依从性。共向在政府医院工作的治疗各种神经肌肉骨骼疾病的物理治疗师分发了200份调查问卷。调查问卷包含关于患者和治疗方法的问题。临床经验少于1年的物理治疗师被排除在外。采用描述性统计和推断性统计(方差分析)。共有132名物理治疗师完成问卷调查,答复率为66.0%。三分之一的物理治疗师的病例包括40-50%的腰痛患者。物理治疗最常见的包括非循证治疗,如浅表热、干扰治疗和经皮神经电刺激。循证治疗,如锻炼和被动拉伸技术,使用频率较低。物理治疗师的工作年限、教育程度和工作地点与他们选择的治疗方法没有显著差异。科威特国的一些物理治疗师偏离临床实践指南,在治疗腰痛时使用非循证治疗而不是循证治疗。因此,需要加强培训和修订当前的治疗方案。
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引用次数: 0
Levator scapulae index and chronic mechanical neck pain: a commentary on Mishra et al (2022) 肩胛提肌指数与慢性机械性颈痛:对Mishra等人(2022)的评论
IF 0.5 Q4 REHABILITATION Pub Date : 2023-05-02 DOI: 10.12968/ijtr.2022.0165
Alaa Abou Khzam
This letter to the editor comments on a published article regarding the use of the levator scapulae index.
这封给编辑的信评论了一篇发表的关于肩胛提肌指数使用的文章。
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引用次数: 0
Isometric chin tuck exercise with and without scapular postural correction for patients with chronic neck pain: a longitudinal study 慢性颈部疼痛患者的等长收下巴运动伴或不伴肩胛骨姿势矫正:一项纵向研究
IF 0.5 Q4 REHABILITATION Pub Date : 2023-04-02 DOI: 10.12968/ijtr.2021.0184
Joon-hyoung Yong, Il-young Moon, Jin-seok Lim, C. Yi
Chronic neck pain is common in individuals with poor posture and motor control impairments. There has been increased interest in scapular postural correction in conjunction with the isometric chin tuck exercise. The aim of this study was to investigate the clinical efficacy of scapular postural correction while performing isometric chin tuck exercises for the improvement of neck pain, neck and shoulder alignment and superficial neck muscle activity in patients with chronic neck pain. A total of 32 participants with chronic, non-specific neck pain were randomly divided into two groups (groups A and B, both n=16), who performed isometric chin tuck exercises alone or isometric chin tuck with scapular postural correction respectively. The participants were instructed to perform five sets of the exercise with 10 repetitions for 6 weeks. Measurements were taken pre- and post-intervention to determine Neck Disability Index scores, postural parameters (head, cervical and shoulder angle) and superficial cervical muscle activity (sternocleidomastoid, anterior scalene, splenius capitis). Analysis of covariance was used to compare the post-intervention scores. Significant differences were observed between groups A and B in the cervical angle (F1,29=4.538, P=0.042) and shoulder angle (F1,29=8.357, P=0.007), when compared to baseline values. Both group A (t=12.097, P<0.001) and group B (t=8.032, P<0.001) showed a significant reduction in Neck Disability Index scores compared to baseline scores. Both group A and group B showed a significant decrease in sternocleidomastoid (group A: t=6.637, P<0.001; group B: t=10.143, P<0.001), anterior scalene (group A, t=5.484, P<0.001; group B, t=8.063, P<0.001), and splenius capitis (group A, t=8.591, P<0.001; group B, t=8.258, P<0.001) muscle activity compared to baseline values. Isometric chin tuck alone and isometric chin tuck combined with scapular postural correction both showed significant reductions in neck pain and superficial neck muscle activity. Additional scapular postural correction training significantly increased the cervical angle and decreased the shoulder angle.
慢性颈部疼痛常见于姿势不良和运动控制障碍的个体。肩胛骨体位矫正与等距收下巴运动的结合已引起越来越多的兴趣。本研究的目的是探讨肩胛骨体位矫正同时进行等长收下巴运动对慢性颈部疼痛患者颈部疼痛、颈肩直线和颈部浅肌活动改善的临床疗效。32名慢性非特异性颈部疼痛患者被随机分为两组(A组和B组,均为16人),分别进行等距拉下巴运动或等距拉下巴并矫正肩胛骨姿势。参与者被要求做五组练习,重复10次,持续6周。在干预前和干预后进行测量,以确定颈部残疾指数评分、体位参数(头、颈、肩角)和颈浅肌活动(胸锁乳突肌、前斜角肌、头脾肌)。采用协方差分析比较干预后评分。A组和B组颈椎角(F1,29=4.538, P=0.042)和肩关节角(F1,29=8.357, P=0.007)与基线值比较差异有统计学意义。与基线评分相比,A组(t=12.097, P<0.001)和B组(t=8.032, P<0.001)的颈部残疾指数评分均显著降低。A组和B组胸锁乳突肌均显著降低(A组:t=6.637, P<0.001;B组:t=10.143, P<0.001)、前斜角肌(A组,t=5.484, P<0.001);B组,t=8.063, P<0.001), A组,t=8.591, P<0.001;B组,t=8.258, P<0.001)肌肉活动与基线值比较。单独的等距下巴收腹和等距下巴收腹联合肩胛骨姿势矫正都显示出颈部疼痛和颈部浅表肌肉活动的显著减少。额外的肩胛骨体位矫正训练显著增加了颈椎角,降低了肩关节角。
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引用次数: 0
Three years of COVID-19: improving and advancing rehabilitative processes 新冠肺炎的三年:改善和推进康复过程
IF 0.5 Q4 REHABILITATION Pub Date : 2023-04-02 DOI: 10.12968/ijtr.2023.0040
M. Polastri, E. Pehlivan
This editorial discusses how the rehbilitation field has transformed as a result of COVID-19.
这篇社论讨论了由于新冠肺炎,重新安置领域发生了怎样的变化。
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引用次数: 0
期刊
International Journal of Therapy and Rehabilitation
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