{"title":"The ongoing energy crisis and the provision of electrophysical therapies","authors":"M. Polastri, Maurizio Borsari, Luca Macrelli","doi":"10.12968/ijtr.2022.0160","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0160","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42395532","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}
Z. Taheri-Kharameh, S. Bashirian, R. H. Moghadam, J. Poorolajal, M. Barati, T. Ramezani, É. Rásky
The protection motivation theory is a common framework illustrating the use of protective behaviours. The aim of this study was to develop and evaluate the psychometric properties of the protection motivation theory questionnaire for fall prevention in older people in Iran. This study used a psychometric design. A literature review was initially performed and developed a 35-item questionnaire consisting of eight sub-constructs of the protection motivation theory. A panel of experts and a group of older people aged 60 years or above were invited to assess the content and face validity of the questionnaire. Thereafter, construct validity was evaluated by using confirmatory factor analysis. The reliability of the questionnaire was examined using test–retest reliability and internal consistency. Data analysis was performed using the partial least squares path modelling version three software. A total of 300 people living in retirement centres completed the questionnaire. In the expert panel review, all tasks received a content validity index above 0.90 and a content validity ratio above 0.80, representing good content validity. In total, 32 items remained in the final version of the questionnaire. Confirmatory factor analysis confirmed an acceptable eight-factor model fit of the protection motivation theory sub-constructs with factor loadings from 0.59 to 0.93. The discriminant validity was verified using the Fornell–Larcker criterion. The Cronbach's alpha ranged from 0.68 to 0.90 and the test–retest reliability ranged from 0.78 to 0.90, displaying an acceptable result. The results of this study suggest that the protection motivation theory questionnaire had good validation and can be used to measure the psychological predictors of fall behaviour in older people. Further studies are needed to evaluate the validity in various settings.
{"title":"Development and validation of the Iranian version of the protection motivation theory questionnaire for fall prevention in older people","authors":"Z. Taheri-Kharameh, S. Bashirian, R. H. Moghadam, J. Poorolajal, M. Barati, T. Ramezani, É. Rásky","doi":"10.12968/ijtr.2020.0024","DOIUrl":"https://doi.org/10.12968/ijtr.2020.0024","url":null,"abstract":"The protection motivation theory is a common framework illustrating the use of protective behaviours. The aim of this study was to develop and evaluate the psychometric properties of the protection motivation theory questionnaire for fall prevention in older people in Iran. This study used a psychometric design. A literature review was initially performed and developed a 35-item questionnaire consisting of eight sub-constructs of the protection motivation theory. A panel of experts and a group of older people aged 60 years or above were invited to assess the content and face validity of the questionnaire. Thereafter, construct validity was evaluated by using confirmatory factor analysis. The reliability of the questionnaire was examined using test–retest reliability and internal consistency. Data analysis was performed using the partial least squares path modelling version three software. A total of 300 people living in retirement centres completed the questionnaire. In the expert panel review, all tasks received a content validity index above 0.90 and a content validity ratio above 0.80, representing good content validity. In total, 32 items remained in the final version of the questionnaire. Confirmatory factor analysis confirmed an acceptable eight-factor model fit of the protection motivation theory sub-constructs with factor loadings from 0.59 to 0.93. The discriminant validity was verified using the Fornell–Larcker criterion. The Cronbach's alpha ranged from 0.68 to 0.90 and the test–retest reliability ranged from 0.78 to 0.90, displaying an acceptable result. The results of this study suggest that the protection motivation theory questionnaire had good validation and can be used to measure the psychological predictors of fall behaviour in older people. Further studies are needed to evaluate the validity in various settings.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47981512","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}
{"title":"International Journal of Therapy and Rehabilitation article reviewers for 2022","authors":"","doi":"10.12968/ijtr.2023.0006","DOIUrl":"https://doi.org/10.12968/ijtr.2023.0006","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41728974","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}
Future primary care services in Wales are likely to face higher demand for musculoskeletal ailments because of an ageing population and difficulties retaining and recruiting general practitioners. First contact physiotherapists provide specialist musculoskeletal management within primary care and offer a solution to this issue; however, no studies have yet explored first contact physiotherapist services in Wales. Consequently, little is known about the experience of working as a first contact physiotherapist in Wales. The aim of this study was to explore the experiences of first contact physiotherapists in primary care in south east Wales regarding the implementation, interprofessional collaboration and the facilitators and barriers to providing the service. A qualitative, Heideggerian hermeneutical phenomenological study was performed. A purposive sample of eleven physiotherapists were recruited for the study from an NHS health board in south east Wales, comprising three different first contact physiotherapist models. Data were collected through individual semi-structured interviews. Data analysis was conducted via a three-step format. Participants viewed the first contact physiotherapist role as positive as it represented role and career advancement. Adequate training and mentorship were not provided to support the role. Participants perceived that patients and the wider multidisciplinary team did not fully understand the role of the first contact physiotherapist. Inappropriate use of services was common, with first contact physiotherapists often acting as the second contact practitioner, leading to duplication of effort and the development of unnecessary waiting lists. The degree of interprofessional collaboration appeared to influence the clarity of the role of the first contact physiotherapist, with a reduced clarity of role in models where first contact physiotherapists were not often present. Burnout was perceived as a risk for participants with low levels of experience in advanced practice and was dependent on the model worked in. Participants perceived a lack of specific aims for the first contact physiotherapy service and ambiguity over who was responsible for service leadership, leading to inappropriate use of services. Clear operational leadership and strategies to increase interprofessional collaboration are required to increase the clarity about the roled of the first contact physiotherapist and ensure service efficacy. There is a need in Wales for a professional development, mentorship and governance framework to ensure sustainability and efficacy of first contact physiotherapy services.
{"title":"Facilitators and barriers regarding the implementation and interprofessional collaboration of a first contact physiotherapy service in primary care in Wales: a qualitative study","authors":"Matthew Lewis, Paul Gill","doi":"10.12968/ijtr.2022.0053","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0053","url":null,"abstract":"Future primary care services in Wales are likely to face higher demand for musculoskeletal ailments because of an ageing population and difficulties retaining and recruiting general practitioners. First contact physiotherapists provide specialist musculoskeletal management within primary care and offer a solution to this issue; however, no studies have yet explored first contact physiotherapist services in Wales. Consequently, little is known about the experience of working as a first contact physiotherapist in Wales. The aim of this study was to explore the experiences of first contact physiotherapists in primary care in south east Wales regarding the implementation, interprofessional collaboration and the facilitators and barriers to providing the service. A qualitative, Heideggerian hermeneutical phenomenological study was performed. A purposive sample of eleven physiotherapists were recruited for the study from an NHS health board in south east Wales, comprising three different first contact physiotherapist models. Data were collected through individual semi-structured interviews. Data analysis was conducted via a three-step format. Participants viewed the first contact physiotherapist role as positive as it represented role and career advancement. Adequate training and mentorship were not provided to support the role. Participants perceived that patients and the wider multidisciplinary team did not fully understand the role of the first contact physiotherapist. Inappropriate use of services was common, with first contact physiotherapists often acting as the second contact practitioner, leading to duplication of effort and the development of unnecessary waiting lists. The degree of interprofessional collaboration appeared to influence the clarity of the role of the first contact physiotherapist, with a reduced clarity of role in models where first contact physiotherapists were not often present. Burnout was perceived as a risk for participants with low levels of experience in advanced practice and was dependent on the model worked in. Participants perceived a lack of specific aims for the first contact physiotherapy service and ambiguity over who was responsible for service leadership, leading to inappropriate use of services. Clear operational leadership and strategies to increase interprofessional collaboration are required to increase the clarity about the roled of the first contact physiotherapist and ensure service efficacy. There is a need in Wales for a professional development, mentorship and governance framework to ensure sustainability and efficacy of first contact physiotherapy services.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66227981","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}
G. Akyurek, Sedanur Gurlek, Leyla Kaya Ozturk, G. Bumin
Parents of children with cerebral palsy face higher levels of stress, anxiety and depression, sadness, exhaustion and burnout. Parent-based therapies have been found to increase parents' satisfaction with therapy, parent–child interactions and reduced parental stress. This study examined the effects of parent-based occupational therapy on stress levels, coping skills, and emotional skills and competencies of parents of children with cerebral palsy. A total of 15 children and their parents who were admitted to the paediatric rehabilitation unit for occupational therapy were divided into two groups (control group: n=7, study group: n=8) using the coin toss randomisation method. The control group received standard occupational therapy, while the study group received parent-based occupational therapy for 45 minutes a session, twice a week, until 10 sessions had been completed. Participants were evaluated before and after the intervention. The study group showed a decrease in stress levels (P=0.034) and increases in coping skills (P=0.016), and emotional skills and competencies (P=0.036). In addition, only an improvement in parents' stress levels (P=0.046) was observed in the control group. The parent-based occupational therapy programme was more effective regarding stress levels, coping skills, emotional skills and competencies of the families of children with cerebral palsy compared to classical occupational therapy. This study is important in terms of demonstrating the benefits of parent-based occupational therapy for parents of children with cerebral palsy.
{"title":"The effect of parent-based occupational therapy on parents of children with cerebral palsy: a randomised controlled trial","authors":"G. Akyurek, Sedanur Gurlek, Leyla Kaya Ozturk, G. Bumin","doi":"10.12968/ijtr.2022.0074","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0074","url":null,"abstract":"Parents of children with cerebral palsy face higher levels of stress, anxiety and depression, sadness, exhaustion and burnout. Parent-based therapies have been found to increase parents' satisfaction with therapy, parent–child interactions and reduced parental stress. This study examined the effects of parent-based occupational therapy on stress levels, coping skills, and emotional skills and competencies of parents of children with cerebral palsy. A total of 15 children and their parents who were admitted to the paediatric rehabilitation unit for occupational therapy were divided into two groups (control group: n=7, study group: n=8) using the coin toss randomisation method. The control group received standard occupational therapy, while the study group received parent-based occupational therapy for 45 minutes a session, twice a week, until 10 sessions had been completed. Participants were evaluated before and after the intervention. The study group showed a decrease in stress levels (P=0.034) and increases in coping skills (P=0.016), and emotional skills and competencies (P=0.036). In addition, only an improvement in parents' stress levels (P=0.046) was observed in the control group. The parent-based occupational therapy programme was more effective regarding stress levels, coping skills, emotional skills and competencies of the families of children with cerebral palsy compared to classical occupational therapy. This study is important in terms of demonstrating the benefits of parent-based occupational therapy for parents of children with cerebral palsy.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45819387","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}
{"title":"Physiotherapy and exercise to reduce symptoms and facilitate clearance of kidney stones in people with nephrolithiasis","authors":"M. Polastri, Ernesto Andreoli","doi":"10.12968/ijtr.2022.0151","DOIUrl":"https://doi.org/10.12968/ijtr.2022.0151","url":null,"abstract":"","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48859830","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}
Jogger's foot is characterised by a neuropathic pain along the medial arch of the foot caused by compression of the medial plantar nerve. It is more common in runners, especially when there is an anatomical predisposition or some extrinsic factor that may exert compression on the nerve. This article presents the case of a 59-year-old man, who had pain and paraesthesia along the medial plantar arch of the left foot, lasting for several months. Despite having undergone some conservative treatments (plantar orthosis and physiotherapy) and minimal invasive procedures (cortico-anaesthetic injection and shockwave therapy) the symptoms persisted and amyotrophy of the abductor hallucis muscle became clinically evident. At this point, a magnetic resonance image was taken, showing compression of the medial plantar nerve at the intersection of the flexor hallucis longus and the flexor digitorum longus tendons. Ultrasound-guided treatment with pulsed radiofrequency of the medial plantar nerve was then proposed to try and modulate his chronic neuropathic pain. After the procedure, the patient reported immediate relief of the symptoms, which were maintained over 6 months of follow up after the procedure. This case report illustrates a rare and frequently misdiagnosed cause of midfoot pain and its management using electromagnetic modulation of peripheral nerves by pulsed radiofrequency. This seems to be an effective technique, with long-lasting results.
{"title":"The diagnostic and therapeutic challenges of medial plantar neuropathy in jogger's foot: a case report","authors":"B. S. Lopes, Vera Ermida, J. L. Carvalho","doi":"10.12968/ijtr.2021.0182","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0182","url":null,"abstract":"Jogger's foot is characterised by a neuropathic pain along the medial arch of the foot caused by compression of the medial plantar nerve. It is more common in runners, especially when there is an anatomical predisposition or some extrinsic factor that may exert compression on the nerve. This article presents the case of a 59-year-old man, who had pain and paraesthesia along the medial plantar arch of the left foot, lasting for several months. Despite having undergone some conservative treatments (plantar orthosis and physiotherapy) and minimal invasive procedures (cortico-anaesthetic injection and shockwave therapy) the symptoms persisted and amyotrophy of the abductor hallucis muscle became clinically evident. At this point, a magnetic resonance image was taken, showing compression of the medial plantar nerve at the intersection of the flexor hallucis longus and the flexor digitorum longus tendons. Ultrasound-guided treatment with pulsed radiofrequency of the medial plantar nerve was then proposed to try and modulate his chronic neuropathic pain. After the procedure, the patient reported immediate relief of the symptoms, which were maintained over 6 months of follow up after the procedure. This case report illustrates a rare and frequently misdiagnosed cause of midfoot pain and its management using electromagnetic modulation of peripheral nerves by pulsed radiofrequency. This seems to be an effective technique, with long-lasting results.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47973442","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}
O. Mete, D. Oskay, Ş. Haznedaroğlu, A. Tufan, T. Yıldız
Ankylosing spondylitis mainly affects the vertebral column, meaning that the assessment of the physical function of the upper extremity and scapulothoracic region in ankylosing spondylitis is often overlooked. Therefore, the aim of this study was to investigate shoulder muscle strength, shoulder active range of motion and three-dimensional scapular motion in patients with ankylosing spondylitis. The study included 18 men with ankylosing spondylitis, and 16 age-matched typically healthy men as the control group. Muscle strength, active range of motion, and three-dimensional scapular motion were assessed with a digital hand-held dynamometer, an inclinometer, and an electromagnetic tracking device respectively. A decrease in shoulder flexion and abduction muscle strength on both the dominant side (P<0.001, P=0.001) and non-dominant side (P<0.001, P<0.001) was found in the ankylosing spondylitis group compared to the control group. A decrease in shoulder flexion, abduction, and external and internal rotation active range of motion on both the dominant side (P=0.001, P<0.001, P=0.015, P<0.001, respectively) and non-dominant side (P=0.001, P<0.001, P=0.017, P<0.001 respectively) was observed in the ankylosing spondylitis group. There was an increase in the upward rotation of the scapula on the non-dominant side at 30, 60, and 90° humeral elevations in the ankylosing spondylitis group compared to the control group (P=0.018, P=0.003, P=0.001 respectively). The other parameters of the scapular motion did not differ between groups (P>0.05). This study showed that shoulder muscle strength and active range of motion were lower, and the upward rotation of the scapula was greater in men with ankylosing spondylitis compared to typically healthy men. The kinetics and kinematics parameters of the shoulder and scapula should be considered when assessing the physical function of patients with ankylosing spondylitis.
{"title":"Comparison of shoulder muscle strength, shoulder range of motion and scapular motion in men with ankylosing spondylitis and healthy men: a case-controlled study","authors":"O. Mete, D. Oskay, Ş. Haznedaroğlu, A. Tufan, T. Yıldız","doi":"10.12968/ijtr.2021.0205","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0205","url":null,"abstract":"Ankylosing spondylitis mainly affects the vertebral column, meaning that the assessment of the physical function of the upper extremity and scapulothoracic region in ankylosing spondylitis is often overlooked. Therefore, the aim of this study was to investigate shoulder muscle strength, shoulder active range of motion and three-dimensional scapular motion in patients with ankylosing spondylitis. The study included 18 men with ankylosing spondylitis, and 16 age-matched typically healthy men as the control group. Muscle strength, active range of motion, and three-dimensional scapular motion were assessed with a digital hand-held dynamometer, an inclinometer, and an electromagnetic tracking device respectively. A decrease in shoulder flexion and abduction muscle strength on both the dominant side (P<0.001, P=0.001) and non-dominant side (P<0.001, P<0.001) was found in the ankylosing spondylitis group compared to the control group. A decrease in shoulder flexion, abduction, and external and internal rotation active range of motion on both the dominant side (P=0.001, P<0.001, P=0.015, P<0.001, respectively) and non-dominant side (P=0.001, P<0.001, P=0.017, P<0.001 respectively) was observed in the ankylosing spondylitis group. There was an increase in the upward rotation of the scapula on the non-dominant side at 30, 60, and 90° humeral elevations in the ankylosing spondylitis group compared to the control group (P=0.018, P=0.003, P=0.001 respectively). The other parameters of the scapular motion did not differ between groups (P>0.05). This study showed that shoulder muscle strength and active range of motion were lower, and the upward rotation of the scapula was greater in men with ankylosing spondylitis compared to typically healthy men. The kinetics and kinematics parameters of the shoulder and scapula should be considered when assessing the physical function of patients with ankylosing spondylitis.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44892313","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}
Deborah Moll, Louise Edwards, G. Kelly, Colin Hamilton, Helen Price
Children and young people often require speech and language therapy input following severe acquired brain injury. However, there is limited understanding of the impact of post-acute neurorehabilitation on children and young people's communication and swallowing, and how to measure this. The aim of this study was to evaluate the initial and ongoing speech and language therapy needs of children and young people in one specialist paediatric neurorehabilitation centre, and to determine the usefulness of therapy outcome measures for this population. A retrospective review was performed of routinely collected data, including therapy outcome measures for children and young people admitted to the centre. Descriptive analysis was completed for all therapy outcome measures data, and statistical significance of change during rehabilitation was determined on those with sufficient data using Wilcoxon signed-rank tests. A total of 165 records of children and young people aged between 1 and 17 years were reviewed. The average length of stay at the centre was 19.7 weeks. The most prevalent therapy outcome measures were cognition and dysphagia. Highly significant differences were found between admission and discharge in all therapy outcome measures scores, including participation (Wilcoxon Z=-9.523, P<0.001) and wellbeing (Wilcoxon Z=-7.656, P<0.001). Median discharge scores did not exceed 4 (from a maximum of 5) for any scales. Therapy outcome measures were able to capture the complex profiles of these children and young people and could measure changes during post-acute neurorehabilitation. Children and young people presented with a range of speech and language therapy needs following severe acquired brain injury. They made significant improvements in impairment, activity, participation and wellbeing scales during rehabilitation. Children and young people left with ongoing speech and language therapy needs in all areas, which require input from community services.
{"title":"Using therapy outcome measures to identify the speech and language therapy needs of children and young people with severe acquired brain injury","authors":"Deborah Moll, Louise Edwards, G. Kelly, Colin Hamilton, Helen Price","doi":"10.12968/ijtr.2021.0113","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0113","url":null,"abstract":"Children and young people often require speech and language therapy input following severe acquired brain injury. However, there is limited understanding of the impact of post-acute neurorehabilitation on children and young people's communication and swallowing, and how to measure this. The aim of this study was to evaluate the initial and ongoing speech and language therapy needs of children and young people in one specialist paediatric neurorehabilitation centre, and to determine the usefulness of therapy outcome measures for this population. A retrospective review was performed of routinely collected data, including therapy outcome measures for children and young people admitted to the centre. Descriptive analysis was completed for all therapy outcome measures data, and statistical significance of change during rehabilitation was determined on those with sufficient data using Wilcoxon signed-rank tests. A total of 165 records of children and young people aged between 1 and 17 years were reviewed. The average length of stay at the centre was 19.7 weeks. The most prevalent therapy outcome measures were cognition and dysphagia. Highly significant differences were found between admission and discharge in all therapy outcome measures scores, including participation (Wilcoxon Z=-9.523, P<0.001) and wellbeing (Wilcoxon Z=-7.656, P<0.001). Median discharge scores did not exceed 4 (from a maximum of 5) for any scales. Therapy outcome measures were able to capture the complex profiles of these children and young people and could measure changes during post-acute neurorehabilitation. Children and young people presented with a range of speech and language therapy needs following severe acquired brain injury. They made significant improvements in impairment, activity, participation and wellbeing scales during rehabilitation. Children and young people left with ongoing speech and language therapy needs in all areas, which require input from community services.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46307609","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}
Health disparities concerning uptake of and adherence to cardiac rehabilitation post-myocardial infarction have been observed in patients with coronary heart disease from a South Asian background. Healthcare professionals from a South Asian background can provide insight into the influential cultural factors affecting cardiac rehabilitation adherence. The aim of the study was to explore cultural factors impacting adherence to cardiac rehabilitation post-myocardial infarction from the perspective of healthcare professionals from a South Asian background. A qualitative thematic approach using semi-structured interviews was employed with 15 participants (8 men and 7 women) recruited from various healthcare settings. The participants were from a range of health professions, including a physiotherapist, general practitioner, nurse, surgeon, physiologist, cardiologist and pharmacist. Four themes were identified from the interviews: familiarity: influence of practitioners' own cultural background; Western vs Eastern medical philosophy: generation and gender influences; engaging with existing services: changing patients' attitudes and perceptions; and modifying practitioner–patient communication: encouraging patient responsibility. All themes related to health beliefs that patients from a South Asian background were perceived to hold. Previous research has suggested that there is a need to tailor health services towards people from a South Asian background. However, the focus should also simultaneously be on changing patients' perceptions of their own health and to consider providing outpatients with the support to develop the necessary skills to implement lifestyle changes towards improving cardiac rehabilitation uptake and adherence.
{"title":"Cultural influences on adherence to cardiac rehabilitation programmes: perspectives from South Asian healthcare professionals","authors":"F. Ahmed, J. Eberhardt, A. van Wersch, J. Ling","doi":"10.12968/ijtr.2021.0049","DOIUrl":"https://doi.org/10.12968/ijtr.2021.0049","url":null,"abstract":"Health disparities concerning uptake of and adherence to cardiac rehabilitation post-myocardial infarction have been observed in patients with coronary heart disease from a South Asian background. Healthcare professionals from a South Asian background can provide insight into the influential cultural factors affecting cardiac rehabilitation adherence. The aim of the study was to explore cultural factors impacting adherence to cardiac rehabilitation post-myocardial infarction from the perspective of healthcare professionals from a South Asian background. A qualitative thematic approach using semi-structured interviews was employed with 15 participants (8 men and 7 women) recruited from various healthcare settings. The participants were from a range of health professions, including a physiotherapist, general practitioner, nurse, surgeon, physiologist, cardiologist and pharmacist. Four themes were identified from the interviews: familiarity: influence of practitioners' own cultural background; Western vs Eastern medical philosophy: generation and gender influences; engaging with existing services: changing patients' attitudes and perceptions; and modifying practitioner–patient communication: encouraging patient responsibility. All themes related to health beliefs that patients from a South Asian background were perceived to hold. Previous research has suggested that there is a need to tailor health services towards people from a South Asian background. However, the focus should also simultaneously be on changing patients' perceptions of their own health and to consider providing outpatients with the support to develop the necessary skills to implement lifestyle changes towards improving cardiac rehabilitation uptake and adherence.","PeriodicalId":46562,"journal":{"name":"International Journal of Therapy and Rehabilitation","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46048667","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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