首页 > 最新文献

Musculoskeletal Care最新文献

英文 中文
Are the attitudes and beliefs of Australian exercise-based practitioners associated with their use of, and confidence in, treatment modalities for people with chronic low back pain? 澳大利亚运动医师的态度和信念是否与他们对慢性腰背痛患者的治疗方法的使用和信心有关?
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-06 DOI: 10.1002/msc.1852
Mitchell T Gibbs, Theo Last, Paul Marshall, Matthew D Jones

Background: Practitioners' attitudes and beliefs towards chronic low back pain (CLBP) influence their clinical decision making, but few studies have investigated decision making outside the context of patient vignettes for a range of first- and second-line treatment options for CLBP, or in accredited exercise physiologists (AEPs).

Methods: Using an online survey, Australian AEPs and physiotherapists rated their use of different treatments for CLBP (exercise, education, manual therapy, cognitive behavioural therapy) and their confidence in these treatments for reducing pain and disability. Their biomedical and biopsychosocial beliefs were also assessed using the Pain and Attitudes Beliefs Scale for Physiotherapists. Differences between disciplines in treatment use and confidence were analysed using Mann-Whitney U tests and independent t-tests, respectively. Multiple linear regression was used to explore factors associated with treatment choices.

Results: Two-hundred thirty-three practitioners (n = 143 physiotherapists, n = 90 AEPs) completed the survey. Most practitioners were confident in treating CLBP, had a moderate-high level of confidence in the different treatments, and regularly used them in practice. Practitioners with higher biomedical beliefs had greater use of, and confidence in, specific exercise, manual therapy, and combined exercise and manual therapy. Practitioners with higher biopsychosocial beliefs were more confident in general exercise, cognitive behavioural therapy, pain education and combined exercise and pain education.

Conclusion: Practitioner beliefs influence their use of, and confidence in different treatments for CLBP. These findings suggest a need for strategies to enhance biopsychosocial beliefs/reduce biomedical beliefs in Australian exercise-based practitioners.

背景:从业人员对慢性腰背痛(CLBP)的态度和信念会影响他们的临床决策,但很少有研究在患者小故事的背景下对慢性腰背痛的一系列一线和二线治疗方案进行决策制定调查,也很少有研究对经认证的运动生理学家(AEPs)进行决策制定调查:通过在线调查,澳大利亚的认可运动生理学家和物理治疗师对他们使用不同治疗方法(运动、教育、手法治疗、认知行为疗法)治疗慢性阻塞性肺病的情况以及他们对这些治疗方法减轻疼痛和残疾的信心进行了评分。他们的生物医学和生物心理社会信念也使用物理治疗师疼痛和态度信念量表进行了评估。使用曼-惠特尼 U 检验和独立 t 检验分别分析了不同学科在治疗方法使用和信心方面的差异。采用多元线性回归法探讨与治疗选择相关的因素:233 名从业人员(n = 143 名物理治疗师,n = 90 名助理物理治疗师)完成了调查。大多数从业人员对治疗慢性阻塞性脑脊髓膜炎充满信心,对不同的治疗方法有中等至高等程度的信心,并在实践中经常使用这些治疗方法。生物医学信仰较高的从业者对特定运动、徒手疗法以及运动与徒手疗法相结合的疗法有更多的使用和信心。生物心理社会信仰较高的医生对一般运动、认知行为疗法、疼痛教育以及运动与疼痛教育相结合的疗法更有信心:结论:从业人员的信念会影响他们对慢性阻塞性肺病不同治疗方法的使用和信心。这些研究结果表明,有必要制定相关策略,以增强澳大利亚以运动为基础的从业人员的生物-心理-社会信念/减少生物医学信念。
{"title":"Are the attitudes and beliefs of Australian exercise-based practitioners associated with their use of, and confidence in, treatment modalities for people with chronic low back pain?","authors":"Mitchell T Gibbs, Theo Last, Paul Marshall, Matthew D Jones","doi":"10.1002/msc.1852","DOIUrl":"https://doi.org/10.1002/msc.1852","url":null,"abstract":"<p><strong>Background: </strong>Practitioners' attitudes and beliefs towards chronic low back pain (CLBP) influence their clinical decision making, but few studies have investigated decision making outside the context of patient vignettes for a range of first- and second-line treatment options for CLBP, or in accredited exercise physiologists (AEPs).</p><p><strong>Methods: </strong>Using an online survey, Australian AEPs and physiotherapists rated their use of different treatments for CLBP (exercise, education, manual therapy, cognitive behavioural therapy) and their confidence in these treatments for reducing pain and disability. Their biomedical and biopsychosocial beliefs were also assessed using the Pain and Attitudes Beliefs Scale for Physiotherapists. Differences between disciplines in treatment use and confidence were analysed using Mann-Whitney U tests and independent t-tests, respectively. Multiple linear regression was used to explore factors associated with treatment choices.</p><p><strong>Results: </strong>Two-hundred thirty-three practitioners (n = 143 physiotherapists, n = 90 AEPs) completed the survey. Most practitioners were confident in treating CLBP, had a moderate-high level of confidence in the different treatments, and regularly used them in practice. Practitioners with higher biomedical beliefs had greater use of, and confidence in, specific exercise, manual therapy, and combined exercise and manual therapy. Practitioners with higher biopsychosocial beliefs were more confident in general exercise, cognitive behavioural therapy, pain education and combined exercise and pain education.</p><p><strong>Conclusion: </strong>Practitioner beliefs influence their use of, and confidence in different treatments for CLBP. These findings suggest a need for strategies to enhance biopsychosocial beliefs/reduce biomedical beliefs in Australian exercise-based practitioners.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488759","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}
引用次数: 0
Prescribing hand strengthening exercise for patients with rheumatoid arthritis; clinical cues influencing occupational therapists' and physiotherapists' judgements. 类风湿关节炎患者处方手部强化运动;影响职业治疗师和物理治疗师判断的临床线索。
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-04 DOI: 10.1002/msc.1849
Graham Boniface, Nicola White, Christopher Tomlinson, Meriel Norris, Neil O'Connell, Esther Williamson, Priscilla Harries

Objective: To explore the clinical judgements of therapists in prescribing the intensity of hand strengthening exercise in rheumatoid arthritis (RA).

Methods: Phase I: Eleven therapists knowledgeable in treating patients with RA subjectively identified seven clinical cues. These were incorporated into 54 hypothetical patient case scenarios.

Phase ii: Therapists with ≥2 years post-registration experience and current or recent experience in treating patients with RA were asked to assess 69 case scenarios in total (54 + 15 repeats) and judge what intensity of hand strengthening exercise they would prescribe using the OMNI-Resistance Exercise Scale of perceived exertion. Using responses to the repeated cases, the Cochran-Weiss-Shanteau index of expertise was used to identify therapists who prescribed more consistently. Multiple regression was used to determine which clinical cues were most strongly associated with the intensity of exercise prescribed. A sub-group analysis explored differences between consistent and inconsistent prescribers.

Results: Fifty-three therapists took part. Thirty completed all 69 case scenarios. Across all therapists, the three most important clinical cues associated with lower intensity of exercise prescribed were (1) Patient's reported pain intensity whilst practising the exercise (β = -1.150, p < 0.001), (2) Disease activity (β = -0.425, p < 0.001) and (3) average hand pain over the last week (β = -0.353 p < 0.001). Twelve therapists were categorised as consistent prescribers. This group relied on fewer clinical cues (three vs. seven) when judging what intensity of exercise to prescribe.

Conclusion: This study provides insights into how therapists prescribe hand exercises. Intensity of hand strengthening exercise was influenced by three key clinical cues, including pain intensity and disease activity.

目的:探讨类风湿关节炎(RA)手部强化运动强度处方的临床判断。方法:第一阶段:11位在治疗类风湿性关节炎患者方面知识渊博的治疗师主观地确定了7个临床线索。这些被纳入了54个假设的患者病例场景。ii期:要求具有≥2年注册后经验和目前或最近治疗类风湿性关节炎患者经验的治疗师评估总共69个案例(54 + 15次重复),并使用感知用力的omni -阻力运动量表判断他们将处方的手部强化运动强度。通过对重复病例的反应,Cochran-Weiss-Shanteau专业指数被用来识别那些处方更一致的治疗师。使用多元回归来确定哪些临床提示与规定的运动强度最密切相关。亚组分析探讨了一致和不一致处方者之间的差异。结果:53名治疗师参与。30人完成了所有69种情况。在所有治疗师中,与较低运动强度相关的三个最重要的临床线索是(1)患者在练习运动时报告的疼痛强度(β = -1.150, p)结论:这项研究为治疗师如何处方手部运动提供了见解。手部强化训练的强度受到三个关键临床提示的影响,包括疼痛强度和疾病活动度。
{"title":"Prescribing hand strengthening exercise for patients with rheumatoid arthritis; clinical cues influencing occupational therapists' and physiotherapists' judgements.","authors":"Graham Boniface, Nicola White, Christopher Tomlinson, Meriel Norris, Neil O'Connell, Esther Williamson, Priscilla Harries","doi":"10.1002/msc.1849","DOIUrl":"10.1002/msc.1849","url":null,"abstract":"<p><strong>Objective: </strong>To explore the clinical judgements of therapists in prescribing the intensity of hand strengthening exercise in rheumatoid arthritis (RA).</p><p><strong>Methods: </strong>Phase I: Eleven therapists knowledgeable in treating patients with RA subjectively identified seven clinical cues. These were incorporated into 54 hypothetical patient case scenarios.</p><p><strong>Phase ii: </strong>Therapists with ≥2 years post-registration experience and current or recent experience in treating patients with RA were asked to assess 69 case scenarios in total (54 + 15 repeats) and judge what intensity of hand strengthening exercise they would prescribe using the OMNI-Resistance Exercise Scale of perceived exertion. Using responses to the repeated cases, the Cochran-Weiss-Shanteau index of expertise was used to identify therapists who prescribed more consistently. Multiple regression was used to determine which clinical cues were most strongly associated with the intensity of exercise prescribed. A sub-group analysis explored differences between consistent and inconsistent prescribers.</p><p><strong>Results: </strong>Fifty-three therapists took part. Thirty completed all 69 case scenarios. Across all therapists, the three most important clinical cues associated with lower intensity of exercise prescribed were (1) Patient's reported pain intensity whilst practising the exercise (β = -1.150, p < 0.001), (2) Disease activity (β = -0.425, p < 0.001) and (3) average hand pain over the last week (β = -0.353 p < 0.001). Twelve therapists were categorised as consistent prescribers. This group relied on fewer clinical cues (three vs. seven) when judging what intensity of exercise to prescribe.</p><p><strong>Conclusion: </strong>This study provides insights into how therapists prescribe hand exercises. Intensity of hand strengthening exercise was influenced by three key clinical cues, including pain intensity and disease activity.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478954","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}
引用次数: 0
Co-development and evaluation of the Musculoskeletal Telehealth Toolkit for physiotherapists. 为物理治疗师共同开发和评估肌肉骨骼远程医疗工具包。
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-04 DOI: 10.1002/msc.1840
Allison M Ezzat, Matthew G King, Danilo De Oliveira Silva, Marcella F Pazzinatto, J P Caneiro, Stephanie Gourd, Rhona McGlasson, Peter Malliaras, Amy Dennett, Trevor Russell, Joanne L Kemp, Christian J Barton

Introduction: In-person physiotherapy services are not readily available to all individuals with musculoskeletal conditions, especially those in rural regions or with time-intensive responsibilities. The COVID-19 pandemic highlighted that telehealth may facilitate access to, and continuity of care, yet many physiotherapists lack telehealth confidence and training. This project co-developed and evaluated a web-based professional development toolkit supporting physiotherapists to provide telehealth services for musculoskeletal conditions.

Methods: A mixed-methods exploratory sequential design applied modified experience-based co-design methods (physiotherapists [n = 13], clinic administrators [n = 2], and people with musculoskeletal conditions [n = 7]) to develop an evidence-informed toolkit. Semi-structured workshops were conducted, recorded, transcribed, and thematically analysed, refining the toolkit prototype. Subsequently, the toolkit was promoted via webinars and social media. The usability of the toolkit was examined with pre-post surveys examining changes in confidence, knowledge, and perceived telehealth competence (19 statements modelled from the theoretical domains framework) between toolkit users (>30 min) and non-users (0 min) using chi-squared tests for independence. Website analytics were summarised.

Results: Twenty-two participants engaged in co-design workshops. Feedback led to the inclusion of more patient-facing resources, increased assessment-related visual content, streamlined toolkit organisation, and simplified, downloadable infographics. Three hundred and twenty-nine physiotherapists from 21 countries completed the baseline survey, with 172 (52%) completing the 3-month survey. Toolkit users had greater improvement in knowledge, confidence, and competence than non-users in 42% of statements. Seventy-two percentage of toolkit users said it changed their practice, and 95% would recommend the toolkit to colleagues. During the evaluation period, the toolkit received 5486 total views.

Discussion: The co-designed web-based Musculoskeletal Telehealth Toolkit is a professional development resource that may increase physiotherapist's confidence, knowledge, and competence in telehealth.

并非所有患有肌肉骨骼疾病的个体都可以获得面对面的物理治疗服务,特别是那些在农村地区或有时间密集型责任的个体。2019冠状病毒病大流行突出表明,远程医疗可以促进获得护理和护理的连续性,但许多物理治疗师缺乏远程医疗的信心和培训。该项目共同开发和评估了一个基于网络的专业发展工具包,支持物理治疗师为肌肉骨骼疾病提供远程保健服务。方法:采用混合方法探索性序贯设计,应用改良的基于经验的协同设计方法(物理治疗师[n = 13]、临床管理人员[n = 2]和肌肉骨骼疾病患者[n = 7])开发循证工具包。进行了半结构化的研讨会,进行了记录、转录和主题分析,完善了工具包原型。随后,该工具包通过网络研讨会和社交媒体进行了推广。使用卡方独立性检验,通过前后调查检查工具包用户(>30分钟)和非用户(0分钟)之间信心、知识和感知远程医疗能力(从理论领域框架建模的19个陈述)的变化,来检验工具包的可用性。总结了网站分析。结果:22名参与者参与了共同设计工作坊。反馈导致纳入了更多面向患者的资源,增加了与评估相关的视觉内容,简化了工具包组织,简化了可下载的信息图表。来自21个国家的329名物理治疗师完成了基线调查,其中172名(52%)完成了为期3个月的调查。在42%的陈述中,使用工具包的人在知识、信心和能力方面比不使用工具包的人有更大的提高。72%的工具包用户表示,它改变了他们的做法,95%的人会向同事推荐工具包。在评估期间,该工具包的总浏览量为5486。讨论:共同设计的基于网络的肌肉骨骼远程医疗工具包是一个专业发展资源,可以增加物理治疗师在远程医疗方面的信心、知识和能力。
{"title":"Co-development and evaluation of the Musculoskeletal Telehealth Toolkit for physiotherapists.","authors":"Allison M Ezzat, Matthew G King, Danilo De Oliveira Silva, Marcella F Pazzinatto, J P Caneiro, Stephanie Gourd, Rhona McGlasson, Peter Malliaras, Amy Dennett, Trevor Russell, Joanne L Kemp, Christian J Barton","doi":"10.1002/msc.1840","DOIUrl":"https://doi.org/10.1002/msc.1840","url":null,"abstract":"<p><strong>Introduction: </strong>In-person physiotherapy services are not readily available to all individuals with musculoskeletal conditions, especially those in rural regions or with time-intensive responsibilities. The COVID-19 pandemic highlighted that telehealth may facilitate access to, and continuity of care, yet many physiotherapists lack telehealth confidence and training. This project co-developed and evaluated a web-based professional development toolkit supporting physiotherapists to provide telehealth services for musculoskeletal conditions.</p><p><strong>Methods: </strong>A mixed-methods exploratory sequential design applied modified experience-based co-design methods (physiotherapists [n = 13], clinic administrators [n = 2], and people with musculoskeletal conditions [n = 7]) to develop an evidence-informed toolkit. Semi-structured workshops were conducted, recorded, transcribed, and thematically analysed, refining the toolkit prototype. Subsequently, the toolkit was promoted via webinars and social media. The usability of the toolkit was examined with pre-post surveys examining changes in confidence, knowledge, and perceived telehealth competence (19 statements modelled from the theoretical domains framework) between toolkit users (>30 min) and non-users (0 min) using chi-squared tests for independence. Website analytics were summarised.</p><p><strong>Results: </strong>Twenty-two participants engaged in co-design workshops. Feedback led to the inclusion of more patient-facing resources, increased assessment-related visual content, streamlined toolkit organisation, and simplified, downloadable infographics. Three hundred and twenty-nine physiotherapists from 21 countries completed the baseline survey, with 172 (52%) completing the 3-month survey. Toolkit users had greater improvement in knowledge, confidence, and competence than non-users in 42% of statements. Seventy-two percentage of toolkit users said it changed their practice, and 95% would recommend the toolkit to colleagues. During the evaluation period, the toolkit received 5486 total views.</p><p><strong>Discussion: </strong>The co-designed web-based Musculoskeletal Telehealth Toolkit is a professional development resource that may increase physiotherapist's confidence, knowledge, and competence in telehealth.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478952","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}
引用次数: 0
Factors associated with secondary coronary artery disease in rheumatoid arthritis patients: A systematic review and meta-analysis based on observational studies. 类风湿关节炎患者继发性冠状动脉疾病相关因素:基于观察性研究的系统回顾和荟萃分析
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-04 DOI: 10.1002/msc.1850
Zhe Wang, Kaiyan Hu, Mei Wu, Liyuan Feng, Chen Liu, Fengxing Ding, Xiaohui Li, Bin Ma

Objective: The main objective of this systematic review was to investigate the factors influencing the development of coronary artery disease (CAD) in patients with rheumatoid arthritis (RA).

Methods: PubMed, Embase, Web of Science, Wan Fang Date, CBM, CNKI, and VIP databases were systematically searched to select the relevant literature. The quality of the incorporated studies was assessed with reference to the Newcastle-Ottawa Scale. Stata16 was adopted to summarise the odds ratios, risk ratios, hazard ratios, and 95% confidence intervals for meta-analysis.

Results: A total of 29 studies were included in this analysis, wherein the average age of RA patients was 50.5-81 years and the proportion of women was 44.4%-92%. The present meta-analysis suggested that increased CAD risk in RA patients was associated with age, male gender, smoking, glucocorticoids, Health Assessment Questionnaire scores, hyperlipidaemia, hypertension, diabetes, and C-reactive protein concentration.

Conclusion: The present systematic review revealed the influencing factors of secondary CAD in RA patients, some of which could reduce the risk of secondary CAD through effective interventions, such as smoking cessation, exercise, and medications. However, the effects of age, RA severity, and different medication subgroups on CAD risk stratification warrant further investigation.

目的:本系统综述的主要目的是探讨类风湿关节炎(RA)患者冠状动脉疾病(CAD)发展的影响因素。方法:系统检索PubMed、Embase、Web of Science、万方日期、CBM、CNKI、VIP等数据库,选取相关文献。纳入研究的质量参照纽卡斯尔-渥太华量表进行评估。采用Stata16来总结meta分析的优势比、风险比、风险比和95%置信区间。结果:本分析共纳入29项研究,RA患者平均年龄50.5 ~ 81岁,女性比例44.4% ~ 92%。本荟萃分析表明,RA患者CAD风险增加与年龄、男性、吸烟、糖皮质激素、健康评估问卷评分、高脂血症、高血压、糖尿病和c反应蛋白浓度有关。结论:本系统综述揭示了RA患者继发性CAD的影响因素,其中一些可以通过戒烟、运动、药物等有效干预措施降低继发性CAD的发生风险。然而,年龄、RA严重程度和不同药物亚组对CAD风险分层的影响值得进一步研究。
{"title":"Factors associated with secondary coronary artery disease in rheumatoid arthritis patients: A systematic review and meta-analysis based on observational studies.","authors":"Zhe Wang, Kaiyan Hu, Mei Wu, Liyuan Feng, Chen Liu, Fengxing Ding, Xiaohui Li, Bin Ma","doi":"10.1002/msc.1850","DOIUrl":"https://doi.org/10.1002/msc.1850","url":null,"abstract":"<p><strong>Objective: </strong>The main objective of this systematic review was to investigate the factors influencing the development of coronary artery disease (CAD) in patients with rheumatoid arthritis (RA).</p><p><strong>Methods: </strong>PubMed, Embase, Web of Science, Wan Fang Date, CBM, CNKI, and VIP databases were systematically searched to select the relevant literature. The quality of the incorporated studies was assessed with reference to the Newcastle-Ottawa Scale. Stata16 was adopted to summarise the odds ratios, risk ratios, hazard ratios, and 95% confidence intervals for meta-analysis.</p><p><strong>Results: </strong>A total of 29 studies were included in this analysis, wherein the average age of RA patients was 50.5-81 years and the proportion of women was 44.4%-92%. The present meta-analysis suggested that increased CAD risk in RA patients was associated with age, male gender, smoking, glucocorticoids, Health Assessment Questionnaire scores, hyperlipidaemia, hypertension, diabetes, and C-reactive protein concentration.</p><p><strong>Conclusion: </strong>The present systematic review revealed the influencing factors of secondary CAD in RA patients, some of which could reduce the risk of secondary CAD through effective interventions, such as smoking cessation, exercise, and medications. However, the effects of age, RA severity, and different medication subgroups on CAD risk stratification warrant further investigation.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138478953","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}
引用次数: 0
Core competencies for first contact physiotherapists in a direct access model of care for adults with musculoskeletal disorders: A scoping review. 在为患有肌肉骨骼疾病的成人提供直接护理的模式中,首次接触理疗师的核心能力:范围综述。
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-01 Epub Date: 2023-08-28 DOI: 10.1002/msc.1813
Robin Vervaeke, Simon Lafrance, Anthony Demont

Introduction: To optimise the management of Musculoskeletal disorders (MSKDs), many countries have implemented direct access to physiotherapy; however, the core competencies required for first contact physiotherapists (PTs) have not been precisely defined. The aim of this scoping review is to identify and describe the core competencies required for first contact PTs treating adults with MSKDs.

Methods: We conducted a scoping review of the literature by searching eight databases and grey literature up to July 2023. We performed a thematic analysis of the competencies identified based on predefined themes relevant to first contact physiotherapy in direct access models in primary or emergency care settings.

Results: Sixty-five articles were included. Seventeen core competencies were identified and grouped into 5 themes: (1) Assessment and examination; (2) Management and interventions; (3) Communication; (4) Cooperation and collaboration; and (5) Professionalism and leadership.

Conclusions: Our findings provide an international perspective on the core competencies required for first contact PTs.

导言:为了优化肌肉骨骼疾病(MSKDs)的治疗,许多国家都实施了直接物理治疗;然而,对第一接触物理治疗师(PTs)所需的核心能力却没有准确的定义。本范围综述旨在确定并描述治疗成人 MSKDs 的首诊物理治疗师所需的核心能力:我们搜索了八个数据库和截至 2023 年 7 月的灰色文献,对文献进行了范围界定。我们根据预先确定的与初级或急诊环境中直接就医模式下的第一接触物理治疗相关的主题,对所确定的能力进行了主题分析:结果:共纳入 65 篇文章。确定了 17 项核心能力,并将其分为 5 个主题:(1) 评估与检查;(2) 管理与干预;(3) 沟通;(4) 合作与协作;以及 (5) 专业精神与领导能力:我们的研究结果从国际视角探讨了首次接触的护理人员所需的核心能力。
{"title":"Core competencies for first contact physiotherapists in a direct access model of care for adults with musculoskeletal disorders: A scoping review.","authors":"Robin Vervaeke, Simon Lafrance, Anthony Demont","doi":"10.1002/msc.1813","DOIUrl":"10.1002/msc.1813","url":null,"abstract":"<p><strong>Introduction: </strong>To optimise the management of Musculoskeletal disorders (MSKDs), many countries have implemented direct access to physiotherapy; however, the core competencies required for first contact physiotherapists (PTs) have not been precisely defined. The aim of this scoping review is to identify and describe the core competencies required for first contact PTs treating adults with MSKDs.</p><p><strong>Methods: </strong>We conducted a scoping review of the literature by searching eight databases and grey literature up to July 2023. We performed a thematic analysis of the competencies identified based on predefined themes relevant to first contact physiotherapy in direct access models in primary or emergency care settings.</p><p><strong>Results: </strong>Sixty-five articles were included. Seventeen core competencies were identified and grouped into 5 themes: (1) Assessment and examination; (2) Management and interventions; (3) Communication; (4) Cooperation and collaboration; and (5) Professionalism and leadership.</p><p><strong>Conclusions: </strong>Our findings provide an international perspective on the core competencies required for first contact PTs.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":"1353-1363"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10110922","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}
引用次数: 0
Can social prescribing put the 'social' into the biopsychosocial management of people with long-term musculoskeletal disorders? 社会处方能否为长期肌肉骨骼疾病患者的生物-心理-社会管理注入 "社会 "元素?
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-01 Epub Date: 2023-08-28 DOI: 10.1002/msc.1810
Declan J O'Sullivan, Lindsay M Bearne, Janas M Harrington, Joseph G McVeigh

Background: Chronic musculoskeletal disorders (MSD) are a significant burden on individuals' quality of life and society and are made more complex by the presence of multimorbidity. It is recommended that interventions targeting MSD be sustainable, equitable and incorporate the biopsychosocial model of care (BPS).

Aims: A criticism of the BPS approach is that the social component of this model is not addressed adequately during the management of people with long-term MSD and that a gap exists between theory and implementation. The use of social prescribing (SP) as an intervention to bridge this gap is discussed.

Results and discussion: Social prescribing is a holistic non-medical person-centered approach to well-being that utilizes link workers (LW) to support individuals with long-term conditions (LTC) in the community. Social prescribing referrals are received from primary healthcare practitioners to LW and range from light touch signposting for employment or financial advice to more intensive support for LTC such as obesity, decreased physical activity and mental health needs.

Conclusion: There is evidence to suggest that SP interventions are effective in the management of LTC; however, due to the paucity of high-quality evidence, it is difficult to be conclusive. Large-scale randomised controlled trials are recommended to support the use of SP interventions in the management of LTC.

背景:慢性肌肉骨骼疾病(MSD)对个人的生活质量和社会造成了沉重负担,并且由于多病共存而变得更加复杂。建议针对 MSD 的干预措施应具有可持续性、公平性,并纳入生物-心理-社会护理模式(BPS)。目的:对生物-心理-社会护理模式的批评是,该模式中的社会因素在管理长期 MSD 患者的过程中没有得到充分考虑,理论与实施之间存在差距。本文讨论了如何利用社会处方(SP)作为一种干预措施来弥补这一差距:社会处方是一种非医疗性的以人为本的整体福利方法,它利用联系工作者(LW)为社区中的长期病患者提供支持。社会处方转介由初级医疗保健从业人员转介给联系工作者,转介范围从就业或财务咨询的轻触式指路,到针对肥胖、体力活动减少和心理健康需求等长期病症的强化支持:有证据表明,SP 干预措施在管理 LTC 方面是有效的;但是,由于高质量的证据很少,因此很难得出结论。建议进行大规模随机对照试验,以支持在长寿老人管理中使用 SP 干预措施。
{"title":"Can social prescribing put the 'social' into the biopsychosocial management of people with long-term musculoskeletal disorders?","authors":"Declan J O'Sullivan, Lindsay M Bearne, Janas M Harrington, Joseph G McVeigh","doi":"10.1002/msc.1810","DOIUrl":"10.1002/msc.1810","url":null,"abstract":"<p><strong>Background: </strong>Chronic musculoskeletal disorders (MSD) are a significant burden on individuals' quality of life and society and are made more complex by the presence of multimorbidity. It is recommended that interventions targeting MSD be sustainable, equitable and incorporate the biopsychosocial model of care (BPS).</p><p><strong>Aims: </strong>A criticism of the BPS approach is that the social component of this model is not addressed adequately during the management of people with long-term MSD and that a gap exists between theory and implementation. The use of social prescribing (SP) as an intervention to bridge this gap is discussed.</p><p><strong>Results and discussion: </strong>Social prescribing is a holistic non-medical person-centered approach to well-being that utilizes link workers (LW) to support individuals with long-term conditions (LTC) in the community. Social prescribing referrals are received from primary healthcare practitioners to LW and range from light touch signposting for employment or financial advice to more intensive support for LTC such as obesity, decreased physical activity and mental health needs.</p><p><strong>Conclusion: </strong>There is evidence to suggest that SP interventions are effective in the management of LTC; however, due to the paucity of high-quality evidence, it is difficult to be conclusive. Large-scale randomised controlled trials are recommended to support the use of SP interventions in the management of LTC.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":"1341-1352"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10440250","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}
引用次数: 0
Creaky knees: Is there a reason for concern? A qualitative study of the perspectives of people with knee crepitus. 膝盖咯吱咯吱响有必要担心吗?对膝关节疼痛患者观点的定性研究。
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-01 Epub Date: 2023-06-21 DOI: 10.1002/msc.1793
Elise E Drum, Alexandre Kovats, Matthew D Jones, Sarah Dennis, Justine Naylor, Kathryn Mills, Jeanette M Thom

Objective: Crepitus is a feature of osteoarthritis that may affect one's participation in exercise. An informed understanding is required of the perceptions that people have of their knee crepitus and how it affects their exercise behaviours. This study aims to investigate the role that crepitus may play in beliefs about exercise and knee health.

Methods: Focus group and individual interviews were conducted online with participants who had knee crepitus. The transcripts were thematically analysed through an inductive approach.

Results: Five main themes were identified from 24 participants: (1) individual variation of, (2) occurrence of, (3) meaning of knee crepitus, (4) attitudes and exercise behaviours regarding crepitus, and (5) knowledge deficits and needs concerning crepitus during exercise. The variety of crepitus sounds described occurred with a range of exercises or after inactivity. For those already with osteoarthritis or other symptoms, crepitus was of less concern than symptoms such as pain. Most participants had not ceased exercise but may have modified movement due to crepitus and associated symptoms; some had increased intentional strength training to try alleviating it. Participants agreed that more understanding about the processes causing crepitus and what exercise was safe for knee health would be beneficial.

Conclusion: Crepitus does not appear to be a major cause of concern for people who experience it. However, it is a factor that influences exercise behaviours as is pain. If health professionals could guide people with concerns about their crepitus, they may be more confident in exercising to benefit their joint health.

目的:膝关节疼痛是骨关节炎的一个特征,可能会影响患者参加锻炼。我们需要了解人们对膝关节疼痛的看法以及疼痛如何影响他们的运动行为。本研究旨在调查膝关节嘎吱声在运动和膝关节健康观念中可能扮演的角色:方法:对患有膝关节疼痛的参与者进行了焦点小组和个人在线访谈。通过归纳法对访谈记录进行了主题分析:结果:从 24 名参与者中确定了五大主题:(1) 膝盖异响的个体差异;(2) 膝盖异响的发生;(3) 膝盖异响的含义;(4) 关于膝盖异响的态度和运动行为;(5) 关于运动中膝盖异响的知识缺陷和需求。所描述的各种咯吱声都是在一系列运动或不运动后出现的。对于那些已经患有骨关节炎或出现其他症状的人来说,与疼痛等症状相比,吱吱声并不那么令人担忧。大多数参与者并没有停止锻炼,但可能会因为嘎吱声和相关症状而改变运动方式;一些人增加了有意的力量训练,试图缓解嘎吱声。参与者一致认为,更多地了解引起皱褶的过程以及哪些运动对膝关节健康是安全的将是有益的:结论:膝关节挛缩似乎并不是引起膝关节挛缩的主要原因。然而,与疼痛一样,它也是影响运动行为的一个因素。如果医疗专业人员能够指导那些对膝关节挛缩感到担忧的人,他们可能会更有信心进行有益于关节健康的锻炼。
{"title":"Creaky knees: Is there a reason for concern? A qualitative study of the perspectives of people with knee crepitus.","authors":"Elise E Drum, Alexandre Kovats, Matthew D Jones, Sarah Dennis, Justine Naylor, Kathryn Mills, Jeanette M Thom","doi":"10.1002/msc.1793","DOIUrl":"10.1002/msc.1793","url":null,"abstract":"<p><strong>Objective: </strong>Crepitus is a feature of osteoarthritis that may affect one's participation in exercise. An informed understanding is required of the perceptions that people have of their knee crepitus and how it affects their exercise behaviours. This study aims to investigate the role that crepitus may play in beliefs about exercise and knee health.</p><p><strong>Methods: </strong>Focus group and individual interviews were conducted online with participants who had knee crepitus. The transcripts were thematically analysed through an inductive approach.</p><p><strong>Results: </strong>Five main themes were identified from 24 participants: (1) individual variation of, (2) occurrence of, (3) meaning of knee crepitus, (4) attitudes and exercise behaviours regarding crepitus, and (5) knowledge deficits and needs concerning crepitus during exercise. The variety of crepitus sounds described occurred with a range of exercises or after inactivity. For those already with osteoarthritis or other symptoms, crepitus was of less concern than symptoms such as pain. Most participants had not ceased exercise but may have modified movement due to crepitus and associated symptoms; some had increased intentional strength training to try alleviating it. Participants agreed that more understanding about the processes causing crepitus and what exercise was safe for knee health would be beneficial.</p><p><strong>Conclusion: </strong>Crepitus does not appear to be a major cause of concern for people who experience it. However, it is a factor that influences exercise behaviours as is pain. If health professionals could guide people with concerns about their crepitus, they may be more confident in exercising to benefit their joint health.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":"1114-1124"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10025370","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}
引用次数: 0
Is there an association between plantar fasciitis and knee osteoarthritis? 足底筋膜炎与膝关节骨性关节炎有关联吗?
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-01 Epub Date: 2023-05-22 DOI: 10.1002/msc.1784
Saoussen Miladi, Sirine Bouzid, Alia Fazaa, Hiba Boussaa, Yasmine Makhlouf, Leila Souabni, Kmar Ouenniche, Salma Kassab, Salma Chekili, Kaouther Ben Abdelghani, Ahmed Laatar

Background: Knee osteoarthritis (OA) and plantar fasciitis share similar risk factors including ageing, occupation, obesity, and inappropriate shoe wear. However, the association between knee OA and heel pain caused by plantar fasciitis has received limited attention to date.

Aim: We aimed to assess the prevalence of plantar fasciitis using ultrasound in patients with knee OA and to identify factors associated with plantar fasciitis in these patients.

Patients and methods: We conducted a cross-sectional study including patients with Knee OA, fulfiling the European League Against Rheumatism criteria. The Western Ontario and McMaster Universities Osteoarthritis (WOMAC) and the Lequesne indexes were used to evaluate pain and function of the knees. The Manchester Foot Pain and Disability Index (MFPDI) was used to estimate foot pain and disability. Each patient underwent a physical examination, plain radiographs of the knees and the heels, and an ultrasound examination of both heels to find signs of plantar fasciitis. Statistical analysis was performed using SPSS.

Results: We included 40 knee OA patients, with a mean age of 59.85 ± 9.65 years [32-74] and a male-to-female ratio of 0.17. The mean WOMAC was 34.03 ± 19.9 [4-75]. The mean Lequesne for knees was 9.62 ± 4.57 [3-16.5]. Among our patients, 52% (n = 21) experienced heel pain. The heel pain was severe in 19% (n = 4). The mean MFPDI was 4.67 ± 4.16 [0-8]. Limited ankle dorsiflexion and plantar flexion were noted in 47% of patients (n = 17) each. High and low arch deformities were seen in 23% (n = 9) and 40% (n = 16) of patients. Ultrasound revealed a thickened plantar fascia in 62% (n = 25). An abnormal hypoechoic plantar fascia was noted in 47% (n = 19), with the loss of normal fibrillar architecture in 12 cases (30%). No Doppler signal was exhibited. Patients with plantar fasciitis had significantly limited dorsiflexion (n = 2 (13%) versus n = 15 (60%), p = 0.004) and plantar flexion (n = 3 (20%) versus n = 14 (56%), p = 0.026). The range of supination was also less important in the plantar fasciitis group (17.73 ± 4.1 vs. 12.8 ± 6.46, p = 0.027). The low arch was statistically more present in patients with plantar fasciitis (G1: 36% [n = 9] vs. G0: 0% [n = 0], p = 0.015). However, the high arch deformity was statistically more present in patients without plantar fasciitis (G1: 28% [n = 7] vs. G0: 60% [n = 9], p = 0.046). Multivariate analysis showed that the risk factor for plantar fasciitis in knee OA patients was limited dorsiflexion (OR = 3.889, 95% CI [0.017-0.987], p = 0.049).

Conclusion: In conclusion, our work showed that plantar fasciitis is frequent in knee OA patients, with reduced ankle dorsiflexion being the main risk factor for plantar fasciitis in these patients.

背景:膝关节骨关节炎(OA)和足底筋膜炎具有相似的风险因素,包括年龄增长、职业、肥胖和穿鞋不当。目的:我们旨在使用超声波评估膝关节 OA 患者足底筋膜炎的患病率,并确定这些患者足底筋膜炎的相关因素:我们进行了一项横断面研究,研究对象包括符合欧洲抗风湿联盟标准的膝关节OA患者。我们使用西安大略和麦克马斯特大学骨关节炎(WOMAC)和勒克斯指数来评估膝关节的疼痛和功能。曼彻斯特足部疼痛和残疾指数(MFPDI)用于评估足部疼痛和残疾情况。每位患者都接受了体格检查、膝关节和足跟的普通X光检查以及双足跟的超声波检查,以发现足底筋膜炎的迹象。统计分析采用 SPSS:我们共纳入了 40 名膝关节 OA 患者,平均年龄为(59.85 ± 9.65)岁 [32-74],男女比例为 0.17。WOMAC 平均值为 34.03 ± 19.9 [4-75]。膝关节莱克斯平均值为(9.62 ± 4.57)[3-16.5]。在我们的患者中,52%(n = 21)的患者有足跟痛的症状。19%的患者(n = 4)足跟疼痛严重。MFPDI的平均值为4.67 ± 4.16 [0-8]。47%的患者(17 人)踝关节背屈和跖屈受限。分别有 23% (9 人)和 40% (16 人)的患者出现高低足弓畸形。超声波检查显示,62%的患者(25 人)足底筋膜增厚。47%(19 例)的患者足底筋膜出现异常低回声,12 例(30%)的患者失去了正常的纤维结构。未显示多普勒信号。足底筋膜炎患者的背伸(n = 2(13%)对 n = 15(60%),p = 0.004)和跖屈(n = 3(20%)对 n = 14(56%),p = 0.026)明显受限。足底筋膜炎组的仰卧幅度也较小(17.73 ± 4.1 对 12.8 ± 6.46,p = 0.027)。据统计,足底筋膜炎患者更容易出现低足弓(G1:36% [n = 9] vs. G0:0% [n = 0],p = 0.015)。然而,高足弓畸形在统计学上更多地出现在无足底筋膜炎的患者中(G1:28% [n = 7] vs. G0:60% [n = 9],p = 0.046)。多变量分析显示,膝关节 OA 患者发生足底筋膜炎的风险因素是外翻受限(OR = 3.889,95% CI [0.017-0.987],P = 0.049):总之,我们的研究表明,膝关节OA患者中足底筋膜炎的发病率很高,而踝关节外翻减少是这些患者患足底筋膜炎的主要风险因素。
{"title":"Is there an association between plantar fasciitis and knee osteoarthritis?","authors":"Saoussen Miladi, Sirine Bouzid, Alia Fazaa, Hiba Boussaa, Yasmine Makhlouf, Leila Souabni, Kmar Ouenniche, Salma Kassab, Salma Chekili, Kaouther Ben Abdelghani, Ahmed Laatar","doi":"10.1002/msc.1784","DOIUrl":"10.1002/msc.1784","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (OA) and plantar fasciitis share similar risk factors including ageing, occupation, obesity, and inappropriate shoe wear. However, the association between knee OA and heel pain caused by plantar fasciitis has received limited attention to date.</p><p><strong>Aim: </strong>We aimed to assess the prevalence of plantar fasciitis using ultrasound in patients with knee OA and to identify factors associated with plantar fasciitis in these patients.</p><p><strong>Patients and methods: </strong>We conducted a cross-sectional study including patients with Knee OA, fulfiling the European League Against Rheumatism criteria. The Western Ontario and McMaster Universities Osteoarthritis (WOMAC) and the Lequesne indexes were used to evaluate pain and function of the knees. The Manchester Foot Pain and Disability Index (MFPDI) was used to estimate foot pain and disability. Each patient underwent a physical examination, plain radiographs of the knees and the heels, and an ultrasound examination of both heels to find signs of plantar fasciitis. Statistical analysis was performed using SPSS.</p><p><strong>Results: </strong>We included 40 knee OA patients, with a mean age of 59.85 ± 9.65 years [32-74] and a male-to-female ratio of 0.17. The mean WOMAC was 34.03 ± 19.9 [4-75]. The mean Lequesne for knees was 9.62 ± 4.57 [3-16.5]. Among our patients, 52% (n = 21) experienced heel pain. The heel pain was severe in 19% (n = 4). The mean MFPDI was 4.67 ± 4.16 [0-8]. Limited ankle dorsiflexion and plantar flexion were noted in 47% of patients (n = 17) each. High and low arch deformities were seen in 23% (n = 9) and 40% (n = 16) of patients. Ultrasound revealed a thickened plantar fascia in 62% (n = 25). An abnormal hypoechoic plantar fascia was noted in 47% (n = 19), with the loss of normal fibrillar architecture in 12 cases (30%). No Doppler signal was exhibited. Patients with plantar fasciitis had significantly limited dorsiflexion (n = 2 (13%) versus n = 15 (60%), p = 0.004) and plantar flexion (n = 3 (20%) versus n = 14 (56%), p = 0.026). The range of supination was also less important in the plantar fasciitis group (17.73 ± 4.1 vs. 12.8 ± 6.46, p = 0.027). The low arch was statistically more present in patients with plantar fasciitis (G1: 36% [n = 9] vs. G0: 0% [n = 0], p = 0.015). However, the high arch deformity was statistically more present in patients without plantar fasciitis (G1: 28% [n = 7] vs. G0: 60% [n = 9], p = 0.046). Multivariate analysis showed that the risk factor for plantar fasciitis in knee OA patients was limited dorsiflexion (OR = 3.889, 95% CI [0.017-0.987], p = 0.049).</p><p><strong>Conclusion: </strong>In conclusion, our work showed that plantar fasciitis is frequent in knee OA patients, with reduced ankle dorsiflexion being the main risk factor for plantar fasciitis in these patients.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":"1045-1052"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9869500","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}
引用次数: 0
Psoriatic Arthritis Quality of Life questionnaire: Translation, cultural adaptation and validation into Arabic language. 银屑病关节炎生活质量问卷:阿拉伯语的翻译、文化适应和验证。
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-01 Epub Date: 2023-06-17 DOI: 10.1002/msc.1788
Rawdha Tekaya, Haifa Hajji, Leila Rouached, Selma Bouden, Meriem Jones, Wafa Hamdi, Nabil Sakly, Leila Metoui, Aicha Ben Tekaya, Ines Mahmoud, Olfa Saidane, Leila Abdelmoula

Background: Psoriatic arthritis (PsA) is a multifaceted inflammatory disease that has a strong negative impact on the quality of life (QoL) of patients. The Psoriatic Arthritis Quality of Life (PsAQoL) questionnaire was the first disease-specific patient-derived instrument developed to measure the QoL in patients with PsA. Our objective was to translate the PsAQol into Arabic language and evaluate its reliability and validity in patients with PsA.

Methods: This was a cross-sectional study including patients with PsA. A clinical and biological assessment of the patients was performed at inclusion. The translation of the original PsAQoL into Arabic was performed by a professional bilingual and lay panel. Eight patients were interviewed to assess face and content validity. A separate sample of PsA patients (n = 30) were invited to participate in a test-retest postal study in order to investigate reproducibility and construct validity. One week separated the two administrations. The Arabic version of Health Assessment Questionnaire (HAQ) was used as a comparator instrument for convergent validity.

Results: Face and content validity were satisfactory. The Arabic version of the PsAQoL was found to be relevant, understandable and easy to complete in only a few minutes. One item was excluded (item 16). It had no correlation with either the other 19 items or the total score of PsAQol. The Arabic PsAQol had excellent internal consistency (Cronbach's a = 0.926), and test-retest reliability (r = 0.982). There was a positive correlation between the total score of the PsAQoL and the Arabic version of HAQ (Spearman's r = 0.838, p < 10-3 ). Exploratory factor analysis had extracted two factors explaining 55% of the total variance.

Conclusion: Nineteen items were selected to compose the Arabic version of PsAQoL, which was found to be relevant and understandable and has excellent reliability and construct validity. The new measure will be a valuable new tool for use in routine care for patients' assessment.

背景:银屑病关节炎(PsA)是一种多发性炎症性疾病,对患者的生活质量(QoL)有很大的负面影响。银屑病关节炎生活质量(PsAQoL)问卷是首个针对特定疾病的患者衍生工具,用于测量银屑病关节炎患者的生活质量。我们的目标是将 PsAQol 翻译成阿拉伯语,并评估其在 PsA 患者中的可靠性和有效性:这是一项包括 PsA 患者在内的横断面研究。纳入患者时对其进行了临床和生物学评估。由一个专业的双语和非专业小组将 PsAQoL 原文翻译成阿拉伯文。对八名患者进行了访谈,以评估面效和内容效度。另外还邀请了一组 PsA 患者(n = 30)参加邮寄重测研究,以调查重现性和结构效度。两次测试间隔一周。阿拉伯语版的健康评估问卷(HAQ)被用作比较工具,以获得收敛效度:结果:表面效度和内容效度均令人满意。阿拉伯语版的 PsAQoL 被认为贴切、易懂且易于完成,只需几分钟即可完成。有一个项目被排除在外(项目 16)。该项目与其他 19 个项目或 PsAQol 总分均无相关性。阿拉伯语 PsAQol 具有良好的内部一致性(Cronbach's a = 0.926)和测试-再测可靠性(r = 0.982)。PsAQoL 总分与阿拉伯语版 HAQ 之间存在正相关(Spearman's r = 0.838,p -3)。探索性因子分析提取了两个因子,解释了总方差的 55%:结论:阿拉伯语版 PsAQoL 选取了 19 个项目,这些项目具有相关性和可理解性,并具有良好的信度和建构效度。新的测量方法将成为一种有价值的新工具,可用于日常护理中对患者进行评估。
{"title":"Psoriatic Arthritis Quality of Life questionnaire: Translation, cultural adaptation and validation into Arabic language.","authors":"Rawdha Tekaya, Haifa Hajji, Leila Rouached, Selma Bouden, Meriem Jones, Wafa Hamdi, Nabil Sakly, Leila Metoui, Aicha Ben Tekaya, Ines Mahmoud, Olfa Saidane, Leila Abdelmoula","doi":"10.1002/msc.1788","DOIUrl":"10.1002/msc.1788","url":null,"abstract":"<p><strong>Background: </strong>Psoriatic arthritis (PsA) is a multifaceted inflammatory disease that has a strong negative impact on the quality of life (QoL) of patients. The Psoriatic Arthritis Quality of Life (PsAQoL) questionnaire was the first disease-specific patient-derived instrument developed to measure the QoL in patients with PsA. Our objective was to translate the PsAQol into Arabic language and evaluate its reliability and validity in patients with PsA.</p><p><strong>Methods: </strong>This was a cross-sectional study including patients with PsA. A clinical and biological assessment of the patients was performed at inclusion. The translation of the original PsAQoL into Arabic was performed by a professional bilingual and lay panel. Eight patients were interviewed to assess face and content validity. A separate sample of PsA patients (n = 30) were invited to participate in a test-retest postal study in order to investigate reproducibility and construct validity. One week separated the two administrations. The Arabic version of Health Assessment Questionnaire (HAQ) was used as a comparator instrument for convergent validity.</p><p><strong>Results: </strong>Face and content validity were satisfactory. The Arabic version of the PsAQoL was found to be relevant, understandable and easy to complete in only a few minutes. One item was excluded (item 16). It had no correlation with either the other 19 items or the total score of PsAQol. The Arabic PsAQol had excellent internal consistency (Cronbach's a = 0.926), and test-retest reliability (r = 0.982). There was a positive correlation between the total score of the PsAQoL and the Arabic version of HAQ (Spearman's r = 0.838, p < 10<sup>-3</sup> ). Exploratory factor analysis had extracted two factors explaining 55% of the total variance.</p><p><strong>Conclusion: </strong>Nineteen items were selected to compose the Arabic version of PsAQoL, which was found to be relevant and understandable and has excellent reliability and construct validity. The new measure will be a valuable new tool for use in routine care for patients' assessment.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":"1098-1104"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9647251","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}
引用次数: 0
Cross-perspectives on care pathways for painful osteoarthritis: A qualitative analysis in patients and healthcare professionals. 疼痛性骨关节炎护理路径的交叉观点:对患者和医护人员的定性分析。
IF 1.3 Q3 RHEUMATOLOGY Pub Date : 2023-12-01 Epub Date: 2023-07-05 DOI: 10.1002/msc.1795
Serge Perrot, Guillaume Roucoux, Philippe Bertin, Catherine Beauvais, Françoise Alliot-Launois, Olivier Chassany, Martin Duracinsky

Purpose: To analyse and compare patients' and healthcare professionals' (HPs) perspectives concerning patient care pathways for painful osteoarthritis (OA).

Patients and methods: We performed a qualitative study of two focus groups corresponding to eight patients with painful OA and eight HPs involved in OA management.

Results: Six key themes emerged from the interviews: (1) representations of OA, (2) OA pain, (3) quality of life, (4) care pathways, (5) actors involved in the care pathway, and (6) treatments. Both groups considered general practitioners, pharmacists and physiotherapists to be first-line HPs, and no well-defined OA specialist was identified. Patients and HPs reported similar difficulties concerning the adaptation of management to individual cases, late diagnosis and treatment, whereas only patients mentioned financial issues. Communication difficulties were identified as a major problem both between patients and HPs, and between HPs. Patients reported a lack of knowledge concerning pain and OA. The coordination between the various HPs is required, with education on both pain and OA. Several possible solutions were put forward by both patients and HPs.

Conclusion: The care pathways of patients with painful OA are complex, with an unclear definition of the roles of the various HPs and suboptimal coordination. The role of HPs should be defined and collaboration between HPs developed.

目的:分析并比较患者和医护人员(HPs)对疼痛性骨关节炎(OA)患者护理路径的看法:我们对两个焦点小组进行了定性研究,这两个焦点小组分别对应八名疼痛性 OA 患者和八名参与 OA 管理的医护人员:访谈中出现了六个关键主题:(1) OA 的表征;(2) OA 疼痛;(3) 生活质量;(4) 护理路径;(5) 护理路径中的参与者;(6) 治疗。两组人都认为全科医生、药剂师和物理治疗师是一线医疗保健人员,没有发现明确的 OA 专家。患者和医疗保健人员报告了类似的困难,包括根据个人情况调整治疗方法、晚期诊断和治疗,而只有患者提到了经济问题。沟通困难被认为是患者和医疗保健人员之间以及医疗保健人员之间的主要问题。患者表示对疼痛和 OA 缺乏了解。各医疗机构之间需要进行协调,并开展有关疼痛和 OA 的教育。患者和医务人员都提出了几种可能的解决方案:结论:疼痛性 OA 患者的护理路径非常复杂,各医疗保健机构的角色定义不明确,协调性也不理想。应明确医疗保健人员的作用,发展医疗保健人员之间的合作。
{"title":"Cross-perspectives on care pathways for painful osteoarthritis: A qualitative analysis in patients and healthcare professionals.","authors":"Serge Perrot, Guillaume Roucoux, Philippe Bertin, Catherine Beauvais, Françoise Alliot-Launois, Olivier Chassany, Martin Duracinsky","doi":"10.1002/msc.1795","DOIUrl":"10.1002/msc.1795","url":null,"abstract":"<p><strong>Purpose: </strong>To analyse and compare patients' and healthcare professionals' (HPs) perspectives concerning patient care pathways for painful osteoarthritis (OA).</p><p><strong>Patients and methods: </strong>We performed a qualitative study of two focus groups corresponding to eight patients with painful OA and eight HPs involved in OA management.</p><p><strong>Results: </strong>Six key themes emerged from the interviews: (1) representations of OA, (2) OA pain, (3) quality of life, (4) care pathways, (5) actors involved in the care pathway, and (6) treatments. Both groups considered general practitioners, pharmacists and physiotherapists to be first-line HPs, and no well-defined OA specialist was identified. Patients and HPs reported similar difficulties concerning the adaptation of management to individual cases, late diagnosis and treatment, whereas only patients mentioned financial issues. Communication difficulties were identified as a major problem both between patients and HPs, and between HPs. Patients reported a lack of knowledge concerning pain and OA. The coordination between the various HPs is required, with education on both pain and OA. Several possible solutions were put forward by both patients and HPs.</p><p><strong>Conclusion: </strong>The care pathways of patients with painful OA are complex, with an unclear definition of the roles of the various HPs and suboptimal coordination. The role of HPs should be defined and collaboration between HPs developed.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":" ","pages":"1142-1153"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742838","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}
引用次数: 0
期刊
Musculoskeletal Care
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1