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Feasibility of using the NewGait assistive device for correcting gait deviations in individuals with various neurological disorders: Case study. 使用NewGait辅助设备纠正各种神经系统疾病患者步态偏差的可行性:案例研究。
IF 1.7 Q3 REHABILITATION Pub Date : 2024-01-01 Epub Date: 2023-10-11 DOI: 10.1002/pri.2055
Ksenia I Ustinova, Joseph E Langenderfer

Purpose: Impaired gait is one of the earliest, most devastating, and long-lasting symptoms associated with neurological disorders. This study tested the feasibility of wearing the NewGait rehabilitative device in individuals with gait impairments due to the most common neurological disorders.

Methods: Seven participants with gait impairments due to strokes, Multiple Sclerosis, peripheral neuropathies, Cerebral Palsy (CP) and Parkinson's Disease (PD) were included in the study. Their walking with and without wearing the NewGait was analyzed and compared using the Vicon T160 system for motion analysis. Gait velocity, step length, foot clearance, lateral displacement of the Center of Mass, gait deviation and symmetry indexes were compared using two standard deviation band method for each participant.

Results: Participants subjectively assessed the NewGait as a comfortable device to wear and showed immediate gait improvements to varying degrees. Most improvements were observed in participants with muscle weakness due to peripheral neuropathies, stroke, MS, and CP. These participants improved their foot clearance, gait velocity, and step length. Participants with cerebellar stroke and PD increased their gait stability. All participants demonstrated a reduction in composite gait deviation indexes. Not all gait parameters, though, showed immediate changes.

Conclusion: The results suggest that the NewGait rehabilitative device is feasible and useful for correcting gait impairments caused by neurological deficits. Participants may need to wear this device for longer periods of time in order to achieve long lasting changes in the gait pattern, rather than an immediate correction.

目的:步态受损是与神经系统疾病相关的最早、最具破坏性和最持久的症状之一。这项研究测试了在因最常见的神经系统疾病而出现步态障碍的人身上佩戴NewGait康复装置的可行性。方法:将7名因中风、多发性硬化、周围神经病变、脑瘫和帕金森病而出现步态障碍的参与者纳入研究。使用Vicon T160系统进行运动分析,分析并比较了他们戴着和不戴NewGait的行走情况。采用两个标准差带法对每个参与者的步态速度、步长、足间隙、重心横向位移、步态偏差和对称性指标进行比较。结果:参与者主观评价NewGait是一种佩戴舒适的装置,步态立即得到不同程度的改善。在因周围神经病变、中风、多发性硬化症和慢性疲劳而出现肌肉无力的参与者中观察到了大多数改善。这些参与者改善了他们的足部间隙、步态速度和步长。患有小脑卒中和帕金森病的参与者提高了步态稳定性。所有参与者的步态综合偏离指数都有所下降。然而,并不是所有步态参数都显示出立即的变化。结论:NewGait康复器是一种可行、有效的神经功能缺损步态矫正器。参与者可能需要长时间佩戴该设备,以实现步态模式的长期变化,而不是立即纠正。
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引用次数: 0
A survey of physiotherapist managers in Ireland and their views on the role of Advanced Practice Physiotherapists 爱尔兰物理治疗师管理人员及其对高级实践物理治疗师作用的看法调查
IF 1.7 Q3 REHABILITATION Pub Date : 2023-12-08 DOI: 10.1002/pri.2064
M. Ó Mír, M. Casey, Keith M. Smart
Within the current context of implementation of an Advanced Practice Grade, the Irish Society of Chartered Physiotherapists commissioned a survey of physiotherapy manager opinions regarding the role of Advanced Practice Physiotherapists.The aim of this survey was to explore the views of physiotherapist managers in relation to the characteristics, role, competencies and management of Advanced Practice Physiotherapists (APPs) in Ireland.Physiotherapist managers based in primary and secondary care settings in Ireland were invited to participate in a survey on Advanced Practice. Quantitative data from a custom designed online survey was analysed with descriptive statistics and qualitative data from open‐ended survey questions were analysed using thematic analysis.The response rate to the survey was 32% (24/75). On average, respondents thought that 54% (range: 15%–80%) of an APPs time should be spent in clinical practice and between 17% and 20% variously on managerial and leadership, teaching and education and research and development duties. Four themes were identified from the surveys' open‐ended questions related to the description of APP: ‘Extended scope ‘Advanced clinical training, knowledge, and decision‐making’, ‘Autonomy, independence and responsibility’, and ‘Wider roles’.Irish physiotherapist managers recognised the extended scope of practice, expertise and multiple roles characteristic of APPs. They indicated the need for legislative changes and clarity around governance.
在当前实施高级实践等级的背景下,爱尔兰特许物理治疗师协会委托进行了一项关于高级实践物理治疗师角色的物理治疗经理意见调查。本调查的目的是探讨物理治疗师管理人员对爱尔兰高级实践物理治疗师(app)的特征、角色、能力和管理的看法。爱尔兰初级和二级护理机构的物理治疗师经理被邀请参加一项关于高级实践的调查。采用描述性统计分析定制在线调查的定量数据,采用专题分析分析开放式调查问题的定性数据。调查的回复率为32%(24/75)。平均而言,受访者认为应用程序应将54%(范围:15%-80%)的时间用于临床实践,17%至20%的时间用于管理和领导、教学和教育以及研发职责。从调查中与APP描述相关的开放式问题中确定了四个主题:“扩展范围”、“高级临床培训、知识和决策”、“自主、独立和责任”和“更广泛的角色”。爱尔兰理疗师管理人员认识到应用程序的实践范围、专业知识和多重角色特征。他们指出,有必要进行立法改革,明确治理。
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引用次数: 0
Taekwondo Poomsae practise in slow motion and the balance of healthy older adults: A Pre-Experimental Study. 跆拳道Poomsae练习慢动作和健康老年人的平衡:一项预实验研究。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-06-14 DOI: 10.1002/pri.2027
Derong Eric Li, Ji Long Chiang, Zhi Hao Melvin Loh, Rahizan Zainuldin

Background and purpose: Poor balance confidence and functional balance can lead to falls in community-dwelling older adults. Exercises utilising slow movements have been shown to improve balance in this population. It is hypothesised that by superimposing the use of slow movements onto Taekwondo Poomsae, there could be similar benefits in improving balance confidence and functional balance in older adults.

Methods: This was a pre - experimental study. Fifteen community-dwelling older adults received 11 weeks of Slow Poomsae (SP) training using a proposed 50-min protocol. Pre- and post-intervention scores of the Activities-Specific Balance Confidence Simplified Scale (ABC-S), Berg Balance Scale (BBS), Dynamic Gait Index (DGI), and 'Timed Up and Go' test (TUG) assessments were recorded and compared.

Results: Fifteen eligible participants with mean and standard deviation (SD) of age 73.8 (6.05) years completed the study. Significant improvements (p < 0.05) were seen in the pre-post differences between ABC-S, BBS, DGI, and TUG, with median score changes of 15 points (Z = -3.408), 3 points (Z = -3.306), 3 points (Z = -2.852), and 3.5 s (Z = -3.296) respectively.

Conclusion: The preliminary findings support the efficacy of SP as a potential balance training programme that is safe for healthy older adults to improve their balance confidence and functional balance. More research is required on this topic that leans towards a large population blinded randomised controlled trial with a longer intervention period and inclusion of a follow-up to further elucidate the effects of long-term practice and novelty of SP.

背景和目的:缺乏平衡信心和功能平衡会导致社区老年人跌倒。利用缓慢运动的锻炼已被证明可以改善这一人群的平衡。有人假设,通过将慢动作的使用叠加到跆拳道普姆赛上,在提高老年人的平衡信心和功能平衡方面可能会有类似的好处。方法:本研究为实验前研究。15名居住在社区的老年人接受了为期11周的慢速Poomsae(SP)训练,使用拟议的50分钟方案。记录并比较活动特异性平衡信心简化量表(ABC-S)、伯格平衡量表(BBS)、动态步态指数(DGI)和“定时上下”测试(TUG)评估的干预前和干预后得分。结果:15名平均值和标准差(SD)为73.8(6.05)岁的合格参与者完成了该研究。显著改进(p结论:初步研究结果支持SP作为一种潜在的平衡训练计划的有效性,该计划对健康的老年人来说是安全的,可以提高他们的平衡信心和功能平衡。需要对这一主题进行更多的研究,倾向于一项具有更长干预期的大规模盲法随机对照试验阐述了SP的长期实践效果和新颖性。
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引用次数: 1
Sensory integration versus Masgutova neuro-sensorimotor reflex integration program on controlling primitive reflexes and gross motor abilities in children with diplegic cerebral palsy. 感觉统合与Masgutova神经感觉运动反射统合程序在控制双瘫脑瘫儿童原始反射和毛运动能力方面的比较。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-06-29 DOI: 10.1002/pri.2030
Mustafa A Mohamed, Manal Salah El-Dein, Sahar M Nour El-Deen, Mahmoud S El Fakharany

Background and objective: An abnormality in muscular tone, lack of postural control, and a lack of coordination are all linked to the retention of primitive and immature postural reflexes. The Purpose of this study aimed of detecting which therapeutic approach is more effective in integrating retained primitive reflexes, either Masgutova neuro-sensorimotor reflex integration or Sensory integration (SI) program.

Methods: Forty children with spastic diplegic cerebral palsy (CP) (11 girls and 29 boys), involved in the current study and their ages ranged from 3 to 6 years old. They were divided at random into two groups (A and B), patients in the study group (A) (n = 20) were treated by Masgutova neuro-sensorimotor reflex integration program (MNRI) while those of study group (B) (n = 20), were subjected to Sensory integration program (SIP), A standardized physical treatment regimen was provided to both groups (Stretching exercise, Strengthening exercise, and facilitation of developing motor milestones) All children were evaluated by using GMFM-88 and (PDMS-2) reflexes subtest before and after treatment that lasted for three successive months at a frequency of three sessions per week.

Results: There was a statistically substantial increase in GMFM scores and control of primitive reflexes post treatment in each group compared to those of the pretreatment mean values (p > 0.05). There was also a statistically non-significance difference between group A and group B regarding post treatment results (p > 0.05).

Implications on physiotherapy practice: SI and MNRI programs can equally be used in the treatment of children with spastic CP who suffer from retained primitive reflexes and delayed gross motor function.

背景和目的:肌张力异常、缺乏姿势控制和缺乏协调都与原始和不成熟的姿势反射的保留有关。本研究的目的是检测哪种治疗方法在整合保留的原始反射方面更有效,无论是Masgutova神经感觉运动反射整合还是感觉整合(SI)程序。方法:40例痉挛性双瘫脑瘫(CP)儿童(11名女孩和29名男孩),参与本研究,年龄从3岁到6岁不等。他们被随机分为两组(A和B),研究组(A)(n=20)的患者接受Masgutova神经感觉运动反射整合程序(MNRI)治疗,为两组提供了标准化的物理治疗方案(伸展运动、强化运动和促进运动里程碑的发展)。所有儿童在治疗前后均使用GMFM-88和(PDMS-2)反射亚测试进行评估,治疗持续三个月,频率为每周三次。结果:与治疗前的平均值相比,各组治疗后的GMFM评分和原始反射控制在统计学上显著增加(p>0.05)。a组和B组治疗后的结果在统计学上也没有显著差异(p>0.05)同样可用于治疗患有痉挛性CP的儿童,这些儿童患有原始反射保留和毛运动功能延迟。
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引用次数: 0
Anterior component of Y-Balance test is correlated to ankle dorsiflexion range of motion in futsal players: A cross-sectional study. Y-Balance测试的前部成分与五人制足球运动员踝关节背屈运动范围相关:一项横断面研究。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-06-16 DOI: 10.1002/pri.2028
Camilo Zumbi Rafagnin, Arthur de Sá Ferreira, Gustavo Felicio Telles, Thiago Lemos de Carvalho, Dângelo José de Andrade Alexandre, Leandro Alberto Calazans Nogueira

Background and purpose: Restricted dorsiflexion range of motion (DFROM) could impact dynamic balance in sports. This study aimed to investigate the relationship between dorsiflexion range of motion and the Y-Balance Test (YBT) in elite futsal players.

Methods: Sixty-one asymptomatic male futsal players (mean age 26.57 (5.64) years, a mean body mass index of 25.40 (2.69) kg/m2 ) were included. DFROM was measured by the weight-bearing lunge test (WBLT). DFROM data were obtained using smartphone-based motion capture. The Pearson correlation coefficient verified the correlation between the variables.

Results: Dominant and nondominant leg ankle DFROM was significantly correlated with the anterior component of YBT (r = 0.27 and 0.51, respectively). The posteromedial component and the composite score of the YBT were also significantly correlated with nondominant leg ankle DFROM (r = 0.31 and 0.34, respectively)]. The other measures were not statistically significant. DFROM explained between 7% and 24% of the variation of the distances reached in the YBT.

Conclusion: Dorsiflexion range of motion measured by weight bearing lunge test is positively correlated with dynamic balance in futsal players.

背景与目的:限制性背屈运动范围(DFROM)可能影响运动的动态平衡。本研究旨在探讨优秀五人制足球运动员背屈运动范围与Y平衡测试(YBT)的关系。方法:纳入61名无症状男性五人制五人制足球运动员(平均年龄26.57(5.64)岁,平均体重指数为25.40(2.69)kg/m2)。DFROM通过负重弓步测试(WBLT)进行测量。DFROM数据是使用基于智能手机的运动捕捉获得的。Pearson相关系数验证了变量之间的相关性。结果:显性和非显性踝关节DFROM与YBT前部成分显著相关(r分别为0.27和0.51)。YBT的后内侧分量和综合评分也与非显性腿踝DFROM显著相关(分别为r=0.31和0.34)]。其他指标没有统计学意义。DFROM解释了YBT中7%到24%的距离变化。结论:采用负重弓步测试法测得的背屈动作幅度与五人制五人制足球运动员的动态平衡呈正相关。
{"title":"Anterior component of Y-Balance test is correlated to ankle dorsiflexion range of motion in futsal players: A cross-sectional study.","authors":"Camilo Zumbi Rafagnin,&nbsp;Arthur de Sá Ferreira,&nbsp;Gustavo Felicio Telles,&nbsp;Thiago Lemos de Carvalho,&nbsp;Dângelo José de Andrade Alexandre,&nbsp;Leandro Alberto Calazans Nogueira","doi":"10.1002/pri.2028","DOIUrl":"10.1002/pri.2028","url":null,"abstract":"<p><strong>Background and purpose: </strong>Restricted dorsiflexion range of motion (DFROM) could impact dynamic balance in sports. This study aimed to investigate the relationship between dorsiflexion range of motion and the Y-Balance Test (YBT) in elite futsal players.</p><p><strong>Methods: </strong>Sixty-one asymptomatic male futsal players (mean age 26.57 (5.64) years, a mean body mass index of 25.40 (2.69) kg/m<sup>2</sup> ) were included. DFROM was measured by the weight-bearing lunge test (WBLT). DFROM data were obtained using smartphone-based motion capture. The Pearson correlation coefficient verified the correlation between the variables.</p><p><strong>Results: </strong>Dominant and nondominant leg ankle DFROM was significantly correlated with the anterior component of YBT (r = 0.27 and 0.51, respectively). The posteromedial component and the composite score of the YBT were also significantly correlated with nondominant leg ankle DFROM (r = 0.31 and 0.34, respectively)]. The other measures were not statistically significant. DFROM explained between 7% and 24% of the variation of the distances reached in the YBT.</p><p><strong>Conclusion: </strong>Dorsiflexion range of motion measured by weight bearing lunge test is positively correlated with dynamic balance in futsal players.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2028"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693501","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
Transformational leadership vs. proactive personality: Contributing factors to physiotherapists proactive behaviors and burnout during the SARS-COV-2 pandemic. 转变型领导与积极主动的个性:严重急性呼吸系统综合征冠状病毒2型疫情期间物理治疗师积极主动行为和倦怠的促成因素。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-05-11 DOI: 10.1002/pri.2011
Vadim Myaskovetsky, Liora Shmueli

Background: In May 2019, the World Health Organization (WHO) added burn out to the list of occupational phenomena in the 11th Revision of the International Classification of Diseases (ICD-11). Soon thereafter, in March 2020, a global pandemic of SARS-COV-2 was declared.

Objective: To investigate the interplay between transformational leadership, a proactive personality, employee proactive behaviors, and burn out in the field of physiotherapy during the SARS-COV-2 pandemic.

Methods: Physiotherapists working at the Meuhedet Health Maintenance Organization (HMO) were asked to fill an online cross-sectional survey, in which they were asked to evaluate the transformational behavior of their manager and to assess their own burn out rate, degree of self-efficacy, proactive personality, and proactive behaviors. Eighty-one physical therapists (average age of 37.3 years (SD = 9.0)) responded to the survey, most of whom were female (67.9%, n = 55).

Results: Transformational leadership and proactive personality were negatively associated with occupational burn out (β = -0.231, p < 0.05, β = -0.243, p < 0.05, respectively) among physiotherapists. The effect of the interaction between transformational leadership and proactive personality on proactive behaviors at work was not significant. However, a strong, significant positive relationship was found between proactive personality and proactive behaviors (β = 0.425, p < 0.001), and between self-efficacy and proactive behaviors (β = 0.479, p < 0.001).

Conclusions: This up-to-date survey of transformational leadership and proactive personality among physiotherapists highlights these traits' important impact on burn out and proactive behaviors during the SARS-COV-2 pandemic. Furthermore, the transformational manager plays an important role in reducing burnout levels among physiotherapists, especially during a crisis such as the SARS-COV-2 pandemic.

背景:2019年5月,世界卫生组织(世界卫生组织)在《国际疾病分类》(ICD-11)第11次修订版中将烧伤列入职业现象清单。此后不久,即2020年3月,严重急性呼吸系统综合征冠状病毒2型全球大流行被宣布。目的:研究在严重急性呼吸系统综合征冠状病毒2型疫情期间,在物理治疗领域,变革型领导、积极主动的个性、员工积极主动的行为和倦怠之间的相互作用。方法:在Meuhedet健康维护组织(HMO)工作的物理治疗师被要求填写一份在线横断面调查,在该调查中,他们被要求评估经理的转变行为,并评估自己的倦怠率、自我效能感、积极主动的个性和积极主动的行为。81名物理治疗师(平均年龄37.3岁(SD=9.0))对调查做出了回应,其中大多数是女性(67.9%,n=55)。结果:转变型领导和积极主动的个性与职业倦怠呈负相关(β=-0.231,p结论:这项关于理疗师转型领导力和积极主动个性的最新调查强调了这些特质对严重急性呼吸系统综合征冠状病毒2型疫情期间的倦怠和积极主动行为的重要影响。此外,转型管理者在降低理疗师的倦怠水平方面发挥着重要作用,尤其是在e严重急性呼吸系统综合征冠状病毒2型大流行。
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引用次数: 1
Exercise effects on motor function, manual dexterity, and brain oscillatory activity in individuals with Parkinson's disease: Randomized controlled trial protocol. 运动对帕金森病患者运动功能、手巧和大脑振荡活动的影响:随机对照试验方案。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-05-04 DOI: 10.1002/pri.2009
Maryela de Oliveira Menacho, Kevin Pacheco-Barrios, Augusto J Mendes, Tatiana de Oliveira Sato, Felipe Fregni, Anna Carolyna Lepesteur Gianlorenço

Background: Parkinson's disease (PD) is the second most common progressive neurodegenerative disorder. Exercise protocols are promising interventions to improve PD symptoms, however, the best modality and its neural correlates are still unknown.

Objectives: To evaluate the effects of the aerobic, strength and task-oriented upper-limb exercises in motor function, manual dexterity, and brain oscillations of individuals with PD.

Method: In this clinical trial, 44 PD patients aged 40-80 years will be randomized in four groups: aerobic training (AT), strength training (ST), task-oriented training (TOT), and waiting list group (CG). The AT group will perform 30 min of a cycle ergometer on 50%-70% of the reserve heart rate. The ST group will use equipment for upper limb muscles and will perform two series of 8-12 repetitions for each exercise, and intensity between 50% and 70% of one maximum repetition will be used. The TOT group will perform a program consisting of three activities to enhance reaching, grasping, and manipulation. All the groups will perform three sessions per week for 8 weeks. We will use the UPDRS Motor function section, Nine-Hole Peg Test, and quantitative electroencephalography to measure motor function, manual dexterity, and brain oscillations, respectively. ANOVA and regression models will be used to compare outcomes within and between groups.

背景:帕金森病(PD)是第二常见的进行性神经退行性疾病。运动方案是改善帕金森病症状的有希望的干预措施,然而,最佳方式及其神经相关性仍然未知。目的:评价有氧、力量和任务导向上肢训练对帕金森病患者运动功能、手巧和大脑振荡的影响。方法:在本临床试验中,44名40-80岁的帕金森病患者将被随机分为四组:有氧训练(AT)、力量训练(ST)、任务导向训练(TOT)和等待名单组(CG)。AT组将在储备心率的50%-70%下进行30分钟的循环测力计。ST组将使用上肢肌肉设备,每次锻炼将进行两系列8-12次重复,强度在一次最大重复的50%至70%之间。TOT小组将执行一个由三项活动组成的程序,以增强伸手、抓握和操纵能力。所有小组将在8周内每周进行三次训练。我们将使用UPDRS运动功能部分、九孔钉测试和定量脑电图分别测量运动功能、手巧和大脑振荡。方差分析和回归模型将用于比较组内和组间的结果。
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引用次数: 0
Adaptation of the person centered therapeutic relationship patient version (PCTR-PT) to a version for physiotherapists (PCTR-PHYS) and evaluation of its psychometric properties. 将以人为中心的治疗关系患者版本(PCTR-PT)调整为物理治疗师版本(PCTR-PHYS),并评估其心理测量特性。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-04-17 DOI: 10.1002/pri.2007
Óscar Rodríguez-Nogueira, Jaume Morera Balaguer, Abel Nogueira López, Juan Roldán Merino, Víctor Zamora-Conesa, Antonio R Moreno-Poyato

Background and purpose: The therapeutic relationship is a central component for developing person-centered care within physiotherapy services. However, it is necessary to understand how this relationship is perceived by both parties involved. The Person Centered Therapeutic Relationship-Patient scale (PCTR-PT) was constructed to identify patients' perceptions. No instruments are currently available to correlate patients' and physiotherapists' perceptions of the therapeutic relationship. This study sought to adapt the PCTR-PT to develop a version for physiotherapists, the Person Centered Therapeutic Relationship Scale for Physiotherapists (PCTR-PHYS) and to determine its psychometric properties.

Methods: A three-stage study was performed: (1) item generation, (2) pretesting of the questionnaire, (3) analysis of psychometric properties. Factor validity and psychometric properties were analyzed by confirmatory factor analysis (CFA). Convergent validity was calculated. Internal consistency was verified using the Cronbach's alpha coefficient. The intraclass correlation coefficient (ICC) was used to examine temporal stability.

Results: Thirty-three physiotherapists participated in two rounds of cognitive interviews and 343 participated in the analysis of psychometric properties. The CFA confirmed the four-structure model. Reliability of the tool was confirmed by Cronbach's alpha (α = 0.863) for all four dimensions, as all were above 0.70, ranging from 0.704 (relational bond) and 0.898 (therapeutic communication). Test-retest was performed with 2-week intervals, indicating an appropriate stability for the scale (ICC = 0.908).

Discussion: The Person Centered Therapeutic Relationship Scale for Physiotherapists is a useful, valid and applicable instrument to evaluate the person-centered therapeutic relationship during physiotherapy interventions. It will enable the comparison of patients' and physiotherapists' perceptions. To provide person-centered care in physiotherapy services, there is a clear need to incorporate specific resources into clinical practice to evaluate the quality of the therapeutic relationship from the perspective of both the persons being treated and the professionals providing care.

背景和目的:治疗关系是在理疗服务中发展以人为中心的护理的核心组成部分。然而,有必要了解双方是如何看待这种关系的。构建了以人为中心的治疗关系患者量表(PCTR-PT)来识别患者的感知。目前没有任何仪器可以将患者和理疗师对治疗关系的看法联系起来。本研究试图调整PCTR-PT,为理疗师开发一个版本,即以人为中心的理疗师治疗关系量表(PCTR-PHYS),并确定其心理测量特性。方法:分三个阶段进行研究:(1)项目生成,(2)问卷预测试,(3)心理测量特性分析。采用验证性因素分析(CFA)对因子有效性和心理测量特性进行分析。计算收敛有效性。使用Cronbachα系数验证内部一致性。组内相关系数(ICC)用于检查时间稳定性。结果:33名物理治疗师参加了两轮认知访谈,343名物理治疗师参与了心理测量特性的分析。终审法院确认了四结构模式。Cronbachα(α=0.863)证实了该工具在所有四个维度上的可靠性,因为所有维度都在0.70以上,范围从0.704(关系纽带)到0.898(治疗沟通)。每隔2周进行一次测试-重新测试,表明该量表具有适当的稳定性(ICC=0.908)。讨论:物理治疗师的以人为中心的治疗关系量表是一种有用、有效和适用的工具,可用于评估物理治疗干预期间以人为主的治疗关系。它将能够比较患者和理疗师的看法。为了在理疗服务中提供以人为中心的护理,显然需要将特定资源纳入临床实践,从接受治疗的人和提供护理的专业人员的角度评估治疗关系的质量。
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引用次数: 0
Physiotherapists' experiences on assisting physiotherapy users during the COVID-19 pandemic with lockdown measures in Spain. 物理治疗师在新冠肺炎大流行期间通过西班牙的封锁措施帮助物理治疗师的经验。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-05-19 DOI: 10.1002/pri.2015
Helena Fernández-Lago, Carolina Climent-Sanz, Cristina Bravo, Pere Bosch-Barceló, María Masbernat-Almenara, Daniel Sanjuan-Sánchez, Erica Briones-Vozmediano

Background: Physiotherapists had faced a new healthcare scenario characterised by the restrictions caused by the COVID-19 pandemic.

Purpose: To explore the impact of the COVID-19 pandemic on the physiotherapy profession from the perspective of physiotherapists working in the public and private sectors.

Methods: Qualitative study based on semi-structured personal interviews with 16 physiotherapists working in public, private, or public-private partnership sectors in Spain. The data were collected between March and June 2020. Inductive qualitative content analysis was performed.

Results: The participants (13 women, 3 men; aged 24-44 years) had professional experience in diverse healthcare settings (primary, hospital, home, consultations, insurance companies, associations). Five categories were identified: (1) the impact of lockdown on the health of physiotherapy users; (2) managing the demand for physiotherapy services during lockdown; (3) introducing protocols and protective measures in physiotherapy consultations; (4) changes in therapeutic approaches; and (5) future expectations in the physiotherapy care model. Physiotherapists perceived that lockdown caused a decline in the functionality of people with chronic conditions, together with a reduction in the physiotherapy services. Difficulties in prioritising users considered urgent became evident, and the inclusion of prophylactic measures affected treatment duration differently depending on the care setting and the pandemic prompted the use of telerehabilitation.

Discussion: The pandemic affected the functional status of chronic physiotherapy users and made treatment time, quality of care and triage protocols visible. In physiotherapy, technological barriers need to be solved, such as digital literacy, families without resources, situations of dependency and cultural barriers.

背景:物理治疗师面临着一种新的医疗保健情景,其特点是新冠肺炎大流行造成的限制。目的:从公共和私营部门理疗师的角度探讨新冠肺炎大流行对理疗师职业的影响。方法:基于对西班牙公共、私营或公私合作部门的16名物理治疗师的半结构化个人访谈的定性研究。这些数据是在2020年3月至6月期间收集的。进行归纳定性内容分析。结果:参与者(13名女性,3名男性;年龄24-44岁)在不同的医疗机构(初级、医院、家庭、咨询、保险公司、协会)有专业经验。确定了五类:(1)封锁对理疗使用者健康的影响;(2) 在封锁期间管理对理疗服务的需求;(3) 在理疗咨询中引入协议和保护措施;(4) 治疗方法的改变;以及(5)物理治疗护理模式的未来期望。物理治疗师认为,封锁导致慢性病患者的功能下降,同时物理治疗服务减少。优先考虑被认为紧急的用户的困难变得显而易见,预防措施的纳入对治疗持续时间的影响因护理环境的不同而不同,而疫情促使使用远程康复。讨论:新冠疫情影响了慢性理疗使用者的功能状态,并使治疗时间、护理质量和分诊方案变得显而易见。在理疗方面,需要解决技术障碍,如数字素养、没有资源的家庭、依赖情况和文化障碍。
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引用次数: 0
Evidence-based practice in physiotherapy in Argentina: Barriers, perceptions and behaviors. 阿根廷理疗循证实践:障碍、认知和行为。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-07-07 DOI: 10.1002/pri.2034
Nicolás Bevacqua, Leonardo Intelangelo

Background and purpose: Evidence-based practice (EBP) has been widely implemented in different areas of biomedical sciences. However, no precedents in Argentina have investigated the data regarding the knowledge and difficulties related to EBP in physiotherapists. The purpose was to describe the self-reported behavior, knowledge, skills, opinion, and barriers related to the EBP of Argentinian physiotherapists.

Methods: A customized descriptive survey was conducted among 289 physical therapists in Argentina. The data were analyzed descriptively.

Results: The response rate was 56% (163/289). Argentinian physiotherapists update themselves through scientific articles, meetings, congresses, and courses. They reported having sufficient knowledge to use EBP, informing patients about treatment options, and considering their choices in the decision-making process. However, there were inconsistencies in responses regarding experience with EBP during undergraduate or postgraduate studies. The most frequently reported barriers were lack of time, difficulty in understanding statistics, and difficulties with the English language of scientific articles.

Discussion: EBP in Argentine physiotherapists is still poorly understood. Time, language, and difficulties in understanding statistics are the most important barriers to the implementation of EBP. Undergraduate and postgraduate courses are warranted to improve the clinical decision-making process.

背景和目的:循证医学在生物医学的各个领域得到了广泛的应用。然而,阿根廷没有先例调查理疗师关于循证医学知识和困难的数据。目的是描述阿根廷理疗师自我报告的与EBP相关的行为、知识、技能、意见和障碍。方法:对阿根廷289名物理治疗师进行了一项定制的描述性调查。对数据进行了描述性分析。结果:有效率为56%(163/289)。阿根廷物理治疗师通过科学文章、会议、大会和课程更新自己。他们报告说,他们有足够的知识来使用循证医学,告知患者治疗选择,并在决策过程中考虑他们的选择。然而,在本科生或研究生学习期间,关于EBP经验的回答存在不一致之处。据报道,最常见的障碍是缺乏时间、难以理解统计数据以及科学文章的英语语言困难。讨论:阿根廷理疗师对EBP的了解仍然很少。时间、语言和理解统计数据的困难是实施EBP的最重要障碍。本科生和研究生课程有助于改善临床决策过程。
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引用次数: 0
期刊
Physiotherapy Research International
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