首页 > 最新文献

Physiotherapy Research International最新文献

英文 中文
Devices to measure calf raise test outcomes: A narrative review. 测量小腿抬高测试结果的装置:叙述性综述。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-07-13 DOI: 10.1002/pri.2039
Ma Roxanne Fernandez, Kim Hébert-Losier
BACKGROUND The calf raise test (CRT) is commonly administered without a device in clinics to measure triceps surae muscle function. To standardise and objectively quantify outcomes, researchers use research-grade or customised CRT devices. To incorporate evidence-based practice and apply testing devices effectively in clinics, it is essential to understand their design, applicability, psychometric properties, strengths, and limitations. Therefore, this review identifies, summarises, and critically appraises the CRT devices used in science. METHODS Four electronic databases were searched in April 2022. Studies that used devices to measure unilateral CRT outcomes (i.e., number of repetitions, work, height) were included. RESULTS Thirty-five studies met inclusion, from which seven CRT devices were identified. Linear encoder (n = 18) was the most commonly used device, followed by laboratory equipment (n = 6) (three-dimensional motion capture and force plate). These measured the three CRT outcomes. Other devices used were electrogoniometer, Häggmark and Liedberg light beam device, Ankle Measure for Endurance and Strength (AMES), Haberometer, and custom-made. Devices were mostly used in healthy populations or Achilles tendon pathologies. AMES, Haberometer, and custom-made devices were the most clinician-friendly, but only quantified repetitions were completed. In late 2022, a computer vision mobile application appeared in the literature and offered clinicians a low-cost, research-grade alternative. CONCLUSION This review details seven devices used to measure CRT outcomes. The linear encoder is the most common in research and quantifies all three CRT outcomes. Recent advances in computer-vision provide a low-cost research-grade alternative to clinicians and researchers via a n iOS mobile application.
背景:在临床上,小腿抬高测试(CRT)通常在没有设备的情况下进行,以测量腓肠肌功能。为了标准化和客观量化结果,研究人员使用研究级或定制的CRT设备。为了将循证实践纳入临床并有效应用测试设备,了解其设计、适用性、心理测量特性、优势和局限性至关重要。因此,本综述对科学中使用的CRT设备进行了识别、总结和批判性评价。方法:于2022年4月检索4个电子数据库。包括使用设备测量单侧CRT结果(即重复次数、工作量、身高)的研究。结果:35项研究符合纳入标准,其中鉴定出7种CRT设备。线性编码器(n=18)是最常用的设备,其次是实验室设备(n=6)(三维运动捕捉和力板)。这些测量了三种CRT结果。其他使用的设备有电角度计、Häggmark和Liedberg光束设备、踝关节耐力和强度测量(AMES)、Haberometer和定制设备。器械主要用于健康人群或跟腱病变。AMES、Haberometer和定制设备对临床医生最友好,但只完成了定量重复。2022年末,一款计算机视觉移动应用出现在文献中,为临床医生提供了一种低成本的研究级替代方案。结论:本综述详细介绍了用于测量CRT结果的七种设备。线性编码器是研究中最常见的,可以量化所有三种CRT结果。计算机视觉的最新进展通过iOS移动应用程序为临床医生和研究人员提供了一种低成本的研究级替代方案。
{"title":"Devices to measure calf raise test outcomes: A narrative review.","authors":"Ma Roxanne Fernandez, Kim Hébert-Losier","doi":"10.1002/pri.2039","DOIUrl":"10.1002/pri.2039","url":null,"abstract":"BACKGROUND The calf raise test (CRT) is commonly administered without a device in clinics to measure triceps surae muscle function. To standardise and objectively quantify outcomes, researchers use research-grade or customised CRT devices. To incorporate evidence-based practice and apply testing devices effectively in clinics, it is essential to understand their design, applicability, psychometric properties, strengths, and limitations. Therefore, this review identifies, summarises, and critically appraises the CRT devices used in science. METHODS Four electronic databases were searched in April 2022. Studies that used devices to measure unilateral CRT outcomes (i.e., number of repetitions, work, height) were included. RESULTS Thirty-five studies met inclusion, from which seven CRT devices were identified. Linear encoder (n = 18) was the most commonly used device, followed by laboratory equipment (n = 6) (three-dimensional motion capture and force plate). These measured the three CRT outcomes. Other devices used were electrogoniometer, Häggmark and Liedberg light beam device, Ankle Measure for Endurance and Strength (AMES), Haberometer, and custom-made. Devices were mostly used in healthy populations or Achilles tendon pathologies. AMES, Haberometer, and custom-made devices were the most clinician-friendly, but only quantified repetitions were completed. In late 2022, a computer vision mobile application appeared in the literature and offered clinicians a low-cost, research-grade alternative. CONCLUSION This review details seven devices used to measure CRT outcomes. The linear encoder is the most common in research and quantifies all three CRT outcomes. Recent advances in computer-vision provide a low-cost research-grade alternative to clinicians and researchers via a n iOS mobile application.","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2039"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9778991","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
The relationship between Rating of Everyday Arm-use in the Community and Home (REACH) scale affected arm-use assessment, activity and participation after stroke. 社区和家庭日常手臂使用量表(REACH)之间的关系影响了中风后的手臂使用评估、活动和参与。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-10-01 Epub Date: 2023-04-27 DOI: 10.1002/pri.2010
Adebimpe O Obembe, Lisa A Simpson, Janice J Eng

Background and objectives: While arm function has been traditionally used as a primary goal for upper extremity rehabilitation post-stroke, we propose a simple measure of arm use, which may translate into better activities and participation. The aim was to determine the relationship between arm use and measures of activity and participation.

Methods: This was a cross-sectional study with evaluative components involving community-dwelling individuals with chronic stroke. The Rating of Everyday Arm-Use in the Community and Home (REACH) Scale was used to assess affected arm use, Barthel Index and activity domain of the Stroke Impact Scale (SIS) for activities, and participation domain of the SIS for participation. The participants were also asked if they resumed driving after the stroke.

Results: Forty-nine individuals (mean age = 70.3 ± 11.5 years, male sex = 51%) living with the effects of a stroke for at least 3 months participated in this study. There was a positive relationship between affected arm use and activities (Barthel Index score - rs  = 0.464; SIS activities - rs  = 0.686), participation (rs  = 0.479), and driving (rs  = 0.581). The Barthel Index scores were higher for individuals with dominant arm hemiparesis (p = 0.003) or left hemisphere lesions (p = 0.005). There was also greater arm use in left hemisphere lesions (p = 0.018).

Conclusions: Affected arm use in individuals with chronic stroke is related to activities and participation. Given the importance of arm use in activities and participation after stroke, rehabilitation therapists may consider utilizing the REACH Scale, a simple and quick outcome measure, as a means to assess arm use and implement effective interventions for improving arm use.

背景和目的:虽然手臂功能传统上被用作中风后上肢康复的主要目标,但我们提出了一种简单的手臂使用测量方法,它可以转化为更好的活动和参与。目的是确定使用武器与活动和参与措施之间的关系。方法:这是一项横断面研究,包含评估成分,涉及社区慢性中风患者。社区和家庭日常手臂使用量表(REACH)用于评估受影响的手臂使用,Barthel指数和卒中影响量表(SIS)的活动领域用于活动,SIS的参与领域用于参与。参与者还被问及他们是否在中风后恢复了驾驶。结果:49名受中风影响至少3个月的患者(平均年龄=70.3±11.5岁,男性=51%)参与了这项研究。受影响的手臂使用与活动呈正相关(Barthel指数得分-rs=0.464;SIS活动-rs=0.686)、参与度(rs=0.479)、,和驾驶(rs=0.581)。Barthel指数得分在显性手臂偏瘫(p=0.003)或左半球病变(p=0.005)的患者中更高。左半球病变中也有更多的手臂使用(p=0.018)。结论:慢性中风患者受影响的手臂使用与活动和参与有关。鉴于手臂使用在中风后活动和参与中的重要性,康复治疗师可以考虑使用REACH量表,这是一种简单快速的结果测量方法,作为评估手臂使用和实施有效干预措施以改善手臂使用的一种手段。
{"title":"The relationship between Rating of Everyday Arm-use in the Community and Home (REACH) scale affected arm-use assessment, activity and participation after stroke.","authors":"Adebimpe O Obembe,&nbsp;Lisa A Simpson,&nbsp;Janice J Eng","doi":"10.1002/pri.2010","DOIUrl":"10.1002/pri.2010","url":null,"abstract":"<p><strong>Background and objectives: </strong>While arm function has been traditionally used as a primary goal for upper extremity rehabilitation post-stroke, we propose a simple measure of arm use, which may translate into better activities and participation. The aim was to determine the relationship between arm use and measures of activity and participation.</p><p><strong>Methods: </strong>This was a cross-sectional study with evaluative components involving community-dwelling individuals with chronic stroke. The Rating of Everyday Arm-Use in the Community and Home (REACH) Scale was used to assess affected arm use, Barthel Index and activity domain of the Stroke Impact Scale (SIS) for activities, and participation domain of the SIS for participation. The participants were also asked if they resumed driving after the stroke.</p><p><strong>Results: </strong>Forty-nine individuals (mean age = 70.3 ± 11.5 years, male sex = 51%) living with the effects of a stroke for at least 3 months participated in this study. There was a positive relationship between affected arm use and activities (Barthel Index score - r<sub>s</sub>  = 0.464; SIS activities - r<sub>s</sub>  = 0.686), participation (r<sub>s</sub>  = 0.479), and driving (r<sub>s</sub>  = 0.581). The Barthel Index scores were higher for individuals with dominant arm hemiparesis (p = 0.003) or left hemisphere lesions (p = 0.005). There was also greater arm use in left hemisphere lesions (p = 0.018).</p><p><strong>Conclusions: </strong>Affected arm use in individuals with chronic stroke is related to activities and participation. Given the importance of arm use in activities and participation after stroke, rehabilitation therapists may consider utilizing the REACH Scale, a simple and quick outcome measure, as a means to assess arm use and implement effective interventions for improving arm use.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2010"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9349803","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
Habitual walking speed and fatigue explain self-reported functional capacity after stroke. 习惯性步行速度和疲劳可解释中风后自我报告的功能能力。
IF 1.5 Q3 REHABILITATION Pub Date : 2023-07-01 Epub Date: 2022-12-25 DOI: 10.1002/pri.1990
Janaine Cunha Polese, Thaís Bueno Dias Albuquerque, Iza Faria-Fortini, Luci Fuscaldi Teixeira-Salmela

Introduction: Individuals after stroke present several motor impairments, which reduced the functional capacity. The understanding of modifiable factors which are related to functional capacity in individuals with chronic stroke could better direct clinical practice. However, the mechanisms that could influence functional capacity in individuals with chronic stroke are not fully understood.

Objective: This study aimed to determine which modifiable variables would best predict self-reported functional capacity after stroke.

Design: Cross-sectional.

Setting: Research laboratory setting.

Participants: Ninety two individuals with chronic stroke, who had a mean age of 60 (SD 13) years and a time since the onset of the stroke of 52 (67) months.

Main outcome measures: Regression analysis of cross-sectional data was used to investigate whether body mass index, habitual walking speed, physical activity levels, fatigue, motor recovery, walking distance, and residual strength deficits of the lower limb muscles would predict self-reported functional capacity.

Results: Habitual walking speed alone explained 48% of the variance in functional capacity. When fatigue was included in the model, the explained variance increased to 55%.

Conclusions: Habitual walking speed and fatigue were significant predictors of self-reported functional capacity in individuals with chronic stroke. These individuals may increase their functional capacity with interventions aimed at increasing walking speed and reducing fatigue.

导言中风后的患者会出现多种运动障碍,从而降低功能能力。了解与慢性脑卒中患者功能相关的可改变因素可以更好地指导临床实践。然而,影响慢性脑卒中患者功能能力的机制尚未完全明了:本研究旨在确定哪些可调节变量最能预测中风后自我报告的功能能力:设计:横断面:参与者:92 名慢性中风患者主要结果测量:对横断面数据进行回归分析,研究体重指数、习惯性步行速度、体力活动水平、疲劳、运动恢复、步行距离和下肢肌肉残余力量缺陷是否能预测自我报告的功能能力:结果:仅习惯性步行速度就能解释功能能力变异的 48%。结论:习惯性步行速度和疲劳可解释功能能力变异的48%:结论:习惯性步行速度和疲劳是慢性中风患者自我报告功能能力的重要预测因素。这些人可以通过旨在提高步行速度和减少疲劳的干预措施来提高其功能能力。
{"title":"Habitual walking speed and fatigue explain self-reported functional capacity after stroke.","authors":"Janaine Cunha Polese, Thaís Bueno Dias Albuquerque, Iza Faria-Fortini, Luci Fuscaldi Teixeira-Salmela","doi":"10.1002/pri.1990","DOIUrl":"10.1002/pri.1990","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals after stroke present several motor impairments, which reduced the functional capacity. The understanding of modifiable factors which are related to functional capacity in individuals with chronic stroke could better direct clinical practice. However, the mechanisms that could influence functional capacity in individuals with chronic stroke are not fully understood.</p><p><strong>Objective: </strong>This study aimed to determine which modifiable variables would best predict self-reported functional capacity after stroke.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Research laboratory setting.</p><p><strong>Participants: </strong>Ninety two individuals with chronic stroke, who had a mean age of 60 (SD 13) years and a time since the onset of the stroke of 52 (67) months.</p><p><strong>Main outcome measures: </strong>Regression analysis of cross-sectional data was used to investigate whether body mass index, habitual walking speed, physical activity levels, fatigue, motor recovery, walking distance, and residual strength deficits of the lower limb muscles would predict self-reported functional capacity.</p><p><strong>Results: </strong>Habitual walking speed alone explained 48% of the variance in functional capacity. When fatigue was included in the model, the explained variance increased to 55%.</p><p><strong>Conclusions: </strong>Habitual walking speed and fatigue were significant predictors of self-reported functional capacity in individuals with chronic stroke. These individuals may increase their functional capacity with interventions aimed at increasing walking speed and reducing fatigue.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e1990"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10432003","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
Staff perspectives on the key elements to successful rapid uptake of telerehabilitation in medium-sized public hospital physiotherapy departments. 中型公立医院理疗科成功快速采用远程康复技术的关键因素之员工观点。
IF 1.5 Q3 REHABILITATION Pub Date : 2023-07-01 Epub Date: 2022-12-20 DOI: 10.1002/pri.1991
Megan H Ross, Mark Nelson, Vicki Parravicini, Matthew Weight, Ryan Tyrrell, Nicole Hartley, Trevor Russell

Background and purpose: During the COVID-19 pandemic, hospital physiotherapy departments transitioned to telerehabilitation to ensure continuity of care for patients. The purpose of this study is to determine the key elements to successful, rapid uptake of telerehabilitation in medium-sized public hospital physiotherapy departments in response to COVID-19.

Methods: This study used a qualitative design. Physiotherapists who delivered telerehabilitation consultations during the COVID-19 restriction period in two Brisbane public hospital physiotherapy departments were eligible to participate in semi-structured interviews. Data were analysed thematically.

Results: Twenty-five physiotherapists (22-60 years of age; 68% female) with 1-40 years of clinical experience provided insights into their perceptions of the rapid uptake of telerehabilitation in the provision of clinical care. Physiotherapists worked across musculoskeletal outpatient (72%), inpatient, community, paediatrics and pelvic health departments. Qualitative analyses in relation to the physiotherapist perceptions of the key elements of rapid transition to telerehabilitation, revealed four key themes underpinning success: (1) 'it requires a whole team approach', (2) 'technology issues will be encountered and can be overcome', (3) 'optimise the situation while understanding the differences' and (4) 'modifying your approach doesn't imply inferior quality of care'.

Conclusion: Rapid implementation of telerehabilitation in a hospital setting is possible, and is facilitated by organisational, administrative and management support, willingness of physiotherapists to adopt, shared learning experience, quality software and connection, availability of equipment and space and optimised systems and processes. Key factors facilitating successful telerehabilitation consultations include effective communication, demonstration, involving a third party to help, and clients who are well prepared and willing to engage.

背景和目的:在 COVID-19 大流行期间,医院物理治疗部门向远程康复过渡,以确保患者护理的连续性。本研究旨在确定中型公立医院物理治疗部门在应对 COVID-19 时成功、快速采用远程康复技术的关键因素:本研究采用定性设计。在 COVID-19 限制期内,布里斯班两家公立医院物理治疗部门提供远程康复咨询的物理治疗师有资格参加半结构化访谈。对数据进行了专题分析:25名拥有1-40年临床经验的物理治疗师(22-60岁;68%为女性)就他们对远程康复技术在临床治疗中的快速应用的看法发表了自己的见解。物理治疗师的工作范围包括肌肉骨骼门诊(72%)、住院、社区、儿科和骨盆健康部门。通过对物理治疗师对快速过渡到远程康复关键因素的看法进行定性分析,发现了成功的四个关键主题:(1)"这需要整个团队的共同努力";(2)"会遇到技术问题,但可以克服";(3)"在了解差异的同时优化情况";(4)"改变方法并不意味着降低护理质量":在医院环境中快速实施远程康复是可能的,组织、行政和管理方面的支持、物理治疗师采用的意愿、共同的学习经验、高质量的软件和连接、设备和空间的可用性以及优化的系统和流程都会促进远程康复的实施。促进远程康复会诊成功的关键因素包括有效的沟通、示范、第三方帮助以及客户做好充分准备并愿意参与。
{"title":"Staff perspectives on the key elements to successful rapid uptake of telerehabilitation in medium-sized public hospital physiotherapy departments.","authors":"Megan H Ross, Mark Nelson, Vicki Parravicini, Matthew Weight, Ryan Tyrrell, Nicole Hartley, Trevor Russell","doi":"10.1002/pri.1991","DOIUrl":"10.1002/pri.1991","url":null,"abstract":"<p><strong>Background and purpose: </strong>During the COVID-19 pandemic, hospital physiotherapy departments transitioned to telerehabilitation to ensure continuity of care for patients. The purpose of this study is to determine the key elements to successful, rapid uptake of telerehabilitation in medium-sized public hospital physiotherapy departments in response to COVID-19.</p><p><strong>Methods: </strong>This study used a qualitative design. Physiotherapists who delivered telerehabilitation consultations during the COVID-19 restriction period in two Brisbane public hospital physiotherapy departments were eligible to participate in semi-structured interviews. Data were analysed thematically.</p><p><strong>Results: </strong>Twenty-five physiotherapists (22-60 years of age; 68% female) with 1-40 years of clinical experience provided insights into their perceptions of the rapid uptake of telerehabilitation in the provision of clinical care. Physiotherapists worked across musculoskeletal outpatient (72%), inpatient, community, paediatrics and pelvic health departments. Qualitative analyses in relation to the physiotherapist perceptions of the key elements of rapid transition to telerehabilitation, revealed four key themes underpinning success: (1) 'it requires a whole team approach', (2) 'technology issues will be encountered and can be overcome', (3) 'optimise the situation while understanding the differences' and (4) 'modifying your approach doesn't imply inferior quality of care'.</p><p><strong>Conclusion: </strong>Rapid implementation of telerehabilitation in a hospital setting is possible, and is facilitated by organisational, administrative and management support, willingness of physiotherapists to adopt, shared learning experience, quality software and connection, availability of equipment and space and optimised systems and processes. Key factors facilitating successful telerehabilitation consultations include effective communication, demonstration, involving a third party to help, and clients who are well prepared and willing to engage.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e1991"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10462370","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
Short-term effectiveness of kinesio taping as therapeutic tool in conservative treatment of carpal tunnel syndrome: A systematic review and meta-analysis. 运动贴敷作为保守治疗腕管综合征的短期疗效:系统回顾和荟萃分析。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-06-02 DOI: 10.1002/pri.2026
Alberto Tomás-Escolar, Javier Merino-Andrés, Alberto Sánchez-Sierra, Javier Aceituno-Gómez, Juan José Fernández-Pérez

Background and purpose: Carpal tunnel syndrome is the most common peripheral neuropathy of the upper extremities and kinesio taping is one of the tools used as a complementary tool within the conventional treatment of carpal tunnel syndrome. To investigate the short-term effects of kinesio taping on pain, functionality, strength, and nerve conduction in subjects suffering from carpal tunnel syndrome.

Methods: Systematic review with meta-analysis. Seven electronic databases (MEDLINE-Pubmed, Web of Science, Scopus, Cochrane Library, PEDro, CINAHL, and SPORTDiscus) were searched for full-text articles published from inception to March 1st , 2023. Studies had to meet the following inclusion criteria: randomised clinical trials, including patients of legal age with mild, moderate, or severe symptoms of carpal tunnel syndrome without associated pathologies, and treating the studied body area with kinesio taping, whether or not in combination with other therapies. The DerSimonian and Laird method was employed using random effects models to calculate the pooled estimate of the effect size with confidence intervals of 95%. The risk of bias was assessed with the Cochrane Collaboration's tool and the Grading of Recommendations Assessment, Development and Evaluation approach was used to judge the certainty of the evidence for all outcomes.

Results: Thirteen studies were included, comprising 665 participants with carpal tunnel syndrome. This meta-analysis revealed a strong effect of kinesio taping on distal sensory latency and a weak effect on functionality and pain, while no significantly superior effects were found on the symptom severity, strength, or neurophysiological outcomes (distal motor latency and sensory conduction velocity) compared to other physical therapy techniques or untreated control group in the short term, with moderate-certainty evidence.

Discussion: Kinesio taping is a complementary tool to the conventional treatment of carpal tunnel syndrome that improves functionality, pain, and distal sensory latency in the short term.

背景和目的:腕管综合征是上肢最常见的周围神经病变,运动内固定术是腕管综合征常规治疗的辅助工具之一。目的:探讨肌内效贴贴对腕管综合征患者疼痛、功能、力量和神经传导的短期影响。方法:采用meta分析进行系统评价。在MEDLINE-Pubmed、Web of Science、Scopus、Cochrane Library、PEDro、CINAHL和SPORTDiscus等7个电子数据库中检索了从成立到2023年3月1日发表的全文文章。研究必须符合以下纳入标准:随机临床试验,包括具有轻度、中度或重度腕管综合征症状且无相关病理的法定年龄患者,以及用运动内旋贴治疗所研究的身体部位,无论是否与其他疗法联合使用。采用DerSimonian和Laird方法,采用随机效应模型计算效应大小的合并估计,置信区间为95%。使用Cochrane协作工具评估偏倚风险,并使用分级推荐评估、发展和评估方法来判断所有结果证据的确定性。结果:纳入13项研究,包括665名腕管综合征患者。这项荟萃分析显示,肌内效贴敷对远端感觉潜伏期有很强的影响,对功能和疼痛的影响较弱,而在症状严重程度、强度或神经生理结果(远端运动潜伏期和感觉传导速度)方面,与其他物理治疗技术或未治疗的对照组相比,在短期内没有发现明显的优势,有中等确定性证据。讨论:肌内效贴膜是腕管综合征常规治疗的补充工具,可在短期内改善功能、疼痛和远端感觉潜伏期。
{"title":"Short-term effectiveness of kinesio taping as therapeutic tool in conservative treatment of carpal tunnel syndrome: A systematic review and meta-analysis.","authors":"Alberto Tomás-Escolar,&nbsp;Javier Merino-Andrés,&nbsp;Alberto Sánchez-Sierra,&nbsp;Javier Aceituno-Gómez,&nbsp;Juan José Fernández-Pérez","doi":"10.1002/pri.2026","DOIUrl":"https://doi.org/10.1002/pri.2026","url":null,"abstract":"<p><strong>Background and purpose: </strong>Carpal tunnel syndrome is the most common peripheral neuropathy of the upper extremities and kinesio taping is one of the tools used as a complementary tool within the conventional treatment of carpal tunnel syndrome. To investigate the short-term effects of kinesio taping on pain, functionality, strength, and nerve conduction in subjects suffering from carpal tunnel syndrome.</p><p><strong>Methods: </strong>Systematic review with meta-analysis. Seven electronic databases (MEDLINE-Pubmed, Web of Science, Scopus, Cochrane Library, PEDro, CINAHL, and SPORTDiscus) were searched for full-text articles published from inception to March 1<sup>st</sup> , 2023. Studies had to meet the following inclusion criteria: randomised clinical trials, including patients of legal age with mild, moderate, or severe symptoms of carpal tunnel syndrome without associated pathologies, and treating the studied body area with kinesio taping, whether or not in combination with other therapies. The DerSimonian and Laird method was employed using random effects models to calculate the pooled estimate of the effect size with confidence intervals of 95%. The risk of bias was assessed with the Cochrane Collaboration's tool and the Grading of Recommendations Assessment, Development and Evaluation approach was used to judge the certainty of the evidence for all outcomes.</p><p><strong>Results: </strong>Thirteen studies were included, comprising 665 participants with carpal tunnel syndrome. This meta-analysis revealed a strong effect of kinesio taping on distal sensory latency and a weak effect on functionality and pain, while no significantly superior effects were found on the symptom severity, strength, or neurophysiological outcomes (distal motor latency and sensory conduction velocity) compared to other physical therapy techniques or untreated control group in the short term, with moderate-certainty evidence.</p><p><strong>Discussion: </strong>Kinesio taping is a complementary tool to the conventional treatment of carpal tunnel syndrome that improves functionality, pain, and distal sensory latency in the short term.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2026"},"PeriodicalIF":1.7,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9569321","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
Physiotherapy strategies for functional improvement in a child with complicated hereditary spastic paraplegia: 1-year follow-up of a case report using a changing criterion design. 复杂遗传性痉挛性截瘫患儿功能改善的物理治疗策略:使用改变标准设计的1年随访病例报告。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-04-14 DOI: 10.1002/pri.2006
Ji-Young Choi, Duck-Won Oh, Sung-Min Son, Chang-Ju Kim

Background: and Purpose: Hereditary spastic paraplegias (HSP) are a group of clinically diverse genetic disorders that share the neurologic symptom of difficulty in walking due to progressive serious muscle weakness and spasticity in the legs. This study describes a physiotherapy program for improving the functional ability of a child diagnosed with complicated HSP and reports the treatment results.

Methods: A 10-year-old boy with complicated HSP received a physiotherapy intervention that included strengthening of the leg muscles and treadmill training for 1 h per session, three to four times a week for 6 weeks. Outcome measures included sit-to-stand, 10-m walk, 1-min walk tests, and gross motor function measures (dimensions D and E).

Results: After the intervention, the sit-to-stand, 1-min walk, and 10-m walk test scores improved by 6.75 times, 2.57 m, and 0.05 m/s, respectively. Furthermore, the gross motor function measure dimensions D and E scores improved by 8% (46%-54%) and 5% (22%-27%), respectively. The gains in each parameter were maintained at the 3- and 6-month and 1-year follow-ups.

Conclusion: These results suggest that structured physiotherapy programs can benefit the functional rehabilitation of children with complicated HSP.

背景和目的:遗传性痉挛性截瘫(HSP)是一组临床多样的遗传性疾病,其共同的神经系统症状是由于进行性严重肌肉无力和腿部痉挛而导致行走困难。本研究描述了一种物理治疗方案,用于改善诊断为复杂热休克的儿童的功能能力,并报告了治疗结果。方法:一名患有复杂HSP的10岁男孩接受物理治疗干预,包括腿部肌肉强化和跑步机训练,每次1小时,每周3至4次,持续6周。结果测量包括坐立、10米步行、1分钟步行测试和大运动功能测试(维度D和E)。结果:干预后,坐立、1分钟步行和10米步行测试得分分别提高了6.75倍、2.57米和0.05米/秒。此外,大运动功能测量维度D和E得分分别提高了8%(46%-54%)和5%(22%-27%)。在3个月、6个月和1年的随访中,各参数的增加保持不变。结论:有组织的物理治疗方案有利于复杂HSP患儿的功能康复。
{"title":"Physiotherapy strategies for functional improvement in a child with complicated hereditary spastic paraplegia: 1-year follow-up of a case report using a changing criterion design.","authors":"Ji-Young Choi,&nbsp;Duck-Won Oh,&nbsp;Sung-Min Son,&nbsp;Chang-Ju Kim","doi":"10.1002/pri.2006","DOIUrl":"https://doi.org/10.1002/pri.2006","url":null,"abstract":"<p><strong>Background: </strong>and Purpose: Hereditary spastic paraplegias (HSP) are a group of clinically diverse genetic disorders that share the neurologic symptom of difficulty in walking due to progressive serious muscle weakness and spasticity in the legs. This study describes a physiotherapy program for improving the functional ability of a child diagnosed with complicated HSP and reports the treatment results.</p><p><strong>Methods: </strong>A 10-year-old boy with complicated HSP received a physiotherapy intervention that included strengthening of the leg muscles and treadmill training for 1 h per session, three to four times a week for 6 weeks. Outcome measures included sit-to-stand, 10-m walk, 1-min walk tests, and gross motor function measures (dimensions D and E).</p><p><strong>Results: </strong>After the intervention, the sit-to-stand, 1-min walk, and 10-m walk test scores improved by 6.75 times, 2.57 m, and 0.05 m/s, respectively. Furthermore, the gross motor function measure dimensions D and E scores improved by 8% (46%-54%) and 5% (22%-27%), respectively. The gains in each parameter were maintained at the 3- and 6-month and 1-year follow-ups.</p><p><strong>Conclusion: </strong>These results suggest that structured physiotherapy programs can benefit the functional rehabilitation of children with complicated HSP.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2006"},"PeriodicalIF":1.7,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9360031","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
Survey of physicians' and physiotherapists' ankle muscle strength assessment practices for safe return to sports after lateral ankle sprain: A short report. 调查医生和物理治疗师踝关节肌肉力量评估实践安全回归踝关节外侧扭伤后:一个简短的报告。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-04-12 DOI: 10.1002/pri.2008
Aude Aguilaniu, François Delvaux, Cédric Schwartz, Géraldine Martens, Bénédicte Forthomme, Jean-François Kaux, Jean-Louis Croisier

Background and purpose: Ankle muscle strength is an important criterion to consider and assess for return to play (RTP) after lateral ankle sprain (LAS). This study therefore focuses on the reported ankle muscle strength consideration for RTP by physicians and physiotherapists, both clinicians involved in RTP decisions, and how they assess it in daily practice. The primary aim is to compare reported clinical practice on ankle muscle strength evaluation between physicians and physiotherapists. Our secondary aims are: to assess the prevalence of use of qualitative versus quantitative assessment and; to determine if there are any differences in how clinicians with or without a Sports Medicine or Physiotherapy Education approach this assessment.

Methods: A survey on RTP criteria after LAS was completed by 109 physicians in a previous study. A number of 103 physiotherapists completed the same survey. A comparison between clinicians' answers was realized and additional questions on ankle muscle strength were analysed.

Results: Physiotherapists consider ankle strength for RTP more than physicians (p < 0.001). A large majority of physicians (93%) and physiotherapists (92%) reported assessing ankle strength manually and less than 10% use a dynamometer. Physicians and physiotherapists with Sports Medicine or Physiotherapy Education selected more quantitative assessment than those without (p < 0.001).

Discussion: Despite being recognized as an important criterion, ankle muscle strength is not always part of the RTP criteria after LAS in daily practice. The dynamometers are scarcely used by physicians and physiotherapists, whereas it could accurately quantify ankle strength deficits. Sports Medicine or Physiotherapy Education increases the use of quantitative ankle strength assessments by clinicians.

背景与目的:踝关节肌肉力量是考虑和评估踝关节外侧扭伤(LAS)后能否恢复比赛的重要标准。因此,本研究的重点是医生和物理治疗师对RTP的踝关节肌肉力量的考虑,他们都是参与RTP决策的临床医生,以及他们如何在日常实践中评估RTP。主要目的是比较医生和物理治疗师之间踝关节肌肉力量评估的临床实践报告。我们的次要目标是:评估使用定性与定量评估的普遍程度;以确定有无运动医学或物理治疗教育的临床医生进行评估的方法是否存在差异。方法:对109名临床医师进行LAS术后RTP标准调查。103名物理治疗师完成了同样的调查。对临床医生的回答进行比较,并对踝关节肌力的附加问题进行分析。结果:物理治疗师比医生更重视踝关节力量对RTP的影响(p讨论:尽管踝关节肌肉力量被认为是一个重要的标准,但在日常实践中,踝关节肌肉力量并不总是RTP标准的一部分。这种测力计很少被内科医生和物理治疗师使用,但它可以准确地量化踝关节力量不足。运动医学或物理治疗教育增加了临床医生定量踝关节力量评估的使用。
{"title":"Survey of physicians' and physiotherapists' ankle muscle strength assessment practices for safe return to sports after lateral ankle sprain: A short report.","authors":"Aude Aguilaniu,&nbsp;François Delvaux,&nbsp;Cédric Schwartz,&nbsp;Géraldine Martens,&nbsp;Bénédicte Forthomme,&nbsp;Jean-François Kaux,&nbsp;Jean-Louis Croisier","doi":"10.1002/pri.2008","DOIUrl":"https://doi.org/10.1002/pri.2008","url":null,"abstract":"<p><strong>Background and purpose: </strong>Ankle muscle strength is an important criterion to consider and assess for return to play (RTP) after lateral ankle sprain (LAS). This study therefore focuses on the reported ankle muscle strength consideration for RTP by physicians and physiotherapists, both clinicians involved in RTP decisions, and how they assess it in daily practice. The primary aim is to compare reported clinical practice on ankle muscle strength evaluation between physicians and physiotherapists. Our secondary aims are: to assess the prevalence of use of qualitative versus quantitative assessment and; to determine if there are any differences in how clinicians with or without a Sports Medicine or Physiotherapy Education approach this assessment.</p><p><strong>Methods: </strong>A survey on RTP criteria after LAS was completed by 109 physicians in a previous study. A number of 103 physiotherapists completed the same survey. A comparison between clinicians' answers was realized and additional questions on ankle muscle strength were analysed.</p><p><strong>Results: </strong>Physiotherapists consider ankle strength for RTP more than physicians (p < 0.001). A large majority of physicians (93%) and physiotherapists (92%) reported assessing ankle strength manually and less than 10% use a dynamometer. Physicians and physiotherapists with Sports Medicine or Physiotherapy Education selected more quantitative assessment than those without (p < 0.001).</p><p><strong>Discussion: </strong>Despite being recognized as an important criterion, ankle muscle strength is not always part of the RTP criteria after LAS in daily practice. The dynamometers are scarcely used by physicians and physiotherapists, whereas it could accurately quantify ankle strength deficits. Sports Medicine or Physiotherapy Education increases the use of quantitative ankle strength assessments by clinicians.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2008"},"PeriodicalIF":1.7,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283355","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-cultural translation and adaptation of the Danish version of the brief version of the 10-item Big Five Inventory. 跨文化翻译和改编丹麦版的十项大五量表的简要版本。
IF 1.7 Q3 REHABILITATION Pub Date : 2023-04-06 DOI: 10.1002/pri.2004
Thorvaldur Skuli Palsson, Søren Thorgaard Skou, Morten Haugaard Pape, Rogerio Pessoto Hirata, Trine Rafn, Pablo Bellosta-López, Steffan Wittrup McPhee Christensen

Background: Personality traits are associated with pain-related beliefs and coping strategies, and different chronic conditions are linked through specific personality profiles. This highlights the importance of having valid and reliable measures of personality traits for use in clinical and research settings when assessing patients in chronic pain.

Purpose: To translate and cross-culturally adapt the 10-item Big Five Inventory (BFI-10) into Danish.

Methods: A bilingual expert panel (N = 4) and a panel of laymen (N = 8) translated and culturally adapted the questionnaire into Danish. Face validity was evaluated in a group of persons suffering from recurring or ongoing painful conditions (N = 9). Data were collected to evaluate the internal consistency, test-retest reliability and factor structure (N = 96).

Results: Some of the participants in the lay panel considered the questionnaire too short, considering its aim of assessing personality. Acceptable internal consistency was found for two out of five subscales (0.78 for both Extraversion and Neuroticism), while the internal consistency was non-acceptable for the remaining subscales (0.17-0.45). Test-retest reliability was acceptable for three subscales (0.80 for Neuroticism, 0.84 for Conscientiousness, and 0.85 for Extraversion). Assumptions for determining the factor structure were not met and therefore was this analysis omitted.

Discussion: Although face valid, only two out of five subscales had acceptable internal consistency and only three subscales had acceptable test-retest reliability. These findings indicate that interpreting findings regarding personality using the Danish BFI-10 should be done with caution.

背景:人格特征与疼痛相关的信念和应对策略有关,不同的慢性疾病通过特定的人格特征联系在一起。这突出了在临床和研究中评估慢性疼痛患者时,有效和可靠的人格特征测量方法的重要性。目的:将十项大五量表(BFI-10)翻译成丹麦语并进行跨文化适应。方法:一个双语专家小组(N = 4)和一个外行小组(N = 8)将问卷翻译成丹麦语并进行文化调整。对一组反复或持续疼痛的患者(N = 9)进行面部效度评估。收集数据以评估内部一致性、重测信度和因素结构(N = 96)。结果:一些外行小组的参与者认为问卷太短,考虑到其评估人格的目的。五个子量表中有两个的内部一致性是可接受的(外向性和神经质性都是0.78),而其余子量表的内部一致性是不可接受的(0.17-0.45)。三个分量表的重测信度是可接受的(神经质0.80,尽责性0.84,外向性0.85)。确定因素结构的假设不满足,因此该分析被省略。讨论:虽然表面有效,但五个子量表中只有两个具有可接受的内部一致性,只有三个子量表具有可接受的测试-重测信度。这些发现表明,使用丹麦BFI-10来解释有关人格的发现应该谨慎。
{"title":"Cross-cultural translation and adaptation of the Danish version of the brief version of the 10-item Big Five Inventory.","authors":"Thorvaldur Skuli Palsson,&nbsp;Søren Thorgaard Skou,&nbsp;Morten Haugaard Pape,&nbsp;Rogerio Pessoto Hirata,&nbsp;Trine Rafn,&nbsp;Pablo Bellosta-López,&nbsp;Steffan Wittrup McPhee Christensen","doi":"10.1002/pri.2004","DOIUrl":"https://doi.org/10.1002/pri.2004","url":null,"abstract":"<p><strong>Background: </strong>Personality traits are associated with pain-related beliefs and coping strategies, and different chronic conditions are linked through specific personality profiles. This highlights the importance of having valid and reliable measures of personality traits for use in clinical and research settings when assessing patients in chronic pain.</p><p><strong>Purpose: </strong>To translate and cross-culturally adapt the 10-item Big Five Inventory (BFI-10) into Danish.</p><p><strong>Methods: </strong>A bilingual expert panel (N = 4) and a panel of laymen (N = 8) translated and culturally adapted the questionnaire into Danish. Face validity was evaluated in a group of persons suffering from recurring or ongoing painful conditions (N = 9). Data were collected to evaluate the internal consistency, test-retest reliability and factor structure (N = 96).</p><p><strong>Results: </strong>Some of the participants in the lay panel considered the questionnaire too short, considering its aim of assessing personality. Acceptable internal consistency was found for two out of five subscales (0.78 for both Extraversion and Neuroticism), while the internal consistency was non-acceptable for the remaining subscales (0.17-0.45). Test-retest reliability was acceptable for three subscales (0.80 for Neuroticism, 0.84 for Conscientiousness, and 0.85 for Extraversion). Assumptions for determining the factor structure were not met and therefore was this analysis omitted.</p><p><strong>Discussion: </strong>Although face valid, only two out of five subscales had acceptable internal consistency and only three subscales had acceptable test-retest reliability. These findings indicate that interpreting findings regarding personality using the Danish BFI-10 should be done with caution.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2004"},"PeriodicalIF":1.7,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9245721","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
Exergaming in the treatment of gait, balance, and quality of life in Parkinson's disease: Overview of systematic reviews. 运动治疗帕金森病的步态、平衡和生活质量:系统综述
IF 1.7 Q3 REHABILITATION Pub Date : 2023-04-06 DOI: 10.1002/pri.2002
Poliany Silva Rocha, Bianca Brenda Leite de Sousa, Marco D'Amelio, José Eduardo Pompeu, Patrícia Azevedo Garcia, Josevan Cerqueira Leal, Felipe Augusto Dos Santos Mendes

Introduction: Postural instability and gait impairments are common in people with PD, both of which have a negative effect on their quality of life. Systematic reviews have demonstrated benefits of using exergaming in enhancing these outcomes. However, there is no consensus over whether exergaming therapy is better than conventional physical therapy for enhancing gait, balance, and quality of life.

Objectives: The aim of this overview is to systematically synthesize and evaluate the available evidence found in published systematic reviews and meta-analyses, on the effects of exergaming therapy on balance, gait, and quality of life, compared to conventional physical therapy or no intervention.

Methods: This overview was reported in accordance with the statement of Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). A comprehensive search was carried out in nine databases. Two reviewers independently extracted data using a standardized forms and the search strategy included terms related to intervention, population, and study type. The methodological quality of the included systematic reviews/meta-analysis (SRs/Mas) was evaluated using the "A Measurement Tool to Assess Systematic Reviews 2" (AMSTAR-2). The "Grading of Recommendations Assessment, Development and Evaluation" (GRADE) was used to assess the quality of the evidence. The risk of bias assessment was performed using the "Risk Of Bias In Systematic Reviews" (ROBIS). PROSPERO registration number: CRD42021238131.

Results: 112 SRs/MAs were found and nine of them were selected. Six reviews were rated as very low methodological quality and three reviews as low methodological quality. Five reviews were classified with low risk of bias and four reviews with high risk of bias. Most of the SR/MAs demonstrated significant effects on balance favoring exergaming therapy over conventional therapy, however those studies had been rated as very low quality of evidence. Inconclusive results were found for the quality of life and gait outcomes.

Conclusion: Exergaming therapy shows promise for the rehabilitation of PD. However, this overview was unable to conclude with certainty that exergaming therapy is superior to conventional physical therapy in improving gait, balance, or quality of life in people with PD. The effectiveness of exergaming therapy in the treatment of people with PD still need to be verified by high-quality studies.

姿势不稳定和步态障碍在PD患者中很常见,两者都对他们的生活质量产生负面影响。系统评价已经证明了使用练习在提高这些结果方面的好处。然而,对于运动疗法是否比传统物理疗法更好地改善步态、平衡和生活质量,尚无共识。目的:本综述的目的是系统地综合和评估在已发表的系统综述和荟萃分析中发现的关于运动治疗对平衡、步态和生活质量的影响的现有证据,与传统物理治疗或无干预治疗相比。方法:本综述按照系统评价和荟萃分析首选报告项目(PRISMA)的声明进行报道。在9个数据库中进行了全面的检索。两位审稿人使用标准化表格独立提取数据,搜索策略包括与干预、人群和研究类型相关的术语。采用“评估系统评价2的测量工具”(AMSTAR-2)对纳入的系统评价/荟萃分析(SRs/Mas)的方法学质量进行评估。“建议评估、发展和评价分级”(GRADE)用于评估证据的质量。偏倚风险评估采用“系统评价中的偏倚风险”(ROBIS)。普洛斯彼罗注册号:CRD42021238131。结果:共发现ssr /MAs 112例,筛选出9例。6篇综述被评为非常低的方法学质量,3篇综述被评为低方法学质量。5篇综述被分类为低偏倚风险,4篇综述被分类为高偏倚风险。大多数SR/MAs在平衡方面表现出比传统疗法更倾向于运动疗法的显著效果,然而这些研究被评为证据质量非常低。生活质量和步态结果尚无定论。结论:运动疗法对帕金森病的康复有良好的疗效。然而,这一综述并不能确定运动疗法在改善PD患者的步态、平衡或生活质量方面优于传统物理疗法。运动疗法治疗PD患者的有效性仍需要高质量的研究来验证。
{"title":"Exergaming in the treatment of gait, balance, and quality of life in Parkinson's disease: Overview of systematic reviews.","authors":"Poliany Silva Rocha,&nbsp;Bianca Brenda Leite de Sousa,&nbsp;Marco D'Amelio,&nbsp;José Eduardo Pompeu,&nbsp;Patrícia Azevedo Garcia,&nbsp;Josevan Cerqueira Leal,&nbsp;Felipe Augusto Dos Santos Mendes","doi":"10.1002/pri.2002","DOIUrl":"https://doi.org/10.1002/pri.2002","url":null,"abstract":"<p><strong>Introduction: </strong>Postural instability and gait impairments are common in people with PD, both of which have a negative effect on their quality of life. Systematic reviews have demonstrated benefits of using exergaming in enhancing these outcomes. However, there is no consensus over whether exergaming therapy is better than conventional physical therapy for enhancing gait, balance, and quality of life.</p><p><strong>Objectives: </strong>The aim of this overview is to systematically synthesize and evaluate the available evidence found in published systematic reviews and meta-analyses, on the effects of exergaming therapy on balance, gait, and quality of life, compared to conventional physical therapy or no intervention.</p><p><strong>Methods: </strong>This overview was reported in accordance with the statement of Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). A comprehensive search was carried out in nine databases. Two reviewers independently extracted data using a standardized forms and the search strategy included terms related to intervention, population, and study type. The methodological quality of the included systematic reviews/meta-analysis (SRs/Mas) was evaluated using the \"A Measurement Tool to Assess Systematic Reviews 2\" (AMSTAR-2). The \"Grading of Recommendations Assessment, Development and Evaluation\" (GRADE) was used to assess the quality of the evidence. The risk of bias assessment was performed using the \"Risk Of Bias In Systematic Reviews\" (ROBIS). PROSPERO registration number: CRD42021238131.</p><p><strong>Results: </strong>112 SRs/MAs were found and nine of them were selected. Six reviews were rated as very low methodological quality and three reviews as low methodological quality. Five reviews were classified with low risk of bias and four reviews with high risk of bias. Most of the SR/MAs demonstrated significant effects on balance favoring exergaming therapy over conventional therapy, however those studies had been rated as very low quality of evidence. Inconclusive results were found for the quality of life and gait outcomes.</p><p><strong>Conclusion: </strong>Exergaming therapy shows promise for the rehabilitation of PD. However, this overview was unable to conclude with certainty that exergaming therapy is superior to conventional physical therapy in improving gait, balance, or quality of life in people with PD. The effectiveness of exergaming therapy in the treatment of people with PD still need to be verified by high-quality studies.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2002"},"PeriodicalIF":1.7,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9257697","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: 1
Estimating cardiopulmonary fitness with a new sampling technology in patients with rheumatoid arthritis-associated interstitial lung disease. 用一种新的采样技术估计类风湿关节炎相关间质性肺疾病患者的心肺适能
IF 1.7 Q3 REHABILITATION Pub Date : 2023-04-06 DOI: 10.1002/pri.2005
Rafael Alexandre de Oliveira Deucher, Luis Felipe da Fonseca Reis, Jannis Vasileios Papathanasiou, Beatriz Luiza Pinheiro Alves Azevedo, Jéssica Gabriela Messias Oliveira, Matheus Mello da Silva, Rayanne Costa de Sales, Beatriz Pereira Dos Santos, Arthur de Sá Ferreira, Agnaldo José Lopes

Background and objectives: Although peak oxygen uptake (VO2peak ) is one of the most important measures in clinical practice, the high cost and time consumption have led to the search for simpler devices and the development of the estimating cardiopulmonary fitness (eCPF) equation. Since the lungs are one of the sites most affected by rheumatoid arthritis (RA), this study aimed to create a predictive equation for VO2peak obtained by simple sampling technology in women with RA-associated interstitial lung disease (RA-ILD).

Methods: This cross-sectional study evaluated 47 women with RA-ILD. The participants underwent the following evaluations: computed tomography (CT); evaluation of disease activity through the Clinical Disease Activity Index (CDAI); measurement of physical function using the Health Assessment Questionnaire disability index (HAQ-DI); pulmonary function testing, including spirometry, diffusing capacity for carbon monoxide (DlCO ), nitrogen single-breath washout (N2 SBW) test, and impulse oscillometry; and cardiopulmonary exercise testing (CPET) using FitMate™.

Results: VO2peak was correlated with age (r = -0.550, p < 0.0001), rheumatoid factor (r = -0.443, p = 0.002), anti-cyclic citrullinated peptide antibodies (r = -0.410, p = 0.004), CDAI (r = -0.462, p = 0.001), HAD-DI (r = -0.486, p = 0.0005), forced vital capacity (r = 0.491, p = 0.0004), DlCO (r = 0.621, p < 0.0001), phase III slope of N2 SBW (r = -0.647, p < 0.0001), resonance frequency (Fres , r = -0.717, p < 0.0001), integrated low-frequency reactance (r = -0.535, p = 0.0001), and the inhomogeneity of respiratory system resistance between 4 and 20 Hz (r = -0.631, p < 0.0001). In the CT examination, patients with extensive ILD had significantly lower VO2peak than patients with limited ILD (p < 0.0001). In the stepwise forward regression analysis, Fres , DlCO and age explained 61% of the VO2peak variability.

Conclusions: As assessed by CPET, women with RA-ILD show reduced cardiopulmonary fitness, which can be explained at least in part by the presence of small airway disease, deterioration of pulmonary gas exchange, and advanced age. These associations of pulmonary variables with eCPF may be clinically important and support the use of the eCPF equation to improve patient outcomes.

背景和目的:虽然峰值摄氧量(VO2peak)是临床实践中最重要的测量方法之一,但高昂的成本和时间消耗导致人们寻求更简单的设备和估计心肺适能(eCPF)方程的发展。由于肺部是受类风湿关节炎(RA)影响最严重的部位之一,本研究旨在建立通过简单采样技术获得的类风湿关节炎相关间质性肺病(RA- ild)女性VO2peak的预测方程。方法:本横断面研究评估了47例RA-ILD患者。参与者接受了以下评估:计算机断层扫描(CT);通过临床疾病活动性指数(CDAI)评价疾病活动性;用健康评估问卷残疾指数(HAQ-DI)测量身体机能;肺功能检测,包括肺活量测定、一氧化碳弥散量(DlCO)、氮单呼吸冲洗(N2 SBW)试验和脉冲振荡测定;使用FitMate™进行心肺运动测试(CPET)。结果:VO2peak与年龄相关(r = -0.550, p CO (r = 0.621, p SBW (r = -0.647, p res, r = -0.717), p 2peak比有限ILD患者(p res, DlCO和年龄解释了61%的VO2peak变异。结论:根据CPET评估,RA-ILD患者的心肺功能降低,这至少可以部分解释为存在小气道疾病、肺气体交换恶化和高龄。这些肺变量与eCPF的关联可能具有重要的临床意义,并支持使用eCPF方程来改善患者的预后。
{"title":"Estimating cardiopulmonary fitness with a new sampling technology in patients with rheumatoid arthritis-associated interstitial lung disease.","authors":"Rafael Alexandre de Oliveira Deucher,&nbsp;Luis Felipe da Fonseca Reis,&nbsp;Jannis Vasileios Papathanasiou,&nbsp;Beatriz Luiza Pinheiro Alves Azevedo,&nbsp;Jéssica Gabriela Messias Oliveira,&nbsp;Matheus Mello da Silva,&nbsp;Rayanne Costa de Sales,&nbsp;Beatriz Pereira Dos Santos,&nbsp;Arthur de Sá Ferreira,&nbsp;Agnaldo José Lopes","doi":"10.1002/pri.2005","DOIUrl":"https://doi.org/10.1002/pri.2005","url":null,"abstract":"<p><strong>Background and objectives: </strong>Although peak oxygen uptake (VO<sub>2peak</sub> ) is one of the most important measures in clinical practice, the high cost and time consumption have led to the search for simpler devices and the development of the estimating cardiopulmonary fitness (eCPF) equation. Since the lungs are one of the sites most affected by rheumatoid arthritis (RA), this study aimed to create a predictive equation for VO<sub>2peak</sub> obtained by simple sampling technology in women with RA-associated interstitial lung disease (RA-ILD).</p><p><strong>Methods: </strong>This cross-sectional study evaluated 47 women with RA-ILD. The participants underwent the following evaluations: computed tomography (CT); evaluation of disease activity through the Clinical Disease Activity Index (CDAI); measurement of physical function using the Health Assessment Questionnaire disability index (HAQ-DI); pulmonary function testing, including spirometry, diffusing capacity for carbon monoxide (Dl<sub>CO</sub> ), nitrogen single-breath washout (N<sub>2</sub> SBW) test, and impulse oscillometry; and cardiopulmonary exercise testing (CPET) using FitMate™.</p><p><strong>Results: </strong>VO<sub>2peak</sub> was correlated with age (r = -0.550, p < 0.0001), rheumatoid factor (r = -0.443, p = 0.002), anti-cyclic citrullinated peptide antibodies (r = -0.410, p = 0.004), CDAI (r = -0.462, p = 0.001), HAD-DI (r = -0.486, p = 0.0005), forced vital capacity (r = 0.491, p = 0.0004), Dl<sub>CO</sub> (r = 0.621, p < 0.0001), phase III slope of N<sub>2</sub> SBW (r = -0.647, p < 0.0001), resonance frequency (F<sub>res</sub> , r = -0.717, p < 0.0001), integrated low-frequency reactance (r = -0.535, p = 0.0001), and the inhomogeneity of respiratory system resistance between 4 and 20 Hz (r = -0.631, p < 0.0001). In the CT examination, patients with extensive ILD had significantly lower VO<sub>2peak</sub> than patients with limited ILD (p < 0.0001). In the stepwise forward regression analysis, F<sub>res</sub> , Dl<sub>CO</sub> and age explained 61% of the VO<sub>2peak</sub> variability.</p><p><strong>Conclusions: </strong>As assessed by CPET, women with RA-ILD show reduced cardiopulmonary fitness, which can be explained at least in part by the presence of small airway disease, deterioration of pulmonary gas exchange, and advanced age. These associations of pulmonary variables with eCPF may be clinically important and support the use of the eCPF equation to improve patient outcomes.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":" ","pages":"e2005"},"PeriodicalIF":1.7,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9253715","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: 1
期刊
Physiotherapy Research International
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