Pub Date : 2025-10-01Epub Date: 2025-09-25DOI: 10.1016/j.jphys.2025.09.014
Sue Peters
{"title":"Appraisal of Clinical Practice Guideline: European Stroke Organisation (ESO) guideline on motor rehabilitation","authors":"Sue Peters","doi":"10.1016/j.jphys.2025.09.014","DOIUrl":"10.1016/j.jphys.2025.09.014","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 4","pages":"Page 283"},"PeriodicalIF":9.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-22DOI: 10.1016/j.jphys.2025.09.004
Makayla Pinna , Ellen Castle , Vinicius Cavalheri , Kylie Hill
Question
How much do interventions other than prescribed pharmacology or exercise training change dyspnoea and health-related quality of life in adults with stable chronic lung disease?
Design
Systematic review with meta-analysis.
Participants
Adults with a chronic lung disease.
Intervention and follow-up
Any non-pharmacological intervention, other than exercise training, applied to reduce dyspnoea or improve health-related quality of life.
Outcome measures
Dyspnoea, measured at rest, on exertion or during daily activities, and health-related quality of life measured using a validated questionnaire.
Data sources
CINAHL, PEDro, PubMed and EMBASE were searched. Studies were included if they had at least one group that was prescribed a non-pharmacological intervention other than exercise training, and at least one group that received usual care.
Results
Thirteen randomised controlled trials and two randomised cross-over trials met the study criteria. For adults with obstructive lung diseases, low quality evidence suggests that pursed lip breathing may result in a moderate reduction in dyspnoea when measured within 3 months of treatment initiation (SMD –0.45), although the effect may be substantially larger or smaller (95% CI –0.87 to –0.04). Similarly, breathing re-training may result in small to moderate improvements in health-related quality of life when measured ≥ 3 months following treatment initiation (SMD –0.31, 95% CI –0.48 to –0.14).
Conclusion
In adults with chronic lung diseases, there is low quality evidence that breathing techniques may reduce dyspnoea and improve health-related quality of life.
Registration
CRD42024491524.
问题：除处方药物或运动训练外，干预措施在多大程度上改变了成人稳定慢性肺病患者的呼吸困难和健康相关的生活质量？设计：采用荟萃分析的系统评价。参与者：患有慢性肺病的成年人。干预和随访：除运动训练外，用于减轻呼吸困难或改善健康相关生活质量的任何非药物干预。结果测量：呼吸困难，在休息、运动或日常活动时测量，健康相关生活质量使用有效问卷测量。数据来源：检索CINAHL、PEDro、PubMed、EMBASE。如果研究中至少有一组患者接受了除运动训练以外的非药物干预，并且至少有一组患者接受了常规护理，那么这些研究就会被纳入其中。结果：13项随机对照试验和2项随机交叉试验符合研究标准。对于患有阻塞性肺疾病的成人，低质量证据表明，在治疗开始后3个月内测量时，收唇呼吸可能导致呼吸困难的中度减轻（SMD -0.45），尽管效果可能大大增加或减少（95% CI -0.87至-0.04）。同样，当治疗开始后≥3个月测量时，呼吸再训练可能导致健康相关生活质量的小到中度改善（SMD -0.31, 95% CI -0.48至-0.14）。结论：在成人慢性肺病患者中，有低质量的证据表明呼吸技术可以减轻呼吸困难并改善与健康相关的生活质量。注册:CRD42024491524。
{"title":"Among non-pharmacological interventions, breathing strategies reduce dyspnoea and improve quality of life in adults with stable chronic lung disease: a systematic review","authors":"Makayla Pinna , Ellen Castle , Vinicius Cavalheri , Kylie Hill","doi":"10.1016/j.jphys.2025.09.004","DOIUrl":"10.1016/j.jphys.2025.09.004","url":null,"abstract":"<div><h3>Question</h3><div>How much do interventions other than prescribed pharmacology or exercise training change dyspnoea and health-related quality of life in adults with stable chronic lung disease?</div></div><div><h3>Design</h3><div>Systematic review with meta-analysis.</div></div><div><h3>Participants</h3><div>Adults with a chronic lung disease.</div></div><div><h3>Intervention and follow-up</h3><div>Any non-pharmacological intervention, other than exercise training, applied to reduce dyspnoea or improve health-related quality of life.</div></div><div><h3>Outcome measures</h3><div>Dyspnoea, measured at rest, on exertion or during daily activities, and health-related quality of life measured using a validated questionnaire.</div></div><div><h3>Data sources</h3><div>CINAHL, PEDro, PubMed and EMBASE were searched. Studies were included if they had at least one group that was prescribed a non-pharmacological intervention other than exercise training, and at least one group that received usual care.</div></div><div><h3>Results</h3><div>Thirteen randomised controlled trials and two randomised cross-over trials met the study criteria. For adults with obstructive lung diseases, low quality evidence suggests that pursed lip breathing may result in a moderate reduction in dyspnoea when measured within 3 months of treatment initiation (SMD –0.45), although the effect may be substantially larger or smaller (95% CI –0.87 to –0.04). Similarly, breathing re-training may result in small to moderate improvements in health-related quality of life when measured ≥ 3 months following treatment initiation (SMD –0.31, 95% CI –0.48 to –0.14).</div></div><div><h3>Conclusion</h3><div>In adults with chronic lung diseases, there is low quality evidence that breathing techniques may reduce dyspnoea and improve health-related quality of life.</div></div><div><h3>Registration</h3><div>CRD42024491524.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 4","pages":"Pages 239-245"},"PeriodicalIF":9.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-22DOI: 10.1016/j.jphys.2025.09.006
Maame Esi Woode , Rana S Hinman , Anthony Harris , Kim L Bennell , Belinda J Lawford
Question
What do people with chronic knee pain value in physiotherapy consultations and how much are they willing to pay for a telerehabilitation consultation as opposed to an in-person consultation?
Design
Discrete choice experiment and contingent valuation.
Participants
A total of 844 Australian adults with a clinical diagnosis of knee osteoarthritis were recruited in April 2021.
Data collection
Participants were presented with a series of hypothetical scenarios and asked to choose between telerehabilitation (videoconferencing) or in-person physiotherapy consultations. Seven attributes (listening and discussion time; choice of physiotherapist; consultation security/privacy; travel time; pain improvement; waiting time; and consultation cost) with varying levels presented in each scenario.
Data analysis
A generalised mixed multinomial logit model was used to estimate the strength of preferences across attributes, the implied monetary willingness to pay for telerehabilitation consultations, and the likely uptake of telerehabilitation in the population.
Results
Participants were willing to pay AU$38.68 less for a telerehabilitation consultation compared with an in-person consultation. For a plausible set of base case attribute values, 40% of participants chose telerehabilitation. However, preferences for telerehabilitation consults increased when there was less waiting and travel time, more communication time, and when offered at a lower fee. Younger adults, females, those not working, those more confident using videoconferencing technology and those with less knee pain were more likely to prefer telerehabilitation.
Conclusion
People with chronic knee pain prefer in-person consultations but there is a demand for telerehabilitation physiotherapy consultations, particularly if offered at a lower fee, if there is a substantial amount of travel and waiting time for an in-person consultation, or if telerehabilitation offers more communication time with the physiotherapist.
{"title":"People with chronic knee pain are willing to pay for telerehabilitation physiotherapy consultations if they offer more communication time, greater pain improvement and less travel and waiting time: a discrete choice experiment","authors":"Maame Esi Woode , Rana S Hinman , Anthony Harris , Kim L Bennell , Belinda J Lawford","doi":"10.1016/j.jphys.2025.09.006","DOIUrl":"10.1016/j.jphys.2025.09.006","url":null,"abstract":"<div><h3>Question</h3><div>What do people with chronic knee pain value in physiotherapy consultations and how much are they willing to pay for a telerehabilitation consultation as opposed to an in-person consultation?</div></div><div><h3>Design</h3><div>Discrete choice experiment and contingent valuation.</div></div><div><h3>Participants</h3><div>A total of 844 Australian adults with a clinical diagnosis of knee osteoarthritis were recruited in April 2021.</div></div><div><h3>Data collection</h3><div>Participants were presented with a series of hypothetical scenarios and asked to choose between telerehabilitation (videoconferencing) or in-person physiotherapy consultations. Seven attributes (listening and discussion time; choice of physiotherapist; consultation security/privacy; travel time; pain improvement; waiting time; and consultation cost) with varying levels presented in each scenario.</div></div><div><h3>Data analysis</h3><div>A generalised mixed multinomial logit model was used to estimate the strength of preferences across attributes, the implied monetary willingness to pay for telerehabilitation consultations, and the likely uptake of telerehabilitation in the population.</div></div><div><h3>Results</h3><div>Participants were willing to pay AU$38.68 less for a telerehabilitation consultation compared with an in-person consultation. For a plausible set of base case attribute values, 40% of participants chose telerehabilitation. However, preferences for telerehabilitation consults increased when there was less waiting and travel time, more communication time, and when offered at a lower fee. Younger adults, females, those not working, those more confident using videoconferencing technology and those with less knee pain were more likely to prefer telerehabilitation.</div></div><div><h3>Conclusion</h3><div>People with chronic knee pain prefer in-person consultations but there is a demand for telerehabilitation physiotherapy consultations, particularly if offered at a lower fee, if there is a substantial amount of travel and waiting time for an in-person consultation, or if telerehabilitation offers more communication time with the physiotherapist.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 4","pages":"Pages 268-275"},"PeriodicalIF":9.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-25DOI: 10.1016/j.jphys.2025.09.013
Alana Leandro Cabral , Angélica Lemos Debs Diniz , Elder Henrique de Oliveira , Ana Flávia Lozano Valadão Caserta , Gabriela Faria Rodrigues , Leylaine Cristine Andrade Tavares , Rejane Amélia Reis Gonçalves , Rogério de Melo Costa Pinto , Vanessa Santos Pereira-Baldon
Questions
What are the effects of transversus abdominis (TrA) or rectus abdominis (RA) activation exercises, compared with general exercise without specific abdominal activation, on the inter-recti distance (IRD) in pregnant women? How do TrA and RA activation exercises compare with general exercise for their effects on pelvic floor dysfunction?
Design
Three-arm randomised controlled trial with assessor blinding, concealed allocation and intention-to-treat analysis.
Participants
Sixty-three primigravida pregnant women at 18 to 21 gestational weeks.
Intervention
The control group performed general exercises without abdominal focus. In addition to the control group intervention, the drawing-in group added TrA activation exercises, and the abdominal crunch group added RA-targeted exercises. All groups completed 24 sessions over 12 weeks.
Outcome measures
The primary outcome was change in IRD (mm), measured 2 cm above and below the umbilicus, at rest and during active trunk flexion. The secondary outcome was the Pelvic Floor Bother Questionnaire, which scores the severity of symptoms of pelvic floor dysfunction.
Results
All groups showed a similar increase in IRD after intervention. No substantial differences were observed between either targeted exercise group and the control group. At 2 cm above the umbilicus, general exercises had a similar effect to the in-drawing TrA exercises (between-group difference 6 mm, 95% CI –3 to 15) or the RA exercises (4 mm, 95% CI –5 to 12) at rest. Similar or smaller between-group differences occurred below the umbilicus and during trunk flexion. Similar or smaller between-group differences occurred between the drawing-in and abdominal crunch groups. No substantial between-group differences were found in pelvic floor dysfunction symptoms.
Conclusion
A 12-week abdominal exercise program focusing on TrA or RA activation did not substantially change IRD or pelvic floor dysfunction symptoms compared with general exercise; this suggests that pregnant women do not need to avoid targeted TrA or RA exercises.
{"title":"Transversus abdominis and rectus abdominis activation exercises do not alter inter-recti distance in pregnant women: a randomised trial","authors":"Alana Leandro Cabral , Angélica Lemos Debs Diniz , Elder Henrique de Oliveira , Ana Flávia Lozano Valadão Caserta , Gabriela Faria Rodrigues , Leylaine Cristine Andrade Tavares , Rejane Amélia Reis Gonçalves , Rogério de Melo Costa Pinto , Vanessa Santos Pereira-Baldon","doi":"10.1016/j.jphys.2025.09.013","DOIUrl":"10.1016/j.jphys.2025.09.013","url":null,"abstract":"<div><h3>Questions</h3><div>What are the effects of transversus abdominis (TrA) or rectus abdominis (RA) activation exercises, compared with general exercise without specific abdominal activation, on the inter-recti distance (IRD) in pregnant women? How do TrA and RA activation exercises compare with general exercise for their effects on pelvic floor dysfunction?</div></div><div><h3>Design</h3><div>Three-arm randomised controlled trial with assessor blinding, concealed allocation and intention-to-treat analysis.</div></div><div><h3>Participants</h3><div>Sixty-three primigravida pregnant women at 18 to 21 gestational weeks.</div></div><div><h3>Intervention</h3><div>The control group performed general exercises without abdominal focus. In addition to the control group intervention, the drawing-in group added TrA activation exercises, and the abdominal crunch group added RA-targeted exercises. All groups completed 24 sessions over 12 weeks.</div></div><div><h3>Outcome measures</h3><div>The primary outcome was change in IRD (mm), measured 2 cm above and below the umbilicus, at rest and during active trunk flexion. The secondary outcome was the Pelvic Floor Bother Questionnaire, which scores the severity of symptoms of pelvic floor dysfunction.</div></div><div><h3>Results</h3><div>All groups showed a similar increase in IRD after intervention. No substantial differences were observed between either targeted exercise group and the control group. At 2 cm above the umbilicus, general exercises had a similar effect to the in-drawing TrA exercises (between-group difference 6 mm, 95% CI –3 to 15) or the RA exercises (4 mm, 95% CI –5 to 12) at rest. Similar or smaller between-group differences occurred below the umbilicus and during trunk flexion. Similar or smaller between-group differences occurred between the drawing-in and abdominal crunch groups. No substantial between-group differences were found in pelvic floor dysfunction symptoms.</div></div><div><h3>Conclusion</h3><div>A 12-week abdominal exercise program focusing on TrA or RA activation did not substantially change IRD or pelvic floor dysfunction symptoms compared with general exercise; this suggests that pregnant women do not need to avoid targeted TrA or RA exercises.</div></div><div><h3>Registration</h3><div>RBR-4v2r4bg.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 4","pages":"Pages 254-259"},"PeriodicalIF":9.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-19DOI: 10.1016/j.jphys.2025.09.009
Thomas C Rollinson, David J Berlowitz, Kimberley J Haines, Carol Hodgson, Luke A McDonald, Sue Berney
{"title":"Correspondence: In memory of Professor Rinaldo Bellomo","authors":"Thomas C Rollinson, David J Berlowitz, Kimberley J Haines, Carol Hodgson, Luke A McDonald, Sue Berney","doi":"10.1016/j.jphys.2025.09.009","DOIUrl":"10.1016/j.jphys.2025.09.009","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 4","pages":"Pages 290-291"},"PeriodicalIF":9.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-19DOI: 10.1016/j.jphys.2025.09.010
Liangping Zhang, Rongqi Cao, Ligang Ni
{"title":"Correspondence: Commentary on the effectiveness of mobilisation with movement and exercise for shoulder pain relief","authors":"Liangping Zhang, Rongqi Cao, Ligang Ni","doi":"10.1016/j.jphys.2025.09.010","DOIUrl":"10.1016/j.jphys.2025.09.010","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 4","pages":"Page 292"},"PeriodicalIF":9.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-09-16DOI: 10.1016/j.jphys.2025.06.012
Yvonne C Learmonth
{"title":"Critically appraised paper: Gamified rehabilitation enhances upper limb function in stroke survivors [synopsis]","authors":"Yvonne C Learmonth","doi":"10.1016/j.jphys.2025.06.012","DOIUrl":"10.1016/j.jphys.2025.06.012","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 4","pages":"Page 279"},"PeriodicalIF":9.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号