Journal of Physiotherapy最新文献

英文中文

Real-time video telerehabilitation shows comparable satisfaction and similar or better attendance and adherence compared with in-person physiotherapy: a systematic review 实时视频远程康复与面对面物理治疗相比，满意度相当，出勤率和坚持率相似或更高：系统综述。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-07-01 DOI: 10.1016/j.jphys.2024.06.001

Joshua Simmich, Megan H Ross, Trevor Russell

Question

How does physiotherapy delivered by real-time, video-based telerehabilitation compare with in-person delivery for the outcomes of attendance, adherence and satisfaction?

Design

Systematic review of randomised control trials indexed in PubMed, CINAHL, Embase, Cochrane and PEDro on 12 March 2024.

Participants

Adults aged > 18 years.

Intervention

Physiotherapy delivered via real-time video telerehabilitation.

Outcome measures

Attendance, adherence and satisfaction.

Results

Eight studies were included for attendance (n = 1,110), nine studies for adherence (n = 1,190) and 12 studies for satisfaction (n = 1,247). Telerehabilitation resulted in attendance at treatment sessions that was 8% higher (95% CI −1 to 18) and adherence to exercise programs that was 9% higher (95% CI 2 to 16) when compared with in-person physiotherapy. Satisfaction was similar with both modes of delivery (SMD 0.03 in favour of telerehabilitation, 95% CI −0.23 to 0.28). The level of certainty assessed by GRADE ranged from very low to low, primarily due to inconsistency and high risk of bias.

Discussion

Attendance at appointments among participants assigned to telerehabilitation was somewhere between similar to and considerably higher than among control participants. Adherence to self-management with telerehabilitation was better than with in-person delivery, although with some uncertainty about the magnitude of the effect. Reported satisfaction levels were similar between the two modes of treatment delivery. Given the significance of attendance, adherence and satisfaction for successful outcomes, telerehabilitation offers a valuable alternative mode for physiotherapy delivery.

Conclusion

Real-time telerehabilitation has potentially favourable effects on attendance at treatment appointments and adherence to exercise programs, with similar satisfaction when compared with traditional in-person physiotherapy.

Registration

PROSPERO CRD42022329906

问题在出勤率、依从性和满意度方面，通过实时视频远程康复提供的物理治疗与面对面提供的物理治疗相比效果如何？对 2024 年 3 月 12 日在 PubMed、CINAHL、Embase、Cochrane 和 PEDro 中索引的随机对照试验进行系统回顾：干预：干预措施：通过实时视频远程康复提供物理治疗：结果测量：出勤率、依从性和满意度：结果：8 项研究纳入了出勤率（n = 1,110），9 项研究纳入了坚持率（n = 1,190），12 项研究纳入了满意度（n = 1,247）。与面对面物理治疗相比，远程康复治疗的出勤率高出 8%（95% CI -1-18），坚持锻炼计划的比例高出 9%（95% CI 2-16）。两种治疗模式的满意度相似（远程康复的满意度为0.03，95% CI为-0.23至0.28）。GRADE评估的确定性从很低到很低不等，主要原因是不一致和高偏倚风险：接受远程康复治疗的患者的就诊率介于与对照组患者的就诊率相近和高出对照组患者很多之间。远程康复治疗的自我管理依从性优于面对面治疗，但效果的大小还不确定。两种治疗方式的满意度相似。鉴于出勤率、坚持率和满意度对成功治疗的重要性，远程康复治疗为物理治疗提供了一种有价值的替代模式：结论：与传统的面对面物理治疗相比，实时远程康复对治疗预约的出席率和运动计划的坚持率具有潜在的有利影响，满意度也相似：注册：PROCROPERO CRD42022329906。

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引用次数: 0

Cover image and highlights 封面图片和亮点

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/S1836-9553(24)00027-4

引用次数: 0

Clinimetrics: The Victorian Institute of Sport Questionnaire - gluteal tendinopathy (VISA-G) 临床测量学：维多利亚体育学院问卷--臀部肌腱病（VISA-G）

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.009

Anthony Nasser , Alison Grimaldi

引用次数: 0

Health coaching improves physical activity, disability and pain in adults with chronic non-cancer pain: a systematic review 健康指导可改善慢性非癌性疼痛成人的体育活动、残疾和疼痛状况：系统性综述。

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.01.001

Talia Barnet-Hepples , Amabile Dario , Juliana Oliveira , Christopher Maher , Anne Tiedemann , Anita Amorim

Question

What is the effect of health coaching on physical activity, disability, pain and quality of life compared with a non-active control in adults with chronic non-cancer pain?

Design

Systematic review and meta-analysis of randomised controlled trials. Evidence was synthesised as standardised mean differences with 95% confidence intervals using random-effects models. Risk of bias was assessed using the revised Cochrane risk of bias tool. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to determine evidence certainty.

Data sources

MEDLINE, Embase, CENTRAL, CINAHL, Scopus and PEDro were searched from inception to November 2023.

Participants

Adults with chronic non-cancer pain.

Intervention

Health coaching to increase physical activity.

Outcome measures

Measures of physical activity, disability, pain and quality of life.

Results

Twenty-six randomised trials (n = 4,403) were included. Trials had moderate to high risk of bias. Health coaching had a trivial to small effect on improving physical activity compared with control (15 trials; SMD 0.21, 95% CI 0.07 to 0.35; low certainty evidence). Health coaching had a small effect on improving disability (19 trials; SMD 0.25, 95% CI 0.17 to 0.32; moderate certainty evidence) and pain (19 trials; SMD 0.31, 95% CI 0.18 to 0.43; very low certainty evidence) compared with control. The effect of health coaching on quality of life was unclear due to significant imprecision in the effect estimate (five trials; SMD 0.19, 95% CI –0.14 to 0.53; moderate certainty evidence).

Conclusion

Health coaching promotes a trivial to small improvement in physical activity and small improvements in disability and pain in adults with chronic non-cancer pain. The effect of health coaching on quality of life remains unclear.

Registration

PROSPERO CRD42020182740.

问题在患有慢性非癌性疼痛的成年人中，健康指导对身体活动、残疾、疼痛和生活质量的影响与非活动对照组相比如何？对随机对照试验进行系统回顾和荟萃分析。采用随机效应模型，以标准化平均差和 95% 置信区间对证据进行综合。使用修订版 Cochrane 偏倚风险工具评估偏倚风险。采用建议评估、发展和评价分级（GRADE）确定证据的确定性：检索了从开始到 2023 年 11 月的 MEDLINE、Embase、CENTRAL、CINAHL、Scopus 和 PEDro：干预措施：增加体育锻炼的健康指导：干预措施：健康指导以增加体育锻炼：结果：对身体活动、残疾、疼痛和生活质量进行测量：结果：共纳入 26 项随机试验（n = 4 403）。试验存在中度至高度偏倚风险。与对照组相比，健康指导对提高身体活动量的影响微不足道（15 项试验；SMD 0.21，95% CI 0.07 至 0.35；证据确定性低）。与对照组相比，健康指导对改善残疾（19 项试验；SMD 0.25，95% CI 0.17 至 0.32；中等确定性证据）和疼痛（19 项试验；SMD 0.31，95% CI 0.18 至 0.43；极低确定性证据）的影响较小。健康指导对生活质量的影响尚不明确，因为其效果估计值极不精确（5项试验；SMD为0.19，95% CI为-0.14至0.53；中度确定性证据）：结论：对患有慢性非癌症疼痛的成年人而言，健康指导可促进其体育锻炼的微小改善以及残疾和疼痛的小幅改善。健康指导对生活质量的影响尚不明确：ProCOMO CRD42020182740.

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引用次数: 0

Title page 扉页

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/S1836-9553(24)00028-6

引用次数: 0

Critically appraised paper: Hand-arm bimanual intensive therapy including lower extremities (HABIT-ILE) improves bimanual performance and gross motor function in pre-school children with unilateral cerebral palsy [commentary] 经过严格评审的论文：包括下肢在内的手臂双臂强化疗法（HABIT-ILE）可改善单侧脑瘫学龄前儿童的双臂表现和大运动功能[评论]。

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.004

Sarah Reedman

引用次数: 0

Appraisal of Clinical Practice Guideline: National Institute for Health and Care Excellence (NICE) clinical practice guideline for myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome: diagnosis and management 临床实践指南评估：国家健康与护理优化研究所（NICE）肌痛性脑脊髓炎（或脑病）/慢性疲劳综合征临床实践指南：诊断与管理。

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.007

Sarah F Tyson

引用次数: 0

Critically appraised paper: In adults with persistent dyspnoea following pulmonary embolism, an exercise-based rehabilitation program improved exercise capacity and quality of life compared with usual care [commentary] 经过严格评审的论文：对于肺栓塞后出现持续性呼吸困难的成人，与常规护理相比，以运动为基础的康复计划可提高运动能力和生活质量[评论]。

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.006

Norman R Morris

引用次数: 0

Pregnant women may exercise both abdominal and pelvic floor muscles during pregnancy without increasing the diastasis recti abdominis: a randomised trial 孕妇可在怀孕期间锻炼腹部和骨盆底肌肉，而不会增加腹肌直肠膨出：随机试验。

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.002

Nina-Margrethe Theodorsen , Kari Bø , Kjartan Vibe Fersum , Inger Haukenes , Rolf Moe-Nilssen

Question

What is the effect of a 12-week abdominal and pelvic floor muscle exercise program during pregnancy on the inter-recti distance (IRD) in women with diastasis recti abdominis immediately after the 12-week intervention period and at follow-up 6 weeks postpartum?

Design

An exploratory, parallel-group, randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis.

Participants

Ninety-six pregnant women aged ≥ 18 years, either primigravida or multigravida, in gestation week 24 with an IRD of ≥ 28 mm measured at rest and/or a protrusion on initial assessment.

Intervention

The experimental group participated in a 12-week abdominal and pelvic floor muscle exercise program during pregnancy. The control group received no intervention.

Outcome measures

Change (mm) in IRD 2 cm above and below the umbilicus at rest from pre-intervention to immediately post-intervention and to 6 weeks follow-up measured with ultrasonography.

Results

The IRD increased for both groups from baseline to immediately after the intervention and decreased from after the intervention to the follow-up at 6 weeks postpartum. The IRD was smallest for both groups at the follow-up. At 2 cm above the umbilicus, the intervention effect was 2 mm (95% CI –2 to 7) immediately after the intervention and –1 mm (95% CI –4 to 3) at follow-up. At 2 cm below the umbilicus, the intervention effect was –5 mm (95% CI –10 to 0) immediately after the intervention and 0 mm (95% CI –4 to 4) at follow-up.

Conclusion

Abdominal and pelvic floor muscle training during pregnancy have a negligible effect on the IRD immediately after 12 weeks of intervention and at 6 weeks post-partum.

Registration

NCT04960800.

问题为期 12 周的孕期腹部和骨盆底肌肉锻炼计划在 12 周干预期结束后立即和产后 6 周随访时对腹部直肠间距（IRD）的影响如何？探索性、平行组、随机对照试验，采用隐藏分配、评估者盲法和意向治疗分析法：96名年龄≥18岁的孕妇，初产妇或多产妇，妊娠第24周，静息时测得IRD≥28毫米和/或初次评估时测得IRD突出：实验组参加为期 12 周的孕期腹部和骨盆底肌肉锻炼计划。结果测量：结果：从干预前到干预后和随访 6 周期间，超声波检查测量了静止时脐部上方和下方 2 厘米处 IRD 的变化（毫米）：从基线到干预后，两组的 IRD 均有所增加，而从干预后到产后 6 周的随访，两组的 IRD 均有所减少。随访时，两组的 IRD 都最小。在脐上 2 厘米处，干预后的干预效果为 2 毫米（95% CI -2-7），随访时为-1 毫米（95% CI -4-3）。在脐下 2 厘米处，干预后的即时干预效果为-5 毫米（95% CI -10-0），随访时为 0 毫米（95% CI -4-4）：结论：孕期腹部和骨盆底肌肉训练对 12 周干预后即刻和产后 6 周的 IRD 影响微乎其微：NCT04960800。

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引用次数: 0

Critically appraised paper: Eccentric resistance training may improve strength and power but not gait in patients with neurological conditions [commentary] 经过严格评审的论文：偏心阻力训练可改善神经系统疾病患者的力量和功率，但不能改善步态[评论]。

IF 12.1 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.013

Gavin Williams

引用次数: 0

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Journal of Physiotherapy

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