Journal of Physiotherapy最新文献

{"title":"Use of a peanut ball, positioning and pelvic mobility in parturient women shortens labour and improves maternal satisfaction with childbirth: a randomised trial","authors":"Chalana Duarte de Sena Fraga,&nbsp;Rodrigo Cappato de Araújo,&nbsp;Layane de Sá,&nbsp;Ana Julia Santos Bertoldo,&nbsp;Ana Carolina Rodarti Pitangui","doi":"10.1016/j.jphys.2024.02.017","DOIUrl":"10.1016/j.jphys.2024.02.017","url":null,"abstract":"<div><h3>Question</h3><p>What is the effect of a protocol targeted at the various stages of labour – with a peanut ball, positioning and pelvic mobility – on the duration of labour, pain severity, fatigue, maternal outcomes, neonatal outcomes and satisfaction in parturients without analgesia?</p></div><div><h3>Design</h3><p>A randomised trial with concealed allocation, blinding of assessors and intention-to-treat analysis.</p></div><div><h3>Participants</h3><p>One hundred women in active labour.</p></div><div><h3>Intervention</h3><p>The experimental group received the protocol targeted at the various stages of labour, with a peanut ball, positioning and pelvic mobility, whilst the control group received usual care.</p></div><div><h3>Outcome measures</h3><p>The primary outcomes were the duration of labour and pain severity. The secondary outcomes were maternal fatigue, mode of delivery, risk of perineal laceration, severity of perineal laceration, use of synthetic oxytocin, satisfaction with delivery, Apgar scores, admission of the neonate to an intensive care unit and resuscitation of the neonate in the delivery room. In the active phase of labour, the numerical rating scale and maternal perception of childbirth fatigue questionnaire were applied; they were taken again when the parturient had 8 to 10 cm of dilation. The numerical rating scale was also applied postpartum to evaluate satisfaction with childbirth.</p></div><div><h3>Results</h3><p>The use of the protocol with a peanut ball reduced the duration of active and expulsive phases and the total duration of labour, with mean differences of 82 minutes (95% CI 41 to 125), 8 minutes (95% CI 0 to 18) and 89 minutes (95% CI 45 to 132), respectively. Maternal satisfaction was better in the experimental group: mean between-group difference on the 10-point scale was 1.1 (95% CI 0.4 to 1.8). The effects on the other outcomes were either similar between groups or unclear.</p></div><div><h3>Conclusion</h3><p>A protocol with a peanut ball, positioning and pelvic mobility reduced the duration of labour and improved maternal satisfaction with childbirth.</p></div><div><h3>Registration</h3><p>RBR-74wcnjc.</p></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000183/pdfft?md5=166092a85505f16f054001e93ccd018f&pid=1-s2.0-S1836955324000183-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Note: Registry-based randomised controlled trials with examples from the Australian Stroke Clinical Registry","authors":"Dominique A Cadilhac ,&nbsp;Adele K Gibbs","doi":"10.1016/j.jphys.2024.02.015","DOIUrl":"10.1016/j.jphys.2024.02.015","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S183695532400016X/pdfft?md5=fed0bdad1d0c92259c978be3d6d7116e&pid=1-s2.0-S183695532400016X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards responsible use of artificial intelligence in daily practice: what do physiotherapists need to know, consider and do?","authors":"Mark C Scheper ,&nbsp;Mark van Velzen ,&nbsp;Nico L U van Meeteren","doi":"10.1016/j.jphys.2023.07.012","DOIUrl":"10.1016/j.jphys.2023.07.012","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001066/pdfft?md5=e824a5c9256d40da769102205deea685&pid=1-s2.0-S1836955323001066-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critically appraised paper: Online education improves physiotherapists’ confidence and competence with mechanical insufflation-exsufflation [commentary]","authors":"Hayden Venville","doi":"10.1016/j.jphys.2024.03.002","DOIUrl":"10.1016/j.jphys.2024.03.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000225/pdfft?md5=74953165c209bc9389023e2be90efed1&pid=1-s2.0-S1836955324000225-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critically appraised paper: Online education improves physiotherapists’ confidence and competence with mechanical insufflation-exsufflation [synopsis]","authors":"Vinicius Cavalheri","doi":"10.1016/j.jphys.2024.03.001","DOIUrl":"10.1016/j.jphys.2024.03.001","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000213/pdfft?md5=da838cbf79f8bb13ca2e1d41a3dc026f&pid=1-s2.0-S1836955324000213-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critically appraised paper: Hand-arm bimanual intensive therapy including lower extremities (HABIT-ILE) improves bi-manual performance and gross motor function in pre-school children with unilateral cerebral palsy [synopsis]","authors":"Nikki Milne","doi":"10.1016/j.jphys.2024.02.005","DOIUrl":"10.1016/j.jphys.2024.02.005","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000043/pdfft?md5=3c0a6aa6290f9c8d55a62da3c55dbf15&pid=1-s2.0-S1836955324000043-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Some types of exercise interventions are more effective than others in people with coronary heart disease: systematic review and network meta-analysis","authors":"Mansueto Gomes-Neto ,&nbsp;Andre Rodrigues Durães ,&nbsp;Lino Sérgio Rocha Conceição ,&nbsp;Michelli Bernardone Saquetto ,&nbsp;Iura Gonzalez Alves ,&nbsp;Neil A Smart ,&nbsp;Vitor Oliveira Carvalho","doi":"10.1016/j.jphys.2024.02.018","DOIUrl":"10.1016/j.jphys.2024.02.018","url":null,"abstract":"<div><h3>Question</h3><p>What are the effects of different types of exercise treatments on oxygen consumption, quality of life and mortality in people with coronary heart disease?</p></div><div><h3>Design</h3><p>Systematic review with network meta-analysis of randomised controlled trials.</p></div><div><h3>Participants</h3><p>Adults with coronary heart disease.</p></div><div><h3>Intervention</h3><p>Exercise interventions including aerobic (continuous or high-intensity interval) training, resistance training, respiratory muscle exercises, water-based exercises, yoga, Tai chi, Qigong exercises and a combination of different types of exercise.</p></div><div><h3>Outcome measures</h3><p>Oxygen consumption, quality of life and mortality.</p></div><div><h3>Results</h3><p>This review included 178 randomised controlled trials with 19,143 participants. Several exercise interventions improved peak oxygen consumption (mL/kg/min): high-intensity interval training (MD 4.5, 95% CI 3.7 to 5.4); combined water-based exercises and moderate-intensity continuous training (MD 3.7, 95% CI 1.3 to 6.0); combined aerobic and resistance exercise (MD 3.4, 95% CI 2.5 to 4.3); water-based exercises (MD 3.4, 95% CI 0.6 to 6.2); combined respiratory muscle training and aerobic exercise (MD 3.2, 95% CI 0.6 to 5.8); Tai chi (MD 3.0, 95% CI 1.0 to 5.0); moderate-intensity continuous training (MD 3.0, 95% CI 2.3 to 3.6); high-intensity continuous training (MD 2.7, 95% CI 1.6 to 3.8); and resistance training (MD 2.2, 95% CI 0.6 to 3.7). Quality of life was improved by yoga (SMD 1.5, 95% CI 0.5 to 2.4), combined aerobic and resistance exercise (SMD 1.2, 95% CI 0.6 to 1.7), moderate-intensity continuous training (SMD 1.1, 95% CI 0.6 to 1.6) and high-intensity interval training (SMD 0.9, 95% CI 0.1 to 1.6). All-cause mortality was reduced by continuous aerobic exercise (RR 0.67, 95% CI 0.53 to 0.86) and combined aerobic and resistance exercise (RR 0.58, 95% CI 0.36 to 0.94). Continuous aerobic exercise also reduced cardiovascular mortality (RR 0.56, 95% CI 0.42 to 0.74).</p></div><div><h3>Conclusion</h3><p>People with coronary heart disease may use a range of exercise modalities to improve oxygen consumption, quality of life and mortality.</p></div><div><h3>Registration</h3><p>PROSPERO CRD42022344545.</p></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000195/pdfft?md5=ea9eae8725ef91db82853c53e6bee2b8&pid=1-s2.0-S1836955324000195-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient education","authors":"Roma Forbes ,&nbsp;Mark R Elkins","doi":"10.1016/j.jphys.2024.02.019","DOIUrl":"10.1016/j.jphys.2024.02.019","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000201/pdfft?md5=888a6d6c87c480b289509446102e7934&pid=1-s2.0-S1836955324000201-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Journal publication information","authors":"","doi":"10.1016/S1836-9553(24)00031-6","DOIUrl":"https://doi.org/10.1016/S1836-9553(24)00031-6","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000316/pdfft?md5=0a89d6967248ba8866715da55babbdac&pid=1-s2.0-S1836955324000316-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140338902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Call for applications: Journal of Physiotherapy Scientific Editor","authors":"","doi":"10.1016/j.jphys.2024.02.001","DOIUrl":"10.1016/j.jphys.2024.02.001","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955324000018/pdfft?md5=b4f66b3709961bf0df3d319ff753b2bf&pid=1-s2.0-S1836955324000018-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139947593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}