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Use of a peanut ball, positioning and pelvic mobility in parturient women shortens labour and improves maternal satisfaction with childbirth: a randomised trial 在产妇中使用花生球、定位和骨盆活动可缩短产程并提高产妇对分娩的满意度:随机试验。
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.017
Chalana Duarte de Sena Fraga, Rodrigo Cappato de Araújo, Layane de Sá, Ana Julia Santos Bertoldo, Ana Carolina Rodarti Pitangui

Question

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?

Design

A randomised trial with concealed allocation, blinding of assessors and intention-to-treat analysis.

Participants

One hundred women in active labour.

Intervention

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.

Outcome measures

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.

Results

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.

Conclusion

A protocol with a peanut ball, positioning and pelvic mobility reduced the duration of labour and improved maternal satisfaction with childbirth.

Registration

RBR-74wcnjc.

问题针对分娩各阶段的方案--花生球、体位和骨盆活动--对未使用镇痛剂的产妇的产程、疼痛严重程度、疲劳、产妇预后、新生儿预后和满意度有何影响?参与者:100 名活跃产妇:干预措施:干预措施:实验组接受针对不同分娩阶段的方案,包括花生球、体位和骨盆活动,对照组接受常规护理:主要结果是分娩持续时间和疼痛严重程度。次要结果为产妇疲劳程度、分娩方式、会阴裂伤风险、会阴裂伤严重程度、合成催产素的使用、分娩满意度、阿普加评分、新生儿入住重症监护室和产房新生儿复苏。在分娩活跃期,采用了数字评分量表和产妇分娩疲劳感问卷;在产妇宫口扩张 8 至 10 厘米时,再次采用了数字评分量表和产妇分娩疲劳感问卷。产后还采用了数字评分表来评估分娩满意度:结果:使用带花生球的方案缩短了活跃期、宫缩期和总产程的时间,平均差异分别为 82 分钟(95% CI 41 至 125)、8 分钟(95% CI 0 至 18)和 89 分钟(95% CI 45 至 132)。实验组的产妇满意度更高:10 分制的组间平均差异为 1.1(95% CI 0.4 至 1.8)。实验组对其他结果的影响要么相似,要么不明确:结论:使用花生球、定位和骨盆活动的方案缩短了产程,提高了产妇对分娩的满意度:RBR-74wcnjc.
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引用次数: 0
Aims and Scope/Editorial Board 目标和范围/编辑委员会
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/S1836-9553(24)00029-8
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引用次数: 0
Research Note: Registry-based randomised controlled trials with examples from the Australian Stroke Clinical Registry 研究说明:基于注册表的随机对照试验,以澳大利亚中风临床注册表为例。
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.015
Dominique A Cadilhac , Adele K Gibbs
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引用次数: 0
Critically appraised paper: Online education improves physiotherapists’ confidence and competence with mechanical insufflation-exsufflation [commentary] 经过严格评审的论文:在线教育提高了物理治疗师对机械充气-排气的信心和能力[评论]。
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.03.002
Hayden Venville
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引用次数: 0
Critically appraised paper: Online education improves physiotherapists’ confidence and competence with mechanical insufflation-exsufflation [synopsis] 经过严格评审的论文:在线教育提高了物理治疗师对机械充气-排气的信心和能力[内容提要]。
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.03.001
Vinicius Cavalheri
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引用次数: 0
Towards responsible use of artificial intelligence in daily practice: what do physiotherapists need to know, consider and do? 在日常实践中负责任地使用人工智能:物理治疗师需要知道、考虑和做什么?
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2023.07.012
Mark C Scheper , Mark van Velzen , Nico L U van Meeteren
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引用次数: 0
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] 经过严格评审的论文:包括下肢在内的手部双臂强化疗法(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[内容提要]。
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.005
Nikki Milne
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引用次数: 0
Patient education 病人教育。
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.019
Roma Forbes , Mark R Elkins
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引用次数: 0
Some types of exercise interventions are more effective than others in people with coronary heart disease: systematic review and network meta-analysis 对冠心病患者进行某些类型的运动干预比其他干预更有效:系统综述和网络荟萃分析。
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.018
Mansueto Gomes-Neto , Andre Rodrigues Durães , Lino Sérgio Rocha Conceição , Michelli Bernardone Saquetto , Iura Gonzalez Alves , Neil A Smart , Vitor Oliveira Carvalho

Question

What are the effects of different types of exercise treatments on oxygen consumption, quality of life and mortality in people with coronary heart disease?

Design

Systematic review with network meta-analysis of randomised controlled trials.

Participants

Adults with coronary heart disease.

Intervention

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.

Outcome measures

Oxygen consumption, quality of life and mortality.

Results

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).

Conclusion

People with coronary heart disease may use a range of exercise modalities to improve oxygen consumption, quality of life and mortality.

Registration

PROSPERO CRD42022344545.

问题不同类型的运动疗法对冠心病患者的耗氧量、生活质量和死亡率有何影响?对随机对照试验进行系统回顾和网络荟萃分析:干预措施:运动干预包括有氧(持续或高强度间歇)训练、阻力训练、呼吸肌锻炼、水中运动、瑜伽、太极拳、气功锻炼以及不同类型运动的组合:结果:耗氧量、生活质量和死亡率:结果:本综述包括 178 项随机对照试验,共有 19 143 人参与。以下几种运动干预措施提高了峰值耗氧量(毫升/千克/分钟):高强度间歇训练(MD 4.5,95% CI 3.7 至 5.4);水上运动和中等强度持续训练相结合(MD 3.7,95% CI 1.3 至 6.0);有氧运动和阻力运动相结合(MD 3.4,95% CI 2.5 至 4.3);水上运动(MD 3.4,95% CI 0.6 至 6.2);呼吸肌训练和有氧运动相结合(MD 3.2,95% CI 0.6 至 5.8);太极拳(MD 3.0,95% CI 1.0 至 5.0);中等强度持续训练(MD 3.0,95% CI 2.3 至 3.6);高强度持续训练(MD 2.7,95% CI 1.6 至 3.8);阻力训练(MD 2.2,95% CI 0.6 至 3.7)。瑜伽(SMD 1.5,95% CI 0.5 至 2.4)、有氧运动和阻力运动相结合(SMD 1.2,95% CI 0.6 至 1.7)、中等强度持续训练(SMD 1.1,95% CI 0.6 至 1.6)和高强度间歇训练(SMD 0.9,95% CI 0.1 至 1.6)可提高生活质量。持续有氧运动(RR 0.67,95% CI 0.53 至 0.86)和有氧运动与阻力运动相结合(RR 0.58,95% CI 0.36 至 0.94)可降低全因死亡率。持续有氧运动也能降低心血管死亡率(RR 0.56,95% CI 0.42 至 0.74):结论:冠心病患者可以通过一系列运动方式来改善耗氧量、生活质量和死亡率:注册:prospero crd42022344545。
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引用次数: 0
Call for applications: Journal of Physiotherapy Scientific Editor 征集申请:物理治疗科学杂志》编辑
IF 12.1 1区 医学 Q1 ORTHOPEDICS Pub Date : 2024-04-01 DOI: 10.1016/j.jphys.2024.02.001
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引用次数: 0
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Journal of Physiotherapy
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