Pub Date : 2024-04-01DOI: 10.1016/j.jphys.2024.02.003
Vinicius Cavalheri
{"title":"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 [synopsis]","authors":"Vinicius Cavalheri","doi":"10.1016/j.jphys.2024.02.003","DOIUrl":"10.1016/j.jphys.2024.02.003","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/S1836955324000079/pdfft?md5=6246ee0f5b0a1d3195c80467c8c1a9fb&pid=1-s2.0-S1836955324000079-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144464","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}
Pub Date : 2024-04-01DOI: 10.1016/j.jphys.2024.02.016
Hannah G Withers , Joanne V Glinsky , Jackie Chu , Matthew D Jennings , Ian Starkey , Rachel Parmeter , Max Boulos , Jackson J Cruwys , Kitty Duong , Ian Jordan , David Wong , San Trang , Maggie Duong , Hueiming Liu , Alison J Hayes , Tara E Lambert , Joshua R Zadro , Catherine Sherrington , Christopher Maher , Barbara R Lucas , Lisa A Harvey
Question
Is remotely delivered physiotherapy as good or better than face-to-face physiotherapy for the management of musculoskeletal conditions?
Design
Randomised controlled, non-inferiority trial with concealed allocation, blinded assessors and intention-to-treat analysis.
Participants
A total of 210 adult participants with a musculoskeletal condition who presented for outpatient physiotherapy at five public hospitals in Sydney.
Intervention
One group received a remotely delivered physiotherapy program for 6 weeks that consisted of one face-to-face physiotherapy session in conjunction with weekly text messages, phone calls at 2 and 4 weeks, and an individualised home exercise program delivered through an app. The other group received usual face-to-face physiotherapy care in an outpatient setting.
Outcome measures
The primary outcome was the Patient Specific Functional Scale at 6 weeks with a pre-specified non-inferiority margin of –15 out of 100 points. Secondary outcomes included: the Patient Specific Functional Scale at 26 weeks; kinesiophobia, pain, function/disability, global impression of change and quality of life at 6 and 26 weeks; and satisfaction with service delivery at 6 weeks.
Results
The mean between-group difference (95% CI) for the Patient Specific Functional Scale at 6 weeks was 2.7 out of 100 points (–3.5 to 8.8), where a positive score favoured remotely delivered physiotherapy. The lower end of the 95% CI was greater than the non-inferiority margin. Whilst non-inferiority margins were not set for the secondary outcomes, the 95% CI of the mean between-group difference ruled out clinically meaningful differences.
Conclusion
Remotely delivered physiotherapy with support via phone, text and an app is as good as face-to-face physiotherapy for the management of musculoskeletal conditions.
{"title":"Remotely delivered physiotherapy is as effective as face-to-face physiotherapy for musculoskeletal conditions (REFORM): a randomised trial","authors":"Hannah G Withers , Joanne V Glinsky , Jackie Chu , Matthew D Jennings , Ian Starkey , Rachel Parmeter , Max Boulos , Jackson J Cruwys , Kitty Duong , Ian Jordan , David Wong , San Trang , Maggie Duong , Hueiming Liu , Alison J Hayes , Tara E Lambert , Joshua R Zadro , Catherine Sherrington , Christopher Maher , Barbara R Lucas , Lisa A Harvey","doi":"10.1016/j.jphys.2024.02.016","DOIUrl":"10.1016/j.jphys.2024.02.016","url":null,"abstract":"<div><h3>Question</h3><p>Is remotely delivered physiotherapy as good or better than face-to-face physiotherapy for the management of musculoskeletal conditions?</p></div><div><h3>Design</h3><p>Randomised controlled, non-inferiority trial with concealed allocation, blinded assessors and intention-to-treat analysis.</p></div><div><h3>Participants</h3><p>A total of 210 adult participants with a musculoskeletal condition who presented for outpatient physiotherapy at five public hospitals in Sydney.</p></div><div><h3>Intervention</h3><p>One group received a remotely delivered physiotherapy program for 6 weeks that consisted of one face-to-face physiotherapy session in conjunction with weekly text messages, phone calls at 2 and 4 weeks, and an individualised home exercise program delivered through an app. The other group received usual face-to-face physiotherapy care in an outpatient setting.</p></div><div><h3>Outcome measures</h3><p>The primary outcome was the Patient Specific Functional Scale at 6 weeks with a pre-specified non-inferiority margin of –15 out of 100 points. Secondary outcomes included: the Patient Specific Functional Scale at 26 weeks; kinesiophobia, pain, function/disability, global impression of change and quality of life at 6 and 26 weeks; and satisfaction with service delivery at 6 weeks.</p></div><div><h3>Results</h3><p>The mean between-group difference (95% CI) for the Patient Specific Functional Scale at 6 weeks was 2.7 out of 100 points (–3.5 to 8.8), where a positive score favoured remotely delivered physiotherapy. The lower end of the 95% CI was greater than the non-inferiority margin. Whilst non-inferiority margins were not set for the secondary outcomes, the 95% CI of the mean between-group difference ruled out clinically meaningful differences.</p></div><div><h3>Conclusion</h3><p>Remotely delivered physiotherapy with support via phone, text and an app is as good as face-to-face physiotherapy for the management of musculoskeletal conditions.</p></div><div><h3>Trial registration</h3><p>ACTRN12619000065190.</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/S1836955324000171/pdfft?md5=a66382525909748e4819ca0fb1a906ff&pid=1-s2.0-S1836955324000171-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144466","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}
Pub Date : 2024-04-01DOI: 10.1016/j.jphys.2024.02.020
Nele Devoogdt , An De Groef
{"title":"Physiotherapy management of breast cancer treatment-related sequelae","authors":"Nele Devoogdt , An De Groef","doi":"10.1016/j.jphys.2024.02.020","DOIUrl":"10.1016/j.jphys.2024.02.020","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/S1836955324000237/pdfft?md5=b946679487c140e47d95ac9ff7fdef06&pid=1-s2.0-S1836955324000237-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190272","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}
Pub Date : 2024-04-01DOI: 10.1016/j.jphys.2024.02.008
Kieran O’Sullivan
{"title":"Appraisal of Clinical Practice Guideline: World Health Organization guideline for non-surgical management of chronic primary low back pain in adults in primary and community care settings","authors":"Kieran O’Sullivan","doi":"10.1016/j.jphys.2024.02.008","DOIUrl":"10.1016/j.jphys.2024.02.008","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/S1836955324000092/pdfft?md5=af92bb38633d0b8954050fb711c2fcf1&pid=1-s2.0-S1836955324000092-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111915","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}
Pub Date : 2024-04-01DOI: 10.1016/j.jphys.2024.02.011
Simon P Vella, Gustavo C Machado
{"title":"Clinimetrics: The Cumulated Ambulation Score","authors":"Simon P Vella, Gustavo C Machado","doi":"10.1016/j.jphys.2024.02.011","DOIUrl":"10.1016/j.jphys.2024.02.011","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/S1836955324000122/pdfft?md5=5f2442775bf7cd5e04417bc01d8e3463&pid=1-s2.0-S1836955324000122-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111916","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}
Pub Date : 2024-04-01DOI: 10.1016/j.jphys.2024.02.014
Prudence Plummer
{"title":"Critically appraised paper: Eccentric resistance training may improve strength and power but not gait in patients with neurological conditions [synopsis]","authors":"Prudence Plummer","doi":"10.1016/j.jphys.2024.02.014","DOIUrl":"10.1016/j.jphys.2024.02.014","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/S1836955324000158/pdfft?md5=d066b68abfff8aca53ff716c91330666&pid=1-s2.0-S1836955324000158-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111918","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}
Pub Date : 2024-01-01DOI: 10.1016/j.jphys.2023.10.006
Nina Østerås
{"title":"Critically appraised paper: Education-enhanced care was superior to conventional care on disability, but not on pain, for temporomandibular disorders [synopsis]","authors":"Nina Østerås","doi":"10.1016/j.jphys.2023.10.006","DOIUrl":"10.1016/j.jphys.2023.10.006","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1836955323001121/pdfft?md5=74b7877280cbbc1576de5bb8f6b561b5&pid=1-s2.0-S1836955323001121-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441511","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}
Pub Date : 2024-01-01DOI: 10.1016/j.jphys.2023.10.005
Nina Østerås
{"title":"Critically appraised paper: Neck-specific exercise with internet support for chronic whiplash-associated disorders is noninferior to neck-specific exercise at a physiotherapy clinic [synopsis]","authors":"Nina Østerås","doi":"10.1016/j.jphys.2023.10.005","DOIUrl":"10.1016/j.jphys.2023.10.005","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":null,"pages":null},"PeriodicalIF":12.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S183695532300111X/pdfft?md5=a94cf7f986a2a068b25e9f0e385cd754&pid=1-s2.0-S183695532300111X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441515","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}
Pub Date : 2024-01-01DOI: 10.1016/j.jphys.2023.11.002
Sarah Osiurak , Nicholas F Taylor , Timothy Albiston , Kimberley Williams , Taya A Collyer , David A Snowdon
Question
Does adding an interactive clinical supervision training program to self-education improve the effectiveness of clinical supervision of physiotherapists, reduce burnout, decrease intention to leave and increase participation in clinical supervision?
Design
Randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis.
Participants
Physiotherapists (n = 58) working at a publicly funded health service.
Intervention
Participants in both groups received a self-education clinical supervision training package. In addition, participants in the experimental group received interactive clinical supervision training consisting of three 90-minute workshops.
Outcome measures
The primary outcome measure was effectiveness of clinical supervision 4 months after training measured using the Manchester Clinical Supervision Scale (MCSS-26). Secondary outcomes were the Maslach Burnout Inventory, the Intention to Leave Scale, and participation in supervision. Focus groups were also used to gauge impressions of the intervention.
Results
The addition of interactive clinical supervision training slightly improved effectiveness of clinical supervision, with a between-group mean difference of 6.3 units (95% CI 0.3 to 12.3) on the MCSS-26. The estimate of the effect on the proportion of physiotherapists reporting effective clinical supervision (ie, MSCC-26 score ≥ 73) was unclear (OR 1.97, 95% CI 0.50 to 7.81). Physiotherapists in the experimental group reported slightly lower levels of depersonalisation (MD –3.0 units, 95% CI –4.6 to –1.3). There were negligible or uncertain effects on the other burnout domains, intention to leave and participation in clinical supervision. Qualitatively, participants reported that the workshops made them realise that supervisees could take greater ownership of where supervision focused.
Conclusion
Adding interactive clinical supervision training to self-education leads to small improvements in the effectiveness of clinical supervision of physiotherapists.
Registration
osf.io/yz3kx.
问题:在自我教育中加入互动式临床监督培训项目是否能提高物理治疗师临床监督的有效性,减少倦怠,减少离职意向,提高临床监督的参与度?设计:随机对照试验,采用隐蔽分配、评估盲法和意向治疗分析。参与者:在公立医疗服务机构工作的物理治疗师(n = 58)。干预措施:两组受试者均接受临床督导自我教育培训包。此外,实验组的参与者接受互动式临床监督培训,包括三个90分钟的讲习班。结果测量:主要结果测量是训练后4个月临床监督的有效性,使用曼彻斯特临床监督量表(MCSS-26)测量。次要结果为Maslach倦怠量表、离职意向量表和参与监督。焦点小组也被用来评估干预的印象。结果:互动式临床监督训练的增加略微提高了临床监督的有效性,MCSS-26的组间平均差异为6.3个单位(95% CI 0.3 ~ 12.3)。对报告有效临床监督的物理治疗师比例(即MSCC-26评分≥73)的影响估计尚不清楚(OR 1.97, 95% CI 0.50至7.81)。实验组物理治疗师报告的人格解体水平略低(MD -3.0单位,95% CI -4.6至-1.3)。其他倦怠领域、离职意向和参与临床监督的影响可以忽略不计或不确定。从质量上讲,与会者报告说,讲习班使他们意识到,监督者可以在监督的重点方面拥有更大的自主权。结论:在自我教育的基础上增加互动式临床监督培训,可使物理治疗师临床监督的效果有小幅提高。注册:osf.io / yz3kx。
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Pub Date : 2024-01-01DOI: 10.1016/S1836-9553(23)00135-2
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