Australian Journal of Physiotherapy最新文献

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Was the PEDro rating accurate? 佩德罗评分准确吗?

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70016-3

Miroslav Kucera, Miloš Barna

引用次数: 0

Fibromyalgia 纤维肌痛症

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70014-X

Sandra Brauer

引用次数: 0

Chronic heart failure 慢性心力衰竭

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70037-0

Sandra Brauer

引用次数: 5

Acute whiplash 急性颈椎过度屈伸

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70054-0

Sandra Brauer

引用次数: 1

Researchers should make data freely accessible 研究人员应该免费提供数据

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70060-6

Robert D. Herbert

引用次数: 12

Incidence and severity of shoulder pain does not increase with the use of circuit class therapy during inpatient stroke rehabilitation: a controlled trial 住院卒中康复期间，肩部疼痛的发生率和严重程度不会随着循环类疗法的使用而增加:一项对照试验

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70065-5

Coralie English , Susan Hillier , Kathy Stiller

Questions

Does circuit class therapy result in a greater incidence or severity of shoulder pain compared with individual therapy? Is the incidence influenced by the degree of active shoulder control?

Design

Controlled trial with intention-totreat analysis.

Participants

Sixty-eight people (6 drop-outs) undergoing inpatient rehabilitation after stroke.

Intervention

Participants received either individual therapy or group circuit class therapy.

Outcome measures

Incidence of shoulder pain over the previous 24 hours was measured as a yes/no response while severity of shoulder pain was measured using a visual analogue scale at admission, Week 4, and discharge.

Results

There was no greater chance of participants receiving circuit class therapy having shoulder pain at Week 4 (OR 0.95, 95% CI 0.32 to 2.80) or discharge (OR 0.38, 95% CI 0.11 to 1.45) than participants receiving individual therapy. Of those participants who reported pain, there was no difference between groups in the severity of pain at Week 4 (mean difference –0.2 cm, 95% CI –3.2 to 2.7) or discharge (mean difference –2.1 cm, 95% CI –4.8 to 0.6). There was a greater chance of participants who had no active shoulder control having shoulder pain at Week 4 (OR 5.8, 95% CI 1.6 to 20.4) and at discharge (OR 3.8, 95% CI 1.0 to 13.9) than participants who had active shoulder control.

Conclusion

The incidence and severity of shoulder pain was influenced by degree of active shoulder control but not by type of physiotherapy service delivery. Concerns regarding shoulder pain should not be a barrier to the implementation of circuit class therapy during inpatient stroke rehabilitation.

与单独治疗相比，循环类治疗是否导致肩痛的发生率或严重程度更高?发病率是否受肩部主动控制程度的影响?设计意向治疗分析对照试验。参与者脑卒中后住院康复的68人(6人退出)。干预:参与者接受个体治疗或团体巡回课堂治疗。结果测量:在入院、第4周和出院时，采用视觉模拟量表测量前24小时内肩痛的发生率，以是/否反应来测量，肩痛的严重程度。结果:与接受单独治疗的受试者相比，接受循环类治疗的受试者在第4周出现肩痛(OR 0.95, 95% CI 0.32 - 2.80)或出院(OR 0.38, 95% CI 0.11 - 1.45)的几率并不大。在那些报告疼痛的参与者中，两组在第4周的疼痛严重程度(平均差异-0.2 cm, 95% CI -3.2至2.7)或出院时(平均差异-2.1 cm, 95% CI -4.8至0.6)没有差异。没有主动肩部控制的参与者在第4周(OR 5.8, 95% CI 1.6至20.4)和出院时(OR 3.8, 95% CI 1.0至13.9)比主动肩部控制的参与者有更大的机会出现肩部疼痛。结论肩部疼痛的发生率和严重程度受肩部主动控制程度的影响，而不受物理治疗服务提供方式的影响。对肩部疼痛的担忧不应成为住院中风康复期间电路类治疗实施的障碍。

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引用次数: 5

A coach-controlled rehabilitation program reduces the risk of reinjury among amateur soccer players 教练控制的康复计划降低了业余足球运动员再次受伤的风险

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70070-9

Farshid Mohammadi

Question

Among amateur soccer players with a recent injury, can a rehabilitation program that is implemented by coaches according to an algorithm with return-to-play criteria reduce the risk of reinjury?

Design

Cluster-randomised controlled trial with blinded outcome assessment and intention-to-treat analysis.

Setting

Sixth highest division of amateur male soccer competition in Sweden.

Participants

Twenty-four teams (582 players) were randomised to use a rehabilitation program with injured players before returning them to match play, or to a control arm.

Interventions

The rehabilitation program involved graded return to individual training, team training, and match play. Decisions about progression through the program were made by coaches with reference to an algorithm with criteria to determine when to recommence progressively more taxing training drills and match play. The criteria for progressing through the rehabilitation program related to pain and swelling in response to training and the severity of the injury.

Outcomes

The primary outcome was the rate of reinjury throughout the season, with subsequent analyses of the risk of reinjury during the first week, the first month, the second month, and more than two months after the initial injury. Lower limb injuries were also analysed separately. Compliance with the rehabilitation program was recorded.

Results

Two teams from each arm of the trial withdrew after randomisation. Ninety players (37%) in the intervention group incurred 132 injuries and 79 players (33%) in the control group incurred 134 injuries. Reinjury occurred in 11% of the injuries in the intervention group – significantly fewer than the 30% of the injuries that recurred in the control group. This indicates that for every 5 injuries managed with the rehabilitation program, a reinjury would be prevented (95% CI 4 to 10). For lower limb injuries, only 4 injuries would need to be managed with the program to prevent a reinjury (95% CI 3 to 7). The majority of the reinjuries occurred early after the initial injury, with 44% occurring within the first week, and 80% within the first month. Compliance with the program was 68% in the intervention group. All three reinjuries within the first week of returning to match play in the intervention group were cases where the coach did not comply with the program.

Conclusion

A rehabilitation program implemented by coaches with return-to-play criteria reduces the reinjury rate in amateur soccer players.

问题:在最近受伤的业余足球运动员中，教练根据恢复比赛标准的算法实施的康复计划能否降低再次受伤的风险?设计聚类随机对照试验，采用盲法结局评估和意向治疗分析。在瑞典业余男子足球比赛中排名第六。24支球队(582名球员)被随机分配到受伤球员的康复计划中，然后让他们回到比赛中，或者回到对照组。干预康复计划包括分级回归到个人训练、团队训练和比赛。教练们根据一个算法来决定项目的进展情况，这个算法有标准，可以决定何时重新开始逐渐增加训练和比赛的难度。康复计划进展的标准与训练后的疼痛和肿胀以及损伤的严重程度有关。主要结果是整个赛季的再损伤率，随后分析初次损伤后第一周、第一个月、第二个月和两个多月的再损伤风险。下肢损伤也分别进行分析。对康复计划的遵守情况进行了记录。结果随机分组后，每组各有2个研究小组退出。干预组有90名(37%)球员受伤132次，对照组有79名(33%)球员受伤134次。干预组中再次受伤的发生率为11%，明显低于对照组中再次受伤的30%。这表明，通过康复治疗每5次损伤，就可以预防一次再损伤(95% CI为4 ~ 10)。对于下肢损伤，只需对4例损伤进行管理以防止再损伤(95% CI 3 ~ 7)。大多数再损伤发生在初次损伤后的早期，44%发生在第一周内，80%发生在第一个月内。干预组的依从性为68%。在干预组中，所有三名在回归比赛的第一周内再次受伤的球员都是教练没有遵守训练计划的情况。结论教练员制定的康复计划可降低业余足球运动员的再伤率。

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引用次数: 1

No difference between postural exercises and strength and fitness exercises for early, non-specific, work-related upper limb disorders in visual display unit workers: a randomised trial 一项随机试验:姿势锻炼与力量和健身锻炼对视觉显示单位工作人员早期、非特异性、与工作相关的上肢疾病无差异

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70042-4

Marjon D. van Eijsden-Besseling , J. Bart Staal , Antonius van Attekum , Rob A. de Bie , Wim J.A. van den Heuvel

Question

Are postural exercises delivered by Mensendieck/Cesar therapists more effective in decreasing pain, reducing disability and improving health-related quality of life in visual display unit workers with early non-specific work-related upper limb disorders than strength and fitness exercises delivered by physiotherapists?

Design

Randomised trial with concealed allocation and intention-to-treat analysis.

Participants

Eighty-eight (6 drop-outs) visual display unit workers with early nonspecific work-related upper limb disorders.

Intervention

One group received 10 weeks of postural exercises while the other group received 10 weeks of strength and fitness exercises.

Outcome measures

Pain was measured with a 10-cm visual analogue scale, disability was measured with the Disabilities of Arm, Shoulder and Hand questionnaire, and health-related quality of life was measured with the Short Form-36. Number of participants experiencing upper limb complaints was also collected. Outcome measures were collected at baseline and again at 3, 6, and 12 months.

Results

There was no significant difference in decrease in pain between the groups at 3 months (0.6 cm, 95% CI 0.0 to 1.2), 6 months (0.2, 95% CI –0.3 to 0.7), or at 12 months (0.1, 95% CI –0.6 to 0.8). Differences between the groups in upper limb complaints, disability, and healthrelated quality of life were also small and not significant at any measurement occasion.

Conclusion

Postural exercises did not result in a better outcome than strength and fitness exercises. However, 55% of visual display unit workers with early non-specific work-related upper limb disorders reported being free of complaints one year after both interventions were commenced.

由Mensendieck/Cesar治疗师提供的姿势练习是否比物理治疗师提供的力量和健身练习更有效地减轻疼痛、减少残疾和改善视觉显示单位早期非特异性上肢工作障碍工人的健康相关生活质量?设计随机试验，隐藏分配和意向治疗分析。参与者88名(6名退出)早期患有非特异性上肢工作障碍的视觉显示单位工作人员。干预:一组接受10周的体位锻炼，另一组接受10周的力量和健身锻炼。结果测量:用10厘米视觉模拟量表测量疼痛，用手臂、肩膀和手的残疾问卷测量残疾，用Short Form-36测量健康相关生活质量。还收集了上肢不适的参与者人数。在基线、3个月、6个月和12个月再次收集结果测量值。结果3个月(0.6 cm, 95% CI 0.0 ~ 1.2)、6个月(0.2,95% CI -0.3 ~ 0.7)和12个月(0.1,95% CI -0.6 ~ 0.8)组间疼痛减轻无显著差异。两组在上肢抱怨、残疾和健康相关生活质量方面的差异也很小，在任何测量场合都不显著。结论体位运动的效果并不比力量和健身运动好。然而，55%患有早期非特异性与工作相关上肢疾病的视觉展示单位工作人员在两种干预措施开始一年后报告没有抱怨。

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引用次数: 22

Continuous positive airway pressure reduces respiratory complications following abdominal surgery 持续气道正压可减少腹部手术后的呼吸并发症

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70031-X

Erik Hulzebos

引用次数: 0

How do we ‘do’ public health? 我们如何“做”公共卫生?

Australian Journal of Physiotherapy

Pub Date : 2008-01-01 DOI: 10.1016/S0004-9514(08)70077-1

Gisela van Kessel

引用次数: 0

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