Supported self-management (SSM) assists development of the skills people living with long-term conditions require to manage their health and live well. Physiotherapy students should learn how to deliver SSM but how to facilitate optimal student learning of SSM is currently not known. This mixed methods study aimed to determine, from a student perspective, how to best teach undergraduate physiotherapists to optimise their learning of the knowledge and skills in delivering SSM. Final year physiotherapy students were invited to participate in a nominal group session (n = 17) and then three rounds of an e-Delphi survey. Round one (n = 33) elicited ideas and themes for subsequent rounds, while rounds two (n = 25) and three (n = 13) measured consensus on ideas for improving the current SSM curriculum. Consensus was reached that learning SSM should be frequent, interesting, explicit, and incorporated into all years of training. Practical opportunities were favoured over theoretical learning via lectures. Learning SSM was seen as an ongoing process, important in providing person-centred care and improving health outcomes. Increasing learning opportunities that provide students with clear knowledge of SSM and a chance to practise using these skills in a real-life setting should be incorporated into entry-level physiotherapy education.
{"title":"Undergraduate physiotherapy students’ perspectives on optimising the curriculum for supported self-management education","authors":"Libby McConnell, Leigh Hale","doi":"10.15619/nzjp.v52i1.359","DOIUrl":"https://doi.org/10.15619/nzjp.v52i1.359","url":null,"abstract":"Supported self-management (SSM) assists development of the skills people living with long-term conditions require to manage their health and live well. Physiotherapy students should learn how to deliver SSM but how to facilitate optimal student learning of SSM is currently not known. This mixed methods study aimed to determine, from a student perspective, how to best teach undergraduate physiotherapists to optimise their learning of the knowledge and skills in delivering SSM. Final year physiotherapy students were invited to participate in a nominal group session (n = 17) and then three rounds of an e-Delphi survey. Round one (n = 33) elicited ideas and themes for subsequent rounds, while rounds two (n = 25) and three (n = 13) measured consensus on ideas for improving the current SSM curriculum. Consensus was reached that learning SSM should be frequent, interesting, explicit, and incorporated into all years of training. Practical opportunities were favoured over theoretical learning via lectures. Learning SSM was seen as an ongoing process, important in providing person-centred care and improving health outcomes. Increasing learning opportunities that provide students with clear knowledge of SSM and a chance to practise using these skills in a real-life setting should be incorporated into entry-level physiotherapy education.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"134 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Communication is essential to physiotherapy practice. While verbal communication has been a primary focus in research, less is known about body communication. Body communication refers to communication achieved by means other than words, such as touch, eye contact, prosody, and proxemics. This review aims to provide detailed knowledge of the roles and functions of body communication in physiotherapy practice and identify areas for future research. We undertook a systematic search and thematic synthesis of published qualitative literature in October 2022. Four databases were searched with results screened to identify articles providing insight into the roles and functions of body communication. Quality appraisal of included studies was completed. Thematic synthesis was used to generate findings. Thirty-three studies met the inclusion criteria. Four themes were constructed to reflect the roles and functions of body communication in physiotherapy practice: conveying the physiotherapist’s attention and interest; enabling patients to contribute to care; guiding physiotherapy intervention through bodily dialogue; and building the therapeutic relationship. The findings demonstrate how body communication shapes the therapeutic process and how sensitive and responsive body communication supports a more reciprocal and person-centred approach to care. Research is needed to obtain more in-depth and nuanced accounts of body communication to support the clinical application of findings.
{"title":"The role and function of body communication in physiotherapy practice: A qualitative thematic synthesis","authors":"Clinton H. Good, F. Bright, Sarah Mooney","doi":"10.15619/nzjp.v52i1.338","DOIUrl":"https://doi.org/10.15619/nzjp.v52i1.338","url":null,"abstract":"Communication is essential to physiotherapy practice. While verbal communication has been a primary focus in research, less is known about body communication. Body communication refers to communication achieved by means other than words, such as touch, eye contact, prosody, and proxemics. This review aims to provide detailed knowledge of the roles and functions of body communication in physiotherapy practice and identify areas for future research. We undertook a systematic search and thematic synthesis of published qualitative literature in October 2022. Four databases were searched with results screened to identify articles providing insight into the roles and functions of body communication. Quality appraisal of included studies was completed. Thematic synthesis was used to generate findings. Thirty-three studies met the inclusion criteria. Four themes were constructed to reflect the roles and functions of body communication in physiotherapy practice: conveying the physiotherapist’s attention and interest; enabling patients to contribute to care; guiding physiotherapy intervention through bodily dialogue; and building the therapeutic relationship. The findings demonstrate how body communication shapes the therapeutic process and how sensitive and responsive body communication supports a more reciprocal and person-centred approach to care. Research is needed to obtain more in-depth and nuanced accounts of body communication to support the clinical application of findings.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"116 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140370375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vaping: A timely conversation","authors":"Sarah Mooney, Stuart L. Jones","doi":"10.15619/nzjp.v52i1.405","DOIUrl":"https://doi.org/10.15619/nzjp.v52i1.405","url":null,"abstract":"","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140371750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pulmonary rehabilitation (PR) is a high-value intervention for people living with a chronic respiratory disease. Uptake and completion of PR remains low, and telerehabilitation provides an alternative model for remotely delivering PR, which may improve the reach of this intervention. While telerehabilitation is safe and likely equivalent to centre-based PR, little is known about the barriers to participation in telerehabilitation to date. This scoping review aims to better understand the factors influencing perception of and participation in telerehabilitation for people living with a chronic respiratory disease. Scopus, MEDLINE, and CINAHL were searched between July 27 to November 23, 2022. Articles were screened, and those fulfilling inclusion criteria were extracted to a standard template. Extracted data were analysed using narrative synthesis. Twenty-seven studies met the inclusion criteria. People living with a chronic respiratory disease perceive telerehabilitation to be convenient and flexible, but technically challenging and lacking in contact with clinicians and peer support. The experiences from a small number of people who have participated in these programmes counter this with praise for the therapeutic relationship they developed with their clinician and the social support they received
{"title":"Factors which influence participation in telerehabilitation – A scoping review of the literature","authors":"S. Candy, Julie Reeve, Denise Taylor","doi":"10.15619/nzjp.v51i3.345","DOIUrl":"https://doi.org/10.15619/nzjp.v51i3.345","url":null,"abstract":"Pulmonary rehabilitation (PR) is a high-value intervention for people living with a chronic respiratory disease. Uptake and completion of PR remains low, and telerehabilitation provides an alternative model for remotely delivering PR, which may improve the reach of this intervention. While telerehabilitation is safe and likely equivalent to centre-based PR, little is known about the barriers to participation in telerehabilitation to date. This scoping review aims to better understand the factors influencing perception of and participation in telerehabilitation for people living with a chronic respiratory disease. Scopus, MEDLINE, and CINAHL were searched between July 27 to November 23, 2022. Articles were screened, and those fulfilling inclusion criteria were extracted to a standard template. Extracted data were analysed using narrative synthesis. Twenty-seven studies met the inclusion criteria. People living with a chronic respiratory disease perceive telerehabilitation to be convenient and flexible, but technically challenging and lacking in contact with clinicians and peer support. The experiences from a small number of people who have participated in these programmes counter this with praise for the therapeutic relationship they developed with their clinician and the social support they received","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139223621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Normala Mesbah, Meredith Perry, Keith D. Hill, Donald Manlapaz, Leigh Hale
Older adults with cognitive impairment frequently have reduced balance and are at high risk for falling. We investigated the concurrent validity of the Physiological Profile Assessment (PPA) and the Timed Up and Go (TUG) test with computerised posturography in 13 older adults (mean (SD) age 80 (8) years) with mild-to-moderate cognitive impairment (mean (SD) Mini-Mental State Examination score, 19 (9)). Spearman’s rho demonstrated: moderately good positive correlation between PPA (muscle strength) and posturography rising index (rs = 0.699, p = 0.01) and posturography mediolateral sway during eyes open standing on a foam surface (rs = 0.604, p = 0.04); good negative correlations between PPA anteroposterior sway (eyes closed) and posturography sway velocity (eyes open) standing on foam (rs = –0.745, p = 0.01) and Romberg ratios of PPA and posturography (rs = –0.698, p = 0.02); moderately good positive correlations between TUG and posturography (left step quick turn time; left turn sway; rs = 0.548, p = 0.04; 0.646, p = 0.02) and good-to-excellent negative correlation between TUG and posturography (rising index rs = –0.719, p = 0.01). Both tests appear valid measures of balance in older adults with mild-to-moderate cognitive impairment; however, we suggest both are used.
{"title":"Concurrent validity of clinical balance tests for older adults with cognitive impairment","authors":"Normala Mesbah, Meredith Perry, Keith D. Hill, Donald Manlapaz, Leigh Hale","doi":"10.15619/nzjp.v51i3.277","DOIUrl":"https://doi.org/10.15619/nzjp.v51i3.277","url":null,"abstract":"Older adults with cognitive impairment frequently have reduced balance and are at high risk for falling. We investigated the concurrent validity of the Physiological Profile Assessment (PPA) and the Timed Up and Go (TUG) test with computerised posturography in 13 older adults (mean (SD) age 80 (8) years) with mild-to-moderate cognitive impairment (mean (SD) Mini-Mental State Examination score, 19 (9)). Spearman’s rho demonstrated: moderately good positive correlation between PPA (muscle strength) and posturography rising index (rs = 0.699, p = 0.01) and posturography mediolateral sway during eyes open standing on a foam surface (rs = 0.604, p = 0.04); good negative correlations between PPA anteroposterior sway (eyes closed) and posturography sway velocity (eyes open) standing on foam (rs = –0.745, p = 0.01) and Romberg ratios of PPA and posturography (rs = –0.698, p = 0.02); moderately good positive correlations between TUG and posturography (left step quick turn time; left turn sway; rs = 0.548, p = 0.04; 0.646, p = 0.02) and good-to-excellent negative correlation between TUG and posturography (rising index rs = –0.719, p = 0.01). Both tests appear valid measures of balance in older adults with mild-to-moderate cognitive impairment; however, we suggest both are used.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139218853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Salmon, M. Badenhorst, Sierra Keung, Patricia Lucas, Kate Mossman, Simon Walters, Gisela Sole
Adolescent concussions can potentially lead to cognitive and behavioural changes, affecting concentration and performance at school and in other activities. Although the Ministry of Education provides web-based guidelines for post-concussion student support, the implementation of these in the school setting is limited. Due to the complex school environment, a pragmatic methodology is needed to co-design implementation with relevant community stakeholders. We outline the protocol for designing and implementing a FRAmework for maNaging Concussions in New Zealand Secondary Schools (FRANCS) to support safe return to learn and activity for students. The framework draft was co-designed by school stakeholders and will be refined at organisational levels. We describe the theoretical underpinnings that informed the study design and outline the project phases. We use a systems thinking approach, Community Based Participatory Action Research, and Appreciative Inquiry approaches to co develop FRANCS with community, policy, and professional stakeholders. The implementation and evaluation phases of FRANCS is guided by Step 5 of the Intervention Mapping protocol, Implementation outcomes, and Realist process evaluation. FRANCS will be adaptable to the context of individual secondary schools in Aotearoa New Zealand, ensuring that return-to-learning and -activity guides are implemented to support students who have sustained a concussion.
青少年脑震荡可能会导致认知和行为的改变，影响在学校和其他活动中的注意力和表现。虽然教育部提供了基于网络的脑震荡后学生支持指南，但在学校环境中的实施却很有限。由于学校环境复杂，因此需要一种务实的方法来与相关的社区利益相关者共同设计实施方案。我们概述了设计和实施 "新西兰中学脑震荡治疗框架"（FRAmework for maNaging Concussions in New Zealand Secondary Schools，FRANCS）的规程，以支持学生安全地恢复学习和活动。该框架草案由学校利益相关者共同设计，并将在组织层面加以完善。我们介绍了研究设计的理论基础，并概述了项目的各个阶段。我们采用系统思维方法、基于社区的参与式行动研究和欣赏式探究方法，与社区、政策和专业利益相关者共同开发 FRANCS。FRANCS 的实施和评估阶段以 "干预映射协议 "步骤 5、实施结果和现实主义过程评估为指导。FRANCS 将根据新西兰奥特亚罗瓦各中学的具体情况进行调整，确保实施恢复学习和活动指南，为遭受脑震荡的学生提供支持。
{"title":"Designing, implementing and evaluating a framework for managing concussions in New Zealand secondary schools: A study protocol","authors":"D. Salmon, M. Badenhorst, Sierra Keung, Patricia Lucas, Kate Mossman, Simon Walters, Gisela Sole","doi":"10.15619/nzjp.v51i3.276","DOIUrl":"https://doi.org/10.15619/nzjp.v51i3.276","url":null,"abstract":"Adolescent concussions can potentially lead to cognitive and behavioural changes, affecting concentration and performance at school and in other activities. Although the Ministry of Education provides web-based guidelines for post-concussion student support, the implementation of these in the school setting is limited. Due to the complex school environment, a pragmatic methodology is needed to co-design implementation with relevant community stakeholders. We outline the protocol for designing and implementing a FRAmework for maNaging Concussions in New Zealand Secondary Schools (FRANCS) to support safe return to learn and activity for students. The framework draft was co-designed by school stakeholders and will be refined at organisational levels. We describe the theoretical underpinnings that informed the study design and outline the project phases. We use a systems thinking approach, Community Based Participatory Action Research, and Appreciative Inquiry approaches to co develop FRANCS with community, policy, and professional stakeholders. The implementation and evaluation phases of FRANCS is guided by Step 5 of the Intervention Mapping protocol, Implementation outcomes, and Realist process evaluation. FRANCS will be adaptable to the context of individual secondary schools in Aotearoa New Zealand, ensuring that return-to-learning and -activity guides are implemented to support students who have sustained a concussion.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139224309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
New Zealand Manipulative Physiotherapy Association
{"title":"Abstracts from the New Zealand Manipulative Physiotherapists Association Conference","authors":"New Zealand Manipulative Physiotherapy Association","doi":"10.15619/nzjp.v51i3.374","DOIUrl":"https://doi.org/10.15619/nzjp.v51i3.374","url":null,"abstract":"","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"27 Pt 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139224708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christine Bilsborough Smith, Dave Baker, Rajesh Botchu, Melinda Cairns, Rachel Chester, Benjamin Dean, Robert Mast, Jeremy Lewis
Following specialist training, physiotherapists in some countries, such as the United Kingdom and Norway perform landmark, and ultrasound guided, soft tissue and joint injections for a wide range of musculoskeletal conditions. Whether they inject or not, physiotherapists may wish to recommend injections, and people requiring care commonly seek physiotherapist’s opinions on injection therapy. Globally, there has been a substantial increase in the use of corticosteroid injections to treat musculoskeletal conditions. Those performing injections or providing advice need be cognisant of the possible harms of the procedures and communicate this information sensitively to those considering the procedures. This review synthesises evidence for local and systemic adverse reactions and side effects related to corticosteroid injections in the treatment of non-spinal musculoskeletal conditions. Multiple databases including PubMed, Medline, PEDro, Cinahl were searched, and all levels of evidence were included if they added to the review. Serious adverse events appear to be rare, possibly in part, due to under-reporting of side effects. Where available, suggestions for minimising risk and aftercare have been made. As substantial gaps in the evidence were found, areas for further research are suggested and a decision-making tool is included to facilitate whether to proceed to injection, proceed with precaution or no injection.
{"title":"Corticosteroid injections for non-spinal musculoskeletal conditions: Consideration of local and systemic adverse drug reactions and side effects","authors":"Christine Bilsborough Smith, Dave Baker, Rajesh Botchu, Melinda Cairns, Rachel Chester, Benjamin Dean, Robert Mast, Jeremy Lewis","doi":"10.15619/nzjp.v51i3.363","DOIUrl":"https://doi.org/10.15619/nzjp.v51i3.363","url":null,"abstract":"Following specialist training, physiotherapists in some countries, such as the United Kingdom and Norway perform landmark, and ultrasound guided, soft tissue and joint injections for a wide range of musculoskeletal conditions. Whether they inject or not, physiotherapists may wish to recommend injections, and people requiring care commonly seek physiotherapist’s opinions on injection therapy. Globally, there has been a substantial increase in the use of corticosteroid injections to treat musculoskeletal conditions. Those performing injections or providing advice need be cognisant of the possible harms of the procedures and communicate this information sensitively to those considering the procedures. This review synthesises evidence for local and systemic adverse reactions and side effects related to corticosteroid injections in the treatment of non-spinal musculoskeletal conditions. Multiple databases including PubMed, Medline, PEDro, Cinahl were searched, and all levels of evidence were included if they added to the review. Serious adverse events appear to be rare, possibly in part, due to under-reporting of side effects. Where available, suggestions for minimising risk and aftercare have been made. As substantial gaps in the evidence were found, areas for further research are suggested and a decision-making tool is included to facilitate whether to proceed to injection, proceed with precaution or no injection.","PeriodicalId":52167,"journal":{"name":"New Zealand Journal of Physiotherapy","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139216002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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