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IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-10-30 DOI: 10.1016/S0031-9406(24)00442-5

引用次数: 0

Reliability and validity of the L test in people with multiple sclerosis 多发性硬化症患者 L 测试的可靠性和有效性。

IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-09-24 DOI: 10.1016/j.physio.2024.101429

Kader Eldemir , Sefa Eldemir , Cagla Ozkul , Ceyla Irkec , Arzu Guclu-Gunduz

Objectives

Functional mobility is an essential factor affecting the activities of daily living in people with multiple sclerosis (PwMS). The L test is a comprehensive assessment tool for functional mobility that incorporates sit-to-stand, transfers and bidirectional turning. The purpose of this study was to determine the psychometric properties of the L test in PwMS.

Design

Cross-sectional study.

Participants

Thirty-four PwMS [Expanded Disability Status Scale (EDSS) score 0 to 5] and 34 healthy controls were included in this study.

Main outcome measures

The L test was administered along with the timed up and go (TUG) test, 10-m walk test (10-MWT), 6-minute walk test (6-MWT), timed 360 degree turn test, and EDSS by the same rater. Fall history was recorded to categorize PwMS with and without a history of falls. The L test was repeated after 1 week to determine test–retest reliability.

Results

The L test showed excellent test–retest reliability (intraclass correlation coefficient 0.995). The minimum detectable change for the L test time was 1.4 seconds. The L test demonstrated significant positive correlations with the TUG test, timed 360 degree turn test and EDSS score, and significant negative correlations with the 10-MWT and 6-MWT (P < 0.001). Significant differences in the L test times were found between PwMS and healthy controls, and between PwMS with a history of falls and those without a history of falls (P < 0.05). The cut-off time of 14.7 seconds on the L test was found to best discriminate between PwMS and healthy people, while 16.4 seconds was found to best discriminate between PwMS with a history of falls and those without a history of falls.

Conclusion

The L test is a reliable and valid tool for the assessment of functional mobility in PwMS.

Clinical Trial Registration number

NCT05641714.

Contribution of the Paper

•
The L test has excellent test–retest reliability and validity in PwMS.
•
The L test can provide insight into functional mobility, with high scores (long completion times) warranting further specific assessment of underlying components (turning, walking, etc.) that may contribute to the longer completion times.
•
The L test demonstrates a more comprehensive mobility assessment using an L-shaped pathway.

目的：功能移动能力是影响多发性硬化症患者日常生活活动的一个重要因素。L测试是一种全面的功能性移动能力评估工具，其中包括坐立、转移和双向转身。本研究旨在确定 L 测试在多发性硬化症患者中的心理测量特性：设计：横断面研究：主要结果测量：L测试与定时起立行走（TUG）测试、10米步行测试（10-MWT）、6分钟步行测试（6-MWT）、定时360度转体测试和EDSS由同一评分者进行。记录跌倒史是为了对有跌倒史和无跌倒史的 PwMS 进行分类。1 周后重复进行 L 测试，以确定测试重复可靠性：L测试显示出极佳的重测可靠性（类内相关系数为0.995）。L 测试时间的最小可检测变化为 1.4 秒。L测试与TUG测试、定时360度转体测试和EDSS评分呈显著正相关，与10-MWT和6-MWT呈显著负相关（P 结论：L测试是一项可靠、有效的测试方法：L测试是评估PwMS功能活动度的可靠有效的工具：临床试验注册号：NCT05641714。论文贡献

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引用次数: 0

A cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial 基于神经肌肉训练的心脏康复计划可提高急性冠状动脉综合征患者的功能能力：一项初步随机对照试验。

IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-09-20 DOI: 10.1016/j.physio.2024.101428

Noemí Valtueña-Gimeno , Óscar Fabregat-Andrés , Isabel Martínez-Hurtado , Francisco José Martínez-Olmos , Marta Lluesma-Vidal , María Dolores Arguisuelas , Francisco-José Ferrer-Sargues

Objectives

To evaluate the effects of a cardiac rehabilitation programme based on neuromuscular training (NMT) compared with classic rehabilitation strength training (CRST) in patients diagnosed with acute coronary syndrome (ACS).

Design

Preliminary randomised, double-blinded, parallel clinical trial.

Setting

University health clinic in Valencia, Spain.

Participants

Thirty patients with ACS.

Interventions

Patients were assigned to one of two groups at random: the NMT group (n = 15) and the CRST group (n = 15). All patients attended the 20 sessions of the exercise programme.

Main outcome measures

The primary outcome was the Incremental Shuttle Walk Test (ISWT). The secondary outcomes were the Chester Step Test (CST), the 30-Second Chair Stand Test (30CST), and hip flexor dynamometry. Assessments were made at baseline, immediately post-treatment, and at 6-month follow-up.

Results

The NMT group showed a greater improvement in the ISWT than the CRST group, both at post-treatment {mean 648 [standard deviation (SD) 197] vs 493 (SD 219), mean difference 155, 95% confidence interval (CI) −1 to 310} and at follow-up [732 (SD 183) vs 518 (SD 222), mean difference 214, 95% CI 61 to 367]. The secondary outcomes showed significant between-group differences in favour of the NMT group at 6-month follow-up, except for the 30CST.

Conclusions

These preliminary findings indicate that a cardiac rehabilitation programme based on NMT may improve functional capacity in terms of patient performance, cardiorespiratory fitness and muscle strength. Moreover, the improvements were maintained at medium-term follow-up. This could help improve the design of rehabilitation sessions, considering factors associated with performing everyday activities in patients affected by ACS.

Clinical Trial Registration number

NCT04246008.

Contribution of the Paper

•
This study provides insight into new modalities of strength interventions in patients with acute coronary syndrome.
•
Neuromuscular training is a novel exercise modality in cardiac rehabilitation patients that has been shown to improve functional capacity.

目的评估基于神经肌肉训练（NMT）的心脏康复计划与传统康复力量训练（CRST）对急性冠状动脉综合征（ACS）患者的影响：初步随机、双盲、平行临床试验：参与者：30 名急性冠状动脉综合征（ACS）患者：30名急性冠状动脉综合征（ACS）患者：患者被随机分配到两组中的一组：NMT 组（15 人）和 CRST 组（15 人）。所有患者都参加了 20 次锻炼计划：主要结果为增量穿梭步行测试（ISWT）。次要结果为切斯特台阶试验（CST）、30 秒椅子站立试验（30CST）和髋屈肌测力法。评估分别在基线、治疗后即刻和 6 个月随访时进行：结果：在治疗后{平均值648[标准差（SD）197] vs 493 (SD 219)，平均差155，95%置信区间（CI）-1至310}和随访时[732 (SD 183) vs 518 (SD 222)，平均差214，95%置信区间（CI）61至367]，NMT组的ISWT改善幅度均大于CRST组。除 30CST 外，6 个月随访的次要结果显示，NMT 组的组间差异明显：这些初步研究结果表明，以 NMT 为基础的心脏康复计划可以提高患者在表现、心肺功能和肌肉力量方面的功能能力。此外，这些改善在中期随访中得以保持。临床试验注册号：NCT04246008：临床试验注册号：NCT04246008。论文贡献

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引用次数: 0

The evaluation of daily activity questionnaire for stroke survivors: cross-cultural adaptation, content validity and digitisation 中风幸存者日常活动问卷评估：跨文化适应性、内容有效性和数字化。

IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-09-12 DOI: 10.1016/j.physio.2024.101427

Nazemin Gilanliogullari , Sarah Prenton , Yeliz Prior

Objective

The study's objective was to culturally adapt and digitise the Evaluation of Daily Activity Questionnaire (EDAQ), originally designed for rheumatoid arthritis and various other musculoskeletal conditions, creating a version for stroke survivors (EDAQ-SS). This adaptation also aimed to develop a comprehensive electronic Patient Reported Outcome Measure (ePROM) intended to refine stroke survivors' self-assessment of their daily activity limitations.

Materials and methods

Cross-cultural adaptation of the EDAQ was completed by a review of expert panel, which included healthcare professionals to increase the clarity and relevancy of the items, followed by cognitive debriefing interviews with British stroke survivors to rate their understanding of the questionnaire items. After developing the paper version of the questionnaire, this was digitised (eEDAQ-SS) and disseminated online via the Stroke Survivors Hub (SSHUB). Content validity of the EDAQ-SS was evaluated using the International Classification of Functioning (ICF) Core Set for Stroke.

Results

The expert panel meeting (n:11) and cognitive debriefing interviews with stroke survivors (n:10) resulted in an EDAQ-SS with 160 items across 15 domains, which was understandable and relevant to stroke survivors. The SSHUB was deemed to be a user-friendly platform, providing easy access to eEDAQ-SS and aid self-assessment of daily activities of stroke survivors. Mapping the EDAQ-SS items to the ICF Core Set for Stroke demonstrated good content validity with 44/55 matching categories.

Conclusion

The EDAQ-SS offers a comprehensive measure for self-assessment, which may serve to guide stroke survivors’ self-management by overcoming limitations of existing PROMs. Further psychometric testing of the EDAQ-SS and wider testing of the digital version is recommended.

Contribution of the Paper

•
The Evaluation of daily activity questionnaire for stroke survivors (EDAQ-SS) is a culturally adapted, comprehensive PROM for British stroke survivors, enhancing self-assessment of daily activities.
•
Methodically developed using guidelines, expert feedback, and stroke survivor interviews, the EDAQ-SS ensures relevance and clarity.
•
The EDAQ-SS demonstrates good content validity against the International Classification of Functioning Core Set for Stroke, with potential to improve clinical practice by providing a detailed, sensitive measure to help stroke survivors and healthcare professionals identify and manage daily activity limitations more effectively.

研究目的该研究的目的是对最初为类风湿性关节炎和其他各种肌肉骨骼疾病而设计的 "日常活动评估问卷"（EDAQ）进行文化改编和数字化，并创建一个适合中风幸存者的版本（EDAQ-SS）。这一改编还旨在开发一个全面的电子患者报告结果测量（ePROM），以完善中风幸存者对其日常活动限制的自我评估：EDAQ 的跨文化改编由专家小组（包括医护人员）审查完成，以提高项目的清晰度和相关性，随后对英国中风幸存者进行认知汇报访谈，以评价他们对问卷项目的理解程度。在开发出纸质版问卷后，将其数字化（eEDAQ-SS），并通过中风幸存者中心（SSHUB）进行在线传播。采用国际功能分类（ICF）脑卒中核心内容对 EDAQ-SS 的内容有效性进行了评估：专家小组会议（11 人）和与中风幸存者的认知汇报访谈（10 人）得出的 EDAQ-SS 包含 160 个项目，横跨 15 个领域，对中风幸存者来说易于理解且具有相关性。SSHUB 被认为是一个用户友好型平台，可以方便地访问 eEDAQ-SS 并帮助中风幸存者对日常活动进行自我评估。将 EDAQ-SS 项目映射到 ICF 中风核心组显示出良好的内容有效性，44/55 个类别相匹配：结论：EDAQ-SS 为自我评估提供了一种全面的测量方法，克服了现有 PROM 的局限性，可为卒中幸存者的自我管理提供指导。建议进一步对 EDAQ-SS 进行心理测试，并对数字版本进行更广泛的测试。本文的贡献

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引用次数: 0

Pre-registration student research placements within KNOWBEST: a service evaluation KNOWBEST 的注册前学生研究实习：服务评估

IF 3.3 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-08-22 DOI: 10.1016/j.physio.2024.101422

Catherine J. Minns Lowe, Jack Rose, Susan Roscoe, Nicola Heneghan

Pre-registration student placements have traditionally been based in clinical settings. Recently, practice-based learning has evolved to include additional settings, including research, leadership and management. The KNOWBEST (Knowledge, Behaviours And Skills Required of the Modern Physiotherapy Graduate) project incorporated research placements for five pre-registration students. The aims of this project were to develop, implement and evaluate research placements within a UK pre-registration physiotherapy program, to add to the limited information available for HEI and supervisors. The paper includes placement content, reflections and evaluations from the perspective of the students, supervisors and Practice Team Lead. Students and staff were highly positive about research placements. Student’s spoke of the importance of their immersive experience on placement, valuing the variety of learning experiences, opportunities to lead and the development of transferable skills. Students found that research and clinical placements, whilst different, were also similar in important ways. Students appreciated how research placements developed their abilities to provide evidence-based practice as clinicians. This paper does not provide definitive placement guidance, it provides information gleaned from direct experience for teams planning research placements. It identifies and reports areas the team found challenging, to facilitate discussion and debate as the profession actively diversifies and expands practice-based learning.

注册前学生的实习历来以临床环境为基础。最近，基于实践的学习已发展到包括研究、领导和管理在内的其他环境。KNOWBEST（现代物理治疗专业毕业生所需的知识、行为和技能）项目为五名注册前学生安排了研究实习。该项目的目的是在英国注册前物理治疗课程中开发、实施和评估研究实习，为高等院校和导师提供更多有限的信息。论文包括实习内容、从学生、导师和实践团队负责人的角度进行的反思和评估。学生和教职员工对研究实习给予了高度评价。学生们谈到了他们身临其境的实习经历的重要性，重视各种学习经历、领导机会和可迁移技能的发展。学生们发现，研究实习和临床实习虽然不同，但也有重要的相似之处。学生们对研究实习如何培养他们作为临床医生提供循证实践的能力表示赞赏。本文并不提供明确的实习指导，而是为规划研究实习的团队提供从直接经验中收集的信息。它指出并报告了团队认为具有挑战性的领域，以促进讨论和辩论，因为医疗专业正在积极地多样化和扩展实践学习。

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引用次数: 0

Is aquatic therapy more effective than land-based therapy for fibromyalgia? A randomised controlled trial discussion 水疗比陆疗对纤维肌痛更有效吗？随机对照试验讨论

IF 3.3 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-08-22 DOI: 10.1016/j.physio.2024.101425

André Pontes-Silva

引用次数: 0

‘A challenge to my professional identity’- resisting the shift from over-management to self-management for back pain within an implementation trial: a qualitative study 对我职业身份的挑战"--在实施试验中抵制背痛从过度管理到自我管理的转变：一项定性研究

IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-08-17 DOI: 10.1016/j.physio.2024.101424

Ron Feldman , Tamar Pincus , Noa Ben Ami

<div><h3>Objective</h3><div>The Enhanced Transtheoretical Model Intervention (ETMI) is based on behavioral models and focuses on guiding Chronic Low Back Pain (CLBP) patients to self-manage symptoms and engage in recreational physical activity. While there is promising evidence that ETMI benefits patients, it is unclear how challenging it might be to implement widely. This investigation focused on the perceptions of physiotherapists trained to deliver ETMI for CLBP.</div></div><div><h3>Design</h3><div>A Qualitative study comprised of semi-structured interviews (July to November 2023). Interviews were audio-recorded, transcribed, coded, and analyzed thematically by two independent researchers.</div></div><div><h3>Setting</h3><div>Data were obtained as part of a large implementation study evaluating the uptake and impact of ETMI amongst physiotherapists in a large public healthcare setting.</div></div><div><h3>Participants</h3><div>22 physiotherapists trained to deliver the ETMI approach and chose to use it with at least one patient.</div></div><div><h3>Results</h3><div>While physiotherapists acknowledged the evidence base behind ETMI and the clarity of the approach, they struggled to adapt it to routine delivery. Exploration of the reasons for this identified an overarching meta-theme, ‘A challenge to my professional identity’, and three main themes consisting of 1) interventions such as ETMI contradicted my training. 2) I am ambivalent/ do not accept evidence that contradicts my habitual practice, and 3) I am under-skilled in psychological and communication skills.</div></div><div><h3>Conclusion</h3><div>This study highlights the reluctance of physiotherapists to implement evidence-based interventions such as ETMI, which fundamentally challenge their traditional practice and therapeutic identity. The shift from over-management by experts seeking cures to supporting self-management was not palatable to physiotherapists. The challenge of embracing a new professional identity must be addressed to enable a successful implementation of the approach.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>This study highlights the reluctance of physiotherapists to implement evidence-based interventions such as ETMI, which fundamentally challenge their traditional practice and therapeutic identity.</div></span></li><li><span>•</span><span><div>The shift from overdiagnosis (weak cores, bad postures, unstable back, or disc sliding) and over-management (specific exercises, modalities, or special techniques) by experts seeking cures to support self-management was not palatable to physiotherapists.</div></span></li><li><span>•</span><span><div>The findings could lead to a reevaluation of professional development programs for physiotherapists, with an emphasis on updating skills and knowledge to align with evidence-based practices, ultimately aiming to enhance the quality of care provided to patients.</div></span></li></ul></di

目的增强型经理论模型干预（ETMI）以行为模型为基础，侧重于指导慢性腰背痛（CLBP）患者自我管理症状并参与娱乐性体育活动。虽然有证据表明 ETMI 能使患者受益，但目前还不清楚广泛实施 ETMI 所面临的挑战有多大。本调查的重点是接受过 ETMI 治疗慢性阻塞性肺病培训的物理治疗师的看法。设计定性研究包括半结构式访谈（2023 年 7 月至 11 月）。访谈由两名独立研究人员进行录音、转录、编码和专题分析。研究背景数据是一项大型实施研究的一部分，该研究评估了大型公共医疗机构中物理治疗师对 ETMI 的接受程度和影响。对其原因的探索发现了一个总的元主题 "对我专业身份的挑战"，以及三个主要的主题，包括 1) ETMI 等干预措施与我所接受的培训相矛盾。2) 我很矛盾/不接受与我的习惯做法相矛盾的证据，以及 3) 我的心理和沟通技能不足。物理治疗师无法接受从专家过度管理到支持自我管理的转变。本文的贡献--本研究强调了物理治疗师不愿意实施 ETMI 等循证干预措施，因为这从根本上挑战了他们的传统做法和治疗身份。-从专家的过度诊断（核心薄弱、姿势不良、背部不稳或椎间盘滑动）和过度管理（特定运动、模式或特殊技术）到支持自我管理的转变，物理治疗师并不乐于接受。

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引用次数: 0

The effects of a prescribed exercise programme in people with metastatic breast cancer: a systematic review 转移性乳腺癌患者参加规定运动计划的效果：系统综述

IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-08-17 DOI: 10.1016/j.physio.2024.101423

Joyce M.C.V. O’ Riordan , Ruth McCullagh , Paul J. Murphy , Grainne Sheill , Frances Horgan , Helen P. French

Objective

To synthesise available evidence on the effects of a prescribed exercise programme in People with Metastatic Breast Cancer (PwMBC).

Data sources

Medline, Embase, CINAHL, Web of Science and Scopus were searched up to January 2024.

Study selection

Randomised controlled trials (RCTs) recruiting PwMBC to an exercise intervention were included. The primary outcome was Quality of Life (QOL). Secondary outcomes included physical performance, muscle health, cancer-related fatigue (CRF) and physical activity (PA).

Study appraisal and synthesis methods

Meta-analysis was not possible due to the low number of included studies. We calculated the effect size (ES), with 95% confidence intervals (95% CIs) of individual studies, adjusting for small sample size. Cohen’s criteria for small (0.2 to 0.5), moderate (0.5 to 0.8) and large (>0.8) describe the size of the effect. Risk of bias (ROB) was assessed using the Cochrane (ROB) version 1 tool.

Results

Three RCTs (n = 149 PwMBC) were included. Results showed no significant between-group effects in the primary outcome, QOL. Whilst effects in favour of prescribed exercise were observed in CRF (ES 1.3, 95% CI 0.06 to 2.35) and PA (ES 0.83, 95% CI 0.14 to 1.42) in two separate studies, as the lower bound of the 95% CI did not reach Cohen’s threshold, there is considerable uncertainty regarding the treatment effect.

Conclusions

There is currently insufficient evidence to support the use of prescribed exercise to improve QOL, physical performance, muscle health, CRF and PA in PwMBC. Further high-quality trials are required to investigate the effectiveness of exercise interventions in PwMBC.

Systematic Review Registration Number

PROSPERO CRD42022304528.

Contribution of the Paper

•
Despite guidelines and recommendations on the positive role of exercise, the evidence for prescribed exercise programmes for PwMBC is limited.
•
This systematic review of three trials found insufficient evidence to support the use of prescribed exercise to improve QOL, physical performance, muscle health, CRF and PA in PwMBC.
•
Further high-quality, adequately powered trials are required to investigate the effectiveness of exercise interventions on QOL, CRF, PA, physical performance and muscle health in PwMBC.

数据来源Medline、Embase、CINAHL、Web of Science 和 Scopus，检索时间截至 2024 年 1 月。研究选择纳入了招募转移性乳腺癌患者参加运动干预的随机对照试验（RCT）。主要结果为生活质量（QOL）。研究评估和综合方法由于纳入的研究数量较少，因此无法进行荟萃分析。我们计算了各项研究的效应大小（ES）和 95% 置信区间（95% CI），并对小样本量进行了调整。科恩标准中的小效应（0.2 至 0.5）、中效应（0.5 至 0.8）和大效应（0.8）描述了效应的大小。使用 Cochrane (ROB) 第 1 版工具评估了偏倚风险 (ROB)。结果显示，在主要结果 QOL 方面，组间效应不明显。虽然在两项单独的研究中观察到处方运动在 CRF（ES 1.3，95% CI 0.06 至 2.35）和 PA（ES 0.83，95% CI 0.14 至 1.42）方面的效果，但由于 95% CI 的下限未达到 Cohen 临界值，因此治疗效果存在相当大的不确定性。结论目前没有足够的证据支持使用处方运动来改善 PwMBC 的 QOL、身体表现、肌肉健康、CRF 和 PA。系统综述注册号PROSPERO CRD42022304528.Contribution of the Paper--尽管指南和建议都指出了运动的积极作用，但针对男性和女性乳腺癌患者的处方运动计划证据有限。-本文对三项试验进行了系统性回顾，发现没有足够的证据支持使用处方运动来改善男性和女性残疾人的 QOL、身体表现、肌肉健康、CRF 和 PA。

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引用次数: 0

Content analysis of current role/job descriptors for Band 5/junior physiotherapists and mapping of these to Physiotherapy Professional standards of practice 对 5 级/初级物理治疗师目前的角色/工作描述进行内容分析，并将其与物理治疗专业实践标准相匹配

IF 3.3 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-08-12 DOI: 10.1016/j.physio.2024.101421

Catherine J. Minns Lowe, Ben Clements, Nicola Heneghan, Karen Atkinson, Reena Patel, Karen Beeton

引用次数: 0

Translating a Clinical Practice Guideline to a Portuguese, Spanish and English Practice Brief to promote exercise therapy for paediatric Charcot-Marie-Tooth disease 将《临床实践指南》翻译成葡萄牙语、西班牙语和英语的《实践摘要》，以推广小儿夏科-马里-牙病的运动疗法

IF 3.1 3区医学 Q1 REHABILITATION

Physiotherapy

Pub Date : 2024-08-08 DOI: 10.1016/j.physio.2024.101419

Caroline Soares de Paula , Gabrielle Donlevy , Juliana Cardoso , Kayla M.D. Cornett , Rachel Kennedy , Eppie M. Yiu , Ana Claudia Mattiello-Sverzut , Joshua Burns

Background

Implementing scientific knowledge in clinical practice is a challenge. In this context, the effective dissemination of scientific findings is of utmost importance.

Objective

The aim of this study was to develop a Practice Brief in Portuguese, Spanish and English based on a previously published Clinical Practice Guideline to promote safe and effective exercise for children and young people with Charcot-Marie-Tooth disease and related neuropathies (CMT).

Methods

The Practice Brief was developed by eight health professionals from Brazil and Australia with English, Portuguese, and Spanish translations. The target audience chosen were the medical and allied health professionals involved in the rehabilitation of paediatric CMT. The content was based on the world first “Clinical Practice Guideline for the management of paediatric Charcot-Marie-Tooth disease” [1]. The layout of the Practice Brief was designed according to the criteria for the development of educational materials. The disclosure plan for the Practice Brief involves its publication on University and Hospital websites, www.ClinicalOutcomeMeasures.org and through social media platforms such as ResearchGate, Instagram, Facebook and Twitter, as well as in print format for CMT patient care centres.

Results

The English, Portuguese and Spanish versions of the Practice Brief is organised into six sections about assessment, exercise and physical rehabilitation, of which one is focused on progressive resistance exercises for the foot dorsiflexor muscles.

Conclusion

We developed a Practice Brief in three languages (English, Portuguese and Spanish), synthesising the main recommendations for exercise and related rehabilitative therapies for paediatric CMT from a published clinical guideline.

背景将科学知识应用于临床实践是一项挑战。本研究的目的是根据之前发布的《临床实践指南》，用葡萄牙语、西班牙语和英语编写一份《实践指南》，以促进患有夏科-玛丽-牙病及相关神经病（CMT）的儿童和青少年进行安全有效的锻炼。选择的目标受众是参与儿科 CMT 康复治疗的医务人员和专职医疗人员。内容以全球首部《儿科夏科-玛丽-牙病治疗临床实践指南》为基础[1]。实践指南的版面设计符合教材编写标准。实践指南的披露计划包括在大学和医院网站、www.ClinicalOutcomeMeasures.org、通过 ResearchGate、Instagram、Facebook 和 Twitter 等社交媒体平台发布，以及为 CMT 患者护理中心提供印刷版。结论我们用三种语言（英语、葡萄牙语和西班牙语）编写了《实践指南》，综合了已发布的临床指南中有关小儿 CMT 运动和相关康复疗法的主要建议。

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