Physiotherapy最新文献

{"title":"Are clinical decision support systems seen as helpful to First Contact Practitioners (FCPs) working in musculoskeletal health?","authors":"Emma Salt ,&nbsp;Mo Khalid ,&nbsp;Danielle Van Der Windt ,&nbsp;Jonathan Hill","doi":"10.1016/j.physio.2024.101445","DOIUrl":"10.1016/j.physio.2024.101445","url":null,"abstract":"<div><h3>Background</h3><div>There is increasing burden on musculoskeletal (MSK) First Contact Practitioners (FCPs) working in primary care. One possible solution is to use digital technologies such as clinical decision support systems (CDSS). The primary objective of this study was to understand the potential for MSK FCPs to use a CDSS to support their practice in the United Kingdom.</div></div><div><h3>Design</h3><div>An exploratory sequential mixed methods design, using a cross sectional survey questionnaire and a subsequent focus group.</div><div>Following ethical approval responders were recruited via professional networks to complete an online survey. A subsequent focus group enabled an in-depth exploration of survey results. Descriptive statistics were used to summarise survey data and thematic analysis with normalisation process theory used to describe findings.</div></div><div><h3>Methods</h3><div>A snowball sampling method was used to invite MSK FCPs to complete the survey, using email, adverts and social media. The questionnaire captured responders’ demographic and professional practice characteristics, their knowledge and use of CDSS and their views and experiences regarding CDSS in MSK practice.</div></div><div><h3>Results</h3><div>There were 75 responders to the survey and six participants in the focus group. The majority of responders 67% (<em>n</em> = 50/75) reported to be in favour of integrating a CDSS into their practice. Three themes were: 1) ensuring CDSS address efficiency concerns, 2) using CDSS to reduce unwarranted variation in practice, and 3) ensuring CDSS sustainability.</div></div><div><h3>Conclusions</h3><div>CDSSs have potential value for FCPs working in MSK primary care settings. Eight summary recommendations advise future developments of CDSS for FCPs working in MSK primary care practice.</div></div><div><h3><strong>Contribution of the Paper</strong></h3><div><ul><li><span>•</span><span><div>This is the first known study evaluating the usefulness of clinical decision support systems (CDSS) for musculoskeletal (MSK) First Contact Practitioners (FCPs).</div></span></li><li><span>•</span><span><div>CDSS have potential value for MSK FCPs providing they are integrated into existing digital note systems and save clinic consultation time.</div></span></li><li><span>•</span><span><div>Eight recommendations advise future integration of CDSS into MSK FCP practice.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101445"},"PeriodicalIF":3.1,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to editor letter regarding article, “Efficacy of aquatic vs land-based therapy for pain management in women with fibromyalgia: a randomised controlled trial”","authors":"Sabela Rivas Neira,&nbsp;Amélia Pasqual Marques,&nbsp;Ramón Fernández Cervantes,&nbsp;María Teresa Seoane Pillado,&nbsp;Jamile Vivas Costa","doi":"10.1016/j.physio.2024.101439","DOIUrl":"10.1016/j.physio.2024.101439","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101439"},"PeriodicalIF":3.1,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resistance exercise to reduce risk of falls in people with Alzheimer’s disease: a randomised clinical trial","authors":"Rubén Cámara-Calmaestra ,&nbsp;Antonio Martínez-Amat ,&nbsp;Agustín Aibar-Almazán ,&nbsp;Fidel Hita-Contreras ,&nbsp;Nerea de Miguel-Hernando ,&nbsp;Daniel Rodríguez-Almagro ,&nbsp;José Daniel Jiménez-García ,&nbsp;Alexander Achalandabaso-Ochoa","doi":"10.1016/j.physio.2024.101440","DOIUrl":"10.1016/j.physio.2024.101440","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the impact of resistance exercise on the risk of falls, fear of falling, muscle strength, neuropsychiatric symptoms and ability to perform activities of daily living in people with Alzheimer’s disease (AD).</div></div><div><h3>Design</h3><div>Single-blinded randomised controlled trial.</div></div><div><h3>Setting</h3><div>Five aged care centres specialising in AD, located in Andalucía, Spain.</div></div><div><h3>Participants</h3><div>Sixty people diagnosed with AD were assigned at random to either the intervention group (<em>n</em> = 30) or the control group (<em>n</em> = 30).</div></div><div><h3>Interventions</h3><div>The intervention group completed three weekly resistance exercise sessions for 12 weeks, in addition to cognitive training, until completion of the study. The control group undertook cognitive training alone.</div></div><div><h3>Main outcome measure</h3><div>Main outcome measure: risk of falls (Short Physical Performance Battery). Secondary outcomes: muscle strength (hand dynamometry), neuropsychiatric symptoms (Neuropsychiatric Inventory Questionnaire), fear of falling (Activities-Specific Balance Confidence Scale) and ability to perform activities of daily living (Lawton Instrumental Activities of Daily Living Scale).</div></div><div><h3>Results</h3><div>The analysis demonstrated differences in favour of the intervention group, in both the short and medium term, for risk of falls [post-treatment: mean difference (MD) 1.5, 95% CI of the difference 0.9 to 2.0; 3-month follow up: MD 1.1, 95% CI of the difference 0.6 to 1.6]; fear of falling (post-treatment: MD 1.5, 95% CI of the difference 4.0 to 7.7; 3-month follow up: MD 6.3, 95% CI of the difference 4.3 to 8.2); activities of daily living (post-treatment: MD 0.2, 95% CI of the difference −0.01 to 0.4; 3-month follow up: MD 0.3, 95% CI of the difference 0.01 to 0.5); neuropsychiatric symptoms (post-treatment: MD −2.2, 95% CI of the difference −3.3 to −1.0; 3-month follow up: MD −2.4, 95% CI of the difference −3.7 to −1.2); and dynamometry (post-treatment: MD 3.1, 95% CI of the difference 2.5 to 3.7; 3-month follow up: MD 2.6, 95% CI of the difference 1.9 to 3.3).</div></div><div><h3>Conclusion</h3><div>Resistance exercise effectively reduces the risk of falls, fear of falling and neuropsychiatric symptoms, and improves muscle strength in people with AD in both the short and medium term.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>−</span><span><div>Resistance training reduces the risk of falls, fear of falling and neuropsychiatric symptoms in people with AD.</div></span></li><li><span>−</span><span><div>Resistance training improves muscle strength in people with AD.</div></span></li><li><span>−</span><span><div>The short-term effects of resistance training are maintained in the medium term in people with AD.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101440"},"PeriodicalIF":3.1,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and implementation of a physiotherapy exercise intervention with tailored support for exercise adherence for people with vertebral fragility fractures (OPTIN trial)","authors":"Meredith Newman ,&nbsp;Jonathan Room ,&nbsp;Erin Hannink ,&nbsp;Karen L. Barker","doi":"10.1016/j.physio.2024.101430","DOIUrl":"10.1016/j.physio.2024.101430","url":null,"abstract":"<div><h3>Objectives</h3><div>The OsteoPorosis Tailored exercise adherence INtervention (OPTIN) trial is a two-arm, multi-centre randomised controlled trial. It compares the effectiveness of physiotherapy exercise rehabilitation with integrated support for exercise adherence, to physiotherapy exercise rehabilitation alone, for people with vertebral fragility fracture (VFF) and back pain. This paper describes the development of the physiotherapist-led adherence enhanced intervention.</div></div><div><h3>Methods</h3><div>We used an intervention mapping approach and followed Medical Research Council guidelines for developing complex interventions. We co-created the intervention involving expert clinicians, service managers, researchers, and adults with long-term musculoskeletal conditions, including osteoporosis. We identified a theoretical framework, reviewed the evidence, used a feasibility study, and considered clinical practice and deliverability within UK National Health Service (NHS) outpatient physiotherapy secondary care<em>.</em> Through a collaborative workshop, we refined the intervention, involved patients again and re-tested the intervention. Finally, we manualised the intervention, produced patient and physiotherapist materials and trained physiotherapists for delivery.</div></div><div><h3>Results</h3><div>The OPTIN intervention uses a motivational interviewing approach and captures information about patient goals, barriers, and facilitators to exercise. Physiotherapists assess exercise capability, opportunities and motivation and utilise at least three behaviour change approaches, selecting from an intervention toolkit of nine approaches to support exercise behaviour. Ninety minutes of additional physiotherapy are provided to deliver the intervention, integrated within the assessment and six follow-up visits.</div></div><div><h3>Conclusions</h3><div>A theory-informed intervention to support exercise adherence was developed and delivered by physiotherapists trained in the intervention to older adults with VFF and back pain in the intervention arm (<em>n</em> = 63) of the OPTIN trial.</div></div><div><h3>Trial Registration number</h3><div>ISRCTN 14465704.</div></div><div><h3>Contribution of Paper</h3><div><ul><li><span>•</span><span><div>Describes the development of an intervention to support adherence to physiotherapy exercise for people with vertebral fragility fracture.</div></span></li><li><span>•</span><span><div>Reports in detail the intervention for replication.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101430"},"PeriodicalIF":3.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of the L test in people with multiple sclerosis","authors":"Kader Eldemir ,&nbsp;Sefa Eldemir ,&nbsp;Cagla Ozkul ,&nbsp;Ceyla Irkec ,&nbsp;Arzu Guclu-Gunduz","doi":"10.1016/j.physio.2024.101429","DOIUrl":"10.1016/j.physio.2024.101429","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Participants</h3><div>Thirty-four PwMS [Expanded Disability Status Scale (EDSS) score 0 to 5] and 34 healthy controls were included in this study.</div></div><div><h3>Main outcome measures</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>P</em> &lt; 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 (<em>P</em> &lt; 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.</div></div><div><h3>Conclusion</h3><div>The L test is a reliable and valid tool for the assessment of functional mobility in PwMS.</div></div><div><h3>Clinical Trial Registration number</h3><div><span><span>NCT05641714</span><svg><path></path></svg></span>.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>The L test has excellent test–retest reliability and validity in PwMS.</div></span></li><li><span>•</span><span><div>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.</div></span></li><li><span>•</span><span><div>The L test demonstrates a more comprehensive mobility assessment using an <span>L</span>-shaped pathway.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101429"},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial","authors":"Noemí Valtueña-Gimeno ,&nbsp;Óscar Fabregat-Andrés ,&nbsp;Isabel Martínez-Hurtado ,&nbsp;Francisco José Martínez-Olmos ,&nbsp;Marta Lluesma-Vidal ,&nbsp;María Dolores Arguisuelas ,&nbsp;Francisco-José Ferrer-Sargues","doi":"10.1016/j.physio.2024.101428","DOIUrl":"10.1016/j.physio.2024.101428","url":null,"abstract":"<div><h3>Objectives</h3><div>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).</div></div><div><h3>Design</h3><div>Preliminary randomised, double-blinded, parallel clinical trial.</div></div><div><h3>Setting</h3><div>University health clinic in Valencia, Spain.</div></div><div><h3>Participants</h3><div>Thirty patients with ACS.</div></div><div><h3>Interventions</h3><div>Patients were assigned to one of two groups at random: the NMT group (<em>n</em> = 15) and the CRST group (<em>n</em> = 15). All patients attended the 20 sessions of the exercise programme.</div></div><div><h3>Main outcome measures</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Clinical Trial Registration number</h3><div><span><span>NCT04246008</span><svg><path></path></svg></span>.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>This study provides insight into new modalities of strength interventions in patients with acute coronary syndrome.</div></span></li><li><span>•</span><span><div>Neuromuscular training is a novel exercise modality in cardiac rehabilitation patients that has been shown to improve functional capacity.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101428"},"PeriodicalIF":3.1,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The evaluation of daily activity questionnaire for stroke survivors: cross-cultural adaptation, content validity and digitisation","authors":"Nazemin Gilanliogullari ,&nbsp;Sarah Prenton ,&nbsp;Yeliz Prior","doi":"10.1016/j.physio.2024.101427","DOIUrl":"10.1016/j.physio.2024.101427","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Materials and methods</h3><div>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.</div></div><div><h3>Results</h3><div>The expert panel meeting (<em>n</em>:11) and cognitive debriefing interviews with stroke survivors (<em>n</em>: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.</div></div><div><h3>Conclusion</h3><div>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.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>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.</div></span></li><li><span>•</span><span><div>Methodically developed using guidelines, expert feedback, and stroke survivor interviews, the EDAQ-SS ensures relevance and clarity.</div></span></li><li><span>•</span><span><div>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.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"125 ","pages":"Article 101427"},"PeriodicalIF":3.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reference values for mobility in typically developing school-aged children: a cross-sectional study","authors":"Hsiu-Ching Chiu ,&nbsp;Louise Ada ,&nbsp;Rong-Ju Cherng","doi":"10.1016/j.physio.2024.101426","DOIUrl":"10.1016/j.physio.2024.101426","url":null,"abstract":"<div><h3>Objective</h3><div>To generate data for tests of mobility in typically developing children, and thereby establish reference values against which scores for children with a health condition can be compared.</div></div><div><h3>Design and setting</h3><div>A cross-sectional study was carried out at 12 primary schools.</div></div><div><h3>Participants</h3><div>In total, 1512 typically developing children aged 6 to 12 years (50% female) participated in this study.</div></div><div><h3>Methods</h3><div>Performance on four tests (Times-Sit-to-Stand Test, 10-m Walk Test, 6-minute Walk Test and Stairs Test) was measured to encompass various aspects of everyday mobility (standing up from a chair, walking short and long distances, and climbing stairs).</div></div><div><h3>Results</h3><div>Generally, scores increased with age, except for the Times-Sit-to-Stand Test which was stable at a mean of 1.1 (standard deviation 0.2) stands/second. Multiple regression revealed that sex made a significant contribution to the most challenging mobility tests. Visual examination showed that at approximately 11 years of age, scores for males began to exceed those for females, such that males walked 0.24 m/second [95% confidence interval (CI) 0.14 to 0.33] faster at their fastest speed and climbed 0.16 more stairs/second (95% CI 0.09 to 0.22) than females.</div></div><div><h3>Conclusions</h3><div>Data from this study have determined the reference values for mobility in typically developing school-aged children, using tests commonly applied in the clinic. With these values, the status and progress of children with a health condition may be determined accurately.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Reference values for mobility in typically developing children between 6 and 12 years of age are presented by age and sex.</div></span></li><li><span>•</span><span><div>Performance increased with age, except on the Times-Sit-to-Stand Test.</div></span></li><li><span>•</span><span><div>Differences between the sexes were found from 11 years of age.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101426"},"PeriodicalIF":3.1,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-registration student research placements within KNOWBEST: a service evaluation","authors":"Catherine J. Minns Lowe ,&nbsp;Jack Rose ,&nbsp;Susan Roscoe ,&nbsp;Nicola Heneghan","doi":"10.1016/j.physio.2024.101422","DOIUrl":"10.1016/j.physio.2024.101422","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101422"},"PeriodicalIF":3.1,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is aquatic therapy more effective than land-based therapy for fibromyalgia? A randomised controlled trial discussion","authors":"André Pontes-Silva","doi":"10.1016/j.physio.2024.101425","DOIUrl":"https://doi.org/10.1016/j.physio.2024.101425","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"399 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142199804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}