Pub Date : 2024-07-20DOI: 10.1016/j.physio.2024.101415
C. Turner , T. Bhandari , G.D. Jones , J. Jones , L. Gleave , J.A. Hammond
Objectives
The study aimed to i) understand the experiences of newly qualified physiotherapists from racially minoritised backgrounds in a large hospital physiotherapy department and ii) co-create and implement inclusive strategies to affect work culture.
Design
The project used an action research design with co-creation principles and was in 3 phases. Phase 1 explored the experiences of inclusion for newly qualified racially minoritised staff, using focus groups and transcripts analysed thematically. The themes identified were used to co-create strategies for inclusion that were implemented in Phase 2 and evaluated Phase 3.
Setting
A large urban teaching hospital physiotherapy department in the UK.
Participants
Participants were invited to join focus groups for newly qualified racially minoritised staff, newly qualified white staff, or senior staff.
Results
Phase 1 findings are reported here, while phases 2 and 3 are reported elsewhere. Seventeen newly qualified physiotherapists (eight racially minoritised, nine white colleagues) and ten senior physiotherapists participated in seven focus groups. Thematic analysis identified four themes; 1) Fear spectrum: all colleagues struggled to find a common ground for discussing race, 2) Race as an additional burden for racially minoritised staff in belonging in the department, 3) Contradiction between the organisation culture and impact on racially minoritised staff, and 4) Consistent work practices give an illusion of inclusion.
Conclusions
The findings reflect previous studies that racially minoritised physiotherapists experience additional burdens not fully understood by their white peers. There are implications for the department which are currently being enacted and evaluated and will be reported elsewhere.
Contribution of the Paper
•
Racism in the workplace continues to limit a sense of belonging for racially minoritised physiotherapists.
•
All physiotherapy colleagues experience a fear of discussing race in the workplace that has implications for inclusion.
•
Existing policies and structures in the physiotherapy workplace give an illusion of inclusion, but lack racial equity.
{"title":"Explorations of strategies for inclusion for newly qualified physiotherapists from racially minoritised groups in a large, urban NHS Trust, UK","authors":"C. Turner , T. Bhandari , G.D. Jones , J. Jones , L. Gleave , J.A. Hammond","doi":"10.1016/j.physio.2024.101415","DOIUrl":"10.1016/j.physio.2024.101415","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to i) understand the experiences of newly qualified physiotherapists from racially minoritised backgrounds in a large hospital physiotherapy department and ii) co-create and implement inclusive strategies to affect work culture.</div></div><div><h3>Design</h3><div>The project used an action research design with co-creation principles and was in 3 phases. Phase 1 explored the experiences of inclusion for newly qualified racially minoritised staff, using focus groups and transcripts analysed thematically. The themes identified were used to co-create strategies for inclusion that were implemented in Phase 2 and evaluated Phase 3.</div></div><div><h3>Setting</h3><div>A large urban teaching hospital physiotherapy department in the UK.</div></div><div><h3>Participants</h3><div>Participants were invited to join focus groups for newly qualified racially minoritised staff, newly qualified white staff, or senior staff.</div></div><div><h3>Results</h3><div>Phase 1 findings are reported here, while phases 2 and 3 are reported elsewhere. Seventeen newly qualified physiotherapists (eight racially minoritised, nine white colleagues) and ten senior physiotherapists participated in seven focus groups. Thematic analysis identified four themes; 1) Fear spectrum: all colleagues struggled to find a common ground for discussing race, 2) Race as an additional burden for racially minoritised staff in belonging in the department, 3) Contradiction between the organisation culture and impact on racially minoritised staff, and 4) Consistent work practices give an illusion of inclusion.</div></div><div><h3>Conclusions</h3><div>The findings reflect previous studies that racially minoritised physiotherapists experience additional burdens not fully understood by their white peers. There are implications for the department which are currently being enacted and evaluated and will be reported elsewhere.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Racism in the workplace continues to limit a sense of belonging for racially minoritised physiotherapists.</div></span></li><li><span>•</span><span><div>All physiotherapy colleagues experience a fear of discussing race in the workplace that has implications for inclusion.</div></span></li><li><span>•</span><span><div>Existing policies and structures in the physiotherapy workplace give an illusion of inclusion, but lack racial equity.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101415"},"PeriodicalIF":3.1,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848092","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}
<div><h3>Background</h3><div>People with Multiple Sclerosis (PwMS) often experience imbalance, gait dysfunction, and fatigue. Circuit Training (CT) can be viable for improving balance, gait, and fatigue in MS. To the author’s knowledge, no studies have systematically reviewed the existing literature evaluating the effectiveness of CT in PwMS.</div></div><div><h3>Objectives</h3><div>To investigate the effectiveness of CT in improving balance, gait, and reducing fatigue in PwMS and provide a quantitative and qualitative synthesis of Randomized Controlled Trials (RCTs).</div></div><div><h3>Data sources</h3><div>MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, CINAHL, Google Scholar, and PEDro Database (Dec 2021 to May 2024).</div></div><div><h3>Study selection</h3><div>RCTs using CT in PwMS including balance, gait, or fatigue outcomes.</div></div><div><h3>Data synthesis</h3><div>Search inclusion criteria were: i) available full text, ii) CT rehabilitation, iii) balance, gait, or fatigue measured as outcomes, and iv) articles in English. Full text articles were analyzed by two screeners. If there was disagreement regarding inclusion, a further reviewer was consulted. No discrepancies were found.</div></div><div><h3>Results</h3><div>We identified 878 studies, 14 studies were eligible including 716 PwMS with a mean (standard deviation) age of 49.9 (10.9) years, disease duration of 10.8 (7.2) years, and Expanded Disability Status Scale score of 4.3 (0.9) points. RevMan 5.4.1 was used to run the meta-analysis. We found a significant overall effect on Berg Balance Scale (Mean Difference (MD) = 6.07 points, 95%CI:1.40,10.75; <em>p</em> = 0.01) and in Fatigue Severity Scale (MD = 0.98 points, 95%CI:0.30,1.66; <em>p</em> = 0.005) in favor of CT. We did not find a significant effect in Timed Up and Go (MD = 0.46 second, 95%CI:−0.04,0.96; <em>p</em> = 0.07), in Six-Minute Walk Test (MD = 17.46 m, 95%CI:−8.06,42.97; <em>p</em> = 0.18), and in Modified Fatigue Impact Scale (MD = 3.34 points, 95%CI:−0.41,7.09; <em>p</em> = 0.08) in favor of CT. We assessed methodological quality using RoB 2.0, and quality of evidence using GRADE.</div></div><div><h3>Limitations</h3><div>Small number of studies, all identifying having some risk of bias.</div></div><div><h3>Conclusion</h3><div>Circuit training can have positive effects on PwMS in terms of increasing balance, gait, and reducing fatigue. Further research is needed.</div></div><div><h3>Systematic Review Registration Number</h3><div>PROSPERO CRD42021286834.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>-</span><span><div>Circuit training rehabilitation seems to be an effective option for the treatment of balance, gait, and fatigue in people with Multiple Sclerosis.</div></span></li><li><span>-</span><span><div>Circuit training rehabilitation comprising balance and resistance exercises may improve balance and reduce fatigue symptoms in People with Multiple Sclerosis with mild to mo
背景多发性硬化症（PwMS）患者经常会出现不平衡、步态功能障碍和疲劳。循环训练（CT）可以改善多发性硬化症患者的平衡、步态和疲劳。据笔者所知，目前还没有研究对现有文献进行系统回顾，以评估 CT 在多发性硬化症患者中的有效性。目的 研究 CT 在改善多发性硬化症患者平衡、步态和减轻疲劳方面的有效性，并对随机对照试验 (RCT) 进行定量和定性综述。数据来源MEDLINE、Cochrane Central Register of Controlled Trials、EMBASE、CINAHL、Google Scholar 和 PEDro Database（2021 年 12 月至 2024 年 5 月）.研究选择在 PwMS 中使用 CT（包括平衡、步态或疲劳结果）的 RCT.数据综述研究纳入标准为：i) 全文可用；ii) CT 康复；iii) 平衡、步态或疲劳作为测量结果；iv) 英文文章。全文由两名筛选者进行分析。如果在纳入问题上出现分歧，则咨询另一位审稿人。结果我们确定了 878 项研究，14 项研究符合条件，其中包括 716 名 PwMS，平均（标准差）年龄为 49.9（10.9）岁，病程为 10.8（7.2）年，扩展残疾状况量表评分为 4.3（0.9）分。我们使用 RevMan 5.4.1 进行了荟萃分析。我们发现，CT 对 Berg 平衡量表（平均差 (MD) = 6.07 分，95%CI:1.40,10.75; p = 0.01）和疲劳严重程度量表（MD = 0.98 分，95%CI:0.30,1.66; p = 0.005）有明显的总体效果。我们在定时起立行走（MD = 0.46 秒，95%CI:-0.04,0.96; p = 0.07）、六分钟步行测试（MD = 17.46 米，95%CI:-8.06,42.97; p = 0.18）和改良疲劳影响量表（MD = 3.34 分，95%CI:-0.41,7.09; p = 0.08）中均未发现对 CT 有明显影响。我们使用 RoB 2.0 评估了方法学质量，并使用 GRADE 评估了证据质量。局限性研究数量较少，所有研究都存在一定的偏倚风险。系统综述注册号PROSPERO CRD42021286834.Contribution of the Paper-Circuit training rehabilitation seems to be an effective option for the treatment of balance, gait, and fatigue in people with Multiple Sclerosis.-Circuit training rehabilitation comprising balance and resistance exercises may improve balance and reduce fatigue symptoms in People with Multiple Sclerosis with mild to moderate levels of disability.-Future studies with higher quality are recommended.
{"title":"Exploring the effectiveness of circuit training rehabilitation on balance, gait, and fatigue in multiple sclerosis: a systematic review and meta-analysis","authors":"Rebecca Cardini , Chiara Corrini , Rita Bertoni , Denise Anastasi , Davide Cattaneo , Elisa Gervasoni","doi":"10.1016/j.physio.2024.101413","DOIUrl":"10.1016/j.physio.2024.101413","url":null,"abstract":"<div><h3>Background</h3><div>People with Multiple Sclerosis (PwMS) often experience imbalance, gait dysfunction, and fatigue. Circuit Training (CT) can be viable for improving balance, gait, and fatigue in MS. To the author’s knowledge, no studies have systematically reviewed the existing literature evaluating the effectiveness of CT in PwMS.</div></div><div><h3>Objectives</h3><div>To investigate the effectiveness of CT in improving balance, gait, and reducing fatigue in PwMS and provide a quantitative and qualitative synthesis of Randomized Controlled Trials (RCTs).</div></div><div><h3>Data sources</h3><div>MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, CINAHL, Google Scholar, and PEDro Database (Dec 2021 to May 2024).</div></div><div><h3>Study selection</h3><div>RCTs using CT in PwMS including balance, gait, or fatigue outcomes.</div></div><div><h3>Data synthesis</h3><div>Search inclusion criteria were: i) available full text, ii) CT rehabilitation, iii) balance, gait, or fatigue measured as outcomes, and iv) articles in English. Full text articles were analyzed by two screeners. If there was disagreement regarding inclusion, a further reviewer was consulted. No discrepancies were found.</div></div><div><h3>Results</h3><div>We identified 878 studies, 14 studies were eligible including 716 PwMS with a mean (standard deviation) age of 49.9 (10.9) years, disease duration of 10.8 (7.2) years, and Expanded Disability Status Scale score of 4.3 (0.9) points. RevMan 5.4.1 was used to run the meta-analysis. We found a significant overall effect on Berg Balance Scale (Mean Difference (MD) = 6.07 points, 95%CI:1.40,10.75; <em>p</em> = 0.01) and in Fatigue Severity Scale (MD = 0.98 points, 95%CI:0.30,1.66; <em>p</em> = 0.005) in favor of CT. We did not find a significant effect in Timed Up and Go (MD = 0.46 second, 95%CI:−0.04,0.96; <em>p</em> = 0.07), in Six-Minute Walk Test (MD = 17.46 m, 95%CI:−8.06,42.97; <em>p</em> = 0.18), and in Modified Fatigue Impact Scale (MD = 3.34 points, 95%CI:−0.41,7.09; <em>p</em> = 0.08) in favor of CT. We assessed methodological quality using RoB 2.0, and quality of evidence using GRADE.</div></div><div><h3>Limitations</h3><div>Small number of studies, all identifying having some risk of bias.</div></div><div><h3>Conclusion</h3><div>Circuit training can have positive effects on PwMS in terms of increasing balance, gait, and reducing fatigue. Further research is needed.</div></div><div><h3>Systematic Review Registration Number</h3><div>PROSPERO CRD42021286834.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>-</span><span><div>Circuit training rehabilitation seems to be an effective option for the treatment of balance, gait, and fatigue in people with Multiple Sclerosis.</div></span></li><li><span>-</span><span><div>Circuit training rehabilitation comprising balance and resistance exercises may improve balance and reduce fatigue symptoms in People with Multiple Sclerosis with mild to mo","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"125 ","pages":"Article 101413"},"PeriodicalIF":3.1,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844792","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}
Pub Date : 2024-07-08DOI: 10.1016/j.physio.2024.07.002
Morag E. Taylor , Karen Sverdrup , Julie Ries , Erik Rosendahl , Gro Gujord Tangen , Elisabeth Telenius , Katherine Lawler , Keith Hill , Annika Toots , Hans Hobbelen , Vanina Dal Bello-Haas , Abi Hall , Susan W. Hunter , Victoria A. Goodwin , Julie Whitney , Michele L. Callisaya
Objective
What are the core capabilities physiotherapists need to deliver quality care when working with people with dementia and their families/caregivers?
Design
A three-round modified e-Delphi study.
Participants
Panel members were physiotherapists experienced in working with people with dementia and/or educating and/or researching in the dementia field.
Methods
A steering group (16 international physiotherapists and a consumer) developed a draft framework including 129 core capabilities across 5 domains for panel members to rate their appropriateness for inclusion as a core capability to provide high quality care to people with dementia and their caregivers/families. The RAND/UCLA method was used to assess consensus.
Results
Thirty-five physiotherapists from 11 countries participated in Round 1, 31 (89%) in Round 2 and 28 (80% of Round 1) in Round 3. All core capabilities were rated appropriate for inclusion in each round. Panel members recommended wording refinements across the rounds and suggested 51 core capabilities for consideration. Three rounds were needed to reach consensus, resulting in 137 core capabilities rated appropriate for inclusion across 5 domains: 1) Knowledge and understanding, n = 36; 2) Assessment, n = 39; 3) Management, interventions and prevention n = 40; 4) Communication, therapeutic relationship and person-centred care, n = 17; and 5) Physiotherapists self-management and improvement, n = 5.
Conclusions
This e-Delphi study outlines the core capabilities physiotherapists need to provide high quality care to people with dementia and their families/caregivers. These core capabilities can be used by physiotherapists to help identify knowledge/skill gaps, as well as by educators to improve their training of undergraduate and postgraduate students, and clinicians.
Contribution of Paper
•
This e-Delphi study has developed, through expert consensus, the first comprehensive physiotherapy specific core capability framework for providing high-quality care to people with dementia and their families/caregivers.
•
The core capability framework can be used by physiotherapists to identify knowledge and/or skill gaps, and by physiotherapy educators to assist with entry-level and post-graduate curriculum development and student/workforce training.
•
As physiotherapists play a vital role in working with people with dementia and their caregivers/families, and competencies lie at the heart of effective quality care and service delivery, the newly developed core capability framework serves as basis for broader consultation and input.
{"title":"A core capability framework for physiotherapists to deliver quality care when working with people living with dementia and their families/caregivers: an international modified e-Delphi study","authors":"Morag E. Taylor , Karen Sverdrup , Julie Ries , Erik Rosendahl , Gro Gujord Tangen , Elisabeth Telenius , Katherine Lawler , Keith Hill , Annika Toots , Hans Hobbelen , Vanina Dal Bello-Haas , Abi Hall , Susan W. Hunter , Victoria A. Goodwin , Julie Whitney , Michele L. Callisaya","doi":"10.1016/j.physio.2024.07.002","DOIUrl":"10.1016/j.physio.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><div>What are the core capabilities physiotherapists need to deliver quality care when working with people with dementia and their families/caregivers?</div></div><div><h3>Design</h3><div>A three-round modified e-Delphi study.</div></div><div><h3>Participants</h3><div>Panel members were physiotherapists experienced in working with people with dementia and/or educating and/or researching in the dementia field.</div></div><div><h3>Methods</h3><div>A steering group (16 international physiotherapists and a consumer) developed a draft framework including 129 core capabilities across 5 domains for panel members to rate their appropriateness for inclusion as a core capability to provide high quality care to people with dementia and their caregivers/families. The RAND/UCLA method was used to assess consensus.</div></div><div><h3>Results</h3><div>Thirty-five physiotherapists from 11 countries participated in Round 1, 31 (89%) in Round 2 and 28 (80% of Round 1) in Round 3. All core capabilities were rated appropriate for inclusion in each round. Panel members recommended wording refinements across the rounds and suggested 51 core capabilities for consideration. Three rounds were needed to reach consensus, resulting in 137 core capabilities rated appropriate for inclusion across 5 domains: 1) Knowledge and understanding, <em>n</em> = 36; 2) Assessment, <em>n</em> = 39; 3) Management, interventions and prevention <em>n</em> = 40; 4) Communication, therapeutic relationship and person-centred care, <em>n </em>= 17; and 5) Physiotherapists self-management and improvement, <em>n</em> = 5.</div></div><div><h3>Conclusions</h3><div>This e-Delphi study outlines the core capabilities physiotherapists need to provide high quality care to people with dementia and their families/caregivers. These core capabilities can be used by physiotherapists to help identify knowledge/skill gaps, as well as by educators to improve their training of undergraduate and postgraduate students, and clinicians.</div></div><div><h3>Contribution of Paper</h3><div><ul><li><span>•</span><span><div>This e-Delphi study has developed, through expert consensus, the first comprehensive physiotherapy specific core capability framework for providing high-quality care to people with dementia and their families/caregivers.</div></span></li><li><span>•</span><span><div>The core capability framework can be used by physiotherapists to identify knowledge and/or skill gaps, and by physiotherapy educators to assist with entry-level and post-graduate curriculum development and student/workforce training.</div></span></li><li><span>•</span><span><div>As physiotherapists play a vital role in working with people with dementia and their caregivers/families, and competencies lie at the heart of effective quality care and service delivery, the newly developed core capability framework serves as basis for broader consultation and input.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"126 ","pages":"Article 101411"},"PeriodicalIF":3.1,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141614862","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}
Pub Date : 2024-07-08DOI: 10.1016/j.physio.2024.07.003
Adam Wrzeciono , Justyna Mazurek , Błażej Cieślik , Paweł Kiper , Robert Gajda , Joanna Szczepańska-Gieracha
Objective
To systematically review the effectiveness of psychologically-enhanced cardiac rehabilitation (CR) in improving psychological and functional outcomes in patients with cardiovascular disease.
Data sources
A systematic search was performed in PubMed, Scopus, Cochrane Library, Embase, and Web of Science, up to January 31, 2024.
Study selection
Two reviewers independently identified randomized clinical trials that evaluated the effectiveness of psychologically-enhanced CR in improving psychological and functional outcomes in patients with cardiovascular disease. The search yielded 1848 results. Finally, data from 14 studies (1531 participants) were included in the review.
Data extraction and data synthesis
Information regarding cardiac rehabilitation phase, duration of the intervention, group characteristics, measured outcomes, and the conclusions drawn by the authors was extracted. The Revised Cochrane risk-of-bias tool for Randomized Trials was used to evaluate the methodological quality.
Results
Pooled results indicate that psychologically-enhanced CR is more effective than specific cardiac training alone in maintaining lower resting blood pressure, with a mean difference of -3.09 (95% CI: -5.18 to -1.00). Furthermore, psychologically-enhanced CR shows superiority in improving patients' quality of life compared to specific cardiac training alone, with a standardized mean difference of 0.15 (95% CI: 0.01 to 0.31). Analyses of depression and anxiety level, exercise tolerance, and blood lipid profile did not show significant differences between the two treatment conditions.
Conclusion
Psychologically-enhanced CR shows a positive effect on reducing resting blood pressure and improving the quality of life. However, the supportive methods were of limited effectiveness in addressing the psychological aspects of health.
Systematic Review Registration Number
PROSPERO CRD42022304063.
Contribution of the paper
•
Psychologically-enhanced cardiac rehabilitation (CR) has the potential to improve the effectiveness of CR.
•
Limited effectiveness in the psychological aspects of health requires consideration.
•
New therapeutic solutions to manage mental health during CR should be sought.
{"title":"Psychologically-enhanced cardiac rehabilitation for psychological and functional improvement in patients with cardiovascular disease: a systematic review with meta-analysis and future research directions","authors":"Adam Wrzeciono , Justyna Mazurek , Błażej Cieślik , Paweł Kiper , Robert Gajda , Joanna Szczepańska-Gieracha","doi":"10.1016/j.physio.2024.07.003","DOIUrl":"10.1016/j.physio.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><p>To systematically review the effectiveness of psychologically-enhanced cardiac rehabilitation (CR) in improving psychological and functional outcomes in patients with cardiovascular disease.</p></div><div><h3>Data sources</h3><p>A systematic search was performed in PubMed, Scopus, Cochrane Library, Embase, and Web of Science, up to January 31, 2024.</p></div><div><h3>Study selection</h3><p>Two reviewers independently identified randomized clinical trials that evaluated the effectiveness of psychologically-enhanced CR in improving psychological and functional outcomes in patients with cardiovascular disease. The search yielded 1848 results. Finally, data from 14 studies (1531 participants) were included in the review.</p></div><div><h3>Data extraction and data synthesis</h3><p>Information regarding cardiac rehabilitation phase, duration of the intervention, group characteristics, measured outcomes, and the conclusions drawn by the authors was extracted. The Revised Cochrane risk-of-bias tool for Randomized Trials was used to evaluate the methodological quality.</p></div><div><h3>Results</h3><p>Pooled results indicate that psychologically-enhanced CR is more effective than specific cardiac training alone in maintaining lower resting blood pressure, with a mean difference of -3.09 (95% CI: -5.18 to -1.00). Furthermore, psychologically-enhanced CR shows superiority in improving patients' quality of life compared to specific cardiac training alone, with a standardized mean difference of 0.15 (95% CI: 0.01 to 0.31). Analyses of depression and anxiety level, exercise tolerance, and blood lipid profile did not show significant differences between the two treatment conditions.</p></div><div><h3>Conclusion</h3><p>Psychologically-enhanced CR shows a positive effect on reducing resting blood pressure and improving the quality of life. However, the supportive methods were of limited effectiveness in addressing the psychological aspects of health.</p></div><div><h3>Systematic Review Registration Number</h3><p>PROSPERO CRD42022304063.</p></div><div><h3>Contribution of the paper</h3><p></p><ul><li><span>•</span><span><p>Psychologically-enhanced cardiac rehabilitation (CR) has the potential to improve the effectiveness of CR.</p></span></li><li><span>•</span><span><p>Limited effectiveness in the psychological aspects of health requires consideration.</p></span></li><li><span>•</span><span><p>New therapeutic solutions to manage mental health during CR should be sought.</p></span></li></ul></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"125 ","pages":"Article 101412"},"PeriodicalIF":3.1,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141611321","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}
Pub Date : 2024-07-08DOI: 10.1016/j.physio.2024.07.001
Trish O’Sullivan , Tony Foley , Suzanne Timmons , Joseph G. McVeigh
Objectives
Physical impairments associated with dementia include reduced gait speed, and diminished postural control, which can lead to an increase in falls and hip fractures. Physiotherapy can play a key role in many aspects of dementia care, including falls risk prevention, gait re-education and end of life care. However, there is a lack of dementia education in entry level physiotherapy programmes. The aim of this study was to map the dementia content and delivery in the current undergraduate and entry level physiotherapy curricula in Ireland the United Kingdom and New Zealand.
Design
This cross-sectional survey-based study was distributed via the online survey tool Qualtrics XM. The survey was designed using the map of Kern’s curriculum design framework.
Setting
Higher educational institutes (HEIs) that offered an undergraduate (BSc) and/or MSc (entry level) physiotherapy programmes in Ireland United Kingdom and New Zealand were included.
Participants
The academic lead for dementia education in the HEI was invited to participate in the survey.
Results
Of the 69 eligible HEIs contacted, 49 responded, giving a response rate of 71%. Different sources informed curriculum design, including patient and public involvement, published guidelines and policies and expert clinicians. The time allocated to dementia teaching across the curricula varied, with under half of the programmes only allocating two hours. The lack of service user input was seen as a perceived weakness of many programmes as was the non-standardisation and generalisability of teaching.
Conclusion
Whilst dementia education is included in many HEI programmes, we need to consider more time, a curriculum that meets learner’s needs and include the patient voice. Further research is needed to develop bespoke dementia curricula specific to physiotherapy.
Contribution of the Paper
•
The findings of this study have identified current strengths as well as weaknesses of entry level physiotherapy programmes in dementia care.
•
This study highlights what is most and least commonly taught at entry level physiotherapy programmes in dementia care.
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More time needs to be allocated to dementia teaching, to reflect the clear work-related educational needs of physiotherapists in both the acute and community care sector.
{"title":"Dementia content and delivery in physiotherapy curricula: an international study of entry level physiotherapy programmes in Ireland the United Kingdom and New Zealand","authors":"Trish O’Sullivan , Tony Foley , Suzanne Timmons , Joseph G. McVeigh","doi":"10.1016/j.physio.2024.07.001","DOIUrl":"10.1016/j.physio.2024.07.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Physical impairments associated with dementia include reduced gait speed, and diminished postural control, which can lead to an increase in falls and hip fractures. Physiotherapy can play a key role in many aspects of dementia care, including falls risk prevention, gait re-education and end of life care. However, there is a lack of dementia education in entry level physiotherapy programmes. The aim of this study was to map the dementia content and delivery in the current undergraduate and entry level physiotherapy curricula in Ireland the United Kingdom and New Zealand.</div></div><div><h3>Design</h3><div>This cross-sectional survey-based study was distributed via the online survey tool Qualtrics XM. The survey was designed using the map of Kern’s curriculum design framework.</div></div><div><h3>Setting</h3><div>Higher educational institutes (HEIs) that offered an undergraduate (BSc) and/or MSc (entry level) physiotherapy programmes in Ireland United Kingdom and New Zealand were included.</div></div><div><h3>Participants</h3><div>The academic lead for dementia education in the HEI was invited to participate in the survey.</div></div><div><h3>Results</h3><div>Of the 69 eligible HEIs contacted, 49 responded, giving a response rate of 71%. Different sources informed curriculum design, including patient and public involvement, published guidelines and policies and expert clinicians. The time allocated to dementia teaching across the curricula varied, with under half of the programmes only allocating two hours. The lack of service user input was seen as a perceived weakness of many programmes as was the non-standardisation and generalisability of teaching.</div></div><div><h3>Conclusion</h3><div>Whilst dementia education is included in many HEI programmes, we need to consider more time, a curriculum that meets learner’s needs and include the patient voice. Further research is needed to develop bespoke dementia curricula specific to physiotherapy.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>The findings of this study have identified current strengths as well as weaknesses of entry level physiotherapy programmes in dementia care.</div></span></li><li><span>•</span><span><div>This study highlights what is most and least commonly taught at entry level physiotherapy programmes in dementia care.</div></span></li><li><span>•</span><span><div>More time needs to be allocated to dementia teaching, to reflect the clear work-related educational needs of physiotherapists in both the acute and community care sector.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"125 ","pages":"Article 101410"},"PeriodicalIF":3.1,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141611322","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}
Pub Date : 2024-06-18DOI: 10.1016/j.physio.2024.04.337
Nazaruk E, O’Neil S
{"title":"CSP2023: 508 - Perceptions of Facilitators and Barriers to Specialising in Pelvic Health Physiotherapy - A Qualitative Study","authors":"Nazaruk E, O’Neil S","doi":"10.1016/j.physio.2024.04.337","DOIUrl":"https://doi.org/10.1016/j.physio.2024.04.337","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"28 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141515616","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}
Pub Date : 2024-06-18DOI: 10.1016/j.physio.2024.04.325
Leung YYL
{"title":"CSP2023: 494 - The Influence of Language and Culture in the Clinical Practice of Student Physiotherapists from Hong Kong","authors":"Leung YYL","doi":"10.1016/j.physio.2024.04.325","DOIUrl":"https://doi.org/10.1016/j.physio.2024.04.325","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"11 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141515624","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}
Pub Date : 2024-06-18DOI: 10.1016/j.physio.2024.04.326
Channell N Surman, O’Neil S
{"title":"CSP2023: 495 - How Does Acute Static Stretching Affect The Achilles Tendon and Triceps Surae and Structure and Function? A Systematic Review","authors":"Channell N Surman, O’Neil S","doi":"10.1016/j.physio.2024.04.326","DOIUrl":"https://doi.org/10.1016/j.physio.2024.04.326","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"64 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141515628","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}
Pub Date : 2024-06-18DOI: 10.1016/j.physio.2024.04.313
turner E., Dougherty L., Clarke S., Kelford E., Toffin A.
{"title":"CSP2023: 477 - Improving paediatric activity and exercise behaviours for musculoskeletal rehabilitation through outpatient exercise classes: a pilot quality improvement project","authors":"turner E., Dougherty L., Clarke S., Kelford E., Toffin A.","doi":"10.1016/j.physio.2024.04.313","DOIUrl":"https://doi.org/10.1016/j.physio.2024.04.313","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"175 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141515634","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}
Pub Date : 2024-06-18DOI: 10.1016/j.physio.2024.04.306
Berry L., Fell M., Norris M., Kilbride C., Macintosh B., Cossar J., Pokhrel S.
{"title":"CSP2023: 466 - Evaluating Perinatal Pelvic Health Early Implementor sites, the challenges, solutions and recommendations for national roll out","authors":"Berry L., Fell M., Norris M., Kilbride C., Macintosh B., Cossar J., Pokhrel S.","doi":"10.1016/j.physio.2024.04.306","DOIUrl":"https://doi.org/10.1016/j.physio.2024.04.306","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"42 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141515641","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}
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