| 1. |
- Aasa, Björn, et al.
(författare)
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Acuity of goal-directed arm movements and movement control : evaluation of differences between patients with persistent neck/shoulder pain and healthy controls
- 2022
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Ingår i: European Journal of Physiotherapy. - : Routledge. - 2167-9169 .- 2167-9177. ; 24:1, s. 47-55
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Tidskriftsartikel (refereegranskat)abstract
- Background: The main aim was to examine whether patients with persistent upper quadrant pain have higher end-point variability in goal directed pointing movements than pain-free controls when the pointing task is performed in total darkness and under full vision. An additional aim was to study associations between the magnitude of end-point variability and a clinical movement control test battery and self-rated functioning among patients.Methods: Seventeen patients and 17 age- and gender-matched pain-free controls performed a pointing task that evaluated end-point variability of repetitive shoulder movements in horizontal adduction and abduction with full vision, and abduction with no visual information, completed a movement control test battery of neck and shoulder control tests and answered questionnaires.Results: Patients had higher end point variability for horizontal abduction when performed with no visual information. For horizontal adduction the variability was higher, but only when it was controlled for movement time. No significant correlations were found between end-point variability and self-rated functioning, nor between end-point variability and neuromuscular control of the glenohumeral joint.Conclusions: This study provides preliminary evidence that patients with persistent neck/shoulder pain can partly compensate proprioceptive deficits in goal-directed arm movement when visual feedback is present.
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| 2. |
- Aasa, Björn, et al.
(författare)
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Do we see the same movement impairments? : the inter-rater reliability of movement tests for experienced and novice physiotherapists
- 2014
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 16:16, s. 173-182
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Tidskriftsartikel (refereegranskat)abstract
- Study design: Inter-rater reliability study. Background: Physiotherapists (PTs) use clinical tests including movement tests to identify faulty movement patterns. Aims: To investigate the inter-rater-reliability of active movement tests in the cervical spine, shoulder joint and scapulo-thoracic joint, and to describe the reasons for judgment of a positive test. Methodology: Four PTs, two experienced and two recently educated (novice), rated performance of five movement tests for 36 participants. Twenty-one of the participants were patients under treatment because of neck and/or shoulder problems, while 15 participants declared no problem from this region of the body. All tests were video recorded and the ratings were done by observing the video recordings. First, the PTs judged the tests as negative (the movement being ideally performed) or positive (the movement not being ideally performed). Then, the PTs described why the movements that they judged positive were not being ideally performed, using a predefined protocol, which represented different movement quality aspects. The inter-rater reliability was calculated for each test using Kappa statistics between the two experienced and the two novice PTs, respectively, and between each of the experienced and each of the novice PTs. Major findings: The experienced PTs had a higher inter-rater reliability than the novice PTs. The reasons for considering a movement test being positive differed highly between the (novice) PTs. Principal conclusion: This study supports previous studies concluding that the observation of active movement tests is reliable when assessed by experienced PTs. Novice PTs might benefit from further supervision.
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| 3. |
- Adhikari, Shambhu P., et al.
(författare)
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Alternatives to routinely used physiotherapy interventions for achieving maximum patients' benefits and minimising therapists' exposure in treatment of COVID-19 - a commentary
- 2020
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Ingår i: European Journal of Physiotherapy. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 2167-9169 .- 2167-9177. ; 22:6, s. 373-378
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Tidskriftsartikel (refereegranskat)abstract
- The evidence and effectiveness of physiotherapy interventions in treatment of patients with confirmed or suspected coronavirus disease 2019 (COVID-19) is limited. Routinely used interventions in physiotherapy imply a very high risk for physiotherapists because the duration of direct contact with patients is quite long. Physiotherapy may need to be administered by weighing the benefit-risk ratio. Therefore, there is a critical and urgent need to adopt alternatives or modified forms of physiotherapy interventions. As the situation for management of COVID-19 in low-resource contexts could differ from that in high resource context, interventions need to be adapted to the available resources and technology in various settings. Tele-physiotherapy could be a viable option for patients who are in acute care in the hospital, in rehabilitation unit or under quarantine at home due to confirmed or suspected COVID-19. Modification in physiotherapy interventions and adjustment in intervention parameters may serve as an alternative strategy. This article describes alternatives to and/or modification of routinely used physiotherapy interventions for achieving maximum patients' benefits and minimising therapists' exposure in treatment of individuals with confirmed or suspected COVID-19.
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| 4. |
- Andersson-Marforio, Sonja, et al.
(författare)
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A survey of the physiotherapy treatment methods for infants hospitalised with acute airway infections in Sweden
- 2021
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 23:3, s. 149-156
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this study was to investigate what treatment methods physiotherapists in Sweden use for infants 0–24 months hospitalised with acute breathing difficulties due to lower respiratory tract infections. Material and methods: We constructed an anonymous digital survey for paediatric physiotherapists in Sweden. It was distributed by e-mail and was posted on professional websites. Completed forms were obtained from all 21 counties in Sweden. Results: Eighty-eight physiotherapists replied and 52 worked with the target group. Different treatment methods were used, based on the situation and the individual’s symptom. The most common methods involved physical activity and change of the body position. Conclusions: A variety of treatment methods are used by the Swedish physiotherapists. The most commonly used are treatment methods involving frequent changes of the body position and stimulation to physical activity. Thus, the praxis in Sweden seem to differ from methods described in the literature. Methods are chosen depending on the symptoms of the patients. No differences in the choice of treatment methods were found regarding the physiotherapists’ background characteristics.
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| 5. |
- Arkel, Elisabeth, et al.
(författare)
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Effects of physiotherapy treatment for patients with obstetric anal sphincter rupture: a systematic review
- 2017
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 19:2, s. 90-96
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Forskningsöversikt (refereegranskat)abstract
- © 2017 Informa UK Limited, trading as Taylor & Francis Group.Objectives: To evaluate the level of evidence for treatments included in physical therapy practice for patients with Obstetric Anal Sphincter InjurieS (OASIS) and provide treatment recommendations. Methods: Literature search was done in relevant databases of which the last one was performed on 1 November 2016. The randomized controlled trials were evaluated for internal validity and level of evidence for the interventions was set. Results: Eight articles were identified evaluating pelvic floor exercises, biofeedback and electrical stimulation of which six were randomized and controlled. There is a very low level of evidence that pelvic floor exercises with augmented biofeedback (audio-visual feedback and electro stimulation) has better effects compared to sensory biofeedback for women with impaired faecal continence after OASIS and that adjuvant biofeedback has effect on anal incontinence and decreases embarrassment following anal sphincter repair years after OASIS. The studies evaluating solely pelvic floor exercises or electrical stimulation were contradictory or showed no significant effects. Conclusions: There are a limited number of trials evaluating the effect of physical therapy interventions to prevent or treat anal incontinence after OASIS. The studies are diverse and the level of evidence is consequently very low or missing. Until there are enough studies to write evidence-based guidelines, it is still of importance to treat women with leakage and pain in the attempt to increase function and quality of life.
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| 6. |
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| 7. |
- Arkkukangas, Marina, et al.
(författare)
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Risk factors for fall-related injuries among community-dwelling men and women over 70 years of age, based on social cognitive theory : results from a population study
- 2021
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Ingår i: European Journal of Physiotherapy. - : Taylor & Francis. - 2167-9169 .- 2167-9177. ; 23:4, s. 221-226
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Healthcare professionals', especially physiotherapists' role as promoters, preventers and rehabilitators play a significant role in prevention of falls. The purpose of this study was to gain knowledge on the risk factors which are associated with fall-related injuries among community dwelling men and women, based on Social Cognitive Theory (SCT) concepts. Patients and methods: The study includes 13,151 people who responded to a postal survey questionnaire in 2017. The random sample consisted of men and women aged 70 years and older. Multivariate regression models were used to explore associations between theory-based risk factors and fall-related injuries. Results: A total of 16% (1951 people) reported a fall-related injury during the past 12 months. For men, a total of seven risk factors were associated with fall-related injury: age, pain (neck/shoulder), incontinence, depression, help in daily living, education and sedentary behaviour. For women, a total of nine risk factors were associated with fall-related injury: age, pain (extremities and neck/shoulder), tiredness, incontinence, appetite, economy, accommodation and participation in social activities. Conclusions: This study identified risk factors from all aspects of the SCT, serving as a clinically useful theory in addition to traditional fall preventive actions. Gender differences should be considered when designing fall prevention strategies.
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| 8. |
- Asplin, Gillian, et al.
(författare)
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Concurrent validity and responsiveness of Traffic Light System-BasicADL (TLS-BasicADL)
- 2022
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 24:6, s. 372-380
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To test validity and responsiveness of Traffic Light System-BasicADL (TLS-BasicADL). Method: Validity: Data according to TLS-BasicADL, modified Functional Independence Measure (FIM) and Barthel Index (BI) were collected from 50 patients with mixed medical diagnoses. Responsiveness: 106 patients following hip fracture assessed according to TLS-Basic ADL and modified Katz Index. Percentage change in TLS-BasicADL from pre-fracture status, to post-operatively, discharge and 1 month follow-up was calculated. TLS-BasicADL and modified Katz Index were also correlated at discharge and 1 month. For analysis of responsiveness, Spearman's rho coefficient (rs) was used and for distribution at item level, percentage change and sign test. Results: Validity: Strong-excellent correlations between TLS-BasicADL and modified FIM (0.65-0.95), TLS-BasicADL and modified BI (0.77-0.97) for individual items. Analysis of total scores revealed excellent correlations between instruments (0.96-0.98). Responsiveness: Significant differences between assessments for each item of TLS-BasicADL except upper hygiene, dressing and eating. Excellent correlation was found between TLS-BasicADL and modified Katz Index between pre-fracture - discharge (0.897) and moderate-strong (0.597) discharge - 1 month. Conclusion: TLS-BasicADL is shown to have acceptable concurrent validity for measuring basic mobility and self-care in elderly patients with mixed medical diagnoses and responsive for patients following hip fracture surgery.
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| 9. |
- Asplin, Gillian, et al.
(författare)
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See me, teach me, guide me, but it’s up to me! Patients’ experiences of recovery during the acute phase after hip fracture
- 2021
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 23:3, s. 135-143
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To explore patients’ experiences of their recovery after hip fracture surgery and the use of Traffic Light System-BasicADL in their rehabilitation process. Method: Nineteen patients (13 females and 6 males), aged 66–94, were interviewed. A qualitative content analysis method was used for analysis of data. Results: Two categories were identified: ‘Being seen as a person’ with subcategories; Interaction affects trust and security; Information is key to understanding; and Encouragement is essential to promote activity. And ‘Striving for Independence’, with subcategories; Accepting the situation while trying to remain positive; The greener the better, but it’s up to me; Ask me, I have goals; and Uncertainties concerning future. Conclusion: The findings of this study mirror clinical reality. There is a continued need for organisations to reflect over existing practise and question routines and procedures. In order to improve services and provide better quality of care, it is essential to acknowledge the patients’ experiences, needs and preferences and make efforts to accommodate these where possible. Health care professionals must recognise that patients with hip fracture are individuals, with varying needs that change across the continuum of recovery.
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| 10. |
- Augustsson Ryman, Sofia, 1975, et al.
(författare)
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Reliability of the 1 RM bench press and squat in young women
- 2013
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 15:3, s. 118-126
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Tidskriftsartikel (refereegranskat)abstract
- Although bench press and squat are two of the most frequently performed strength training exercises today, and are used for physical performance assessment in many sports test batteries as well as in physical therapy, studies presenting interrater reliability for these tests in young women appear to be lacking in the literature. The aim of this study was to evaluate inter-rater reliability regarding the One Repetition Maximum (1 RM) in bench press and squats in young healthy women. Forty-one women, aged 21 – 30 years, participated in the present study. The subjects performed 1 RM bench press (n 21) or 1 RM squat (n 20) on two different occasions with an interval of 5 – 9 days using an inter-rater test-retest design. High reliability was noted for both the 1 RM bench press test (ICC 2,1 0.98) and the 1 RM squat test (ICC 2,1 0.85), with an SEM of 4% and 11%, respectively. The paired analysis revealed statistically signifi cant difference in 1 RM squat performance between the two test sessions (p 0.005). No statistically signifi cant difference was found in 1 RM bench press performance between the two testing sessions. While the 1RM bench press showed excellent inter-rater reliability and could be strongly suggested as a measurement of muscle strength, the squat using free weights, as in the present study, could be questioned.
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