| 1. |
- 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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| 2. |
- Bernhardsson, Susanne, 1958, et al.
(författare)
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A preference for dialogue: exploring the influence of patient preferences on clinical decision making and treatment in primary care physiotherapy
- 2019
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 21:2, s. 107-114
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Tidskriftsartikel (refereegranskat)abstract
- Background: Eliciting and considering patients’ preferences is essential to any clinical encounter and to good, high quality health care. Little research exists on how preferences are accommodated in decision making and how they influence treatment and rehabilitation. Aims: To explore perceptions of patients with musculoskeletal pain regarding how their preferences were accommodated in clinical decision making and influenced their rehabilitation, and whether their preferences changed during their rehabilitation. Methods: Qualitative interview study. Results: Participants’ preferences had, for the most part, influenced both choice of treatment and rehabilitation as a whole. While preferences were expressed to various extents, and largely perceived to be accommodated in the decision process, a good dialogue was considered essential for collaborative rehabilitation. Treatment decisions were to a large extent made jointly by the physiotherapist and the patient. Regardless of the strength of the preferences, participants appreciated the dialogue with the physiotherapist and the opportunity to discuss treatment options. The participants described how the physiotherapy episode of care had influenced their perceptions of and preferences for different treatment methods. Conclusions: The findings emphasise the importance of eliciting patient preferences, two-way communication and discussing treatment options, in order to stimulate collaborative rehabilitation.
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| 3. |
- Betten, Carola, et al.
(författare)
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Cross-cultural adaptation and validation of the Swedish STarT Back Screening Tool
- 2015
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 17:1, s. 29-36
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: The STarT Back Screening Tool (SBT) is a newly validated questionnaire that identifies modifiable risk factors of poor prognosis in patients with low back pain (LBP). The aim of this study was to cross-culturally adapt the SBT into Swedish and to test its concurrent validity in patients with LBP in primary healthcare. Methods: The SBT was translated according to established guidelines. Concurrent validity was tested on 62 patients by comparing the SBT with the Örebro Musculoskeletal Pain Screening Questionnaire, short form (ÖMPSQ-short). Analysis of correlations between the instruments' total scores and between psychosocial sub-score of SBT and ÖMPSQ-short was performed using Spearman's rank correlation. Results: A translation of the SBT into Swedish required minor semantic adaptation until the final version was acceptable. Correlation between the SBT and the ÖMPSQ-short was large with r = 0.61 (SBT total with ÖMPSQ-short total score) and r = 0.60 (SBT psychosocial subscale with ÖMPSQ-short total score). Conclusion: The original SBT was successfully translated into Swedish. Correlation between the Swedish SBT and ÖMPSQ-short was large. The present study supports the use of the Swedish SBT for further clinical practice and research.
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| 4. |
- Bjerså, Kristofer, et al.
(författare)
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Physiotherapy undergraduate students’ experiences of bachelor’s thesis examination
- 2019
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 21:1, s. 56-63
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Tidskriftsartikel (refereegranskat)abstract
- © 2018 Informa UK Limited, trading as Taylor & Francis Group Background: The aim of the study was to explore undergraduate physiotherapist students´ experiences of the examination sessions of their bachelor´s theses. Methods: Qualitative, semistructured interviews with Swedish physiotherapy students from two universities after the examination of their theses. During these oral examinations, the theses are presented and discussed with fellow students who act as reviewers, the audience and the examiner. The interviews were analysed according to the content analysis. Results: Thirteen interviews were performed. The analysis resulted in three categories: •Beneficial; the examination session was seen as a positive learning experience, with students showing an interest in further studies. •Demotivating; contained experiences of unfairness and unnecessary aspects. •Improvement; suggestions were made based on the experiences of being present at examination sessions with both beneficial and destructive elements. Conclusion: Students perceived the examination session as promoting learning, giving insight into scientific work, and as a forum with possibilities for improvement of their thesis. On the other hand, it could be destructive for relationships when fellow students acted unfair during the review and the sessions need to be prepared and practiced. Better consensus and standardised settings for the lecturers acting as examiners and supervisors are needed in order to have a proper and fair assessment.
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| 5. |
- Bring, Johan, et al.
(författare)
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Measuring gait – how the choice of measure can affect the statistical results and the clinical interpretation
- 2017
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 19:1, s. 8-12
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The aim of this study was to illustrate how the choice of gait measure could affect the statistical analysis of data and the resulting clinical conclusions.Methodology: A descriptive design in which the results from different tests from 10 patients with normal pressure hydrocephalus illustrates the potential to generate different clinical conclusions.Major findings and principal conclusion: The results illustrate how the choice of measure can affect the statistical results and the clinical interpretation of a study. It is possible to have the paradoxical situation in which one group has a better walking ability if the variable speed is used but the other group has a better walking ability if the variable time is used. An important message is that the choice of measurement and the transformation of data are not primarily statistical issues. If the statistical results are to be useful for clinical decisions, the variables used must be directly related to the utility for the subjects. An understanding of the clinical relevance of different outcomes is required. The distinction between when numbers are purely descriptive and when numbers represent a valuation is subtle and difficult to comprehend.
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| 6. |
- Carlsson, Maria, 1959, et al.
(författare)
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Effects of a prolonged intervention of breathing exercises after cardiac surgery - a randomised controlled trial
- 2019
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 21:4, s. 233-239
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To evaluate the effect of a prolonged intervention of breathing exercises with Inspiratory Resistance Positive Expiratory Pressure for one month after open cardiac surgery concerning lung function, respiratory movements and postoperative pulmonary complications. Methods: A randomised controlled trial comparing the effect of home-based breathing exercise after discharge from the hospital or stop at discharge. Eighty patients were randomly assigned to an intervention group or control group. Forced vital capacity, forced expiratory volume in the first second, peak expiratory flow, respratory movements and saturation were measured at discharge and after the intervention. At follow-up self-reported pulmonary complications were also recorded. Results: A significant increase in forced vital capacity (p =.04) was found in the intervention group compared with the control group, and there were a tendency towards significant differences also in forced expiratory volume in the first second and saturation (p =.06). Respiratory movements increased significantly after one month but there were no significant differences between groups. None of the patients reported being treated for pneumonia. Conclusion: A prolonged intervention of breathing exercise for one month after open cardiac surgery significantly increases forced vital capacity and may accelerate recovery after cardiac surgery. Clinical registration number: FoU in Sweden no 76141.
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| 7. |
- Clifford-Lind, Maria, et al.
(författare)
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Psychometric properties of the Swedish version of the Functional Disability Inventory
- 2015
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9177 .- 2167-9169. ; 17:3, s. 116-122
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Tidskriftsartikel (refereegranskat)abstract
- Chronic or recurrent pain is a common experience in children and adolescents. One questionnaire that is frequently used to assess pain-related disability is the Functional Disability Inventory (FDI). The aim of this study was to evaluate the psychometric properties of the Swedish version of the FDI. The patient group consisted of 30 patients, 8-17 years old. The comparison group consisted of 78 pupils, 8-17 years old. Reliability was assessed using Cronbach's alpha and intraclass correlation (ICC). Validity was assessed in terms of construct validity and face validity. To assess construct validity, Spearman's rho was used. Internal consistency reliability was high, with Cronbach's α = 0.90. Similarly, test-retest reliability was good, with an ICC of 0.90 (95% confidence interval 0.78-0.95). Concerning interrater reliability, the result was good, with an ICC of 0.67. Construct validity correlations, assessed using Spearman's rho, were significant. Most participants (85.7%) did not report any areas in their everyday lives where they experienced any disabilities not covered in the FDI, indicating acceptable face validity. In this context and used in this population, the results indicate that the FDI is a reliable and valid questionnaire for assessing pain-related disability in children and adolescents. © 2015 Informa Healthcare.
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| 8. |
- Delfin, Ingela, et al.
(författare)
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Does physical activity affect risk of revision of total hip arthroplasty? A matched pairs study
- 2017
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 19:3, s. 124-130
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this study was to investigate differences in level of physical activity between patients who underwent revision after surgery with total hip arthroplasty and those who did not. Secondary purposes were to study if level of physical activity, frequency of physical activity, body mass index, sex or age could predict the risk of revision an to find out if patients were sufficiently active. Methods: The patients who had surgery with total hip arthroplasty at any time and required a revision were identified (n = 27) and matched with controls. The primary outcome measure was the University of California Los Angeles activity scale. Secondary outcome measures were risk prediction including body mass index, age, year between total hip arthroplasty and revision, frequency of physical activity, and level of physical activity. Results and conclusions: There were no statistical significant differences for University of California Los Angeles activity scale score between samples (p = .914). 44% Of the participants in the revision group and 33% in the control group were insufficiently active. Level or frequency of physical activity did not increase the risk of revision (OR 0.96 and 0.46), nor did body mass index, age or sex (OR 1.00, 0.98 and 1.00).
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| 9. |
- Ejelöv, Marina, et al.
(författare)
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“Many obstacles along the way” : follow-up of rehabilitation plans after multimodal pain rehabilitation
- 2016
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Ingår i: European Journal of Physiotherapy. - : Informa UK Limited. - 2167-9169 .- 2167-9177. ; 18:1, s. 18-26
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the content of rehabilitation plans after multimodal rehabilitation (MMR) for chronic pain patients, focusing on occupation-oriented measures. A secondary aim was to study how the individual rehabilitation plans had been carried out and implemented during 1 year after MMR. A multiple methods approach with quantitative and qualitative data was used. The quantitative part was descriptive and examined whether the rehabilitation plans were carried out, the number of recommendations in each plan and the type of measures suggested. The qualitative part constituted a content analysis of interviews. Vocational rehabilitation was the second most common recommendation for the whole group. The analysis of the interviews resulted in seven categories divided into two main categories: impeding factors and facilitating factors for rehabilitation. The compliance of professionals and external parties with the patients’ rehabilitation plans, and the patients’ positive experience of their change in behaviour, contributed to the completion of the rehabilitation plans. In conclusion, lack of follow-up from the professionals and negative bodily signals inhibited the completion of rehabilitation. Flexibility on the part of professionals and external actors regarding patients’ rehabilitation plans as well as their own positive experiences of striving for change facilitated rehabilitation.
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| 10. |
- Eklund, Caroline, 1983-, et al.
(författare)
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User experiences from a web-based, self-management programme : struggling with what I need when stress management is about me
- 2019
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Ingår i: European Journal of Physiotherapy. - : Taylor & Francis Group. - 2167-9169 .- 2167-9177. ; , s. 39-48
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To explore users’ experiences of a tailored, interactive web application that supports behaviour change in stress management and to identify if and in that case what in the web-based programme that needed further development or adjustment to be feasible in a randomised controlled trial.Method: The design of this study was explorative with a qualitative approach. Nine individuals were recruited among the staff at a university. Semi-structured individual interviews were conducted and analysed using qualitative content analysis, after the participants had completed the web-based stress management programme.Results: One theme was identified, Struggling with what I need when stress management is about me, describing the paradox in having a programme that is perceived as supporting stress management while also being perceived as extensive and time consuming. The theme was divided in two categories: Defining the needs, where the users expressed what they needed from the programme and their everyday environment, to be able to use the programme, and It is about me, where the programme was described as helping the users understand their own stress.Conclusion: The participants expressed acceptance of using a web-based programme for stress related problems. The perceived extensiveness of the programme must be considered in further development.
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