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1.
Liane de Brito Macedo Jim Richards Daniel Tezoni Borges Samara Alencar Melo Jamilson Simões Brasileiro 《Physiotherapy》2019,105(1):65-75
Objective
To investigate the effects of Kinesio Taping® (KT) on chronic non-specific low back pain (LBP).Design
Randomised controlled trial with intention-to-treat analysis.Setting
University laboratory.Participants
One hundred and eight women with chronic non-specific LBP underwent an evaluation pre, 3 and 10 days after intervention.Interventions
After randomisation, participants were assigned to four groups: KT with tension group (KTT) applied KT® with tension in the region of the erector spinae muscles; KT no tension group (KTNT) applied KT® with no tension in the same region; Micropore group (MP) applied Micropore® tape on the erector spinae muscles; and control group (CG) did not receive any intervention.Main outcome measures
The primary outcome was pain sensation, measured by numerical pain rating scale. Secondary outcomes were: disability (Roland Morris Disability questionnaire), trunk range of motion (inclinometry), strength (dynamometry) and electromyographic amplitude (electromyography).Results
Improved pain relief was observed for KTT group (mean difference 2.0; 95% CI 0.5 to 3.4; P = 0.003) and KTNT group [mean difference (MD) 1.9; 95% CI 0.5 to 3.4; P = 0.004] compared with CG at 3 days after application of the tape. For disability, there was a difference between CG and KTT group at 3 days (MD 3.5; 95% CI 0.8 to 6.1; P = 0.004) and 10 days (MD 32; 95% CI 0.4 to 6.0; P = 0.016). For all the other variables, there were no differences between groups.Conclusion
KT with or without tension reduces pain 3 days after its application. Additionally, when applied with tension, it improves disability after 3 and 10 days in patients with LBP.2.
M. Hauck C. Noronha Martins M. Borges Moraes P. Aikawa F. da Silva Paulitsch R. Della Méa Plentz S. Teixeira da Costa A.M. Vargas da Silva L.U. Signori 《Physiotherapy》2019,105(1):120-125
Objective
To compare the effects of different waveforms of 1 MHz and 3 MHz therapeutic ultrasound on endothelial function in healthy subjects.Design
Randomised placebo-controlled, crossover study with concealed allocation and assessor blinding.Setting
Imaging Centre of the University Hospital.Participants
Thirty volunteers aged between 18 and 35 years were divided into two homogeneous groups (1 MHz and 3 MHz).Interventions
Continuous (CUT; 0.4 W/cm2SATA), pulsed (PUT; 20% duty cycle, 0.08 W/cm2SATA) and placebo waveforms (equipment off) of ultrasound (1 MHz and 3 MHz) were randomized and applied over the brachial artery for 5 minutes.Main outcome measures
Endothelial function was evaluated using the flow-mediated dilation (FMD) technique.Results
Both 1 MHz [CUT: mean difference 4%, 95% confidence interval (CI) 2 to 6%, P < 0.001; PUT: mean difference 4%, 95% CI 2 to 6%, P < 0.001] and 3 MHz (CUT: mean difference 4%, 95% CI 2 to 6%, P < 0.001; PUT: mean difference 4%, 95% CI 2 to 6%, P < 0.001) of therapeutic ultrasound increased %FMD by approximately 4% compared with the placebo waveforms. The endothelium-dependent vasodilator responses were the same for both types of waves and frequencies. No differences in baseline diameter, hyperaemic flow, and nitroglycerin-mediated diameter and vasodilation were observed between groups.Conclusion
Both CUT and PUT ultrasound waveforms improved endothelial function. The 1 MHz and 3 MHz frequencies of therapeutic ultrasound led to similar improvement in endothelial function in healthy volunteers.Clinical trial registration number RBR-4z5z3t. 相似文献
3.
Bernhard Haas Elizabeth Clarke Laura Elver Emma Gowman Emma Mortimer Erin Byrd 《Physiotherapy》2019,105(1):84-89
Objective
To evaluate the test–retest and concurrent validity of the L-test in a group of participants with mild to moderate Parkinson’s disease. The L-test is an extended version of the Timed up and Go test, incorporating a longer walking distance and turns in two directions.Design
Cross-sectional.Setting
Community.Participants
16 participants (13 male), mean age 75 (SD 6.7) mean duration since diagnosis 7.1 years (±2.8). Disease severity was mild to moderate on the Hoehn and Yahr scale (mean 2.1; mode 2; range 1–3). 14 participants (12 male) completed the study.Interventions
Not applicable.Main outcome measures
A Bland and Altman plot examined the agreement between first and second testing occasion of the L-test. Intra-class correlation coefficients (ICC) assessed the test–retest reliability. Concurrent validity was established by correlating the L-test with the Timed up and Go test (TUG). The Minimal Detectable Change with 95% confidence interval (MDC95) was calculated to determine the true change not due to chance.Results
The L-test showed excellent test–retest reliability on the Bland & Altman plot and the ICC. There was a high degree of agreement between measurements taken on days 1 and 2. The L-test correlated strongly with the Timed up and Go test on both measurement days with r = 0.97 (p < 0.001) and r = 0.96 (p < 0.001). The MDC95 was 5.31 seconds.Conclusions
The L-test is a reliable and valid outcome measurement for the assessment of walking ability in participants with mild to moderate Parkinson’s disease. 相似文献4.
Ruben Barakat Ignacio Refoyo Javier Coteron Evelia Franco 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2019,23(2):148-155
Background
Excessive gestational weight gain is associated with several adverse events and pathologies during pregnancy.Objective
The purpose of this study was to examine the effects of an exercise program throughout pregnancy on maternal weight gain and prevalence of gestational diabetes.Method
A randomized controlled trial was designed that included an exercise intervention group (EG) and standard care control group (CG). The exercise intervention included moderate aerobic exercise performed three days per week (50–55 minutes per session) for 8–10 weeks to 38–39 weeks gestation.Results
594 pregnant women were assessed for eligibility and 456 were included (EG n = 234; CG n = 222). The results showed a higher percentage of pregnant women gained excessive weight in the CG than in the EG (30.2% vs 20.5% respectively; odds ratio, 0.597; 95% confidence interval, 0.389–0.916; p = 0.018). Similarly, the prevalence of gestational diabetes was significantly higher in the CG than the EG (6.8% vs 2.6% respectively; odds ratio, 0.363; 95% confidence interval, 0.138–0.953; p = 0.033).Conclusion
The results of this trial indicate that exercise throughout pregnancy can reduce the risk of excessive maternal weight gain and gestational diabetes. 相似文献5.
J. Elings S. Zoethout P.M. ten Klooster G. van der Sluis S.M. van Gaalen N.L.U. van Meeteren T.J. Hoogeboom 《Physiotherapy》2019,105(1):108-113
Objectives
To test the internal consistency and item difficulty of the modified Iowa Level of Assistance Scale (mILAS).Design
Retrospective observational study.Setting
Two orthopaedic wards of two general hospitals.Participants
Following elective primary unilateral total hip replacement surgery, all participants performed mILAS activities that were scored daily to assess their recovery of activities during hospitalisation.Main outcome measures
The internal consistency and the level of assistance needed by the patient (item difficulty) of the mILAS were calculated using data from Deventer Hospital, Deventer, the Netherlands (n = 255). A cross-validation was performed using data from Nij Smellinghe Hospital, Drachten, the Netherlands (n = 224).Results
The internal consistency of the mILAS was acceptable on all three postoperative days (α = 0.84 to 0.97). Cronbach’s α and Rasch analysis revealed a misfit of stair climbing with the other items of the mILAS. The item difficulty of the mILAS items changed over the first two postoperative days. During the first three postoperative days, the sit to supine transfer was generally the most difficult item to achieve, and the sit to stand transfer was the least difficult item to achieve as rated by physiotherapists. The cross-validation analysis revealed similar results.Conclusions
The mILAS is a clinically sound measurement tool to assess the ability of patients to perform five functional tasks safely during hospitalisation. Stair climbing appears to be the easiest item to complete, and the sit to supine transfer is generally the most difficult after surgery. 相似文献6.
Chloe Gay Candy Guiguet-Auclair Charline Mourgues Laurent Gerbaud Emmanuel Coudeyre 《Annals of physical and rehabilitation medicine》2019,62(1):14-20
Background
The effects of physical activity (PA) in disease prevention and therapy have well-known effects on lower-limb osteoarthritis (OA), decreasing pain and improving function.Objective
We aimed to describe the level and factors affecting PA practices of people with knee OA.Design
Prospective epidemiological study.Setting
In all, 548 people with knee OA were interviewed by use of self-administered anonymous questionnaires.Main outcome measurement
The main outcome was physical activity level evaluated by the International physical activity questionnaire (IPAQ) (short version). Secondary outcomes included sociodemographic and clinical data, comorbidities, and barriers to and facilitators of practicing regular PA evaluated by 24 specific elements.Results
The mean (SD) age of the study population was 67.6 (7.9) years; 73.9% were women and 30.9% had obesity (mean [SD] body mass index [BMI] 28.2 [5.7] kg/m2). Multi-joint OA affected 92% of the population, and 71.6% had comorbidities. The mean (SD) visual analog scale score for pain intensity was 4.5/10 (2.5), which was 51.4% better than the patient acceptable symptom state (PASS). The mean (SD) Western Ontario and McMaster Universities Osteoarthritis Index function score was 36.6/100 (20.7), which was 57.5% better than the PASS. In total, 67% of patients used analgesics, half of them at least once a week. According to the IPAQ, 42.6% of patients reported high, 38.6% moderate, and 18.8% low PA level; the median IPAQ total activity score was 2628 metabolic equivalent of task (MET)-min/week and time spent sitting was 257.1 min/day. Only one third of participants received non-pharmacological treatment corresponding to the latest recommendations. Variables significantly related to inactive or minimally active PA levels were BMI (P = 0.0294), sex (P = 0.0008), and biomedical barriers, related to self-efficacy (P = 0.0118).Conclusions
The OA study population was less active, more sedentary, and had more comorbidities and more barriers to PA practice than the overall population. 相似文献7.
Objective
To measure foot sensitivity and blood glucose levels among diabetic patients as measures of improvement pre and post Apiyu massage.Method
Quasi experimental research was employed to measure foot sensitivity and blood glucose levels before and after APIYU massage for fifty-five (55) purposive sampled consented adult patients with diabetes from Rejosari and Langsat Health Centers in Pekanbaru Riau, Indonesia. The intervention was given about three times in a week for thirty (30) minutes.Result
Revealed that there were significant differences between measures before and after massage using the Apiyu tool on: (a) mean sensitivity levels for pre-tests and post-tests on the right foot (pre-test 9.49, post-test 9.64; p-value = 0.011) and the left foot (pre-test 9.55, post-test 9.80; p-value = 0.004), and (b) blood glucose levels (pre-test 271.6, post-test 220.7; p-value = 0.001).Conclusion
The APIYU massage was proven effective for improving foot sensitivity and reducing blood glucose among diabetic patients. 相似文献8.
Camila Teixeira Vaz Rosana Ferreira Sampaio Fernanda Saltiel Elyonara Mello Figueiredo 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2019,23(2):116-124
Background
Although the efficacy of pelvic floor muscle training (PFMT) and bladder training are well established, there is a paucity of patient centered models using these interventions to treat women with UI at primary level of health assistance in Brazil.Objective
To investigate the effectiveness of a physical therapy intervention to treat women with UI in primary health centers.Methods
Pragmatic non-randomized controlled trial in which women with UI from the community participated in a supervised physical therapy program consisting of bladder training plus 12 weeks of PFMT, performed either at home or in the health center. Outcome measures were amount and frequency of urine loss measured by the 24-h pad-test and the 24-h voiding diary; secondary outcome was the impact of UI on quality of life measured by the ICIQ-SF. Outcomes were measured at baseline, at the 6th and 12th weeks of the intervention and 1 month after discharge.Results
Interventions reduced the amount (pad-test, p = 0.004; d = 0.13, 95% CI = ?0.23 to 0.49) and frequency of urine loss (voiding diary, p = 0.003; d = 0.51, 95%CI = 0.14 to 0.87), and the impact of UI on quality of life (ICIQ-SF, p < 0.001; d = 1.26, 95%CI = 0.87 to 1.66) over time, with positive effects from the 6th week up to 1 month for both intervention setting (home and health center), and no differences between them.Conclusion
Interventions were effective, can be implemented in primary health centers favoring the treatment of a greater number of women who do not have access to specialized physical therapy.Trial registration: RBR-8tww4y. 相似文献9.
Marisa Maia Leonardi-Figueiredo Hugo Celso Dutra de Souza Emanuela Juvenal Martins Monalisa Squiaveto Ana Claudia Mattiello-Sverzut 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2019,23(1):27-32
Background
Cardiovascular autonomic dysfunction is associated with the development of cardiovascular diseases, but little is known about it in children and adolescents with myelomeningocele.Objective
This study investigated the cardiovascular autonomic function in wheelchair-using children and adolescents with myelomeningocele.Methods
Twenty-two participants were assigned to one of two groups: myelomeningocele group (n = 11) and Control group (n = 11). Heart rate variability and systolic blood pressure variability were collected in supine resting position using spectral analyses. Spontaneous baroreflex sensitivity was collected by time-domain through the sequence method.Results
At rest, heart rate was higher in myelomeningocele group when compared to Control group (mean difference 22.1, 95% CI 4.82–39.40; p = 0.01). The heart rate and systolic blood pressure variability parameters did not show differences between groups. However, myelomeningocele showed lower gain mean in baroreflex sensitivity (mean difference ?4.5, 95% CI ?8.47 to ?0.60; p = 0.02), when compared to Control.Conclusion
Wheelchair-using children and adolescents with myelomeningocele presented differences in the autonomic cardiovascular function. This may be associated with hypomobility due to wheelchair dependence, and venous muscle pump insufficiency due to paraplegia. 相似文献10.
Anne Mette Rustaden Lene Annette Hagen Haakstad Gøran Paulsen Kari Bø 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2019,23(2):156-163
Background
Overweight and obesity are associated with musculoskeletal pain, particularly in the female population. However, regular resistance training may positively affect these complaints.Objective
The present study aimed to investigate between group differences in musculoskeletal pain in previously inactive women, allocated to three different resistance-training modalities available in health- and fitness clubs.Methods
This is secondary analysis from a single-blinded randomized controlled trial, including healthy women (aged 18–65) with a BMI (kg/m2) ≥25. The participants were allocated to 12 weeks (3 times/weekly) of either BodyPump (high-repetition low-load group session) (n = 24), heavy load resistance training with a personal trainer (n = 28), non-supervised heavy load resistance training (n = 19) or non-exercising controls (n = 21). Primary outcome was self-reported musculoskeletal pain in ten different body parts, measured with the Standardized Nordic Pain Questionnaire, at baseline and post-test. In addition, the study included sub-analyses of the participants when they were divided into high (≥28 of 36 sessions, n = 38) and low (≤27 of 36 sessions, n = 22) exercise adherence.Results
The analysis revealed no between group differences in musculoskeletal pain in any of the ten body parts. The results did not change when the participants were divided into high versus low adherence.Conclusions
Twelve weeks of BodyPump, heavy load resistance training with a personal trainer and non-supervised heavy load resistance training did not show any effect on self-reported musculoskeletal pain in overweight women.Clinical Trial registration number: NCT01993953.(https://clinicaltrials.gov/ct2/show/NCT01993953). 相似文献11.
Objective
To determine the reliability and validity of the Figure of 8 Walk test (F8W) for older people after knee replacement surgery in the home setting.Design
Observational repeated measures.Setting
A specialist orthopaedic hospital and participants homes.Participants
Seventy-four older adults aged over 55 years one year following knee replacement surgery participated in two assessments more than one week apart.Main Outcome Measure
The time to complete, steps, boundary limits and smoothness score from the Figure of 8 Walk test (F8W), the time to complete the Timed Up and Go (TUG) test and the time to complete the Timed Walk Test (TWT).Results
Overall, on 95% of occasions, the difference between the measurements for intra-rater reliability were within 1.8 second of the two test times. The difference between the measurements for inter-rater reliability were found to be narrower than for intra-rater reliability with scores within 1.2 second overall on 95% of occasions. The time to perform the F8W was highly correlated to the Timed Up and Go (overall sample r = 0.921) and the variability spread within narrow limits (?0.8 to 0.8 z-scores). This was also true for the Timed Walk Test (overall sample r = 0.834) with a narrow limit of variability on almost all of the observations (?1.16 to 1.16 z-scores).Conclusions
The F8W test has good reliability and validity when used in either a clinical or home setting for patients around one year following knee replacement surgery. 相似文献12.
Athina Liacos Christine F. McDonald Ajay Mahal Catherine J. Hill Annemarie L. Lee Angela T. Burge Rosemary Moore Caroline Nicolson Paul O’Halloran Narelle S. Cox Aroub Lahham Rebecca Gillies Anne E. Holland 《Physiotherapy》2019,105(1):90-97
Objectives
To examine the predictive validity, minimal important difference (MID) and responsiveness of the PRAISE tool.Design
Retrospective data analysis from HomeBase trial of home vs centre-based pulmonary rehabilitation.Setting
Tertiary health service.Participants
One hundred and sixty-six participants with COPD (100 men) with mean age 69 (SD 9) years, FEV1% predicted 50% (19).Interventions
Eight-week pulmonary rehabilitation program, conducted at the hospital or at home.Main outcome measures
The 15-item PRAISE tool comprising 10 general and five pulmonary rehabilitation-specific self-efficacy questions. Predictive validity was examined by exploring the relationship between baseline PRAISE score and objective change in physical activity following pulmonary rehabilitation using the SenseWear Armband. The MID was evaluated using anchor-based and distribution-based methods. Responsiveness was assessed with effect sizes.Results
A higher baseline PRAISE score (indicating better self-efficacy) was an independent predictor of reduced sedentary time following pulmonary rehabilitation (P = 0.03). A one point increase in PRAISE was associated with a decrease in sedentary time of 4 minutes/day (95% confidence interval ?7.8 to ?0.4 minutes/day). Anchor-based estimates of the MID were 0.5 to 1.5 points; however sensitivity and specificity were modest (area under the curve <0.70). Change in PRAISE score following pulmonary rehabilitation had an effect size of 0.21.Conclusions
The PRAISE tool has predictive validity and may be useful to identify those with high self-efficacy who are more likely to achieve important health behaviour changes with pulmonary rehabilitation. The small effect size suggests that the PRAISE tool was not responsive to changes following pulmonary rehabilitation.13.
Juliana Bayeux Dascal Lianne Maria Jantien Sanders Edson Gonsales da Cruz Filho Tibor Hortobágyi 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2019,23(1):48-55
Background
There is a poor understanding of the dose–response relationship between years of physical activity and motor and cognitive function. We determined the dose–response effects of physical activity duration in years on motor and cognitive function and their relationship in healthy old females.Objectives
To determine the dose-effects of physical activity duration in years on motor and cognitive function and their relationship in health aging adults.Methods
We conducted a retrospective observational study with 201 old (age 69 years; SD = 5.9) and 12 young (mean age 21 years; SD = 1.9) females, with sub-groups based on number of years of self-reported physical activity. Aerobic capacity, mobility, functional reach, standing balance, global cognition, episodic memory, executive function, and processing speed were assessed with performance-based tests. We analyzed sub-group differences quantitatively and qualitatively and performed regression and mediation analyses to determine predictors and mediators of physical activity effects.Results
Based on physical activity of minimal (0.3 y, n = 29), short (2.4 y, n = 77), moderate (6.2 y, n = 36) and long (16.6 y, n = 59) duration, physical activity for at least 2.4 years affords old adults benefits in body mass index with peak dose-effects present in aerobic capacity and mobility at 6.2 years without additional benefits after 16.6 years of physical activity. Physical activity for any duration had no effects on functional reach, balance, executive function, episodic memory, and processing speed. Although weakly mobility predicted global cognition and executive function.Conclusion
Performing physical activity up to 6.2 years on average had favorable effects on body mass index, aerobic capacity and mobility. The data strengthen current recommendations for an active lifestyle in adulthood to prevent aging-related motor and cognitive decline. 相似文献14.
Background
The Mulligan method of manual therapy advocates the use of ‘mobilization with movement (MWM)’ techniques to effectively manage peripheral joint ‘positional fault’ dysfunctions.Objectives
To provide an updated evidence-based systematic review and meta-analysis regarding the effectiveness of MWM techniques.Data sources
PubMed, EBSCOhost, PEDro, Cochrane Library and Google Scholar between 1st August 2008–31st August 2017.Study selection
Two reviewers applied the population intervention comparison outcome (PICO) question to screen the studies for this review. Only RCTs/CCTs were included.Data extraction
Information on study design, subjects, intervention, outcome measures and efficacy results were extracted. Methodological quality was independently assessed by two reviewers using the PEDro Scale.Data synthesis
Sixteen studies with 576 participants were included in four separate meta-analyses for pain and disability. The I2 index assessed the heterogeneity between studies.Results
MWMs have demonstrated statistically signi?cant improvements against sham treatment, passive and control intervention techniques for pain [mean difference (95%CI):?16.12 (?19.77, ?12.48) & I = 72%] and disability [mean difference (95%CI):?17.51 (?22.84, ?12.19) 2 2 2 2 & I = 88%] or against another manual therapy treatment [pain mean difference (95%CI): ?10.43 (?11.38, ?9.48) & I = 0%], however not against another manual therapy treatment for disability. The clinical signi?cance of the pooled differences was compared against Minimal Clinically Important Difference values.Limitations
No long-term effectiveness data were identified in any of the included studies.Conclusions and implications of key findings
The overall post-intervention short-term statistical and clinical significance of MWM techniques has been verified, although the high heterogeneity identified may require further validation of those methods.Systematic review registration number: PROSPERO 2016:CRD42017071595. 相似文献
15.
J.M. Hussey T. Yang J. Dowds L. O’Connor J.V. Reynolds E.M. Guinan 《Physiotherapy》2019,105(1):126-133
Objective
Early mobilisation is in integral component of postoperative recovery following complex surgical procedures such as oesophageal cancer resections, however evidence to guide early mobilisation protocols in critical care settings is limited. Furthermore, little is known about actual mobilisation levels postoperatively. This study quantified postoperative mobilisation post- oesophagectomy and investigated barriers to mobility.Design
Prospective observational study.Setting
Postoperative critical care setting in a tertiary care referral centre for oesophagectomy.Participants
Thirty participants (mean age 65 (SD 7) years, n = 19 males) scheduled for oesophagectomy.Main Outcome Measures
The primary outcome, postoperative physical activity, was measured objectively using the Actigraph GT3X+. Medical records were examined for a range of outcomes including medical status, pain scores and physiotherapy comments to identify factors which may have influenced mobility.Results
During postoperative day (POD) 1–5, participants spent the majority of time (>96%) sedentary. Participation in light intensity activity was low but did increase daily from a median of 12 (IQR 19) minutes/day on POD1 to a median of 53 (IQR 73.25) minutes/day on POD5 p < 0.001), with a corresponding increase in daily step count. Haemodynamic instability was the most common reason reported by physiotherapists for either not attempting mobility or limiting postoperative mobilisation levels.Conclusions
These data demonstrate that despite daily physiotherapy, there are multiple challenges to postoperative mobilisation. Haemodynamic instability, likely related to thoracic epidurals, was the key limitation to early mobilisation. Goal-directed mobilisation in collaboration with the multidisciplinary team may play a considerable role in overcoming modifiable barriers to postoperative mobilisation. 相似文献16.
Francine Mendonça de Luna Fagundes Cristina Maria Nunes Cabral 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2019,23(2):132-139
Objective
To translate and cross-culturally adapt the Pelvic Girdle Questionnaire (PGQ) into Brazilian Portuguese and test the measurement properties of the PGQ and the Roland Morris Disability Questionnaire (RMDQ) in women with pelvic pain during pregnancy.Methods
Thirty pregnant women were included in the assessment of the pre-test of the final version of the PGQ and 100 were included in the assessment of the measurement properties. In the initial assessment, the PGQ, RMDQ, pain numerical rating scale, and WHOQOL-BREF were applied to test the internal consistency and construct validity. In the 48-hour assessment, only the PGQ and RMDQ were applied to test reliability and measurement error; in the reassessment after one month, the PGQ, RMDQ, and global perceived effect scale were applied to evaluate responsiveness.Results
The PGQ showed adequate internal consistency (Cronbach's alpha = 0.83), substantial reliability (ICC2,1 = 0.85), very good measurement error (5%), and good responsiveness (r = ?0.62). We also observed good correlation with disability and quality of life in the physical health domain, moderate correlation with pain and quality of life in the psychological domain, and poor correlation with quality of life in the domains social relationships and environment. The RMDQ showed adequate internal consistency (Cronbach's alpha = 0.80), substantial reliability (ICC2,1 = 0.76), good measurement error (9%), moderate responsiveness (r = ?0.51), moderate correlation with quality of life in the physical health and psychological domains, and weak correlation with pain and quality of life in the social relationships and environment domains.Conclusion
The Brazilian Portuguese version of the PGQ showed superior measurement properties compared to the RMDQ, being a valid, reliable, and responsive instrument for assessing patients with pelvic pain during pregnancy. 相似文献17.
Objective
This study aims to determine the effectiveness of health education through audiovisual media on improving family knowledge in the prevention of dengue fever (DHF).Method
This study used a Quasi Experiment research design with a research design of Non-Equivalent Control Group. The study was conducted in the community with a sample of 40 people, consisting of 20 for experimental group and 20 for control group. The samples were selected using purposive sample collection method. The measuring instrument used is a questionnaire that has been tested for validity and reliability. The analysis was done through univariate analysis and bivariate analysis using t-independent test.Result
This study found that the showed a significant increase in changes in the level of attitudes and actions of families in the prevention of dengue fever by using audiovisual media, (p = 0.000), (p = 0.000).Conclusion
It is recommended that the health workers should provide health education by using audiovisual media in the prevention of dengue fever. 相似文献18.
Swati Jha Stephen J. Walters Oscar Bortolami Simon Dixon Abualbishr Alshreef 《Physiotherapy》2018,104(1):91-97
Aims
To evaluate the clinical and cost-effectiveness of electric stimulation plus standard pelvic floor muscle training compared to standard pelvic floor muscle training alone in women with urinary incontinence and sexual dysfunction.Methods
Single centre two arm parallel group randomised controlled trial conducted in a Teaching hospital in England. Participants were women presenting with urinary incontinence and sexual dysfunction. The interventions compared were electric stimulation versus standard pelvic floor muscle training.Outcome measures
included Prolapse and Incontinence Sexual function Questionnaire (PISQ) physical function dimension at post-treatment (primary); other dimensions of PISQ, SF-36; EQ-5D, EPAQ, resource use, adverse events and cost-effectiveness (secondary outcomes).Results
114 women were randomised (Intervention n = 57; Control group n = 57). 64/114 (56%).Participants
had valid primary outcome data at follow-up (Intervention 30; Control 34). The mean PISQ-PF dimension scores at follow-up were 33.1 (SD 5.5) and 32.3 (SD 5.2) for the Intervention and Control groups respectively; with the Control group having a higher (better) score. After adjusting for baseline score, BMI, menopausal status, time from randomisation and baseline oxford scale score the mean difference was ?1.0 (95% CI: ?4.0 to 1.9; P = 0.474).There was no differences between the groups in any of the secondary outcomes at follow-up. Within this study, the use of electrical stimulation was cost-effective with very small incremental costs and quality adjusted life years (QALYs).Conclusions
In women presenting with urinary incontinence in conjunction with sexual dysfunction, physiotherapy is beneficial to improve overall sexual function. However no specific form of physiotherapy is beneficial over another.Trial registration ISRCTN09586238. 相似文献19.
Suzanne S. Kuys Louise Ada Jennifer Paratz Sandra G. Brauer 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2019,23(1):56-61
Background
Duration of therapy time is an inadequate indicator of stroke rehabilitation. Steps, duration, and intensity of active therapy time may provide a better indicator of practice.Objective
This study quantified usual walking practice in terms of steps, duration and intensity of active therapy time, and distance walked during physical therapy sessions in people with sub-acute stroke undertaking inpatient rehabilitation and to examine whether usual walking practice differed depending on walking ability.Methods
A prospective observational study was conducted across two metropolitan rehabilitation units in Australia. Twenty-four stroke survivors were observed over three physical therapy sessions. Walking ability was categorized as unassisted or assisted based on Item 5 of the Motor Assessment Scale. Walking practice was categorized as basic or advanced. Steps, duration, intensity and distance walked were measured during physical therapy sessions.Results
Overall, participants took 560 steps (SD 309) over 13 min (SD 6) at an intensity of steps 44 steps/min (SD 17) and walked 222 m (SD 143) in physical therapy. Unassisted walkers (n = 6, 25%) undertook more (or trended towards more) practice of advanced walking than assisted walkers in terms of steps (MD 254 steps, 95% CI 48–462), duration (MD 5 min, 95% CI 0–10), intensity (MD 18 steps/min, 95% CI ?8 to 44) and distance (MD 112 m, 95% CI ?12 to 236).Conclusion
Stroke survivors undergoing inpatient rehabilitation spent approximately 20% of physical therapy actively engaged in walking practice. Those able to walk without assistance took more steps for longer, at a higher intensity.Trial registration
ACTRN12613000764730 (https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364545). 相似文献20.
Priscilla Rique Furtado Álvaro Campos Cavalcanti Maciel Renata Ramos Tomaz Barbosa Ana Aline Marcelino da Silva Diana Amélia de Freitas Karla Morganna Pereira Pinto de Mendonça 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2019,23(1):12-18