TL;DR: It is necessary to increase cOPD-related competence among healthcare professionals, develop and clarify routines and provide conditions for dialogue between healthcare professionals to increase cOPD-related competence among healthcare professionals.
Abstract: Introduction: Patients with chronic obstructive pulmonary disease (cOPD) often require treatment from different healthcare professionals at different levels of care. Previous research indicates shortcomings in interprofessional collaboration and rocky transitions between primary care, specialised care and long-term care. Aim: the aim was to explore how nurses and physical therapists experience their role in interprofessional collaboration and the care delivery pathway for patients with cOPD. Methods: semi-structured interviews were conducted with nurses ( n = 4) and physical therapists ( n = 7) from different levels of care between October 2020 and January 2021 and analysed using qualitative content analysis. Results: insufficient time and continuity along with unclear routines were perceived as inhibiting interprofessional collaboration and transitions within the care delivery pathway. Dialogue between healthcare professionals was considered important to increase familiarisation with other professional roles and to enhance mutual support. insufficient competence and low priority in healthcare was perceived as placing responsibility on the silent patient group to contact healthcare for follow-ups. Conclusions: this study provides insights into the experiences of nurses and physical therapists regarding several insufficiencies in interprofessional collaboration and the care delivery pathway. it is necessary to increase cOPD-related competence among healthcare professionals, develop and clarify routines and provide conditions for dialogue between healthcare professionals.
TL;DR: Patients with chronic musculoskeletal pain who report clinically relevant disability improvement after interdisciplinary multimodal pain treatment do not always achieve similar improvements in walking ability, with factors like heart rate increase and baseline anxiety influencing outcomes.
Abstract: Abstract Purpose Interdisciplinary multimodal pain treatment (IMPT) offers long-term benefits for patients with chronic musculoskeletal pain (CMP). Many patients, despite reporting a clinically relevant decrease of the self-reported Pain Disability Index (PDI), do not achieve such change for the 6-minutes walking test (6MWT). The objective is to identify factors that are associated with no clinically meaningful improvement on the 6MWT in patients with CMP who reported a clinically important improvement on disability (PDI) after 10-weeks of IMPT. Materials and methods Nine hundred and eighty-three patients reporting a clinically important change on the PDI (primary outcome) after IMPT were included. Logistic regression analysis was used to identify baseline and change scores of physiological and psychologic factors independently associated with a clinically important improvement on the 6MWT. Results Three hundred (32%) patients achieved a clinically important change on the 6MWT. A higher increase of the heart rate (HR) during the 6MWT at post-treatment compared to the HR increase at pre-treatment increases the probability of achieving a clinically relevant change on the 6MWT. Higher self-reported working capacity and anxiety at baseline resulted in a lower probability of achieving a clinically relevant increase of the metres walked. Conclusions None of the other factors targeted by IMPT contributed significantly to the final model. These results question the feasibility of the 6MWT as a secondary outcome measure as it merely seems to measure patient’s behaviour (performance) and not capacity.
TL;DR: The domains of work readiness in physiotherapy in Australia are aligned between graduates and employers, with nuanced differences. The six domains include Interpersonal Capabilities, Practical Wisdom, Personal Attributes, Organisational Acumen, Profession Specific Knowledge and Skills, and Professionally Relevant Experiences.
Abstract: Purpose: The aim of this study was to examine perceptions of work readiness from Australian physiotherapy graduates and employers. Recent research has described four domains of work readiness: Interpersonal Capabilities, Practical Wisdom, Personal Attributes and Organisational Acumen. Methods: Responses regarding the challenges and facilitatory strategies during the transition from student to physiotherapist were collected using graduate and employer surveys and were thematically analysed using a qualitative, iterative approach. Responses were initially deductively themed using domains derived from prior research and further themes were identified inductively during analysis. Results: A total of 87 graduates and 174 employers participated. Thematic analysis supported the four existing domains of work readiness and an additional two themes (proposed domains) Profession Specific Knowledge and Skills and Professionally Relevant Experiences were identified. Overall, the six domains aligned amongst graduates and employers with nuanced differences. Graduates used an individual, short-term lens and employers with a team-based, long-term view. Conclusion: There was broad alignment between graduates and employers of challenges and faciliatory strategies within the six domains. The domains identified in this study provide a holistic view of work readiness and may be used as a framework to better prepare and support graduates, and to direct learning and development to enhance the transition into the healthcare workforce.
TL;DR: The study assessed the measurement properties of six physical assessments for MSK disorders and found them to be valid and reliable for use in primary healthcare.
Abstract: Purpose To address the high rates of sickness absence due to musculoskeletal (MSK) disorders in Western countries, this study assessed the measurement properties of six standardised physical assessments to aid in treatment planning and provide guidance in work participation decisions.
TL;DR: Short-term effects of MET programme on patients diagnosed with COPD are beneficial on pulmonary function, chest measurements, exercise tolerance and ADLs.
Abstract: Background Muscle Energy Techniques have been reported to provide beneficial effects on range of movement in multiple musculoskeletal dysfunctions. Noting these physiological effects and clinical recommendations, the effects of METs are given importance through investigations on their input in managing COPD symptoms. The maintenance of such outcomes has though not been investigated. Therefore, the aim is to look into the short-term effects, 4-week post completion of the intervention, on pulmonary function, chest measurements, exercise tolerance and ADLs.
TL;DR: Effectiveness of pain neuroscience education for adults with chronic neck pain is uncertain. More high-quality studies are needed to determine its effectiveness.
Abstract: Background Pain neuroscience education (PNE) is a therapeutic strategy that has proven its effectiveness among several chronic pain conditions, but its effectiveness in chronic neck pain (CNP) is still uncertain. This systematic review assesses the evidence of PNE effectiveness among adults with CNP.
TL;DR: This study cross-culturally translates and validates the Danish version of the 8-item Physical Activity Enjoyment Scale (PACES-8) for rehabilitation patients, enabling measurement of enjoyment in physical activity to support patients' incentives for a physically active lifestyle.
Abstract: Objective: To cross-culturally translate and validate a Danish version of the Physical Activity Enjoyment Scale (PACES-8) for rehabilitation patients. Enjoying physical activity supports rehabilitation patients' incentives to maintain a physically active lifestyle, and PACES-8 makes enjoyment measurable.
TL;DR: This study evaluates the validity and reliability of the Brief Illness Perception Questionnaire (BIPQ) in adults with chronic isolated extremity injuries, assessing its ability to measure perceived threat and its impact on post-injury health outcomes.
Abstract: Background High perceived threat of an injury is associated with poor post-injury health outcomes. The Brief Illness Perception Questionnaire (BIPQ) can be used to gauge the level of perceived threat of an injury, however, its psychometric properties have not been tested in people with extremity injuries.
TL;DR: Rehabilitation of COVID-19 patients in hospital settings during the pandemic in Finland: Physiotherapists' lived experiences and perspectives.
Abstract: Introduction The subjective experiences of healthcare professionals during the COVID-19 pandemic have been extensively studied; however, little research has focused on the experiences and perspectives of physiotherapists', especially in the Nordic countries. The aim of this study was to explore the lived experiences and perceptions of physiotherapists regarding the rehabilitation of COVID-19 patients in hospital settings during the COVID-19-pandemic in Finland.
TL;DR: This randomised controlled trial compares the effects of Neuromuscular Exercise plus Pain Science Education, isolated Neuromuscular Exercise, and usual care on brain function, clinical, and psychosocial outcomes in patients with chronic knee osteoarthritis pain.
Abstract: Objective To compare the effect of Neuromuscular Exercise (NME) plus Pain Science Education (PSE), Isolated NME, and usual care on brain function measured by electroencephalography (EEG), clinical, and psychosocial outcomes in patients with chronic pain due to knee osteoarthritis (KOA).
TL;DR: This qualitative study explores psychological resilience among paediatric physiotherapists, examining their perceptions of resilience, workplace stress, and coping mechanisms to provide insight into improving their wellbeing and quality patient care.
Abstract: Purpose The importance of improving psychological resilience among healthcare workers to protect individuals, support the delivery of quality patient care, and safeguard health system functioning is well documented. While research has explored many aspects of psychological wellbeing across various healthcare worker populations, it is unclear how physiotherapists view and experience psychological resilience and stress in the workplace. This study aimed to explore how paediatric physiotherapists described resilience, how stress in the workplace affected their ability to provide services, and the methods used to cope with pressures and stress.
TL;DR: Physical function, particularly balance ability, is associated with HRQOL among Japanese children aged 8–12 years.
Abstract: Background Health-related quality of life (HRQOL) is indicative of an individual's overall health status, and identifying factors that influence HRQOL is important in improving HRQOL. This study investigated associations between the physical function, with focus being placed on the balance ability, and HRQOL.