Physiotherapy (PHYSIOTHERAPY )

Publisher: Chartered Society of Physiotherapy (Great Britain), Elsevier

Description

Physiotherapy aims to publish original research and facilitate continuing professional development for physiotherapists and other health professions worldwide. Dedicated to the advancement of physiotherapy through publication of research and scholarly work concerned with, but not limited to, its scientific basis and clinical application, education of practitioners, management of services and policy. We are pleased to receive articles reporting original scientific research, systematic or narrative reviews, educational, theoretical or debate articles, brief reports, case histories or single case studies. All papers should demonstrate methodological rigour. Physiotherapy is peer reviewed by an international panel.

  • Impact factor
    1.57
  • 5-year impact
    1.49
  • Cited half-life
    0.00
  • Immediacy index
    0.19
  • Eigenfactor
    0.00
  • Article influence
    0.41
  • Website
    Physiotherapy website
  • Other titles
    Physiotherapy (Online)
  • ISSN
    1873-1465
  • OCLC
    60630130
  • Material type
    Document, Periodical, Internet resource
  • Document type
    Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Elsevier

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Voluntary deposit by author of pre-print allowed on Institutions open scholarly website and pre-print servers
    • Voluntary deposit by author of authors post-print allowed on institutions open scholarly website including Institutional Repository
    • Deposit due to Funding Body, Institutional and Governmental mandate only allowed where separate agreement between repository and publisher exists
    • Set statement to accompany deposit
    • Published source must be acknowledged
    • Must link to journal home page or articles' DOI
    • Publisher's version/PDF cannot be used
    • Articles in some journals can be made Open Access on payment of additional charge
    • NIH Authors articles will be submitted to PMC after 12 months
    • Authors who are required to deposit in subject repositories may also use Sponsorship Option
    • Pre-print can not be deposited for The Lancet
  • Classification
    ​ green

Publications in this journal

  • Physiotherapy 06/2014; 100(2):93.
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    ABSTRACT: (1) To identify risk factors for chronic disability in people with acute whiplash associated disorders (WAD). (2) To estimate the impact of the numbers of risk factors present.
    Physiotherapy 04/2014;
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    ABSTRACT: To explore the reported value of physiotherapy care received by patients who had accessed a Specialist Breast Care Physiotherapy Service. Exploratory qualitative study using in-depth interviews to explore aspects of physiotherapy care valued by breast cancer patients. Thematic network analysis was used to interpret the data and bring together the different experiences of the participants and identify common themes. Physiotherapy Department at a NHS Foundation Trust Teaching Hospital. Nineteen participants were recruited and three were selected to take part in the in-depth interviews. All participants had received physiotherapy care from a Specialist Breast Care Physiotherapy Service and had been discharged within the last six months. Participants valued a patient-centred holistic approach to care and access to a Specialist Service with an experienced clinician. In particular the importance of the therapeutic alliance and the value of psychological, emotional and educational support emerged, with the participants feeling empowered in their recovery. Participants reported an overall positive experience of their physiotherapy care. This study supports the need for service providers to evaluate their current physiotherapy provision and subsequently develop Specialised Services to meet the physiotherapy needs of breast cancer patients throughout all stages of their treatment pathway from the delivery of pre-operative care through to post-treatment follow-up.
    Physiotherapy 04/2014;
  • Physiotherapy 01/2014;
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    ABSTRACT: Objective To investigate changes and differences in patient outcomes over time for 6, 7 and 8 week pulmonary rehabilitation programmes in order to identify optimal duration. Setting Community based pulmonary rehabilitation programmes in the East of England. Participants In total 363 participants completed one of the three pulmonary rehabilitation programmes. Patients with a chronic respiratory condition showing a commitment to the pulmonary rehabilitation programme and no contraindications to exercise were included. Intervention Pulmonary rehabilitation twice a week for 6, 7 or 8 weeks. Main outcome measures St Georges Respiratory Questionnaire (SGRQ), Clinical COPD Questionnaire (CCQ), Hospital Anxiety and Depression Score (HADS) and Incremental Shuttle Walk Test (ISWT). Results All patients showed improvements in ISWT post rehabilitation, with the 8 week programme showing the greatest improvement. Conclusion Findings show that greatest improvements in terms of exercise capacity may be seen from 8 week pulmonary rehabilitation programmes, but that improvement for the ISWT can be obtained from 6, 7 or 8 week programmes.
    Physiotherapy 01/2014;
  • Physiotherapy 01/2014;
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    ABSTRACT: Objective The purpose of this study was to determine if there is an association between admission interview score and subsequent academic and clinical performance, in a four-year undergraduate physiotherapy course. Design Retrospective observational study. Participants 141 physiotherapy students enrolled in two entry year groups. Outcome measures Individual student performance in all course units, practical examinations, clinical placements as well as year level and overall Grade Point Average. Predictor variables included admission interview scores, admission academic scores and demographic data (gender, age and entry level). Results Interview score demonstrated a significant association with performance in three of six clinical placements through the course. This association was stronger than for any other admission criterion although effect sizes were small to moderate. Further, it was the only admission score to have a significant association with overall Clinical Grade Point Average for the two year groups analysed (r = 0.322). By contrast, academic scores on entry showed significant associations with all year level Grade Point Averages except Year 4, the clinical year. Conclusions This is the first study to review the predictive validity of an admission interview for entry into a physiotherapy course in Australia. The results show that performance in this admission interview is associated with overall performance in clinical placements through the course, while academic admission scoring is not. These findings suggest that there is a role for both academic and non-academic selection processes for entry into physiotherapy.
    Physiotherapy 01/2014;
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    ABSTRACT: Background Around 20% of knee replacement have an unsatisfactory outcome. Pre-operative physiotherapy and education have been proposed to improve post-operative outcomes. Objectives This systematic review evaluated whether these factors improved length of stay and patient reported outcomes after knee replacement surgery. Data sources Medline, Embase, CINAHL, Cochrane Central Register of Controlled Trials, PsycINFO and PEDro were searched on the 1st January 2013. Study selection or eligibility criteria Randomised or quasi-randomised studies assessing either pre-operative education or physiotherapy on patients undergoing a planned total or partial knee replacement were included in the review. Only studies with a control group receiving a defined standard of pre-operative care were included. Results Eleven studies met the inclusion criteria set. Two studies analysed the effect of pre-operative education, seven pre-operative physiotherapy and two studies used both factors. No study found significant differences in validated joint specific patient reported outcome measures. The education studies found a decrease in pre-operative expectation and an improvement in knowledge, flexion and regularity of exercise. Two studies found an improvement in muscle strength in the physiotherapy group at three months. The combination of education and physiotherapy was shown to reduce patient length of stay and cost in one study. Conclusion The evidence reviewed is insufficient to support the implementation of either pre-operative education or physiotherapy programmes. The combination of pre-operative education and physiotherapy may reduce the medical costs associated with surgery. Funding No funding was received.
    Physiotherapy 01/2014;
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    ABSTRACT: Objectives: To evaluate patients clinically diagnosed with early stage primary/idiopathic adhesive capsulitis (AC) to determine the existence of any pattern of movement loss and associated pain that may facilitate early recognition. Design: Cross-sectional study. Setting: Private upper limb specialty clinic, Newcastle, Australia. Participants: Fifty-two patients clinically diagnosed with early stage AC by a medical practitioner or physiotherapist. Main outcome measures: Percentage loss of active (AROM) and passive (PROM) ranges of eight shoulder movements and the pain level at the end of each movement. The reason for limitation of movement was also recorded. Results: Factor analysis clearly identified two groups for percentage loss of AROM. Notably external rotation movements grouped separately from other movements. A single group emerged for percentage loss of PROM suggesting a non-specific global loss. For both pain at the end of AROM and PROM two groups emerged, however the delineation between the groups was less clear than for percentage loss of AROM suggesting a pattern of end range pain may be less useful in identifying patients in this stage. Conclusions: External rotation movements in neutral and abduction generally group together and behave differently to other shoulder movements in patients clinically diagnosed with early stage primary/idiopathic AC. In particular external rotation in abduction has emerged as the most painfully limited movement in this sample. This study provides preliminary evidence of patterns of range of movement and end range pain that require testing in a population of mixed shoulder diagnoses to determine their diagnostic utility for early stage AC.
    Physiotherapy 01/2014;
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    ABSTRACT: Objective To present the normative hand grip strength values measured with a bulb dynamometer for children, by gender and age, and to correlate the findings with weight, height, body composition and handedness. Design Cross-sectional study. Participants Data from 295 healthy children of both genders aged 6 to 13 years were analysed. Methods Weight, height, body composition (Biodynamics model 450 bioimpedance analyser), handedness (Edinburgh scale), and grip strength measured with a bulb dynamometer (North Coast) were obtained. Results Grip strength of both hands increased with age in the two genders. Grip strength was similar in boys and girls between 6 and 13 years of age. The dominant hand was stronger than the non-dominant hand [mean (standard deviation) 7.0 (2.3) psi vs 6.5 (2.1) psi], with a mean difference of 0.52 psi (95% confidence interval of the difference 0.46 to 0.58). Grip strength was positively correlated with fat-free mass and height (r ≥ 0.75). Conclusion This study provides normative values for hand grip strength measured with a bulb dynamometer in children aged 6 to 13 years. This dynamometer provides a simple method to measure grip strength, and the results of this study provide further evidence of its performance in the measurement of grip strength.
    Physiotherapy 01/2014;
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    ABSTRACT: Objective To explore the reported value of physiotherapy care received by patients who had accessed a Specialist Breast Care Physiotherapy Service. Design Exploratory qualitative study using in-depth interviews to explore aspects of physiotherapy care valued by breast cancer patients. Thematic network analysis was used to interpret the data and bring together the different experiences of the participants and identify common themes. Setting Physiotherapy Department at a NHS Foundation Trust Teaching Hospital. Participants: Nineteen participants were recruited and three were selected to take part in the in-depth interviews. All participants had received physiotherapy care from a Specialist Breast Care Physiotherapy Service and had been discharged within the last six months. Results Participants valued a patient-centred holistic approach to care and access to a Specialist Service with an experienced clinician. In particular the importance of the therapeutic alliance and the value of psychological, emotional and educational support emerged, with the participants feeling empowered in their recovery. Conclusion and clinical implications Participants reported an overall positive experience of their physiotherapy care. This study supports the need for service providers to evaluate their current physiotherapy provision and subsequently develop Specialised Services to meet the physiotherapy needs of breast cancer patients throughout all stages of their treatment pathway from the delivery of pre-operative care through to post-treatment follow-up.
    Physiotherapy 01/2014;
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    ABSTRACT: Objectives To determine the effect of isometric contraction of the abdominal muscles on inter-rectus distance in postpartum women. Design Preliminary case–control study. Setting Research laboratory. Participants Ten postpartum women {mean age 30 [standard deviation (SD) 4] years; mean weight 58 (SD 7) kg; mean height 159 (SD 4) cm} and 10 nulliparous (control) women [mean age 28 (SD 2) years; mean weight 56 (SD 6) kg; mean height: 160 (SD 6) cm]. Interventions Ultrasound images from the anterior abdominal wall were recorded at rest (supine position) and during an abdominal isometric contraction, with the subject actively performing an abdominal crunch (crook lying position). Two-way analysis of variance was used to compare the inter-rectus distance between groups (postpartum vs control) and between levels of abdominal muscle activation (rest vs isometric contraction). Main outcome measures Inter-rectus distance 2 cm above the level of the umbilicus. Results The inter-rectus distance was significantly greater in the postpartum group compared with the control group [14.7 (SD 3.1) mm vs 9.6 (SD 2.8) mm; mean difference 5.1 mm; 95% confidence interval (CI) 3.4 to 6.8]. The inter-rectus distance was significantly lower during isometric contraction compared with rest [10.7 (SD 3.1) mm vs 13.4 (SD 3.1) mm; mean difference 2.8 mm; 95% CI 1.2 to 4.5]. No interaction was found between group and muscle contraction. Conclusions The inter-rectus distance was significantly higher in postpartum women compared with controls, and significantly lower during isometric contraction of the abdominal muscles (abdominal crunch) compared with rest.
    Physiotherapy 01/2014;
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    ABSTRACT: Objective To explore the perceptions of novice physical therapy clinical instructors (CIs) about their interactions and teaching behaviours with physical therapy students. Design A phenomenological approach using semi-structured interviews and a focus group. Participants Six novice physical therapy CIs (less than 2 years as a CI and supervised fewer than three students) were recruited purposefully from a large metropolitan area in the USA. All participants were credentialled by the American Physical Therapy Association. Main outcome measures Transcripts of interview data and focus group data were analysed using interpretative analysis for themes and subthemes. Results Participants viewed the transition of students from the classroom to the clinic as their primary role, using strategies of ‘providing a way in’, ‘fostering critical thinking’, ‘finding a balance’, ‘overcoming barriers’ and ‘letting go’. Conclusion While novice CIs showed skill in fostering student reflection and providing orientation, they struggled with student autonomy and balancing the competing obligations of patient care and clinical instruction. They expressed issues related to anxiety and lack of confidence. In the future, novice CIs could benefit from training and support in these areas.
    Physiotherapy 01/2014;
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    ABSTRACT: Strong evidence exists for rehabilitation programmes following a cancer diagnosis, although little is known about their cost. The effects of an 8-week, physiotherapy-led, structured group intervention during the early survivorship phase were evaluated. Significant changes in quality of life and fatigue, and promising changes in fitness were found. The overall cost for this programme was €196 per participant, including the salaries of the clinicians, overheads and equipment costs. The modest costs associated with this programme may support more routine ‘cancer rehabilitation’, although more robust analyses are required.
    Physiotherapy 01/2014;
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    ABSTRACT: Background Incontestable epidemiological trends indicate that, for the foreseeable future, mortality and morbidity will be dominated by an escalation in chronic lifestyle-related diseases. International guidelines recommend the implementation of evidence-based approaches to bring about health behaviour changes. Motivational interventions to increase adherence and physical activity are not part of traditional physiotherapy for any condition. Objective To evaluate the evidence for the effectiveness of adding motivational interventions to traditional physiotherapy to increase physical activity and short- and long-term adherence to exercise prescriptions. Data sources A literature search of PubMed, EMBASE, Scopus, CINAHL, PsychINFO, Amed and Allied Health Evidence database using keywords and subject headings. Study selection Only randomised controlled trials comparing two or more arms, with one arm focused on motivational interventions influencing exercise and one control arm, were included. The search identified 493 titles, of which 14 studies (comprising 1504 participants) were included. Data extraction The principal investigator extracted data that were reviewed independently by another author. Methodological quality was assessed independently by two authors using the Cochrane Risk of Bias tool and the PEDro scale. Outcomes were measured at the level of impairment, activity limitation and participation restriction. The standardised mean difference between the control and intervention groups at follow-up time points was used as the mode of analysis. I2≤50% was used as the cut-off point for acceptable heterogeneity, above which a random effects model was applied. Results Exercise attendance was measured in six studies (n = 378), and the results indicate that there was no significant difference in exercise attendance between the groups (REM, standardised mean difference 0.33, 95% confidence interval -0.03 to 0.68, I2 62%). Perceived self-efficacy results were pooled from six studies (n = 722), and there was significant difference between the groups in favour of the interventions (FEM, standardised mean difference 0.71, 95% confidence interval 0.55 to 0.87, I2 41%). The results for levels of activity limitation were pooled (n = 550), and a significant difference was found between the groups in favour of the interventions (REM, standardised mean difference -0.37, 95% confidence interval -0.65 to -0.08, I2 61%). Limitations The majority of the included studies were of medium quality, and four studies were of low quality. Data were pooled from a wide variety of different populations and settings, increasing the assortment of study characteristics. Conclusions Motivational interventions can help adherence to exercise, have a positive effect on long-term exercise behaviour, improve self-efficacy and reduce levels of activity limitation. The optimal theory choice and the most beneficial length and type of intervention have not been defined, although all interventions showed benefits. There is a need to determine how practising physiotherapists currently optimise adherence, and their current levels of knowledge about motivational interventions. Implications of key findings The results indicate that motivational interventions are successful for increasing healthy physical activity behaviour. Physiotherapists are ideally placed to take on this role, and motivational interventions must become part of physiotherapy practice.
    Physiotherapy 01/2014;
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    ABSTRACT: Objective To compare sensitivity of pathology on imaging between referrals from primary care, physiotherapists, spinal surgeons and from other secondary care providers. Design and Setting A retrospective review of 200 consecutive MRI scans of patient's first presentation to radiology for MR lumbar scanning at a tertiary orthopaedic centre. A scan report was defined as positive if there was any evidence of neural compromise. Fisher exact 2 × 2 contingency analyses performed. Results 87 scans were positive (43.5%) and 113 (56.5%) negative. 44% of GP scans were reported as positive compared to 57% of scans referred from physiotherapists. Only 40% of scans referred from the specialist spinal surgeons, and only 20% of referrals from non-spinal team secondary care providers were positive. Physiotherapists are statistically more likely to refer MRI lumbar spine scans that are positive, compared to general practitioners (p = 0.05), spinal surgeons (p = 0.03) and others (0.004). Conclusion We should encourage, when appropriate, more referrals via the extended physiotherapy service rather then directly from general practitioners. To improve efficiency and reduce the workload on both the radiology department and spinal surgical unit, with appropriate training and in the appropriate clinical context, extended physiotherapy services could be extended to inpatients and accept outpatient referrals from other secondary care providers and not just from general practitioners
    Physiotherapy 01/2014;
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    ABSTRACT: Objectives To investigate the prevalence of fear of falling, and identify factors associated with fear of falling during activities of daily living after total hip arthroplasty (THA). Design Cross-sectional study. Setting Community. Participants Two hundred and fourteen women who had undergone THA. Main outcome measures Fear of falling after THA was assessed for 12 activities of daily living using a fear of falling score. The number of falls in the past year, total Oxford Hip Score (OHS), total Penn State Worry Questionnaire (PSWQ) score and walking capacity were recorded as descriptive statistics. Multiple linear regression analysis was performed, with total fear of falling score as the dependent variable and age, body mass index, time since THA, bilateral THA, total OHS, history of falling, walking capacity and total PSWQ score as the independent variables. Results Over 20% of participants (mean age 64 years) experienced fear of falling while ascending or descending stairs (45%), taking a bath (26%), bending to pick something up off the floor (26%) and getting up from lying on the floor (25%). Fear of falling during activities of daily living after THA was significantly correlated with total OHS, history of falling, walking capacity, total PSWQ score and age (P < 0.05). Conclusions Fear of falling develops in certain activities of daily living after THA. It is associated with poorer functional outcome, history of falling, lower walking capacity, higher anxiety level and older age.
    Physiotherapy 01/2014;
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    ABSTRACT: Background Despite clear benefits of the Evidence-Based Practice (EBP) approach to ensuring quality and consistency of care, its uptake within physiotherapy has been inconsistent. Objectives Synthesise the findings of research into EBP barriers, facilitators and interventions in physiotherapy and identify methods of enhancing adoption and implementation. Data sources Literature concerning physiotherapists’ practice between 2000-2012 was systematically searched using: Academic Search Complete, Cumulative Index of Nursing and Allied Health Literature Plus, American Psychological association databases, Medline, Journal Storage, and Science Direct. Reference lists were searched to identify additional studies. Study selection Thirty-two studies, focusing either on physiotherapists’ EBP knowledge, attitudes or implementation, or EBP interventions in physiotherapy were included. Data extraction and synthesis One author undertook all data extraction and a second author reviewed to ensure consistency and rigour. Synthesis was organised around the themes of EBP barriers/enablers, attitudes, knowledge/skills, use and interventions. Results Many physiotherapists hold positive attitudes towards EBP. However, this does not necessarily translate into consistent, high-quality EBP. Many barriers to EBP implementation are apparent, including: lack of time and skills, and misperceptions of EBP. Limitations Only studies published in the English language, in peer-reviewed journals were included, thereby introducing possible publication bias. Furthermore, narrative synthesis may be subject to greater confirmation bias. Conclusion and implications There is no “one-size fits all” approach to enhancing EBP implementation; assessing organisational culture prior to designing interventions is crucial. Although some interventions appear promising, further research is required to explore the most effective methods of supporting physiotherapists’ adoption of EBP.
    Physiotherapy 01/2014;
  • Physiotherapy 01/2014;

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