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 2.11

  • Hide impact factor history
     
    Impact factor
  • 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
    • Pre-print allowed on any website or open access repository
    • Voluntary deposit by author of authors post-print allowed on authors' personal website, arXiv.org or institutions open scholarly website including Institutional Repository, without embargo, where there is not a policy or mandate
    • Deposit due to Funding Body, Institutional and Governmental policy or mandate only allowed where separate agreement between repository and the publisher exists.
    • Permitted deposit due to Funding Body, Institutional and Governmental policy or mandate, may be required to comply with embargo periods of 12 months to 48 months .
    • 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 PubMed Central after 12 months
    • Publisher last contacted on 18/10/2013
  • Classification
    ​ green

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Evaluation of scapular posture is an integral component of the clinical assessment of painful neck disorders. The aim of this study was to evaluate agreement between therapist judgements of scapula posture in multiple biomechanical planes in individuals with neck pain.
    Physiotherapy 01/2015;
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    ABSTRACT: Clinical decision-making regarding diagnosis and management largely depend on comparison with healthy or ‘normal’ values. Physiotherapists and researchers therefore need access to robust patient-centred outcome measures and appropriate reference values. However there is a lack of high-quality reference data for many clinical measures. The aim of the 1000 Norms Project is to generate a freely accessible database of musculoskeletal and neurological reference values representative of the healthy population across the lifespan.
    Physiotherapy 01/2015;
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    ABSTRACT: This paper describes the development and details of a standardised physiotherapy exercise intervention designed to address pain and disability in patients with difficulty returning to usual activities after arthroscopic decompression surgery for subacromial impingement syndrome. To develop the intervention, the literature was reviewed with respect to the effectiveness of postoperative exercises, components of previous exercise programmes were extracted, and input from clinical physiotherapists in the field was obtained through a series of workshops. The physiotherapy exercise intervention is currently being evaluated within the framework of the Shoulder Intervention Project (ISRCTN55768749).
    Physiotherapy 01/2015;
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    ABSTRACT: The study investigated treatment outcomes when respiratory physiotherapy was delivered by non-respiratory on-call physiotherapists, compared with specialist respiratory physiotherapists.
    Physiotherapy 01/2015;
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    ABSTRACT: To investigate differences, if any, in the delivery of respiratory treatments to mechanically ventilated children between non-respiratory on-call physiotherapists and specialist respiratory physiotherapists.
    Physiotherapy 01/2015;
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    ABSTRACT: Individual studies examining aging-related changes in gait offer conflicting information on differences between male and female spatiotemporal metrics over the course of a mature lifetime. Furthermore, these studies do not often account for a known difference in size between men and women, and thus may reach conclusions based upon size rather than sex differences.
    Physiotherapy 01/2015;
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    ABSTRACT: Despite a proliferation of research evidence, there remains a ‘gap’ between what this evidence suggests and what happens in clinical practice. One reason why physiotherapists might not implement research evidence is because the findings do not align with their current practice preferences.
    Physiotherapy 01/2015;
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    ABSTRACT: To evaluate any change in self-reported level of physical activity in patients receiving a general physical exercise programme in addition to disease-specific physical therapy treatment.
    Physiotherapy 12/2014;
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    ABSTRACT: To evaluate the effects of repetition of the 6-minute walk test in patients scheduled to undergo abdominal surgery within the next 48 hours, and to verify the physical capacity of these subjects before surgery.
    Physiotherapy 12/2014;
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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 12/2014;
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    ABSTRACT: Background Clinicians commonly assess cervical range of motion (ROM), but it has rarely been critically evaluated for its ability to contribute to patient diagnosis or prognosis, or whether it is affected by mobilisation/manipulation. Objectives This review summarises the methods used to measure cervical ROM in research involving patients with cervical spine disorders, reviews the evidence for using cervical ROM in patient diagnosis, prognosis, and evaluation of the effects of mobilisation/manipulation on cervical ROM. Data sources and study selection: A systematic search of MEDLINE, EMBASE, CINAHL, AMED and ICL databases was conducted, addressing one of four constructs related to cervical ROM: measurement, diagnosis, prognosis, and the effects of mobilisation/manipulation on cervical ROM. Study appraisal and synthesis: Two independent raters appraised methodological quality using the QUADAS-2 tool for diagnostic studies, the QUIPS tool for prognostic studies and the PEDro scale for interventional studies. Heterogeneity of studies prevented meta-analysis. Results Thirty-six studies met the criteria and findings showed there is limited evidence for the diagnostic value of cervical ROM in cervicogenic headache, cervical radiculopathy and cervical spine injury. There is conflicting evidence for the prognostic value of cervical ROM, though restricted ROM appears associated with negative outcomes while greater ROM is associated with positive outcomes. There is conflicting evidence as to whether cervical ROM increases or decreases following mobilisation/manipulation. Conclusion and Implications of Key Findings Cervical ROM has value as one component of assessment, but clinicians should be cautious about making clinical judgments primarily on the basis of cervical ROM. Funding This collaboration was supported by an internal grant from the Faculty of Health, The University of Newcastle.
    Physiotherapy 12/2014; 100(4):290-304.
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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 12/2014;
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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 12/2014;
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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 12/2014;
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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 12/2014;
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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 12/2014;
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    ABSTRACT: The use of Patient-Reported Outcome Measures (PROMs) is set to rise in physiotherapy. PROMs provide additional ‘patient-centred’ data which is unique in capturing the patient's own opinion on the impact of their disease or disorder, and its treatment, on their life. Thus, PROMs are increasingly used by clinicians to guide routine patient care, or for the purposes of audit, and are already firmly embedded in clinical research. This article seeks to summarize the key aspects of PROM use for physiotherapists, both in routine clinical practice and in the research setting, and highlights recent developments in the field. Generic and condition-specific PROMs are defined and examples of commonly used measures are provided. The selection of appropriate PROMs, and their effective use in the clinical and research settings is discussed. Finally, existing barriers to PROM use in practice are identified and recent physiotherapy PROM initiatives, led by the Royal Dutch Society for Physical Therapy are explored.
    Physiotherapy 11/2014;
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    ABSTRACT: Research has demonstrated that incorporating psychological interventions within physiotherapy practice has numerous potential benefits. Despite this physiotherapists have reported feeling inadequately trained to confidently use such interventions in their day-to-day practice. To systematically review musculoskeletal physiotherapists' perceptions regarding the use of psychological interventions within physiotherapy practice. Eligible studies were identified through a rigorous search of AMED, CINAHL, EMBASE, MEDLINE and PsychINFO from January 2002 until August 2013. Full text qualitative, quantitative and mixed methodology studies published in English language investigating musculoskeletal physiotherapists' perceptions regarding their use of psychological interventions within physiotherapy practice. Included studies were appraised for risk of bias using the Critical Appraisal Skills Programme qualitative checklist. Meta-analysis was not possible due to study heterogeneity. Six studies, all with a low risk of bias, met the inclusion criteria. These studies highlighted that physiotherapists appreciate the importance of using psychological interventions within their practice, but report inadequate understanding and consequent underutilisation of these interventions. These results should be noted with some degree of caution due to various limitations associated with the included studies and with this review, including the use of a qualitative appraisal tool for mixed methodology/quantitative studies. These findings suggest that musculoskeletal physiotherapists are aware of the potential benefits of incorporating psychological interventions within their practice but feel insufficiently trained to optimise their use of such interventions; hence highlighting a need for further research in this area and a review of physiotherapist training. Copyright © 2014 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.
    Physiotherapy 11/2014;