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Journal of physiotherapy 23건

  1. [해외논문]   Words and perceptions: therapy or threat?  

    Johnston, Kylie N (School of Health Sciences ) , Williams, Marie T (ARENA, School of Health Sciences, University of South Australia, Adelaide, Australia)
    Journal of physiotherapy v.64 no.3 ,pp. 137 - 139 , 2018 , 1836-9553 ,

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

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  2. [해외논문]   Readers' Choice Award 2017  


    Journal of physiotherapy v.64 no.3 ,pp. 139 - 139 , 2018 , 1836-9553 ,

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Call for applications for membership of the Editorial Board  


    Journal of physiotherapy v.64 no.3 ,pp. 140 - 140 , 2018 , 1836-9553 ,

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Call for applications for the role of Scientific Editor  


    Journal of physiotherapy v.64 no.3 ,pp. 141 - 141 , 2018 , 1836-9553 ,

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Additional weekend allied health services reduce length of stay in subacute rehabilitation wards but their effectiveness and cost-effectiveness are unclear in acute general medical and surgical hospital wards: a systematic review  

    Sarkies, Mitchell N (Department of Physiotherapy, Monash University ) , White, Jennifer (Department of Physiotherapy, Monash University ) , Henderson, Kate (Physiotherapy Department, Monash Health ) , Haas, Romi (Department of Physiotherapy, Monash University ) , Bowles, John (Allied Health Research Unit, Monash University, Melbourne, Australia)
    Journal of physiotherapy v.64 no.3 ,pp. 142 - 158 , 2018 , 1836-9553 ,

    초록

    Abstract Question Are additional weekend allied health services effective and cost-effective for acute general medical and surgical wards, and subacute rehabilitation hospital wards? Design Systematic review and meta-analysis of studies published between January 2000 and May 2017. Two reviewers independently screened studies for inclusion, extracted data, and assessed methodological quality. Meta-analyses were conducted for relative measures of effect estimates. Participants Patients admitted to acute general medical and surgical wards, and subacute rehabilitation wards. Intervention All services delivered by allied health professionals during weekends (Saturday and/or Sunday). This study limited allied health professions to: occupational therapy, physiotherapy, social work, speech pathology, dietetics, art therapy, chiropractic, exercise physiology, music therapy, oral health (not dentistry), osteopathy, podiatry, psychology, and allied health assistants. Outcome measures Hospital length of stay, hospital re-admission, adverse events, discharge destination, functional independence, health-related quality of life, and cost of hospital care. Results Nineteen articles (20 studies) were identified, comprising 10 randomised and 10 non-randomised trials. Physiotherapy was the most commonly investigated profession. A meta-analysis of randomised, controlled trials showed that providing additional weekend allied health services in subacute rehabilitation wards reduced hospital length of stay by 2.35days (95% CI 0.45 to 4.24, I 2 = 0%), and may be a cost-effective way to improve function (SMD 0.09, 95% CI –0.01 to 0.19, I 2 = 0%), and health-related quality of life (SMD 0.10, 95% CI –0.01 to 0.20, I 2 = 0%). For acute general medical and surgical hospital wards, it was unclear whether the weekend allied health service model provided in the two identified randomised trials led to significant changes in measured outcomes. Conclusion The benefit of providing additional allied health services is clearer in subacute rehabilitation settings than for acute general medical and surgical wards in hospitals. Registration PROSPERO CRD76771. [Sarkies MN, White J, Henderson K, Haas R, Bowles J, Evidence Translation in Allied Health (EviTAH) Group (2018) Additional weekend allied health services reduce length of stay in subacute rehabilitation wards but their effectiveness and cost-effectiveness are unclear in acute general medical and surgical hospital wards: a systematic review. Journal of Physiotherapy 64: 142–158]

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Exercise programs may be effective in preventing a new episode of neck pain: a systematic review and meta-analysis  

    de Campos, Tarcisio F (Department of Health Professions, Macquarie University ) , Maher, Chris G (The University of Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney ) , Steffens, Daniel (Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia ) , Fuller, Joel T (Department of Health Professions, Macquarie University ) , Hancock, Mark J (Department of Health Professions, Macquarie University)
    Journal of physiotherapy v.64 no.3 ,pp. 159 - 165 , 2018 , 1836-9553 ,

    초록

    Abstract Question What is the effectiveness of interventions that aim to prevent a new episode of neck pain? Design Systematic review and meta-analysis of randomised, controlled trials. Participants People without neck pain at study entry. Intervention Any intervention aiming to prevent a future episode of neck pain. Outcome measures New episode of neck pain. Results Five trials including a total of 3852 individuals met the inclusion criteria. The pooled results from two randomised, controlled trials (500 participants) found moderate-quality evidence that exercise reduces the risk of a new episode of neck pain (OR 0.32, 95% CI 0.12 to 0.86). One of the meta-analysed trials included some co-interventions with the exercise. There was low-quality evidence from three randomised, controlled trials (3352 participants) that ergonomic programs do not reduce the risk of a new neck pain episode (OR 1.00, 95% CI 0.74 to 1.35). Conclusion This review found moderate-quality evidence supporting the effectiveness of an exercise program for reducing the risk of a new episode of neck pain. There is a need for high-quality randomised, controlled trials evaluating interventions to prevent new episodes of neck pain. Registration PROSPERO CRD42017055174. [de Campos TF, Maher CG, Steffens D, Fuller JT, Hancock MJ (2018) Exercise programs may be effective in preventing a new episode of neck pain: a systematic review. Journal of Physiotherapy 64: 159–165]

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Pelvic floor muscle training increases pelvic floor muscle strength more in post-menopausal women who are not using hormone therapy than in women who are using hormone therapy: a randomised trial  

    Igná (Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil ) , cio Antô (Neuroscience Research Australia (NeuRA), Sydney, Australia ) , nio, Flá (Norwegian School of Sport Sciences Department of Sports Medicine, Oslo and Akershus University Hospital, Department of Obstetrics and Gynecology, Lørenskog, Norway ) , via (Department of Obstetrics and Gynecology, Ribeirão Preto Medical School, Univesity of São Paulo, Ribeirão Preto, Brazil ) , Herbert, Robert D (Department of Obstetrics and Gynecology, Ribeirão Preto Medical School, Univesity of São Paulo, Ribeirão Preto, Brazil ) , Bø, Kari (Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil ) , Rosa-e-Silva, Ana Carolina Japur Sá (Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil) , , Lara, Lú , cia Alves Silva , Franco, Maira de Menezes , Ferreira, Cristine Homsi Jorge
    Journal of physiotherapy v.64 no.3 ,pp. 166 - 171 , 2018 , 1836-9553 ,

    초록

    Abstract Question Are there differences in the effectiveness of pelvic floor muscle training on pelvic floor muscle strength and urinary incontinence symptoms in postmenopausal women who are and are not using hormone therapy? Design Randomised, controlled trial with concealed allocation, blinded assessors, and intention-to-treat analysis. Participants Ninety-nine postmenopausal women, 38 of whom were using daily systemic oestrogen/progestogen therapy. Intervention The experimental group (n=51) received an intensive supervised pelvic floor muscle training protocol, and the control group (n=48) received no intervention. The randomisation was stratified by hormone therapy use. Outcome measures Change in pelvic floor muscle strength assessed with manometry at 12 weeks. Prevalence and severity of urinary incontinence symptoms were assessed using questionnaires. Results Eighty-eight women provided data that could be included in the analysis. Pelvic floor muscle training increased pelvic floor muscle strength by 8.0 cmH 2 O (95% CI 3.4 to 12.6) in women not using hormone therapy and by –0.9 cmH 2 0 (95% CI –6.5 to 4.8) in women using hormone therapy (interaction p = 0.018). A sensitivity analysis showed that the greater training effect in women who were not using hormone therapy was still apparent if the analysis was conducted on percentage change in strength rather than absolute change in strength. There was also a significantly greater effect of training in women not using hormone therapy on prevalence of urinary incontinence symptoms (ratio of odds ratios=7.4; interaction p = 0.028). The difference in effects on severity of urinary incontinence symptoms was not statistically significant (interaction p = 0.37). Conclusion Pelvic floor muscle training increases pelvic floor muscle strength more in women who are not using hormone therapy than in women using hormone therapy. Trial registration ClinicalTrials.gov NCT02549729. [IgnAcio AntOnio F, Herbert RD, BØ K, Rosa-e-Silva ACJS, Lara LAS, Franco MdM, Ferreira CHJ (2018) Pelvic floor muscle training increases pelvic floor muscle strength more in post-menopausal women who are not using hormone therapy than in women who are using hormone therapy: a randomised trial. Journal of Physiotherapy 64: 166–171]

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Downton Fall Risk Index during hospitalisation is associated with fall-related injuries after discharge: a longitudinal observational study  

    Mojtaba, Mahnaz (Jakobsberg's Geriatric Clinic ) , Alinaghizadeh, Hassan (Academic Primary Care Center, Stockholm County Council, Stockholm ) , Rydwik, Elisabeth (FOU nu Research and Development Center for the Elderly, Stockholm County Council, Stockholm)
    Journal of physiotherapy v.64 no.3 ,pp. 172 - 177 , 2018 , 1836-9553 ,

    초록

    Abstract Questions Among older people who are hospitalised, what is the predictive validity of the Downton Fall Risk Index (DFRI) in relation to fall-related injury after discharge? What is the predictive validity of the DFRI among males and females in this setting? Design Prospective, longitudinal, observational study. Participants All hospital admissions during 2012 at three geriatric clinics in the Stockholm County Council were monitored. Patients aged>65years who did not die during the admission and who lived in the Stockholm County Council region were included. Outcome measures The DFRI consists of five modules: previous falls, medication, sensory deficits, mental state, and gait. Three or more points indicate an increased fall risk. Data on DFRI, health status and medications were collected prior to discharge. Data regarding fall-related injuries were collected up to 6 months after discharge. Poisson multivariate regression analyses were conducted to evaluate the association between DFRI and fall-related injuries. Results In total, 6650 patients were analysed. The cut-off≥3 points in the DFRI was significantly associated with fall-related injury when confounding variables were controlled for (IRR 1.94, 95% CI 1.60 to 2.38). Among individual modules, only previous falls (IRR 2.58, 95% CI 2.22 to 3.01) and unsafe gait (IRR 1.79, 95% CI 1.53 to 2.09) were associated with fall-related injuries. Stratified analyses showed a higher risk ratio for men compared to women regarding the DFRI, but the test for an interaction effect was not significant. Conclusion The risk of post-discharge fall-related injury is increased among older hospitalised people with an increased fall risk, according to the DFRI, especially those who had previous falls or unsafe gait. Although the DFRI tool is predictive, previous falls and gait are the measures that are most worthy of focus. [Mojtaba M, Alinaghizadeh H, Rydwik E (2018) Downton Fall Risk Index during hospitalisation is associated with fall-related injuries after discharge: a longitudinal observational study. Journal of Physiotherapy 64: 172–177]

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   The likelihood of general practitioners referring patients to physiotherapists is low for some health problems: secondary analysis of the Bettering the Evaluation and Care of Health (BEACH) observational study  

    Dennis, Sarah (Discipline of Physiotherapy, University of Sydney, Sydney ) , Watts, Ian (Australian Physiotherapy Association, Melbourne ) , Pan, Ying (Family Medicine Research Centre, Sydney School of Public Health, University of Sydney, Sydney, Australia ) , Britt, Helena (Family Medicine Research Centre, Sydney School of Public Health, University of Sydney, Sydney, Australia)
    Journal of physiotherapy v.64 no.3 ,pp. 178 - 182 , 2018 , 1836-9553 ,

    초록

    Abstract Questions Which health problems do medical general practitioners (GPs) most commonly refer to physiotherapists? What is the likelihood of GPs referring patients for specific health problems? Design Secondary analysis of data from the Bettering the Evaluation and Care of Health (BEACH) study, which is a national observational study of Australian general practice clinical activity. Participants People at GP encounters between April 2010 and March 2015. Outcome measures The outcomes were the proportion of all (new) health problems that were referred to a physiotherapist, the distribution of health problems referred to physiotherapists, and the likelihood of referral of (all and new) specific health problems to physiotherapists. Results There were 6904 referrals to a physiotherapist from 775893 GP encounters, which equated to 0.89% (95% CI 0.86 to 0.92). Among the 286858 new health problems, 2987 were referred to a physiotherapist (1.04%, 95% CI 0.99 to 1.09). The health problems that were most commonly referred were back complaints (18.6%), sprains (10.3%) and osteoarthritis (8.6%). However, when these three problems presented as a new health problem, the likelihood of referral was low (14.4, 11.9 and 5.4%, respectively). The new health problems most likely to result in a referral were acquired deformity of the spine (which includes kyphoscoliosis, kyphosis, lordosis and scoliosis) (17.7%, 95% CI 8.2 to 27.2) and neck complaints (17.4%, 95% CI 14.3 to 20.6). Conclusions Most referrals made to physiotherapists were for musculoskeletal problems. However, even among the most commonly referred problems (such as back complaints and osteoarthritis), the likelihood of referral was low when they presented as a new problem. There is an opportunity to increase referrals from general practice to physiotherapy for many common conditions with effective physiotherapy interventions. [Dennis S, Watts I, Pan Y, Britt H (2018) The likelihood of general practitioners referring patients to physiotherapists is low for some health problems: secondary analysis of the Bettering the Evaluation and Care of Health (BEACH) observational study. Journal of Physiotherapy 64: 177–181]

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  10. [해외논문]   Physiotherapy education is a good financial investment, up to a certain level of student debt: an inter-professional economic analysis  

    Shields, Richard K , Dudley-Javoroski, Shauna
    Journal of physiotherapy v.64 no.3 ,pp. 183 - 191 , 2018 , 1836-9553 ,

    초록

    Abstract Questions What is the economic value of a physiotherapy career relative to other healthcare professions? Is the graduate debt reported for physiotherapy manageable according to recommended salary-weighted debt service ratio benchmarks? Design Net present value (NPV) is an economic modelling approach that compares costs and benefits of an investment such as healthcare education. An economic analysis using the NPV approach was conducted and reported in US dollars for the Doctor of Physical Therapy degree. Comparable calculations were made for a range of other healthcare qualifications. Debt service ratios were also calculated under a range of scenarios. Outcome measures Entry-level salaries and rate of salary growth were obtained from government databases. Student debt levels were obtained from published sources. Because no national estimate exists for physical therapy student debt, debt was modelled for recent Doctor of Physical Therapy (DPT) graduates and for several hypothetical debt tiers. The NPV modelled future physical therapy earnings less the cost of education and the opportunity cost of foregone earnings from alternate careers. Results At the debt level reported by recent graduates (US $86563), physical therapy NPV was higher than occupational therapy, optometry, veterinary medicine, and chiropractic but lower than dentistry, pharmacy, nurse practitioner, physician assistant, and all medical specialties. At $150000 debt, physical therapy NPV falls below all careers except veterinary medicine and chiropractic. Students with>$200000 debt may not achieve recommended repayment benchmarks. At high debt levels (>$266000), physical therapy NPV no longer exceeds that of a bachelor’s degree. Conclusion Physiotherapy education is a good financial investment, up to a certain level of student debt. Students should carefully consider the amount of debt they are willing to incur in order to pursue a physiotherapy career. Likewise, physiotherapy education programs should consider the role they may play in bolstering the economic value of their graduates’ future careers. [Shields RK, Dudley-Javoroski S (2018) Physiotherapy education is a good financial investment, up to a certain level of student debt: an inter-professional economic analysis. Journal of Physiotherapy 64: 182–190]

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