scholarly journals A Systematic Review of the Role of Physiotherapy Interventions in Palliative Care

Author(s):  
Lesley Phokontsi ◽  
Larry L Mweetwa ◽  
Larry Mweetwa ◽  
Tumelo Tlhoiwe ◽  
Christine K Muya ◽  
...  

Abstract The aim of this research is to conduct a systematic review analysing the role of the physiotherapy interventions in palliative care. PRISMA as a critical appraisal tool was utilised for the selection of the research articles. The inclusion criteria were based on the year of publication, ease of availability, language, geographical location, and study type. To ensure the credibility, databases such as Elsevier, Proquest, and EBSCO Host were used to filter the grey content. Data published in the past ten years (2009-onwards) was only included to ensure the selection of the most recent interventions used by the physiotherapists. A total of 11 articles were selected which determined that physiotherapy interventions involving breathing exercises, aerobic exercises, manual therapies, and educational awareness were critical to promoting the functional capability and empower the patients.

2019 ◽  
Vol 35 (8) ◽  
Author(s):  
José Elias Filho ◽  
Wyngrid Porfirio Borel ◽  
Juliano Bergamaschine Mata Diz ◽  
Alexandre Wesley Carvalho Barbosa ◽  
Raquel Rodrigues Britto ◽  
...  

Falls determine huge epidemiological, clinical, and economic burden in the older population worldwide, presenting high odds of severe disability. The present study aimed to estimate the prevalence of falls and associated factors in older Brazilians using a systematic review with meta-analysis. Searches were performed in SciELO, PubMed, LILACS, Web of Science, Scopus and PsycINFO databases with no date or language restrictions. Studies on community-dwelling older persons aged ≥ 60 years from both sexes and with a sample size of ≥ 300 participants included. Exclusion criteria were studies conducted specifically for older adults diagnosed with chronic disabling diseases that predispose them to falls. Risk of bias of included studies was assessed using a critical appraisal tool focusing on prevalence designs. A random-effects meta-analysis was used to pool the prevalence of falls across studies. Exploratory analysis was conducted examining subgroup estimates, prevalence ratios and meta-regression. Thirty-seven studies involving 58,597 participants were included. Twelve-month prevalence of falls was 27% (95%CI: 24.3-30.0), with significantly higher estimates in female than male (PR = 1.57; 95%CI: 1.32-1.86), in age group ≥ 80 years than age group 60-69 years (PR = 1.46; 95%CI: 1.15-1.84), and in participants from the Central region than participants from the South region (PR = 1.36; 95%CI: 1.10-1.69) of Brazil. Risk of bias scores did not impact heterogeneity in the 12-month meta-analysis. These estimates strongly support evidence-based public interventions to prevent falls in older Brazilians, especially in women and the oldest-old population.


2018 ◽  
Vol 55 (4) ◽  
pp. 1196-1215.e5 ◽  
Author(s):  
Pasithorn A. Suwanabol ◽  
Arielle E. Kanters ◽  
Ari C. Reichstein ◽  
Lauren M. Wancata ◽  
Lesly A. Dossett ◽  
...  

2020 ◽  
pp. 082585972095780
Author(s):  
Miren Pérez-Eizaguirre ◽  
Esperanza Vergara-Moragues

Background: Palliative care is an interdisciplinary medical approach for people with illnesses that are unresponsive to curative treatment. Music therapy has been gaining ground in this field since the 1970s, with a not-always-standardized range of interventions and musical techniques. Objective: The purpose of this systematic review is to analyze interventions with music therapy and new developments in this area in the field of palliative care. Methods: The primary source of data for this review was the online database Web of Science (WOS). We also used other databases such as Medline and Scopus. A systematic search was performed of the past 6 years following the PRISMA criteria. Results: From a selection of 310 documents, we reviewed 54 completed articles and included 19 studies in the review. The percentage of agreement in the selection of articles was 87.5% and the Cohen Kappa index of inter-rater reliability was 0.727. In 5 of the articles, the musical interventions were not specified. However, in the remaining 14 they were, including new developments such as use of the monochord and the body tambura, and adaptation of the RBL (Rhythm, Breath & Lullaby) method. Conclusions: There has been notable improvement in the specification of musical interventions during music therapy sessions in palliative care. However, articles in this field need to describe how these techniques are carried out and any new developments. All this without forgetting that the patient’s musical preferences are a fundamental aspect when performing music therapy sessions.


Arthritis ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Sherif Hosny ◽  
Francesco Strambi ◽  
Nidhi Sofat ◽  
Richard Field

Synovial tissue can display an inflammatory response in the presence of OA. There is increasing interest to better understand the role of inflammation in OA, particularly with regard to those who require joint replacement. A systematic review of inflammatory synovitis in OA of literature databases was undertaken from their inception until October 14, 2014. Independent critical appraisal of each study was undertaken using the CASP appraisal tool. From a total of sixty-six identified citations, twenty-three studies were deemed eligible for review. The studies presented moderate to strong methodological quality. Strong correlation was identified between histological and imaging synovitis severity. Correlation was weaker between clinical symptoms and imaging and/or histological synovitis severity. There was little consensus, with regard to expressed cytokines and chemokines at the different stages of OA disease progression. Few studies investigated the influence of inflammatory synovitis on the outcome of major joint replacement. Research into inflammatory synovitis in OA is an emerging field. Longitudinal studies applying proven imaging modalities, histological analysis, and longer follow-up are required in order to further define our understanding of the role of synovitis in the pathogenesis of OA and its effects on outcomes following major joint replacement.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Nyan M. Aung ◽  
Kyaw K. Myint

Introduction. Evidence of second canal in permanent mandibular incisors is frequently questioned in dentistry. The difference in evidence between the two teeth is an interesting argument across different countries and ethnicities. So the aim of the systematic review was to investigate the evidence of second canal between permanent mandibular central and lateral incisors in China. Materials and Methods. The papers were selected from the electronic databases and hand searching according to inclusion and exclusion criteria. All qualified studies were judged by the reviewers. The selected studies were checked with Joanna Briggs Institute Critical Appraisal tool for prevalence studies. Finally, three studies were selected for the review and meta-analyses. The proportion of the second canal with its confidence interval and forest plot for the meta-analyses were calculated. Results. The evidences of second canal in permanent mandibular central and lateral incisors in China were 5.6% and 14.1%. Only one study reported bilateral symmetry of the second canal as 58.7% and 76.1% in the two types of teeth. Out of all canal anatomies, Vertucci’s type ΙΙΙ was dominant comprising 4.1% and 11.2% together with other second-canal types comprising 1.4% and 3% in permanent mandibular central and lateral incisors. When the proportions were meta-analyzed, mandibular central incisors had been less numerous OR = 0.35 [0.31, 0.40], 0.33[0.28, 0.39], and 0.42 [0.22, 0.79] in the evidence of second canal, of Type ΙΙΙ, and of other types except Type ΙΙΙ than mandibular lateral incisors in China. Out of all second-canal anatomies, Type ΙΙΙ presented 72.5% and 78.9% along with other second-canal types comprising 24.3% and 21.1% in the two teeth in China. Discussion. There was the evidence of second canal which deviated toward the permanent mandibular lateral incisor also in case of bilateral symmetry, the prevalence of Vertucci’s Type ΙΙΙ, and other second-canal types out of all canal anatomies.


2021 ◽  
Vol 3 (1) ◽  
Author(s):  
González-Botello AL ◽  
◽  
Elías-Pérez KI ◽  
Caballero-Martínez AA ◽  
Martínez-Del Campo-Cerrilla M ◽  
...  

Objective: Gather information about an important aspect of SARS-CoV-2 disease, regard to palliative care. Introduction: SARS-CoV-2 disease started by the ending of 2019 in Wuhan-China and given the lack of a specific treatment, the role of palliative care in SARS-CoV-2 infection has been drawn to the spotlight. Method: A systematic review was carried out between June and October of 2020. A total of 25 articles were totally reviewed. Results: The management of symptoms, is the main objective of palliative care in SARS-CoV-2. We find ourselves with the interrogant of when to start palliative care and with what medications and measures it is preferred to do so. Discussion: As SARS-CoV-2 currently does not have a curative treatment, palliative care is the centerpiece of its management. Conclusion: Palliative care should be considered as a protocol in any disease with no curative treatment at the moment, just like SARS-CoV-2.


2021 ◽  
Vol 35 (4) ◽  
pp. 651-669
Author(s):  
Blanca Goni-Fuste ◽  
Iris Crespo ◽  
Cristina Monforte-Royo ◽  
Josep Porta-Sales ◽  
Albert Balaguer ◽  
...  

Background: The comprehensive assessment of needs in palliative care identifies where patients most want attention to guide clinical decisions that tailor care provision from their first encounters. Aim: To define how and what needs are identified by the comprehensive assessment of needs in the original peer-reviewed articles in the field of palliative care. Design: An integrative systematic review as outlined by Whittemore and Knafl. Quality appraisal performed using the Mixed Methods Appraisal Tool. Data sources: PubMed, CINAHL, PsycINFO, Web of Science databases searched through May 2019 and updated in July 2020. Results: Forty-nine articles met inclusion criteria for original articles in English or Spanish reporting comprehensive assessment of needs of adult patients receiving palliative care. The majority (41/49) of studies were moderate to high quality. Two themes were identified: (1) How a comprehensive assessment of needs should be carried out in palliative care, which reflected a preference to develop structured tools for assessment; (2) What needs of patients should be assessed in the comprehensive assessment of needs in palliative care, which conveyed a trend to assess beyond core domains – physical, psychological, social, spiritual – with information and practical most prevalent, but with substantial variation in specifying and classifying needs into domains. Conclusions: The assessment of needs in palliative care is comprehensive but lacks consensus on the needs and domains that should be assessed by the palliative care team. Future studies should better define what needs can be standardized into the assessment to improve process of care and patient satisfaction.


2021 ◽  
Vol 119 ◽  
pp. 05004
Author(s):  
Qostal Aniss ◽  
Moumen Aniss ◽  
Lakhrissi Younes

Today, the recruitment process has seen a drastic change in the measure of the personality aspect of the candidates. Accordingly, in the era of digitalization and the proliferation of the professional social network, the selection of valuable information provided from the candidate’s accounts has a primordial role in the selection of the profiles responding to job offers and to create a global vision on the personality and the capability of the job seekers from teamwork and leadership to meet the job requirements. The paper aims to discover the approaches applied in the personality analysis based on the professional networks. Beginning with a systematic review of previous works and exploratory analysis through interviews with stakeholders participated in the recruitment process.


2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Ary Astuty

Latar Belakang: Perubahan pola aktivitas dan perubahan lingkungan belajar menjadi pemicu stress pada mahasiswa yang melibatkan reaksi psiko-fisiologis. Salah satu intervensi keperawatan yang sering digunakan di klinik untuk mereduksi dampak stress adalah Progresive Muscle Relaxation/PMR, sehingga perlu dilakukan sistematic review untuk mengetahui apakah latihan PMR lebih efektif daripada terapi relaksasi lainnya dalam mereduksi dampak stress psiko-fisiologis. Tujuan: Untuk mengetahui keefektifan latihan PMR daripada terapi relaksasi lainnya dalam mereduksi dampak stress psiko-fisiologis. Metode: Systematic review dilaksanakan dengan menelusuri artikel pada database psychology and behavior sciences collection, googlescholar, gen.lib.rus.ec serta sciencedirect.com dengan kata kunci yang dipilih. Penelusuran dibatasi terbitan 2004-2017 yang dapat diakses fulltext dalam format pdf dengan desain RCT dan Case Control yang dilakukan pada mahasiswa. Perlakuan berupa PMR dibandingkan dengan terapi relaksasi lainnya dalam menurunkan tingkat stress, tingkat kecemasan dan kadar cortisol. Artikel yang sesuai kemudian dianalisis menggunakan critical appraisal tool yang sesuai untuk hasil penelitian RCT maupun Case Control untuk menilai kualitas penelitian. Data-data diekstraksi dari artikel lalu dikelompokkan untuk dibahas dan disimpulkan. Hasil: Tiga dari 5 buah artikel memiliki kualitas tinggi dan yang lainnya sedang.  Hasil pembahasan menunjukkan bahwa latihan PMR lebih efektif menurunkan tingkat stress, tingkat kecemasan dan kadar cortisol pada mahasiswa daripada terapi relaksasi lainnya: pernapasan diafragma, latihan autogenik, small talk grup dan yoga stretching (hatha). Latihan PMR yang paling efektif dilaksanakan selama 30 menit dalam 1 hari dan apabila diterapkan 1 hari dalam seminggu selama 4 minggu akan meningkatkan tingkat relaksasi dan meningkatkan pelepasan energi. Pengulangan sampai 5 minggu dapat meningkatkan indeks kebahagiaan dan ketenangan mental.Kesimpulan: latihan PMR lebih efektif daripada terapi relaksasi lainnya dalam mereduksi dampak stress psiko-fisiologis..                                                                                                            Keywords : progressive muscle relaxation, stress, kecemasan, cortisol, mahasiswa


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