Facilitating Community-Based Exercise for People With Stroke: Cross-Sectional e-Survey of Physical Therapist Practice and Perceived Needs

Background Educating people with stroke about community-based exercise programs (CBEPs) is a recommended practice that physical therapists are well positioned to implement. Objective The aim of this study was to evaluate the provision of education about CBEPs to people with stroke, barriers to providing education, and preferences for resources to facilitate education among physical therapists in neurological practice. Design A cross-sectional e-survey of physical therapists treating adults with stroke in Ontario, Canada, was conducted. Methods A link to the questionnaire was emailed to physical therapists in a provincial stroke network, a provincial physical therapy association, and on hospital and previous research lists. Results Responses from 186 physical therapists were analyzed. The percentage of respondents who reported providing CBEP education was 84.4%. Only 36.6% reported typically providing education to ≥7 out of 10 patients with stroke. Physical (90.5%) and preventative (84.6%) health benefits of exercise were most frequently discussed. Therapists reported most commonly delivering education at discharge (73.7%). Most frequently cited barriers to educating patients were a perceived lack of suitable programs (53.2%) and a lack of awareness of local CBEPs (23.8%). Lists of CBEPs (94.1%) or brochures (94.1%) were considered to be facilitators. The percentage of physical therapists providing CBEP education varied across acute, rehabilitation, and public outpatient settings. Limitations The percentage of physical therapists providing education may have been overestimated if respondents who deliver CBEP education were more likely to participate and if participants answered in a socially desirable way. Conclusions Even though a high proportion of physical therapists provide CBEP education, education is not consistently delivered to the majority of patients poststroke. Although a CBEP list or brochure would facilitate education regarding existing CBEPs, efforts to implement CBEPs are needed to help overcome the lack of suitable programs.

Download Full-text

Contributions of Non-professional Local Physical Therapist In the Promotion of Community Health Activities in the Arsi Zone, Southeast Ethiopia (Preprint)

10.2196/preprints.27789 ◽

2021 ◽

Author(s):

Leta Melaku

Keyword(s):

Health Promotion ◽

Physical Therapy ◽

Physical Therapists ◽

Physical Therapist ◽

Sampling Technique ◽

Cross Sectional Study ◽

Cross Sectional ◽

Arsi Zone ◽

Southeast Ethiopia ◽

The Impact

BACKGROUND Physical activity is a first-line therapy and secures against persistent illnesses. Essential medical care professionals are obviously situated to advance actual action. Active recuperation mediations focused on advancement and upkeep of wellbeing, personal satisfaction, and wellness. There is, notwithstanding, a deficiency of such examination proof in Ethiopia. OBJECTIVE We planned to assess the degree of KAP of nonprofessional local physical therapists' towards wellbeing advancement in Arsi zone of Oromia, Southeast Ethiopia. METHODS Community based cross sectional study was conducted in April 2018 among 45 physical therapists. Data were collected using pre-tested, structured and self-administrative questionnaires. Participants were selected by quota sampling technique. The questionnaire was drafted specifically to test the KAP. Data were double entered and analyzed by SPSS Version 20.0 program. Descriptive statistics were used. The KAP were estimated using proportion. RESULTS In present response rate is 90.0%. Ages of respondents ranged between 24 – 87 years. 57.8% of participants got initial physical therapy knowledge from either of their parents. 53.3% of the respondents hear about health promotion from families and friends. 57.8% of them provided health promotion at their workplace. The overall percentage of all the respondents’ KAP in health promotion was 60.1%. CONCLUSIONS The respondents’ have good KAP towards health promotion. However there is still room for improvement. Also there is a lack of proper guide lines in determining the impact physical therapy.

Download Full-text

Awareness of physical therapy among medical doctors in Swabi

Rehman Journal of Health Sciences ◽

10.52442/rjhs.v3i1.69 ◽

2021 ◽

Vol 3 (1) ◽

pp. 43-47

Author(s):

Zahoor Ahmad ◽

Zohra Shah

Keyword(s):

Physical Therapy ◽

Physical Therapists ◽

Medical Doctors ◽

Cross Sectional Survey ◽

Community Based ◽

Eligibility Criteria ◽

Cross Sectional ◽

Private Practitioners ◽

Structured Questionnaire

Introduction: Physical therapists works in a number of environments including hospitals, private practitioners, outpatient clinics, health care agencies, colleges, sports and recreation centres, workplaces and nursing homes. In Pakistan, the referral of patients to the physical therapy is mainly by physicians or doctors. It is it is important for the doctors to have awareness about the role of physical therapists. Material & Methods: This was a cross sectional survey conducted from Jan 2020 to August 2020. The research was based on a self-structured questionnaire which was provided to medical doctors at a hospital in Swabi, Khyber Pakhtunkhwa. The total number of participants in this survey was 145 doctors. The sampling techniques used for this survey was convenient sampling. Inclusion criteria of the study was medical doctors holding MBBS or equivalent degree. Data collected was analysed through SPSS version 22. Results: Out of 145 participants, 112 (77.2%) were males and 33 (22.8%) were females. Questionnaire was filled by 11.7% orthopaedic specialists, 11.0% neurologists, 13.1% paediatricians, 20.7% gynaecologists and 43.4% by doctor of other specialties. From the total participants, only 98 (67.4%) were aware about the eligibility criteria of entering in the field of physiotherapy, 77.9 % were aware about the specialization in physiotherapy and 90.3% were aware about the treatment of physiotherapy. Those who agreed that physiotherapy helps in reducing pain were 132 with percentage 91.0%.120(82.8%) doctors agreed that physical therapy is crucial in community-based recovery. According to 125 doctors, early intervention through physical therapy leads to an effective rehabilitation. A total of 61(42.1%) doctors agreed that physiotherapy was an excellent field. Conclusion: It was found out that nearly 60% of the medical doctors in District Swabi were familiar with physiotherapy care and with the field of physiotherapy. A big number of these doctors (80 percent of doctors) were aware that physiotherapy helps in reducing pain, provide appropriate care and plays an important role in the community.

Download Full-text

PHYSICAL THERAPY;

The Professional Medical Journal ◽

10.29309/tpmj/2013.20.06.1571 ◽

2013 ◽

Vol 20 (06) ◽

pp. 948-950

Author(s):

MARIA KHALID ◽

ARSHAD NAWAZ MALIK ◽

ASGHAR KHAN

Keyword(s):

Physical Therapy ◽

Essential Role ◽

Physical Therapists ◽

Physical Therapist ◽

Medical Community ◽

Medical Professionals ◽

Medical Sciences ◽

Cross Sectional Survey ◽

Cross Sectional

The purpose of study: Physical therapy is a renowned developing profession and improves not only the functional statusbut also enhance the quality of life in movement disorder population. The main purpose of this study was to find out the level of awarenessabout physical therapy in medical professionals. Methodology: A descriptive Cross sectional Survey was done with a sample of 100. Astructured questionnaire was developed for data collection from hospitals of Rawalpindi and Islamabad. The data was collected from July2010 to December 2010. The response was analyzed through SPSS-17. Results: The results show that 90% of medical communityknows about physical therapy as a specialty in medical sciences, refer their patients to the physical therapist, physical therapy isbeneficial for their patients, and physical therapy has an essential role in health care system. The medical community refers their patientsto the physical therapy for the management of musculoskeletal, neuromuscular, and cardiopulmonary conditions more commonly.Conclusions: Physical therapy is an emerging specialty of medical sciences in Pakistan. Physical Therapists are not

Download Full-text

Is Prolonged Slow Expiration a Reproducible Airway Clearance Technique?

Physical Therapy ◽

10.1093/ptj/pzz080 ◽

2019 ◽

Vol 99 (9) ◽

pp. 1224-1230

Author(s):

Márcia C Pires Nogueira ◽

Simone N S Ribeiro ◽

Élida P Silva ◽

Carolina Lopes Guimarães ◽

Gustavo F Wandalsen ◽

...

Keyword(s):

Physical Therapy ◽

Physical Therapists ◽

Physical Therapist ◽

Face Mask ◽

Cross Sectional Study ◽

Cross Sectional ◽

Therapy Technique ◽

Significant Difference ◽

The Mean ◽

Chest Physical Therapy

Abstract Background Prolonged slow expiration (PSE) is a manual chest physical therapy technique routinely performed in clinical practice. However, the reliability and agreement of the technique have not been tested. Objective The objective of this study was to assess reliability and agreement between physical therapists during the application of PSE in infants with wheezing. Design This was a cross-sectional study. Methods Infants with a mean age of 59 weeks (SD = 26 weeks) were included in this study. Two physical therapists (physical therapist 1 and physical therapist 2) randomly performed 3 PSE sequences (A, B, and C). The expiratory reserve volume (ERV) was measured with a pneumotachograph connected to a face mask. ERV was used to evaluate the reproducibility of the technique between sequences and between physical therapist 1 and physical therapist 2. Results The mean ERV of the infants was 63 mL (SD = 21 mL). There was no statistically significant difference between the ERV values in the 3 sequences for physical therapist 1 (A: mean = 46.6 mL [SD = 17.8 mL]; B: mean = 45.7 mL [SD = 19.9 mL]; C: mean = 53.3 mL [SD = 26.3 mL]) and physical therapist 2 (A: mean = 43.5 mL [SD = 15.4 mL]; B: mean = 43.2 mL [SD = 18.3 mL]; C: mean = 44.8 mL [SD = 25.0 mL]). There was excellent reliability between the sequences for physical therapist 1 (ICC = 0.88 [95% CI = 0.63–0.95]) and physical therapist 2 (ICC = 0.82 [95% CI = 0.48–0.93]). Moderate agreement was observed between physical therapist 1 and physical therapist 2 (ICC = 0.67 [95% CI = 0.01–0.88]). According to Bland-Altman analysis, the mean difference between physical therapist 1 and physical therapist 2 was 4.1 mL (95% CI = −38.5 to 46.5 mL). Limitations The data were collected in infants with wheezing who were not in crisis. This decreased lung mucus; however, it also reduced evaluation risks. Conclusions PSE was a reproducible chest physical therapy technique between physical therapists.

Download Full-text

The Process of Creating and Disseminating Exercise Programs by Physical Therapists for Older Adults With Chronic Back Pain

Physical Therapy ◽

10.1093/ptj/pzaa202 ◽

2020 ◽

Author(s):

Melissa E Hay ◽

Denise M Connelly

Keyword(s):

Older Adults ◽

Back Pain ◽

Physical Therapy ◽

Data Collection ◽

Chronic Back Pain ◽

Physical Therapists ◽

Physical Therapist ◽

Clinical Practices ◽

Exercise Programs ◽

Care Clinic

Abstract Objective The purpose of this study was to enhance the understanding of the process that physical therapists undertake when creating and disseminating exercise programs for older adults with chronic back pain. Methods Constructivist grounded theory methodology was used as an accessible mode of researching pragmatic clinical practices. Physical therapists from outpatient, ambulatory care clinic settings participated in in-depth, individual interviews (n = 9) and in-clinic observations (n = 5). Data collection and analysis were iterative processes. Codes were generated based on recurrent themes, and constant comparative analysis was used to compare data. Analysis and data collection were concluded when theoretical sufficiency was reached. Results Physical therapist participants described the process of creating and implementing exercise plans as involving listening to the patient’s story, determining function, physical therapy care, supported integration, and, ultimately, returning back to living and life with chronic back pain. Participants worked through the 5 phases at different rates, often recurrently, when treating older adults with chronic back pain. The phases are positioned within a shared alliance between physiotherapy provider and patient, with a transfer of responsibility occurring throughout treatment and follow-up sessions, progressing toward patient independence. This transfer of responsibility served as the core category for the process herein. Conclusions This research highlights the importance of listening to patients’ stories when engaging in physical therapy care. Focusing on function, providing education and exercise as components of care, and supporting integration of exercise into everyday life are considerations for providing care for older adults with chronic back pain in physical therapist practice, and, ultimately, for returning to life. Impact With aging populations and with the increasing prevalence of chronic conditions, this research offers insight into a process for physical therapists to enact exercise engagement for improved health and quality of life for older adults with chronic back pain.

Download Full-text

CONTRIBUTIONS OF NONPROFESSIONAL LOCAL PHYSICAL THERAPIST IN THE PROMOTION OF COMMUNITY HEALTH ACTIVITIES IN THE ARSI ZONE, SOUTHEAST ETHIOPIA

Journal of Mechanics in Medicine and Biology ◽

10.1142/s021951942150069x ◽

2021 ◽

Author(s):

GUTA BULCHA ◽

LETA MELAKU

Keyword(s):

Health Promotion ◽

Physical Therapy ◽

Physical Therapists ◽

Physical Therapist ◽

Sampling Technique ◽

Well Being ◽

Cross Sectional ◽

Arsi Zone ◽

Southeast Ethiopia ◽

The Impact

Background: Physical activity is a first-line therapy and secures against persistent illnesses. Essential medical care professionals are obviously situated to advance actual action. Active recuperation mediations are focused on advancement and upkeep of well-being, personal satisfaction and wellness. There is, notwithstanding, a deficiency of such examination proof in Ethiopia. Objective: We planned to assess the degree of KAP of nonprofessional local physical therapists toward well-being advancement in the Arsi Zone of Oromia, Southeast Ethiopia. Methods: A community-based cross-sectional study was conducted in April 2018 among 45 physical therapists. Data were collected using pre-tested, structured and self-administrative questionnaires. Participants were selected by the quota sampling technique. The questionnaire was drafted specifically to test the KAP. Data were double entered and analyzed by SPSS, Version 20.0, program. Descriptive statistics were used. The KAP was estimated using proportion. Result: The present response rate is 90.0%. The ages of respondents ranged between 24 and 87 years. Then, 57.8% of participants got initial physical therapy knowledge from either of their parents. Again, 53.3% of the respondents hear about health promotion from families and friends. Then, 57.8% of them provided health promotion at their workplace. The overall percentage of all the respondents’ KAP in health promotion was 60.1%. Conclusion: The respondents have good KAP toward health promotion. However, there is still room for improvement. Also, there is a lack of proper guidelines in determining the impact of physical therapy.

Download Full-text

Facilitating community-based exercise for people with stroke: a cross-sectional e-survey of physical therapy practice and perceived needs

Physiotherapy ◽

10.1016/j.physio.2015.03.1249 ◽

2015 ◽

Vol 101 ◽

pp. e1323

Author(s):

C. Lau ◽

D. Chitussi ◽

S. Elliot ◽

J. Giannone ◽

M.K. McMahon ◽

...

Keyword(s):

Physical Therapy ◽

Community Based ◽

Cross Sectional ◽

Perceived Needs

Download Full-text

Management of Sternal Precautions Following Median Sternotomy by Physical Therapists in Australia: A Web-Based Survey

Physical Therapy ◽

10.2522/ptj.20100373 ◽

2012 ◽

Vol 92 (1) ◽

pp. 83-97 ◽

Cited By ~ 16

Author(s):

Lara J. Tuyl ◽

Jennifer H. Mackney ◽

Catherine L. Johnston

Keyword(s):

Patient Outcomes ◽

Physical Therapists ◽

Physical Therapist ◽

Median Sternotomy ◽

Evidence Base ◽

Cross Sectional ◽

Web Based ◽

Wound Breakdown ◽

Observational Design ◽

Midline Sternotomy

Background Sternal precautions are utilized within many hospitals with the aim of preventing the occurrence of sternal complications (eg, infection, wound breakdown) following midline sternotomy. The evidence base for sternal precaution protocols, however, has been questioned due to a paucity of research, unknown effect on patient outcomes, and possible discrepancies in pattern of use among institutions. Objective The objective of this study was to investigate and document the use of sternal precautions by physical therapists in the treatment of patients following median sternotomy in hospitals throughout Australia, from immediately postsurgery to discharge from the hospital. Design A cross-sectional, observational design was used. An anonymous, Web-based survey was custom designed for use in the study. Methods The questionnaire was content validated, and the online functionality was assessed. The senior cardiothoracic physical therapist from each hospital identified as currently performing cardiothoracic surgery (N=51) was invited to participate. Results The response rate was 58.8% (n=30). Both public (n=18) and private (n=12) hospitals in all states of Australia were represented. Management protocols reported by participants included wound support (n=22), restrictions on lifting and transfers (n=23), and restrictions on mobility aid use (n=15). Factors influencing clinical practice most commonly included “workplace practices/protocols” (n=27) and “clinical experience” (n=22). Limitations The study may be limited by response bias. Conclusions Significant variation exists in the sternal precautions and protocols used in the treatment of patients following median sternotomy in Australian hospitals. Further research is needed to investigate whether the restrictions and precautions used are necessary and whether protocols have an impact on patient outcomes, including rates of recovery and length of stay.

Download Full-text

Patient Participation in Physical Therapy Goal Setting

Physical Therapy ◽

10.1093/ptj/81.5.1118 ◽

2001 ◽

Vol 81 (5) ◽

pp. 1118-1126 ◽

Cited By ~ 75

Author(s):

Susan M Baker ◽

Helen H Marshak ◽

Gail T Rice ◽

Grenith J Zimmerman

Keyword(s):

Patient Satisfaction ◽

Physical Therapy ◽

Elderly Patients ◽

Goal Setting ◽

Patient Participation ◽

Physical Therapists ◽

Physical Therapist ◽

Assessment Instrument ◽

Initial Examination ◽

Goals And Objectives

Abstract Background and Purpose. An important part of treatment planning in physical therapy is effective goal setting. The Guide to Physical Therapist Practice recommends that therapists should identify the patient's goals and objectives during the initial examination in order to maximize outcomes. The purpose of this study was to examine whether therapists seek to involve patients in goal setting and, if so, what methods they use. Therapists' attitudes toward participation and patient satisfaction with the examination were also examined. Subjects and Methods. Twenty-two physical therapists audiotaped the initial examination of 73 elderly patients (X̄=76.4 years of age, SD=7.1, range=65–94). The audiotaped examinations were then scored using the Participation Method Assessment Instrument (PMAI) to determine the frequency of attempts made by therapists to involve patients in goal setting. Therapists and patients completed surveys following the examinations. Results. Therapists' use of participation methods during examinations ranged from a minimum of 1 to a maximum of 19 out of 21 possible items on the PMAI. The therapists stated that they believed that it is important to include patients in goal-setting activities and that outcomes will be improved if patients participate. Patients also indicated that participation is important to them. Discussion and Conclusion. In most cases, the therapists did not fully take advantage of the potential for patient participation in goal setting. Patient and therapist education is needed regarding methods for patient participation during initial goal-setting activities.

Download Full-text

Awareness and Perception of Physical Therapy Education, Role in Patient Management and Health Promotion Held by Senior Medical Practitioners

Asian Journal of Allied Health Sciences (AJAHS) ◽

10.52229/ajahs.v2i3.299 ◽

2020 ◽

pp. 13-17

Author(s):

OJS Admin

Keyword(s):

Health Promotion ◽

Physical Therapy ◽

Patient Management ◽

Physical Therapists ◽

Physical Therapist ◽

Well Being ◽

Physical Therapy Education ◽

Health Providers ◽

Medical Practitioners ◽

Therapy Education

Physical therapists are integral part of health care system. In collaboration with other health providers, physical therapist can play an effective role in patient handling and well-being of individuals. The awareness and perception of senior medical practitioners is less known regarding physical therapy education, role in patient management and health promotion.

Download Full-text