1
|
Spaccapanico Proietti S, Chiavarini M, Iorio F, Buratta L, Pocetta G, Carestia R, Gobbetti C, Lupi C, Cosenza A, Sorci G, Mazzeschi C, Biscarini A, de Waure C. The role of a mindful movement-based program (Movimento Biologico) in health promotion: results of a pre-post intervention study. Front Public Health 2024; 12:1372660. [PMID: 38919915 PMCID: PMC11196965 DOI: 10.3389/fpubh.2024.1372660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 05/30/2024] [Indexed: 06/27/2024] Open
Abstract
Introduction Mindful movement is a comprehensive approach that integrates various bodily, emotional and cognitive aspects into physical activity, promoting overall well-being. This study assessed the impact of a mindful movement program, known as Movimento Biologico (MB), on participants psychological well-being (PWB), positive mental health (PMH), sense of coherence (SOC), and interoceptive awareness. Methods MB program was conducted for students attending the bachelor's degree in Kinesiology and Sport Sciences of University of Perugia over 8 weeks (from October 16 to November 27, 2022). Participants were requested to fill in four questionnaires before and after the MB program: (1) 18-item PWB scale; (2) 9-item PMH scale; (3) 13-item SOC scale; (4) 32-item scale for Multidimensional Assessment of Interoceptive Awareness (MAIA). Wilcoxon signed-rank tests were used to assess changes, with significance set at p < 0.05. Results Thirty-eight students (mean age 21.2, 60.5% male) participated. Several MAIA subscales, including noticing (p = 0.003), attention management (p = 0.002), emotional awareness (p = 0.007), self-regulation (p < 0.001), body listening (p = 0.001), and trusting (p = 0.001), showed significant improvements. PMH increased significantly (p = 0.015), and there was a significant enhancement in the autonomy subscale of PWB (p = 0.036). SOC and overall PWB also improved, though not significantly. Conclusion The MB program significantly improved participants' positive mental health and interoceptive awareness. This likely resulted from better recognition and management of positive physiological sensations, a stronger link between physical sensations and emotions, enhanced confidence in one's body, and increased autonomy.
Collapse
Affiliation(s)
| | - Manuela Chiavarini
- Department of Biomedical Sciences and Public Health, Section of Hygiene, Preventive Medicine and Public Health, Polytechnic University of the Marche Region, Ancona, Italy
| | - Francesco Iorio
- Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Livia Buratta
- Department of Philosophy, Social Sciences and Education, University of Perugia, Perugia, Italy
| | - Giancarlo Pocetta
- Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Roberta Carestia
- Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Camilla Gobbetti
- Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Chiara Lupi
- Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Antonio Cosenza
- Department of Philosophy, Social Sciences and Education, University of Perugia, Perugia, Italy
| | - Guglielmo Sorci
- Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Claudia Mazzeschi
- Department of Philosophy, Social Sciences and Education, University of Perugia, Perugia, Italy
| | - Andrea Biscarini
- Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| | - Chiara de Waure
- Department of Medicine and Surgery, University of Perugia, Perugia, Italy
| |
Collapse
|
2
|
Bertilsson I, Melin J, Brogårdh C, Opheim A, Gyllensten AL, Björksell E, Sjödahl Hammarlund C. Measurement properties of the Body Awareness Scale Movement Quality (BAS MQ) in persons on the autism spectrum: A preliminary Rasch analysis. J Bodyw Mov Ther 2024; 38:464-473. [PMID: 38763594 DOI: 10.1016/j.jbmt.2024.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 08/21/2023] [Accepted: 01/08/2024] [Indexed: 05/21/2024]
Abstract
BACKGROUND Persons on the autism spectrum exhibit poorer body awareness than neurotypical persons. Since movement quality may be regarded as an expression of body awareness, assessment of movement quality is important. Sound assessments of measurement properties are essential if reliable decisions about body awareness interventions for persons on the autism spectrum are to be made, but there is insufficient research. OBJECTIVE To assess measurement properties of the Body Awareness Scale Movement Quality (BAS MQ) in an autism and a neurotypical reference group. METHODS Persons on the autism spectrum (n=108) and neurotypical references (n=32) were included. All were assessed with BAS MQ. Data were analyzed according to the Rasch model. RESULTS BAS MQ was found to have acceptable unidimensionality, supported by the fit statistics. The hierarchical ordering showed that coordination ability was the most difficult, followed by stability and relating. Response category functioning worked as intended for 19 out of 23 items. There were few difficult items, which decreased targeting. Reliability measures were good. BAS MQ discriminated between the autism and the reference groups, with the autism group exhibiting poorer movement quality, reflecting clinical observations and previous research. CONCLUSIONS BAS MQ was found to have acceptable measurement properties, though suffering from problems with targeting item difficulty to person ability for persons on the autism spectrum. The BAS MQ may, along with experienced movement quality, contribute to clinically relevant information of persons on the autism spectrum, although we encourage refinements and further analyses to improve its measurement properties.
Collapse
Affiliation(s)
- I Bertilsson
- Habilitation & Health, Region Västra Götaland, Lövängsvägen 3, 549 49, Skövde, Sweden; Department of Health Sciences, Lund University, Box 117, 221 00, Lund, Sweden.
| | - J Melin
- RISE Research Institutes of Sweden AB, Sven Hultins Plats 5, 412 58, Gothenburg, Sweden
| | - C Brogårdh
- Department of Health Sciences, Lund University, Box 117, 221 00, Lund, Sweden
| | - A Opheim
- Habilitation & Health, Region Västra Götaland, Bergslagsgatan 2, 411 04, Gothenburg, Sweden; Department of Rehabilitation Medicine, Institute for Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Per Dubbsgatan 14, 413 46, Gothenburg, Sweden
| | - A L Gyllensten
- Department of Health Sciences, Lund University, Box 117, 221 00, Lund, Sweden
| | - E Björksell
- Habilitation, Region Kronoberg, 351 88, Växjö, Sweden
| | | |
Collapse
|
3
|
Mercadal-Baudart C, Liu CJ, Farrell G, Boyne M, González Escribano J, Smolic A, Simms C. Exercise quantification from single camera view markerless 3D pose estimation. Heliyon 2024; 10:e27596. [PMID: 38510055 PMCID: PMC10951609 DOI: 10.1016/j.heliyon.2024.e27596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 03/04/2024] [Accepted: 03/04/2024] [Indexed: 03/22/2024] Open
Abstract
Sports physiotherapists and coaches are tasked with evaluating the movement quality of athletes across the spectrum of ability and experience. However, the accuracy of visual observation is low and existing technology outside of expensive lab-based solutions has limited adoption, leading to an unmet need for an efficient and accurate means to measure static and dynamic joint angles during movement, converted to movement metrics useable by practitioners. This paper proposes a set of pose landmarks for computing frequently used joint angles as metrics of interest to sports physiotherapists and coaches in assessing common strength-building human exercise movements. It then proposes a set of rules for computing these metrics for a range of common exercises (single and double drop jumps and counter-movement jumps, deadlifts and various squats) from anatomical key-points detected using video, and evaluates the accuracy of these using a published 3D human pose model trained with ground truth data derived from VICON motion capture of common rehabilitation exercises. Results show a set of mathematically defined metrics which are derived from the chosen pose landmarks, and which are sufficient to compute the metrics for each of the exercises under consideration. Comparison to ground truth data showed that root mean square angle errors were within 10° for all exercises for the following metrics: shin angle, knee varus/valgus and left/right flexion, hip flexion and pelvic tilt, trunk angle, spinal flexion lower/upper/mid and rib flare. Larger errors (though still all within 15°) were observed for shoulder flexion and ASIS asymmetry in some exercises, notably front squats and drop-jumps. In conclusion, the contribution of this paper is that a set of sufficient key-points and associated metrics for exercise assessment from 3D human pose have been uniquely defined. Further, we found generally very good accuracy of the Strided Transformer 3D pose model in predicting these metrics for the chosen set of exercises from a single mobile device camera, when trained on a suitable set of functional exercises recorded using a VICON motion capture system. Future assessment of generalization is needed.
Collapse
Affiliation(s)
| | | | | | | | | | - Aljosa Smolic
- Lucerne University of Applied Sciences and Arts, Ireland
| | | |
Collapse
|
4
|
Christensen N, Black L, Gilliland S, Huhn K, Wainwright S. The Role of Movement in Physical Therapist Clinical Reasoning. Phys Ther 2023; 103:pzad085. [PMID: 37418230 DOI: 10.1093/ptj/pzad085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 03/27/2023] [Accepted: 06/19/2023] [Indexed: 07/08/2023]
Abstract
OBJECTIVE The purpose of this study was to explore how physical therapists use movement as a component of their clinical reasoning. Additionally, this research explored whether movement as a component of clinical reasoning aligns with the proposed signature pedagogy for physical therapist education, human body as teacher. METHODS The study utilized qualitative, descriptive methods in a multiple case studies design (each practice setting represented a different case for analysis purposes) with cross-case comparisons. Researchers conducted 8 focus groups across practice settings including acute care, inpatient neurological, outpatient orthopedics, and pediatrics. Each focus group had 4 to 6 participants. Through an iterative, interactive process of coding and discussion among all researchers, a final coding scheme was developed. RESULTS Through exploration of the research aims, 3 themes emerged from the data. These primary themes are: (1) movement drives clinical reasoning to optimize function; (2) reasoning about movement is multisensory and embodied; and (3) reasoning about movement relies on communication. CONCLUSIONS This research supports a description of movement as the lens used by physical therapists in clinical reasoning and the integral role of movement in clinical reasoning and in learning from and through movement of the human body while learning from clinical reasoning experiences in practice. IMPACT As the understanding of the ways physical therapists use and learn from movement in clinical reasoning and practice continues to emerge, it is important to continue exploring ways to best make this expanded, embodied conception of clinical reasoning explicit in the education of future generations of physical therapists.
Collapse
Affiliation(s)
- Nicole Christensen
- Department of Physical Therapy, Samuel Merritt University, Oakland, California, USA
| | - Lisa Black
- Department of Physical Therapy, Creighton University, Omaha, Nebraska, USA
| | - Sarah Gilliland
- Department of Physical Therapy, Tufts University, Seattle, Washington, USA
| | - Karen Huhn
- School of Physical Therapy, Husson University, Bangor, Maine, USA
| | - Susan Wainwright
- Department of Physical Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| |
Collapse
|
5
|
Nicholls DA, Vieira A. Physiotherapy, movement, and action. Physiother Theory Pract 2023; 39:2520-2538. [PMID: 35854424 DOI: 10.1080/09593985.2022.2095954] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 06/16/2022] [Accepted: 06/23/2022] [Indexed: 10/17/2022]
Abstract
Movement has always been central to physiotherapy practice and theory. But physiotherapists have largely focused on forms of human bodily movement governed by the neuro-mechanical body system in illness or injury. Many other forms of movement exist though, and we argue here that the exploration of these other movements might give physiotherapists new language, concepts, and tools, to guide its adaptation to forms of healthcare that are becoming increasingly complex, diverse, and inclusive. Drawing on Hannah Arendt's concept of vita activa (or "active life"), we examine how physiotherapists have traditionally captured and defined movement. Critiquing past practices for over-emphasizing what Arendt called labor, and work, we suggest that an approach governed by her concept of action, might offer physiotherapists a way to give movement greater significance. We explore what active life might mean for a revised approach to movement, and highlight examples of vita activa already emerging in physiotherapy. We close the paper by calling for a reevaluation of what movement means for the profession and its clients.
Collapse
Affiliation(s)
- David A Nicholls
- School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Northcote, New Zealand
| | - Adriane Vieira
- School of Physical Education, Physiotherapy and Dance, Federal University of Rio Grande Do Sul, Jardim Botânico, Brazil
| |
Collapse
|
6
|
Yilmaz K, Yazicioglu FG, Akkoyun Sert O, Ozturk B, Armutlu K, Yuce H. The effects of basic body awareness therapy on balance in patients with chronic neck pain: a randomised crossover trial. Somatosens Mot Res 2023; 40:147-155. [PMID: 36815247 DOI: 10.1080/08990220.2023.2181327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 02/13/2023] [Indexed: 02/24/2023]
Abstract
PURPOSE This study aimed to compare the effects of basic body awareness therapy (BBAT) and conventional treatments (CT) on balance in patients with chronic neck pain. METHODS Thirty-five patients with neck pain participated in this randomised two-period crossover trial. Patients were divided into A (BBAT/CT) (n = 17) and B (CT/BBAT) (n = 18) groups. Group A received BBAT twice a week for 6 weeks, whereas Group B received CT within the same parameters. After a 5-week washout period, the treatments received by the groups were changed. The primary outcome was balance, assessed via the sensory organisation test (SOT) using the computerised dynamic posturography device. The secondary outcome was pain assessed by the visual analogue scale. Assessments were performed before and after primary and secondary treatments. RESULTS In Group A, the SOT conditions 4, 5, 6; composites score; and visual and vestibular system scores increased after BBAT; however, only condition five scores and vestibular system scores increased (p < .05) in Group B, which started with CT. Within the groups, both treatments were effective for easing pain (p < .05). CONCLUSIONS Although patients who started the therapy with BBAT showed more improvement in balance, no differences were observed between the therapies.
Collapse
Affiliation(s)
- Kamil Yilmaz
- Department of Physiotherapy and Rehabilitation, School of Health Sciences, KTO Karatay University, Konya, Turkey
| | - Fatma Gul Yazicioglu
- Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey
| | - Ozlem Akkoyun Sert
- Department of Physiotherapy and Rehabilitation, School of Health Sciences, KTO Karatay University, Konya, Turkey
| | - Burak Ozturk
- Department of Audiology, Faculty of Health Sciences, Izmir Bakircay University, İzmir, Turkey
| | - Kadriye Armutlu
- Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey
| | - Hamiyet Yuce
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bandirma Onyedi Eylul University, Balıkesir, Turkey
| |
Collapse
|
7
|
Ahola S, Piirainen A, Vuoskoski P. Perceptions of learning and teaching human movement in physiotherapy: A systematic review and metasynthesis of qualitative studies. Int J Qual Stud Health Well-being 2023; 18:2225943. [PMID: 38016038 PMCID: PMC10294735 DOI: 10.1080/17482631.2023.2225943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 06/12/2023] [Indexed: 11/30/2023] Open
Abstract
PURPOSE Human movement is essential for health and well-being. Understanding human movement is pivotal in physiotherapy, but also an important element of physiotherapy education. This review identified, critically appraised, and synthesized the available evidence on learning and teaching human movement in physiotherapy as perceived by students, therapists, and instructors. METHODS The databases MEDLINE, CINAHL, ERIC, PsycINFO, MEDIC and FINNA, were searched. The search was conducted in March/April 2020 and updated in March 2022. The systematic review followed the JBI methodology for systematic reviews of qualitative evidence and was conducted in accordance with an a priori protocol. RESULTS The overall quality of the 17 included studies was scored low on ConQual but dependability and credibility were rated as moderate. Four synthesized findings aggregated from 17 categories and 147 findings described the perceived significance of 1) being present in movement, 2) movement quality, 3) movement transfer, and 4) contextual factors for the learning or teaching of human movement in physiotherapy. CONCLUSION The synthesized findings indicate that the perceived significance of contextual factors, movement quality and transfer, and being present in movement should be considered in all learning and teaching of movement in physiotherapy. However, the evidence of the review findings was evaluated as low-level, which should be considered when applying these results to physiotherapy education or practice.
Collapse
Affiliation(s)
- Sirpa Ahola
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyvaskyla, Finland
- Physiotherapy, Metropolia University of Applied Sciences, Helsinki, Finland
| | - Arja Piirainen
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyvaskyla, Finland
| | - Pirjo Vuoskoski
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyvaskyla, Finland
| |
Collapse
|
8
|
Lindvall MA, Holmqvist KL, Svedell LA, Philipson A, Cao Y, Msghina M. START - physical exercise and person-centred cognitive skills training as treatment for adult ADHD: protocol for a randomized controlled trial. BMC Psychiatry 2023; 23:697. [PMID: 37749523 PMCID: PMC10521407 DOI: 10.1186/s12888-023-05181-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 09/11/2023] [Indexed: 09/27/2023] Open
Abstract
BACKGROUND Core symptoms in attention deficit hyperactivity disorder (ADHD) are inattention, impulsivity and hyperactivity. Many individuals with this disorder also have a sedentary lifestyle, co-morbid mental illness such as depressive and anxiety disorders, and reduced quality of life. People with ADHD often have impaired executive function, which among other things may include difficulty in time management and structuring of everyday life. Pharmacological treatment is often the first-line option, but non-pharmacological treatment is also available and is used in clinical settings. In children and adolescents with ADHD, physical exercise is used as a non-pharmacological treatment. However, the evidence for the effectiveness of exercise in adults is sparse. OBJECTIVE To implement the START intervention (START = Stöd i Aktivitet, Rörelse och Träning [Support in activity, movement and exercise]) consisting of a 12-week, structured mixed exercise programme with or without a cognitive intervention, in adults with ADHD, and study whether it has an effect on core symptoms of ADHD as well as physical, cognitive, mental and everyday functioning compared with usual treatment. A secondary aim is to investigate the participants' experiences of the intervention and its possible benefits, and to evaluate the cost-effectiveness of START compared with usual treatment. METHODS This is a randomized controlled trial planned to be conducted in 120 adults with ADHD, aged 18-65. The intervention will be given as an add-on to standard care. Participants will be randomized to three groups. Group 1 will be given a physiotherapist-led mixed exercise programme for 12 weeks. Group 2 will receive the same intervention as group 1 with the addition of occupational therapist-led cognitive skills training. Group 3 will be the control group who will receive standard care only. The primary outcome will be reduction of ADHD symptoms measured using the World Health Organization (WHO) Adult ADHD Self-Report Scale (ASRS-v1.1), Clinical Global Impression-Severity scale (CGI-S) and CGI-Improvement scale (CGI-I). The effect will be measured within 1 week after the end of the intervention and 6 and 12 months later. DISCUSSION Data collection began in March 2021. The final 12-month follow-up is anticipated to be completed by autumn 2024. TRIAL REGISTRATION ClinicalTrials.gov (Identifier: NCT05049239). Registered on 20 September 2021 (last verified: May 2021).
Collapse
Affiliation(s)
- Mialinn Arvidsson Lindvall
- University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, 70182, SE, Sweden.
| | - Kajsa Lidström Holmqvist
- University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, 70182, SE, Sweden
- Department of Neurology and Rehabilitation Medicine, Faculty of Medicine and Health, Örebro University, Örebro, 70182, SE, Sweden
| | - Lena Axelsson Svedell
- Department of Psychiatry, Faculty of Medicine and Health, Örebro University, Örebro, 70182, SE, Sweden
| | - Anna Philipson
- University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, 70182, SE, Sweden
| | - Yang Cao
- Clinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, 70182, SE, Sweden
- Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Mussie Msghina
- Department of Psychiatry, Faculty of Medicine and Health, Örebro University, Örebro, 70182, SE, Sweden
- Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden
| |
Collapse
|
9
|
van Dijk MJH, van der Wal AM, Mollema J, Visser B, Kiers H, Heerkens Y, van der Sanden MWGN. The Observable Movement Quality scale for patients with low back pain (OMQ-LBP): validity and reliability in a primary care setting of physical therapy. BMC Musculoskelet Disord 2023; 24:705. [PMID: 37667238 PMCID: PMC10476334 DOI: 10.1186/s12891-023-06784-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 08/06/2023] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND The Observable Movement Quality scale for patients with low back pain (OMQ-LBP) is a newly developed measurement instrument for use in primary care settings of physical and exercise therapists to assess movement quality (MQ) of patients with low back pain (LBP). OBJECTIVE This study aims to determine validity, reliability and feasibility of the OMQ-LBP. The OMQ-LBP consists of a standardized movement circuit (performed twice) consisting of five daily activities problematic for LBP patients, which are scored with an 11-item observation list. METHODS Construct validity was determined by testing seven hypotheses on associations between constructs (n = 85 patients with LBP) and four hypotheses on known group differences (n = 85 patients with LBP and n = 63 healthy controls; n = 35 matched participant-patients having VAS-pain ≥ 20 mm during and/or after both circuits and healthy controls). Internal consistency was analyzed with Cronbach's alpha (n = 85 patients with LBP). For inter- and intra-rater reliability Intraclass Correlation Coefficient (ICC) values were examined (n = 14 therapists: seven primary care physical therapists and seven exercise therapists). Additionally, content validity and feasibility were determined using thematic analysis of a brief interview with participants, patients (n = 38) and therapists (n = 14). RESULTS After Bonferroni correction 2/7 associations between constructs and 2/4 significant group differences were confirmed. Cronbach's alpha was 0,79. The ICC-values of interrater reliability of the OMQ-LBP total score and the duration score were 0.56 and 0.99 and intra-rater reliability 0.82 and 0,93, respectively. Thematic analysis revealed five themes. Three themes elucidate that both patients and therapists perceived the content of the OMQ-LBP as valid. The fourth theme exhibits that OMQ-LBP provides a clear and unambiguous language for MQ in patients with LBP. Theme 5 depicts that the OMQ-LBP seems feasible, but video recording is time-consuming. CONCLUSIONS The OMQ-LBP is a promising standardized observational assessment of MQ during the five most problematic daily activities in patients with LBP. It is expected that uniform and objective description and evaluation of MQ add value to clinical reasoning and facilitate uniform communication with patients and colleagues.
Collapse
Affiliation(s)
- M J H van Dijk
- Utrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, the Netherlands.
- Radboud University Medical CenterRadboud Institute for Health Sciences, IQ Healthcare, Nijmegen, the Netherlands.
| | - A M van der Wal
- Utrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, the Netherlands
| | - J Mollema
- Utrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, the Netherlands
| | - B Visser
- Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands
| | - H Kiers
- Utrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, the Netherlands
| | - Y Heerkens
- Department Occupation & Health, HAN University of Applied Sciences, Nijmegen, the Netherlands
| | | |
Collapse
|
10
|
Vancampfort D, Brunner E, Van Damme T, Stubbs B. Efficacy of basic body awareness therapy on functional outcomes: A systematic review and meta-analysis of randomized controlled trials. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2023; 28:e1975. [PMID: 36103584 DOI: 10.1002/pri.1975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Revised: 06/09/2022] [Accepted: 08/28/2022] [Indexed: 01/04/2023]
Abstract
PURPOSE This study examined the efficacy of basis body awareness therapy (BBAT) on functional outcomes and quality of life (QoL) in patients with mental health problems and long-lasting conditions including musculoskeletal disorders, chronic and psychosomatic pain, and neurological conditions. MATERIAL AND METHODS Randomized controlled trials (RCTs) were obtained from MEDLINE, EMBASE, CINAHL, CENTRAL, and PEDro from inception to April 1st, 2022. A random effects meta-analysis was performed to explore the efficacy of BBAT versus non-active and active control conditions. RESULTS Eight RCTs (n BBAT = 307, n controls = 428) were included. There was no evidence for reductions in anxiety (standardized mean difference [SMD] = -1.42, 95% confidence interval [CI] = -3.30 to 0.46, p = 0.14), depression (SMD = -0.82, 95% CI = -1.85 to 0.21, p = 0.12), and no improvements in global assessment of functioning for functioning (GAF-F) (SMD = 0.58, 95% CI = -0.03 to 1.19, p = 0.06) or for symptoms (GAF-S) (SMD = 0.76, 95% CI = -0.44 to 1.96, p = 0.21) in BBAT versus non-active control conditions. BBAT reduced anxiety significantly more than active interventions (SMD = -0.84, 95% CI = -1.17 to -0.51, p < 0.001). No significant differences between BBAT and active control conditions were found for reduction in depression (SMD = -1.16, 95% CI = -2.74 to 0.41, p = 0.15) or in self-reported pain (SMD = 0.08, 95% CI = -0.25 to 0.40, p = 0.65). Active control conditions were superior in improving QoL (SMD = 0.83, 95% CI = 0.49 to 1.17, p < 0.001), GAF-F (SMD = 1.58, 95% CI = 0.29 to 2.86, p = 0.016) and GAF-S (SMD = 1.19, 95% CI = 0.85 to 1.53, p < 0.001). CONCLUSIONS Physiotherapists should be cautious in adopting BBAT, noting there is no high-quality evidence to support its' use to improve functionality and QoL in patients with mental health problems and/or long-lasting conditions.
Collapse
Affiliation(s)
- Davy Vancampfort
- KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.,University Psychiatric Center KU Leuven, Leuven, Kortenberg, Belgium
| | - Emanuel Brunner
- KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.,Department Gesundheit, Ostschweizer Fachhochschule, St. Gallen, Switzerland.,Institut für Therapie und Rehabilitation, Kantonsspital Winterthur, Winterthur, Switzerland
| | - Tine Van Damme
- KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium.,University Psychiatric Center KU Leuven, Leuven, Kortenberg, Belgium
| | - Brendon Stubbs
- Physiotherapy Department, South London and Maudsley NHS Foundation Trust, London, UK.,Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK
| |
Collapse
|
11
|
Halák J, Kříž P. Phenomenological physiotherapy: extending the concept of bodily intentionality. MEDICAL HUMANITIES 2022; 48:e14. [PMID: 35217571 DOI: 10.1136/medhum-2021-012300] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/21/2022] [Indexed: 06/14/2023]
Abstract
This study clarifies the need for a renewed account of the body in physiotherapy to fill sizable gaps between physiotherapeutical theory and practice. Physiotherapists are trained to approach bodily functioning from an objectivist perspective; however, their therapeutic interactions with patients are not limited to the provision of natural-scientific explanations. Physiotherapists' practice corresponds well to theorisation of the body as the bearer of original bodily intentionality, as outlined by Merleau-Ponty and elaborated upon by enactivists. We clarify how physiotherapeutical practice corroborates Merleau-Ponty's critical arguments against objectivist interpretations of the body; particularly, his analyses demonstrate that norms of optimal corporeal functioning are highly individual and variable in time and thus do not directly depend on generic physiological structures. In practice, objectively measurable physical deviations rarely correspond to specific subjective difficulties and, similarly, patients' reflective insights into their own motor deficiencies do not necessarily produce meaningful motor improvements. Physiotherapeutical procedures can be understood neither as mechanical manipulations of patients' machine-like bodies by experts nor as a process of such manipulation by way of instructing patients' explicit conscious awareness. Rather, physiotherapeutical practice and theory can benefit from the philosophical interpretation of motor disorders as modifications of bodily intentionality. Consequently, motor performances addressed in physiotherapy are interpreted as relational features of a living organism coupled with its environment, and motor disorders are approached as failures to optimally manage the motor requirements of a given situation owing to a relative loss of the capacity to structure one's relation with their environment through motor action. Building on this, we argue that the process of physiotherapy is most effective when understood as a bodily interaction to guide patients towards discovering better ways of grasping a situation as meaningful through bodily postures and movements.
Collapse
Affiliation(s)
- Jan Halák
- Department of Philosophy, Palacky University Olomouc, Olomouc, Czech Republic
| | - Petr Kříž
- Department of Philosophy, Palacky University Olomouc, Olomouc, Czech Republic
| |
Collapse
|
12
|
Graser JV, Prospero L, Liesch M, Keller U, van Hedel HJA. Test-retest reliability of upper limb robotic exoskeleton assessments in children and youths with brain lesions. Sci Rep 2022; 12:16685. [PMID: 36202825 PMCID: PMC9537308 DOI: 10.1038/s41598-022-20588-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 09/15/2022] [Indexed: 12/01/2022] Open
Abstract
In children with congenital or acquired brain lesions, impaired upper limb function can affect independence. Assessing upper limb function is important for planning and evaluating neurorehabilitative interventions. Robotic devices increase measurement-objectivity and enable measuring parameters reflecting more complex motor functions. We investigated the relative and absolute test–retest reliability of assessments to measure upper limb functions in children and adolescents with brain lesions with the exoskeleton ChARMin. Thirty children (9 females, mean age ± SD = 12.5 ± 3.3 years) with congenital brain injuries (n = 15), acquired (n = 14), both (n = 1) and impaired upper limb function participated. They performed the following ChARMin assessments and repeated them within three to seven days: active and passive Range of Motion (ROM), Strength, Resistance to Passive Movement, Quality of Movement, Circle, and Workspace. We calculated the systematic difference, Intraclass Correlation Coefficient (ICC) and Smallest Real Difference (SRD) for each parameter. Six parameters of three assessments showed systematic errors. ICCs ranged from little to very high and SRD values varied considerably. Test–retest reliability and measurement errors ranged widely between the assessments. Systematic differences indicated that random day-to-day variability in performance would be responsible for reduced reliability of those parameters. While it remains debatable whether robot-derived outcomes should replace certain routine assessments (e.g., ROM, strength), we recommend applying certain technology-based assessments also in clinical practice. Trial registration: This study was registered prospectively at ClinicalTrials.gov (identifier: NCT02443857) on May 14, 2015.
Collapse
Affiliation(s)
- Judith V Graser
- Swiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, Switzerland. .,Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland. .,Neuroscience Centre Zurich, University of Zurich and Federal Institute of Technology, Zurich, Switzerland. .,Research Line Functioning, Participation and Rehabilitation CAPHRI, Department of Epidemiology, Maastricht University, Maastricht, The Netherlands.
| | - Laura Prospero
- Swiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, Switzerland.,Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland.,Department of Health Sciences and Technology, Federal Institute of Technology, Zurich, Switzerland
| | - Monica Liesch
- Swiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, Switzerland.,Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland.,Department of Health Sciences and Technology, Federal Institute of Technology, Zurich, Switzerland
| | - Urs Keller
- Swiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, Switzerland.,Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland
| | - Hubertus J A van Hedel
- Swiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, Switzerland.,Children's Research Centre, University Children's Hospital Zurich, Zurich, Switzerland.,Neuroscience Centre Zurich, University of Zurich and Federal Institute of Technology, Zurich, Switzerland
| |
Collapse
|
13
|
Olsen AL, Magnussen LH, Skjaerven LH, Assmus J, Sundal MA, Furnes O, Hallan G, Strand LI. Basic Body Awareness Therapy versus standard care in hip osteoarthritis. A randomized controlled trial. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2021; 27:e1930. [PMID: 34811841 DOI: 10.1002/pri.1930] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 06/10/2021] [Accepted: 10/09/2021] [Indexed: 01/22/2023]
Abstract
BACKGROUND Compensational movement patterns in hip osteoarthritis (HOA) are associated with hip dysfunction. Basic Body Awareness Therapy (BBAT) promotes functional movement quality and might, accordingly, be beneficial in HOA. OBJECTIVE To examine the outcomes of BBAT compared to standard care in people with HOA after first receiving patient education (PE). STUDY DESIGN A prospective, assessor-blinded, and block-randomized controlled trial. METHODS Community-living adults with HOA participating in PE were randomly allocated to an intervention group receiving BBAT in groups (12 sessions offered once a week), or a comparison group. Data at baseline (pretest) and at 6 months (posttest) were analyzed. Primary outcomes were pain during walking assessed by the Numeric Rating Scale (NRS) and function by the Hip Osteoarthritis Outcome Score, subscale ADL (HOOS A). Secondary outcomes addressed physical capacity, movement quality, and self-reported aspects of function and health. RESULTS At pretest, there were no significant differences in demographic and test data between the intervention (n = 51) and the comparison (n = 50) group. Forty-one intervention and 45 comparison participants completed the posttest. At posttest, no significant differences in change between groups were found on NRS (p = 0.694, effect size (ES) = 0.02) or HOOS A (p = 0.783, ES = 0.07). Among secondary outcomes, movement quality improved significantly more (p < 0.001, ES = 0.84) in the intervention group. Compliance with BBAT varied substantially. Per-protocol analysis showed changes in favor of the intervention group for self-efficacy (p = 0.049, ES = 0.36), health (p = 0.037, ES = 0.44), and function (p = 0.029, ES = 0.53) when only intervention participants who completed at least 10 sessions of BBAT were included. CONCLUSIONS BBAT was not found to be a more effective treatment modality than self-initiated standard care to reduce pain during walking and improve daily functioning in people with HOA. Movement quality was significantly more improved in participants receiving BBAT, and improvement in other health aspects was associated with sufficient therapy compliance.
Collapse
Affiliation(s)
- Aarid Liland Olsen
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Liv Heide Magnussen
- Department of Health and Function, Western Norway University of Applied Sciences, Bergen, Norway
| | - Liv Helvik Skjaerven
- Department of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Jörg Assmus
- Centre of Competence on Clinical Research, Haukeland University Hospital, Bergen, Norway
| | - Mary-Anne Sundal
- Department of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Ove Furnes
- Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway
| | - Geir Hallan
- Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | - Liv Inger Strand
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| |
Collapse
|
14
|
McDuff K, Benaim A, Wong M, Burley A, Gandhi P, Wallace A, Brooks D, Vaughan-Graham J, Patterson KK. Analyzing the Eye Gaze Behaviour of Students and Experienced Physiotherapists during Observational Movement Analysis. Physiother Can 2021; 73:129-135. [PMID: 34456422 DOI: 10.3138/ptc-2019-0047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Purpose: Physiotherapists use observational movement analysis (OMA) to inform clinical reasoning. This study aimed to (1) determine the feasibility of characterizing eye gaze behaviour during OMA with eye-tracking technology, (2) characterize experienced neurological physiotherapists' and physiotherapy students' eye gaze behaviour during OMA, and (3) investigate differences in eye gaze behaviour during OMA between physiotherapy students and experienced physiotherapists. Method: Eight students and eight physiotherapists wore an eye-tracking device while watching a video of a person with a history of stroke and subsequent concussion perform sit to stand. Feasibility criteria were (1) successful calibration of the eye tracker, and successful collection of data, for 80% of the participants and (2) moderate interrater reliability of the investigators, measured by intra-class correlation coefficients (ICCs). Three investigators independently recorded the participants' foveal fixations. Differences between physiotherapists and students in number of fixations, duration per fixation, and total duration of fixations were evaluated using unpaired t-tests, mean differences, and 95% CIs. Results: Data were collected for all participants. ICCs ranged from 0.64 to 0.78. Fixations by physiotherapists were shorter (mean 368.5 [SD 80.8] ms) and greater in number (mean 18.9 [SD 2.2]) than those by students (mean 459.0 [SD 64.2] ms, p = 0.03, and mean 15.9 [SD 2.7], p = 0.03), respectively. Conclusions: Measuring eye gaze behaviour during OMA using eye tracker technology is feasible. Physiotherapists made more fixations of shorter duration than students. Further investigation of how experienced therapists perform OMA and apply it to clinical reasoning may inform the instruction of OMA.
Collapse
Affiliation(s)
| | | | | | | | | | - Aaron Wallace
- KITE Research Institute, University Health Network, Toronto
| | - Dina Brooks
- Department of Physical Therapy.,KITE Research Institute, University Health Network, Toronto.,Rehabilitation Sciences Institute, University of Toronto.,School of Rehabilitation Science, McMaster University, Hamilton, Ont
| | - Julie Vaughan-Graham
- Department of Physical Therapy.,KITE Research Institute, University Health Network, Toronto
| | - Kara K Patterson
- Department of Physical Therapy.,KITE Research Institute, University Health Network, Toronto.,Rehabilitation Sciences Institute, University of Toronto
| |
Collapse
|
15
|
Quílez-Maimón A, Rojas-Ruiz FJ, Delgado-García G, Courel-Ibáñez J. The Q-Pass Index: A Multifactorial IMUs-Based Tool to Assess Passing Skills in Basketball. SENSORS 2021; 21:s21134601. [PMID: 34283154 PMCID: PMC8271510 DOI: 10.3390/s21134601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 06/28/2021] [Accepted: 06/29/2021] [Indexed: 11/30/2022]
Abstract
Despite being a key sport-specific characteristic in performance, there is no practical tool to assess the quality of the pass in basketball. The aim of this study is to develop a tool (the quality-pass index or Q-Pass) able to deliver a quantitative, practical measure of passing skills quality based on a combination of accuracy, execution time and pass pattern variability. Temporal, kinematics and performance parameters were analysed in five different types of passes (chest, bounce, crossover, between-the-leg and behind-the-back) using a field-based test, video cameras and body-worn inertial sensors (IMUs). Data from pass accuracy, time and angular velocity were collected and processed in a custom-built excel spreadsheet. The Q-pass index (0–100 score) resulted from the sum of the three factors. Data were collected from 16 young basketball players (age: 16 ± 2 years) with high (experienced) and low (novice) level of expertise. Reliability analyses found the Q-pass index as a reliable tool in both novice (CV from 4.3 to 9.3%) and experienced players (CV from 2.8 to 10.2%). Besides, important differences in the Q-pass index were found between players’ level (p < 0.05), with the experienced showing better scores in all passing situations: behind-the-back (ES = 1.91), bounce (ES = 0.82), between-the-legs (ES = 1.11), crossover (ES = 0.58) and chest (ES = 0.94). According to these findings, the Q-pass index was sensitive enough to identify the differences in passing skills between young players with different levels of expertise, providing a numbering score for each pass executed.
Collapse
Affiliation(s)
- Arturo Quílez-Maimón
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain; (A.Q.-M.); (F.J.R.-R.); (G.D.-G.)
| | - Francisco Javier Rojas-Ruiz
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain; (A.Q.-M.); (F.J.R.-R.); (G.D.-G.)
| | - Gabriel Delgado-García
- Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, 18071 Granada, Spain; (A.Q.-M.); (F.J.R.-R.); (G.D.-G.)
| | - Javier Courel-Ibáñez
- Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Murcia, 30720 Murcia, Spain
- Correspondence:
| |
Collapse
|
16
|
Experiences with basic body awareness therapy as an add-on to cognitive behavioural therapy among Danish military veterans with PTSD: An interview study. J Bodyw Mov Ther 2021; 27:550-559. [PMID: 34391286 DOI: 10.1016/j.jbmt.2021.03.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Revised: 02/05/2021] [Accepted: 03/28/2021] [Indexed: 11/24/2022]
Abstract
BACKGROUND The Danish Veterans Centre offers a body-orientated therapy, Basic Body Awareness Therapy (BBAT), in addition to the psychological trauma-focused therapy to military veterans suffering from symptoms of post-traumatic stress disorder (PTSD). This study explored how the veterans a) experienced BBAT as a physiotherapeutic approach and as an add-on treatment to their usual Cognitive Behavioural Therapy (CBT) and b) whether it makes sense for the individual veteran to incorporate BBAT into their treatment. MATERIALS AND METHODS Individual semi-structured interviews with four veterans who had completed 12 BBAT sessions concurrently with their usual CBT treatment. Interviews were transcribed and analysed using Malterud's version of Giorgi's 4-step systematic text condensation. RESULTS Three main categories emerged: "Effects of treatment", "The setting of the treatment" and "Complementary nature of BBAT and CBT". Within each category were 2-5 underlying subgroups. Participants found it made sense to combine BBAT with their CBT since it benefitted them differently and addressed their bodily symptoms and improved body perception/awareness. CONCLUSION BBAT showed potential as a supplement to CBT and seemed to benefit the veterans through focusing on bodily symptoms and how to calm them. Future studies are needed because of the limited research on the topic.
Collapse
|
17
|
Elgert L, Steiner B, Saalfeld B, Marschollek M, Wolf KH. Health-Enabling Technologies to Assist Patients With Musculoskeletal Shoulder Disorders When Exercising at Home: Scoping Review. JMIR Rehabil Assist Technol 2021; 8:e21107. [PMID: 33538701 PMCID: PMC8294637 DOI: 10.2196/21107] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 11/04/2020] [Accepted: 12/16/2020] [Indexed: 12/11/2022] Open
Abstract
Background Health-enabling technologies (HETs) are information and communication technologies that promote individual health and well-being. An important application of HETs is telerehabilitation for patients with musculoskeletal shoulder disorders. Currently, there is no overview of HETs that assist patients with musculoskeletal shoulder disorders when exercising at home. Objective This scoping review provides a broad overview of HETs that assist patients with musculoskeletal shoulder disorders when exercising at home. It focuses on concepts and components of HETs, exercise program strategies, development phases, and reported outcomes. Methods The search strategy used Medical Subject Headings and text words related to the terms upper extremity, exercises, and information and communication technologies. The MEDLINE, Embase, IEEE Xplore, CINAHL, PEDro, and Scopus databases were searched. Two reviewers independently screened titles and abstracts and then full texts against predefined inclusion and exclusion criteria. A systematic narrative synthesis was performed. Overall, 8988 records published between 1997 and 2019 were screened. Finally, 70 articles introducing 56 HETs were included. Results Identified HETs range from simple videoconferencing systems to mobile apps with video instructions to complex sensor-based technologies. Various software, sensor hardware, and hardware for output are in use. The most common hardware for output are PC displays (in 34 HETs). Microsoft Kinect cameras in connection with related software are frequently used as sensor hardware (in 27 HETs). The identified HETs provide direct or indirect instruction, monitoring, correction, assessment, information, or a reminder to exercise. Common parameters for exercise instructions are a patient’s range of motion (in 43 HETs), starting and final position (in 32 HETs), and exercise intensity (in 20 HETs). In total, 48 HETs provide visual instructions for the exercises; 29 HETs report on telerehabilitation aspects; 34 HETs only report on prototypes; and 15 HETs are evaluated for technical feasibility, acceptance, or usability, using different assessment instruments. Efficacy or effectiveness is demonstrated for only 8 HETs. In total, 18 articles report on patients’ evaluations. An interdisciplinary contribution to the development of technologies is found in 17 HETs. Conclusions There are various HETs, ranging from simple videoconferencing systems to complex sensor-based technologies for telerehabilitation, that assist patients with musculoskeletal shoulder disorders when exercising at home. Most HETs are not ready for practical use. Comparability is complicated by varying prototype status, different measurement instruments, missing telerehabilitation aspects, and few efficacy studies. Consequently, choosing an HET for daily use is difficult for health care professionals and decision makers. Prototype testing, usability, and acceptance tests with the later target group under real-life conditions as well as efficacy or effectiveness studies with patient-relevant core outcomes for every promising HET are required. Furthermore, health care professionals and patients should be more involved in the product design cycle to consider relevant practical aspects.
Collapse
Affiliation(s)
- Lena Elgert
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Hannover, Germany
| | - Bianca Steiner
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Braunschweig, Germany
| | - Birgit Saalfeld
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Hannover, Germany
| | - Michael Marschollek
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Hannover, Germany
| | - Klaus-Hendrik Wolf
- Peter L. Reichertz Institute for Medical Informatics of TU Braunschweig and Hannover Medical School, Hannover, Germany
| |
Collapse
|
18
|
Ahola S, Skjaerven LH, Piirainen A. Physiotherapists' conceptions of movement awareness- A phenomenographic study. Physiother Theory Pract 2021; 38:1438-1452. [PMID: 33393413 DOI: 10.1080/09593985.2020.1868028] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The phenomenon of movement awareness requires more attention to make it explicit in physiotherapy. The aim of this study was to explore the variation in physiotherapists' conceptions of movement quality, focusing on movement awareness. The informants were 15 physiotherapists from a variety of physiotherapy fields. We collected data through two group interviews and used the phenomenographic method to analyze them. Four themes emerged from the data: 1) Being in contact with one's own moving body; 2) Increased awareness of movement experiences; 3) Interrelationship between physiotherapist and patient; and 4) Better understanding of movement awareness. These themes varied by four descriptive categories of the movement awareness phenomenon: (I) Hesitation regarding own movement experiences; (II) Momentary contact with own movement experiences; (III) Presence in movement awareness and (IV) Better understanding of others' movement awareness. The physiotherapists' understanding of the movement awareness phenomenon widened through three critical aspects in the descriptive categories: Recognizing one's own movement awareness, Distinguishing one's own and others' movement awareness and New insights into implementing actions related to movement awareness in physiotherapy. These results can expand the understanding of the phenomenon of movement awareness among physiotherapists, although further research is needed.
Collapse
Affiliation(s)
- Sirpa Ahola
- Department of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Liv Helvik Skjaerven
- Department of Function and Health, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Arja Piirainen
- Department of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| |
Collapse
|
19
|
Hernández-García R, Gil-López MI, Martínez-Pozo D, Martínez-Romero MT, Aparicio-Sarmiento A, Cejudo A, Sainz de Baranda P, Bishop C. Validity and Reliability of the New Basic Functional Assessment Protocol (BFA). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4845. [PMID: 32635678 PMCID: PMC7369969 DOI: 10.3390/ijerph17134845] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Revised: 06/30/2020] [Accepted: 07/02/2020] [Indexed: 12/28/2022]
Abstract
The global evaluation of motion patterns can examine the synchrony of neuromuscular control, range of motion, strength, resistance, balance and coordination needed to complete the movement. Visual assessments are commonly used to detect risk factors. However, it is essential to define standardized field-based tests that can evaluate with accuracy. The aims of the study were to design a protocol to evaluate fundamental motor patterns (FMP), and to analyze the validity and reliability of an instrument created to provide information about the quality of movement in FMP. Five tasks were selected: Overhead Squat (OHS); Hurdle Step (HS); Forward Step Down (FSD); Shoulder Mobility (SM); Active Stretching Leg Raise (ASLR). A list of variables was created for the evaluation of each task. Ten qualified judges assessed the validity of the instrument, while six external observers performed inter-intra reliability. The results show that the instrument is valid according to the experts' opinion; however, the reliability shows values below those established. Thus, the instrument was considered unreliable, so it is recommended to repeat the reliability process by performing more training sessions for the external observers. The present study creates the basic functional assessment (BFA), a new protocol which comprises five tasks and an instrument to evaluate FMP.
Collapse
Affiliation(s)
- Raquel Hernández-García
- Department of Physical Activity and Sport, Faculty of Sports Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, 30720 San Javier (Murcia), Spain; (R.H.-G.); (M.T.M.-R.); (A.A.-S.); (P.S.d.B.)
- Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 C.P. Murcia, Spain;
| | - María Isabel Gil-López
- Department of Physical Activity and Sport, Faculty of Sports Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, 30720 San Javier (Murcia), Spain; (R.H.-G.); (M.T.M.-R.); (A.A.-S.); (P.S.d.B.)
- Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 C.P. Murcia, Spain;
| | - David Martínez-Pozo
- Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 C.P. Murcia, Spain;
| | - María Teresa Martínez-Romero
- Department of Physical Activity and Sport, Faculty of Sports Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, 30720 San Javier (Murcia), Spain; (R.H.-G.); (M.T.M.-R.); (A.A.-S.); (P.S.d.B.)
- Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 C.P. Murcia, Spain;
| | - Alba Aparicio-Sarmiento
- Department of Physical Activity and Sport, Faculty of Sports Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, 30720 San Javier (Murcia), Spain; (R.H.-G.); (M.T.M.-R.); (A.A.-S.); (P.S.d.B.)
- Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 C.P. Murcia, Spain;
| | - Antonio Cejudo
- Department of Physical Activity and Sport, Faculty of Sports Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, 30720 San Javier (Murcia), Spain; (R.H.-G.); (M.T.M.-R.); (A.A.-S.); (P.S.d.B.)
- Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 C.P. Murcia, Spain;
| | - Pilar Sainz de Baranda
- Department of Physical Activity and Sport, Faculty of Sports Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, 30720 San Javier (Murcia), Spain; (R.H.-G.); (M.T.M.-R.); (A.A.-S.); (P.S.d.B.)
- Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 C.P. Murcia, Spain;
| | - Chris Bishop
- London Sport Institute, Middlesex University, London NW4 4BT, UK;
| |
Collapse
|
20
|
Olsen AL, Magnussen LH, Skjaerven LH, Assmus J, Sundal MA, Ostelo R, Strand LI. Movement quality evaluation and its correlation with recommended functional measures in hip osteoarthritis. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2020; 25:e1848. [PMID: 32449252 DOI: 10.1002/pri.1848] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 04/07/2020] [Accepted: 04/29/2020] [Indexed: 11/07/2022]
Abstract
OBJECTIVE Hip osteoarthritis may cause compensational movement strategies that require extra physical and mental effort. Such aberrant functioning can be captured in movement quality evaluation. The objective of this study was to explore whether movement quality, evaluated as a multiperspective phenomenon, is reflected in commonly used and recommended functional measures in this group of patients. METHODS A cross-sectional study design was used. Baseline included 80 female and 21 male participants with hip osteoarthritis. Movement quality was evaluated by the Body Awareness Rating Scale-Movement Quality and Experience (BARS-MQE), part one, including 12 movement items. Correlation analyses (Pearson and Spearman) were performed to explore associations between BARS-MQE (sum score and single item scores), and scores on measures of physical capacity (Chair test, Stairs test, 6 minutes walking test; 6MWT), self-reported activity level (UCLA), function (HOOS subscales), pain during walking (NRS), self-efficacy (ASES) and health (EQ-5D-5L). Based on previous evidence, we hypothesized moderate associations between BARS-MQE and these measures. RESULTS BARS-MQE's sum score showed moderate associations with Stairs test, 6MWT and UCLA (r = -0.425 to 0.304) and weak associations (r = 0.29 to 0.12) with ASES Pain and Symptoms, HOOS ADL, Chair test, NRS, HOOS Pain and Sports, and EQ-5D-5L. No association was found between BARS-MQE and HOOS Symptoms and Quality of life. Movement quality in item 12, walking, demonstrated moderate or weak association with all included measures. CONCLUSION In this study of participants diagnosed with hip osteoarthritis, movement quality evaluated by BARS-MQE was moderately reflected in measures of physical capacity and activity, but weakly reflected in self-reported measures of health problems. With its particular dynamic procedure and inclusion of the whole moving person, movement quality evaluation by the BARS-MQE was shown to provide supplementary information on functioning, scarcely captured by the commonly used and recommended measures.
Collapse
Affiliation(s)
- Aarid Liland Olsen
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.,Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway
| | - Liv Heide Magnussen
- Department of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Liv Helvik Skjaerven
- Department of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Jörg Assmus
- Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway
| | - Mary-Anne Sundal
- Department of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Raymond Ostelo
- Department of Epidemiology and Biostatistics, Amsterdam University Medical Center, Location VUmc, Amsterdam, The Netherlands.,Department of Health Sciences, VU University and Amsterdam Movement Sciences, Amsterdam, The Netherlands
| | - Liv Inger Strand
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| |
Collapse
|
21
|
Bertilsson I, Gard G, Sjödahl Hammarlund C. Physiotherapists ' experiences of the meaning of movement quality in autism: a descriptive phenomenological study. Physiother Theory Pract 2020; 38:299-308. [PMID: 32351158 DOI: 10.1080/09593985.2020.1759166] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Introduction: Movement quality, represented in unrestricted movements, flow and pleasure, is often lacking in people with autism. One aspect is the non-verbal expression of the present emotional and psychological state of an individual.Purpose: To describe the meaning of movement quality in autism, as experienced by specialized physiotherapists.Method: Ten physiotherapists were interviewed. The data were recorded, transcribed verbatim, and analyzed using Giorgi᾽s descriptive phenomenological method.Findings: The general structure of movement quality in people with autism included eight key constituents: 1) reduced postural control; 2) deviant muscle tone and tension; 3) deviant sensory processing; 4) a lack of conscious awareness; 5) difficulties with body boundaries; 6) coordinating movements (including breathing); 7) lack of anticipatory preparations of movements; and 8) need of cognitive thoughts to control movements.Conclusions: This study provide an understanding of how movement quality in people with autism is expressed. Their lived bodies constantly need to protect themselves from sensory impressions from within or the surroundings, causing emotional distress and obscuring the meaning of their movements. Their bodily expression becomes restrained, fragmented, and hesitant. Understanding movement patterns and emotional reactions following their struggle with movements may facilitate constructive interaction and communication, which give important implications when designing physiotherapy interventions.
Collapse
Affiliation(s)
- Ingrid Bertilsson
- Department of Health Sciences, Lund University, Lund, Sweden.,Habilitation, Habilitation & Health, Skövde, Sweden
| | - Gunvor Gard
- Department of Health Sciences, Lund University, Lund, Sweden
| | | |
Collapse
|
22
|
van Dijk MJH, Smorenburg NTA, Heerkens YF, Mollema J, Kiers H, Nijhuis-van der Sanden MWG, Visser B. Assessment instruments of movement quality in patients with non-specific low back pain: A systematic review and selection of instruments. Gait Posture 2020; 76:346-357. [PMID: 31901525 DOI: 10.1016/j.gaitpost.2019.12.027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 11/29/2019] [Accepted: 12/21/2019] [Indexed: 02/02/2023]
Abstract
BACKGROUND Observing and analyzing movement quality (MQ) in patients with non-specific low back pain (NS-LBP) is important in the clinical reasoning of primary care physiotherapists and exercise therapists. However, there is no standardized form of assessment. RESEARCH QUESTION which MQ domains are measured with which instruments, and which activities are relevant, appropriate and methodologically sound for assessing MQ in patients with NS-LBP? METHODS The study had three phases. In phase 1 we conducted a systematic review in PubMed, CINAHL and SPORTDiscus of literature published until October 2018. The selected studies measured MQ domains with instruments that enabled us to 1) compare MQ in self-paced dynamic activities of patients with NS-LBP and healthy controls, and/or 2) determine change over time of MQ in patients with NS-LBP. In phase 2 we established relevant dynamic activities to assess in patients with NS-LBP. In phase 3 we determined appropriateness and methodological qualities of the selected instruments. RESULTS Thirty cross-sectional and three pre-post-test studies were eligible. The instruments consisted of complex (n = 19) and simple (n = 7) instrumented motion analysis systems and standardized observational tests (n = 7). We identified three domains representative for MQ: range of motion (ROM), inter-segmental coordination, and whole-body movements. In these domains, patients with NS-LBP significantly differed from healthy controls, respectively 7/12, 12/13 and 13/20 studies. Moreover, ROM and whole-body movements significantly improved over time in patients with NS-LBP (3/3 studies). Based on phase 3, we concluded that none of the instruments are appropriate to assess MQ in patients with NS-LBP in primary care. SIGNIFICANCE Forward bending, lifting, and walking seem the most relevant activities to evaluate in patients with NS-LBP. However, we found no suitable instruments to measure ROM, inter-segmental coordination, or whole-body movements as determinants of MQ in these activities in daily practice. We therefore recommend such an instrument be developed.
Collapse
Affiliation(s)
- Margriet J H van Dijk
- HU University of Applied Sciences, Institute for Human Movement Studies, Utrecht, the Netherlands.
| | - Nienke T A Smorenburg
- HU University of Applied Sciences, Institute for Human Movement Studies, Utrecht, the Netherlands
| | - Yvonne F Heerkens
- HAN University of Applied Sciences, Research Group Occupation & Health, Nijmegen & Dutch Institute of Allied Health Care, Amersfoort, the Netherlands
| | - Jurgen Mollema
- HU University of Applied Sciences, Institute for Human Movement Studies, Utrecht, the Netherlands
| | - Henri Kiers
- HU University of Applied Sciences, Institute for Human Movement Studies, Utrecht, the Netherlands
| | | | - Bart Visser
- Amsterdam University of Applied Sciences, ACHIEVE Centre of Expertise, Faculty of Health, Amsterdam, the Netherlands
| |
Collapse
|
23
|
Dekkers LM, Satink T, Nijhuis-Van Der Sanden MW, De Swart BJ, Maas MJ, Janssen AJ. Educational programs for learning to observe movement quality in physical therapy: a design-based research approach. Physiother Theory Pract 2020; 38:76-89. [PMID: 31942826 DOI: 10.1080/09593985.2020.1712754] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Introduction: Movement observation is a core aspect in physical therapists' diagnosis to determine which interventions are adequate to improve functional abilities. The aim of this study was to derive design principles for an educational program for the development of observational skills.Methods: We used a qualitative approach within a design-based research methodology. In four rounds, 8 physical therapy students, 16 teachers, and 9 practitioners participated in five Nominal Group Technique meetings and six interviews. Meetings and interviews were transcribed verbatim and analyzed using thematic analysis.Results: We identified three themes, each with several design principles: (1) didactics; (2) professional content; and (3) conditions for optimal learning. We developed a proto-theory underpinned with underlying educational theories.Conclusions: To learn observational skills, students, facilitated by an experienced teacher, need to take the lead in their own learning process. This might imply a need for additional training for teachers. A realistic context is a precondition for learning; it might be necessary to increase possibilities for observations in clinical contexts or to invest in training for (simulated) patients as participants in education. Further research is needed to test the applicability of the design principles and a proto-theory for other professionals with a focus on observation and analysis of movements.
Collapse
Affiliation(s)
- Lieke M Dekkers
- Department of Allied Health Studies, HAN University of Applied Sciences, Nijmegen, Netherlands.,Radboud Institute for Health Sciences, Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Nijmegen, Netherlands.,Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, Netherlands
| | - Ton Satink
- Department of Allied Health Studies, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Maria W Nijhuis-Van Der Sanden
- Radboud Institute for Health Sciences, Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Nijmegen, Netherlands.,Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, Netherlands
| | - Bert J De Swart
- Department of Allied Health Studies, HAN University of Applied Sciences, Nijmegen, Netherlands.,Radboud Institute for Health Sciences, Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Nijmegen, Netherlands
| | - Marjo J Maas
- Department of Allied Health Studies, HAN University of Applied Sciences, Nijmegen, Netherlands.,Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, Netherlands
| | - Anjo J Janssen
- Radboud Institute for Health Sciences, Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Nijmegen, Netherlands
| |
Collapse
|
24
|
Dekkers LMA, de Swart BJM, Jonker M, van Erp P, Wisman A, van der Wees PJ, Nijhuis van der Sanden MWG, Janssen AJWM. Reliability and Responsiveness of the Observable Movement Quality Scale for Children with Mild to Moderate Motor Impairments. Phys Occup Ther Pediatr 2020; 40:681-696. [PMID: 32106738 DOI: 10.1080/01942638.2020.1729924] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
AIM The Observable Movement Quality (OMQ) scale measures generic movement quality and is used alongside standardized age-adequate motor performance tests. The scale consists of 15 items, each focusing on a different aspect; together, the entire construct of movement quality is assessed. This study aimed to determine interrater and intrarater reliability, and responsiveness of the OMQ scale. METHODS A prospective intervention study with pre-post design in pediatric physical therapy practices. For interrater reliability, 3 physical therapists observed video-recorded motor assessments of 30 children with mild to moderate motor impairments -aged 4 to 12 years-using the OMQ scale. One therapist scored baseline assessment a second time for intrarater reliability, and to calculate smallest detectable change (SDC). Responsiveness (n = 28) was tested by comparing outcomes before and after intervention. RESULTS Interrater reliability was moderate to good (ICC2,1: 0.79); intrarater reliability was high (ICC2,1: 0.97). Responsiveness results revealed an SDC of 2.4 and a minimal important change of 2.5; indicating sufficient validity in differentiating groups of children showing improved versus unchanged movement quality. CONCLUSION The OMQ scale is reliable and responsive to change when used to assess movement quality in clinical practice for children with mild to moderate motor impairments, aged 4-12 year.
Collapse
Affiliation(s)
- Lieke M A Dekkers
- Department of Allied Health Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.,Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Amalia Children's Hospital, Radboud Institute for Health Sciences, The Netherlands
| | - Bert J M de Swart
- Department of Allied Health Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.,Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Amalia Children's Hospital, Radboud Institute for Health Sciences, The Netherlands
| | - Marianne Jonker
- Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Pauline van Erp
- Center for Pediatric Physical Therapy Daanen Derksen, Arnhem, The Netherlands
| | - Anneke Wisman
- Center for Physical Therapy ViaFysio, Zevenaar, The Netherlands
| | - Philip J van der Wees
- Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Amalia Children's Hospital, Radboud Institute for Health Sciences, The Netherlands.,Radboud University Medical Center, Scientific Institute for Quality of Health Care, Nijmegen, The Netherlands
| | - Maria W G Nijhuis van der Sanden
- Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Amalia Children's Hospital, Radboud Institute for Health Sciences, The Netherlands.,Radboud University Medical Center, Scientific Institute for Quality of Health Care, Nijmegen, The Netherlands
| | - Anjo J W M Janssen
- Department of Rehabilitation, Pediatric Physical Therapy, Radboud University Medical Center, Amalia Children's Hospital, Radboud Institute for Health Sciences, The Netherlands
| |
Collapse
|
25
|
Dekkers LMA, Janssen AJWM, Donders ART, Nijhuis-van der Sanden MWG, de Swart BJM. Construct Validity of the Observable Movement Quality Scale in Pediatrics: Hypothesis Testing of a Formative Measurement Model. Phys Ther 2019; 100:346-358. [PMID: 32031656 PMCID: PMC7246075 DOI: 10.1093/ptj/pzz166] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 04/23/2019] [Accepted: 08/14/2019] [Indexed: 12/14/2022]
Abstract
BACKGROUND The Observable Movement Quality (OMQ) Scale measures generic movement quality. Each item of the OMQ Scale focuses on a different element; together, the 15 items assess the whole construct of movement quality. OBJECTIVE The aim of this study was to determine the construct validity of the OMQ Scale using 7 hypotheses defined to conform to the Consensus-Based Standards for the Selection of Health Measurement Instruments. DESIGN This was an exploratory validation study. METHODS A pediatric physical therapist assessed motor performance in 101 children using an age-specific motor test and the OMQ Scale. The direction, magnitude, and rationale for 7 hypotheses, which concerned relationships (n = 2), probability of low scores (n = 4), and difference between diagnosis subgroups (n = 1), were defined. RESULTS The results confirmed 6 of the 7 hypotheses, indicating sufficient construct validity. Significant positive relationships were found between OMQ Scale total scores and the severity of motor disabilities (r = 0.72) and z scores on motor tests (r = 0.60). Probabilities for low scores on OMQ Scale items-exceeding the chi-square critical value-were confirmed for children diagnosed with spasticity, psychomotor retardation, mitochondrial diseases, and ataxia; however, probabilities for low OMQ Scale item scores on strength regulation in children with ataxia were not confirmed. OMQ Scale total scores for children who were not ambulatory because of neurological conditions were significantly different from those for children who were not ambulatory because of fatigue (r = 0.66). LIMITATIONS The sample of children was based on theoretical assumptions about relevant variations in clinical representations; on the basis of the results, it appears that children with low strength regulation were underrepresented. CONCLUSION The confirmation of nearly all hypotheses supported the validity of the OMQ Scale for measuring movement quality in clinical practice in addition to standardized age-adequate motor performance tests.
Collapse
Affiliation(s)
- Lieke M A Dekkers
- Department of Allied Health Studies, HAN University of Applied Sciences, PO Box 6960, 6503 GL Nijmegen, the Netherlands; Pediatric Physical Therapy, Department of Rehabilitation, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands,Address all correspondence to Mrs Dekkers at:
| | - Anjo J W M Janssen
- Pediatric Physical Therapy, Department of Rehabilitation, Radboud Institute for Health Sciences, Radboud University Medical Center
| | | | - Maria W G Nijhuis-van der Sanden
- Scientific Institute for Quality of Health Care, and Pediatric Physical Therapy, Department of Rehabilitation, Radboud Institute for Health Sciences, Radboud University Medical Center
| | - Bert J M de Swart
- Department of Allied Health Studies, HAN University of Applied Sciences; and Pediatric Physical Therapy, Department of Rehabilitation, Radboud Institute for Health Sciences, Radboud University Medical Center
| |
Collapse
|
26
|
Roenn-Smidt H, Jensen M, Pallesen H. Body and identity in physiotherapy after stroke. Physiother Theory Pract 2019; 37:1067-1079. [PMID: 31642722 DOI: 10.1080/09593985.2019.1681041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Background: Stroke has been described as a rupture of current life, causing changes in the patient's identity. This has important consequences for the patient's life after stroke. Nevertheless, there is still a lack of science on the subject and also a lack of consistency in how to confront this in rehabilitation.Aim: The aim of this study is to explore how interaction between patient and physiotherapist is conducted and how an approach inspired by phenomenology might support and develop identity.Design and Methods: A qualitative study based on empirical data consisting of 146 short videos of physiotherapist and patient interactions as well as observations and interviews of physiotherapists and patients. Twelve patients were included, and data was constructed throughout their rehabilitation process (on average 2.5 years). Data was analyzed using an analytical model for multimodal interaction.Result: Four themes emerged: 1) feedback as a bodily knowledge; 2) control of the process; 3) adjustment; and 4) the bodily approach. The results revealed the importance of approaching the patient body as both an object and a subject in order to interact with the patient's bodily knowledge.Conclusion: A phenomenological approach to the patient can support the patient's embodied knowledge, and can thereby support and develop the patient's identity.
Collapse
Affiliation(s)
- Helle Roenn-Smidt
- Hammel Neurorehabilitation Centre and University Research Clinic, RM, University of Aarhus, Hammel, Denmark
| | - Marianne Jensen
- Department of research, Municipality of Randers, Hammel, Denmark
| | - Hanne Pallesen
- Hammel Neurorehabilitation Centre and University Research Clinic, RM, University of Aarhus, Hammel, Denmark
| |
Collapse
|
27
|
Mitsue S, Yamamoto T. Relationship between depression and movement quality in normal young adults. J Phys Ther Sci 2019; 31:819-822. [PMID: 31645813 PMCID: PMC6801341 DOI: 10.1589/jpts.31.819] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Accepted: 07/22/2019] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Somatic symptoms, such as hyposomnia and anorexia, can affect depression and
result in decreased movement quality; however, the relationship between movement quality
and somatic symptoms is unclear. The present study investigated the characteristics of
this relationship using observable posture and movements. [Participants and Methods]
Twenty healthy young adults (mean age 20.9 ± 0.4 years) participated in the study. First,
we administered the Self-rating Depression Scale questionnaire to the participants.
Second, a qualified physical therapist assessed the movement quality of the volunteers
using the Body Awareness Rating Scale-Movement Quality and Experience. We classified the
participants into high- and low-score groups based on their Self-rating Depression Scale
scores and then analyzed the Body Awareness Rating Scale-Movement Quality and Experience
scores in both groups. [Results] There was a significant difference in the movement
quality between the Self-rating Depression Scale high- and low-score groups. The
Self-rating Depression Scale total score ranged from 20 to 80, with higher scores
indicating a greater severity of depression. The low-score group had higher scores for the
Body Awareness Rating Scale-Movement Quality and Experience than the high-score group in
all items. [Conclusion] The present study showed that movement quality was related to
symptoms of depression, thereby suggesting that early detection and treatment
interventions for depression are possible by an assessment of movement quality.
Collapse
Affiliation(s)
- Shingo Mitsue
- Department of Rehabilitation, Itami Kosei Neurosurgical Hospital: 1-300-1 Nishino, Itami-shi, Hyogo 664-0028, Japan
| | - Taisei Yamamoto
- Department of Physical Therapy, Kobegakuin University, Japan
| |
Collapse
|
28
|
Gyllensten AL, Jacobsen LN, Gard G. Clinician perspectives of Basic Body Awareness Therapy (BBAT) in mental health physical therapy: An international qualitative study. J Bodyw Mov Ther 2019; 23:746-751. [DOI: 10.1016/j.jbmt.2019.04.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Accepted: 04/26/2019] [Indexed: 12/11/2022]
|
29
|
Baur K, Rohrbach N, Hermsdörfer J, Riener R, Klamroth-Marganska V. The "Beam-Me-In Strategy" - remote haptic therapist-patient interaction with two exoskeletons for stroke therapy. J Neuroeng Rehabil 2019; 16:85. [PMID: 31296226 PMCID: PMC6625018 DOI: 10.1186/s12984-019-0547-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Accepted: 06/05/2019] [Indexed: 11/29/2022] Open
Abstract
Background We present a robot-assisted telerehabilitation system that allows for haptic interaction between therapist and patient over distance. It consists of two arm therapy robots. Attached to one robot the therapists can feel on their own arm the limitations of the patient’s arm which is attached to the other robot. Due to the exoskeleton structure of the robot, movements can be performed in the three-dimensional space. Methods Fifteen physical and occupational therapists tested this strategy, named “Beam-Me-In”, while using an exoskeleton robot connected to a second exoskeleton robot in the same room used by the study experimenter. Furthermore, the therapists assessed the level of impairment of recorded and simulated arm movements. They quantified four typical impairments of stroke patients: reduced range of motion (active and passive), resistance to passive movement, a lack of ability to fractionate a movement, and disturbed quality of movement. Results On a Likert Scale (0 to 5 points) therapists rated the “Beam-Me-In” strategy as a very useful medium (mode: 4 points) to evaluate a patient’s progress over time. The passive range of motion of the elbow joint was assessed with a mean absolute error of 4.9∘ (absolute precision error: 6.4∘). The active range of motion of the elbow was assessed with a mean absolute error of 4.9∘ (absolute precision error: 6.5∘). The resistance to passive movement (i.e. modified Tardieu Scale) and the lack of ability to fractionate a movement (i.e. quantification of pathological muscle synergies) was assessed with an inter-rater reliability of 0.930 and 0.948, respectively. Conclusions The “Beam-Me-In” strategy is a promising approach to complement robot-assisted movement training. It can serve as a platform to assess and identify abnormal movement patterns in patients. This is the first application of remote three-dimensional haptic assessmen t applied to telerehabilitation. Furthermore, the “Beam-Me-In” strategy has a potential to overcome barriers for therapists regarding robot-assisted telerehabilitation.
Collapse
Affiliation(s)
- Kilian Baur
- Sensory-Motor Systems Lab, Department of Health Sciences and Technology, Swiss Federal Institute of Technology (ETH Zurich), Tannenstrasse 1, Zurich, 8092, Switzerland. .,Spinal Cord Injury Center, University Hospital Balgrist, University of Zurich, Zurich, Switzerland, Forchstrasse 340, Zurich, 8008, Switzerland.
| | - Nina Rohrbach
- Chair of Human Movement Science, Department of Sport and Health Sciences, Technical University of Munich, (TU Munich), Munich, Germany, Georg-Brauchle-Ring 60-62/III, Munich, 80992, Germany
| | - Joachim Hermsdörfer
- Chair of Human Movement Science, Department of Sport and Health Sciences, Technical University of Munich, (TU Munich), Munich, Germany, Georg-Brauchle-Ring 60-62/III, Munich, 80992, Germany
| | - Robert Riener
- Sensory-Motor Systems Lab, Department of Health Sciences and Technology, Swiss Federal Institute of Technology (ETH Zurich), Tannenstrasse 1, Zurich, 8092, Switzerland.,Spinal Cord Injury Center, University Hospital Balgrist, University of Zurich, Zurich, Switzerland, Forchstrasse 340, Zurich, 8008, Switzerland
| | - Verena Klamroth-Marganska
- Sensory-Motor Systems Lab, Department of Health Sciences and Technology, Swiss Federal Institute of Technology (ETH Zurich), Tannenstrasse 1, Zurich, 8092, Switzerland.,Spinal Cord Injury Center, University Hospital Balgrist, University of Zurich, Zurich, Switzerland, Forchstrasse 340, Zurich, 8008, Switzerland.,School of Health Professions, Institute of Occupational Therapy, Zurich University of Applied Sciences (ZHAW), Winterthur, Switzerland, Technikumstrasse 81, Winterthur, 8400, Switzerland
| |
Collapse
|
30
|
Olsen AL, Strand LI, Magnussen LH, Sundal MA, Skjaerven LH. Descriptions of movement experiences in the Body Awareness Rating Scale - Movement Quality and Experience evaluation. A qualitative study of patients diagnosed with hip osteoarthritis. Physiother Theory Pract 2019; 37:486-496. [PMID: 31257979 DOI: 10.1080/09593985.2019.1636434] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Background: Patients' access to movement experiences is implemented in the evaluation tool Body Awareness Rating Scale - Movement Quality and Experience, with its two intertwined parts: 1) the physiotherapist's observations of movement quality; and 2) the patient's descriptions of immediate movement experiences.Objective: To study movement experiences and reflections described by patients diagnosed with hip osteoarthritis when guided to explore simple daily-life movements in this particular evaluation context.Design: An explorative qualitative study with open-ended questions following each of the 12 movements integrated into the evaluation.Methods: 35 participants diagnosed with hip osteoarthritis were included; 28 women and 7 men, aged 23-78 years. Their descriptions were audiotaped, transcribed verbatim and analyzed in accordance with qualitative content analysis.Results: The patients described experiences of a dynamic adaptation of movement strategies based on sensations from the moving body. Two interrelated categories of movement awareness were identified: 1) Experienced movement challenges, including three sub-categories; a) Lack of contact, b) Movement changed by symptoms, and c) Compensational movement habits, and 2) Movement components promoting well-being, including three sub-categories; a) Integrating balance, breathing and awareness into movement, b) Small, simple, soft and safe movements, and c) A taste of own movement resources for daily life.Conclusions: The Body Awareness Rating Scale - Movement Quality and Experience provides a platform for patients to become aware of and describe their movement habits and resources in own words, intertwined with the physiotherapist movement observations. Derived descriptions reflect a patient perspective to be implemented in therapy.
Collapse
Affiliation(s)
- Aarid L Olsen
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.,Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway
| | - Liv I Strand
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Liv H Magnussen
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.,Department of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Mary-Anne Sundal
- Department of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Liv H Skjaerven
- Department of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| |
Collapse
|
31
|
Tjønnås J, Seeberg TM, Rindal OMH, Haugnes P, Sandbakk Ø. Assessment of Basic Motions and Technique Identification in Classical Cross-Country Skiing. Front Psychol 2019; 10:1260. [PMID: 31231279 PMCID: PMC6566644 DOI: 10.3389/fpsyg.2019.01260] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2019] [Accepted: 05/13/2019] [Indexed: 12/17/2022] Open
Abstract
Cross-country skiing is a popular Olympic winter sport, which is also used extensively as a recreational activity. While cross-country skiing primarily is regarded as a demanding endurance activity it is also technically challenging, as it contains two main styles (classical and skating) and many sub-techniques within these styles. To further understand the physiological demands and technical challenges of cross-country skiing it is imperative to identify sub-techniques and basic motion features during training and competitions. Therefore, this paper presents features for identification and assessment of the basic motion patterns used during classical-style cross-country skiing. The main motivation for this work is to contribute to the development of a more detailed platform for comparing and communicating results from technique analysis methods, to prevent unambiguous definitions and to allow more precise discussions and quality assessments of an athlete's technical ability. To achieve this, our paper proposes formal motion components and classical style technique definitions as well as sub-technique classifiers. This structure is general and can be used directly for other cyclic activities with clearly defined and distinguishable sub-techniques, such as the skating style in cross country skiing. The motion component features suggested in our approach are arm synchronization, leg kick, leg kick direction, leg kick rotation, foot/ski orientation and energy like measures of the arm, and leg motion. By direct measurement, estimation, and the combination of these components, the traditional sub-techniques of diagonal stride, double poling, double poling kick, herringbone, as well as turning techniques can be identified. By assuming that the proposed definitions of the classical XC skiing sub-techniques are accepted, the presented classifier is proven to map measures from the motion component definitions to a unique representation of the sub-techniques. This formalization and structure may be used on new motion components, measurement principles, and classifiers, and therefore provides a framework for comparing different methodologies. Pilot data from a group of high-level cross-country skiers employing inertial measurement sensors placed on the athlete's arms and skis are used to demonstrate the approach. The results show how detailed sub-technique information can be coupled with physical, track, and environmental data to analyze the effects of specific motion patterns, to develop useful debriefing tools for coaches and athletes in training and competition settings, and to explore new research hypotheses.
Collapse
Affiliation(s)
| | | | - Ole Marius Hoel Rindal
- Department of Neuromedicine and Movement Science, Centre for Elite Sports Research, Norwegian University of Science and Technology, Trondheim, Norway
| | - Pål Haugnes
- Department of Neuromedicine and Movement Science, Centre for Elite Sports Research, Norwegian University of Science and Technology, Trondheim, Norway
| | - Øyvind Sandbakk
- Department of Neuromedicine and Movement Science, Centre for Elite Sports Research, Norwegian University of Science and Technology, Trondheim, Norway
| |
Collapse
|
32
|
Bravo C, Skjaerven LH, Guitard Sein-Echaluce L, Catalan-Matamoros D. Effectiveness of movement and body awareness therapies in patients with fibromyalgia: a systematic review and meta-analysis. Eur J Phys Rehabil Med 2019; 55:646-657. [PMID: 31106558 DOI: 10.23736/s1973-9087.19.05291-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
INTRODUCTION Fibromyalgia is a long-term condition that is associated with widespread pain and is recognized as one of the major common causes of disability. The standard clinical guidance for fibromyalgia includes both pharmacological and non-pharmacological interventions. In the latter, different interventions are implemented such as aerobic exercises, flexibility exercises, strength training, stretching and body awareness (BA) therapies. The aims of this review were to provide a summary of movement and BA therapies in patients with fibromyalgia and to compare the different therapies in relation to outcomes. EVIDENCE ACQUISITION The search strategy was undertaken using the following databases from inception to October 2018: PubMed, Cinahl, PEDro, PsychoInfo and The Cochrane Library. Articles were eligible if they were randomized controlled trials (RCTs) comparing movement and BA therapies with another intervention. EVIDENCE SYNTHESIS Two authors independently extracted data and assessed trial quality; 418 studies were found, twenty-two of which met the inclusion criteria. Pain symptom was improved with movement and BA therapies such as, affective self-awareness, t'ai chi, yoga, belly dance, strengthening program and Resseguier method. Forest plot analysis in short term confirms positive trend in favor of BA; however, a great heterogeneity was found between trials. CONCLUSIONS This systematic review and meta-analysis shows positive results in favor of movement and BA therapies as adjunct treatment to usual care in patients who suffer from fibromyalgia. Further work in identifying the mechanism of action by which BA therapies benefit outcomes should be undertaken.
Collapse
Affiliation(s)
- Cristina Bravo
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
| | - Liv H Skjaerven
- Department of Physiotherapy, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway
| | | | - Daniel Catalan-Matamoros
- Health Sciences Research Group CTS 451, University of Almeria, Almeria, Spain - .,Health Communication Research Unit, University Carlos III of Madrid, Madrid, Spain
| |
Collapse
|
33
|
Skjaerven LH, Gard G, Gómez-Conesa A, Catalan-Matamoros D. A vocabulary describing health-terms of movement quality – a phenomenological study of movement communication. Disabil Rehabil 2019; 42:3152-3161. [DOI: 10.1080/09638288.2019.1585970] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Liv Helvik Skjaerven
- Department Health and Function, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Gunvor Gard
- Department of Health Sciences, Division of Physiotherapy, Lund University, Lund, Sweden
- Department of Health Sciences, Division of Physiotherapy, Luleå University, Luleå, Sweden
| | - Antonia Gómez-Conesa
- Murcia University Research Group in Physiotherapy and Health Promotion, Regional Campus of International Excellence “Campus Mare Nostrum”, Murcia, Spain
| | - Daniel Catalan-Matamoros
- Department of Journalism and Communication, University Carlos III of Madrid, Madrid, Spain
- Research Group of Health Sciences CTS-451, University of Almeria, Almeria, Spain
| |
Collapse
|
34
|
Dybesland AR, Normann B. Group physiotherapy targeting core stability and balance in individuals with multiple sclerosis. ‘Movement analyses and individualisations: potent change-making tools’. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2019. [DOI: 10.1080/21679169.2018.1496473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
| | - Britt Normann
- Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromso, Norway
| |
Collapse
|
35
|
Gard G, Nyboe L, Gyllensten AL. Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy – a qualitative study? EUROPEAN JOURNAL OF PHYSIOTHERAPY 2019. [DOI: 10.1080/21679169.2018.1549592] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Gunvor Gard
- Department of Health Sciences, Lund University, Lund, Sweden
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
| | - Lene Nyboe
- Research unit for PTSD, Section for depression and anxiety, Aarhus University Hospital, Risskov, Denmark
| | | |
Collapse
|
36
|
Albertsen MN, Natvik E, Råheim M. Patients' experiences from basic body awareness therapy in the treatment of binge eating disorder -movement toward health: a phenomenological study. J Eat Disord 2019; 7:36. [PMID: 31641506 PMCID: PMC6802330 DOI: 10.1186/s40337-019-0264-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Accepted: 09/30/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Binge Eating Disorder (BED) is the most common eating disorder. Patients with BED are often not diagnosed, nor offered adequate specific treatment. A great number of those who receive recommended treatment do not recover over time. More knowledge about central aspects of BED, and treatments that specifically target such aspects is needed. Previous research has linked body experience to the development and maintenance of eating disorders, as well as influencing treatment results and the risk of relapse. The aim of this study was to explore how patients with BED experience Basic Body Awareness Therapy (BBAT), which is a psychomotor physiotherapy treatment addressing body experience. METHOD In this phenomenological study, we interviewed two patients with BED in depth during and after treatment. Video observations of treatment sessions and logs written by the patients were used as supporting data. The analysis was guided by Van Manen's hermeneutic phenomenology. RESULTS A meaning structure was identified: "On the way from the body as a problem to the body as a possibility." The two participants that besides BED also had a history of childhood trauma, perceived BBAT as a process of getting to know their own bodies in new ways, and described that the way they related to their own body changed as did aspects of their way of being. These changes were prominent when the participants described emotions, movement, pain, calmness, and self-experience, and interwoven with relational aspects as well as practices in everyday life. CONCLUSION The present results indicate that BBAT stimulated body experience in a way that opened new possibilities for two participants with BED, and hence that BBAT can improve the health status of BED patients also suffering from childhood trauma.
Collapse
Affiliation(s)
- Marit Nilsen Albertsen
- 1Department of Global Health and Primary Care, University of Bergen, Bergen, Norway.,Present address: Department of Eating Disorders, Division of Psychiatry, Haukeland University Hospital, Institute of Psychological Counselling , Bergen, Norway
| | - Eli Natvik
- 3Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Førde, Norway
| | - Målfrid Råheim
- 4Department of Global Health and Primary Care, University of Bergen, Bergen, Norway
| |
Collapse
|
37
|
Bravo C, Skjaerven LH, Guitard Sein-Echaluce L, Catalan-Matamoros D. Experiences from group basic body awareness therapy by patients suffering from fibromyalgia: A qualitative study. Physiother Theory Pract 2018; 36:933-945. [PMID: 30247934 DOI: 10.1080/09593985.2018.1517286] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
The aim of this study was to obtain a deeper understanding of how patients with fibromyalgia experienced movement awareness through a basic body awareness therapy group treatment program. A total of 19 participants with fibromyalgia diagnosis were interviewed individually and in groups. Data collection was done from three sources: (1) interviews from the Basic Body Awareness Rating Scale (BARS) part 2 at baseline, at end of treatment, as well as at 12 and 24 weeks follow up; (2) focus group discussions that took place at the end of each session, and at the end of treatment; and (3) an in-depth focus group. Giorgi's method was followed for data construction and analysis. The researchers conducted 57 individual interviews, 10 focus groups, and one in-depth focus group. The findings revealed the following categories: "creating a new relation to self"; "change the pattern of body awareness"; "being in a group"; and "experiencing physical capacity", showing influences among them. Body awareness seems to have an impact in the therapeutic process in patients suffering from fibromyalgia.
Collapse
Affiliation(s)
- Cristina Bravo
- Department of Nursing and Physiotherapy, University of Lleida , Lleida, Spain
| | - Liv H Skjaerven
- Department of Physiotherapy, Faculty of Health and Social Sciences, Bergen University College , Bergen, Norway
| | | | - Daniel Catalan-Matamoros
- Research Group CTS 451 "Health Sciences", University of Almeria , Almeria, Spain.,Science/Health Communication. University Carlos III of Madrid , Madrid, Spain
| |
Collapse
|
38
|
Bergland A, Olsen CF, Ekerholt K. The effect of psychomotor physical therapy on health-related quality of life, pain, coping, self-esteem, and social support. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2018; 23:e1723. [PMID: 30003628 DOI: 10.1002/pri.1723] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2018] [Revised: 04/12/2018] [Accepted: 05/06/2018] [Indexed: 12/17/2022]
Abstract
BACKGROUND Norwegian psychomotor physiotherapy (NPMP) is commonly applied for patients with long-lasting pain and psychological symptoms. The approach is based on a bio-psychosocial model of health and might have benefits to physical, psychological, and physical domains of health-related quality of life (HRQOL). No previous randomized controlled clinical trials have been performed to examine the effectiveness of NPMP as individual treatment. The aim was therefore to assess the effect of a 6-month intervention of NPMP on HRQOL and on pain, coping, social support, and self-esteem. METHODS The study was a pragmatic randomized controlled trial comparing an intervention group with a control group. Participants were recruited from 36 physiotherapists specialized in NPMP, working in private practice. The intervention group received NPMP once weekly for 6 months, whereas the control group received no intervention. Measurements were performed at baseline and after 6 months. A total of 105 participants were included. HRQOL was measured by the 36-item Short Form Health Survey, SF-36. To examine the effect of the intervention, independent sample t tests were performed with the "difference in mean values," delta (=∆, posttest result - baseline result). RESULTS Significant differences between the two groups were observed in six of the eight SF-36 domains: Physical Functioning, Bodily Pain, General Health, Mental Health, Social Functioning, and Vitality. Effect size ranged from 0.9 for Vitality to 0.3 for Role Physical and Role Emotional. Furthermore, there was a significant difference between groups regarding pain and self-esteem in favour of the intervention group. The Cohen's d effect sizes of the different dimensions of HRQOL ranged from 0.3 to 0.9 with a median of 0.6. CONCLUSION The results of this study demonstrate that 6-month intervention of NPMP increased HRQOL and self-esteem as well as reduced pain.
Collapse
Affiliation(s)
- Astrid Bergland
- Faculty of Health Sciences, Department of Physiotherapy, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - Cecilie Fromholt Olsen
- Faculty of Health Sciences, Department of Physiotherapy, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - Kirsten Ekerholt
- Faculty of Health Sciences, Department of Physiotherapy, OsloMet - Oslo Metropolitan University, Oslo, Norway
| |
Collapse
|
39
|
Bravo C, Skjaerven LH, Espart A, Guitard Sein-Echaluce L, Catalan-Matamoros D. Basic Body Awareness Therapy in patients suffering from fibromyalgia: A randomized clinical trial. Physiother Theory Pract 2018; 35:919-929. [PMID: 29723080 DOI: 10.1080/09593985.2018.1467520] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Cristina Bravo
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
| | - Liv Helvik Skjaerven
- Department of Health and Function, Western Norway University of Applied Sciences, Bergen, Norway
| | - Anna Espart
- Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
- Health Care Research Group, GRECS, Biomedical Research Institute of Lleida, Lleida, Spain
| | | | - Daniel Catalan-Matamoros
- Health Sciences Research Group CTS-451, University of Almeria, Almeria, Spain
- Department of Journalism and Communication, University Carlos III of Madrid, Madrid, Spain
| |
Collapse
|
40
|
Kaarbø MB, Haugstad GK, Stubhaug A, Wojniusz S. The Standardised Mensendieck Test as a tool for evaluation of movement quality in patients with nonspecific chronic low back pain. Scand J Pain 2018; 18:203-210. [DOI: 10.1515/sjpain-2018-0028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Accepted: 02/23/2018] [Indexed: 11/15/2022]
Abstract
Abstract
Background and aims:
Nonspecific chronic low back pain is a multifactorial biopsychosocial health problem where accurate assessments of pain, function and movement are vital. There are few reliable and valid assessment tools evaluating movement quality, hence the aim was to investigate nonspecific chronic low back pain patients’ movement patterns with the Standardised Mensendieck Test.
Methods:
Twenty patients (mean age=41, SD=9.02) with nonspecific chronic low back pain were examined with the Standardised Mensendieck Test whilst being videotaped and compared with 20 healthy controls. A physiotherapist, blinded to participant’s group belonging, scored Standardised Mensendieck Test videos according to the standardised manual. Associations between movement quality, fear of movement and re(injury) i.e. kinesiophobia and pain intensity were also investigated.
Results:
Patients scored significantly poorer than the controls in all 5 Standardised Mensendieck Test domains (p<0.001). The biggest difference was observed with regard to movement pattern domain. In women we also found a difference in the respiration pattern domain.
Conclusions:
The Standardised Mensendieck Test was able to detect significant differences in quality of movement between patients and healthy controls. These results indicate that the Standardised Mensendieck Test may be a valuable examination tool in assessment and treatment of nonspecific chronic low back pain patients. Further, longitudinal studies should investigate whether poor movement and respiration patterns are important factors in nonspecific chronic low back pain, e.g. as predictors and/or mediators of therapeutic effects.
Collapse
Affiliation(s)
- Mette Bøymo Kaarbø
- Department of Pain Management and Research , Oslo University Hospital, Postboks 4956 Nydalen , 0424 Oslo , Norway
| | - Gro Killi Haugstad
- Department of Physiotherapy , Faculty of Health Sciences, OsloMet – Oslo Metropolitan University , Oslo , Norway
- Department of Psychosomatic Medicine , Oslo University Hospital , Oslo , Norway
| | - Audun Stubhaug
- Department of Pain Management and Research , Oslo University Hospital , Oslo , Norway
| | - Slawomir Wojniusz
- Department of Physiotherapy , Faculty of Health Sciences, OsloMet – Oslo Metropolitan University , Oslo , Norway
- Cognitive Health in Trauma and Disease (CHTD) Research Group, Oslo University Hospital , Oslo , Norway
| |
Collapse
|
41
|
Skjaerven LH, Mattsson M, Catalan-Matamoros D, Parker A, Gard G, Gyllensten AL. Consensus on core phenomena and statements describing Basic Body Awareness Therapy within the movement awareness domain in physiotherapy. Physiother Theory Pract 2018; 35:80-93. [DOI: 10.1080/09593985.2018.1434578] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- LH. Skjaerven
- Department of Occupational Therapy, Physiotherapy and Radiography, Western Norway University of Applied Sciences, Campus Kronstad, Bergen, Norway
| | - M. Mattsson
- Department of Clinical Sciences, Division of Psychiatry, Umeå University, Umeå, Sweden
| | - D. Catalan-Matamoros
- Department of Nursing, Physiotherapy and Medicine, University of Almeria, Almeria, Spain
- Faculty of Humanities, Communication and Documentation, University Carlos III of Madrid, Madrid, Spain
| | - A. Parker
- Physiotherapy Department, Royal Edinburgh Hospital, Edinburgh, UK
| | - G. Gard
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
| | | |
Collapse
|
42
|
Yagci G, Yakut Y, Simsek E. The effects of exercise on perception of verticality in adolescent idiopathic scoliosis. Physiother Theory Pract 2018; 34:579-588. [PMID: 29308950 DOI: 10.1080/09593985.2017.1423429] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
PURPOSE Visual and proprioceptive cues are important for body orientation to maintain correct posture. This study investigated the effects of exercise training on subjective visual, postural, and haptic perception of verticality in patients with scoliosis. SUBJECTS AND METHODS Thirty-two female adolescents with moderate idiopathic scoliosis were randomly allocated to "Core Stabilization Exercise (CSE)," "Body Awareness," or "Traditional Exercise (TE)" groups. Each group completed a 1-hour supervised program, two days per week for 10 weeks while continuing to wear spinal braces. Perceptual visual, postural, and haptic estimates were assessed before and after treatment. RESULTS Subjective visual vertical perception only improved in the awareness group. Subjective visual horizontal perception, postural vertical perception, total postural perception scores, total haptic perception scores, and haptic perception 45° to the right were significantly improved in the stabilization and awareness groups. For the 60° right and 60° left postural perception parameters, as well as the 45° left haptic perception parameters, perception improved only in the stabilization group. No improvement was observed in the traditional group. CONCLUSION Improvements in visual, postural, and haptic verticality perception within the stabilization exercise training and Basic Body Awareness group treatment suggest the addition of these exercise methods for the treatment of idiopathic scoliosis to improve internal body orientation.
Collapse
Affiliation(s)
- Gozde Yagci
- a Hacettepe University, Faculty of Health Sciences , School of Physical Therapy and Rehabilitation Sciences, Samanpazari , Ankara , Turkey
| | - Yavuz Yakut
- b Physiotherapy and Rehabilitation Department, Hasan Kalyoncu University, Faculty of Health Sciences , Altindag Turkey , Turkey
| | - Engin Simsek
- c Dokuz Eylul University, School of Physical Therapy and Rehabilitation Sciences , İzmir , Turkey
| |
Collapse
|
43
|
Keessen P, Maaskant J, Visser B. The reliability and validity of the standardized Mensendieck test in relation to disability in patients with chronic pain. Physiother Theory Pract 2018; 34:629-636. [DOI: 10.1080/09593985.2017.1423428] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Paul Keessen
- Amsterdam University of Applied Sciences, ACHIEVE - Amsterdam Centre for Innovative Health Practice, Amsterdam, The Netherlands
| | - Jolanda Maaskant
- Amsterdam University of Applied Sciences, ACHIEVE - Amsterdam Centre for Innovative Health Practice, Amsterdam, The Netherlands
- Department of Clinical Epidemiology and Biostatistics, Amsterdam Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Bart Visser
- Amsterdam University of Applied Sciences, ACHIEVE - Amsterdam Centre for Innovative Health Practice, Amsterdam, The Netherlands
| |
Collapse
|
44
|
Dekkers LM, Nijhuis-van der Sanden MW, Jonker M, de Swart BJ, Janssen AJ. Interrater Reliability of the Observable Movement Quality Scale for Children. Physiother Can 2018; 70:113-119. [PMID: 29755167 PMCID: PMC5938071 DOI: 10.3138/ptc.2016-104] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Purpose: The authors investigated the interrater reliability, the standard deviation of the random measurement error, and the limits of agreement (LoA) of the Observable Movement Quality (OMQ) scale in children. Movement quality is important in the recognition of motor problems, and the OMQ scale, a questionnaire used by paediatric physical therapists, has been developed for use with an age-specific motor test to observe movement quality and score relative to what is expected for a child's age. Method: Paediatric physical therapists (n=28; 2 men, 26 women) observed video-recorded assessments of age-related motor tests in children (n=9) aged 6 months to 6 years and filled in the OMQ scale (possible score range 15-75 points). For our analyses, we used linear mixed models without fixed effects. Results: The interrater reliability was moderate (intra-class correlation coefficient [ICC2,1]: 0.67, 95% CI: 0.47, 0.88); neither work setting nor work experience exerted any influence on it. The standard deviation of the random measurement error was 5.7, and the LoA was 31.5. Item agreement was good (proportion of observed agreement [Po] total 0.82-0.99). Conclusion: The OMQ scale showed moderate interrater reliability when being used by therapists who were unfamiliar with the questionnaire and who had received only 2 hours of training. Feedback from the participants suggested a need for more comprehensive training in using the OMQ scale in clinical practice.
Collapse
Affiliation(s)
- Lieke M.A. Dekkers
- Department of Allied Health Studies, HAN University of Applied Sciences
- Donders Institute for Brain Cognition and Behaviour, Department of Rehabilitation, Pediatric Physical Therapy
| | - Maria W.G. Nijhuis-van der Sanden
- Donders Institute for Brain Cognition and Behaviour, Department of Rehabilitation, Pediatric Physical Therapy
- Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Marianne Jonker
- Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Bert J.M. de Swart
- Department of Allied Health Studies, HAN University of Applied Sciences
- Donders Institute for Brain Cognition and Behaviour, Department of Rehabilitation, Pediatric Physical Therapy
| | - Anjo J.W.M. Janssen
- Donders Institute for Brain Cognition and Behaviour, Department of Rehabilitation, Pediatric Physical Therapy
| |
Collapse
|
45
|
Vaughan-Graham J, Patterson K, Zabjek K, Cott CA. Conceptualizing movement by expert Bobath instructors in neurological rehabilitation. J Eval Clin Pract 2017; 23:1153-1163. [PMID: 28425221 DOI: 10.1111/jep.12742] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Revised: 02/21/2017] [Accepted: 02/22/2017] [Indexed: 01/01/2023]
Abstract
RATIONALE, AIMS, AND OBJECTIVES Movement, a core aspect of physiotherapy practice, and integral to the clinical reasoning process has undergone limited theoretical development. Instead, research has focused on intervention effectiveness embedded within the positivist paradigm. The purpose of this study was to explore how expert neurorehabilitation therapists conceptualize movement as part of their clinical reasoning. METHOD A qualitative interpretive descriptive approach consisting of stimulated recall using video-recorded treatment sessions and in-depth interviews was used. Theoretical sampling was used to recruit members of the International Bobath Instructors Training Association (IBITA) who are recognized experts in neurorehabilitation. Interview transcripts were transcribed verbatim. Data analysis was progressive, iterative, and inductive. RESULTS Twenty-two IBITA instructors from 7 different countries volunteered to participate. They ranged in clinical experience from 12 to 40 years and instructor experience from 1 to 35 years. The conceptualization of movement by the IBITA instructors involves the following elements: (1) movement comprises the whole person and the whole body, not just individual body segments; (2) active alignment of body segments is integral to movement performance; and (3) efficient movement requires the relative integration of postural control/stability and selective movement/mobility. CONCLUSIONS The IBITA instructors conceptualize movement from a person-centred perspective. The integration of postural control and selective movement, with alignment and variability as key components, forms the foundation of their understanding of movement. Further investigation into the role of postural control in movement recovery post central nervous system lesion is required. Likewise, the dimensions of movement critical to the conceptualization of movement are not well understood from the perspective of the physiotherapist or persons with neurological impairments.
Collapse
Affiliation(s)
| | - Kara Patterson
- Department of Physical Therapy, University of Toronto, Toronto, ON, Canada
| | - Karl Zabjek
- Department of Physical Therapy, University of Toronto, Toronto, ON, Canada
| | - Cheryl A Cott
- Department of Physical Therapy, University of Toronto, Toronto, ON, Canada
| |
Collapse
|
46
|
van Dijk M, Smorenburg N, Visser B, Heerkens YF, Nijhuis-van der Sanden MWG. How clinicians analyze movement quality in patients with non-specific low back pain: a cross-sectional survey study with Dutch allied health care professionals. BMC Musculoskelet Disord 2017; 18:288. [PMID: 28676048 PMCID: PMC5496645 DOI: 10.1186/s12891-017-1649-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Accepted: 06/28/2017] [Indexed: 12/19/2022] Open
Abstract
Background Observation of movement quality (MQ) is an indelible element in the process of clinical reasoning for patients with non-specific low back pain (NS-LBP). However, the observation and evaluation of MQ in common daily activities are not standardized within allied health care. This study aims to describe how Dutch allied health care professionals (AHCPs) observe and assess MQ in patients with NS-LBP and whether AHCPs feel the need to have a specific outcome measure for assessing MQ in patients with NS-LBP. Methods In this cross-sectional digital survey study, Dutch primary care AHCPs (n = 114) answered one open and three closed questions about MQ in NS-LBP management. Qualitative and quantitative analyses were applied. Results Qualitative analyses of the answers to the open questions revealed four main themes: 1) movement pattern features, 2) motor control features, 3) environmental influences and 4) non-verbal expressions of pain and exertion. Quantitative analyses clearly indicated that AHCPs observe MQ in the diagnostic (92%), therapeutic (91%) and evaluation phases (86%), that they do not apply any objective measurement of MQ and that 63% of the AHCPs consider it important to have a specific outcome measure to assess MQ. The AHCPs expressed added benefits and critical notes regarding clinical reasoning and quality of care. Conclusion AHCPs recognize the importance of observing MQ in the assessment and management of LBP in a standardized way. However, there is no consensus amongst AHCPs how MQ should be standardized. Prior to standardization, it will be important to develop a theoretical framework to determine which observable and measurable dimensions of MQ are most valid and relevant for patients with NS-LBP to include in the assessment.
Collapse
Affiliation(s)
- Margriet van Dijk
- HU University of Applied Sciences, Institute for Human Movement Studies, Utrecht, the Netherlands.
| | - Nienke Smorenburg
- HU University of Applied Sciences, Institute for Human Movement Studies, Utrecht, the Netherlands
| | - Bart Visser
- Faculty of Health, ACHIEVE Centre of Expertise, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands
| | - Yvonne F Heerkens
- Research Group Occupation and Health, Nijmegen and Dutch Institute of Allied Health Care, HAN University of Applied Sciences, Amersfoort, the Netherlands
| | - Maria W G Nijhuis-van der Sanden
- Research Institute for Health Sciences, Scientific Center for Quality of Healthcare, Radboud University Medical Center, Nijmegen, the Netherlands
| |
Collapse
|
47
|
Covington K, Barcinas SJ. Situational Analysis of Physical Therapist Clinical Instructors' Facilitation of Students' Emerging Embodiment of Movement in Practice. Phys Ther 2017; 97:603-614. [PMID: 28201778 DOI: 10.1093/ptj/pzx013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Accepted: 02/10/2017] [Indexed: 02/09/2023]
Abstract
BACKGROUND Physical therapists improve the functional ability of patients after injury and disease. A unique component of their practice is the ability to use the movement of their own bodies to effect change in their patients. This ability has been recognized as a distinctive attribute of expert physical therapists. OBJECTIVE The purpose of this qualitative situational analysis study was to examine how physical therapist clinical instructors perceive and facilitate their students' emerging integration of movement in practice. DESIGN Data collection and analysis were guided by a theoretical framework for understanding "professional ways of being." Data were analyzed using coding and mapping strategies consistent with situational analysis techniques. METHODS The study included 5 physical therapist clinical instructors and their respective 5 physical therapist students. Data were collected during beginning, midterm, and final weeks of the students' clinical internships using participant interviews, observation, and document analysis. RESULTS Coded data were summarized using situational analysis mapping strategies, resulting in 11 maps. These maps were further analyzed and reduced to 5 thematic behaviors enacted by a clinical instructor as he or she helps facilitate students' use of movement in practice. These behaviors are adapt, prepare, enhance, connect , and develop . LIMITATIONS The limited number of participants and the relative homogeneity of the student sample may have limited the diversity of data collected. CONCLUSIONS The 5 behaviors are useful when considered as a trajectory of development. To our knowledge, this study marks the first description of how physical therapist clinical instructors develop students' use of movement in practice and how to enact behaviors important in students' continued professional development. The findings are important for clinical instructors and academic programs considering how best to prepare students to use movement and develop their skills early in practice.
Collapse
Affiliation(s)
- Kyle Covington
- Physical Therapy Division, School of Medicine, Duke University, DUMC Box 104002, Durham, NC 27708 (USA)
| | - Susan J Barcinas
- Educational Leadership, Policy, and Human Development Department, College of Education, North Carolina State University, Raleigh, North Carolina
| |
Collapse
|
48
|
van Dijk MJH, Smorenburg NTA, Visser B, Nijhuis–van der Sanden MWG, Heerkens YF. Description of movement quality in patients with low back pain: A qualitative study as a first step to a practical definition. Physiother Theory Pract 2017; 33:227-237. [DOI: 10.1080/09593985.2017.1282998] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Margriet J. H van Dijk
- Institute for Human Movement Studies, Utrecht University of Applied Sciences, Utrecht, The Netherlands
| | - Nienke T. A. Smorenburg
- Institute for Human Movement Studies, Utrecht University of Applied Sciences, Utrecht, The Netherlands
| | - Bart Visser
- ACHIEVE–Amsterdam Centre for Innovative Health Practice, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | | | - Yvonne F. Heerkens
- Research Group Occupation & Health, HAN University of Applied Sciences, Nijmegen, The Netherlands
- Dutch Institute of Allied Health Care, Amersfoort, The Netherlands
| |
Collapse
|
49
|
Ahola S, Piirainen A, Skjaerven LH. The phenomenon of movement quality: a phenomenographic study of physiotherapy students’ movement experiences. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2016. [DOI: 10.1080/21679169.2016.1261366] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Sirpa Ahola
- Human Movement and Functioning, Metropolia University of Applied Sciences, Helsinki, Finland
- Department of Health Sciences, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Arja Piirainen
- Department of Health Sciences, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Liv Helvik Skjaerven
- Department of Occupational Therapy, Physiotherapy and Radiography, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway
| |
Collapse
|
50
|
Olsen AL, Strand LI, Skjaerven LH, Sundal MA, Magnussen LH. Patient education and basic body awareness therapy in hip osteoarthritis – a qualitative study of patients’ movement learning experiences. Disabil Rehabil 2016; 39:1631-1638. [DOI: 10.1080/09638288.2016.1209578] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- Aarid Liland Olsen
- Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway
| | - Liv Inger Strand
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Liv Helvik Skjaerven
- Department of Health and Social Sciences, Bergen University College, Bergen, Norway
| | - Mary-Anne Sundal
- Department of Health and Social Sciences, Bergen University College, Bergen, Norway
| | - Liv Heide Magnussen
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Department of Health and Social Sciences, Bergen University College, Bergen, Norway
| |
Collapse
|