Abstract:
BACKGROUND:Respiratory failure and dysfunction are common problems in many neurodegenerative conditions. Although physiotherapists manage these problems, it is not known which treatments have been studied and their efficacy. OBJECTIVE:To review evidence on the management of respiratory problems in people with neurodegenerative conditions using the PRISMA approach. DATA SOURCES:Comprehensive searches were conducted using the following electronic databases from inception to May 2010: HUGEnet, SIGLE, British Library Direct, CINAHL, Medline, AMED and Web of Knowledge. Bibliographies of all studies and systematic reviews were searched by hand. STUDY SELECTION:Studies were selected based on: self-ventilating participants with neurodegenerative conditions; interventions aimed at improving respiratory function; and any valid and reliable measures of respiratory function as outcomes. STUDY APPRAISAL:Studies were appraised by one reviewer using the Critical Appraisal Skills Programme. Data were synthesised using a narrative approach. RESULTS:Thirty-five studies were included in the review. The strongest evidence was for the use of non-invasive ventilation for people with amyotrophic lateral sclerosis, although this was weak. The evidence for the use of respiratory muscle training and methods to increase peak cough flow showed a positive effect, but was also weak. CONCLUSION:There is weak evidence for the positive effects of physiotherapeutic interventions for respiratory problems in people with neurodegenerative conditions. Further work is necessary in specific neurodegenerative conditions to identify why respiratory problems occur, and larger scale studies should be undertaken to investigate management of these problems.
journal_name
Physiotherapyjournal_title
Physiotherapyauthors
Jones U,Enright S,Busse Mdoi
10.1016/j.physio.2011.03.002subject
Has Abstractpub_date
2012-03-01 00:00:00pages
1-12issue
1eissn
0031-9406issn
1873-1465pii
S0031-9406(11)00066-6journal_volume
98pub_type
杂志文章,评审相关文献
Physiotherapy文献大全abstract:OBJECTIVES:To determine the minimal important difference (MID) for the London Chest Activity of Daily Living scale (LCADL) in patients with chronic obstructive pulmonary disease (COPD), focusing on the percentage of the total score (LCADL%total), using an anchor-based method in addition to distribution-based methods. ...
journal_title:Physiotherapy
pub_type: 杂志文章,多中心研究
doi:10.1016/j.physio.2019.08.007
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:To compare the efficacy of three slow expiratory airway clearance techniques (ACTs). DESIGN:Randomised crossover trial. SETTING:Tertiary hospital. PARTICIPANTS:Thirty-one outpatients with bronchiectasis and chronic sputum expectoration. INTERVENTIONS:Autogenic drainage (AD), slow expiration with glottis o...
journal_title:Physiotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.physio.2015.07.005
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:Parkinson's is a common progressive neurological condition characterised by impairments of movement and balance; and non-motor deficits. It is now accepted that physical activity is a fundamental for people with Parkinson's (PwP), despite this PwP remain inactive. There is a social and financial drive to inc...
journal_title:Physiotherapy
pub_type: 杂志文章,评审
doi:10.1016/j.physio.2019.12.003
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:To systematically review the evidence of pre-operative exercise, known as 'prehabilitation', on peri- and postoperative outcomes in adult surgical populations. DESIGN:Systematic review and meta-analysis. DATA SOURCES:CENTRAL, Medline, EMBASE, CINAHL, PsycINFO and PEDro were searched from 1950 to 2011. METH...
journal_title:Physiotherapy
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.physio.2013.08.008
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:First point of contact physiotherapy (FPCP) provides patients direct access to a physiotherapist. Literature demonstrates efficacy of FPCP. Evidence has highlighted the need for cultural shifts from both patient and professional perspectives to optimise FPCP. This study explored stakeholder perceptions of pa...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2020.02.003
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:Negative attitudes to disability among physiotherapy students in paediatric placements might be addressed by providing clinical placement opportunities for students early in their course. The aim of this qualitative research study was to explore what physiotherapy students reported learning from an innovativ...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2012.02.001
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:To assess the immediate effect of a suboccipital muscle inhibition (SMI) technique on: (a) neck pain, (b) elbow extension range of motion during the upper limb neurodynamic test of the median nerve (ULNT-1), and (c) grip strength in subjects with cervical whiplash; and determine the relationships between key...
journal_title:Physiotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.physio.2013.09.005
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:To examine whether people who are within 31days of stroke onset are able to produce controlled lower limb movement, and phasic activity in antagonistic lower limb muscle groups, during Upright Pedalling (UP). DESIGN:Observational study. SETTING:Acute stroke unit within a University Hospital. PARTICIPANTS:...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2016.10.392
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:To compare the physiotherapy service provided when therapists' decisions are guided by an evidence-based protocol with usual care (i.e. patient management based on therapists' clinical decisions). DESIGN:Exploratory, controlled, pragmatic sequential time block clinical trial. SETTING:Level 3 surgical unit ...
journal_title:Physiotherapy
pub_type: 临床试验,杂志文章
doi:10.1016/j.physio.2012.05.005
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Incomplete descriptions of interventions are a common problem in reports of randomised controlled trials. To date no study has evaluated the completeness of the descriptions of physiotherapy interventions. OBJECTIVES:To evaluate the completeness of the descriptions of physiotherapy interventions in a random...
journal_title:Physiotherapy
pub_type: 杂志文章,评审
doi:10.1016/j.physio.2016.03.001
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVES:To compare the temporal recruitment of the vastus medialis obliquus (VMO) and vastus lateralis (VL) during voluntary ankle movements and perturbed standing in people with patellofemoral pain, and to determine the effects of different reflex and voluntary postural exercise tasks on VMO facilitation. DESIGN:R...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2010.05.009
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:There are indications that segmental stabilising exercises (SSEs) are effective in the treatment of low back pain. The evaluation of successful training in SSE performance in patients requires a reliable outcome measure. The PRONE test gives an indication of the activity of the transversus abdominis muscle. ...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2008.10.003
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:To determine patients' perspectives of components of patient-centred physiotherapy and its essential elements. DESIGN:Qualitative study using semi-structured interviews to explore patients' judgements of patient-centred physiotherapy. Grounded theory was used to determine common themes among the interviews a...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2010.08.002
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:There is an urgent need to improve the care of older people at risk of falls or who experience falls in mental health settings. The aims of this study were to evaluate the individual falls risk assessment tools adopted by National Health Service (NHS) mental health trusts in England and healthcare boards in ...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2015.04.010
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVES:To explore the disclosure decisions made in the workplace by physiotherapy staff with a specific learning difficulty (SpLD). DESIGN & SETTING:An exploratory qualitative design was used, which was informed by the social model of disability. The research was undertaken in North West England. It is presented a...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2017.10.003
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:Chronic fatigue syndrome/myalgic encephalopathy (CFS/ME) is a chronic illness which can cause significant fatigue, pain and disability. Activity pacing is frequently advocated as a beneficial coping strategy, however, it is unclear whether pacing is significantly associated with symptoms in people with CFS/M...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2017.07.005
更新日期:2018-03-01 00:00:00
abstract::The use of patient-reported outcome measures (PROMs) is set to rise in physiotherapy. PROMs provide additional 'patient-centred' data which is unique in capturing the patient's own opinion on the impact of their disease or disorder, and its treatment, on their life. Thus, PROMs are increasingly used by clinicians to g...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2014.11.003
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVE:Examine systemic and central hemodynamic responses following McKenzie lumbar flexion and extension mobility exercises performed in lying (FIL and EIL). DESIGN:Crossover experimental study. SETTING:Clinical laboratory. PARTICIPANTS:Healthy male volunteers (n=25) (mean(SD) age: 28(3)years; range 21 to 34). ...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2012.09.004
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of chest wall vibration timing on air flow and pressure in a ventilated lung model. DESIGN:Laboratory-based bench study. PARTICIPANTS:Thirty physiotherapists with experience in intensive care. INTERVENTION:Physiotherapists applied three sets of eight chest wall vibrations to an i...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2010.02.007
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To determine the factors associated with physical activity participation in adults with chronic cervical spine pain. METHODS:A systematic review was conducted including searches of PubMed (MEDLINE), EMBASE and CINAHL from inception to June 12th, 2016. Grey literature and reference checking was also undertake...
journal_title:Physiotherapy
pub_type: 杂志文章,评审
doi:10.1016/j.physio.2017.01.004
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Clinical decision-making regarding diagnosis and management largely depends on comparison with healthy or 'normal' values. Physiotherapists and researchers therefore need access to robust patient-centred outcome measures and appropriate reference values. However there is a lack of high-quality reference data...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2014.12.002
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:To describe changes in physical activity levels related to health-enhancing physical activity guidelines during and after adjuvant chemotherapy in a cohort of Swedish patients with breast cancer. DESIGN:Exploratory clinical prospective longitudinal study with 6 and 12 months of follow-up. PARTICIPANTS:Fort...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2012.05.012
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:To explore why patients with simple mechanical back pain seek urgent care. DESIGN:Qualitative Exploratory Inquiry based on the principles of Grounded Theory. SETTING:Urgent Care. METHODS:Data collection by semi-structured interview. PARTICIPANTS:Eleven patients presenting to urgent care (Accident and emer...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2013.08.001
更新日期:2014-03-01 00:00:00
abstract::This paper explains the rationale behind the intervention used for a large multi-centred randomised controlled trial for men following transurethral resection of prostate or radical prostatectomy. It shows the content of the protocol used and explains why this particular protocol of pelvic floor muscle exercises and u...
journal_title:Physiotherapy
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.physio.2009.03.003
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of aerobic dance on cardiorespiratory fitness in pregnant women. DESIGN:Randomised controlled trial. PARTICIPANTS:Sixty-two primiparous women with a mean age of 30.6 [standard deviation (SD) 3.7] years randomised to exercise (n=34) and (n=28) control groups. INTERVENTION:Two a...
journal_title:Physiotherapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.physio.2011.11.002
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Ventilator hyperinflation (VHI) and manual hyperinflation (MHI) are thought to improve secretion clearance, atelectasis and oxygenation in adults receiving mechanical ventilation. However, to the authors' knowledge, a systematic review of their relative effectiveness has not been undertaken previously. OBJE...
journal_title:Physiotherapy
pub_type: 杂志文章,评审
doi:10.1016/j.physio.2014.07.006
更新日期:2015-06-01 00:00:00
abstract:OBJECTIVES:Evidence has emerged supporting the value of loaded exercises for rotator cuff tendinopathy but there are barriers that might prevent implementation of this intervention in the real-world. The purpose of this study was to explore these potential barriers with participants involved in a pilot randomised contr...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2013.08.003
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To explore gender differences in assessment of the clinical and portfolio components of physiotherapy undergraduate education. DESIGN:Retrospective analysis of students' results. SETTING:One London-based university with multiple clinical placement sites in the south-east of England. PARTICIPANTS:Results of...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2009.06.003
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To investigate construct validity of linear encoder measurement of sit-to-stand performance power in older people by showing associations with relevant functional performance and physiological parameters. DESIGN:Cross-sectional study. SETTING:Movement laboratory of a geriatric rehabilitation clinic. PARTIC...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2014.12.005
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of dizziness. Extensive research has identified the best assessment and treatment manoeuvres for each subtype of BPPV. Education in vestibular rehabilitation (VR) is inconsistent. It is unclear if the evidence has been adopted by UK physiot...
journal_title:Physiotherapy
pub_type: 杂志文章
doi:10.1016/j.physio.2018.08.007
更新日期:2019-09-01 00:00:00