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Implementation of the Up-to-Date Physiotherapy into the Health Care System

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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (31 December 2021) | Viewed by 28175

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Special Issue Editor

Dr. Monika Grygorowicz

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Guest Editor

1. Department of Physiotherapy, Poznan University of Medical Sciences, 61-701 Poznań, Poland
2. Rehasport Clinic, FIFA Medical Centre of Excellence, 60-201 Poznań, Poland
Interests: physiotherapy; injury prevention; sports medicine; health promotion; functional and biomechanical evaluation; evidence-based physiotherapy

Special Issue Information

Dear Colleagues,

It is my pleasure and honor to announce the Special Issue titled “Implementation of Up-to-Date Physiotherapy in the Health Care System.” The development of the field of physiotherapy in recent years has been very noticeable—new techniques and new methods of applications have been introduced into therapy. Hence, the idea of the proposed Special Issue is to collect the most updated knowledge about the use and effectiveness of physiotherapy in various areas of medicine. I encourage the scientific community from all over the world to publish, in open access form, both original papers and high-quality reviews that raise the topic of up-to-date physiotherapy. This Special Issue might also be a place to share your own experiences and challenges in developing strategies to bring physiotherapy “closer to the patient” in the health care system, since early contact with physiotherapists has been confirmed to lead to advantages for patients. I am convinced that this Special Issue, supported by prominent scholars, will have a significant impact both on the scientific community and on physiotherapy practitioners. Together, we can make a big step forward in contributing to promoting the idea and methods of applying a very high standard of physiotherapy worldwide.

The novelty of the content and suitability for this Special Issue will be checked in the first instance, so you are welcome to send me the title and a short abstract for evaluation before submission. The final decision will be made based on at least two review reports.

I am looking forward to receiving your manuscripts.

Dr. Monika Grygorowicz
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

physiotherapy
rehabilitation
up-to-date knowledge
new techniques
health promotion
functional evaluation
objective analysis
exercise-based therapy
direct access

Published Papers (6 papers)

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Research

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11 pages, 629 KiB

Open AccessArticle

Empathy as a Factor Conditioning Attitudes towards the Elderly among Physiotherapists—Results from Poland

by Marta Podhorecka, Anna Pyszora, Agnieszka Woźniewicz, Jakub Husejko and Kornelia Kędziora-Kornatowska

Int. J. Environ. Res. Public Health 2022, 19(7), 3994; https://doi.org/10.3390/ijerph19073994 - 28 Mar 2022

Cited by 3 | Viewed by 2184

Abstract

Attitudes of healthcare workers towards the elderly significantly affect the quality of care dedicated to this group of patients. The purpose of this study was to assess the approach of Polish physiotherapists to the elderly and to analyze the factors influencing these attitudes. The study was based on a cross-sectional Internet-based survey that was conducted in the period from May to September 2021. It was completed by 252 subjects: 189 women and 63 men. The study was based on the involvement of physiotherapists with the right to practice their profession in accordance with the law in force in Poland. The tools used in the study were The Kogan Attitudes towards the Elderly (KAOP) score and The Jefferson Empathy Scale (JSE). To model the KOAP score as a function of the predictors, Bayesian linear regression was used. The average KOAP score in the sample was M (SD) = 100.7 (17.46), with the central 50% of the observations ranging from 81 to 113 points. We observed one statistically credible relationship: relevance of contacts with elderly people was positively and moderately related to KOAP. Additionally, we observed that the JSE scale was positively, but very weakly, associated with KOAP. Empathy and own experience of health care providers may protect against negative attitudes towards the elderly, meaning empathy in healthcare professionals is crucial. Full article

(This article belongs to the Special Issue Implementation of the Up-to-Date Physiotherapy into the Health Care System)

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14 pages, 784 KiB

Open AccessArticle

The Muscle Strength of the Knee Joint after ACL Reconstruction Depends on the Number and Frequency of Supervised Physiotherapy Visits

by Andrzej Czamara, Katarzyna Krzemińska, Wojciech Widuchowski and Szymon Lukasz Dragan

Int. J. Environ. Res. Public Health 2021, 18(20), 10588; https://doi.org/10.3390/ijerph182010588 - 9 Oct 2021

Cited by 10 | Viewed by 3504

Abstract

The aim of this study in anterior cruciate ligament reconstruction (ACLR) patients was to assess the effect of six months of supervised physiotherapy with a higher number of visits (SPHNV) compared to supervised physiotherapy with a lower number of visits (SPLNV) on the maximal peak torque (PT) and isometric torque (IT) of values obtained for hamstring (H) and quadriceps (Q) muscles of the knee joints under isokinetic and isometric conditions. Hypothesis: SPHNV improves IT and PT more than SPLNV. Group I had ACLR with a higher number of visits (n = 20), Group II had ACLR with a lower number of visits (n = 20), and Group III served as the control (n = 20). In Groups I and II, IT values were measured for quadriceps and hamstring muscles of the knee joints in the 13th and 24th weeks and for PT in the 18th and 24th weeks after ACLR (60 and 180 °/s). In group III, the measurements were taken once. The isometric torque and isokinetic peak torque values were measured in N*m and they were normalized to body mass as relative IT (RIT) and relative PT (RPT) were expressed in N*m/kg. Results: In both ACLR groups, the RIT and RPT values obtained from the operated knee joints significantly increased in the 24 weeks following ACLR compared to the uninvolved side. Group II had significantly lower RIT and RPT values for quadriceps and hamstring muscles of the operated limbs compared with the uninvolved limbs (p = 0.008, p = 0.001). In group I, the larger number of visits positively correlated with the higher PT for quadriceps and hamstring muscles of the operated and uninvolved knees (from r = 0.506; p = 0.023 too r = 0.566; p = 0.009), respectively. Six months of SPHNV positively correlated with and improved the IT and PT values in patients after ACLR much more significantly than six months of SPLNV. Full article

(This article belongs to the Special Issue Implementation of the Up-to-Date Physiotherapy into the Health Care System)

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18 pages, 2364 KiB

Open AccessArticle

Motor Function of Children with SMA1 and SMA2 Depends on the Neck and Trunk Muscle Strength, Deformation of the Spine, and the Range of Motion in the Limb Joints

by Agnieszka Stępień, Ewa Gajewska and Witold Rekowski

Int. J. Environ. Res. Public Health 2021, 18(17), 9134; https://doi.org/10.3390/ijerph18179134 - 30 Aug 2021

Cited by 5 | Viewed by 4702

Abstract

The purpose of this study was to investigate the functional relationships between selected ranges of motion of the neck, upper and lower limbs, the strength of the neck and trunk muscles, postural parameters, and the motor function of children with SMA1 and SMA2—27 children, aged 6 months-15 years, with genetically confirmed spinal muscular atrophy type 1 (19 children) and 2 (8 children) undergoing pharmacological treatment. All children were examined, according to the methodology, including the motor function evaluation, measurement of selected ranges of motion, assessment of postural parameters, and measurement of neck and trunk muscle strength. The functional status of 15 children was assessed with the CHOP INTEND (CHOP group) scale and of 12 children with the HFMSE (HFMSE group). The results obtained showed that, in children examined with the CHOP scale, greater limitation of flexion in the shoulder joints was observed. As the deformation of the chest increased, the functional abilities of children deteriorated. In participants examined with the CHOP group, the ranges of neck rotation decreased with the increase of the chest deformity. In the HFMSE group, the ranges of head rotation showed a strong relationship with some parameters of muscle strength and the sum of the R coefficients. Participants showed many significant relationships between the range of motion in the neck and joints of the limbs, with more significant relationships in the CHOP group. The following conclusions were made: motor skills of children with SMA depend on muscle strength, range of motion, and deformities of the spine and chest; the development of scoliosis adversely affects the motor function, ranges of motion, and muscle strength; and movement ranges are related to motor skills and strength values. Full article

(This article belongs to the Special Issue Implementation of the Up-to-Date Physiotherapy into the Health Care System)

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15 pages, 2558 KiB

Open AccessArticle

Post-COVID-19 Rehabilitation: Perception and Experience of Austrian Physiotherapists and Physiotherapy Students

by Barbara Scheiber, Claudia Spiegl, Claudia Wiederin, Erika Schifferegger and Natalia Schiefermeier-Mach

Int. J. Environ. Res. Public Health 2021, 18(16), 8730; https://doi.org/10.3390/ijerph18168730 - 18 Aug 2021

Cited by 19 | Viewed by 8394

Abstract

The rehabilitation needs of COVID-19 survivors are increasingly recognized, with a focus on combating respiratory and neuromuscular dysfunctions. The aim here was to explore the perception of Austrian physiotherapists and physiotherapy students on post-COVID-19 rehabilitation care and to identify barriers for the application of sufficient rehabilitation. We analysed current knowledge and practical skills in respiratory physiotherapy, performing a cross-sectional national survey among physiotherapists working in outpatient settings and physiotherapy students in their last academic year of bachelor-level education in Austria. Out of 255 survey participants, one-third already had inquiries to treat post-COVID-19 patients, and the majority of respondents expected a further increased inflow of patients with rehabilitation needs (64.2%). Only 11.2% of respondents reported feeling sufficiently informed about post-COVID-19 rehabilitation. A total of 68.2% of students and up to 48.1% of physiotherapists favoured a COVID-19-specific adaptation already in the basic academic education, and 74.1% of survey participants indicated interest in attending specific training. Concerning respiratory physiotherapy, our data showed discrepancies between the estimation of the importance of specific examination and treatment techniques and the level of current experience. There is a clear lack of experience in implementing effective device-based respiratory therapy. Our data indicate an urgent need to develop new education and training programs with a focus on the interdisciplinary rehabilitation of patients with post-COVID-19 syndrome. Full article

(This article belongs to the Special Issue Implementation of the Up-to-Date Physiotherapy into the Health Care System)

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11 pages, 777 KiB

Open AccessArticle

Effectiveness of Swimming Program in Adolescents with Down Syndrome

by Alicja Naczk, Ewa Gajewska and Mariusz Naczk

Int. J. Environ. Res. Public Health 2021, 18(14), 7441; https://doi.org/10.3390/ijerph18147441 - 12 Jul 2021

Cited by 12 | Viewed by 5893

Abstract

The aim of this study was to estimate the influence of a 33-week swimming program on aerobic capacity, muscle strength, balance, flexibility, and body composition of adolescents with Down syndrome (DS). Twenty-two adolescents diagnosed with DS were randomly allocated into the training group (T) and the control group (C). The T group participated in 33 weeks of water-based exercise and a swimming program while the control group maintained their normal daily activity. Following thirty-three weeks of swimming program, body mass, body fat, and BMI of the T group decreased significantly (from 56.8 ± 7.97 kg to 55.0 ± 7.11 kg, from 15.1 ± 4.47 kg to 13.2 ± 3.92 kg, and from 25.1 ± 2.37 to 24.0 ± 2.05, respectively) while a significant increase was recorded in C (from 57.3 ± 8.43 kg to 59.7 ± 8.29 kg, from 14.5 ± 2.76 kg to 16.0 ± 3.11 kg, and from 25.4 ± 2.46 to 26.0 ± 2.72, respectively). Moreover, significant improvement in aerobic capacity in the T group was noted; VO₂max (mL/kg/min) increased by 16.3% in T and decreased by 4.8% in C. Improvement in static arm strength, trunk strength and endurance/functional strength were noted in T, while the parameters did not change in C. The speed of arm movement, balance and flexibility did not change following the intervention. Also, the aquatic skills improved significantly in the training group. Changes in C were not significant. The results of our study indicate that 33-week swimming program significantly improved health status and swimming skills in adolescents with DS. Full article

(This article belongs to the Special Issue Implementation of the Up-to-Date Physiotherapy into the Health Care System)

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Other

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12 pages, 652 KiB

Open AccessSystematic Review

Systematic Review of Cost-Effectiveness of Injury Prevention Interventions in Soccer—Evidence Why Health Agencies Should Address It

by Monika Grygorowicz, Martyna Wiernicka and Marzena Wiernicka

Int. J. Environ. Res. Public Health 2021, 18(22), 11901; https://doi.org/10.3390/ijerph182211901 - 12 Nov 2021

Cited by 2 | Viewed by 2115

Abstract

Soccer injuries are a recognized problem worldwide. Several injury prevention programs have been confirmed to reduce the number of injuries in female and male players. Unfortunately, there is a lack of data about their cost, burden, and benefit for the health care system. In this paper we aim to systematically review the literature and critically evaluate the economic quality of injury prevention interventions implemented across different populations of soccer players. Web of Science, Medline, SPORTDiscus, Ovid, and other databases were searched from January 2011 through July 2021. Research articles were only selected for analysis if they focused on the cost-effectiveness of injury prevention, were experimental papers written in English, and were published following the peer-review process. Three cluster RCT and one retrospective study met the criteria. Cost data on incremental cost-effectiveness ratios (ICERs) were extracted. The included studies had a good/average quality of economic evaluation. Based on ICERs, injury prevention interventions were cost-effective in three out of the three comparisons. One study did not report the ICER value. However, since economic analyses were reported with varying methodological approaches and results, more data are required to recognize the cost-effectiveness of soccer-specific injury prevention interventions and their benefit for the health care system. Full article

(This article belongs to the Special Issue Implementation of the Up-to-Date Physiotherapy into the Health Care System)

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