Current Issue: September 2013
In this issue -
The September 2013 issue contains our first invited topical review, one systematic review, an experimental study, two observational studies, and a qualitative study. These papers span a range of clinical areas of physiotherapy practice.
In the invited topical review Kim Bennell summarises recent research and clinical guidelines for the physiotherapy management of hip osteoarthritis. She discusses the prevalence and burden of hip osteoarthritis, its risk factors and natural history, diagnosis, and assessment. She provides the principles of management and presents the latest evidence for incorporating education, exercise, manual therapy, hip joint protection strategies, and electrotherapy into a treatment program.
The systematic review assesses the evidence for alternative exercises to specific pelvic floor muscle training for treatment of stress urinary incontinence in women. The authors conclude that there is not yet strong evidence that alternative exercise regimens can reduce urinary leakage in women with stress urinary incontinence. Alternative exercise regimens should not yet be recommended for use in clinical practice for women with stress urinary incontinence.
The experimental study investigates whether patients with chronic obstructive pulmonary disease (COPD) achieve a different distance on the six-minute walk test conducted on a 10 m course versus on a 30 m course. The authors also report the effect of the 10 m course length on predicted values for the 6MWT distance calculated with existing reference equations. The findings may cause readers to rethink the way they conduct this text.
The first observational study investigates whether the distance covered during a 6-minute walk test could predict risk of death or hospitalisation for cardiovascular reasons in men with stable heart failure over three years of follow-up. The authors find that the 6-minute walk test distance constitutes an independent predictor of mortality and mortality or hospitalisation for cardiovascular reasons in men with stable systolic heart failure.
The second observational study asks whether measures such as age and the National Institutes of Health Stroke Scale can be used to develop models to predict the recovery of ambulation and upper limb function six months after stroke. The authors believe the measures are helpful but caution that these prediction models now require external validation before use in clinical practice.
The qualitative study asks whether activity coaching to improve walking adds value to physiotherapy from the perspective of physiotherapists and patients in neurological rehabilitation. The authors find that it was acceptable to patients, but the mixed responses of physiotherapists limit the feasibility of this approach. They comment that use of strategies and specific training for physiotherapists may be needed before approaches like activity coaching can be adopted successfully.