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Barriers, facilitators and implementation strategies for guideline-adherence in physiotherapy: a scoping review protocol
Introduction Guideline-adherent physiotherapy can improve patient outcomes and reduce costs in the healthcare system. However, although there are numerous guidelines for physiotherapy practice, services are not consistently based on clinical practice guidelines. While various systematic and scoping reviews have highlighted barriers, facilitators and implementation strategies for guideline-adherent practice in other health professions, this scoping review aims to explore the barriers and facilitators for guideline-adherent physiotherapy and summarises the strategies used to implement such practice. Methods and analysis Thi...
Source: BMJ Open - July 14, 2023 Category: General Medicine Authors: Reiter, N. L., Rosen, D., Erhart, M., Vogel, B. Tags: Open access, Rehabilitation medicine Source Type: research

Reporting of adverse events associated with spinal manipulation in randomised clinical trials: an updated systematic review
Conclusions While the current level of reporting of adverse events associated with spinal manipulation in RCTs has increased since our 2016 publication on the same topic, the level remains low and inconsistent with established standards. As such, it is imperative for authors, journal editors and administrators of clinical trial registries to ensure there is more balanced reporting of both benefits and harms in RCTs involving spinal manipulation.
Source: BMJ Open - May 4, 2023 Category: General Medicine Authors: Gorrell, L. M., Brown, B. T., Engel, R., Lystad, R. P. Tags: Open access, Rehabilitation medicine Source Type: research

Non-pharmaceutical interventions in complementary and alternative medicine for insomnia in breast cancer survivors: a protocol for a systematic review and network meta-analysis
Introduction Insomnia has a high incidence in patients with breast cancer, which not only affects the quality of life of patients, but also affects the efficiency of later treatment and rehabilitation. Although the sedative and hypnotic drugs commonly used in clinical practice have a rapid onset of action, they are also accompanied by different degrees of sequelae, withdrawal effects and dependence and addiction. Complementary and alternative medicine (CAM) or complementary and integrative medicine, complementary integrative therapies, including natural nutritional supplement therapy, psychotherapy, physical and mental exe...
Source: BMJ Open - May 4, 2023 Category: General Medicine Authors: Jin, Q., Liu, L., Chen, Y., Yin, P. Tags: Open access, Complementary medicine Source Type: research

Barriers and facilitators of physical function, activity, sports and exercise in children and adolescents with spinal pain: a protocol for a systematic review and meta-ethnography
Introduction Spinal pain is one of the leading causes of disability, with the incidence of adolescent back pain estimated at 20%. Multiple barriers influence exercise participation in adolescents. However, there remains a lack of literature surrounding patients’ choice to exercise, perceived barriers and facilitators of exercise, and their relationship to participant demographics. The aim of this systematic review with meta-ethnography will be to identify the barriers and facilitators of exercise participation among adolescents with thoracic or lower back pain (LBP). The secondary aim will be to identify any trends i...
Source: BMJ Open - March 16, 2023 Category: General Medicine Authors: Tucker, S., Heneghan, N. R., Alamrani, S., Rushton, A., Gardner, A., Soundy, A. Tags: Open access, Paediatrics Source Type: research

Which physical therapy intervention is most effective in reducing secondary lymphoedema associated with breast cancer? Protocol for a systematic review and network meta-analysis
Introduction Lymphoedema associated with breast cancer is caused by an interruption of the lymphatic system, together with factors such as total mastectomy, axillary dissection, positive lymph nodes, radiotherapy, use of taxanes and obesity. Physiotherapy treatment consists of complex decongestive therapy, manual lymphatic drainage and exercises, among other interventions. Currently, there are several systematic review and randomised controlled trials that evaluate the efficacy of these interventions. However, at present, there are no studies that compare the effectiveness of all these physical therapy interventions. The p...
Source: BMJ Open - September 26, 2022 Category: General Medicine Authors: Aguilera-Eguia, R. A., Seron, P., Gutierrez-Arias, R., Zaror, C. Tags: Open access, Rehabilitation medicine Source Type: research

Effects of respiratory physiotherapy interventions on pulmonary mechanics of newborns: a protocol for a systematic review
Introduction Although respiratory physiotherapy techniques may reduce respiratory load in newborns, manual contact with the ribcage may interfere with pulmonary mechanics. Therefore, this systematic review aims to evaluate the effects of conventional and non-conventional respiratory physiotherapies on pulmonary mechanics of newborns. Methods and analysis We will search PubMed, LILACS, SciELO, ScienceDirect, Cochrane Central and Web of Science databases. Searches will be conducted from September 2022. We will include randomised clinical trials reporting thoracoabdominal synchrony, lung volumes and capacities, respiratory d...
Source: BMJ Open - August 26, 2022 Category: General Medicine Authors: Nunes, A. d. M., Fernandes, A. T. d. N. S. F., de Castro Silva, A. T., Pereira Costa, M. F., Monteiro, K. S., Pereira, S. A. Tags: Open access, Evidence based practice Source Type: research

Healthcare professionals perceptions and experiences of physiotherapy for people with mental illness: a protocol for a systematic review and meta-ethnography
Introduction There is a high global prevalence of patients presenting with physical and mental health comorbidities. Physiotherapeutic interventions, such as exercise, can have positive benefits for physical and mental health. However, poor accessibility and negative experiences of healthcare services for those with mental illness (MI) have been consistently observed within literature with recent research identifying poor experiences of physiotherapeutic interactions and processes such as referrals and discharges. One way to help improve physiotherapy services for this population is to understand the personal experiences a...
Source: BMJ Open - August 24, 2022 Category: General Medicine Authors: Hemmings, L., Heneghan, N. R., Byrd, E., Stubbs, B., Soundy, A. Tags: Open access, Mental health Source Type: research

Cognitive prehabilitation for geriatric patients undergoing elective surgery: a PRISMA-P-compliant protocol for a systematic review
Introduction The ageing of the population, as well as advances and improvements in surgery, and anaesthesia have greatly increased the demand for surgical services in geriatric patients. Neurocognitive disorders are the most common complications experienced in the postoperative period by older individuals. Improving perioperative brain health in older adults has become key actions for the multidisciplinary perioperative care teams. This comprehensive systematic review will assess the effectiveness and safety of cognitive prehabilitation programmes prior to surgery on cognitive functional capacity and postoperative cognitiv...
Source: BMJ Open - July 7, 2022 Category: General Medicine Authors: He, Y., Zou, W., Han, X., Chen, C., Zhang, A., Sun, N. Tags: Open access, Rehabilitation medicine Source Type: research

Dosage of joint mobilisation for the management of rotator cuff-related shoulder pain: protocol for a scoping review
Introduction Rotator cuff-related shoulder pain is the most common diagnosis of shoulder pain, which ranks as the third most common musculoskeletal disorder. The first-line treatment for patients with rotator cuff-related shoulder pain is physiotherapy, and joint mobilisation is widely used in conjunction with other modalities. The type and dosage of joint mobilisations could influence treatment outcomes for patients with rotator cuff-related shoulder pain, although research evidence is inconclusive. Objectives To (1) systematically search, identify and map the reported type and dosage of joint mobilisations used in previ...
Source: BMJ Open - June 3, 2022 Category: General Medicine Authors: Wang, S., Chapple, C. M., Quinn, D., Tumilty, S., Ribeiro, D. C. Tags: Open access, Rehabilitation medicine Source Type: research

Effects of respiratory physiotherapy in patients with amyotrophic lateral sclerosis: protocol for a systematic review of randomised controlled trials
This study aims to investigate the effects of respiratory physiotherapy on lung function, cough efficacy and functional status of patients with ALS. Methods and analysis A protocol was published on the International prospective register of systematic reviews (PROSPERO). The research will cover randomised controlled trials, with no language or publication date restriction, available in the following databases: MEDLINE/PubMed, EMBASE, Cochrane Library, Web of Science and Physiotherapy Evidence Database. The research question will be answered using a search strategy adapted for each database. Searches in databases will be co...
Source: BMJ Open - May 30, 2022 Category: General Medicine Authors: Pondofe, K., Marcelino, A. A., Ribeiro, T. S., Torres-Castro, R., Vera-Uribe, R., Fregonezi, G. A., Resqueti, V. R. Tags: Open access, Neurology Source Type: research

Effectiveness of adjunctive treatment combined with exercise therapy for patellofemoral pain: a protocol for a systematic review with network meta-analysis of randomised controlled trials
Introduction Patellofemoral pain (PFP) is a chronic condition that affects up to 25% of the general population and has a negative impact on functionality and quality of life due to the high levels of pain experienced by these patients. In order to improve pain and function, rehabilitation programmes that combine adjunctive treatments with exercise therapy are often used in research and clinical settings. However, despite the variety of adjunctive treatments available, their effectiveness when compared with exercise therapy has yet to be elucidated. Thus, the aim of this study is to evaluate the effectiveness of adjunctive ...
Source: BMJ Open - May 19, 2022 Category: General Medicine Authors: Souto, L. R., Borges, M. S., Marcolino, A. M., Serrao, F. V., Padovez, R. d. F. C. M. Tags: Open access, Sports and exercise medicine Source Type: research

Telerehabilitation programmes for patients with cancer and survivors: a protocol for a systematic review
This study was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. The following key electronic bibliographic databases will be searched from their inception to April 2021: MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials and Physiotherapy Evidence Database (PEDro). We will include randomised controlled trials (RCTs) published in English that examine the effects of telerehabilitation programmes on patients with cancer and survivors. The terms ‘telerehabilitation’, ‘neoplasm&rs...
Source: BMJ Open - April 7, 2022 Category: General Medicine Authors: He, Y., Han, X., Zou, W., Liu, X., Sun, N., Zhou, F. Tags: Open access, Rehabilitation medicine Source Type: research

Patient and providers perspective on barriers and facilitators for medication adherence among adult patients with cardiovascular diseases and diabetes mellitus in India: a qualitative evidence synthesis
Conclusion Such patient-specific targeted interventions need to be developed to achieve better control among patients with CVD and DM. PROSPERO registration number CRD42020199529.
Source: BMJ Open - March 24, 2022 Category: General Medicine Authors: Krishnamoorthy, Y., Rajaa, S., Rehman, T., Thulasingam, M. Tags: Open access, Diabetes and Endocrinology Source Type: research

Economic evaluations of musculoskeletal physiotherapy: protocol of a systematic review
Introduction Several economic evaluations of musculoskeletal physiotherapy have been published in the literature. We aim to provide an overview of these existing economic evaluations. This overview will be useful for healthcare funders in identifying studies matching their context. In addition, research gaps as well as literature extensive enough to be combined in a meta-analysis will be identified. This will support researchers in planning relevant research projects. Methods and analyses We will search in PubMed, EconLit and NHS-EED for relevant literature. Full economic evaluations of musculoskeletal physiotherapy inter...
Source: BMJ Open - February 15, 2022 Category: General Medicine Authors: Baumbach, L., König, H.-H., Kretzler, B., Hajek, A. Tags: Open access, Health economics Source Type: research

Validity and reliability of the Modified Tardieu Scale as a spasticity outcome measure of the upper limbs in adults with neurological conditions: a systematic review and narrative analysis
Conclusions and implications This review did not find sufficient evidence to either support or reject the use of the MTS in assessing spasticity in the upper limbs of adults with neurological conditions. Despite the paucity of research evidence, the MTS may still remain a clinically useful tool to measure the motor aspect of spasticity. Future research would benefit from a focus on test standardisation, while the wider field would require the development of a consensual definition of spasticity.
Source: BMJ Open - December 24, 2021 Category: General Medicine Authors: Shu, X., McConaghy, C., Knight, A. Tags: Open access, Rehabilitation medicine Source Type: research

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