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Miyerkules, Enero 2, 2013
Experiences of an exercise referral scheme from the perspective of people with chronic stroke: a qualitative study
December 2012
Publication year: 2012
Source:Physiotherapy, Volume 98, Issue 4
Objective To explore stroke survivors’ experiences of undertaking exercise in the context of an exercise referral scheme for people with chronic stroke. Design A qualitative design, using semi-structured interviews within a constructivist framework to explore the experiences of individual participants. Verbatim transcripts were thematically analysed. Rigour mechanisms included respondent validation, peer checking, and reflexivity. Setting An exercise referral scheme, based at a leisure centre in South London. Participants Nine community-dwelling stroke survivors took part; 5 male and 4 female, mean age 51 years (range 37–61 years); time post stroke 1–4 years, with mixed ethnic backgrounds. Findings Participants described greater physical and psychological well-being following participation in the exercise referral scheme. Categories that emerged were: improved exercise engagement and confidence, more internalised perceptions of control and enhanced lifestyle, work and social roles. Categories linked to form a master theme, labelled: ‘Exercise Referral Scheme as a catalyst for regaining independence.’ Conclusions This study supports the value of exercise referral schemes in enabling people with stroke to engage in exercise. For participants in this study, the scheme seemed influential in the process of regaining independence.
Publication year: 2012
Source:Physiotherapy, Volume 98, Issue 4
Academic Physiatry: Vignettes of Rewarding Careers
December 2012
Publication year: 2012
Source:PM&R, Volume 4, Issue 12
Publication year: 2012
Source:PM&R, Volume 4, Issue 12
Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study
Available online 23 September 2012
Publication year: 2012
Source:Physiotherapy
Objectives Previous Australian studies reported that postoperative pulmonary complications affect 13% of patients undergoing upper abdominal laparotomy. This study measured the incidence of postoperative pulmonary complications, risk factors for the diagnosis of postoperative pulmonary complications and barriers to physiotherapy mobilisation in a cohort of patients undergoing high-risk abdominal surgery. Design Prospective, observational cohort study. Setting Two surgical wards in a tertiary Australian hospital. Participants Seventy-two patients undergoing high-risk abdominal surgery (participants in a larger trial evaluating a novel model of medical co-management). Main outcome measures Incidence of, and risk factors for, postoperative pulmonary complications, barriers to mobilisation and length of stay. Results The incidence of postoperative pulmonary complications was 39%. Incision type and time to mobilise away from the bed were independently associated with a diagnosis of postoperative pulmonary complications. Patients were 3.0 (95% confidence interval 1.2 to 8.0) times more likely to develop a postoperative pulmonary complication for each postoperative day they did not mobilise away from the bed. Fifty-two percent of patients had a barrier to mobilisation away from the bed on the first postoperative day, with the most common barrier being hypotension, although cessation criteria were not defined objectively by physiotherapists. Development of a postoperative pulmonary complication increased median hospital length of stay (16 vs 13 days; P Conclusions This study demonstrated an association between delayed postoperative mobilisation and postoperative pulmonary complications. Randomised controlled trials are required to test the role of early mobilisation in preventing postoperative pulmonary complications in patients undergoing high-risk upper abdominal surgery.
Publication year: 2012
Source:Physiotherapy
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