Objectives: To study the practice of exercise prescription by the physical therapists around the ... more Objectives: To study the practice of exercise prescription by the physical therapists around the world in order identify gaps in the knowledge base so that recommendations can be made on the need for bespoke educational modules aimed at equipping the physiotherapists. Design: Experimental approach using online questionnaires Participants: Three hundred and fifteen physiotherapists from various countries. Method: Experimental approach to the problem was chosen where a short survey was developed which is described in detail (Appendix.1). The authors developed a predominantly closed- response questionnaire evaluating exercise prescription by physiotherapists working with musculoskeletal patients. The survey included 12 questions among which 4 were designed to test the knowledge on the use of exercise science among the clinicians. Responses to these questions were compared with the actual level of knowledge, as indicated by the total knowledge score. Results: In total, 315 participants...
International journal of therapy and rehabilitation, 2020
The severe acute respiratory syndrome coronavirus 2, which causes COVID-19, has now spread to man... more The severe acute respiratory syndrome coronavirus 2, which causes COVID-19, has now spread to many countries, has forced health care systems to minimise or even suspend access to specialist services for many patients because of social distancing policies As a result of this, many patients are not in direct, face-to-face contact with their health care specialist This can pose a challenge, since patients who have undergone haematopoietic cell transplant can suffer from an array of complications involving various organs in the body, such as inactivity-related deconditioning and fatigue, resulting in poor quality of life These vulnerable patients must receive continuous and individualised rehabilitation guidance to help prevent deterioration and promote optimal functioning This paper highlights the potential challenges for patients who have had haematopoietic cell transplant in the circumstances surrounding COVID-19 and proposes service development ideas to help reduce the negative impa...
International Journal of Health Governance, Jan 6, 2021
PurposeHematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-re... more PurposeHematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-related complications that affect their quality of life and daily activities. This study, a narrative review, aims to report the impact of HCT complications, the benefits of rehabilitation intervention, the need for long-term care and highlights the research gap in clinical trials involving rehabilitation.Design/methodology/approachA comprehensive search strategy was performed on several databases to look for relevant articles published from 1998 to 2018. Articles published in English with the following terms were used: hematopoietic stem cell transplant, chronic graft-versus-host disease, rehabilitation, exercise, physical therapy, occupational therapy. A patient/population, intervention, comparison, and outcomes (PICO) framework was employed to ensure that the search strategies were structured and precise. Study year, design, outcome, intervention, sample demographics, setting and study results were extracted.FindingsOf the 1,411 records identified, 51 studies underwent title/abstract screening for appropriateness, 30 were reviewed in full, and 19 studies were included in the review. The review found that, for the majority of patients who underwent HSCT and developed treatment-related complications, rehabilitation exercises had a positive impact on their overall quality of life. However, exercise prescription in this patient group has not always reflected the scientific approach; there is a lack of high-quality clinical trials in general. The review also highlights the need to educate healthcare policymakers and insurance companies responsible for rationing services to recognise the importance of offering long-term follow-up care for this patient group, including rehabilitation services.Practical implicationsA large number of HSCT patients require long-term follow-up from a multidisciplinary team, including rehabilitation specialists. It is important for healthcare policymakers and insurance companies to recognise this need and take the necessary steps to ensure that HSCT patients receive adequate long-term care. This paper also highlights the urgent need for high-quality rehabilitation trials to demonstrate the feasibility and importance of rehabilitation teams.Originality/valueHealthcare policymakers and insurance companies need to recognise that transplant patients need ongoing physiotherapy for early identification of any functional impairments and appropriate timely intervention.
The current paper seeks to inform healthcare professionals on how adapting various components of ... more The current paper seeks to inform healthcare professionals on how adapting various components of return to work (RTW) programs that are already in use by other musculoskeletal rehabilitation settings can help optimize return to work process for patients with or without musculoskeletal manifestations, posthematopoietic cell transplantation. Since there is no universally agreed RTW structure for hematopoietic cell transplant patients, a narrative approach has been taken utilizing evidence from the existing musculoskeletal return to work assessment publications to help draw parallel for the hematopoietic cell transplant patients. Databases were searched including PUBMED, CINHAL, AMED, SCOPUS, and Cochrane using keywords RTW, functional restoration program, hematopoietic cell transplant, bone marrow transplant, stem cell transplant, and musculoskeletal functional assessment. The authors have managed to outline and propose a structured RTW assessment and monitoring program which can aid ...
Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion – IRONS
Introduction To help monitor and manage complications, monitor disease progression, and help lowe... more Introduction To help monitor and manage complications, monitor disease progression, and help lower morbidity and mortality rates in Hematopoietic cell transplant (HCT) patients, the use of artificial intelligence technology can prove to be an efficient tool. Aim We propose a futuristic vision of an artificial intelligence model which could help in early detection of MSK related complications, improve communication between HCT healthcare professional team, improve diagnostics via machine learning (ML), help monitor symptom/ disease progression remotely, and help integrate services for a more patient-friendly service delivery, i.e., drug prescription, exercise prescription, appointment tracking, referral pathways. Materials and methods The proposed model is a three-phase integrated program where musculoskeletal physical examination is combined with wearable textiles interface platform and machine learning algorithms, thereby providing live and remote feedback of changes as they happen...
Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion – IRONS
Introduction The European Society for Shoulder and Elbow Rehabilitation (EUSSER) is made up of he... more Introduction The European Society for Shoulder and Elbow Rehabilitation (EUSSER) is made up of health professionals who specialise or have an interest in the field of shoulder & elbow dysfunction. The scientific committee of the EUSSER developed their strategies and vision and post-Brexit to work in collaboration with The European Society of Surgery for the Shoulder and Elbow (ESSSE), Société Europeenne de Chirurgeie I’Epaule et du Coude (SECEC), and British Elbow and Shoulder Society. Aim We aim to share EUSSER scientific committee’s achievements, our vision, Brexit, and its impact on our future collaborations for education and research. Materials and methods We developed our strategy in discussion with the EUSSER Board, evidence synthesis of published literature, monitoring and mapping the EUSSER scientific committee’s activities along with other equivalent professional networks scientific committee and with EUSSER scientific committee members consensus. Results Integration, colla...
Objectives: To study the practice of exercise prescription by the physical therapists around the ... more Objectives: To study the practice of exercise prescription by the physical therapists around the world in order identify gaps in the knowledge base so that recommendations can be made on the need for bespoke educational modules aimed at equipping the physiotherapists. Design: Experimental approach using online questionnaires Participants: Three hundred and fifteen physiotherapists from various countries. Method: Experimental approach to the problem was chosen where a short survey was developed which is described in detail (Appendix.1). The authors developed a predominantly closed- response questionnaire evaluating exercise prescription by physiotherapists working with musculoskeletal patients. The survey included 12 questions among which 4 were designed to test the knowledge on the use of exercise science among the clinicians. Responses to these questions were compared with the actual level of knowledge, as indicated by the total knowledge score. Results: In total, 315 participants...
International journal of therapy and rehabilitation, 2020
The severe acute respiratory syndrome coronavirus 2, which causes COVID-19, has now spread to man... more The severe acute respiratory syndrome coronavirus 2, which causes COVID-19, has now spread to many countries, has forced health care systems to minimise or even suspend access to specialist services for many patients because of social distancing policies As a result of this, many patients are not in direct, face-to-face contact with their health care specialist This can pose a challenge, since patients who have undergone haematopoietic cell transplant can suffer from an array of complications involving various organs in the body, such as inactivity-related deconditioning and fatigue, resulting in poor quality of life These vulnerable patients must receive continuous and individualised rehabilitation guidance to help prevent deterioration and promote optimal functioning This paper highlights the potential challenges for patients who have had haematopoietic cell transplant in the circumstances surrounding COVID-19 and proposes service development ideas to help reduce the negative impa...
International Journal of Health Governance, Jan 6, 2021
PurposeHematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-re... more PurposeHematopoietic stem cell transplant (HSCT) patients can suffer from long-term transplant-related complications that affect their quality of life and daily activities. This study, a narrative review, aims to report the impact of HCT complications, the benefits of rehabilitation intervention, the need for long-term care and highlights the research gap in clinical trials involving rehabilitation.Design/methodology/approachA comprehensive search strategy was performed on several databases to look for relevant articles published from 1998 to 2018. Articles published in English with the following terms were used: hematopoietic stem cell transplant, chronic graft-versus-host disease, rehabilitation, exercise, physical therapy, occupational therapy. A patient/population, intervention, comparison, and outcomes (PICO) framework was employed to ensure that the search strategies were structured and precise. Study year, design, outcome, intervention, sample demographics, setting and study results were extracted.FindingsOf the 1,411 records identified, 51 studies underwent title/abstract screening for appropriateness, 30 were reviewed in full, and 19 studies were included in the review. The review found that, for the majority of patients who underwent HSCT and developed treatment-related complications, rehabilitation exercises had a positive impact on their overall quality of life. However, exercise prescription in this patient group has not always reflected the scientific approach; there is a lack of high-quality clinical trials in general. The review also highlights the need to educate healthcare policymakers and insurance companies responsible for rationing services to recognise the importance of offering long-term follow-up care for this patient group, including rehabilitation services.Practical implicationsA large number of HSCT patients require long-term follow-up from a multidisciplinary team, including rehabilitation specialists. It is important for healthcare policymakers and insurance companies to recognise this need and take the necessary steps to ensure that HSCT patients receive adequate long-term care. This paper also highlights the urgent need for high-quality rehabilitation trials to demonstrate the feasibility and importance of rehabilitation teams.Originality/valueHealthcare policymakers and insurance companies need to recognise that transplant patients need ongoing physiotherapy for early identification of any functional impairments and appropriate timely intervention.
The current paper seeks to inform healthcare professionals on how adapting various components of ... more The current paper seeks to inform healthcare professionals on how adapting various components of return to work (RTW) programs that are already in use by other musculoskeletal rehabilitation settings can help optimize return to work process for patients with or without musculoskeletal manifestations, posthematopoietic cell transplantation. Since there is no universally agreed RTW structure for hematopoietic cell transplant patients, a narrative approach has been taken utilizing evidence from the existing musculoskeletal return to work assessment publications to help draw parallel for the hematopoietic cell transplant patients. Databases were searched including PUBMED, CINHAL, AMED, SCOPUS, and Cochrane using keywords RTW, functional restoration program, hematopoietic cell transplant, bone marrow transplant, stem cell transplant, and musculoskeletal functional assessment. The authors have managed to outline and propose a structured RTW assessment and monitoring program which can aid ...
Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion – IRONS
Introduction To help monitor and manage complications, monitor disease progression, and help lowe... more Introduction To help monitor and manage complications, monitor disease progression, and help lower morbidity and mortality rates in Hematopoietic cell transplant (HCT) patients, the use of artificial intelligence technology can prove to be an efficient tool. Aim We propose a futuristic vision of an artificial intelligence model which could help in early detection of MSK related complications, improve communication between HCT healthcare professional team, improve diagnostics via machine learning (ML), help monitor symptom/ disease progression remotely, and help integrate services for a more patient-friendly service delivery, i.e., drug prescription, exercise prescription, appointment tracking, referral pathways. Materials and methods The proposed model is a three-phase integrated program where musculoskeletal physical examination is combined with wearable textiles interface platform and machine learning algorithms, thereby providing live and remote feedback of changes as they happen...
Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion – IRONS
Introduction The European Society for Shoulder and Elbow Rehabilitation (EUSSER) is made up of he... more Introduction The European Society for Shoulder and Elbow Rehabilitation (EUSSER) is made up of health professionals who specialise or have an interest in the field of shoulder & elbow dysfunction. The scientific committee of the EUSSER developed their strategies and vision and post-Brexit to work in collaboration with The European Society of Surgery for the Shoulder and Elbow (ESSSE), Société Europeenne de Chirurgeie I’Epaule et du Coude (SECEC), and British Elbow and Shoulder Society. Aim We aim to share EUSSER scientific committee’s achievements, our vision, Brexit, and its impact on our future collaborations for education and research. Materials and methods We developed our strategy in discussion with the EUSSER Board, evidence synthesis of published literature, monitoring and mapping the EUSSER scientific committee’s activities along with other equivalent professional networks scientific committee and with EUSSER scientific committee members consensus. Results Integration, colla...
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Papers by Jayanti Rai