Physiotherapist-Led Physical Activity Interventions Are Efficacious at Increasing Physical Activity Levels: A Systematic Review and Meta-analysis

Kunstler, Breanne; Cook, Jill; Freene, Nicole; Finch, Caroline F.; Kemp, Joanne L; O’Halloran, Paul; Gaida, James Edmund

doi:10.1097/jsm.0000000000000447

Cited by 50 publications

(40 citation statements)

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“… Risk of bias was assessed using the Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group [ 15 , 16 ] DLCO Diffusing capacity of the lungs for carbon monoxide, FRC Functional residual capacity N/A Not available, not reported in the study …”

Section: Resultsmentioning

confidence: 99%

“…Risk of bias was assessed using the Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group [ 15 , 16 ]…”

Section: Resultsmentioning

confidence: 99%

“…This tool is comprised of 12 questions assessing various aspects of the quality of the study. Two authors (E-LM, SK) independently scored each study using the technique from Kunstler et al [ 16 ]. Differences were resolved in consensus, in consultation with a third author (YZ).…”

Section: Methodsmentioning

confidence: 99%

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The effect of body position on pulmonary function: a systematic review

et al. 2018

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BackgroundPulmonary function tests (PFTs) are routinely performed in the upright position due to measurement devices and patient comfort. This systematic review investigated the influence of body position on lung function in healthy persons and specific patient groups.MethodsA search to identify English-language papers published from 1/1998–12/2017 was conducted using MEDLINE and Google Scholar with key words: body position, lung function, lung mechanics, lung volume, position change, positioning, posture, pulmonary function testing, sitting, standing, supine, ventilation, and ventilatory change. Studies that were quasi-experimental, pre-post intervention; compared ≥2 positions, including sitting or standing; and assessed lung function in non-mechanically ventilated subjects aged ≥18 years were included. Primary outcome measures were forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC, FEV1/FVC), vital capacity (VC), functional residual capacity (FRC), maximal expiratory pressure (PEmax), maximal inspiratory pressure (PImax), peak expiratory flow (PEF), total lung capacity (TLC), residual volume (RV), and diffusing capacity of the lungs for carbon monoxide (DLCO). Standing, sitting, supine, and right- and left-side lying positions were studied.ResultsForty-three studies met inclusion criteria. The study populations included healthy subjects (29 studies), lung disease (nine), heart disease (four), spinal cord injury (SCI, seven), neuromuscular diseases (three), and obesity (four). In most studies involving healthy subjects or patients with lung, heart, neuromuscular disease, or obesity, FEV1, FVC, FRC, PEmax, PImax, and/or PEF values were higher in more erect positions. For subjects with tetraplegic SCI, FVC and FEV1 were higher in supine vs. sitting. In healthy subjects, DLCO was higher in the supine vs. sitting, and in sitting vs. side-lying positions. In patients with chronic heart failure, the effect of position on DLCO varied.ConclusionsBody position influences the results of PFTs, but the optimal position and magnitude of the benefit varies between study populations. PFTs are routinely performed in the sitting position. We recommend the supine position should be considered in addition to sitting for PFTs in patients with SCI and neuromuscular disease. When treating patients with heart, lung, SCI, neuromuscular disease, or obesity, one should take into consideration that pulmonary physiology and function are influenced by body position.Electronic supplementary materialThe online version of this article (10.1186/s12890-018-0723-4) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…Risk of bias was assessed using the Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group [ 15 , 16 ]…”

Section: Resultsmentioning

confidence: 99%

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The effect of body position on pulmonary function: a systematic review

et al. 2018

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“…My PhD comprised studies that identified: (1) the efficacy of physiotherapist-led physical activity (PA) interventions; (2) the behaviour change techniques (BCTs), or individual strategies, Australian physiotherapists use to promote PA to improve general health (non-treatment physical activity [NTPA]) and (3) the factors influencing their decision to promote NTPA 1–5…”

Section: What Did I Do?mentioning

confidence: 99%

“…I completed two systematic reviews that found physiotherapist-led NTPA interventions can increase patient PA levels in the short term only 1. Additionally, I found that physiotherapists use fewer BCTs when promoting NTPA in clinical compared with experimental settings,2 suggesting that physiotherapists might use few BCTs to change PA behaviour in practice.…”

Section: How Did I Do It?mentioning

confidence: 99%