Papers by Susanne Sinclair
Clinical Rehabilitation, 2014
Objective: To investigate the contributions of physiotherapy and occupational therapy to self-man... more Objective: To investigate the contributions of physiotherapy and occupational therapy to self-management interventions and the theoretical models used to support these interventions in chronic disease. Data sources: We conducted two literature searches to identify studies that evaluated self-management interventions involving physiotherapists and occupational therapists in MEDLINE, the Cochrane Library, CINAHL, EMBASE, AMED (Allied and Complementary Medicine), SPORTdiscus, and REHABDATA databases. Study selection: Four investigator pairs screened article title and abstract, then full text with inclusion criteria. Selected articles (n = 57) included adults who received a chronic disease self-management intervention, developed or delivered by a physiotherapist and/or an occupational therapist compared with a control group. Data extraction: Four pairs of investigators performed independent reviews of each article and data extraction included: (a) participant characteristics, (b) the self-management intervention, (c) the comparison intervention, (d) outcome measures, construct measured and results. Data synthesis: A total of 47 articles reported the involvement of physiotherapy in self-management compared with 10 occupational therapy articles. The type of chronic condition produced different yields: arthritis n = 21 articles; chronic obstructive pulmonary disease and chronic pain n = 9 articles each. The theoretical frameworks most frequently cited were social cognitive theory and self-efficacy theory. Physical activity was the predominant focus of the self-management interventions. Physiotherapy programmes included disease-specific education, fatigue, posture, and pain management, while occupational therapists concentrated on joint protection, fatigue, and stress management. Conclusions: Physiotherapists and occupational therapists make moderate contributions to selfmanagement interventions. Most of these interventions are disease-specific and are most frequently based on the principles of behaviour change theories.
Clinical Rehabilitation, 2014
Objective: To investigate the contributions of physiotherapy and occupational therapy to self-man... more Objective: To investigate the contributions of physiotherapy and occupational therapy to self-management interventions and the theoretical models used to support these interventions in chronic disease. Data sources: We conducted two literature searches to identify studies that evaluated self-management interventions involving physiotherapists and occupational therapists in MEDLINE, the Cochrane Library, CINAHL, EMBASE, AMED (Allied and Complementary Medicine), SPORTdiscus, and REHABDATA databases. Study selection: Four investigator pairs screened article title and abstract, then full text with inclusion criteria. Selected articles (n = 57) included adults who received a chronic disease self-management intervention, developed or delivered by a physiotherapist and/or an occupational therapist compared with a control group. Data extraction: Four pairs of investigators performed independent reviews of each article and data extraction included: (a) participant characteristics, (b) the self-management intervention, (c) the comparison intervention, (d) outcome measures, construct measured and results. Data synthesis: A total of 47 articles reported the involvement of physiotherapy in self-management compared with 10 occupational therapy articles. The type of chronic condition produced different yields: arthritis n = 21 articles; chronic obstructive pulmonary disease and chronic pain n = 9 articles each. The theoretical frameworks most frequently cited were social cognitive theory and self-efficacy theory. Physical activity was the predominant focus of the self-management interventions. Physiotherapy programmes included disease-specific education, fatigue, posture, and pain management, while occupational therapists concentrated on joint protection, fatigue, and stress management. Conclusions: Physiotherapists and occupational therapists make moderate contributions to selfmanagement interventions. Most of these interventions are disease-specific and are most frequently based on the principles of behaviour change theories.
Current Translational Geriatrics and Experimental Gerontology Reports, 2013
The increase in chronic disease and associated musculoskeletal impairment experienced by a rising... more The increase in chronic disease and associated musculoskeletal impairment experienced by a rising number of older persons will contribute to a surge in the prevalence of disability globally. The prevention of functional decline and the challenge of maintaining optimal functioning is complex and understudied. This review explores how physical therapy principles are applied within self-management (SM) programs for older adults with chronic illnesses. A search was conducted for papers that evaluated a chronic disease SM intervention involving a physical therapist (PT) delivered to older adults. In the papers reviewed, physical activity was the predominant focus of the SM interventions. Nine studies measured mobility and five studies reported positive functional outcomes. When mapped to the ICF classification of functioning, there were more positive findings at the level of body functions and structure in the arthritis studies compared to the COPD studies, where there were more positive findings at the level of participation. Future research and development needs to focus on integrating theoretical frameworks and rehabilitation-derived SM into PT practice.
CHEST Journal, 2005
Page 1. INTERLEUKIN 2 INCREASES ALVEOLAR FLUID CLEAR-ANCE IN ISOLATED RAT LUNGS Makoto Sugita MD*... more Page 1. INTERLEUKIN 2 INCREASES ALVEOLAR FLUID CLEAR-ANCE IN ISOLATED RAT LUNGS Makoto Sugita MD* Zheng Wang MD Sumiko Maeda MD Motoyasu Sagawa MD Jin Xu MD Toshishige Shibamoto MD Tsutomu ...
Physiotherapy Canada, 2010
Purpose: To determine current Canadian physical therapy practice for adult patients requiring rou... more Purpose: To determine current Canadian physical therapy practice for adult patients requiring routine care following cardiac surgery. Methods: A telephone survey was conducted of a selected sample (n ΒΌ 18) of Canadian hospitals performing cardiac surgery to determine cardiorespiratory care, mobility, exercises, and education provided to patients undergoing cardiac surgery. Results: An average of 21 cardiac surgeries per week (range: 6-42) were performed, with an average length of stay of 6.4 days (range: 4.0-10.6). Patients were seen preoperatively at 7 of 18 sites and on postoperative day 1 (POD-1) at 16 of 18 sites. On POD-1, 16 sites performed deep breathing and coughing, 7 used incentive spirometers, 13 did upper-extremity exercises, and 12 did lower-extremity exercises. Nine sites provided cardiorespiratory treatment on POD-3. On POD-1, patients were dangled at 17 sites and mobilized out of bed at 13. By POD-3, patients ambulated 50-120 m per session 2-5 times per day. Sternal precautions were variable, but the lifting limit was reported as ranging between 5 lb and 10 lb. Conclusions: Canadian physical therapists reported the provision of cardiorespiratory treatment after POD-1. According to current available evidence, this level of care may be unnecessary for uncomplicated patients following cardiac surgery. In addition, some sites provide cardiorespiratory treatment techniques that are not supported by evidence in the literature. Further research is required.
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Papers by Susanne Sinclair