Browsing by Issue Date, starting with "2025-02-07"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
- Exploring physiotherapy students’ competencies in clinical setting around the world: a scoping reviewPublication . Magni, Eleonora; da Costa, Emilia; Oliveira, Isabel De Jesus; Cáceres-Matos, Rocío; Guerra-Martín, María DoloresClinical education is a fundamental component of physiotherapy entry-level education programs, with practice education being a core element. The aim of this scoping review is to identify and define the competencies of physiotherapy students in clinical settings. This review followed the five steps of the Arksey and O'Malley framework, employing a search strategy that utilized Mesh terms. Searches were performed in PubMed, CINAHL, Scopus, ERIC, WOS, and PsycINFO, with additional exploration of the grey literature. The inclusion criteria were defined using Peter's concept: (population) physiotherapy students; (concept) competencies aligned with the WCPT educational framework; (context) clinical environment. A total of 1798 sources were identified, and 86 studies were finally selected. Studies originated from 14 countries, with the United States, Australia, and Canada being the most represented. Of the selected studies, 62 used specific tools to identify competencies. The "Clinical Performance Instrument" and the "Assessment of Physiotherapy Practice" were the most frequently used instruments and covered all of the World Physiotherapy competencies' domains. "Clinical Competence" emerged as the most widely recognized and utilized term across countries. Among the WCPT domains, "Physiotherapy Assessment and Intervention", "Ethical and Professional Practice", and "Communication" were the most represented, whereas "Evidence-Based Practice" and "Quality Improvement" were the least mentioned.
- Clinical and epidemiological characteristics of patients with functional stroke mimics: a case–control study from Southern PortugalPublication . Figueira Domingos, Miguel; Silva, Vítor Hugo; Schuh, Sara; Correia, Helena; Palma, Pedro; Pedro, João Pedroso; Nova, Bruno Vila; Marreiros, Ana; Félix, Ana Catarina; Nzwalo, HipólitoBackground: Patients with functional neurological disorder presenting as stroke mimics or functional stroke mimics (FSMs) pose significant diagnostic challenges. In the acute phase, especially when patients are present within the therapeutic window for acute reperfusion treatments, a misdiagnosis of FSM can lead to unnecessary and costly interventions. Despite its clinical importance, the literature on the risk factors for FSM is limited. This study aims to compare the clinical and epidemiological characteristics of patients with FSM to those with confirmed acute ischemic stroke (AIS). Methods: This case-control study involved temporal matching between consecutive series of patients with FSM and controls with AIS from a single tertiary university hospital in southern Portugal. Results: A total of 188 patients were included: 64 cases (FSM) and 188 controls (AIS). The rate of stroke code activation and use of ambulance between was comparable between the two groups. The group of patients with FSM was younger (53.2 years vs. 69.5 years, p < 0.001) and had a higher proportion of females (52.4% vs. 47.6%, p = 0.001). There was no difference in terms of clinical severity at presentation. The proportion of specific signs, such as transcortical aphasia (3.1% vs. 20.9%, p = 0.014), gait abnormalities (15.6% vs. 33.9%, p = 0.004), and cranial nerve abnormalities (31.2% vs. 43.5%, p = 0.042), was lower in the FSM group compared to the AIS group. The proportion of patients on antithrombotic therapy (90.9% vs. 9.1%, p = 0.007) and antihypertensive drugs (78.5%, vs. 21.5%, p < 0.001) prior to the event was significantly higher in the AIS group. Likewise, the prevalence of cerebrovascular risk factors such as diabetes mellitus (14.3% vs. 85.7%, p = 0.005), arterial hypertension (23.8% vs. 76.2%, p = 0.001), and smoking (43.7% vs. 56.3%, p = 0.005) was lower in the FSM group compared to the AIS group. No statistically significant differences were observed in cholesterol levels or the prevalence of dyslipidemia between the two groups. Psychiatric comorbidities, including generalized anxiety disorder (71.4% vs. 28.6%, p = 0.05) and major depressive disorder (61.9% vs. 28.1%, p = 0.01), were more prevalent in the FSM group. Conclusions: Patients with FSM display different clinical and epidemiological profiles, with a higher likelihood of being younger, female, having prior psychiatric conditions, and lacking traditional cerebrovascular risk factors.
- Sensory experience of visitors with hearing impairment on a rural island destinationPublication . Chan, Chung-Shing; Wong, Shing Yan; Tam, Veleda; MIGUEL AGAPITO, DORA LÚCIAThis study aims to examine the sensory experiences of visitors with hearing impairment (HI) in the context of a rural destination. A series of field visits have been run over four seasons at the island of Yim Tin Tsai (YTT) in Hong Kong, involving 85 participants without impairment and 78 participants with HI. Spatial mapping and focus group discussions have been employed to perceive their sensory impressions and appraisals of YTT. The empirical data collected offers opportunities for in-depth examination of multisensory experiences of visitors with HI from a spatial perspective, as well as any differences with participants without impairment regarding their sensory perceptions. The paper concludes by emphasizing the importance of offering a vivid multisensory environment by preserving and utilizing the natural landscape, such that visitors with HI can be left with a fulfilling and rewarding experience.