Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Women´s Health and Allied Health Professionals Theme, Medical Unit Occupational Therapy and Physiotherapy, Karolinska University Hospital, Stockholm, Sweden.
Physiother Res Int. 2022 Jul;27(3):e1950. doi: 10.1002/pri.1950. Epub 2022 Apr 25.
This study proposes contemporary physical therapist clinical practice guidelines (CPGs) with special reference to heart failure (HF) be grounded in an evidence-informed integrative health and lifestyle framework to not only better reflect the totality and weighting of the literature, but also in the interest of superior patient, clinical, and economic outcomes.
As an illustration, a health and lifestyle framework is described to underpin, thereby complement, recently published physical therapist CPGs for individuals with HF.
The case for the framework, an alternative to a single-disease biomedical perspective, is consistent with 21st century professional and epidemiologic indicators. Four themes that emerged from the HF CPGs and further support such a framework, emerged that is, limitations of conventionally constructed CPGs; physical therapists' scope of practice as "health" professionals; "best" practice in an era of NCDs including HF; and superior economic benefit.
A health and lifestyle framework underpinning contemporary physical therapist CPGs will enable clinicians to better appreciate the power of lifestyle change in maximizing the health of the heart, its healing and repair, and in mitigating and reversing signs and symptoms of cardiac dysfunction. Further, a focus on health and lifestyle will augment the benefits of the core, evidence-based, key action statements related to exercise in the HF CPGs.
本研究提出了当代物理治疗师临床实践指南（CPGs），特别参考心力衰竭（HF），以基于循证的综合健康和生活方式框架为基础，不仅更好地反映文献的全面性和权重，而且还为了更好地提高患者、临床和经济效益。
作为一个例子，描述了一个健康和生活方式框架，以支持、补充最近发布的针对 HF 患者的物理治疗师 CPG。
该框架的案例，替代单一疾病的生物医学观点，与 21 世纪的专业和流行病学指标一致。从 HF CPG 中出现的四个主题进一步支持这样一个框架，即传统构建的 CPG 的局限性；物理治疗师作为“健康”专业人员的实践范围；在包括 HF 在内的非传染性疾病时代的“最佳”实践；以及更好的经济效益。
以健康和生活方式为基础的当代物理治疗师 CPG 将使临床医生能够更好地理解生活方式改变在最大化心脏健康、心脏的愈合和修复以及减轻和逆转心脏功能障碍的迹象和症状方面的力量。此外，关注健康和生活方式将增强 HF CPG 中与运动相关的核心、基于证据的关键行动声明的益处。
