Physical activity in professional training of physiotherapists

. 2025 Dec ; 57 (1) : 2446687. [epub] 20250102

Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/pmid39744898

BACKGROUND: The current negative trend in the physical behavior and lifestyle of the population therefore requires adequate changes in the professional training of physiotherapists. OBJECTIVES: This study aimed to determine the structure and differences in the weekly physical activity (PA) of Czech physiotherapy students, the use of wearables in physiotherapy professional training, and the attitude of physiotherapy students toward PA and the use of wearables in physiotherapy practice. METHODS: Between 2013 and 2022, 412 physiotherapy students participated in a PA-monitoring study using questonnaires International Physical Activity Questionnaire-long form, Motives for Physical Activity Measure-Revise, pedometers, Garmin Vívofit and Axivity AX3 accelerometers. RESULTS: A retrospective analysis of physiotherapy students PA drew attention to insufficient weekly PA and insufficient achievement of the PA recommendation of at least 60 min five times a week (55% of men and 41% of women). Instrumental PA monitoring allowed analyzing individual daily PA and structure of weekly PA. Highest PA indicated men (14,102 steps/day) and women (12,724 steps/day) of the 1st study year on Tuesday. The lowest PA (9,488 steps/day for men and 8,815 steps/day for women), were observed in the 4th study year on Sundays. The recommended target of 11,000 steps per day was achieved by 40% of the men and 46% of the women. Wearables enhanced participants PA motivation (51%). CONCLUSIONS: The inclusion of weekly PA monitoring in the professional training of physiotherapists ensured a deeper insight into the possibilities of PA monitoring in physiotherapy practice . Students are prepared to use wearables more widely to improve physical therapy practice.

The study demonstrated the need for greater support for physical activity (PA) of physiotherapy students during their studies.Incorporating comprehensive weekly PA monitoring into physiotherapy education is essential, especially with the rapid development of wearable technology.Monitoring PA using different methods enabled students to better assess the possibilities of using wearables in physiotherapy practice.

Zobrazit více v PubMed

Eckstrom E, Neukam S, Kalin L, et al. . Physical activity and healthy aging. Clin Geriatr Med. 2020;36(4):671–683. doi: 10.1016/j.cger.2020.06.009. PubMed DOI

Wilhite K, Booker B, Huang BH, et al. . Combinations of physical activity, sedentary behavior, and sleep duration and their associations with physical, psychological, and educational outcomes in children and adolescents: a systematic review. Am J Epidemiol. 2023;192(4):665–679. doi: 10.1093/aje/kwac21. PubMed DOI PMC

Biddle SJ, Ciaccioni S, Thomas G, et al. . Physical activity and mental health in children and adolescents: an updated review of reviews and an analysis of causality. Psychol Sport Exerc. 2019;42:146–155. doi: 10.1016/j.psychsport.2018.08.011. DOI

Cunningham C, O’ Sullivan R, Caserotti P, et al. . Consequences of physical inactivity in older adults: a systematic review of reviews and meta-analyses. Scand J Med Sci Sports. 2020;30(5):816–827. doi: 10.1111/sms.13616. PubMed DOI

Bennie JA, De Cocker K, Smith JJ, et al. . The epidemiology of muscle-strengthening exercise in Europe: a 28-country comparison including 280,605 adults. PLoS One. 2020;15(11):e0242220. doi: 10.1371/journal.pone.0242220. PubMed DOI PMC

Guthold R, Stevens GA, Riley LM, et al. . Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1.6 million participants. Lancet Child Adolesc Health. 2020;4(1):23–35. doi: 10.1016/S2352-4642(19)30323-2. PubMed DOI PMC

Aubert S, Barnes JD, Demchenko I.. Global matrix 4.0 physical activity report card grades for children and adolescents: results and analyses from 57 countries. J Phys Act Health. 2022;19(11):700–728. doi: 10.1123/jpah.2022-0456. PubMed DOI

Kontostoli E, Jones AP, Pearson N, et al. . Age-related change in sedentary behavior during childhood and adolescence: a systematic review and meta-analysis. Obes Rev. 2021;22(9):e13263. doi: 10.1111/obr.13263. PubMed DOI

van der Ploeg HP, Bull FC.. Invest in physical activity to protect and promote health: the 2020 WHO guidelines on physical activity and sedentary behaviour. Int J Behav Nutr Phys Act. 2020;17(1):145. doi: 10.1186/s12966-020-01051-1. PubMed DOI PMC

Corey JJ, Shirazipour CH, Fricke M, et al. . Physiotherapists’ role in physical activity promotion: qualitative reflections of patients and providers. Physiother Theory Pract. 2023;39(4):814–826. doi: 10.1080/09593985.2022.2031361. PubMed DOI

Khalid MT, Sarwar MF, Sarwar MH, et al. . Current role of physiotherapy in response to changing healthcare needs of the society. Int J Educ Inform Technol. 2015;1(3):105–110.

Lowe A, Gee M, McLean S, et al. . Physical activity promotion in physiotherapy practice: a systematic scoping review of a decade of literature. Br J Sports Med. 2018;52(2):122–127. doi: 10.1136/bjsports-2016-096735. PubMed DOI

Brito O, Carreira JC.. Professional competences of the physiotherapists in the field of mental health in Portugal: a questionnaire-based survey. Ann Med. 2021;53(sup1):S149–S150. doi: 10.1080/07853890.2021.1896645. DOI

Lowe A, Littlewood C, McLean S, et al. . Physiotherapy and physical activity: a cross-sectional survey exploring physical activity promotion, knowledge of physical activity guidelines and the physical activity habits of UK physiotherapists. BMJ Open Sport Exerc Med. 2017;3(1):e000290. doi: 10.1136/bmjsem-2017-000290. PubMed DOI PMC

Dean E, Skinner M, Myezwa H, et al. . Health competency standards in physical therapist practice. Phys Ther. 2019;99(9):1242–1254. doi: 10.1093/ptj/pzz087. PubMed DOI

Maher C, Szeto K, Arnold J.. The use of accelerometer-based wearable activity monitors in clinical settings: current practice, barriers, enablers, and future opportunities. BMC Health Serv Res. 2021;21(1):1064. doi: 10.1186/s12913-021-06410-3. PubMed DOI PMC

Sethi A, Ting J, Allen M, et al. . Advances in motion and electromyography based wearable technology for upper extremity function rehabilitation: a review. J Hand Ther. 2020;33(2):180–187. doi: 10.1016/j.jht.2019.12.021. PubMed DOI

Stock R, Gaarden AP, Langørgen E.. The potential of wearable technology to support stroke survivors’ motivation for home exercise - focus group discussions with stroke survivors and physiotherapists. Physiother Theory Pract. 2024;z40(8):1795–1806. doi: 10.1080/09593985.2023.2217987. PubMed DOI

Master H, Bley JA, Coronado RA, et al. . Effects of physical activity interventions using wearables to improve objectively-measured and patient-reported outcomes in adults following orthopaedic surgical procedures: a systematic review. PLoS One. 2022;17(2)Article:e0263562. doi: 10.1371/journal.pone.0263562. PubMed DOI PMC

Bowman T, Gervasoni E, Arienti C, et al. . Wearable devices for biofeedback rehabilitation: a systematic review and meta-analysis to design application rules and estimate the effectiveness on balance and gait outcomes in neurological diseases. Sensors. 2021;21(10):3444. doi: 10.3390/s21103444. PubMed DOI PMC

Albán-Cadena AC, Villalba-Meneses F, Pila-Varela KO, et al. . Wearable sensors in the diagnosis and study of Parkinson’s disease symptoms: a systematic review. J Med Eng Technol. 2021;45(7):532–545. doi: 10.1080/03091902.2021.1922528. PubMed DOI

Mattison G, Canfell O, Forrester D, et al. . The influence of wearables on health care outcomes in chronic disease: systematic review. J Med Internet Res. 2022;24(7):e36690. doi: 10.2196/36690. PubMed DOI PMC

Huhn S, Axt M, Gunga HC, et al. . The impact of wearable technologies in health research: scoping review. JMIR Mhealth Uhealth. 2022;10(1):e34384. doi: 10.2196/34384. PubMed DOI PMC

Lang CE, Barth J, Holleran CL, et al. . Implementation of wearable sensing technology for movement: pushing forward into the routine physical rehabilitation care field. Sensors. 2020;20(20):5744. doi: 10.3390/s20205744. PubMed DOI PMC

Blumenthal J, Wilkinson A, Chignell M.. Physiotherapists’ and physiotherapy students’ perspectives on the use of mobile or wearable technology in their practice. Physiother Can. 2018;70(3):251–261. doi: 10.3138/ptc.2016-100.e. PubMed DOI PMC

Smetaniuk T, Johnson D, Creurer J, et al. . Physical activity and sedentary behaviour of master of physical therapy students: an exploratory study of facilitators and barriers. Physiother Can. 2017;69(3):260–270. doi: 10.3138/ptc.2015-76EP. PubMed DOI PMC

Badau A, Rachita A, Sasu CR, et al. . Motivations and the level of practicing physical activities by physio-kinetotherapy students. Educ Sci. 2018;8(3):97. doi: 10.3390/educsci8030097. DOI

Kgokong D, Parker R.. Physical activity in physiotherapy students: levels of physical activity and perceived benefits and barriers to exercise. S Afr J Physiother. 2020;76(1):1399. doi: 10.4102/sajp.v76i1.1399. PubMed DOI PMC

Barton CJ, King MG, Dascombe B, et al. . Many physiotherapists lack preparedness to prescribe physical activity and exercise to people with musculoskeletal pain: a multi-national survey. Phys Ther Sport. 2021;49:98–105. doi: 10.1016/j.ptsp.2021.02.002. PubMed DOI

Stead A, Vishnubala D, Marino KR, et al. . UK physiotherapists delivering physical activity advice: what are the challenges and possible solutions? A qualitative study. BMJ Open. 2023;13(4):e069372. doi: 10.1136/bmjopen-2022-069372. PubMed DOI PMC

Freene N, Cools S, Bissett B.. Are we missing opportunities? Physiotherapy and physical activity promotion: a cross-sectional survey. BMC Sports Sci Med Rehabil. 2017;9(1):19. doi: 10.1186/s13102-017-0084-y. PubMed DOI PMC

Ryu HJ, Kwon JW, Lee YM.. Recognition of physical activity between physical therapy and non-physical therapy students: cross-sectional survey. J Kor Phys Ther. 2021;33(6):307–313. doi: 10.18857/jkpt.2021.33.6.307. DOI

Sandborgh M, Dean E, Denison E, et al. . Integration of ­behavioral medicine competencies into physiotherapy curriculum in an exemplary Swedish program: rationale, process, and review. Physiother Theory Pract. 2020;36(3):365–377. doi: 10.1080/09593985.2018.1488192. PubMed DOI

Tuna H, Bozan O, Elibol N, et al. . Are the physical activity habits of Turkish physiotherapists associated with their physical activity promotion and counseling? Physiother Theory Pract. 2022;38(1):189–200. doi: 10.1080/09593985.2020.1729909. PubMed DOI

Vess M. Varieties of conscious experience and the subjective awareness of one’s “true” self. Review of General Psychology. 2019;23(1):89–98. doi: 10.1177/1089268019829471. DOI

Marangunić N, Granić A.. Technology acceptance model: a literature review from 1986 to 2013. Univ Access Inf Soc. 2015;14(1):81–95. doi: 10.1007/s10209-014-0348-1. DOI

Williams M, Moser T.. The art of coding and thematic exploration in qualitative research. Int Manage Rev. 2019;15(1):45–55.

Craig CL, Marshall AL, Sjöström M, et al. . International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB. PubMed DOI

Kudlacek M, Fromel K, Groffik D.. Associations between adolescents’ preference for fitness activities and achieving the recommended weekly level of physical activity. J Exerc Sci Fit. 2020;18(1):31–39. doi: 10.1016/j.jesf.2019.10.001. PubMed DOI PMC

World Health Organization . Guidelines on physical activity and sedentary behaviour. 2020. Available from: https://www.who.int/publications/i/item/9789240015128. PubMed

Ryan RM, Frederick CM, Lepes D, et al. . Intrinsic motivation and exercise adherence. Int J Sport Psychol. 1997;28:335–354.

Vašíčková J, Pernicová H.. Inner consistency and inner validity of the Czech version of Motives for Physical Activities Measure-Revised (MPAM-R). Telesna Kultura. 2019;41(2):74–81. doi: 10.5507/tk.2019.005. DOI

Šimůnek A, Dygrýn J, Jakubec L, et al. . Validity of Garmin Vívofit 1 and Garmin Vívofit 3 for school-based physical activity monitoring. Pediatr Exerc Sci. 2019;31(1):130–136. doi: 10.1123/pes.2018-0019. PubMed DOI

Šimůnek A, Dygrýn J, Gába A, et al. . Validity of Garmin Vivofit and Polar Loop for measuring daily step counts in free-living conditions in adults. Acta Gymnica. 2016;46(3):129–135. doi: 10.5507/ag.2016.014. DOI

Frömel K, Groffik D, Mitáš J, et al. . Physical activity recommendations for segments of school days in adolescents: support for health behavior in secondary schools. Front Public Health. 2020;8:527442. doi: 10.3389/fpubh.2020.527442. PubMed DOI PMC

Boguszewski D, Ochala A, Adamczyk J, et al. . Physical activity of physiotherapy students at the Medical University of Warsaw. hpc. 2021;15(1):48–53. doi: 10.5114/hpc.2020.97678. DOI

Ranasinghe C, Sigera C, Ranasinghe P, et al. . Physical inactivity among physiotherapy undergraduates: exploring the knowledge-practice gap. BMC Sports Sci Med Rehabil. 2016;8(1):39. doi: 10.1186/s13102-016-0063-8. PubMed DOI PMC

Michalčíková T, Vorlíček M, Pechová J, et al. . Physical ­activity of physiotherapy students and the role of device-based monitoring in their future clinical practice: a ­cohort study. hpc. 2020;14(2):107–117. doi: 10.5114/hpc.2020.94271. DOI

van Sluijs EMF, Ekelund U, Crochemore-Silva I, et al. . Physical activity behaviours in adolescence: current evidence and opportunities for intervention. Lancet. 2021;398(10298):429–442. doi: 10.1016/S0140-6736(21)01259-9. PubMed DOI PMC

Ferreira Silva RM, Mendonça CR, Azevedo VD, et al. . Barriers to high school and university students’ physical activity: a systematic review. PLoS One. 2022;17(4):e0265913. doi: 10.1371/journal.pone.0265913. PubMed DOI PMC

Sigmundová D, Chmelík F, Sigmund E, et al. . Physical ­activity in the lifestyle of Czech university students: meeting health recommendations. Eur J Sport Sci. 2013;13(6):744–750. doi: 10.1080/17461391.2013.776638. PubMed DOI PMC

Neil-Sztramko SE, Ghayyur A, Edwards J, et al. . Physical activity levels of physiotherapists across practice settings: a cross-sectional comparison using self-report questionnaire and accelerometer measures. Physiother Can. 2017;69(2):152–160. doi: 10.3138/ptc.2015-64. PubMed DOI PMC

Kunstler B, Fuller R, Pervan S, et al. . Australian adults expect physiotherapists to provide physical activity advice: a survey. J Physiother. 2019;65(4):230–236. doi: 10.1016/j.jphys.2019.08.002. PubMed DOI

Trost SG, O’Neil M.. Clinical use of objective measures of physical activity. Br J Sports Med. 2014;48(3):178–181. doi: 10.1136/bjsports-2013-093173. PubMed DOI

Treacy D, Hassett L, Schurr K, et al. . Validity of different activity monitors to count steps in an inpatient rehabilitation setting. Phys Ther. 2017;97(5):581–588. doi: 10.1093/ptj/pzx010. PubMed DOI

Argent R, Daly A, Caulfield B.. Patient involvement with home-based exercise programs: can connected health interventions influence adherence? JMIR Mhealth Uhealth. 2018;6(3):e47. doi: 10.2196/mhealth.8518. PubMed DOI PMC

McGrath RL, Verdon S, Parnell T, et al. . Australian physiotherapists’ perceived frequency of contact with clients experiencing distress: a cross-sectional survey. Physiother Theory Pract. 2024;40(8):1669–1686. doi: 10.1080/09593985.2023.2204962. PubMed DOI

Mahony R, Blake C, Matthews J, et al. . Physical activity levels and self-determined motivation among ­future healthcare professionals: utility of the Behavioral Regulation in Exercise Questionnaire (BREQ-2). Physiother Theory Pract. 2019;35(9):884–890. doi: 10.1080/09593985.2018.1457112. PubMed DOI

Frömel K, Groffik D, Šafář M, et al. . Differences and associations between physical activity motives and types of physical activity among adolescent boys and girls. Biomed Res Int. 2022;2022:6305204–6305213. doi: 10.1155/2022/6305204. PubMed DOI PMC

Moore K, O’Shea E, Kenny L, et al. . Older adults’ experiences with using wearable devices: qualitative systematic review and meta-synthesis. JMIR Mhealth Uhealth. 2021;9(6):e23832. doi: 10.2196/23832. PubMed DOI PMC

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...