Thai Journal of Physical Therapy <p>Thai journal of Physical Therapy is the official journal of the Physical Therapy Association of Thailand (P.T.A.T.). The journal's mission is to disseminate and share knowledge related to physical therapy science which has implications for clinical physical therapy practice as well as physical therapy education.&nbsp;</p> <p><strong>ISSN:&nbsp;</strong>0125-4634&nbsp;&nbsp;</p> <p><strong>Frequency:</strong>&nbsp;Publish 3 issues per year in January-April, May-August, and September-December&nbsp;&nbsp;</p> <p><strong>Language:</strong>&nbsp;Abstract in Thai and English, Text in English or Thai&nbsp;&nbsp;</p> <p><strong>Free access online</strong></p> en-US (Chitanongk Gaogasigam) (Akkradate Siriphorn) Tue, 19 Jun 2018 15:01:56 +0700 OJS 60 Evaluation of the uses of orientation and mobility skills in daily life of persons with visual impairment: a case study of Kuchinarai District, Kalasin Province <p><strong>Background:</strong> In Thailand, the orientation and mobility (O&amp;M) training for persons with visual impairment has been systematically promoted nationwide since 2010. It was unknown, however, whether persons with visual impairment applied the O&amp;M training in their daily lives.</p> <p><strong>Objective:</strong> To evaluate the uses of O&amp;M skills in daily life of persons with visual impairment after participating in an O&amp;M training course of Kuchinarai Crown Prince Hospital, Kalasin Province.</p> <p><strong>Method:</strong> Participants were 40 persons with visual impairment (26 females and 14 males, average age 61.1 years) who received an 80-hour O&amp;M training course of Kuchinarai Crown Prince Hospital, Kalasin Province. The course consisted of theoretical and practical sessions with 20 O&amp;M skills. By using a questionnaire designed by the investigators, the uses of O&amp;M skills in daily life of the participants were evaluated at weeks 4 and 8 after the training. Data were analyzed by using descriptive statistics and McNemar test.</p> <p><strong>Results:</strong> Of 20 O&amp;M skills included in the training course, 5 were not used in daily life by more than half of the participants. Those skills were mostly related to movements with a helper.</p> <p><strong>Conclusion:</strong> After participating in the O&amp;M training, persons with visual impairment in Kuchinarai District, Kalasin Province used most of O&amp;M skills in daily life. The findings could be applied for improving the O&amp;M training course to be more suitable for the target clients.</p> Pawinee Layothee, Nomjit Nualnetr ##submission.copyrightStatement## Tue, 19 Jun 2018 00:00:00 +0700 The relationship between bridging exercise and standing balance in patients with stroke: A pilot study <p><strong>Background:</strong> The bridging exercise is regarded &nbsp;as one of the basic clinical therapeutic exercises in patients with stroke. There was no previous report on the relationship between bridging exercise and standing balance in patients with stroke.</p> <p><strong>Objective:</strong> To investigate the relationship between bridging exercise and standing balance in patients with stroke.</p> <p><strong>Methods:</strong> A cross-sectional assessment of 25 patients with stroke was performed. The subjective clinical assessment of the 5-point nominal scale of bridging exercise and the 9-point scale of standing balance were developed from data of preceding researches. The order of testing was randomly determined.</p> <p><strong>Results:</strong> The average scores of bridging exercise and standing balance were 2.28±0.79 points (median = 2) and 5.00±2.12 points (median = 6), respectively. There was a high positive correlation between bridging exercise and standing balance in patients with stroke (r = 0.876, p &lt; 0.01). In addition, bridging exercise could predict 77% of ability of standing balance in patients with stroke.</p> <p><strong>Conclusion:</strong> For patients with stroke who have a good sitting balance, physical therapists might predict standing balance from the ability of bridging exercise. However, clinical application has to perform according to the defined criteria of bridging and standing balance tests.</p> Jonjin Ratanapinunchai, Lanna Chanyo ##submission.copyrightStatement## Tue, 19 Jun 2018 00:00:00 +0700 The evaluation of changing from the Thai spirometry to the Global Lung Initiative 2012 reference equations on spirometry interpretation in Thai People <p><strong>Background:</strong> Spirometry is the most common lung function test for determining diagnosis and severity of respiratory diseases. Inappropriate reference equations used can lead to potential errors in the interpretation of spirometry results. The GLI2012 reference equations have recently been recommended for worldwide use but have not been studied in Thai people.</p> <p><strong>Objective:</strong> To quantify the differences and agreements on the interpretation of spirometry results between the Siriraj and GLI2012 predicted values in Thai people.</p> <p><strong>Methods:</strong> A retrospective study of 2,582 spirometry results were derived from Thai people (age ≥ 18 years old) who were referred by their physicians for spirometric testing between January 2005 and December 2015. The spirometry results were estimated using both Siriraj and GLI2012 reference equations. Respiratory function patterns were interpreted as normal, restriction, obstruction, or mixed defect. Level of abnormal patterns were classified as mild, moderate, moderately severe, severe or very severe. Chi-square test was used to analyze differences in classification for the diagnosis and severity and Kappa statistic was used to determine agreement of interpretation between the Siriraj and GLI2012 references equations.</p> <p><strong>Results:</strong> The spirometry diagnosis and the severity classification were significantly different between the two sets of reference equations (p&lt;0.001). The levels of agreement for diagnosis and level of severity between the two sets of reference equations were good (Kappa values were 0.76 and 0.69, p&lt;0.001, respectively).</p> <p><strong>Conclusion:</strong> Changing from the Siriraj to GLI2012 reference equations alters the interpretation of spirometry results in Thai people, which may modify clinical decision in management of respiratory diseases.</p> Warawut Chaiwong, Chaicharn Pothirat, Chalerm Liwsrisakun, Sureeporn Uthaikhup ##submission.copyrightStatement## Tue, 19 Jun 2018 00:00:00 +0700 Lumbar instability and clinical diagnosis <p>The three stability systems of the lumbar spine including active subsystem, passive subsystem, and neural control subsystem allow achieving the spinal stability during activities of daily living. Stability of the lumbar spine is essential for the spinal column; to prevent neural system and delay the declination due to the movement. The impairment of any spinal subsystems together with inappropriate compensation of the remaining subsystem is a leading cause of lumbar instability. Lumbar instability can be divided into 2 types, radiological lumbar instability and clinical lumbar instability. Lumbar instability may develop to more severity as spondylolisthesis if the patients do not receive a suitable management. However, if healthcare providers and patients understand the pathology of the lumbar instability, they will realize the harmful effects and lead to the appropriate management. Consequently, the progressive degeneration of lumbar instability will be delayed or inhibited.</p> <p>Therefore, this review article provided an overview of the most common concept of lumbar stability system, lumbar instability, as well as the clinical diagnosis for generalizing to healthcare providers, patients and people who interested in lumbar instability condition.</p> Thiwaphon Chatprem, Rungthip Puntumetakul, Sawitri Wanpen, Wantanee Yodchaisarn, Suwalee Namwongsa, Jaturat Kanpittaya, Preeda Arrayawichanon ##submission.copyrightStatement## Tue, 19 Jun 2018 00:00:00 +0700