Literature Review on Physiotherapy: Articles on Home-based Exercise Testing, Prone Positioning in COVID-19 Patients, and Stress in Students

This portfolio includes a literature review of 3 journal articles related to physiotherapy, along with 2 reflective commentaries. The articles cover home-based exercise testing, prone positioning in COVID-19 patients, and stress in physiotherapy students. The portfolio also discusses the importance of personal and professional growth in the healthcare profession.

Portfolio

Contents
Introduction................................................................................................................................3
Article 1: Home-based and remote functional exercise testing in cardiac conditions, during
the covid-19 pandemic and beyond: a systematic review..........................................................3
Description of article..............................................................................................................3
Article 2: Physiotherapy-assisted prone or modified prone positioning in ward-based patients
with COVID-19: a retrospective cohort study...........................................................................3
Description of article..............................................................................................................3
Article 3: Variable levels of stress and anxiety reported by physiotherapy students during
clinical placements: a cohort study............................................................................................4
Description of article..............................................................................................................4
Linking to Integrated care system and future health profession................................................5
Reflective commentary A..........................................................................................................5
Reflective commentary B...........................................................................................................6
Conclusion..................................................................................................................................7
References..................................................................................................................................8

Introduction
From the given portfolio will include literature review of 3 journal articles that are
based on my future healthcare profession. This will include critical analysis of relative
findings over internet sources comprising online journals and articles with books. In addition
to this, 2 different reflective commentary will be provided that will reflect on key findings
from the literature and will provide reflection on key learnings obtained from the coursework
(Barradell and Bruder, 2021).
Article 1: Home-based and remote functional exercise testing in cardiac
conditions, during the covid-19 pandemic and beyond: a systematic review
Description of article
According to Rita Hwang et. al., (2021), several patient cardiac rehabilitation clinics
have quickly adapted alternate delivery strategies in reference to the coronavirus (COVID-
19) outbreak. Traditionally, baseline exercise tests have been used in cardiac rehabilitation
programmes to determine exercise safety and permit proper exercise prescription.
Considering the shift in healthcare toward an increasing strong focus on distant delivery,
persons with heart issues urgently require counselling on functional exercise testing, which
may be done in person at home or remotely. The recent COVID-19 pandemic emphasises this
need validated and accurate functional exercise tests that can be performed at home or
remotely without adversely affecting qualitative characteristics or quality care. Exercise tests
are useful for guiding safe and suitable exercise prescription, monitoring an individual's
reaction to an exercise-based rehab facility, and determining the overall success of an
intervention. Given the broad criteria for inclusion, only five papers related to patients with
cardiac problems were found in this systematic review (Home-based and remote functional
exercise testing in cardiac conditions, during the covid-19 pandemic and beyond: a
systematic review, 2021).
Article 2: Physiotherapy-assisted prone or modified prone positioning in
ward-based patients with COVID-19: a retrospective cohort study
Description of article
According to Claudia Talow, (2022), considering the absence of high-quality data, the
use of prone posture in patients with COVID-19 from outside acute care facilities is gaining
popularity. Based on the efficacy of prone lying in ventilated patients with COVID-19 and

those with non-COVID-19 associated acute respiratory distress syndrome, recommendations
for using prone treatment in awake, non-intubated patients have been created. In ward-based
settings, prone placement is linked to improved oxygenation; however, only a small number
of studies has been undertaken on patients with modest respiratory support needs.
Physiotherapists do have knowledge and expertise to investigate supported and adjusted
prone positions, while also minimising hazards, depending on physiological principles and
patients' functional abilities. Whilst it has not been particularly tested in ward-based patients
with COVID-19, physiotherapy-assisted prone and adjusted prone positions is becoming
more common in clinical practise, it may give another therapeutic choice for patients with
cognitive disability. Furthermore, recent research on awake prone placement has not taken
into account a modified natural position for patients who can't get into a complete prone
position. The participants in this study were admitted to a general ward and agreed to
physiotherapist prone or enhanced prone positions. Patients in this research were treated on
the SVHM general wards because they required little respiratory assistance or were
considered unsuitable for intensive care according to their Acute Resuscitation Plan. High-
flow oxygen treatment up to 40 l/minute with a FiO2 of 0.50 was the greatest oxygen need
that could be met in this scenario. Each patient's oxygen saturation objectives were recorded
by the treating medical team (Physiotherapy-assisted prone or modified prone positioning in
ward-based patients with COVID-19: a retrospective cohort study, 2022).
Article 3: Variable levels of stress and anxiety reported by physiotherapy
students during clinical placements: a cohort study
Description of article
Anxiousness is a long-term psychological disorder that can be stimulated by stress
and has negative effects on social, occupational, as well as other domains of ability to
function. Stress is the body's way of responding to a trigger and is typically a brief
experience, so although anxiety is a long-term psychological disorder which can be prompted
by stress and has negative effects on social, occupational, and other domains of functioning.
Although moderate stress can serve as a learning stimulus, extreme stress can impair memory
and learning processes, severely impacting academic performance. Intellectual demands and
personal aspects have been linked to psychological morbidity in physiotherapy students. The
challenges of the professional learning setting may be one cause for physiotherapy students'
elevated levels of psychological distress. Clinical rotations give opportunity for research,
reflection, implementation of complex notions, and practise of new abilities, as well as

experiential learning. When compared to foundation, physiotherapy students showed
considerably greater levels of tension and anxiety throughout framework clinical education
and hospital-based clinical education (Variable levels of stress and anxiety reported by
physiotherapy students during clinical placements: a cohort study, 2022).
Linking to Integrated care system and future health profession
Numerous classifications, perspectives, and theories have evolved over the last
decade, describing and specifying what interprofessional collaboration is and what the
essential building elements for successful service interaction are (Chipchase and et. al.,
2022). Through the analysis of presented articles attempts to give conceptual clarity and
effective presentation of knowledge for integrated care models through a testing literature
study is being taken into consideration. Through reflecting to the future healthcare profession
i.e., physiotherapy, relative article revolved around producing several discussions about the
same. To enhance the treatment of persons with long-term diseases, several national
initiatives advocate integrating general and specialty care. There is a growing need to
understand how to put such a service redesign into practise. Physiotherapy healthcare, had
become very popular throughout the world with the outbreak of COVID-19. Integrated
treatment activity is clearly visible to observers of the health system in wealthy nations. This
was done through spreading awareness about the physiotherapy treatments (Fletcher and
Lawry, 2022). Although it hasn't been thoroughly evaluated in the COVID-19 patients,
physiotherapy-assisted prone and modified prone postures are becoming more popular in
clinical practise, and they may provide another treatment opportunity for patients with
cognitive impairment.
Reflective commentary A
The project work that was assigned to me and my group members provided me with a
range of understanding and skills that would help me advance and succeed in my field i.e.,
physiotherapy. I had the opportunity to speak with people from various upbringings and
characteristics during the project, which helped me to improve my communication skills.
Furthermore, the project gave me a decent awareness of the various ability acquisition
strategies used by businesses. As a consequence, I will be able to manage my work team
more efficiently. For making the findings more credible and dependable, I used secondary
form of research in which journal from well-known scholars and researchers were being
selected for my research study which also related to physiotherapy. It also helped me

to improve my communication and critical problem-solving abilities. I also develop time
management skills that aid my professional success, and I demonstrate these qualities by
demonstrating that I am capable of taking on any project and giving it my all. I also
recognised my own strengths and weaknesses, which benefited me in minimising risks and
maximising opportunities. As a result, this initiative has given me the opportunity to learn
new skills and information, as well as the courage to face any problems that may arise.
During coursework, I learned a lot of concepts concerning operations of a professional
workflow in healthcare about physiotherapy (Fryer, Edney and van Kessel, 2021). I found
that a firm executes a wide number of disciplines for which each stakeholder must be
considered for regulating finest quality of outcome delivered. I realised how important it is
for every business to provide ethical service to its customers. I realised how important it is for
someone to be ethically critical but yet reflecting the workplace goals. Employees, in my
opinion, should be consulted for management models depending on who they are. All of this
off-the-clock performance must be focused on managing recognition, producing business
benefits, and promoting employee-manager relationships (Naamanka and et. al., 2022).
Reflective commentary B
For the given coursework, effective decision-making skills were critical because, after
gathering all of the necessary information, I had to make a real interpretation in order to
achieve the desired result from the article chosen, which was also relevant to my future
professional career as a physiotherapist. A proposed study ensured that I make appropriate
selections and get reliable and accurate information. On the other side, there were certain
shortcomings that I was concerned about receiving a decent score for my evaluation because
of a lack of stress management and problem-solving ability (Perner and Danielsson, 2021).
Whenever I see a lot of work, I become worried, and this is my present issue since I have to
keep track of all of my activities and complete each project within a particular amount of
time. When undertaking research assignments, I was able to improve my communication,
time management, and decision-making skills. When it came to completing my inquiry
properly, I found a few skills and flaws. For example, my communication abilities enable me
to communicate more successfully with a variety of people when conducting research. This
assisted me in persuading others to offer correct information regarding a problem identified
in the project report. I was able to accomplish this study within the allocated time frame
because to my excellent time management skills (Rappazzo, Seagrave and Gough, 2021). I
followed a weekly timetable that guided me through each action during the process. I was

unable to fulfil my everyday life duties and had become separated from my career-oriented
goals and ambitions as a result of my lack of time management abilities. Furthermore, I lack
problem-solving abilities, since I was unable to deal with a number of challenges that came
throughout the process of gathering knowledge on the subject. I've started working on these
concerns and will try to address them in future endeavours (Withers and et. al., 2022).
Conclusion
According to the findings of the presented reflective portfolio, it can be said
that growth allows an individual to be aware about his future goals and establish them
accordingly. Personal and professional growth are both vital, according to the research. It also
improves skills and talents to compete and progress for personal and professional
development. Each person may use techniques relative to research article analysis and
reflective commentary to shape up their career and construct a personal growth plan for
themselves, allowing them to successfully acquire new skills and information. The
importance of personal and professional growth, as well as its rewards, are investigated in
this study. This study also looked at the personal identity growth technique. Prioritize
existing goals while focusing on new ones.

References
Books and Journals
Barradell, S. and Bruder, A.M., 2021. Learning about health promotion through behavior
change: a novel qualitative study of physiotherapy students incorporating applied
intervention and reflection. Physiotherapy Theory and Practice, 37(4), pp.497-506.
Chipchase, L., Papinniemi, A., Dafny, H., Levy, T. and Evans, K., 2022. Supporting new
graduate physiotherapists in their first year of private practice with a structured
professional development program; a qualitative study. Musculoskeletal Science and
Practice, 57, p.102498.
Fletcher, C. and Lawry, W., 2022. High fidelity simulation suite for respiratory
physiotherapists. Physiotherapy, 114, p.e91.
Fryer, C., Edney, S. and van Kessel, G., 2021. An interactive teaching module for increasing
undergraduate physiotherapy students' cultural competence: A quantitative
survey. Physiotherapy Research International, 26(1), p.e1880.
Naamanka, K., Suhonen, R., Tolvanen, A. and Leino-Kilpi, H., 2022. Ethical competence-
exploring situations in physiotherapy practice. Physiotherapy Theory and Practice,
pp.1-12.
Perner, S. and Danielsson, L., 2021. Exploring clinical reasoning in Austrian mental health
physiotherapy: the physiotherapist´ s perspective. Physiotherapy Theory and
Practice, pp.1-14.
Rappazzo, L., Seagrave, S. and Gough, S., 2021. Forming and shaping of professional
identity within pre-registration physiotherapy curricular: A scoping review. Nurse
education today, p.105250.
Withers, J., Zavitz, C., Nguyen, T., Baglole, J., Kashetsky, N., Graham, E., Brison, R., Law,
M., Booth, R. and Miller, J., 2022. Experiences of Physiotherapy Students, Health
Care Providers, and Patients with a Role-Emerging Student Clinical Placement in an
Emergency Department: A Qualitative Study. Physiotherapy Canada, (aop),
p.e20200040.
Online
Home-based and remote functional exercise testing in cardiac conditions, during the covid-19
pandemic and beyond: a systematic review, 2021. [Online]. Available at:
<https://www.sciencedirect.com/science/article/pii/S0031940621003904>
Physiotherapy-assisted prone or modified prone positioning in ward-based patients with
COVID-19: a retrospective cohort study, 2022. [Online]. Available at: <
https://www.sciencedirect.com/science/article/pii/S0031940621000833>
Variable levels of stress and anxiety reported by physiotherapy students during clinical
placements: a cohort study, 2022. [Online]. Available at:
<https://reader.elsevier.com/reader/sd/pii/S0031940621003886?
token=1BB61A6D780E530C2FC640606C1E9C42FD58BE8C9BEAE19C3B8143D
231FAE1ECC9FBE8393F66228390849CC1E72C54A7&originRegion=eu-west-
1&originCreation=20220330181337>