Health and skill-related physical fitness of physiotherapy students An observational study
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Abstract
Physiotherapy is a physically demanding profession. Health and skill-related physical fitness should be emphasized in physiotherapy students for both the personal benefit on their own health and injury prevention and for the sustainability of their ability to meet job demands. This study aims to assess levels of health and skill-related physical fitness in undergraduate physiotherapy students in Jordan. A cross sectional study of 109 physiotherapy students; 23 males aged 19.57 (1.44) years and 86 females aged 20.02 (2.61) years. The following health and skill-related physical fitness components were assessed: body mass index (BMI), modified sit and reach, partial curl-up, push-ups, vertical jump, 20-m shuttle run, handgrip strength, 4x10 shuttle run, and star excursion balance tests. Most of the students had normal BMI (65.1%) but levels of physical fitness were mainly poor and below average except for hamstring flexibility which was excellent. Lack of normative data on agility and dynamic balance in healthy adults who are not athletes limited determining their level in our students. The results mainly demonstrated poor levels of health-related physical fitness of Jordanian physiotherapy students, which could have a significant effect on their performance and increase their risk of injury. Dynamic balance and agility results are presented for the first time in healthy adults (not athletes) which could be used in future research. It is suggested to encourage commitment towards lifestyle modification and health behaviour and increase awareness of the physical demands of the profession.
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Funding data
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Deanship of Scientific Research, University of Jordan
Grant numbers 2015-2014/143
References
American college of sports medicine. (2014). ACSM's guidelines for exercise testing and prescription (9th ed.). Baltimore, MD: Lippincott Williams & Wilkins.
Bello, A. I., Bonney, E., & Opoku, B. (2016). Physical fitness of Ghanaian physiotherapists and its correlation with age and exercise engagement: a pilot study. Arch Physiother, 6(2), 1-5. https://doi.org/10.1186/s40945-016-0016-2
Canadian Society for Exercise Physiology. (2003). The Canadian physical activity, fitness and lifestyle approach (CPAFLA): Fitness & LifeStyle Approach (CPAFLA): CSEP-Health & Fitness Program's Health-Related Appraisal and Counselling Strategy (3rd ed.). Ottawa (Ontario) Canadian Society for Exercise Physiology.
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public health rep., 100(2), 126-131.
Corbin, C. B., Pangrazi, R. P., & Franks, B. D. (2000). Definitions: Health, fitness, and physical activity. President's Council on Physical Fitness and Sports Research Digest, 3(9), 1-11.
Earl, J. E., & Hertel, J. (2001). Lower-extremity muscle activation during the Star Excursion Balance Tests. J Sport Rehabil., 10(2), 93-104. https://doi.org/10.1123/jsr.10.2.93
Eraslan, U., Gelecek, N., & Genc, A. (2013). Effect of scapular muscle endurance on chronic shoulder pain in textile workers. J Back Musculoskelet Rehabil., 26(1), 25-31. https://doi.org/10.3233/BMR-2012-0346
Faulkner, R. A., Sprigings, E. J., McQuarrie, A., & Bell, R. D. (1989). A partial curl-up protocol for adults based on an analysis of two procedures. Can J Sport Sci., 14(3), 135-141.
Fess, F. E. (1992). Grip strength. In J. S. Casanova (Ed.), Clinical assessment recommendations (2nd ed., pp. 41-45). Chicago: American Society of Hand Therapists.
Forte, R., Boreham, C. A. G., De Vito, G., Ditroilo, M., & Pesce, C. (2014). Measures of static postural control moderate the association of strength and power with functional dynamic balance. Aging Clin Exp Res., 26(6), 645-653. https://doi.org/10.1007/s40520-014-0216-0
Fotynyuk, V. G. (2017). Determination of first year students physical condition and physical fitness level. Phys Educ. Stud., 21(3), 116-120. https://doi.org/10.15561/20755279.2017.0303
Gribble, P. A., & Hertel, J. (2003). Considerations for normalizing measures of the Star Excursion Balance Test. Meas Phys Educ Exerc Sci., 7(2), 89-100. https://doi.org/10.1207/S15327841MPEE0702_3
Gribble, P. A., Hertel, J., & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J. Athl. Train., 47(3), 339-357. https://doi.org/10.4085/1062-6050-47.3.08
Horsley, I., Herrington, L., Hoyle, R., Prescott, E., & Bellamy, N. (2016). Do changes in hand grip strength correlate with shoulder rotator cuff function? Shoulder elbow, 8(2), 124-129. https://doi.org/10.1177/1758573215626103
Hrysomallis, C. (2007). Relationship between balance ability, training and sports injury risk. Sports med., 37(6), 547-556. https://doi.org/10.1177/1758573215626103
Juhkam, E., & Vaher, I. (2019). Physical fitness of physiotherapy students. Acta Kinesiologiae Universitatis Tartuensis, 25, 88-96. https://doi.org/10.12697/akut.2019.25.07
Kumar, T., Kumar, S., Nezamuddin, M., & Sharma, V. P. (2015). Efficacy of core muscle strengthening exercise in chronic low back pain patients. J Back Musculoskelet Rehabil, 28(4), 699-707. https://doi.org/10.3233/BMR-140572
Leger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci., 6(2), 93-101. https://doi.org/10.1080/02640418808729800
Lewandowski, A., Sarwinska, J., Siedlaczek, M., & Piekorz, Z. (2020). 10-Year Longitudinal Changes in Fitness Parameters in Physiotherapy Students. BioMed Research International, Article ID 7154797, 1-8. https://doi.org/10.1155/2020/7154797
Mahajan, R., & Rawat, D. (2020). Determination of physical fitness index and its relation with body mass index among physiotherapy students. Physiother- J Indian Assoc Physiother, 14(2), 84-88. https://doi.org/10.4103/PJIAP.PJIAP_25_19
Mayorga-Vega, D., Aguilar-Soto, P., & Viciana, J. (2015). Criterion-related validity of the 20-m shuttle run test for estimating cardiorespiratory fitness: a meta-analysis. J. Sports Sci. Med., 14(3), 536-547.
Mayorga-Vega, D., Merino-Marban, R., & Viciana, J. (2014). Criterion-related validity of sit-and-reach tests for estimating hamstring and lumbar extensibility: a meta-analysis. J. Sports Sci. Med., 13(1), 1-14. https://doi.org/10.4100/jhse.2014.91.18
McArdle, W., Katch, F., & Katch, V. (2000). Essentials of Exercise Physiology. (2nd ed.). Philadelphia: Lippincott, Williams & Wilkins.
Mirza, F. T., Roslan, A. S., & Bahri, A. S. (2019). Work-related musculoskeletal disorders and its association with physical fitness among physiotherapy students attending public universities in Malaysia. Health Scope, 2, 230-235. https://doi.org/10.2478/sjph-2022-0023
Mistry, G. S., Vyas, N. J., & Sheth, M. S. (2014). Comparison of hamstrings flexibility in subjects with chronic low back pain versus normal individuals. J Clin Exp Res, 2(1), 85-88. https://doi.org/10.26717/BJSTR.2018.05.001171
Multani, N. K., Bhawna, & Singh, A. (2013). Level of physical fitness among physiotherapy students a study of Punjab and Haryana. World Appl. Sci. J., 21(8), 1136-1140.
Narendrasinh, J. U., & Mulla, A. (2015). Prevalence and risk factors of work related injuries among physical therapists in Indian population. Int J Sci Res, 4(6), 2575-2578.
Nyland, L. J., & Grimmer, K. A. (2003). Is undergraduate physiotherapy study a risk factor for low back pain? A prevalence study of LBP in physiotherapy students. BMC musculoskeletal disords, 4(22), 1-12. https://doi.org/10.1186/1471-2474-4-22
Ortega, F. B., Artero, E. G., Ruiz, J. R., Vicente-Rodriguez, G., Bergman, P., Hagstromer, M., et al. (2008). Reliability of health-related physical fitness tests in European adolescents. The HELENA Study. Int J Obes, 32(5), S49-57. https://doi.org/10.1038/ijo.2008.183
Parmar, D., & Vaghela, V. (2015). Study of physical fitness index using modified Harvard Step Test in relation with body mass index in physiotherapy students. International Journal of Recent Advances in Multidisciplinary Research, 2(12), 1075-1077.
Pawaria, S., Kalra, S., & Pal, S. (2017). Study on cardio-respiratory fitness of physiotherapy students: A cross-sectional study. Int. J. Yoga Physiother Phys Educ, 2(4), 22-24. https://doi.org/10.19080/JPFMTS.2017.01.555558
Payne, N., Gledhill, N., Katzmarzyk, P. T., Jamnik, V. K., & Keir, P. J. (2000). Canadian musculoskeletal fitness norms. Can J Appl Physiol, 25(6), 430-442. https://doi.org/10.1139/h00-028
Robinson, R. H., & Gribble, P. A. (2008). Support for a reduction in the number of trials needed for the star excursion balance test. Arch Phys Med Rehabil., 89(2), 364-370. https://doi.org/10.1016/j.apmr.2007.08.139
Schorderet, C., Hilfiker, R., & Allet, L. (2021). The role of the dominant leg while assessing balance performance. A systematic review and meta-analysis. Gait posture, 84, 66-78. https://doi.org/10.1016/j.gaitpost.2020.11.008
Shaheen, A. A. M., Omar, M. T. A., & Ali, O. I. (2021). Normative values of handgrip and pinch strengths in healthy female college students in Riyadh, Saudi Arabia: A cross-sectional study. Bulletin of Faculty of Physical Therapy, 26(1), 1-7. https://doi.org/10.1186/s43161-021-00019-x
Spernoga, S. G., Uhl, T. L., Arnold, B. L., & Gansneder, B. M. (2001). Duration of maintained hamstring flexibility after a one-time, modified hold-relax stretching protocol. J Athl Train, 36(1), 44-48.
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gotzsche, P. C., & Vandenbroucke, J. P. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med, 147(8), 573e577. https://doi.org/10.7326/0003-4819-147-8-200710160-00010
Weir, C. B., & Jan, A. (2019). BMI classification percentile and cut off points. Treasure Island (FL): StatPearls Publishing.
Werle, S., Goldhahn, J., Drerup, S., Simmen, B. R., Sprott, H., & Herren, D. B. (2009). Age-and gender-specific normative data of grip and pinch strength in a healthy adult Swiss population. J. Hand Surg. Eur., 34(1), 76-84. https://doi.org/10.1177/1753193408096763