Clinical Rehabilitation最新文献

Maintaining the use of telehealth for delivering rehabilitation services in a regional hospital post-COVID19: Learning from telehealth delivery rates and staff experiences.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-25 DOI: 10.1177/02692155251326050

Owen Howlett, Tracy Harnetty, Stephen Barrett

{"title":"Maintaining the use of telehealth for delivering rehabilitation services in a regional hospital post-COVID19: Learning from telehealth delivery rates and staff experiences.","authors":"Owen Howlett, Tracy Harnetty, Stephen Barrett","doi":"10.1177/02692155251326050","DOIUrl":"https://doi.org/10.1177/02692155251326050","url":null,"abstract":"ObjectiveTo examine what delivery format had been used to facilitate rehabilitation services over recent years and to identify barriers and enablers to using telehealth in the future.DesignMultiple method research approach.Setting: Outpatient rehabilitation service in a large regional hospital in Australia.Participants: Clinicians that deliver rehabilitation interventions including allied health professionals and nurses.Main measuresFirst, a retrospective audit of data examining the rate of telehealth use. Second, semi-structured focus groups with clinical staff to identify barriers and enablers to using telehealth. Data were thematically analysed and mapped to a behaviour change framework.ResultsPre-pandemic, 82% (n = 45,960) of rehabilitation services were delivered in-person; during peak restrictions, in-person delivery was 54% (n = 49,337). Following the ease of restrictions, 71% (n = 49,337) of the rehabilitation services were delivered in-person, 28% (n = 21,624) via phone and 1% (n = 493) via video. Telehealth use increased 11% from pre-pandemic to when restrictions were eased, driven by increased use of phone consultations. Six themes related to barriers and four themes related enablers to using telehealth were identified. Using the behaviour change framework, five interventions functions (education, training, environmental restructure, modelling and enablement) were recommended to facilitate telehealth use.ConclusionsTelehealth-delivered rehabilitation rates increased post-pandemic, primarily via phone consultations. Reported barriers and enablers highlight the need for targeted strategies, with five intervention functions identified that may support increased telehealth adoption in rehabilitation settings. Future efforts should address clinician-raised barriers to optimise telehealth integration into service delivery.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251326050"},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of the Amputee Single Item Mobility Measure (AMPSIMM) and the abbreviated AMPSIMM-4 for amputee mobility.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-25 DOI: 10.1177/02692155251327344

Daniel C Norvell, David C Morgenroth, Joseph M Czerniecki, Elizabeth G Halsne, Aaron P Turner, Rhonda M Williams, Alison W Henderson

{"title":"Validation of the Amputee Single Item Mobility Measure (AMPSIMM) and the abbreviated AMPSIMM-4 for amputee mobility.","authors":"Daniel C Norvell, David C Morgenroth, Joseph M Czerniecki, Elizabeth G Halsne, Aaron P Turner, Rhonda M Williams, Alison W Henderson","doi":"10.1177/02692155251327344","DOIUrl":"https://doi.org/10.1177/02692155251327344","url":null,"abstract":"ObjectiveTo evaluate the criterion and construct validity of the 7-category Amputee Single Item Mobility Measure (AMPSIMM) in a large contemporary dysvascular lower limb amputation population and propose an abbreviated 4-category version (AMPSIMM-4) whose mobility categories parallel the Medicare Functional Classification Levels (K-levels).DesignCohort study retrospectively identifying persons with their first lower limb amputation then prospectively collecting their self-reported mobility.SettingNational cohort identified through a large Veterans' Administration dataset.ParticipantsSix hundred and ninety-two participants aged 30 years and older, undergoing their first diabetes and/or peripheral artery disease-related amputation at the transmetatarsal, transtibial, or transfemoral level, with a subset of 60 consecutive participants with a self-reported K-level.Main measuresAMPSIMM, Locomotor Capability Index-5 (LCI-5), K-levels, and PROMIS Global-10 Physical (PROMIS-P), at one year post amputation.ResultsThe strength of the correlation between AMPSIMM and LCI-5 scores was large (Spearman's rho = .88; p < .0001). The correlation with PROMIS-P scores was 0.67 (p < .0001). The strength of the correlation between the AMPSIMM-4 and self-reported K-levels was large (Spearman's rho = .82; p < .0001).ConclusionsThe AMPSIMM is a clinician-friendly single-item patient-reported measure that can capture a broad range of lower limb amputation mobility, from wheelchair to advanced community ambulation, with or without a prosthesis, and with or without ambulation aids. It demonstrates strong criterion and construct validity. The AMPSIMM-4 can be generated directly from the AMPSIMM with descriptors that are very similar to and are highly correlated with self-reported K-levels.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251327344"},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Non-surgical interventions for arthrofibrosis following knee joint replacement: A systematic review. 膝关节置换术后关节纤维化的非手术干预：系统综述。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-20 DOI: 10.1177/02692155251325624

Michelle C Hall, Benjamin Smith, Katie J Sheehan, Stefanny Guerra, Bushra Abdunour, Melanie Narayanasamy, Joanne Stocks, Fiona Moffatt, Catherine Sackley

{"title":"Non-surgical interventions for arthrofibrosis following knee joint replacement: A systematic review.","authors":"Michelle C Hall, Benjamin Smith, Katie J Sheehan, Stefanny Guerra, Bushra Abdunour, Melanie Narayanasamy, Joanne Stocks, Fiona Moffatt, Catherine Sackley","doi":"10.1177/02692155251325624","DOIUrl":"https://doi.org/10.1177/02692155251325624","url":null,"abstract":"ObjectiveTo evaluate the effectiveness of non-surgical interventions for knee stiffness or arthrofibrosis following knee replacement surgery.Data sourcesOvid MEDLINE, Ovid Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL)were searched from database inception to October 2024.Review methodsAll studies of non-surgical interventions (versus any/no comparator) for adults who developed knee stiffness or a diagnosis of arthrofibrosis following knee replacement were included. Selection, quality appraisal and extraction were completed in duplicate. Results were synthesised narratively. The risk of bias was assessed, and GRADE criteria were used to evaluate evidence quality.ResultsSixteen studies were included, comprising two randomised-controlled trials (n = 76), one non-randomised controlled trial (n = 35), seven cohort studies (n = 352) and six case studies (n = seven). Interventions varied widely including exercise, manual therapy, mechanical devices, and education. Improvements in knee range of movement were reported with some demonstrating functional gains >110° of knee flexion, but the evidence was of low quality. Limited reporting of intervention descriptions, patient-relevant outcomes including function and pain, and longer-term follow-up hindered comprehensive evaluation.ConclusionThe review highlights the heterogeneity of interventions, emphasising the need for standardised reporting. While some studies showed promise, the lack of control groups, small sample sizes, and varied follow-up durations limit conclusive findings. There is insufficient evidence to support any specific non-surgical interventions for arthrofibrosis post-arthroplasty. Further research should be a priority.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251325624"},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the activity and participation limitations in adolescents with cleft lip and palate: A mixed design study using the concept of International Classification of Functioning, Disability and Health Children and Youth Version.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-19 DOI: 10.1177/02692155251327952

Guleser Guney Yilmaz, Barkın Köse, Süleyman Yıldızdal, Kübra Ersoy, Yusuf Irmak, Nur Dilay Yumuş, Serkan Pekçetin, Figen Özgür

{"title":"Understanding the activity and participation limitations in adolescents with cleft lip and palate: A mixed design study using the concept of International Classification of Functioning, Disability and Health Children and Youth Version.","authors":"Guleser Guney Yilmaz, Barkın Köse, Süleyman Yıldızdal, Kübra Ersoy, Yusuf Irmak, Nur Dilay Yumuş, Serkan Pekçetin, Figen Özgür","doi":"10.1177/02692155251327952","DOIUrl":"https://doi.org/10.1177/02692155251327952","url":null,"abstract":"ObjectiveThe primary objective is to comprehensively examine the activity and participation limitations in adolescents with cleft lip and palate utilizing the ICF-CY (International Classification of Functioning, Disability and Health Children and Youth Version).DesignMixed designed study.Setting: Hacettepe University Plastic and Reconstructive Surgery Department.Participants: 264 adolescents with cleft lip and palate and 300 healthy adolescents.Main measures: The Mann-Whitney U test was used to compare occupational balance levels, and qualitative content analysis was used for analyzing interviews. Data were then coded according to the categories of the ICF-CY.ResultsThere was a statistically significant difference between temporality (P = .001), rest and sleep (P = .004), occupational variations and adaptations(P = .001), occupational meaning and value (P = .0001), and A-OBS (Adolescent Occupational Balance Scale) total scores. Participants expressed that they especially had problems in carrying out daily life activities and ensuring social participation. They further stressed that their families tended to provide an overly protective environment. Additionally, adolescents reported improved communication within virtual environments. Adolescents emphasized the impact of the ongoing surgical history on personal development.ConclusionsICF-CY provides an important perspective in examining the activity and participation limitations of children with cleft lip and palate, providing an opportunity to understand the effects of impairments in body structure and function, environmental barriers, and social impacts.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251327952"},"PeriodicalIF":2.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the experience of people with shoulder osteoarthritis and their perceptions of non-surgical management: A qualitative study.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-18 DOI: 10.1177/02692155251325613

Stacey Lalande, Maria Moffatt, Toby Smith, Chris Littlewood

{"title":"Exploring the experience of people with shoulder osteoarthritis and their perceptions of non-surgical management: A qualitative study.","authors":"Stacey Lalande, Maria Moffatt, Toby Smith, Chris Littlewood","doi":"10.1177/02692155251325613","DOIUrl":"https://doi.org/10.1177/02692155251325613","url":null,"abstract":"ObjectiveTo investigate the experience of people with shoulder osteoarthritis and their perception of non-surgical management in the U.K. National Health Service (NHS).DesignQualitative design, using semi-structured telephone interviews. Two authors (SL and MM) performed coding and theme development following principles of reflexive thematic analysis.SettingPhysiotherapy services within three NHS trusts in England. Individual interviews were conducted with patients with a diagnosis of shoulder osteoarthritis.ParticipantsTen participants were recruited (age range 57-86 years; six females; five with bilateral shoulder osteoarthritis).ResultsParticipants reported significant pain, functional limitations, and emotional distress. Non-surgical management experiences varied, with some finding relief from steroid injections, analgesia, and physiotherapy, while others reported limited perceived effectiveness. All participants expressed a desire for more information and support. There were divergent views on the need for surgery.ConclusionThis is the first study to explore the experiences of people with symptomatic shoulder osteoarthritis who have received care within an NHS setting. It highlights the significant impact of shoulder osteoarthritis on daily life and the challenges faced in accessing appropriate care. Findings emphasise the need for patient-centred care, including education, support, information provision and consideration of psychosocial factors. Future research is required to develop an evidence-based guideline for non-surgical management of shoulder osteoarthritis.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251325613"},"PeriodicalIF":2.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response letter: The only defendable scientific position: A strong case against radial extracorporeal shockwave therapy for insertional Achilles tendinopathy.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-17 DOI: 10.1177/02692155251327664

Peter Malliaras, Luke Perraton, Patrick Vallance, Tim Powers, Baraa Alsulaimani

引用次数: 0

Group versus individual delivery of upper limb intervention for adults post-stroke: A systematic review and meta-analysis.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-17 DOI: 10.1177/02692155251322999

Siobhan T McNally, Corey Joseph, Sarah C Milne

{"title":"Group versus individual delivery of upper limb intervention for adults post-stroke: A systematic review and meta-analysis.","authors":"Siobhan T McNally, Corey Joseph, Sarah C Milne","doi":"10.1177/02692155251322999","DOIUrl":"https://doi.org/10.1177/02692155251322999","url":null,"abstract":"ObjectiveTo systematically review the evidence and examine the effectiveness of group-based UL intervention versus individual therapy, in decreasing impairment and improving UL function post-stroke.Data SourcesA comprehensive search of four key databases (CINAHL, Embase, Emcare, and MEDLINE) identified relevant studies published from inception through to November 2024.Review methodsTwo reviewers independently performed screening for inclusion according to selection criteria. Eligible studies provided dose-matched group and individual UL rehabilitation programs. Outcomes that measured UL impairment (Fugl-Meyer Upper Extremity Test) or function (Action Research Arm Test) were extracted for meta-analysis. Methodological quality was assessed using the PEDro scale.ResultsOf 3291 publications, eight studies were included (n = 348) (seven randomised controlled trials and one controlled trial) of poor to good quality. A random effects meta-analysis model was conducted. Statistical significance was determined using analysis of covariance. No significant effects were shown in the meta-analyses on the effect of group versus individual therapy on UL impairment (mean difference 0.87, 95% CI: -0.87 to 2.62, p = .327) or function (mean difference 1.53, 95% CI: -0.23 to 3.29, p = .089). Results were limited by small sample sizes and substantial heterogeneity, with wide variation in intervention type, dosage and setting.ConclusionMeta-analyses suggest group-based UL intervention may be as effective as intervention delivered one-to-one, post-stroke. Additional studies of large sample size and rigorous methodology are necessary to substantiate these findings. Future research should investigate which types of UL intervention are most effective when provided in group-based settings across the different stages of stroke recovery.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251322999"},"PeriodicalIF":2.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acupuncture combined with pelvic floor rehabilitation training for postpartum stress urinary incontinence: A systematic review and meta-analysis.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-11 DOI: 10.1177/02692155251324585

Wenming Chu, Xiaoman Deng, Ling Gao, Xiyan Gao

{"title":"Acupuncture combined with pelvic floor rehabilitation training for postpartum stress urinary incontinence: A systematic review and meta-analysis.","authors":"Wenming Chu, Xiaoman Deng, Ling Gao, Xiyan Gao","doi":"10.1177/02692155251324585","DOIUrl":"https://doi.org/10.1177/02692155251324585","url":null,"abstract":"ObjectivePostpartum stress urinary incontinence is a common postpartum complication. Acupuncture combined with pelvic floor rehabilitation training has certain clinical effects. This systematic review and meta-analysis aims to investigate the efficacy of acupuncture combined with pelvic floor rehabilitation training in the treatment of postpartum stress urinary incontinence.Data sourcesWe searched randomized controlled trials in eight databases including PubMed, Web of Science, EMBASE, Cochrane Library, CNKI, Wanfang, VIP, and Sinomed, as well as the Chinese Clinical Trial Registry and ClinicalTrials.gov databases. The search was conducted on 6 February 2025.MethodsAfter the retrieved literature were screened and the relevant data were extracted, RevMan 5.4 software was used to conduct the statistical analysis. The risk of bias was assessed using the methods recommended in the Cochrane Handbook.ResultsTwenty-one studies with 1867 participants were included in the review. Compared with pelvic floor rehabilitation training alone, acupuncture combined with pelvic floor rehabilitation training improved the clinical efficacy rate (relative risk (RR) = 1.24, 95% CI = 1.19-1.29) and pelvic floor muscle potential (mean difference (MD) = 10.85, 95% CI = 9.28-12.43) and reduced the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form score (MD = -2.32, 95% CI = -3.06 to -1.58) and 1-hour pad test (MD = -1.80, 95% CI = -2.32 to -1.28) in patients with postpartum stress urinary incontinence.ConclusionCurrent literature reviewed here suggests that the combination of acupuncture and pelvic floor rehabilitation training may offer benefits in the management of stress urinary incontinence in postpartum women over pelvic floor rehabilitation training alone.Registration numberPROSPERO CRD42023455801.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251324585"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facilitators and barriers to physical activity in patients in an acute care hospital setting from an interprofessional perspective: A qualitative study.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-11 DOI: 10.1177/02692155251325614

Gesche Gertz, Gesche Ketels, Susanne Gr Klotz

{"title":"Facilitators and barriers to physical activity in patients in an acute care hospital setting from an interprofessional perspective: A qualitative study.","authors":"Gesche Gertz, Gesche Ketels, Susanne Gr Klotz","doi":"10.1177/02692155251325614","DOIUrl":"https://doi.org/10.1177/02692155251325614","url":null,"abstract":"ObjectivePhysical activity levels of patients in hospital are low. The aim of this study was to explore the perceptions of physiotherapists, nurses, and physicians about physical activity of hospitalized patients.DesignQualitative focus group study using phenomenology.SettingUniversity hospital.ParticipantsThirty healthcare professionals (physiotherapists, nurses, and physicians) participated in six focus groups.Main measuresSemi-structured focus groups following an interview guide were conducted. Besides identification of influencing factors and development of ideas for associated interventions, participants should reflect on the roles of different professions. Content analysis of the transcriptions was performed in iterative cycles involving three researchers using inductive coding and redefining based on the literature. Consensus was reached through discussions in the research team.ResultsThree themes of influencing factors on physical activity of patients in hospital with seven codes emerged. In the theme \"patient\" physical and psychosocial factors were mentioned. The theme \"organization\" pooled all factors regarding facilities and processes. The third theme \"health literacy\" has an impact on the two other themes. In this theme self-efficacy, handling of health literacy/knowledge, and communication and cooperation became apparent as codes.ConclusionsHealth literacy plays an important role in the physical activity of patients in hospital. The developed model of influencing factors on physical activity highlights the importance of health literacy for all stakeholders, including patients, staff, and the organization and illustrates the connections to other influencing factors. This model can be helpful in conceptualizing interventions to promote physical activity.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251325614"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'It can be very complicated': A qualitative analysis of clinicians' practices and perspectives on treating adolescents with nonspecific persistent back pain.

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-03-11 DOI: 10.1177/02692155251324589

Sara D Hauber, Katie Robinson, Kieran O'Sullivan

{"title":"'It can be very complicated': A qualitative analysis of clinicians' practices and perspectives on treating adolescents with nonspecific persistent back pain.","authors":"Sara D Hauber, Katie Robinson, Kieran O'Sullivan","doi":"10.1177/02692155251324589","DOIUrl":"https://doi.org/10.1177/02692155251324589","url":null,"abstract":"ObjectiveTo explore the practices, perspectives and beliefs of clinicians treating adolescents with nonspecific persistent back pain.DesignA qualitative descriptive study using individual, semi-structured interviews. Reflexive thematic analysis was used to code interview transcripts and generate relevant themes.SettingClinicians in any clinical setting where adolescents with nonspecific persistent back pain are treated.ParticipantsTen clinicians (eight chartered physiotherapists, one nurse and one psychologist) who currently treat or have treated adolescents with nonspecific persistent back pain.ResultsFive themes were identified which captured the practices, perspectives and beliefs of clinicians treating adolescents with nonspecific persistent back pain: (1) Multiple relationships, one priority, (2) Without buy-in, it won't work, (3) Managing pain, living life, (4) No one-size-fits-all treatment, and (5) Who you see is what you get.ConclusionsTreating an adolescent with nonspecific persistent back pain is not the same as treating an adult with the same condition. Specifically, clinicians must attend to the needs, concerns and beliefs of both adolescents and their parents, reflecting the diminished autonomy of adolescent patients. Clinicians tend to offer person-centred care to adolescents with nonspecific persistent back pain. However, they currently lack guidance on how to foster effective treatment relationships with parents and how to achieve buy-in to a modern conceptualisation of persistent back pain as a biopsychosocial phenomenon.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251324589"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0