Physical Therapy最新文献

{"title":"Author Response to Amalia et al.","authors":"Liv Heide Magnussen, Kjersti Wilhelmsen, Målfrid Råheim","doi":"10.1093/ptj/pzaf087","DOIUrl":"https://doi.org/10.1093/ptj/pzaf087","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On \"Treatment Decision-Making for Anterior Cruciate Ligament Rupture from the Perspective of Physical Therapists in Australia: A Mixed Methods Study.\" Filbay SR, Rooney J, Hoffmann T, et al. Phys Ther. 2025;105(5):pzaf030. https://doi.org/10.1093/ptj/pzaf030.","authors":"Rikas Saputra, Yenni Lidyawati","doi":"10.1093/ptj/pzaf086","DOIUrl":"https://doi.org/10.1093/ptj/pzaf086","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First-Contact Physical Therapy Compared to Usual Primary Care for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Bremen Abuhl, Dallas Ehrmantraut, Mitchell Wolden","doi":"10.1093/ptj/pzaf080","DOIUrl":"https://doi.org/10.1093/ptj/pzaf080","url":null,"abstract":"<p><strong>Importance: </strong>This study aims to enhance the care provided for patients with musculoskeletal disorders (MSKDs).</p><p><strong>Objective: </strong>The objective of this study is to compare first-contact physical therapy (FCPT) and usual primary care (UPC) for societal and clinical outcomes of patients with MSKDs.</p><p><strong>Design: </strong>The design was a systematic review and meta-analysis of randomized controlled trials.</p><p><strong>Setting: </strong>The study took a global perspective on FCPT compared to UPC for societal and clinical outcomes of patients with MSKDs.</p><p><strong>Participants: </strong>The study included patients presenting with MSKDs.</p><p><strong>Intervention(s) or exposure(s): </strong>FCPT was compared to UPC for patients with MSKDs.</p><p><strong>Main outcomes and measures: </strong>Societal outcomes including clinical imaging rates, prescription medication rates, cost, and clinical outcomes including pain, disability, and health-related quality of life (HRQoL) were assessed.</p><p><strong>Results: </strong>Ten randomized controlled trials were included with a sample size of 2081 patients. Very low to moderate quality of evidence showed patients achieved similar to superior societal and clinical outcomes with FCPT compared to UPC. Lower clinical imaging rates (RR = 0.55; 95% CI = 0.45 to 0.68) and prescription medication rates (RR = 0.29; 95% CI = 0.16 to 0.53) were associated with FCPT. All effects favored FCPT, including a small effect for cost (MD = -309.79; 95% CI = -678.69 to 59.12), a medium effect for pain (SMD = -0.75; 95% CI = -1.57 to 0.06), and negligible effects for disability (SMD = -0.15; 95% CI = -0.32 to 0.03) and HRQoL (SMD = -0.03; 95% CI = -0.17 to 0.11).</p><p><strong>Conclusions: </strong>When compared to UPC, FCPT is likely to reduce clinical imaging rates, and may result in a reduction of prescription medication rates. FCPT may result in little to no difference in disability and HRQoL. Evidence is very uncertain about the effect of FCPT on pain and cost. All conclusions can be interpreted for the medium term.</p><p><strong>Relevance: </strong>Health care organizations treating patients with MSKDs should consider integrating FCPTs to support primary care.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Heart of Movement: What's Love Got to Do with it?","authors":"Terrence M Nordstrom","doi":"10.1093/ptj/pzaf082","DOIUrl":"https://doi.org/10.1093/ptj/pzaf082","url":null,"abstract":"<p><p>Terrence M. Nordstrom, PT, EdD, FAPTA, the 56th McMillan Lecturer, is emeritus professor in the Department of Physical Therapy at Samuel Merritt University in Oakland, California, where he has served as a faculty member, director of clinical education, department chair, assistant academic vice president, and vice president of enrollment and student services. During his 24 years of clinical and leadership experience, his research and writing focused on professional education, professional formation and ethics, and academic leadership development. He received his bachelor's degree from the University of California, Santa Cruz; his master's degree in physical therapy from Stanford University; and his doctor of education from the University of San Francisco. His American Physical Therapy Association (APTA) recognitions include being the first vice president and second president of the American Council of Academic Physical Therapy. He currently serves as the finance officer for the California Physical Therapy Association. He has served on many APTA committees and task forces including the Ethics and Judicial Committee. He was a mentor in the APTA Fellowship in Higher Education Leadership from 2017 to 2023 and has been a mentor in the Grant Writing and Mentorship in Education Research program since its inception in 2018. He is a Catherine Worthingham Fellow of APTA and senior fellow and retired scholar of the National Academy of Practice. He was the APTA Academy of Education Pauline Cerasoli Lecturer in 2019.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are There Speed Limits in Doctor of Physical Therapy Education? Future Research Directions.","authors":"Duane Scott Davis","doi":"10.1093/ptj/pzaf079","DOIUrl":"https://doi.org/10.1093/ptj/pzaf079","url":null,"abstract":"<p><p>The increasing prevalence of accelerated Doctor of Physical Therapy (DPT) programs, which condense the conventional 3-year curriculum into a 2-year format, has emerged with limited national discussion, and debate, and without substantive educational research support. This novel approach challenges the traditional 3-year DPT educational framework. This perspective draws historical parallels between the challenges and unintended consequences that arose from the acceleration of Anterior Cruciate Ligament reconstruction rehabilitation protocols with early return-to-play and the current shift toward accelerated DPT education. While advocates argue that accelerated programs offer advantages over traditional 3-year DPT curricula, there is insufficient evidence to support these claims or to determine whether these benefits outweigh potential drawbacks. Using Rogers' Diffusion of Innovation framework, this perspective explores key questions and potential concerns regarding accelerated DPT programs. This perspective critically examines the potential impact of reducing the duration of DPT education on program and graduate outcomes, including National Physical Therapy Exam pass rates, clinical readiness, and broader educational experiences. It also raises questions about the potential effects on student well-being and mental health. The perspective emphasizes the need for rigorous, data-driven educational inquiry and recommends comprehensive data collection to evaluate the effects of accelerated DPT programs on a wide range of important variables. This perspective emphasizes the importance of prioritizing student learning and development by exploring potential unforeseen risks associated with accelerated DPT curricula. It advocates for a student-centered approach to educational research, ensuring that any changes to program length support both the depth and quality of learning. Through systematic investigation, the profession can determine whether safeguards are necessary to maintain the integrity of DPT education, ensuring that students receive the comprehensive training they need without compromising educational excellence in the pursuit of speed.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pneumothorax After Dry Needling of Intrascapular Muscles Using a Rib Bracketing Technique: Insights from the Clinician, Patient, and Clinical Expert.","authors":"Paul E Mintken, Blair Denman, Jan Dommerholt","doi":"10.1093/ptj/pzaf078","DOIUrl":"https://doi.org/10.1093/ptj/pzaf078","url":null,"abstract":"<p><strong>Importance: </strong>This case report emphasizes the importance of recognizing and preventing adverse events, specifically pneumothorax related to dry needling (DN), particularly when using rib bracketing techniques in the intrascapular region. It highlights the need for greater clinician awareness to enhance patient safety and minimize the risk of complications during DN interventions.</p><p><strong>Objective: </strong>The objective of this case report was to describe the clinical presentation, progression, and outcome of a patient who developed a pneumothorax following DN, and to propose alternative methods for safer needling in the intrascapular musculature.</p><p><strong>Design: </strong>This case report presents a detailed account of a single patient's clinical experience-including the adverse event, its management, and outcome-supplemented by expert commentary from a clinician specializing in dry needling.</p><p><strong>Setting: </strong>The setting of this case report was an outpatient physical therapy clinic.</p><p><strong>Participants: </strong>A 24-year-old woman undergoing physical therapy for chronic neck and shoulder pain.</p><p><strong>Intervention(s) or exposure(s): </strong>The physical therapist administered DN to the left intrascapular muscles using a rib bracketing technique to treat trigger points.</p><p><strong>Main outcome(s) and measure(s): </strong>The primary outcome was the development of a pneumothorax, identified through clinical symptoms and confirmed by radiographic imaging. Outcomes included hospitalization, symptom resolution, and return to physical activity.</p><p><strong>Results: </strong>The patient experienced an unusually sharp pain during needle insertion. Over the following 2 days, she developed dyspnea, thoracic pain, dry cough, and chest discomfort. A radiograph confirmed a moderate left-sided pneumothorax, which was treated with chest tube reinflation and 1 night of hospitalization. Post-discharge, the patient had residual symptoms for 2 weeks but achieved complete recovery by 1 month, returning to activities like hiking and skiing.</p><p><strong>Conclusions: </strong>DN can result in serious complications such as pneumothorax. Early recognition and immediate treatment can lead to full recovery. This case raises concerns about the safety of the rib bracketing technique for DN in the thoracic intrascapular region.</p><p><strong>Relevance: </strong>Physical therapists should exercise caution when performing DN, especially in high-risk anatomical areas. Safer techniques should be considered, and vigilance is crucial to detect and manage adverse events promptly. Enhancing practitioner awareness can significantly improve patient outcomes and safety during rehabilitation interventions.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Improvement Science Framework to Advance Sense of Belonging for Physical Therapist Students From Minoritized Backgrounds.","authors":"Keshrie Naidoo, Camille Powell, Diane U Jette","doi":"10.1093/ptj/pzaf045","DOIUrl":"10.1093/ptj/pzaf045","url":null,"abstract":"<p><p>To better serve an increasingly racially and ethnically diverse United States population, the physical therapy profession has been focused on increasing the diversity of the physical therapy workforce and increasing recruitment of racially and ethnically minoritized (REM) students in Doctor of Physical Therapy (DPT) programs. In contributing to the goal of a diverse, equitable, and inclusive profession, DPT programs must admit, support, retain, and graduate individuals who represent diversity in its many aspects. However, factors such as a lack of REM mentors and decreased sense of belonging contribute to disparate academic outcomes for REM DPT students. Although educators must act to implement innovative strategies to support a sense of belonging among students who have been historically marginalized, a systematic approach to decision-making, action, and analysis is needed when dealing with a complex problem with multifaceted causes and multiple possible solutions. Improvement science is a continuous improvement approach that uses a series of data-informed processes and the expertise of multiple stakeholders to promote equity in education, offering a framework for seeing the problem from the perspective of REM DPT students. Plan-Do-Study-Act (PDSA) cycles offer the opportunity to introduce educational changes on a smaller scale to evaluate variation prior to applying it to a larger setting. This perspective highlights a series of PDSA cycles trialing interventions aimed at decreasing barriers to success and improving a sense of belonging for REM DPT students. Even in the face of structural and institutionalized barriers, leveraging an improvement science framework can help ensure that change is meaningful and lasting.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of home-based Rehabilitation on Activities of Daily Living in Patients With Stroke: Systematic Review and Meta-Analysis.","authors":"Yerim Do, Youngeun Lim, Shiyu Jin, Haneul Lee","doi":"10.1093/ptj/pzaf044","DOIUrl":"10.1093/ptj/pzaf044","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review compared the effectiveness of home-based rehabilitation with that of hospital-based rehabilitation and usual care on activities of daily living (ADL) independence in patients with stroke.</p><p><strong>Methods: </strong>Ovid MEDLINE, Ovid EMBASE, and the Cochrane Library databases were searched for studies published between January 2000 and January 2024. This review was registered in the International Prospective Register of Systematic Reviews. Randomized controlled trials on home-based rehabilitation of patients with stroke were included. The included studies investigated ADL independence, upper limb function, mobility, balance, aerobic endurance, and quality of life. Two independent researchers extracted data using an extraction form and assessed the risk of bias and quality of evidence.</p><p><strong>Results: </strong>Forty-six studies were included in the qualitative synthesis, and 34 studies were included in the quantitative synthesis using Review Manager software 5.4. ADL independence was not significantly different between patients receiving home-based rehabilitation and hospital-based rehabilitation (standardized mean difference (SMD) = 0.17 [95% CI = 0.00 to 0.34], I2 = 29%). However, a significant difference was observed between home-based rehabilitation and usual care (SMD = 1.24 [95% CI = 0.69 to 1.79], I2 = 91%).</p><p><strong>Conclusion: </strong>Home-based rehabilitation is comparable to hospital-based rehabilitation and more effective than usual care and should be considered for patients with stroke after discharge to facilitate effective recovery. However, the high overall risk of bias requires cautious interpretation.</p><p><strong>Impact: </strong>Home-based rehabilitation can be an effective alternative method for improving ADL independence in patients with stroke by providing a familiar and convenient environment.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On \"Evaluating the Potential of Large Language Models for Vestibular Rehabilitation Education: A Comparison of ChatGPT, Google Gemini, and Clinicians.\" Arbel Y, Gimmon Y, Shmueli L. Phys Ther. 2025;105:pzaf010. https://doi.org/10.1093/ptj/pzaf010.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1093/ptj/pzaf053","DOIUrl":"10.1093/ptj/pzaf053","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"News From the Foundation for Physical Therapy Research, June 2025.","authors":"","doi":"10.1093/ptj/pzaf067","DOIUrl":"https://doi.org/10.1093/ptj/pzaf067","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"105 6","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}