Physical Therapy最新文献

{"title":"The Emperor's New Reporting Guidelines: Are We Fooling Ourselves?","authors":"Thomas Johannes Hoogeboom, Sijmen Hacquebord","doi":"10.1093/ptj/pzaf033","DOIUrl":"https://doi.org/10.1093/ptj/pzaf033","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"105 4","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026301","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":"Reporting and Methodological Qualities of Systematic Reviews in Rehabilitation Journals After 2020: A Cross-Sectional Meta-Epidemiological Study.","authors":"Takahiro Tsuge, Norio Yamamoto, Yosuke Tomita, Akikazu Hagiyama, Daijo Shiratsuchi, Yukiko Kato, Shunsuke Taito, Takashi Yorifuji","doi":"10.1093/ptj/pzaf032","DOIUrl":"10.1093/ptj/pzaf032","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to investigate the reporting and methodological qualities in systematic reviews (SRs) of rehabilitation journals following updating to the use of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement.</p><p><strong>Methods: </strong>SRs with pairwise meta-analyses on the effects of health interventions were selected, which were published in rehabilitation journals in 2020, 2021, and 2022 using MEDLINE (PubMed). Exposure was defined as reporting use of the PRISMA 2020 statement. A comparison group consisted of SRs that did not use the PRISMA 2020 statement. The adherence of the PRISMA 2020 items, PRISMA 2020 for abstracts, and A MeaSurement Tool to Assess systematic Reviews (AMSTAR) 2 items were evaluated.</p><p><strong>Results: </strong>Thirteen thousand, three hundred eighty-one articles were identified after conducting a search on April 2, 2023. The study included 100 articles each that used and those that did not use the PRISMA 2020 statement. Of 41 items in the PRISMA 2020 statement, 48.8% (20/41) adhered to ≥80% of each item for those that used the PRISMA 2020 statement and 41.5% (17/41) in those that did not use the PRISMA 2020 statement. The PRISMA 2020 statement did not lead to any major improvement, and only a slight improvement of 9.8% (4/41) was observed when compared with those that did not use the PRISMA 2020 statement. Similarly, no item improved in the PRISMA 2020 for abstracts, and only 5.6% (1/18) improved in the AMSTAR 2 items.</p><p><strong>Conclusion: </strong>This study showed that reporting use of the PRISMA 2020 statement did not result in any major improvements; however, only a slight improvement was observed in the reporting and methodological qualities of SRs in rehabilitation journals. Researchers should adhere to each item in the PRISMA 2020 statement in SRs published in rehabilitation journals.</p><p><strong>Impact: </strong>The reporting and methodological quality of systematic reviews in rehabilitation journals is insufficient. It is important to improve the reporting and methodological quality of systematic reviews in rehabilitation journals. It is recommended that researchers not only declare their reporting use of the PRISMA 2020 statement, but also adhere to each item correctly.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639781","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":"Correction to: Feasibility of a Multidomain Resiliency Assessment in Patients With Advanced Heart Failure Requiring Surgery: A Pilot Study.","authors":"","doi":"10.1093/ptj/pzaf041","DOIUrl":"https://doi.org/10.1093/ptj/pzaf041","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"105 4","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780861","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":"Association Between Physical Therapists' Attitudes and Beliefs and the Functional Outcomes of Patients With Low Back Pain: A Multilevel Analysis Study.","authors":"Yaniv Nudelman, Tamar Pincus, Noa Ben Ami","doi":"10.1093/ptj/pzaf007","DOIUrl":"10.1093/ptj/pzaf007","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the association of physical therapists' attitudes and beliefs about low back pain (LBP) with treatment outcomes within a publicly funded health care system.</p><p><strong>Methods: </strong>Data from a national outpatient physical therapy service provider were analyzed. Functional status data were collected at intake and discharge. The Attitudes to Back Pain Scale in Musculoskeletal Practitioners questionnaire was used to assess physical therapists' attitudes. Multilevel regression models were employed to examine the effects of physical therapists' attitudes while controlling for patient and physical therapist characteristics.</p><p><strong>Results: </strong>The study included 68 physical therapists and 1043 patients. The physical therapist level explained a small portion of the variance in patients' function (4%-10%). A more biomedically oriented attitude was associated with a slightly lower patient function level (β = -.08), but patient characteristics largely influenced this effect. Other attitude factors were not significantly associated with function. Sensitivity analyses aligned with the main findings.</p><p><strong>Conclusions: </strong>The study suggests that physical therapists' attitudes have a limited impact on LBP treatment outcomes within a publicly funded health care system. While a more biomedically oriented attitude was associated with slight negative effects, the clinical relevance is questionable. Further research in diverse settings is needed to validate and contextualize these findings. The study underscores the importance of considering patient-level factors and health care system context in interpreting practitioner effects on treatment outcomes.</p><p><strong>Impact: </strong>Patient characteristics are more significant in explaining functional outcomes than physical therapists' characteristics and attitudes. A marginally small association was observed, indicating that a more biomedically oriented attitude among physical therapists was linked to slightly lower patient functioning. Despite the observed association, the clinical relevance of physical therapists' attitudes in LBP treatment outcomes remains modest.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Algorithm-Based Treatment Approach to Low Back Pain in the Emergency Department.","authors":"Kyle J Strickland, Howard S Kim, Amee L Seitz","doi":"10.1093/ptj/pzaf016","DOIUrl":"10.1093/ptj/pzaf016","url":null,"abstract":"<p><p>Low back pain accounts for nearly 4 million annual emergency department (ED) visits, and patient outcomes following an ED visit for low back pain are poor. Additionally, only a small portion of patients visiting the ED for low back pain follow up with outpatient physical therapy within 3 months, despite established benefits of early versus delayed physical therapy referral such as improved patient outcomes, less opioid use, and reduced downstream health care utilization. Integrating a physical therapist directly into the ED care team can facilitate evidence-based guideline concordant care and improve patient outcomes, however, physical therapists who are staffed into this role from other settings may lack experience with evaluating and managing patients with acute low back pain. Additionally, there are several unique considerations of the ED care environment which may make existing treatment-based classification approaches difficult to apply in this setting, including physical constraints (eg, delivering care in stretchers and hallways), higher symptom severity and psychosocial stressors necessitating an emergency visit, and greater likelihood of alternative medical diagnoses (eg, kidney stone, aortic aneurysm) contributing to symptoms of low back pain. This perspective presents a modified ED treatment-based classification system (ED-TBC) for low back pain with 3 illustrative case examples. The ED-TBC for low back pain can be used to facilitate guideline concordant care, increase physical therapist confidence in evaluating low back pain in the ED, and reduce clinical practice variation.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416960","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 \"Effect of a 4-Week Telerehabilitation Program for People With Post-COVID Syndrome on Physical Function and Symptoms: Protocol for a Randomized Controlled Trial.\" Reeves JM, Spencer LM, Tsai LL, et al. Phys Ther. 2024;104(9):pzae080. https://doi.org/10.1093/ptj/pzae080.","authors":"Manish P Shukla, Sachin Chaudhary","doi":"10.1093/ptj/pzaf023","DOIUrl":"10.1093/ptj/pzaf023","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557405","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 Case for Aggregated Rehabilitation-Relevant Data Across Health Care Systems and Settings.","authors":"Margaret A French, Joshua K Johnson, Jacob Kean, Janet K Freburger, Daniel L Young","doi":"10.1093/ptj/pzaf022","DOIUrl":"10.1093/ptj/pzaf022","url":null,"abstract":"<p><p>Health care value, quantified as outcome per unit cost, requires knowing which outcomes are influenced by which intervention at what cost. The value of rehabilitation is still largely unknown. Much of the reason for this limited evidence is historically poor standardization and collection of rehabilitation interventions, and objectively measured outcomes across care settings, care providers, and health care systems. The purposeful standardization and aggregation of rehabilitation-relevant data about interventions, cost, and outcomes from routine clinical practices offers potential to understand and improve the value of rehabilitation. This perspective details the critical need for rehabilitation-relevant data that are aggregated across settings, providers, and systems and proposes 3 options to meet this need, including (1) integrating rehabilitation-relevant data into existing research registry databases that are condition specific, (2) adding rehabilitation-relevant data to federally funded research networks, and (3) creating a novel rehabilitation registry database. There must be continued pursuit of discovering which rehabilitation interventions achieve which specific outcomes, in which settings, for which patients, and at what costs. Successfully aggregating rehabilitation-relevant data is critical for generating evidence that answers these key questions about the value of rehabilitation.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic Health Screening in Physical Therapy Private Practice in Australia: A Feasibility Study.","authors":"Sally E Mastwyk, Nicholas F Taylor, Anna Lowe, Caroline F Dalton, Casey L Peiris","doi":"10.1093/ptj/pzaf019","DOIUrl":"10.1093/ptj/pzaf019","url":null,"abstract":"<p><strong>Importance: </strong>Noncommunicable diseases are the leading cause of morbidity and mortality globally. Physical therapists working in private practice have an opportunity to embed health screening in their practice to support chronic disease prevention. However, it is not known if it is feasible to conduct health screenings in physical therapist private practice settings.</p><p><strong>Objective: </strong>The aim of this study was to determine the feasibility of physical therapists conducting client health screening with point-of-care testing.</p><p><strong>Design: </strong>This was a feasibility study, comprising of in-depth interviews and descriptive quantitative data.</p><p><strong>Setting: </strong>The health screenings took place in physical therapy private practices in Australia. The 1-to-1 interviews were conducted via phone, video conference, or face-to-face, according to participant preference.</p><p><strong>Participants: </strong>Two hundred and thirty adult clients participated in a health screen at a physical therapy practice. Follow-up interviews were completed with 20 clients and 8 physical therapists.</p><p><strong>Interventions: </strong>Clients had a 30-minute health screen that included collection of self-reported physical activity and dietary intake and physical examination of metabolic risk factors including waist circumference, blood pressure, and point-of-care testing of cholesterol and glucose.</p><p><strong>Main outcomes and measures: </strong>Using interpretative description methods and inductive thematic analysis, themes were identified from the interviews and then mapped deductively onto feasibility domains of acceptability, demand, implementation, practicality, and integration.</p><p><strong>Results: </strong>Three themes were identified. Clients perceived screening as convenient and comfortable; provided important health information; and could be part of usual physical therapy. Physical therapists saw health screening as a valuable add-on service and beneficial for client management but were uncertain about future integration.</p><p><strong>Conclusions and relevance: </strong>Incorporating health screening into private practice physical therapy services is feasible and valued by clients but physical therapists were unsure how they could integrate this into their practice/business. Physical therapists working in private practice need additional training to incorporate health screening into their practice. Concurrently, funding models need to support this by prioritizing investment in health promotion and disease prevention.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postural Sway Measurement Using a Body-Worn Movement Sensor in Clinical Stroke Rehabilitation: Exploring Sensitivity to Change and Responsiveness.","authors":"Marieke Geerars, Natasja C Wouda, Richard A W Felius, Johanna M A Visser-Meily, Martijn F Pisters, Michiel Punt","doi":"10.1093/ptj/pzaf021","DOIUrl":"10.1093/ptj/pzaf021","url":null,"abstract":"<p><strong>Importance: </strong>During rehabilitation, the balance of a person with stroke is commonly monitored using the Berg Balance Scale and the Mini-Balance Evaluation Systems Test. These tests evaluate the ability to maintain balance in an upright position while performing tasks. Currently, clinical practice lacks an adequate assessment of balance impairments like the increased postural sway poststroke. Integrating postural sway measurement with a body-worn inertial measurement unit could offer clinicians an objective and rapid measurement method.</p><p><strong>Objective: </strong>Sensitivity to change and responsiveness of postural sway measurement during stroke rehabilitation were explored.</p><p><strong>Design: </strong>A longitudinal study was conducted.</p><p><strong>Setting: </strong>Data were collected in 5 rehabilitation centers.</p><p><strong>Participants: </strong>94 people with stroke were included in the study.</p><p><strong>Intervention: </strong>Sensitivity to change was evaluated by comparing the percentages of participants who exceeded the minimal detectable change for both the conventional and inertial measurement unit tests. Responsiveness was assessed through hypotheses testing, utilizing both a criterion approach (external criterion: a 5-point retrospective Global Rating of Change score) and a construct approach.</p><p><strong>Results: </strong>At discharge, only 3.2% to 23.9% of the participants showed genuine improvement (ie, had a lower postural sway) on the inertial measurement unit test, compared to 33% to 60% on the conventional tests. In total, 67.4% of the hypotheses were rejected.</p><p><strong>Conclusions: </strong>The sensitivity to change and responsiveness of postural sway measurement in people with stroke are limited. Restoring balance to achieve functional independence is not necessarily dependent on, or associated with, the level of postural sway. At present, integrating postural sway measurement into clinical stroke rehabilitation seems to provide no added value for monitoring balance.</p><p><strong>Relevance: </strong>A novel approach to balance assessment in clinical stroke rehabilitation was investigated. It was found that while most participants improved in terms of functionality and independence, only a small percentage exhibited a significant change in postural sway. Therefore, postural sway may not effectively serve as an indicator of improved movement quality. This insight is crucial for both researchers and clinicians involved in neurorehabilitation.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On \"Detecting Artificial Intelligence-Generated Personal Statements in Professional Physical Therapist Education Program Applications: A Lexical Analysis.\" Hollman JH, Cloud-Biebl BA, Krause DA, Calley DQ. Phys Ther. 2024;104(4):pzae006. https://doi.org/10.1093/ptj/pzae006.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1093/ptj/pzaf038","DOIUrl":"10.1093/ptj/pzaf038","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664234","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}