Physical Therapy最新文献

{"title":"Addressing Physical Therapy Access Gaps: Impact of Embedded Scheduling Tools on Patient Language Preference.","authors":"Sang S Pak, Yuxi Jiang, Harini Raghunathan, Heather Bhide, Andrew Auerbach","doi":"10.1093/ptj/pzag104","DOIUrl":"https://doi.org/10.1093/ptj/pzag104","url":null,"abstract":"<p><strong>Importance: </strong>Patients with Non-English language preference (NELP) face barriers accessing outpatient rehabilitation services, with disparities at the referral-to-scheduling stage. Despite decades of Federal mandates to provide meaningful access, patients with NELP remain operationally invisible in high-volume scheduling workflows, contributing to lower completion rates and delays compared to patients identified as English-proficient (EP).</p><p><strong>Objective: </strong>The objective was to evaluate whether implementing an electronic health record (EHR)-integrated language filter and visible language preference field improves referral scheduling for patients with NELP.</p><p><strong>Design: </strong>This was a quasi-experimental study using interrupted time-series analysis.</p><p><strong>Setting: </strong>This study took place in outpatient rehabilitation clinics at an urban academic medical center.</p><p><strong>Participants: </strong>We studied 19,260 physical therapy referrals, including 985 (5.1%) patients with NELP and 18,275 (94.9%) patients with EP, from September 2024 to May 2025.</p><p><strong>Intervention: </strong>We used a sortable \"Preferred Language\" field and toggle filter in the EHR referral workqueue enabling schedulers to identify and proactively schedule patients with NELP.</p><p><strong>Main outcomes: </strong>Our primary outcome was the proportion of referrals scheduled within 10 days of referral. Secondary outcomes included overall scheduling rates, time from referral to scheduling, scheduling to visit, and referral to visit; no-show and unscheduled referral rates; and Press Ganey patient satisfaction scores related to appointment scheduling.</p><p><strong>Results: </strong>Patients with NELP demonstrated a larger increase in the likelihood of scheduling within 10 days following the intervention (adjusted RL = 2.86, 95% CI = 1.82-4.48) relative to patients with EP. Scheduling within 10 days improved from 27.4% to 31.3% pre- and post-intervention. However, baseline disparities persisted, with patients with NELP experiencing a longer median time to scheduling throughout the study period (7 days vs 6 days). Implementation fidelity varied, with 22% of schedulers regularly using the tool.</p><p><strong>Conclusions: </strong>An EHR-integrated language visibility intervention improved 10-day scheduling rates among patients with NELP (adjusted RL = 2.86), yet baseline disparities persisted. Low implementation fidelity suggests that visibility intervention requires pairing with capacity enhancement and accountability structures for sustained, equitable access to rehabilitation services.</p><p><strong>Relevance: </strong>Language-visibility EHR tools improve but do not eliminate scheduling disparities, pointing to the need for implementation infrastructure alongside technical solutions.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128256","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":"Generative Artificial Intelligence Use in United States Doctor of Physical Therapy Programs.","authors":"Craig P Hensley, Christa M Nelson, Benjamin Price, Allison Dennemann, Benjamin Knoll, Carolyn Oh, Jungwha Lee, Carole A Tucker, Alison H Chang","doi":"10.1093/ptj/pzag102","DOIUrl":"https://doi.org/10.1093/ptj/pzag102","url":null,"abstract":"<p><strong>Importance: </strong>Generative Artificial Intelligence (AI) in education is poised to significantly impact the field of physical therapy. Research on generative AI use in physical therapist education remains limited.</p><p><strong>Objective: </strong>The objective was to examine generative AI use in physical therapist education among students and faculty.</p><p><strong>Design: </strong>This was a cross-sectional, online survey.</p><p><strong>Setting: </strong>The survey was conducted among accredited Doctor of Physical Therapy (DPT) programs in the United States (US).</p><p><strong>Participants: </strong>Students and faculty were recruited from US DPT programs as of January 2025.</p><p><strong>Intervention(s) or exposure(s): </strong>Generative AI use within DPT programs was measured by participant self-report.</p><p><strong>Main outcomes and measures: </strong>A novel 32-item survey comprising closed- and open-ended questions assessed generative AI use, patterns and purposes of use; platforms, training and comfort levels, views on generative AI's role in physical therapist practice, student preparedness and academic integrity, adoption facilitators/barriers, and demographics. Factors associated with generative AI use were examined using multivariable logistic regression.</p><p><strong>Results: </strong>Among 1067 respondents (873 students, 194 faculty), 853 (79.9%) reported using generative AI, including 687 students (78.7%) and 166 faculty (85.6%). ChatGPT was the most common used platform (662 students, 96.4%; 153 faculty, 92.2%). Common reasons for use included creating study guide/sample questions (482 students, 70.2%; 74 faculty, 44.6%) and creating patient cases (370 students, 53.9%; 102 faculty, 61.5%). Barriers to use included concerns about reliability and scientific rigor (student users: 411, 59.8%; non-users: 133, 71.5%; faculty users: 90, 54.2%; non-users: 14, 50.0%) and lack of trust in the technology and/or companies behind it (student users: 287, 41.8%; non-users: 112, 60.2%; faculty users: 63, 38.0%; non-users: 13, 46.4%). Generative AI use was associated with higher self-reported comfort with the technology (students: OR = 11.6, 95% CI = 7.9-17.1; faculty: OR = 14.3, 95% CI = 5.1-40.0).</p><p><strong>Conclusion: </strong>Generative AI is widely used among DPT students and faculty, yet substantial variability exists in its use and formal instruction within DPT programs.</p><p><strong>Relevance: </strong>As its integration into health care accelerates, incorporating education on generative AI within DPT programs is crucial to ensure students are prepared to use these tools competently and responsibly.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149063739","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":"Sustained Three-Year Impact of a Physical Therapy Quality Improvement Project in the Medical Intensive Care Unit.","authors":"Megan A Watson, Ryan Peterson, Sarah E Jolley, William Niehaus, Kyle J Ridgeway","doi":"10.1093/ptj/pzag100","DOIUrl":"https://doi.org/10.1093/ptj/pzag100","url":null,"abstract":"<p><strong>Importance: </strong>Early rehabilitation and mobility are components of care bundles and clinical practice guidelines for patients who are critically ill. Improved delivery of physical therapy is associated with decreased intensive care unit (ICU) length of stay (LOS). Barriers exist to optimizing the delivery of physical therapy. Analyses of quality improvement (QI) are often narrow in scope. Care improvements may not persist. Opportunities remain to improve physical therapy delivery to patients in the medical ICU (MICU) while analyzing care delivery and ICU LOS.</p><p><strong>Objective: </strong>The objective was to determine whether a QI initiative sustained improvement in physical therapy delivery and associations with ICU LOS in the MICU.</p><p><strong>Design: </strong>This was a before-during-after comparative design.</p><p><strong>Setting: </strong>The study took place in the MICU at a quaternary, academic medical center.</p><p><strong>Participants: </strong>The study included 13,058 MICU admissions.</p><p><strong>Intervention(s): </strong>The intervention was a multifaceted physical therapy program including multidisciplinary education, physical therapists integrated into multidisciplinary rounds, automatic physical therapist consult orders, electronic health record (EHR) hard stop for bedrest orders, and increased physical therapy staffing including a program coordinator physical therapist.</p><p><strong>Main outcome(s): </strong>Our primary outcomes were delivery, timing, and frequency of physical therapy, as well as ICU LOS.</p><p><strong>Measure(s): </strong>Main outcomes were assessed by (1) odds of receiving physical therapy while in the MICU and (2) time from MICU admission to first physical therapist session and (3) ICU LOS.</p><p><strong>Results: </strong>During the intervention, an increased proportion of admits received physical therapy with a nearly 4-fold increase in the odds of receiving physical therapy. Time to first physical therapist session was decreased while the proportion of days with physical therapy in the ICU was increased. In adjusted analysis, ICU LOS decreased modestly. Findings were similar for 3 years post-QI.</p><p><strong>Conclusions: </strong>Despite variable resources and increased illness severity in the post-intervention period, durable improvements in the percentage of patients receiving physical therapy, odds of receiving physical therapy, time to physical therapy, and proportion of days with physical therapy occurred for 3 years post-QI. Secondarily, the during and post periods were associated with modest reductions in ICU LOS.</p><p><strong>Relevance: </strong>This work is applicable to the fields of: critical care rehabilitation, quality improvement, ICU mobility, and health care delivery.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012812","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 the Short Physical Performance Battery and Hospitalization-Associated Disability in Older Patients With Heart Failure.","authors":"Keisuke Okano, Kouki Sano, Yusuke Seto, Tomohiro Nakayama, Yuki Okuda, Hideki Saito, Ritsu Nishimura, Kanji Yamada, Tetsuya Takahashi, Yo Mukai","doi":"10.1093/ptj/pzag099","DOIUrl":"https://doi.org/10.1093/ptj/pzag099","url":null,"abstract":"<p><strong>Importance: </strong>Hospitalization-associated disability (HAD), defined as a decline in activities of daily living following hospitalization, is a common complication in older patients with heart failure (HF) and is associated with adverse clinical outcomes. Early identification of patients at high risk for HAD may facilitate timely rehabilitation and discharge planning.</p><p><strong>Objective: </strong>The objective was to evaluate whether baseline physical function, assessed using the Short Physical Performance Battery (SPPB), is associated with HAD onset in older patients hospitalized with HF.</p><p><strong>Design: </strong>This was a prospective cohort study.</p><p><strong>Setting: </strong>The study was conducted at a single-center acute care hospital.</p><p><strong>Participants: </strong>The study included 417 patients aged 65 years or older who were hospitalized with HF and prescribed physical therapy between June 2023 and December 2025.</p><p><strong>Exposure: </strong>Baseline SPPB was assessed within 3 days after transfer to the general ward.</p><p><strong>Main outcomes and measures: </strong>The primary outcome was HAD, defined as a decline of 5 or more points in the Barthel Index from prehospitalization to hospital discharge.</p><p><strong>Results: </strong>Multivariable logistic regression identified baseline SPPB score as independently associated with HAD onset. Receiver operating characteristic analysis demonstrated good discrimination (AUC = 0.811), with an optimal cutoff value of 6.5 points (<7 points). Decision tree analysis identified the baseline 4-meter walk score as the SPPB subitem most strongly associated with HAD onset. Supplementary logistic regression showed that a low baseline 4-meter walk score was independently associated with HAD onset.</p><p><strong>Conclusions: </strong>Baseline SPPB scores assessed after transfer to the general ward were independently associated with HAD onset and may help identify older patients hospitalized with HF who are at increased risk for HAD. External validation is warranted before clinical implementation.</p><p><strong>Relevance: </strong>The SPPB is a simple and feasible bedside assessment that may support early risk stratification for HAD in older patients hospitalized with HF.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990933","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":"REmotely monitored, Mobile health-supported Multidomain Rehabilitation with High Intensity Interval Training for COVID-19 (REMM-HIIT-CoV): Trial Design and Rationale.","authors":"Ashley L Artese, Kirby P Mayer, Megan Beyer, Marjan Cobbaert, E Wesley Ely, Heath Gasier, Matthew F Mart, Jeroen Molinger, Brenda T Pun, Onur M Orun, Rameela Raman, Anthony D Sung, Paul E Wischmeyer, Amy M Pastva, For The Remm-Hiit-CoV Investigative Team","doi":"10.1093/ptj/pzag093","DOIUrl":"https://doi.org/10.1093/ptj/pzag093","url":null,"abstract":"<p><strong>Importance: </strong>Individuals hospitalized with COVID-19 are at increased risk for prolonged physical, cognitive, and psychosocial impairments. Timely post-acute rehabilitation may reduce these sequelae and accelerate recovery.</p><p><strong>Objective: </strong>The objective is to determine whether a REmotely monitored, Mobile health-supported Multidomain Rehabilitation Program incorporating High-intensity Interval Training (REMM-HIIT-CoV) after COVID-19 hospitalization improves functional exercise capacity.</p><p><strong>Design: </strong>This study is a multicenter, single-blinded, attention controlled, prospective randomized controlled trial.</p><p><strong>Setting: </strong>Five academic medical centers will enroll participants for remotely delivered and monitored rehabilitation.</p><p><strong>Participants: </strong>The study will enroll 140 community-dwelling adults discharged within 60 days of COVID-19 hospitalization.</p><p><strong>Intervention: </strong>Participants are randomized to either (1) a 12-week, individually tailored, structured and progressive multidomain physical rehabilitation intervention-targeting deficits in balance, mobility, strength, and endurance-delivered via videoconference and remotely monitored using activity trackers and a mobile health application; or (2) an exercise education control group without individualized exercise prescription.</p><p><strong>Main outcomes and measures: </strong>The primary outcome is functional exercise capacity, measured by 6-minute walk distance at 3 months post-randomization. Secondary outcomes include cardiorespiratory fitness (VO2peak), physical function (Short Physical Performance Battery, 30-second Sit-to-Stand, Grip Strength), frailty (Fried Frailty Index), and cognitive function (Montreal Cognitive Assessment), self-reported quality of life (EQ-5D-5L), functional status (Duke Activity Status Index, Lawton Instrumental Activities of Daily Living), mental health (Hospital Anxiety and Depression Scale), and health-related social needs (Accountable Health Communities Health-related Social Needs Screening Tool). Exploratory outcomes include blood-derived biomarkers of inflammation and mitochondrial function, and ultrasound measures of lower extremity skeletal muscle structure.</p><p><strong>Conclusions: </strong>REMM-HIIT-CoV is the first randomized trial to evaluate a remotely delivered, structured, and tailored multidomain rehabilitation program incorporating HIIT in post-hospitalized COVID-19 survivors.</p><p><strong>Relevance: </strong>Findings may inform evidence-based guidelines and policy-relevant models for home-based remote rehabilitation after severe respiratory infections.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991015","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":"Physical Exercise Reduces Fall-Related Outcomes Among People With Stroke: A Systematic Review and Meta-Analysis.","authors":"Xun Li, Yuk Kwan Chan, Yiu Lam Tong, Jingwen Zhuang, Fangfei Xiong, Stanley Hughwa Hung, Hei Yuen Wan, Ching Hei Wong, Ka Yu Wong, Austen Cheuk Fung Li, Tiev Miller, Marco Yiu Chung Pang","doi":"10.1093/ptj/pzag098","DOIUrl":"https://doi.org/10.1093/ptj/pzag098","url":null,"abstract":"<p><strong>Importance: </strong>Stroke markedly increases fall risk. Physical exercise is a potential approach to reducing falls poststroke.</p><p><strong>Objective: </strong>The objective was to evaluate the effect of physical exercise on falls in people with stroke, and to examine participant and exercise protocol characteristics that may affect treatment response.</p><p><strong>Design: </strong>This was a systematic review and meta-analysis of randomized controlled trials.</p><p><strong>Setting: </strong>Following the PRISMA guidelines, PubMed, CINAHL, Cochrane Database, PsycINFO, Embase, and Web of Science databases were systematically searched.</p><p><strong>Participants: </strong>People with stroke were studied.</p><p><strong>Intervention: </strong>Physical exercise training was the intervention examined in this systematic review.</p><p><strong>Main outcomes and measures: </strong>Number of falls/injurious falls/fallers were the outcomes examined.</p><p><strong>Results: </strong>Eighteen studies (1536 participants) were included. Overall, physical exercise significantly reduced the number of falls by 39% (incidence rate ratio (IRR = 0.61, 95% CI = [0.47, 0.78]). The effect on the number of injurious falls (IRR = 0.63, 95% CI = [0.37, 1.05]) and fallers (IRR = 0.88; 95% CI = [0.73, 1.0]) was less apparent. Exploratory subgroup analyses revealed that programs focusing on balance training and those integrating physical exercise with cognitive components (eg, dual-task training/mind-body exercise) were most effective, compared with walking training, combined balance/walking training, and strength training. People in the chronic stage of stroke and with mild to moderate disability may benefit more from exercise.</p><p><strong>Conclusions: </strong>Physical exercise is effective in improving fall-related outcomes among people with stroke, particularly for people in the chronic stage with mild/moderate disability levels may gain more benefits. Physical exercise programs incorporating balance training and cognitive components may be more effective for fall prevention.</p><p><strong>Relevance: </strong>This results of this systematic review provide insight into exercise training for fall prevention in stroke rehabilitation.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977477","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":"Evaluating the Effectiveness of an Integrated Treatment of Vestibular Rehabilitation and Cognitive Behavior Therapy for Chronic Dizziness in a Community-Based Population: A Randomized Controlled Trial.","authors":"Lene Kristiansen, Birgit Juul-Kristensen, Kjersti Thulin Wilhelmsen, Birgitte Espehaug, Silje Mæland, Stein Helge Glad Nordahl, Richard A Clendaniel, Anders Hovland, Liv Heide Magnussen","doi":"10.1093/ptj/pzag095","DOIUrl":"https://doi.org/10.1093/ptj/pzag095","url":null,"abstract":"<p><strong>Importance: </strong>Chronic dizziness is common in primary care. Cognitive strategies combined with vestibular rehabilitation (VR) may enhance outcomes, but evidence from randomized controlled trials with long-term follow-up is limited.</p><p><strong>Objective: </strong>The objective was to evaluate whether a group-based intervention integrating vestibular rehabilitation and cognitive behavioral strategies (VR-CBT) provides added benefit beyond a single-session brief vestibular intervention (BI-VR) in individuals with chronic dizziness.</p><p><strong>Design: </strong>A Single-blinded, randomized controlled trial with assessments at baseline, and after 6 and 12 months was conducted.</p><p><strong>Setting: </strong>The study was conducted in a primary care setting.</p><p><strong>Participants: </strong>One hundred five adults with chronic dizziness were included in the study.</p><p><strong>Intervention/exposure: </strong>All participants received BI-VR prior to allocation to either intervention or control group. The intervention comprised of an 8-session group-based program (VR-CBT) and was compared to telephone follow-up (control).</p><p><strong>Main outcome(s) and measure(s): </strong>Primary outcomes were dizziness-related handicap (DHI-N) and preferred gait speed, in addition to several secondary outcomes. Between-group differences were estimated using linear mixed-effects models with Holm-Bonferroni adjustment.</p><p><strong>Results: </strong>DHI-N improved in both groups over time with no statistically significant between-group differences 6 months (6.3 points, 95% CI = -12.7 to 0.2) or 12 months (7.0 points, 95% CI = -13.3 to -0.6). No between-group differences were observed in preferred gait speed at 6 months (MD = 0.05 m/s, 95% CI = -0.03 to 0.13) or 12 months (MD = 0.07 m/s, 95% CI = -0.01 to 0.15). A between-group difference was observed for dizziness intensity after head movement at both follow-ups. No other consistent between-group differences were found.</p><p><strong>Conclusion: </strong>Both groups showed sustained improvement in dizziness-related handicap over 12 months, with no statistically significant between-group differences in the primary outcomes. Further research is needed to clarify the usefulness of combined vestibular rehabilitation and cognitive behavioral strategies.</p><p><strong>Relevance: </strong>Both approaches were associated with improvement over time, while the added value of VR-CBT remains uncertain.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912845","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":"Long-Term Follow-Up to Study of Timing of Rehabilitation After Mild Traumatic Brain Injury.","authors":"Jae W Lee, Kody R Campbell, Prokopios Antonellis, Jennifer L Wilhelm, Kathleen T Scanlan, Siting Chen, Robert J Peterka, Peter C Fino, James C Chesnutt, Fay B Horak, Timothy E Hullar, Laurie A King","doi":"10.1093/ptj/pzag096","DOIUrl":"https://doi.org/10.1093/ptj/pzag096","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912919","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: Toward a shared framework for therapeutic pain education: a Delphi-based international consensus.","authors":"","doi":"10.1093/ptj/pzag094","DOIUrl":"https://doi.org/10.1093/ptj/pzag094","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956279","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":"Pregnancy-related musculoskeletal pain: current management, influence on biopsychosocial health, and patient-reported satisfaction with care.","authors":"Rita E Deering, Megan Rorabeck, Megan Brisbois, Hannah Smith, Eva-Marie Nitka","doi":"10.1093/ptj/pzag081","DOIUrl":"10.1093/ptj/pzag081","url":null,"abstract":"<p><strong>Importance: </strong>Musculoskeletal (MSK) pain is common during pregnancy but referral rates to physical therapy and the influence of MSK pain management on satisfaction with prenatal care are unknown.</p><p><strong>Objective: </strong>The objective was to obtain patient reports of pain during pregnancy, its impact on biopsychosocial wellbeing, health care management of pain (including referral to physical therapy), and the influence of pain management on satisfaction with prenatal care.</p><p><strong>Design: </strong>The study design was an internet survey.</p><p><strong>Setting: </strong>An e-survey was distributed internationally via social media, word-of-mouth, and flyers.</p><p><strong>Participants: </strong>Six hundred seventy-one female respondents from 6 continents who had given birth <25 months before survey completion participated in the study.</p><p><strong>Interventions or exposures: </strong>No interventions or exposures were included in this study.</p><p><strong>Main outcomes & measures: </strong>Presence and description of pain, influence of pain on daily life, pain management, birth experiences, and patient satisfaction were reported. Descriptive statistics were used to report frequencies. Comparisons between care provider types were made using non-parametric statistics (Fisher Exact Test, 2-tailed; or Fisher-Freedman-Halton Exact Test, 2-tailed).</p><p><strong>Results: </strong>MSK pain was reported by 90% of participants, with more than 50% reporting pain in multiple body regions. Those who saw an Obstetrician-gynecologist were more likely to report pain, though both provider groups had high pain rates (92.7% vs 85%). Thermal therapy was the most common pain management recommendation (33.7%); physical therapy was recommended to only 29.4% of individuals with pregnancy-related musculoskeletal pain. Pain caused negative feelings/emotions in 77.2% of respondents and difficulty with performance of physical activity, household, and childcare tasks in approximately 50% of respondents. Care providers' response to pain influenced patient satisfaction in 49% of respondents.</p><p><strong>Conclusions and relevance: </strong>Pregnancy MSK pain influences physical functioning, psychosocial wellbeing, and satisfaction with prenatal care. Patients report poor pain management by perinatal care providers, highlighting needs for better education, more pain management options, and multidisciplinary care. Physical therapists need to develop working relationships with prenatal care providers to improve care during pregnancy.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670378","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}