Physical Therapy最新文献

{"title":"A National Profile of Older Physical Therapy Users in France: Results of the 2015 CARE Representative Survey.","authors":"Louis Jacob, Romain Pichon, Karim Jamal, Benjamin Landré","doi":"10.1093/ptj/pzaf042","DOIUrl":"https://doi.org/10.1093/ptj/pzaf042","url":null,"abstract":"<p><strong>Objective: </strong>Older adults, a highly heterogeneous group with complex health challenges, are often overlooked in the field of physical therapy despite their already important and growing numbers. This study aimed to estimate the use of physical therapy in the older population and compare the characteristics and health profiles of older adults who consult physical therapists with those who don't.</p><p><strong>Methods: </strong>Data from the French 2015 Capacities, Aids, and Resources (CARE) survey, a large-scale survey with representative sampling weights was used. It includes community-dwelling and institutionalized older adults aged 60 to 109 years. Main outcome measures were diseases (16 components), clinical symptoms (10 components), functional limitations (16 components), and geriatric syndromes (5 components).</p><p><strong>Results: </strong>Among the 12,043 older adults included, 26.5% received treatment from a physical therapist, with 23.9% being 80 years or older. They had worse outcomes across all indicators. Rheumatology disorders (55.9%; OR = 2.26; 95% CI, 1.96-2.60), fatigue (48.3%; OR 1.84; 95% CI, 1.61-2.11), lower limb limitations (58.3%; OR = 2.64; 95% CI, 2.28-3.06]), difficulty washing (34.1%; OR = 3.03; 95% CI, 2.54-3.61), difficulty with transportation (52.5%; OR = 2.46; 95% CI, 2.09-2.88), and multimorbidity (68.1%; OR = 2.07; 95% CI, 1.78-2.40), were the most common conditions in disease, symptoms, mobility, basic and instrumental activity limitations, and geriatric syndromes in this population. Several clinical situations were also uncommon but highly related to requiring physical therapeutic care such as having bedsores (OR = 2.67; 95% CI, 1.81-3.97) or Parkinson disease (OR = 3.08; 95% CI, 2.08-4.55). They also cumulate more deficiencies in a 70-items frailty index than their counterpart in every age group and in every disease subgroup suggesting more complex health profile than older adults not requiring physical therapists.</p><p><strong>Conclusion: </strong>More than a quarter of older adults consulted a physical therapist. These patients showed complex profiles that simultaneously combine diseases, symptoms, geriatric syndromes, and limitations.</p><p><strong>Impact: </strong>These complex profiles and large-scale demographic changes underway are key challenges in the evolution of a profession that has a significant focus on disability.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743186","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":"Increasing Methodological Transparency and Openness in Rehabilitation-Related Health Services Research Using Claims Data: A Case Example.","authors":"Janet K Freburger, Elizabeth R Mormer, Kristin Ressel, Anna M Johnson, Amy M Pastva, Cheryl D Bushnell, Pamela W Duncan, Sara B Jones","doi":"10.1093/ptj/pzaf040","DOIUrl":"https://doi.org/10.1093/ptj/pzaf040","url":null,"abstract":"<p><p>Health insurance claims are a rich source of information for health services researchers and can provide evidence to understand issues related to access, efficiency, and effectiveness of care. While numerous studies have examined rehabilitation utilization using Medicare, Medicaid, and/or private insurance claims data, these studies typically lack detail on approaches used to identify rehabilitation services. The primary objectives of this perspective are: (1) to raise awareness of the need for and importance of methodological transparency and openness in rehabilitation-related health services research using claims data and (2) to provide a case example by sharing the details of a method for identifying community-based physical and occupational therapy in Medicare claims. General decisions made in claims-based analyses are discussed and then are illustrated with the approach used for identifying community-based therapy claims within the context of a secondary analysis of data from a large, multicenter pragmatic clinical trial. Specific decisions made and challenges encountered are discussed and recommendations are made for future work in this area. Sharing methodological details, data when possible, and metadata on approaches for conducting rehabilitation-related health services research can enhance its validity, rigor, and-ultimately-overall value. Rehabilitation health services researchers are encouraged to make greater efforts to share information on their methodological approaches using claims data and other data relevant to health services research.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721004","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 Therapist Interventions to Prevent Postpartum Urinary Incontinence: A Systematic Review.","authors":"Irene Cabrera-Martos, Cristina Cortés-Alcaraz, Paula Jiménez-López, Laura López-López, Irene Torres-Sánchez, Esther Díaz-Mohedo","doi":"10.1093/ptj/pzaf017","DOIUrl":"https://doi.org/10.1093/ptj/pzaf017","url":null,"abstract":"<p><strong>Importance: </strong>Postpartum urinary incontinence has a negative impact on the quality of life of women.</p><p><strong>Objective: </strong>This systematic review aimed to describe and synthesize the scientific evidence on the effects of physical therapy in preventing postpartum urinary incontinence.</p><p><strong>Data sources: </strong>The following databases were searched up to April 2023: PubMed/MEDLINE, Web of Science, ScienceDirect, PEDro, CINAHL, and Scopus.</p><p><strong>Study selection: </strong>Studies were included if they were randomized controlled trials; included women during pregnancy or at postpartum period; conducted a physical therapist intervention; and studied the prevention of postpartum urinary incontinence.</p><p><strong>Data extraction and synthesis: </strong>Two researchers extracted information of the descriptive characteristics of the studies and the interventions, variables, main outcomes, and results.</p><p><strong>Main outcome and measures: </strong>Main outcomes were variables related to postpartum urinary incontinence. Quality appraisal was conducted using the PEDRO and Cochrane Risk of Bias 2.0 tools.</p><p><strong>Results: </strong>Among the 2067 studies initially identified, 9 met the inclusion criteria. The main interventions include pelvic floor muscle exercises, electrical stimulation, and perineal massage. The studies demonstrated a positive impact on postpartum urinary incontinence incidence and related symptoms in most of the studies included. However, the heterogeneity presented in the characteristics of the sample, protocol, and outcome measures limited the conclusions reached. Quality assessment revealed moderate to high methodological quality in 90% of trials using the PEDro scale, while 70% presented a high risk of bias according to the Cochrane tool.</p><p><strong>Conclusions and relevance: </strong>Physical therapist interventions, particularly pelvic floor muscle exercises, may have a positive effect in preventing postpartum urinary incontinence compared to usual care or no intervention. However, the heterogeneity and limited number of studies emphasize the need for more high-quality randomized controlled trials.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670579","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":"Author Response to Ferro Et al.","authors":"Cara N Whalen Smith, Susan M Havercamp, Winston Kennedy, Heather A Feldner, Deana Herrman, Bethany M Sloane, Faye H Weinstein","doi":"10.1093/ptj/pzaf036","DOIUrl":"https://doi.org/10.1093/ptj/pzaf036","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670669","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 \"Physical Therapists in Primary Care in the United States: An Overview of Current Practice Models and Implementation Strategies\" O'Bright K, Peterson S. Phys Ther. 2024;104(12):pzae123. https://doi.org/10.1093/ptj/pzae123.","authors":"Matteo Paci, Claudio Cordani","doi":"10.1093/ptj/pzaf039","DOIUrl":"https://doi.org/10.1093/ptj/pzaf039","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664236","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":"Empowering Graduates: Strategies and Recommendations for Student Loan Forgiveness and Repayment Solutions in Physical Therapist Education.","authors":"John J Mischke, Evan V Papa","doi":"10.1093/ptj/pzaf037","DOIUrl":"https://doi.org/10.1093/ptj/pzaf037","url":null,"abstract":"<p><p>The escalating costs of Doctor of Physical Therapy (DPT) education, combined with stagnant salaries, have led to considerable financial strain for physical therapy graduates, with many incurring substantial student debt. Data from the 2023 Commission on Accreditation in Physical Therapy Education (CAPTE) report highlights the alarming rise in tuition fees, which, along with the high reliance on loans, has led to an average DPT debt of over $100,000. This burden is compounded by the impact on employment decisions, with a significant portion of physical therapists reporting debt-related anxiety and career limitations. Despite initiatives like the American Physical Therapy Association's (APTA) Financial Solutions Center and various loan repayment programs, many graduates remain uninformed about alternatives to traditional loans. This Perspective builds on previous research by offering 5 case-based scenarios along with actionable recommendations to alleviate the debt burden, including promoting employer-sponsored debt-relief programs, enhancing financial literacy, and engaging in legislative advocacy for policy reforms. By encouraging proactive steps at the individual and organizational levels, the authors aim to provide tangible solutions to address the growing crisis of student debt in physical therapy and ensure a more financially secure future for graduates.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664230","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 \"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":"https://doi.org/10.1093/ptj/pzaf038","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-20","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}

{"title":"Does Inspiratory Threshold Loading and Visual Tasking Affect Visual Attention Accuracy?","authors":"Steven Schan, Yasma Ali-Hassan, Brielle Loebach, Aarushi Bahl, Emily O'Quinn, Manjiri Kulkarni, Marine Van Hollebeke, Peter Rassam, Tamires Mori, Dmitry Rozenberg, W Darlene Reid","doi":"10.1093/ptj/pzaf031","DOIUrl":"https://doi.org/10.1093/ptj/pzaf031","url":null,"abstract":"<p><strong>Objective: </strong>Dyspnea is commonly experienced in adults who are young and have different health conditions (asthma, obesity, panic disorders) and may impede not only physical exertion but also cognitive function such as visual attention. To test this, visual attention was evaluated using the Multiple Object Tracking Test (MOT) alone and combined with low or moderate inspiratory threshold loading (ITL).</p><p><strong>Methods: </strong>Using a pretest-posttest design, we evaluated 25 participants who were healthy and 19 to 31 years old. Visual attention accuracy was quantified using the MOT, wherein participants tracked moving disks on a computer monitor. Participants performed 5 single or dual tasks in random order: MOT; low ITL of 20 cm H2O (ITL20); moderate ITL of 40 cm H2O (ITL40); dual task: MOT plus ITL20 (MOT + ITL20); and dual task: MOT plus ITL40 (MOT + ITL40). Dyspnea intensity measured with the Borg Dyspnea Scale and emotional response measured with the Self-Assessment Manikin (SAM) were evaluated at baseline and for single and dual tasks.</p><p><strong>Results: </strong>Compared to single task MOT, dual tasks induced lower MOT scores with moderate loads (MOT + ITL40) resulting in lower scores than dual task low ITL (MOT + ITL20). Exertional dyspnea intensity and SAM affective measures increased during ITL and dual tasks compared to baseline. Moreover, higher dual task MOT scores were related to greater inspiratory muscle strength and to more positive affect evaluated by SAM.</p><p><strong>Conclusions: </strong>Individuals experiencing inspiratory muscle loading and associated dyspnea demonstrated decreased visual attention accuracy, which was accentuated by higher inspiratory loads, lower respiratory muscle strength, and higher emotional response.</p><p><strong>Impact: </strong>Although physical activity is often prescribed according to the musculoskeletal or cardiovascular stress, the cognitive interference of how dyspnea compromises cognitive function should be considered. The inability to attend to visual detail during added respiratory loads with associated dyspnea should be considered during assessment and treatment planning. A physical-cognitive approach to prescription of physical function may ensure more transferability to daily activities.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634470","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":"https://doi.org/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":"2025-03-16","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":"Clinical Assessment of Walking Capacity in People with Parkinson Disease: Are Two Minutes Sufficient?","authors":"Hanna Johansson, Linda Rennie, Wilhelmus J A Grooten, Breiffni Leavy","doi":"10.1093/ptj/pzaf034","DOIUrl":"https://doi.org/10.1093/ptj/pzaf034","url":null,"abstract":"<p><strong>Objective: </strong>Walking capacity progressively declines in people with Parkinson disease (PD), and assessment of walking is imperative for monitoring disease progression and evaluating intervention efficacy. The main aim of this study was to explore whether the 2-minute walk test (2MWT) could be substituted for the 6-minute walk test (6MWT) as a measure of walking capacity in people with PD. We also sought to investigate construct and known-groups validity of the 2MWT.</p><p><strong>Methods: </strong>A cross-sectional analysis based on data from the Supported Home Training in Everyday Life for Parkinson Disease trial was conducted in a hospital setting. Sixty-three people with idiopathic, mild to moderate PD (29 women; mean age = 69.2 years) were included. Spatiotemporal gait parameters during the 2MWT and the 6MWT were captured by wearable sensors. Linear regression was used to analyze the association between distances walked, whereas paired-samples t tests and repeated-measures analysis of variance were used to explore mean differences in gait parameters.</p><p><strong>Results: </strong>Distance walked over the 2MWT was very strongly associated with the 6MWT. Gait speed was higher during the shorter test, and several speed-related parameters significantly differed between the tests. There was a trend over the 6MWT, whereby participants performed better during the last 2 minutes of the test. Analyses revealed convergent, discriminant, and known-groups validity of the 2MWT.</p><p><strong>Conclusion: </strong>These findings suggest that the 2MWT adequately captures walking capacity among people with mild to moderate PD and demonstrates robust convergent validity and ability to discriminate between people at different levels of disease severity.</p><p><strong>Impact: </strong>The 2MWT is a sufficient and valid alternative for physical therapists who wish to assess walking capacity in people with mild to moderate PD.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634467","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}