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Burden of Rehabilitation-Relevant Diseases in Mexico: Findings From the Global Burden of Disease Study 2021. 墨西哥康复相关疾病负担:来自2021年全球疾病负担研究的发现
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-09-10 DOI: 10.1093/ptj/pzaf110
Brenda Martinez, Alejandra Gonzalez-Rocha, María Jesús Rios-Blancas, Edgar Denova-Gutiérrez
{"title":"Burden of Rehabilitation-Relevant Diseases in Mexico: Findings From the Global Burden of Disease Study 2021.","authors":"Brenda Martinez, Alejandra Gonzalez-Rocha, María Jesús Rios-Blancas, Edgar Denova-Gutiérrez","doi":"10.1093/ptj/pzaf110","DOIUrl":"https://doi.org/10.1093/ptj/pzaf110","url":null,"abstract":"<p><strong>Importance: </strong>To this author's knowledge, this is the first study to examine the burden of rehabilitation-relevant conditions in Mexico, providing valuable evidence to inform public policy and enhance the delivery of rehabilitation services.</p><p><strong>Objective: </strong>This study presents a national-level analysis estimating the number of people in Mexico who required rehabilitation at least once during the course of an illness or injury that caused a disability, based on data from the 2021 Global Burden of Disease Study.</p><p><strong>Design: </strong>This was a cross-sectional analysis.</p><p><strong>Setting and participants: </strong>This study is a secondary analysis using 2021 Global Burden of Disease Study estimates to quantify the burden of diseases and conditions considered amenable to rehabilitation. The use of these estimates provides a comprehensive and systematic approach to quantifying the magnitude of health loss in regional, national, and subnational locations using Bayesian methods.</p><p><strong>Results: </strong>The findings suggest that the prevalence of persons with conditions that would benefit from rehabilitation was 43,488.0 (95% uncertainty interval [UI] = 39,240.1-47,930.6) per 100,000 persons, and the total estimated years lived with disability due to the same conditions were 3,610,038.9 (95% UI = 2,218,757.8-5,575,356.1). The total estimated number of people with musculoskeletal disorders who could benefit from rehabilitation services was 24,444,835 (95% UI = 21,061,024-27,876,368). In addition, an estimated 22,464,680 individuals (95% UI = 21,481,932-23,547,373) with hearing loss were also identified as likely to benefit from rehabilitation interventions.</p><p><strong>Conclusions: </strong>The study provides a national-level analysis of the burden of diseases and conditions that are likely to require rehabilitation services in Mexico. The findings support the need for targeted preventive measures, strategic allocation of rehabilitation resources, and the development of multidisciplinary care models.</p><p><strong>Relevance: </strong>The findings of the study provide key evidence for optimizing resource allocation, developing prevention strategies, and strengthening multidisciplinary care models. This research contributes to improving public policy planning and the quality of rehabilitation services.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030364","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}
引用次数: 0
Validation of the Learning and Study Strategies Inventory (LASSI) in Doctor of Physical Therapy Learners: A Retrospective Observational Study. 物理治疗博士学习者学习与学习策略量表(LASSI)的验证:一项回顾性观察研究。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-09-03 DOI: 10.1093/ptj/pzaf108
Jessica T Feda, Evan M Pucillo, Laura E Wenger, Melissa H Scales, Kyle R Adams, Carrie A Minahan, Jennifer G Martin, Nancy S Smith
{"title":"Validation of the Learning and Study Strategies Inventory (LASSI) in Doctor of Physical Therapy Learners: A Retrospective Observational Study.","authors":"Jessica T Feda, Evan M Pucillo, Laura E Wenger, Melissa H Scales, Kyle R Adams, Carrie A Minahan, Jennifer G Martin, Nancy S Smith","doi":"10.1093/ptj/pzaf108","DOIUrl":"10.1093/ptj/pzaf108","url":null,"abstract":"<p><strong>Importance: </strong>The Learning and Study Strategies Inventory (LASSI) is an instrument that measures self-regulated learning. However, it has not been validated for use in entry-level Doctor of Physical Therapy (DPT) learners.</p><p><strong>Objective: </strong>The objective of this study was to investigate the validity and reliability of the LASSI in DPT learners.</p><p><strong>Design: </strong>This was a retrospective observational cohort study.</p><p><strong>Setting/participants/intervention: </strong>Demographic and LASSI data were retrospectively analyzed from 1541 learners enrolled in 5 entry-level DPT programs across the United States.</p><p><strong>Main outcomes and measures: </strong>A confirmatory factor analysis (CFA) was conducted to evaluate whether the 60-item LASSI (3rd Edition) demonstrated a valid and reliable factor structure. An exploratory factor analysis (EFA) was used to identify a more succinct set of LASSI scales. Goodness-of-fit indices and reliability coefficients were computed to assess model fit and measurement consistency.</p><p><strong>Results: </strong>CFA revealed that the 60-item LASSI accounted for 46.7% of total score variance. In contrast, exploratory factor analysis (EFA) identified a revised 47-item version (termed LASSI-DPT) that accounted for 58.1%, indicating improved construct validity. Chi-square goodness-of-fit supported the adequacy of the EFA model (χ2 = 3964.1). The revised 47-item LASSI demonstrated excellent internal consistency, with an overall Cronbach alpha of .92, compared to 0.78 for the 60-item version.</p><p><strong>Conclusion: </strong>The revised 47-item LASSI-DPT provides a more reliable, concise, and valid assessment compared to the 60-item LASSI, tailored to learning strategies in physical therapist education programs.</p><p><strong>Relevance: </strong>Factor analysis demonstrated improved construct validity and excellent reliability in a newly developed 47-item version of the LASSI tailored for DPT learners. This shorter instrument may result in decreased survey fatigue and improved measurement accuracy. With its enhanced psychometric properties, the LASSI-DPT may enable DPT programs to better identify learners who need additional support related to self-regulation of learning.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964865","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}
引用次数: 0
Global Prosthetic Provision Rate After Major Lower Extremity Amputation for Dysvascular Populations From Four Continents: A Scoping Review. 四大洲血管异常人群下肢截肢后全球假肢供应率:范围回顾。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-08-29 DOI: 10.1093/ptj/pzaf105
Christopher K Wong, Christina Shimoda, Emma Steel, Andre Janums, Akinpelu A Beckley
{"title":"Global Prosthetic Provision Rate After Major Lower Extremity Amputation for Dysvascular Populations From Four Continents: A Scoping Review.","authors":"Christopher K Wong, Christina Shimoda, Emma Steel, Andre Janums, Akinpelu A Beckley","doi":"10.1093/ptj/pzaf105","DOIUrl":"https://doi.org/10.1093/ptj/pzaf105","url":null,"abstract":"<p><strong>Importance: </strong>Lower extremity amputation (LEA) is a worldwide public health problem leading to large disability burdens and health care costs. After LEA, prostheses improve functional mobility and quality-of-life. However, health care costs are high and prosthetic provision worldwide unknown.</p><p><strong>Objective: </strong>The objective was to map the worldwide evidence for prosthetic provision rates after major dysvascular LEA to identify evidence gaps.</p><p><strong>Design: </strong>This scoping review followed best practices and PRISMA-Sc guidelines. Of 609 abstracts screened and 28 full texts reviewed, 18 articles were included.</p><p><strong>Setting/exposures: </strong>Five databases were searched without language limits using MESH and keyword search terms. The Population-Concept-Context framework included people with major dysvascular LEA, prosthetic provision, and health care models.</p><p><strong>Participants: </strong>Seventeen cohorts and 1 case-control study involved 31,982 people (7.7% female, 16.5% Americans from racial and ethnic minority groups), mean age 68.1 years, 85.0% after dysvascular LEA (61.4% transitibial).</p><p><strong>Main outcomes: </strong>The outcome of interest was prosthetic provision rates.</p><p><strong>Results: </strong>Overall prosthetic provision rate from 10 countries was 48.5%: 48.6% high-income (16/18), 39.2% middle-income (2/18) countries. The 1 Bismark not-for-profit universal health care model country had the highest provision rate (73.7%); 4 studies from 3 Beveridge/Bismark model countries reported 59.3% provision. Most participants were from the hybrid USA system with 6 studies reporting 48.8% provision. Provision rate in 6 studies from 4 Beveridge government financed care model countries was 41.2%, and 32% in the fee-for-service country. Lower prosthetic provision rates were observed for transfemoral compared to transtibial amputations, female compared to male sex, and Americans from racial and ethnic minority groups compared to White race.</p><p><strong>Conclusions: </strong>Fewer than half receive prostheses after LEA worldwide. Differences among country health care models and income levels; lack of African, South American, and low-income country studies, and low prosthetic provision for people of female sex and Americans from racial and ethnic minority groups exposed evidence gaps for future research.</p><p><strong>Relevance: </strong>Limited provision of prostheses that improve quality-of-life highlights the need to understand factors affecting prosthetic decisions and health care policies.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964915","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}
引用次数: 0
Exploring the Quality of Physical Therapy in Patients With Hip or Knee Osteoarthritis in Germany: A Cross-Sectional, Vignette-Based Study. 探索德国髋关节或膝关节骨性关节炎患者物理治疗的质量:一项横断面、基于小样本的研究。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-08-05 DOI: 10.1093/ptj/pzaf083
Franziska Weber, Corelien Kloek, Max Bonk, Christian Grüneberg, Cindy Veenhof
{"title":"Exploring the Quality of Physical Therapy in Patients With Hip or Knee Osteoarthritis in Germany: A Cross-Sectional, Vignette-Based Study.","authors":"Franziska Weber, Corelien Kloek, Max Bonk, Christian Grüneberg, Cindy Veenhof","doi":"10.1093/ptj/pzaf083","DOIUrl":"10.1093/ptj/pzaf083","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Importance: &lt;/strong&gt;Conservative, non-pharmacological interventions are the recommended first-line treatment for hip and knee osteoarthritis (OA). Clinical practice guidelines (CPGs), such as those from the Osteoarthritis Research Society International (OARSI), guide evidence-based care by physical therapists. However, no studies in Germany have examined physical therapists' treatment choices across patient cases and compared them with the latest evidence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this study was to investigate to what extent physical therapists meet the latest evidence when treating different types of people with hip or knee OA.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design and setting: &lt;/strong&gt;A cross-sectional vignette-based online survey was conducted among physical therapists working in outpatient practices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Participants: &lt;/strong&gt;Eligible participants had adequate German language skills, internet access, and recent experience treating patients with hip or knee OA.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Measures: &lt;/strong&gt;The survey included 4 case vignettes of hip or knee OA, with and without comorbidities, and a list of treatment modalities from the OARSI guideline. Correct selections matched high-evidence recommendations. Descriptive statistics analyzed demographics and treatment choices; linear regression assessed the influence of professional degree and work experience on meeting the latest evidence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of 612 eligible therapists, 335 (54.7%) completed the survey (mean age 35.9+/-11.9 years; 60% female). Only 22% selected all recommended modalities across vignettes. Structured exercise (96%) and arthritis education (95%) were the most frequently chosen. However, many therapists also selected interventions with limited or conflicting evidence, such as massage and taping. Both professional degree and work experience significantly influenced the extent to which the latest evidence was met. Additionally, 49% were aware of at least 1 OA guideline.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and relevance: &lt;/strong&gt;While many physical therapists aligned with evidence-based practices, inappropriate modality selection remained common. De-implementation is needed where evidence suggests a lack of benefit or potential safety concerns. Translating and implementing the OARSI guideline into various languages, specifically for physical therapists, is recommended to close knowledge gaps.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;The study's findings underscore the importance of understanding the treatment modalities used by physical therapists in managing hip or knee OA worldwide. This insight is crucial for addressing the evidence-to-practice gap and ensuring the effective implementation of high-quality physical therapy, a need that is equally relevant in other countries. Additionally, this knowledge is vital for developing targeted strategies, such as the creation and integration of (de-)implementation protocols into the education and ongoing prof","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507506","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}
引用次数: 0
News From the Foundation for Physical Therapy Research, August 2025. 来自物理治疗研究基金会的消息,2025年8月。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-08-05 DOI: 10.1093/ptj/pzaf090
{"title":"News From the Foundation for Physical Therapy Research, August 2025.","authors":"","doi":"10.1093/ptj/pzaf090","DOIUrl":"https://doi.org/10.1093/ptj/pzaf090","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"105 8","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964852","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}
引用次数: 0
Author Response to Amalia et al. 作者对Amalia等人的回应。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-08-05 DOI: 10.1093/ptj/pzaf087
Liv Heide Magnussen, Kjersti Wilhelmsen, Målfrid Råheim
{"title":"Author Response to Amalia et al.","authors":"Liv Heide Magnussen, Kjersti Wilhelmsen, Målfrid Råheim","doi":"10.1093/ptj/pzaf087","DOIUrl":"10.1093/ptj/pzaf087","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","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}
引用次数: 0
Use of Virtual Reality in Upper Extremity Rehabilitation of Adults After Stroke and Its Effect on Functionality: Systematic Review and Meta-Analysis. 虚拟现实在成人中风后上肢康复中的应用及其对功能的影响:系统回顾和荟萃分析。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-08-05 DOI: 10.1093/ptj/pzaf103
Yordanis Enríquez-Canto, Rafael Pizarro-Mena, Katherine Ludueña-Hernández, Katherine Alexandre-Vergara, Gloria Riveros-Basoalto, Alejandro Dresdner-Figueroa
{"title":"Use of Virtual Reality in Upper Extremity Rehabilitation of Adults After Stroke and Its Effect on Functionality: Systematic Review and Meta-Analysis.","authors":"Yordanis Enríquez-Canto, Rafael Pizarro-Mena, Katherine Ludueña-Hernández, Katherine Alexandre-Vergara, Gloria Riveros-Basoalto, Alejandro Dresdner-Figueroa","doi":"10.1093/ptj/pzaf103","DOIUrl":"10.1093/ptj/pzaf103","url":null,"abstract":"<p><strong>Importance: </strong>Virtual reality (VR) is increasingly used in patients after stroke upper limb rehabilitation, but the comparative effectiveness of VR-Only versus hybrid VR combined with conventional therapy (CT) remains unclear.</p><p><strong>Objective: </strong>The objective of this review was to systematically review and meta-analyze the effectiveness of 2 distinct VR intervention approaches for patients undergoing hemiparetic upper limb rehabilitation after stroke: VR-Only versus CT, and hybrid interventions combining VR with CT versus CT alone.</p><p><strong>Data sources: </strong>A PROSPERO protocol (CRD 42022349259) for a comprehensive search was conducted across 7 databases, focusing on studies published in English and Spanish.</p><p><strong>Study selection: </strong>Randomized controlled trials (RCTs) comparing VR-Only or hybrid VR interventions to CT were included.</p><p><strong>Data extraction and synthesis: </strong>Study characteristics, participant demographics, intervention specifics, and outcome measures were extracted. The risk of bias was assessed using the Risk of Bias 2 (RoB 2) tool. Meta-analyses used a random-effects model to estimate standardized mean differences (SMDs) with 95% confidence intervals.</p><p><strong>Main outcome(s) and measure(s): </strong>Primary outcomes included motor function, motor capacity, hand dexterity, and functional capacity, measured by validated instruments such as the Fugl-Meyer Assessment and Box and Block Test.</p><p><strong>Results: </strong>Twenty-seven RCTs (1156 participants) were included. Hybrid VR + CT interventions significantly improved motor function (SMD = 0.44) and manual dexterity (SMD = 0.33) compared to CT alone. VR-Only interventions showed positive trends but were not statistically significant. Hybrid interventions maintained benefits at follow-up (SMD = 0.63, 95% CI = 0.11-1.15). Optimal improvements were observed with hybrid sessions of 31 to 59 minutes daily.</p><p><strong>Conclusions: </strong>Hybrid VR + CT interventions are more effective than CT alone, improving motor function and manual dexterity after stroke, with sustained benefits over time. VR-Only interventions showed less consistent effects.</p><p><strong>Relevance: </strong>These results suggest that integrating VR into CT enhances rehabilitation outcomes of stroke survivors. Future research should focus on optimizing hybrid protocols and exploring long-term outcomes.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144874664","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}
引用次数: 0
Identifying Potential Determinants That Can Impact the Implementation of a Physical Activity Pathway in Outpatient Physical Therapy: A Mixed Methods Study. 确定可能影响门诊物理治疗中身体活动途径实施的潜在决定因素:一项混合方法研究。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-08-05 DOI: 10.1093/ptj/pzaf088
Mariana Wingood, Jennifer L Vincenzo, Justin B Moore, Jaime M Hughes
{"title":"Identifying Potential Determinants That Can Impact the Implementation of a Physical Activity Pathway in Outpatient Physical Therapy: A Mixed Methods Study.","authors":"Mariana Wingood, Jennifer L Vincenzo, Justin B Moore, Jaime M Hughes","doi":"10.1093/ptj/pzaf088","DOIUrl":"10.1093/ptj/pzaf088","url":null,"abstract":"<p><strong>Importance: </strong>Most physical therapists do not address older adults' inadequate physical activity (PA), resulting in increased risk of experiencing falls or frailty.</p><p><strong>Objective: </strong>The objective was to identify determinants that can impact the implementation of a PA pathway that provides physical therapists with step-by-step guidance on assessing and addressing older adults' inadequate PA levels.</p><p><strong>Design: </strong>The design was a convergent parallel mixed-method design.</p><p><strong>Setting: </strong>The setting of this study was outpatient physical therapy.</p><p><strong>Intervention(s) or exposure(s): </strong>The intervention being examined is a PA pathway that provides guidance on assessing and addressing older adults' inadequate PA levels.</p><p><strong>Main outcome(s) and measures(s): </strong>The main outcome was determinants that can impact the implementation of the PA pathway.</p><p><strong>Methods: </strong>Our quantitative surveys examined current practice, knowledge, and barriers related to assessing and addressing inadequate PA levels, and perceptions about the pathway's feasibility, acceptability, and appropriateness. The semi-structured interviews examined determinants that may impact the decision to use the PA pathway. The study included outpatient physical therapists who treated patients aged 65 years and older, with 51 completing the survey and 16 completing the interview.</p><p><strong>Results: </strong>Over 88% perceived the PA pathway as an acceptable, appropriate, and feasible innovation that can guide physical therapists through the recommended PA assessments and behavior change techniques. Barriers identified in the quantitative and qualitative data were lack of knowledge, skills, and confidence in assessing and addressing PA, patient's preference of not doing PA, and lack of time. Two additional barriers identified via the qualitative data were lack of information on how to use behavior change techniques and lack of electronic health record infrastructure. Reimbursement's impact on implementing the PA pathway was mixed.</p><p><strong>Conclusion and relevance: </strong>The gap in assessing or addressing older adults' PA levels could be resolved through the step-by-step guidance provided by the PA pathway. The successful adoption of the pathway can be enhanced via a plan that addresses the potential barriers identified in this study.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144541888","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}
引用次数: 0
Are There Speed Limits in Doctor of Physical Therapy Education? Future Research Directions. 物理治疗博士教育有速度限制吗?未来研究方向。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-08-05 DOI: 10.1093/ptj/pzaf079
Duane Scott Davis
{"title":"Are There Speed Limits in Doctor of Physical Therapy Education? Future Research Directions.","authors":"Duane Scott Davis","doi":"10.1093/ptj/pzaf079","DOIUrl":"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":3.3,"publicationDate":"2025-08-05","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}
引用次数: 0
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. 关于“从澳大利亚物理治疗师的角度看前交叉韧带断裂的治疗决策:一项混合方法研究”。刘建军,刘建军,刘建军,等。物理学报,2025;105(5):pzaf030。https://doi.org/10.1093/ptj/pzaf030。
IF 3.3 4区 医学
Physical Therapy Pub Date : 2025-08-05 DOI: 10.1093/ptj/pzaf086
Rikas Saputra, Yenni Lidyawati
{"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":"10.1093/ptj/pzaf086","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","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}
引用次数: 0
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