Physical Therapy最新文献

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

{"title":"Motivation Matters: Elucidating Factors Driving Exercise in People With Parkinson Disease.","authors":"Caro I Cools, Sonja A Kotz, Bastiaan R Bloem, Annelien A Duits, Nienke M de Vries","doi":"10.1093/ptj/pzaf048","DOIUrl":"10.1093/ptj/pzaf048","url":null,"abstract":"<p><strong>Objective: </strong>Despite the known benefits of exercise for people with Parkinson disease (PwP), activity levels are not sustained over time due to various motivators and barriers impacting exercise adherence. Previously, studies on exercise adherence in PwP explored such barriers without describing or providing specific questions related to the determinants of motivation. Exercise adherence in PwP can be improved by addressing 3 key perspectives on motivation: personal factors (age, sex, premorbid motivation level, time when PwP started exercising, exercise before diagnosis, self-compassion), disease-related factors (perceived disease severity, depression score), and environmental factors (distance to exercise therapy, weather conditions, encouragement received from partners).</p><p><strong>Methods: </strong>Six hundred seventy-two PwP from the Netherlands participated in an online survey that comprised questionnaires on demographics, depression, self-compassion, perceived disease severity, and additional questions on sports, motivation, and barriers related to sports. A multiple regression analysis was applied with current motivation as an outcome measure, and age, sex, perceived disease severity, premorbid motivation, depression, self-compassion, age starting exercising, and exercise before diagnosis as determinants.</p><p><strong>Results: </strong>The results revealed that current motivation levels to exercise are associated with higher levels of premorbid motivation (b = 0.14), greater self-compassion (b = 0.32), lower age (b = -0.03), lower perceived disease severity (b = -0.10), and lesser degrees of depression (b = -0.10). Barriers stopping PwP from exercising were fatigue, weather conditions, and having less energy for other activities after exercising.</p><p><strong>Conclusion: </strong>Understanding these motivational factors and barriers helps shape and promote better exercise adherence and thereby ascertain greater symptomatic benefits for PwP.</p><p><strong>Impact: </strong>This study outcome gives health care professionals insight into determinants of motivation and exercise adherence, which will help enabling tailored approaches for improved engagement.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039221","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":"Shared Decision-Making in Physical Therapist Care for People With Shoulder Problems: An Observer-Based Analysis of Audio-Recorded Consultations.","authors":"Sijmen Hacquebord, Henri Kiers, Philip van der Wees, Thomas J Hoogeboom","doi":"10.1093/ptj/pzaf047","DOIUrl":"10.1093/ptj/pzaf047","url":null,"abstract":"<p><strong>Objective: </strong>Despite the substantial diagnostic and therapeutic uncertainties in the decision-making process, it remains largely unclear to what extent shared decision-making (SDM) is applied in physical therapist care for people with shoulder problems. The purpose of our study was to determine to what extent SDM is part of the decision-making process in initial physical therapist consultations of people with shoulder problems and to identify factors associated with the level of SDM.</p><p><strong>Methods: </strong>In this cross-sectional study, the level of SDM was measured by assessing audio-recorded initial physical therapist consultations of people with shoulder problems using the 5-item Observing Patient Involvement in SDM tool (OPTION-5; 0-100, higher OPTION scores indicate higher level of SDM). Associations between the level of SDM and the characteristics of patients, physical therapists, and consultations were assessed using multilevel analysis.</p><p><strong>Results: </strong>A total of 100 initial physical therapist consultations of 41 participating physical therapists were included. The mean OPTION-5 score was 27 (range = 5-70). On none of the individual items of the OPTION-5, the highest score \"exemplar effort\" was observed. The multilevel analysis showed that 3 determinants were associated with higher level of SDM: younger age of the patient (b = -1.8; 95% CI = -3.1 to -0.4), longer duration of the consultation (b = 5.5; 95% CI = 2.7 to 8.3), and higher level of education of the physical therapist (b = 9.1; 95% CI = 2.7 to 15.4).</p><p><strong>Conclusions: </strong>The level of SDM in daily physical therapist practice for people with shoulder problems leaves room for improvement. Future research should focus on strategies to improve the application of SDM in physical therapist care for people with shoulder problems. The determinants such as duration of the consultation, and the level of education of the physical therapist might provide guidance in developing these strategies for improving the application of SDM.</p><p><strong>Impact: </strong>The findings of this study give insight into the limited application of SDM in physical therapy for people with shoulder problems. Duration of the consultations and level of education of the physical therapist impact the level of SDM.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788759","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":"Meeting Physical Activity Guidelines for Persons With Multiple Sclerosis Reduces Fatigue Severity and Impact: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.","authors":"Libak Abou, Tanner Murphy, Ethan Truong, Joseph Peters","doi":"10.1093/ptj/pzaf046","DOIUrl":"10.1093/ptj/pzaf046","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Regular physical activity is a recommended behavioral goal for persons with multiple sclerosis. This review aimed to determine the effect of interventions that met physical activity guidelines for persons with multiple sclerosis on fatigue measures and to compare the magnitudes of the effect sizes for meeting these guidelines with the minimal clinically important differences for fatigue measures.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The search was conducted in PubMed, Embase, Web of Science, SPORTDiscus, Scopus, Cumulative Index of Nursing and Allied Health Literature (CINAHL), and PsycINFO from inception to October 2024. Only randomized clinical trials that explicitly met physical activity guidelines and evaluated fatigue were included. Two independent reviewers screened articles for inclusion and evaluated the risk of bias of included trials using the Cochrane risk-of-bias tool for randomized trials. Findings were summarized, and a meta-analysis was conducted. Fatigue measures included the Fatigue Severity Scale, Fatigue Impact Scale, and modified Fatigue Impact Scale. The Grading of Recommendations, Assessment, Development and Evaluation was used to evaluate the quality of the evidence. The review protocol was preregistered in the International Prospective Register of Systematic Reviews (PROSPERO) database (registration number: CRD42023387305).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Twenty-two randomized clinical trials with 920 participants were included in the review; 17 studies were included in the meta-analysis. Findings indicated that interventions meeting physical activity guidelines for at least 4 weeks significantly reduced fatigue severity (standardized mean difference = -1.46; 95% CI = -2.11 to -0.81) and fatigue impact measured with the modified Fatigue Impact Scale (mean difference = -11.88; 95% CI = -20.57 to -3.19) and Fatigue Impact Scale (mean difference = -21.08; 95% CI = -31.01 to -11.15). All findings were clinically relevant, with effect sizes exceeding the established minimal clinically important differences for the fatigue measures. Some methodological concerns were noted, and the evidence level ranged from very low to moderate.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Evidence suggests that engaging in physical activity for at least 150 minutes per week or 2 sessions of 10 to 30 minutes of moderate-intensity aerobic training plus 2 sessions of resistance training per week results in clinically significant reductions in fatigue severity and impact necessary to improve the quality of life of persons with multiple sclerosis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;Fatigue is a highly prevalent symptom associated with poor outcomes, including falls, activity restrictions, pain, cognitive problems, functional limitations, and mortality risk among persons with multiple sclerosis. Our study suggests that adhering to physical activity guidelines developed for persons with multiple sclerosis clinically reduces the severity a","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754148","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":"Author Response to Kleebayoon and Wiwanitkit.","authors":"Yoav Gimmon, Yael Arbel, Liora Shmueli","doi":"10.1093/ptj/pzaf054","DOIUrl":"10.1093/ptj/pzaf054","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035467","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":"Optimal Dose of Aerobic Exercise Programs to Reduce Pain Intensity and Improve Health Status in Patients With Fibromyalgia: A Dose-Response Meta-Analysis.","authors":"Rodrigo Núñez-Cortés, Luis Suso-Martí, Javier Almonacid-Lleida, Joaquín Salazar-Méndez, Rubén López-Bueno, Carlos Cruz-Montecinos, Lars L Andersen, Robinson Ramírez-Vélez, Joaquín Calatayud","doi":"10.1093/ptj/pzaf057","DOIUrl":"10.1093/ptj/pzaf057","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine the dose-response relationship between aerobic exercise programs and changes in pain intensity and health status in patients with fibromyalgia.</p><p><strong>Data sources: </strong>Data sources for this study were PubMed, PEDro, Google Scholar, and EBSCO from inception until February 9, 2024.</p><p><strong>Study selection: </strong>Randomized controlled trials (RCTs) of aerobic exercise in patients with a clinical diagnosis of fibromyalgia were included.</p><p><strong>Data extraction: </strong>Outcome measures were pain intensity (Visual Analog Scale) and health status (Fibromyalgia Impact Questionnaire (FIQ)). The dose-response relationship was evaluated using a restricted cubic spline model.</p><p><strong>Data synthesis: </strong>Twenty-three RCTs were included. The meta-analysis showed a significant improvement in pain intensity and functional status. A minimum dose of 50 min per week standardized mean difference (SMD = -0.67; 95% CI = -0.70 to -0.65) and a total duration of 600 min (SMD = -0.65; 95% CI = -0.69 to -0.62) were estimated to effectively reduce pain intensity. The maximum effect was achieved with 90 min per week (SMD = -1.14; 95% CI = -1.19 to -1.09) and 1200 min total duration (SMD = -1.08; 95%CI = -1.13 to -1.02). Additionally, a minimum dose of 65 min per week (SMD = -0.62; 95% CI = -0.6 to -0.69) and a total duration of 950 min (SMD = -0.61; 95% CI = -0.60 to -0.67) were estimated to effectively reduce the FIQ score. While the maximum effect was obtained with 150 min per week (SMD = -1.77; 95% CI = -1.89 to -1.65) and 3000 min of total duration (SMD = -1.43; 95% CI = -1.54 to -1.31).</p><p><strong>Conclusion: </strong>These findings may be useful in optimizing the minimal dose of aerobic exercise to achieve health improvements in people with fibromyalgia.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009829","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":"Using a Discrete Choice Experiment to Elicit Patient Preferences for Physical Therapist Services after Surgery for Breast Cancer.","authors":"Helen McTaggart-Cowan, Kendra Zadravec, Bolette S Rafn, Adam J N Raymakers, Dean A Regier, Kristin L Campbell","doi":"10.1093/ptj/pzaf077","DOIUrl":"https://doi.org/10.1093/ptj/pzaf077","url":null,"abstract":"<p><strong>Importance: </strong>Patients often experience challenges accessing physical therapy for breast cancer-related impairments. Eliciting patient preferences for physical therapy can inform design of patient-centered, breast cancer-focused physical therapy programming.</p><p><strong>Objective: </strong>A discrete choice experiment (DCE) was used to elicit patient preferences for physical therapy after breast cancer surgery.</p><p><strong>Design: </strong>Sequential mixed methods identified 7 attributes of physical therapy: education timing; referral method; first appointment timing; physical therapist expertise level; treatment format; treatment frequency; and annual out-of-pocket cost. Respondents chose between 2 physical therapy programs and an opt-out option.</p><p><strong>Settings: </strong>The DCE was administered online.</p><p><strong>Participants: </strong>Participants were adults with breast cancer in Canada.</p><p><strong>Main outcomes & measures: </strong>Responses were analyzed using a mixed logit model. Willingness-to-pay estimates were calculated as the marginal rate of substitution between each attribute level with respect to cost.</p><p><strong>Results: </strong>The DCE was completed by 148 respondents (completion rate: 77.5%). Most were within 3 years post-diagnosis (54.1%), had completed post-secondary education (70.9%), and had annual family incomes over $40,000 (76.5%). Nearly half were referred to physical therapy (48.5%). Respondents preferred to be seen by a physical therapist with expertise in breast cancer (β = .368, SD = 0.091) and to receive more frequent appointments (β = -.011, SD = 0.025).</p><p><strong>Conclusion: </strong>The DCE was capable of eliciting patient preferences for physical therapy after breast cancer surgery. Respondents exhibited preferences for physical therapist expertise level and treatment frequency. Findings from this study will be the first step in informing development of accessible physical therapy programming that is responsive to the needs and preferences of patients with breast cancer.</p><p><strong>Relevance: </strong>This work can inform design of accessible, patient-centered physical therapist services for patients with breast cancer. Receiving timely physical therapy can improve patients' physical function, quality of life, and ability to engage in life roles and activities.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174525","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":"Investigating Balance Perception and Balance Performance in Neurological Disorders for Targeted Rehabilitation Strategies.","authors":"Rebecca Cardini, Alessandro Torchio, Irene Aprile, Andrea Turolla, Davide Cattaneo, Elisa Gervasoni","doi":"10.1093/ptj/pzaf075","DOIUrl":"https://doi.org/10.1093/ptj/pzaf075","url":null,"abstract":"<p><strong>Importance: </strong>Task-specific balance deficits are common in people with neurological disorders (PwND), significantly affecting their Activities of Daily Living (ADLs). However, the relationship between balance deficits and ADLs measured by patient-reported outcomes is poorly understood, thus limiting the selection of specific static and dynamic tasks to be used to train for a given activity.</p><p><strong>Objective: </strong>The aim of the study was to provide a clinical framework linking ADLs, balance tasks, and balance resources (Horak, 2009) to support clinicians' decision-making when planning task-oriented balance rehabilitation for PwND.</p><p><strong>Design: </strong>This was an observational study with a cross-sectional design.</p><p><strong>Setting: </strong>This study examined clinical contexts involving PwND.</p><p><strong>Participants: </strong>This study involved people with Parkinson disease, stroke, or multiple sclerosis.</p><p><strong>Exposure: </strong>The study used the Activities-Specific Balance Confidence Scale (ABC) for patient-reported outcomes to assess perceived balance during ADLs, and the Berg Balance Scale (BBS) and Dynamic Gait Index (DGI) to evaluate static and dynamic balance.</p><p><strong>Main outcomes and measures: </strong>Kendall tau correlations (τ) were used to identify meaningful associations between ABC and BBS-DGI items, matching ADLs with specific balance tasks.</p><p><strong>Results: </strong>The study sample comprised 299 people with Parkinson disease (n = 94), stroke (n = 94), and multiple sclerosis (n = 111) with a median (IQR) age of 63 (52.0-71.5) years, all exhibiting moderate to severe balance impairments. Moderate correlations (τ ≥ 0.39) were found between dynamic and semi-dynamic challenging outdoor ADLs with static and dynamic tasks involving sensory orientation and the use of vestibular and proprioceptive systems. Moreover, stability limits-verticality, anticipatory postural adjustments, and stability in gait are the primary balance resources to consider when designing ad hoc rehabilitation interventions.</p><p><strong>Conclusions: </strong>This study establishes associations between specific ADLs and balance tasks, offering a clinical framework to identify relevant balance resources for rehabilitation. It provides clinicians with a structured approach for planning task-oriented, needs-based balance rehabilitation for PwND, focusing on the training of specific balance resources to enhance ADLs.</p><p><strong>Relevance: </strong>This study provides a clinical framework to help clinicians in planning task-oriented and needs-based balance rehabilitation for PwND, suggesting which balance resources should be trained to improve specific ADLs.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161227","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":"Extracorporeal Shock Wave Therapy for Chronic Adhesive Capsulitis in Type 2 Diabetics: A Systematic Review with Meta-Analysis.","authors":"Crystal Reno, Paul A Swinton, Lyndsay Alexander","doi":"10.1093/ptj/pzaf074","DOIUrl":"https://doi.org/10.1093/ptj/pzaf074","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to assess the effectiveness of extracorporeal shock wave therapy in the treatment of chronic adhesive capsulitis in the type 2 diabetes population.</p><p><strong>Design: </strong>This study is a systematic review with meta-analysis. The search was conducted in MEDLINE, EMBASE, CINAHL, PEDro, Cochrane Database of Systematic Reviews, UK Clinical Trial Gateway and grey literature from 2012 to 2023. Two reviewers independently screened and extracted data through Covidence and the quality was evaluated using Cochrane risk-of-bias tool for randomized trials. Meta-analyses were conducted to quantify within group change and comparative effectiveness. Five hundred and seventy-four studies were identified, and 7 studies included (n = 352 participants).</p><p><strong>Participants: </strong>This study included Type 2 diabetic adults (>18 years) diagnosed with primary or secondary adhesive capsulitis.</p><p><strong>Interventions: </strong>This review and meta-analysis included studies comparing extracorporeal shock wave therapy with conservative management.</p><p><strong>Main outcomes: </strong>The primary outcome was pain. Secondary outcomes included range of movement and disability.</p><p><strong>Results: </strong>Meta-analysis using Bayesian method of within group change showed consistent improvement for pain (-5.7 [95% CrI = -7 to -4.5] cm), range of movement (2.6 [95% CrI = 1.4 to 3.8]), and disability (3.6 [95% credible interval = 2.3 to 4.9]). Consistent evidence of improvements favoring extracorporeal shock wave therapy over conservative management was identified for all outcomes. Study heterogeneity had limited influence on non-controlled effect sizes, whereas limited controlled effect sizes lowered the confidence for outcomes of range of movement and disability. Limitations included low number of studies, poor methodological quality, and non-adherence to reporting guidelines.</p><p><strong>Conclusions: </strong>Extracorporeal shock wave therapy for treatment of adhesive capsulitis was shown to reduce pain and improve range of motion and disability in the type 2 diabetes population. These results should be interpreted with caution and high-quality randomized controlled studies are required to establish best-practice extracorporeal shock wave therapy protocols regarding application position, dosage, and duration.</p><p><strong>Relevance: </strong>Extracorporeal shock wave therapy may improve pain, range of movement, and disability in Type 2 Diabetics with adhesive capsulitis.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120572","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":"A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital: A Clinical Practice Guideline.","authors":"Kirby P Mayer, Audrey M Johnson, Darby J Smith, Caitlyn M Crandall, Melanie D Johnson, Linsey E Fresenko L E, Cayla M Robinson, Lauren E Robinson, Sandra L Kaplan, Sowmya Kumble, Traci L Norris","doi":"10.1093/ptj/pzaf076","DOIUrl":"https://doi.org/10.1093/ptj/pzaf076","url":null,"abstract":"<p><strong>Importance: </strong>Outcome measures (OMs) are an integral part of physical therapist practice and implementation can have a multifaceted effect on care delivery.</p><p><strong>Objective: </strong>The objective of this study was to identify a core set of OMs for adults requiring acute care hospitalization in the setting of acute care physical therapist practice.</p><p><strong>Design and setting: </strong>This Clinical Practice Guideline (CPG) focuses on the assessment of physical function within the \"activity\" domain of the International Classification of Functioning, Disability and Health.</p><p><strong>Main outcomes and measures: </strong>The CPG scope was developed with input from interested parties at multiple levels, including Academy of Acute Care Physical Therapy leadership, the CPG Working Group, and consumers of acute care physical therapist practice. A systematic review assessed psychometric data on physical function OMs that included the constructs of bed mobility, transfer ability, and ambulation. The modified Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN-M) was used to examine methodological quality and psychometric strength for each OM. Recommended OMs in the core set met 3 criteria: addressed the established constructs, had strong psychometric properties and methodological quality, and had high clinical utility, defined as minimal time (<20 minutes), low to no cost, and minimal training required for use in clinical practice.</p><p><strong>Results: </strong>Thirty-four OMs were initially identified in the systematic review. Fourteen OMs were considered for the final CPG. In the end, action statements 1 to 3 supported 3 OMs that comprised the acute care core outcome measure set (COMS), and action statements 4 to 8 were recommendations for supplemental OMs that may be performed as additions to augment the COMS. All action statements considered the published evidence, clinical utility, and acute care expertise from the Guideline Development Group. Research recommendations follow each summary of the evidence.</p><p><strong>Conclusions and relevance: </strong>The CPG provides recommendations for COMS to assess physical function in acute care physical therapist practice.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128309","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}