Physical Therapy最新文献

{"title":"Author response to Hinman.","authors":"Andrew J Hogan","doi":"10.1093/ptj/pzag027","DOIUrl":"10.1093/ptj/pzag027","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147474879","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":"My view of PTJ: coming soon to a journal near you.","authors":"Steven Z George","doi":"10.1093/ptj/pzag039","DOIUrl":"https://doi.org/10.1093/ptj/pzag039","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778622","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":"Primary care provider attitudes regarding physical therapists addressing opioid use and opioid misuse: a qualitative study.","authors":"John S Magel, Elizabeth Siantz, Michael A Incze, Jason M Beneciuk, Julie M Fritz, A Taylor Kelley, Gerald Cochran, Priscilla Blosser, Paul Hartman, Melissa Tyszko, Stefan Kertesz, Adam J Gordon","doi":"10.1093/ptj/pzag021","DOIUrl":"10.1093/ptj/pzag021","url":null,"abstract":"<p><strong>Importance: </strong>Primary care providers (PCPs) manage musculoskeletal pain and may prescribe opioids for their patients, presenting risk for opioid misuse. Physical therapists are well-positioned to collaborate with PCPs in identifying and mitigating opioid risk and misuse for patients that PCPs and physical therapists co-manage. How PCPs view such collaboration is unclear.</p><p><strong>Objective: </strong>The objective of this study was to explore PCPs' attitudes regarding physical therapists' role in identifying and mitigating opioid risk and opioid misuse.</p><p><strong>Design: </strong>This was a qualitative study using rapid content analysis and it was the first phase in a sequential exploratory mixed-methods investigation.</p><p><strong>Setting and participants: </strong>Semi-structured interviews were conducted with 22 PCPs in Utah. PCPs were invited to participate if they were listed by the Utah Division of Professional Licensure as having an active license to practice in Utah. PCPs were eligible to participate if they (1) referred a patient to outpatient physical therapy within the past 6 months and (2) prescribed an opioid within the past 6 months. Interviews were conducted between May 6, 2024, and August 9, 2024, and were audio recorded and transcribed.</p><p><strong>Main outcome: </strong>The main outcomes were qualitative themes reported by the PCPs surrounding their attitudes toward collaborating with physical therapists on patients taking prescription opioid medication for pain.</p><p><strong>Results: </strong>Twenty-two PCPs were interviewed, which included 7 (31.8%) physicians, 6 (27.3%) nurse practitioners, and 9 (40.9%) physician assistants. Mean years of clinical experience was 13.9 (SD = 9.1) with 12 (56.0%) participants identifying as female and 20 (90.1%) identifying as White. The themes identified were (1) physical therapist's involvement in opioid management can help patients, (2) communication between physical therapists and PCPs regarding opioids is important, (3) physical therapists should educate their patients about the risks of opioid use, and (4) physical therapists should refer their patients with suspected opioid misuse for further management.</p><p><strong>Conclusion and relevance: </strong>PCPs favorably regarded physical therapists' involvement in identifying and mitigating opioid risk and misuse among co-managed patients.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147317977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On \"Credentialism and Barriers to Entry: A Historical and Sociological Analysis of the CAPTE 50 Percent Requirement for Physical Therapy Faculty With Academic Doctorates.\" Hogan AJ. Phys Ther. 2025;105:pzaf095. https://doi.org/10.1093/ptj/pzaf095.","authors":"Martha R Hinman","doi":"10.1093/ptj/pzag026","DOIUrl":"10.1093/ptj/pzag026","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147481428","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":"Early mobilization in patients with aneurysmal subarachnoid hemorrhage: a prospective observational study.","authors":"Sabrina Hernandez, Claire Tipping, Adam M Deane, Michael Wei, Wendy Bower, Alexios Adamides, Anais Charles-Nelson, Peter Thomas, Jonathan Tomkins, Jane Larkin, Carol L Hodgson","doi":"10.1093/ptj/pzag031","DOIUrl":"10.1093/ptj/pzag031","url":null,"abstract":"<p><strong>Importance: </strong>Patients with aneurysmal subarachnoid hemorrhage (aSAH) represent a cohort with limited evidence to guide mobilization practices.</p><p><strong>Objective: </strong>The objective was to describe acute mobilization practices, outcomes, and barriers to mobilization in patients following aSAH.</p><p><strong>Design: </strong>The design of the study was a single-center prospective, observational study.</p><p><strong>Setting: </strong>This study was conducted in the acute ward and intensive care unit of a tertiary neurosurgical referral center.</p><p><strong>Participants: </strong>Participants were adult (≥18 years) patients post-aSAH with secured aneurysms.</p><p><strong>Exposure: </strong>Mobilization practices were delivered during physical therapist sessions up to 14 days post-aneurysm repair.</p><p><strong>Main outcomes and measures: </strong>Severity was classified using the World Federation of Neurological Surgeons scale, dichotomizing into \"good\" (Grade I to II) and \"poor\" (Grade III to V) clinical status. Mobilization outcomes were measured using the Mobility Scale for Acute Stroke (MSAS), with independent walking assessed.</p><p><strong>Results: </strong>A total of 102 patients participated with 69 (67.6%) classified as \"good\" grade and 90 (88.2%) of patients mobilized within the first 14 days. Data were collected from 603 planned mobilization sessions, with barriers to mobilization encountered in 193 (32.0%) of these sessions, primarily due to neurological instability (n = 80, 41.5%) and hemodynamic instability (n = 43, 22.3%). Overall, the highest median MSAS score achieved was 32 (IQR = 10 to 36). By 2 weeks, 65.2% of patients with a \"good\" clinical status walked independently versus 12.9% in the \"poor\" group.</p><p><strong>Conclusions: </strong>While most patients mobilized, physiological instability commonly prevented mobilization activities. Independent walking by 2 weeks was significantly more common in patients with \"good\" clinical status. These findings underline the importance of careful screening and monitoring during mobilization in the acute period.</p><p><strong>Relevance: </strong>This study underscores the need for further research into optimal mobilization strategies for improving outcomes in patients with aSAH.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13134040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147531824","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":"Effects of home-based cardiac rehabilitation integrated in the cardiac care bridge transitional care program on the physical functioning of older patients who are frail: secondary analysis of a randomized trial.","authors":"Michel S Terbraak, Lotte Verweij, Patricia Jepma, Marike van der Schaaf, Harald T Jørstad, Ron J G Peters, Bianca M Buurman, Wilma J M Scholte Op Reimer","doi":"10.1093/ptj/pzag020","DOIUrl":"10.1093/ptj/pzag020","url":null,"abstract":"<p><strong>Importance: </strong>Older patients hospitalized for cardiovascular disease (CVD) are at risk of physical function decline and adverse health outcomes. Cardiac rehabilitation (CR) improves physical functioning but is underutilized by older patients. Home-based CR potentially improves utilization, yet its effectiveness in older patients who are frail remains understudied.</p><p><strong>Objective: </strong>The objective of this study was to investigate the effects of a transitional-care integrated home-based CR program on physical functioning in older patients who are frail after CVD hospitalization.</p><p><strong>Design: </strong>This was a prespecified secondary analysis of physical functioning at the 6-month follow-up in the cardiac care bridge multicenter randomized trial.</p><p><strong>Setting: </strong>A home-based setting was used.</p><p><strong>Participants: </strong>The study participants were patients who were frail and ≥70 years old after CVD hospitalization.</p><p><strong>Intervention: </strong>The intervention was transitional care followed by physical therapist led home-based CR and community nurse visits.</p><p><strong>Main outcomes and measures: </strong>The primary physical function outcome was the Short Physical Performance Battery (SPPB) in cases with complete follow-up data. Secondary outcomes included the 2-min step test, grip strength, and Amsterdam Linear Disability Scale. Sensitivity analyses included an intention-to-treat analysis by multiple imputation of the full cohort.</p><p><strong>Results: </strong>In total, 85 of 153 participants in the intervention group and 85 of 153 participants in the control group were analyzed (mean age = 82.6 [SD = 6.3] years; 46% men; median of 2 [interquartile range = 1-4] comorbidities). At the 6-month follow-up, more participants in the intervention group than in the control group demonstrated SPPB improvement (61% vs 51%) or maintenance (29% vs 12%), and fewer deteriorated (11% vs 37%). The mean SPPB values at 6 months were 6.3 (SD = 0.3) and 5.5 (SD = 0.2), respectively, with a mean difference of 0.8 (95% CI = 0.0-1.6), favoring the intervention group. No between-group differences were observed in the 2-min step test, grip strength, or Amsterdam Linear Disability Scale.</p><p><strong>Conclusions: </strong>Among older patients who were frail and had CVD, a comprehensive transitional-care program with integrated home-based CR resulted in clinically relevant improvements in physical functioning.</p><p><strong>Relevance: </strong>The results substantiate the effectiveness of home-based CR in older patients who are frail and have CVD.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366502","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":"Organizational barriers and enablers of adult mobility in general acute hospital units: a scoping review.","authors":"Joanne Nolan, Tiffany Conroy, Amy Ross, Nicky Baker, Maayken van den Berg, Alison Mudge","doi":"10.1093/ptj/pzag017","DOIUrl":"10.1093/ptj/pzag017","url":null,"abstract":"<p><strong>Importance: </strong>An improved understanding of the organizational influences on adult in-hospital mobility is essential to develop and sustain interventions to prevent functional decline.</p><p><strong>Objective: </strong>The objective was to map contemporary evidence about organizational barriers and enablers of adult patient mobility in general acute hospital units, the participants reporting these barriers and enablers, and how mobility was defined.</p><p><strong>Data sources: </strong>A systematic search was conducted in Embase, Emcare, EBSCO Cumulative Index to Nursing and Allied Health Literature Complete, Cochrane Library, Joanna Briggs Institute, MEDLINE, ProQuest (Health Research Premium Collection), PsycINFO, Scopus and Web of Science for studies published in English from January 2013 to October 2024 inclusive.</p><p><strong>Study selection: </strong>Based on eligibility criteria, 2 reviewers independently screened title/abstracts and full texts.</p><p><strong>Data extraction and synthesis: </strong>Two reviewers independently extracted study characteristics and mobility definitions. Organizational barriers and enablers of mobility were mapped to the Consolidated Framework for Implementation Research 2.0 outer (community and jurisdiction) and inner setting (hospital) domains.</p><p><strong>Main outcomes: </strong>Fifty-one studies were included (45 primary studies and 6 reviews). Fourteen studies reported organizational barriers and enablers of mobility in the outer setting. All 51 studies reported inner setting mobility barriers and enablers, mostly related to infrastructure, culture, and available resources. Most participants were patients or health professionals providing direct patient care. Few studies defined mobility, and definitions were inconsistent.</p><p><strong>Conclusions and relevance: </strong>Studies reported many organizational barriers and enablers of mobility at the hospital level, with far fewer reported at the community and jurisdiction level. Few studies reported the perspectives of health service leadership, and investigating their perspective may provide greater insights to address these barriers. Consistent definitions of mobility could enable progress in research and practice.Greater insights into community and jurisdictional barriers and enablers of mobility from the perspective of health care leaders are required to address organizational barriers.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271861","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":"Motor and cognitive profiles in children who are 3 to 6 years old and have autism spectrum disorder and other developmental disabilities.","authors":"Ling-Yi Lin, Yu-Ru Jin, Wen-Hao Yu, Pei-Chun Lai, Yi-Fang Tu","doi":"10.1093/ptj/pzag032","DOIUrl":"10.1093/ptj/pzag032","url":null,"abstract":"<p><strong>Importance: </strong>The debate on whether different motor and cognitive profiles of children with autism spectrum disorder (ASD) reflect distinct patterns of comorbidities with significant implications continues in autism research.</p><p><strong>Objective: </strong>The aim of this study was to determine the motor and cognitive profiles of children with ASD alone as well as those with ASD and comorbid developmental disabilities. Additionally, it was assessed whether the cognitive abilities were linked to the motor performance of children with ASD.</p><p><strong>Design: </strong>This study was a secondary analysis of a retrospective cohort.</p><p><strong>Setting: </strong>The setting was a multidisciplinary outpatient clinic in Taiwan.</p><p><strong>Participants: </strong>Diagnostic groups included ASD (n = 263), intellectual disability (ID; n = 95), attention deficit hyperactivity disorder (ADHD; n = 222), ASD plus ID (ASD + ID; n = 77), ASD plus ADHD (ASD + ADHD; n = 74), and speech/language delay (SLD; n = 396).</p><p><strong>Main outcomes and measures: </strong>The Wechsler Preschool and Primary Scale of Intelligence-Fourth Edition and Movement Assessment Battery for Children-Second Edition were used to examine motor and cognitive profiles and their relationship in 1127 young children who were 36 to 77 months old.</p><p><strong>Results: </strong>Children with ASD, ASD + ADHD, and SLD performed significantly better than those with ID and ASD + ID on the Wechsler Preschool and Primary Scale of Intelligence-Fourth Edition test for cognitive abilities. The ASD + ID group exhibited the most pronounced motor deficits, with 89.6% of children experiencing difficulties. Significant associations were found between cognitive abilities and motor skills within the ASD, ASD + ID, and ASD + ADHD groups. Multiple regression revealed that visual-spatial ability predicted motor performance across all groups, while verbal comprehension was a significant predictor of motor performance in the ASD + ID, ID, and SLD groups. Working memory was an important predictor of motor performance in the ASD, ASD + ADHD, and SLD groups.</p><p><strong>Conclusions: </strong>These findings highlight that children with ASD and comorbid developmental disabilities present unique motor and cognitive profiles.</p><p><strong>Relevance: </strong>The relationship between specific cognitive domains and motor skills suggests that individual cognitive profiles may help identify distinct etiological subtypes of ASD and associated comorbidities and provide a cognitively informed basis for physical therapy decision-making in early childhood.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147531853","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":"Effectiveness of a multicomponent telerehabilitation program for older veterans with multimorbidity: protocol and rationale for a randomized controlled trial.","authors":"Michelle R Rauzi, Cassidy Weeks, Taylor Thurston, Jaclyn Fitzpatrick, Jessica T Plew, Mackenzie R Fuller, Jeri E Forster, Lauren M Abbate, Cory L Christiansen, Jennifer E Stevens-Lapsley","doi":"10.1093/ptj/pzag030","DOIUrl":"10.1093/ptj/pzag030","url":null,"abstract":"<p><strong>Importance: </strong>Older veterans experience higher rates of multimorbidity than their non-veteran peers; multimorbidity negatively impacts physical, mental, and social health necessitating a biopsychosocial approach to physical rehabilitation programs.</p><p><strong>Objective: </strong>The objective is to evaluate the effectiveness of the MultiComponent TeleRehabilitation (MCTR) program for improving physical function compared to general health education.</p><p><strong>Design: </strong>The design was a 2-arm parallel randomized controlled trial.</p><p><strong>Setting: </strong>This study was conducted within the United States Veterans Health Administration (VHA).</p><p><strong>Participants: </strong>One hundred twenty-six veterans aged ≥60 with ≥3 medical comorbidities defined by the Functional Comorbidity Index and impaired physical function (perform ≤8 repetitions during 30-second sit to stand test) will be enrolled. Exclusion criteria are moderate to severe cognitive impairment without caregiver assistance (telephone Montreal Cognitive Assessment score < 11/22), medical condition precluding safe participation in high-intensity strength training, and life expectancy <12 months.</p><p><strong>Interventions: </strong>Veterans will be randomized to either the MCTR program (intervention group) or health education (control group). The MCTR program consists of high-intensity strengthening and functional training, physical activity coaching, social support, and adjunctive technologies.</p><p><strong>Main outcomes and measures: </strong>The primary outcome is the 2-minute step test. Secondary outcomes include: physical function, physical activity, and patient-reported outcome measures related to physical, mental, and social health.</p><p><strong>Results: </strong>Enrollment began April 2024 and results are expected August 2027.</p><p><strong>Conclusions: </strong>This study serves as an important step in advancement of telerehabilitation and physical therapist interventions for older veterans with multimorbidity.</p><p><strong>Relevance: </strong>This trial addresses a critical gap in rehabilitation for older veterans with multimorbidity by evaluating a comprehensive telerehabilitation program that integrates high-intensity exercise, coaching, social support, and technology. Findings will inform scalable care models within the VHA and similar health care systems.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147513071","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":"News from the Foundation for Physical Therapy Research, April 2026.","authors":"","doi":"10.1093/ptj/pzag025","DOIUrl":"https://doi.org/10.1093/ptj/pzag025","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723634","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}