Physical Therapy最新文献

{"title":"Characterization and Related Factors of Postural Control in Adults With Late-Onset Pompe Disease: Cross-Sectional and Case Control Study.","authors":"Théo Maulet, Thomas Cattagni, Sofiane Mahmoudi, Thomas Gandois, Fabien Dubois, Pascal Laforet, Céline Bonnyaud","doi":"10.1093/ptj/pzaf073","DOIUrl":"https://doi.org/10.1093/ptj/pzaf073","url":null,"abstract":"<p><strong>Importance: </strong>Adults with late-onset Pompe disease (LOPD) experience lower limb weakness, balance disorders, and recurrent falls. Mechanisms underlying postural control (stability, orientation) and falls in LOPD remain poorly understood. Investigating these aspects is critical to guide care and rehabilitation.</p><p><strong>Objective: </strong>This study compared postural control in participants with LOPD to controls, examining postural and muscular factors linked to falls and muscular contributions to postural alterations.</p><p><strong>Design: </strong>This study was a cross-sectional, case-control study. Postural stability and orientation during stationary standing were evaluated using force platforms and 3D motion analysis under 2 visual conditions, while maximal muscle strength was measured with an isokinetic dynamometer.</p><p><strong>Setting: </strong>This cross-sectional, case-control study was conducted at a teaching hospital, which was a reference center for neuromuscular disease.</p><p><strong>Participants: </strong>This study involved 2 cohorts: participants with LOPD and control participants.</p><p><strong>Main outcomes and measure: </strong>Postural stability (center of pressure: COP displacements, lower limb joint range of motion) and orientation (COP mean position, weight distribution, joint positions) parameters were assessed, alongside falls reported over 3 months and maximal lower limb muscles strength.</p><p><strong>Results: </strong>Compared to 20 controls, 18 adults with LOPD showed impaired postural stability, especially medio-laterally with eyes closed (ES = 0.42-0.83), and an anterior shift of the COP without joint orientation changes. Falls were strongly associated with COP mean velocity (eyes open: ρ = 0.73; eyes closed: ρ = 0.74) and with hip abductor (ρ = - 0.77) and extensor strength (ρ = - 0.79). Hip extensor strength was most strongly associated with COP mean velocity (eyes closed: ρ = - 0.72; eyes open: ρ = - 0.69).</p><p><strong>Conclusions: </strong>Adults with LOPD demonstrate impaired postural stability, especially in the medio-lateral plane with eyes closed, and an anteriorized upright orientation.</p><p><strong>Relevance: </strong>Hip extensor and abductor strength, strongly linked to falls and stability, should be important to target in evaluations and rehabilitation and in studies on new therapies on LOPD.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094544","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":"Matching Clinical Profiles with Interventions to Optimize Daily Stepping in People with Stroke.","authors":"Kiersten M McCartney, Ryan T Pohlig, Allison E Miller, Elizabeth D Thompson, Darcy S Reisman","doi":"10.1093/ptj/pzaf070","DOIUrl":"10.1093/ptj/pzaf070","url":null,"abstract":"<p><strong>Importance: </strong>Individualizing interventions is imperative to optimize step-activity in people with chronic stroke.</p><p><strong>Objective: </strong>The objective was to group individuals with chronic stroke into clinical profiles based on baseline characteristics and examine if these profiles preferentially benefitted from a specific intervention to improve daily step-activity.</p><p><strong>Design: </strong>This is a secondary analysis of a randomized control trial.</p><p><strong>Setting: </strong>The parent study occurred at 4 outpatient rehabilitation clinics.</p><p><strong>Participants: </strong>Participants had strokes ≥6 months prior to enrollment, were 21 to 85 years old, had walking speeds of 0.3 to1.0 m/s, and took <8000 steps-per-day.</p><p><strong>Interventions: </strong>Participants were randomized to high-intensity treadmill training (FAST), a step-activity behavioral intervention (SAM), or a combined intervention (FAST+SAM).</p><p><strong>Main outcome(s): </strong>The primary outcome was the interaction of latent class (clinical profile) and intervention group (FAST, SAM, FAST+SAM) on a change in steps-per-day. Key clinical characteristics to identify the latent classes included walking speed, walking endurance, balance self-efficacy, cognition, and area deprivation.</p><p><strong>Results: </strong>Of the 190 participants with complete pre- and post-intervention data (mean [SD] age, 64 [12] years; 93 females [48.9%]), 3 distinct profiles of people with chronic stroke were identified. Class 1 had the lowest walking capacity (speed and endurance), lowest balance self-efficacy, and highest area deprivation, and the greatest change in step-activity when enrolled in SAM (mean = 1624, 95% CI = 426 to 2821) or FAST+SAM (mean = 1150, 95% CI = 723 to 1577]). Class 2 had walking capacity, baseline steps-per-day, and self-efficacy values between Class 1 and 3, and had the greatest change in step-activity when enrolled in SAM (mean = 2002, 95% CI = 1193 to 2811). Class 3 had the highest walking capacity, highest self-efficacy, and lowest area deprivation and the greatest change in step-activity when enrolled in FAST+SAM (mean = 1532, 95% CI = 915 to 2150).</p><p><strong>Conclusions: </strong>People with chronic stroke require different interventions to optimize changes in step-activity.</p><p><strong>Relevance: </strong>Clinicians can use clinically relevant measures to personalize intervention selection to augment step-activity in people with chronic stroke.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036990","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":"The Longitudinal Course of Physical Activity Behavior Poststroke and its Variation across Subgroups: The nor-COAST Study.","authors":"Geske Luzum, Heather Allore, Ling Han, Ingvild Saltvedt, Xiangchun Tan, Pernille Thingstad, Asta Håberg, Torunn Askim","doi":"10.1093/ptj/pzaf069","DOIUrl":"https://doi.org/10.1093/ptj/pzaf069","url":null,"abstract":"<p><strong>Importance: </strong>Despite its importance as a modifiable target poststroke, the longitudinal course of physical activity (PA) is not fully understood.</p><p><strong>Objective: </strong>This study aimed to describe the course of poststroke PA behavior from 3 to 36 months and identify subgroups with different PA patterns using multi-trajectory modeling.</p><p><strong>Design: </strong>A prospective multicenter cohort study design was used.</p><p><strong>Setting: </strong>Follow-up at 3-, 18-, and 36-months poststroke was community-based.</p><p><strong>Participants: </strong>In total, 277 individuals (age = 70.1 [SD = 10.9]; 116 [41.9%] female) with primarily mild strokes were included. Participants provided at least 2 follow-up periods with accelerometer data each lasting at least 3 consecutive days.</p><p><strong>Main outcomes and measures: </strong>At each follow-up, daily estimates of upright time, time spent in light physical activity (LPA), time spent in moderate physical activity (MPA), step count, and the number of sit-to-stand transitions were measured.</p><p><strong>Results: </strong>Average daily upright time declined by -7.4 minutes (95% CI = -10.09 to 4.64), and average daily step count declined by -132 steps (95% CI = -176 to -88) each year. Four distinct groups of individuals with different characteristics were identified, following a similar developmental course across PA dimensions over time: one-fourth of the participants (25.6%) were characterized by stable low PA estimates and a tendency to decline over time. Two groups, making up 32.4% and 20.8% of the sample, were characterized by intermediate levels of LPA and MPA, with differing levels of sit-to-stand transitions; and 1 group (21.2% of participants) was characterized by stable high PA duration estimates over time.</p><p><strong>Conclusions: </strong>The overall course of PA poststroke was characterized by a modest decrease over 3 years. Differing PA trajectory groups characterized by different demographic and clinical features highlight the diverse needs for supporting people living with stroke in becoming more active.</p><p><strong>Relevance: </strong>Findings may help clinicians identify subgroups of people with stroke who need extended professional follow-up in long-term rehabilitation.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012376","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":"Accuracy of Falls Screening Tools in Adult Patients with Cancer: A Systematic Review.","authors":"Kelli A Nielsen, Michael Foley, Earllaine Croarkin, Patricia Runde, Stephanie Prinster, Laura S Gilchrist","doi":"10.1093/ptj/pzaf068","DOIUrl":"https://doi.org/10.1093/ptj/pzaf068","url":null,"abstract":"<p><strong>Importance: </strong>Patients with cancer experience increased falls risk secondary to oncological treatment and cancer-related sequela.</p><p><strong>Objective: </strong>Identifying diagnostically and prognostically accurate screening tool(s) for falls risk in populations with cancer is an important issue.</p><p><strong>Data sources: </strong>Screening tests were identified in PubMed and CINAHL.</p><p><strong>Study selection: </strong>Two independent reviewers screened citations for inclusion.</p><p><strong>Data extraction and synthesis: </strong>Data extraction was performed by 1 reviewer and verified by a second. Tests were investigated for clinical utility, validity, diagnostic accuracy, and predictive capacity. Recommendations for screening measures were formulated using pre-determined criteria.</p><p><strong>Measures: </strong>Falls risk screening tools were identified for populations with cancer.</p><p><strong>Results: </strong>Of 532 articles screened, 24 articles were included. Fifty-five variations of screening measures were identified, of which 47 had sufficient clinical utility. Twenty measures contained data on diagnostic accuracy or predictive capacity. No screening measure met all criteria to be highly recommended for both ruling in and ruling out falls risk currently (diagnostic accuracy) or in the future (predictive capacity). History of falls demonstrated good diagnostic accuracy for ruling in immediate falls risk (specificity 98.9%, positive predictive value 84.6%). A negative falls history was highly indicative of lower future falls risk status (negative predictive value 82.5%-90.1%). Fear of falling demonstrated accuracy for ruling out immediate risk for falls (negative predictive value 87.0%, sensitivity of 88.7%). Strong predictive capacity was demonstrated with the Timed Up and Go (TUG) Standard (sensitivity 93% at ≤7.8 seconds, specificity 95% at ≥11.35 seconds).</p><p><strong>Conclusions: </strong>Based on these results, a history of falls plus either the TUG Standard for those with a history of falls or subjective report of fear of falling for those without a history of falls is recommended for risk screening in populations with cancer.</p><p><strong>Relevance: </strong>Different screening tools are required for immediate versus future falls risk and are setting dependent.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033105","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":"Deconstructing the Role of the Physical Therapy Profession in Disability Acceptance for People with Stroke.","authors":"Sarah M Schwab-Farrell, Cara N Whalen Smith, Kari Dunning","doi":"10.1093/ptj/pzaf064","DOIUrl":"https://doi.org/10.1093/ptj/pzaf064","url":null,"abstract":"<p><p>The lowest degree of disability acceptance has been found among people with a history of stroke. Disability acceptance involves adapting to disability-related changes and coming to terms with losses to redefine and live a meaningful new life. Across many movement-related disabilities and chronic conditions, disability acceptance has been positively associated with psychological well-being, social and physical functioning, and adjustment. Further, self-acceptance of disability is an important factor in rehabilitation and recovery. There is a growing need for physical therapy to engage with disability acceptance and understand the role of physical therapists and physical therapist assistants in facilitating disability acceptance after stroke. The purpose of this Perspective article is to critically evaluate the role of the physical therapy profession in disability acceptance for people with stroke. The article first reflects on ways in which the physical therapy profession has historically (and unintentionally) created obstructions to disability acceptance after stroke. The authors discuss assumptions implicitly underpinning physical therapist practices for stroke that are consistent with normalization tendencies, medicalized approaches to disability, and the mechanical body. The authors then present new and alternative approaches that can be applied in physical therapy to better facilitate disability acceptance after stroke, focusing on mindfulness-based interventions and a celebration of unique movement strategies of people with disability (ie, movement \"improvisation\"). The Perspective concludes with practical strategies for clinicians to employ in an effort to better foster disability acceptance poststroke.</p><p><strong>Impact: </strong>The physical therapy profession may play an important and unique role in facilitating disability acceptance poststroke. Supporting disability acceptance after stroke requires physical therapists and physical therapist assistants to critically reflect on ways in which the profession may unintentionally impede acceptance and consider new and alternative approaches to promote acceptance in clinical practice.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035489","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":"Intrarater and Interrater Reliability and Concurrent Validity of the 3-Meter Backward Walk Test in Non-Frail, Pre-Frail, and Frail Older Adults in Residential Care Homes.","authors":"Ali Kapan, Milos Ristic, Andreas Konrad, Thomas Waldhoer","doi":"10.1093/ptj/pzaf066","DOIUrl":"https://doi.org/10.1093/ptj/pzaf066","url":null,"abstract":"<p><strong>Importance: </strong>Assessing backward walking ability in older adults is crucial due to its strong association with balance, mobility, and fall risk. The 3-meter backward walk test (3MBWT) provides a quick and valid tool for this purpose.</p><p><strong>Objective: </strong>The objective of this study was to assess the reliability and validity of the 3MBWT and to determine its effectiveness in differentiating between different levels of frailty.</p><p><strong>Design: </strong>This study used a cross-section design.</p><p><strong>Setting: </strong>The study was carried out in residential care homes for older adults.</p><p><strong>Participants: </strong>Participants were able to walk with or without assistance and were excluded if they had a Mini-Mental State Examination score ≤ 17.</p><p><strong>Interventions: </strong>Participants underwent the 3MBWT and the 10-metre walk test (10MWT). In addition, the Short Physical Performance Battery (SPPB) was administered.</p><p><strong>Main outcome(s) and measure(s): </strong>Frailty was assessed using the SHARE-FI instrument, with participants classified as non-frail, pre-frail, or frail. Reliability of the 3MBWT was assessed using intraclass correlation coefficient (ICC [3,1]), and concurrent validity was assessed using the 10MWT and SPPB. Fall history over the past year was obtained from medical records and participant interviews.</p><p><strong>Results: </strong>Participants (n = 217) were categorized as non-frail (27%), pre-frail (31%), or frail (42%). The average 3MBWT times were 5.0, 5.9, and 11.8 seconds for participants who were non-frail, pre-frail, and frail, respectively. The 3MBWT showed good to excellent intrarater reliability (ICC = 0.89-0.93) and excellent interrater reliability (ICC = 0.90-0.99). It showed strong correlations with the 10MWT (r = 0.91) and SPPB walking speed (r = 0.94), and a negative correlation with the SPPB total score (r = -0.86). Moderate correlations were found with the Falls Efficacy Scale International (r = 0.71) and Multidimensional Fatigue Inventory (r = 0.61), and a high correlation with falls in the last 12 months (r = 0.74).</p><p><strong>Conclusions: </strong>The 3MBWT is a reliable tool for assessing physical performance and differentiating levels of frailty in older adults, with a strong association with fall history.</p><p><strong>Relevance: </strong>The 3MBWT offers clinicians a quick, simple, and valid tool for assessing older adults in residential care.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064524","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":"The Mediating Role of Physical Therapists' Satisfaction With Helping Patients in the Relationship Between Work Support and Intention to Leave Their Current Employment.","authors":"Neta Roitenberg, Noa Ben-Ami","doi":"10.1093/ptj/pzaf026","DOIUrl":"10.1093/ptj/pzaf026","url":null,"abstract":"<p><strong>Importance: </strong>The wellbeing of physical therapists is crucial for retaining them at work as skilled professionals and ensuring high-quality patient care.</p><p><strong>Objective: </strong>The purpose of this study was to examine the effect of perceived organizational support and peer support on physical therapists' intention to leave their current employment, mediated by their satisfaction with helping patients (ie, compassion satisfaction).</p><p><strong>Design: </strong>The design for this study was an online survey that included the short version of the Perceived Organizational Support scale, the Peer Support Scale, the Compassion Satisfaction Scale, and the Intent to Leave scale. The research used statistical analysis to explore the direct and indirect relationships between these variables.</p><p><strong>Setting: </strong>The setting for this study was health care organizations and private practices.</p><p><strong>Participants: </strong>Israeli registered physical therapists volunteered to participate.</p><p><strong>Main outcomes: </strong>Regression analysis indicated that greater perceived organizational support and peer support were associated with lower intention to leave the current employment. Compassion satisfaction levels mediated the relationships between physical therapists' perceived organizational support, peer support, and intention to leave their current employment.</p><p><strong>Results: </strong>Two hundred ninety-three physical therapists completed the survey. Participants reported a medium level of perceived organizational support (mean = 2.86; range = 1-5); a high level of peer support (mean = 4.15; range = 1-5); a high level of compassion satisfaction (mean = 40.85; range = 10-50); and a low level of intention to leave their current employment (mean = 2.38; range = 1-5).</p><p><strong>Conclusions: </strong>The study shows the importance of fostering a supportive work environment and peer relationships to enhance physical therapists' satisfaction. The study attests to the contribution of the positive emotion physical therapists derive from helping patients as a protective factor against their intention to leave their current employment, contributing to the overall stability of the health care workforce.</p><p><strong>Relevance: </strong>Understanding the relations between perceived organizational support, peer support, and intention to leave current employment, as well as the role of compassion satisfaction, can help health care organizations and policymakers retain physical therapists.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557411","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":"10.1093/ptj/pzaf036","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-03","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. 10.1093/ptj/pzae123.","authors":"Matteo Paci, Claudio Cordani","doi":"10.1093/ptj/pzaf039","DOIUrl":"10.1093/ptj/pzaf039","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-03","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":"Treatment Decision-Making for Anterior Cruciate Ligament Rupture From the Perspective of Physical Therapists in Australia: A Mixed Methods Study.","authors":"Stephanie R Filbay, Jane Rooney, Tammy Hoffmann, Zobaida Edib, Pek Ling Teo, Rana S Hinman, Kim L Bennell","doi":"10.1093/ptj/pzaf030","DOIUrl":"10.1093/ptj/pzaf030","url":null,"abstract":"<p><strong>Importance: </strong>In Australia, few people with acute anterior cruciate ligament (ACL) rupture are managed with rehabilitation alone despite clinical trials demonstrating similar outcomes to ACL reconstruction (ACLR). The reasons for the low uptake of rehabilitation alone for the treatment of acute ACL rupture in Australia are unclear.</p><p><strong>Objectives: </strong>The objectives of this study were to evaluate physical therapists' beliefs and the information they provide to patients about treatment options for ACL rupture, and to explore ACL rupture treatment decision-making from the perspective of physical therapists.</p><p><strong>Design: </strong>The design was a mixed-methods convergent parallel design comprising an Australia-wide survey (n = 246) and semi-structured interviews (n = 10).</p><p><strong>Participants: </strong>Participants included physical therapists who manage people with ACL rupture in Australia.</p><p><strong>Main outcomes: </strong>The survey contained 41 items that assessed demographics, treatment of ACL rupture, referral pathways, treatment beliefs, and the information provided to patients with ACL rupture.</p><p><strong>Results: </strong>Physical therapists' beliefs about treatment options varied and did not always reflect the information they provided to patients. Although 60% agreed that ACLR and rehabilitation-alone result in similar outcomes on average, only 37% reported regularly informing patients about this. To return to pivoting/contact sport, 23% believed that ACLR was required and 79% informed patients that ACLR was the best treatment to do so. Physical therapists felt that rehabilitation-alone is underutilized as a treatment for ACL rupture. Physical therapists encountered barriers to offering and providing rehabilitation-alone for ACL rupture, reflected in 7 qualitative themes: preference for surgery reflecting societal beliefs; more weight given to surgeon's opinion; unbalanced information from surgeon; referral pathways; uncertain recovery timeline; beliefs about treatment suitability; and knowledge and experience.</p><p><strong>Conclusions: </strong>Physical therapists had mixed beliefs about treatment options and the information provided to patients was not always evidence based. Physical therapists felt that nonsurgical management was underutilized, and experienced barriers to offering and providing non-surgical management of ACL rupture in clinical practice.</p><p><strong>Relevance: </strong>Informed decision-making can only occur if accurate, evidence-based information about ACL rupture treatment options is provided to patients. These findings may be used to guide professional development for physical therapists and inform strategies to improve evidence uptake by physical therapists.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625624","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}