Physical Therapy最新文献

{"title":"News from the Foundation for Physical Therapy Research, August 2026.","authors":"","doi":"10.1093/ptj/pzag068","DOIUrl":"https://doi.org/10.1093/ptj/pzag068","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 8","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764523","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":"Artificial intelligence in upper limb prosthetics: implications for human-centric rehabilitation.","authors":"Praveen Baskaran, Ashley I Simpson","doi":"10.1093/ptj/pzag070","DOIUrl":"10.1093/ptj/pzag070","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148423259","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":"Letter by Phelan, Gillette, Davenport on \"Are There Speed Limits in Doctor of Physical Therapy Education? Future Research Directions.\" Davis DS. Phys Ther. 2025;105(8): pzaf079. https://doi.org/10.1093/ptj/pzaf079.","authors":"Tamara L Phelan, David B Gillette, Todd E Davenport","doi":"10.1093/ptj/pzag069","DOIUrl":"10.1093/ptj/pzag069","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 8","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664376","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 psychometric properties of the Trunk Impairment Scale used after stroke: a systematic review using COSMIN methodology.","authors":"Maito Eguchi, Kazumasa Jimbo, Masahiro Nomoto, Tei Koja, Masahiko Komatsu, Kazuhiro Miyata","doi":"10.1093/ptj/pzag066","DOIUrl":"10.1093/ptj/pzag066","url":null,"abstract":"<p><strong>Importance: </strong>Although the Trunk Impairment Scale (TIS) is widely used in stroke rehabilitation, the quality and certainty of evidence regarding its measurement properties have been unclear.</p><p><strong>Objective: </strong>The objective was to systematically evaluate the measurement properties of the TIS in individuals with stroke, using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) methodology.</p><p><strong>Data sources: </strong>Five electronic databases (PubMed, EBSCOhost, CINAHL, MEDLINE, and ICHUSHI) were searched from their inception dates to January 14, 2025.</p><p><strong>Study selection: </strong>Studies assessing the psychometric properties of the TIS in individuals with stroke were included.</p><p><strong>Data extraction and synthesis: </strong>The studies' methodological quality was evaluated using the COSMIN Risk of Bias checklist. The certainty of evidence was rated using a modified GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach, and meta-analyses were conducted when appropriate.</p><p><strong>Main outcomes and measures: </strong>The measurement properties evaluated were content validity, structural validity, cross-cultural validity, internal consistency, reliability, measurement error, criterion validity, construct validity, and responsiveness.</p><p><strong>Results: </strong>Thirteen studies from 7 countries met the inclusion criteria, with sample sizes of 28 to 201 participants. Based on the modified GRADE approach, internal consistency showed \"low\" certainty of evidence, whereas all other measurement properties were rated as \"very low\" certainty due to methodological limitations, including lack of unidimensionality testing, insufficient hypothesis formulation, and poor reporting. A meta-analysis indicated acceptable pooled Cronbach α-values (mean α = .88) and high intra and interrater reliability (mean intraclass correlation coefficient [ICC] = 0.98), although heterogeneity and risk of bias reduced confidence in these findings.</p><p><strong>Conclusions and relevance: </strong>Despite its widespread use, the TIS lacks high-quality psychometric evidence. Further validation studies using COSMIN-aligned methodology are needed to establish its reliability and validity in diverse stroke populations.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376832","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":"Establishing prognostic value for gait speed and hand grip strength in predicting hospitalization and mortality risk in older adults with cardiometabolic multimorbidity.","authors":"Hyeon Hong, Amol M Karmarkar, Amit Kumar, Julie Keysor, Shweta Gore","doi":"10.1093/ptj/pzag076","DOIUrl":"10.1093/ptj/pzag076","url":null,"abstract":"<p><strong>Importance: </strong>Despite the high risks of hospitalization and mortality in older adults with cardiometabolic multimorbidity (CMM), risk predictions often overlook gait speed and hand-grip strength.</p><p><strong>Objective: </strong>The objective was to establish cut-off points for gait speed and hand grip strength for 1-year hospitalization risk and their predictive ability for 3-year mortality among older adults with CMM.</p><p><strong>Design: </strong>This was a retrospective cohort study using National Health and Aging Trends Study and linked Medicare claims data (2015-2018).</p><p><strong>Setting: </strong>The study was conducted in community settings.</p><p><strong>Participants: </strong>Participants were community-dwelling adults (n = 4157) aged 66 years and older.</p><p><strong>Main outcomes and measures: </strong>Cut-off points for gait speed and grip strength for 1-year hospitalization were established stratified by sex and CMM group. Cox proportional hazards model was employed to estimate the probability of 3-year mortality, with gait speed and grip strength, stratified by sex and CMM groups.</p><p><strong>Results: </strong>In male participants with CMM, the optimal cut-off points for 1-year hospitalization were 0.82 kg/body mass index (BMI) for handgrip strength (sensitivity = 0.59, specificity = 0.85) and 0.58 m/s for gait speed (sensitivity = 0.62, specificity = 0.92). In female participants, the cut-off points were 0.52 kg/BMI (sensitivity = 0.61, specificity = 0.84) and 0.68 m/s (sensitivity = 0.69, specificity = 0.71) to predict 1-year hospitalization. Among male participants, 3-year mortality rate was higher for those below cut-offs compared with those above (grip strength: 18.0% vs 13.6%; gait speed: 23.7% vs 12.6%). Among female participants, 3-year mortality rate was higher for those below cut-offs compared with those above (grip strength:15.1% vs 11.7%; gait speed: 16.1% vs 9.4%).</p><p><strong>Conclusion: </strong>Validated cut-off points for gait speed and grip strength can help predict hospitalization and mortality risk.</p><p><strong>Relevance: </strong>Gait speed and grip strength are quick, and reliable functional biomarkers for assessing risk in older adults. Their integration into routine clinical practice can help identify early risks and guide targeted interventions to improve outcomes.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550118","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":"Ambiguity and uncertainty are inevitable; misinformation is not.","authors":"Steven Z George","doi":"10.1093/ptj/pzag075","DOIUrl":"https://doi.org/10.1093/ptj/pzag075","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 8","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148796848","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":"Mapping the education researcher trajectory: a mixed methods exploration of identity and community in the GAMER program.","authors":"Melissa M Tovin, Chris Sebelski, Gail M Jensen, Richard L Segal, Elizabeth Mostrom","doi":"10.1093/ptj/pzag077","DOIUrl":"10.1093/ptj/pzag077","url":null,"abstract":"<p><strong>Importance: </strong>Development of education researchers in physical therapy has been historically overlooked despite the success of clinical researcher development programs. The Grant writing and Mentorship in Education Research (GAMER) program addresses this gap by fostering education research capacity and professional identity formation among physical therapist educators.</p><p><strong>Objective: </strong>The objective was to explore and describe the experiences, impacts, and outcomes of GAMER on education researcher development.</p><p><strong>Design: </strong>A convergent parallel mixed methods design with emphasis on the qualitative component was employed.</p><p><strong>Setting: </strong>This retrospective study was conducted following completion of the GAMER program, a 4-day immersive professional development initiative for physical therapist education researchers.</p><p><strong>Participants: </strong>Participants were 21 GAMER graduates from 4 cohorts (2018-2022) and 5 institutional sponsors who supported faculty attendance.</p><p><strong>Intervention: </strong>GAMER is a 4-day intensive and immersive program designed to jumpstart the development of emerging physical therapist education researchers. The curriculum emphasizes social learning, intentional mentorship, and iterative scholarly work within a community of practice (CoP).</p><p><strong>Main outcomes and measures: </strong>Outcomes were primarily derived using an inductive qualitative approach, interview data were coded and analyzed toward development of a conceptual framework. Quantitative data on scholarly achievements were comparatively integrated with qualitative findings to examine convergence, divergence, or expansion of qualitative findings.</p><p><strong>Results: </strong>Participants described their GAMER experience as a developmental journey with 4 sequential phases: Contemplation, Preparation, The GAMER Experience, and Continuing the Journey. The program's impact extended well beyond traditional metrics, fostering professional identity and advocacy for education research, which participants attributed to the GAMER CoP and enacted curriculum.</p><p><strong>Conclusions: </strong>The GAMER program effectively supports the development of education researchers in physical therapy by providing a structured, immersive experience that promotes identity formation and community engagement.</p><p><strong>Relevance: </strong>This study highlights the importance of targeted professional development programs like GAMER in advancing education research capacity and fostering a supportive community for emerging researchers.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148606419","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":"Beyond biomechanics: advancing physical therapy through bioenergetic integration in clinical practice.","authors":"Liana Wooten, Brian Neville, Angela Spontelli Gisselman, Andrew A Guccione","doi":"10.1093/ptj/pzag067","DOIUrl":"10.1093/ptj/pzag067","url":null,"abstract":"<p><p>Physical therapists are considered movement experts, yet many physical therapists lack the knowledge, training, and confidence to incorporate bioenergetic considerations when prescribing aerobic exercise and resistance training interventions. Additionally, clinical practice guidelines (CPGs) omit bioenergetic considerations reflecting a fundamental gap in how the profession conceptualizes rehabilitation, one that individual clinicians cannot be expected to bridge when CPGs themselves exclude the bioenergetic dimensions of health conditions. As this perspective outlines, bioenergetics are essential for propelling human movement and should inform physical therapist interventions. A bioenergetically informed approach to physical therapist interventions empowers physical therapists to design interventions that integrate physiologic systems critical to bioenergetic capacities more fully, optimizing both the mechanical components and fuel systems that power movement. This perspective uses recovery as a model framework to emphasize the benefits of a bioenergetically informed approach, and importantly, it serves as a component of rehabilitation that can be immediately acted on by clinicians, recognizing that optimal therapeutic outcomes require adequate bioenergetic capacity to support the intended applications. While physical therapists have traditionally excelled as biomechanical practitioners who address the structural and mechanical aspects of human movement, the integration of comprehensive bioenergetic principles represents a transformative opportunity to elevate clinical practice by understanding not only the machinery, but also the metabolic systems that fuel optimal performance.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148387935","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":"Building pain resilience in LGBTQIA+ individuals.","authors":"Megan H Ross, Joe Tatta, Janet Bezner","doi":"10.1093/ptj/pzag071","DOIUrl":"10.1093/ptj/pzag071","url":null,"abstract":"<p><p>Lesbian, gay, bisexual, transgender, queer, intersex, asexual, and individuals with other related experiences or identities (LGBTQIA+) experience chronic pain and disability at twice the rate as their cisgender, endosex, and heterosexual counterparts. These disparities are shaped by intersecting social, structural, and historical factors, including minority stress, health care discrimination, and barriers to affirming care. While contextualized approaches to pain management have been recommended to address the unique lived experiences of LGBTQIA+ individuals, prevailing pain models largely remain grounded in deficit-oriented frameworks that emphasize vulnerability, maladaptive cognitions, and individual pathology. Such approaches risk obscuring the broader social determinants of health that shape pain experiences and may inadvertently reproduce dynamics of stigma and medical mistrust. This perspective argues for a conceptual shift toward an affirmative, resilience-based approach to chronic pain management for LGBTQIA+ individuals. Drawing on evidence from LGBTQIA+ affirming care, trauma-informed practice, and resilience-based approaches, this perspective proposes a framework that integrates recognition of social and structural inequities with strengths-based principles that emphasize adaptive coping, psychological flexibility, identity affirmation, and community connection. It outlines how physical therapists are uniquely positioned to operationalize this approach by fostering psychological safety, supporting meaningful movement and values-based engagement, and addressing contextual barriers to care. By moving beyond vulnerability-focused models and centering resilience as a dynamic, contextually situated process, this perspective offers a pathway for physical therapists to promote equity, empowerment, and more effective pain care for LGBTQIA+ individuals. Prevailing pain management models for LGBTQIA+ individuals are largely deficit-oriented, often overlooking minority stress, structural inequities, and the historical pathologization of LGBTQIA+ identities. Resilience-based, LGBTQIA+-affirming approaches integrate strengths, adaptive coping, and community resources while explicitly acknowledging social determinants of health and previous trauma. This perspective calls for a conceptual and practice-level shift in physical therapy, positioning affirming, resilience-informed pain care as essential to advancing equity and improving outcomes for LGBTQIA+ communities.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13499709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148423282","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 \"Early mobilization in patients with aneurysmal subarachnoid hemorrhage: a prospective observational study.\" Hernandez S, Tipping C, Deane AM, et al. Phys Ther. 2026;106(4):pzag031.  https://doi.org/10.1093/ptj/pzag031.","authors":"Suraj Pradhan, Sunita Sharma","doi":"10.1093/ptj/pzag072","DOIUrl":"https://doi.org/10.1093/ptj/pzag072","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 8","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148831539","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}