Physical Therapy最新文献

{"title":"Outpatient Physical Therapy Attendance by Older Adults After Emergency Department Discharge Was a Predictor for Lower 30-Day Revisits-But Demographic Factors Affected Attendance.","authors":"Suzanne V Ryer, Michelle Simpson, Maharaj Singh","doi":"10.1093/ptj/pzae172","DOIUrl":"10.1093/ptj/pzae172","url":null,"abstract":"<p><strong>Objective: </strong>Given the high risk of functional loss and revisits among older adults presenting to the emergency department (ED), there is a need to understand how post-ED discharge outpatient physical therapy affects outcomes. This study sought to examine patient demographics and their association with outpatient physical therapy utilization after ED discharge and physical therapy attendance with 30-day ED revisits among older adults discharged to home.</p><p><strong>Methods: </strong>In this retrospective cohort study, we analyzed data from 1395 older adults (65 years old and older) who had a referral to outpatient physical therapy upon discharge from 15 EDs between January 2021 and December 2022. Descriptive statistics and multivariate logistic regression were used to evaluate the likelihood of attending outpatient physical therapy and the odds of a 30-day ED revisit.</p><p><strong>Results: </strong>Of the sample, 39.3% attended outpatient physical therapy. Older adults in the first and second neighborhood income quintile had a 51% lower odds of attending outpatient physical therapy than those in the fourth quintile. Patients with a diagnosis of vertigo had a 67% higher odds of attending outpatient physical therapy (OR = 1.67; 95% CI = 1.21-2.29) than those with back pain. Older adults who did not attend outpatient physical therapy within 30 days of ED visit had a 88% higher odds of returning to the ED than those who did attend (OR = 1.88; 95% CI = 1.34-2.64). Older adults in the first and second income quintile had a 66% higher odds of revisiting the ED than those in the fourth quintile.</p><p><strong>Conclusion: </strong>Outpatient physical therapy attendance after ED discharge was a predictor of revisit within 30 days. Patient diagnosis of vertigo and higher median household income were predictors of higher outpatient physical therapy attendance. However, a diagnosis of falls or mobility concerns and a lower household income status were associated with lower attendance.</p><p><strong>Impact: </strong>Physical therapy after ED discharge has the potential to reduce 30-day ED revisit but requires strategies to improve access equity across diagnostic groups and household income levels.</p><p><strong>Lay summary: </strong>This study found that outpatient physical therapy attendance after discharge from the ED was a predictor of lower ED revisits within 30 days among older adults. However, factors such as socioeconomic status, age, and diagnosis negatively affected the ability to attend physical therapy.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716844","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":"https://doi.org/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 ensure 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 (M = 2.86; range = 1-5); a high level of peer support (M = 4.15; range = 1-5); a high level of compassion satisfaction (M = 40.85; range = 10-50); and a low level of intention to leave their current employment (M = 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":"2025-03-02","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":"On \"Effect of a 4-Week Telerehabilitation Program for People with Post-COVID Syndrome on Physical Function and Symptoms: Protocol for a Randomized Controlled Trial.\" Reeves JM, Spencer LM, Tsai LL, Et al. Phys Ther. 2024;104(9):pzae080. https://doi.org/10.1093/ptj/pzae080.","authors":"Manish Prannath Shukla, Sachin Chaudhary","doi":"10.1093/ptj/pzaf023","DOIUrl":"https://doi.org/10.1093/ptj/pzaf023","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557405","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 Shukla and Chaudhary.","authors":"Jack Reeves, Lissa Spencer, Ling-Ling Tsai, Andrew Baillie, Jennifer Alison","doi":"10.1093/ptj/pzaf024","DOIUrl":"https://doi.org/10.1093/ptj/pzaf024","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557182","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":"Postural Sway Measurement Using a Body-Worn Movement Sensor in Clinical Stroke Rehabilitation: Exploring Sensitivity to Change and Responsiveness.","authors":"Marieke Geerars, Natasja C Wouda, Richard A W Felius, Johanna M A Visser-Meily, Martijn F Pisters, Michiel Punt","doi":"10.1093/ptj/pzaf021","DOIUrl":"https://doi.org/10.1093/ptj/pzaf021","url":null,"abstract":"<p><strong>Importance: </strong>During rehabilitation, stroke survivor's balance is commonly monitored using the Berg Balance Scale (BBS) and Mini-BESTest. These tests evaluate the ability to maintain balance in an upright position while performing tasks. Currently, clinical practice lacks an adequate assessment of balance impairments like the increased postural sway post-stroke. Integrating postural sway measurement with a body-worn Inertial Measurement Unit (IMU) could offer clinicians an objective, and rapid measurement method.</p><p><strong>Objective: </strong>Sensitivity to change and responsiveness of postural sway measurement during stroke rehabilitation were explored.</p><p><strong>Design: </strong>A longitudinal study was conducted.</p><p><strong>Setting: </strong>Data were collected in five rehabilitation centers.</p><p><strong>Participants: </strong>Ninety-four stroke survivors were included in the study.</p><p><strong>Intervention: </strong>Sensitivity to change was evaluated by comparing the percentages of participants who exceeded the Minimal Detectable Change (MDC) for both the conventional and IMU tests. Responsiveness was assessed through hypotheses testing, utilizing both a criterion approach (external criterion: a 5-point retrospective Global Rating of Change score) and a construct approach.</p><p><strong>Results: </strong>At discharge, only 3.2% to 23.9% of the participants showed genuine improvement (ie, had a lower postural sway) on the IMU test, compared to 33% to 60% on the conventional tests. In total, 67.4% of the hypotheses were rejected.</p><p><strong>Conclusions: </strong>The sensitivity to change and responsiveness of postural sway measurement in stroke survivors are limited. Restoring balance to achieve functional independence is not necessarily dependent on, or associated with, the level of postural sway. At present, integrating postural sway measurement into clinical stroke rehabilitation seems to provide no added value for monitoring balance.</p><p><strong>Relevance: </strong>A novel approach to balance assessment in clinical stroke rehabilitation was investigated. It was found that while most participants improved in terms of functionality and independence, only a small percentage exhibited a significant change in postural sway. Therefore, postural sway may not effectively serve as an indicator of improved movement quality. This insight is crucial for both researchers and clinicians involved in neurorehabilitation.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468814","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":"Health Care Professionals' Views of Barriers and Facilitators for Implementing a Fall Risk Screening Tool in Clinical and Public Health Settings.","authors":"Nathalie Frisendahl, Patrik Karlsson, Christina Sandlund, Stina Ek, Erika Franzén, Anne-Marie Boström, Anna-Karin Welmer","doi":"10.1093/ptj/pzaf018","DOIUrl":"https://doi.org/10.1093/ptj/pzaf018","url":null,"abstract":"<p><strong>Objective: </strong>The experiences of health care professionals using new screening tools in clinical and public health settings are crucial to the implementation process. However, further research is needed on their experiences with fall risk screening. This study utilized the integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework to explore health care professionals' experiences with the First-time Injurious Falls (FIF) screening tool, aiming to identify barriers and facilitators for implementing the FIF tool in primary health care and public health settings.</p><p><strong>Methods: </strong>A qualitative study with 4 focus group interviews and 7 individual interviews was carried out, using a semi-structured interview guide. The interviews were recorded, transcribed verbatim, and analyzed with reflexive thematic analysis. The study.included 20 participants (13 females and 7 males), with a mean age of 39 years (range 24 to 54). The participants were working in the primary health care setting (8 physical therapists, 3 occupational therapists, 3 managers, 2 registered nurses, and 1 dietician) and in a public health project (1 physical therapist and 2 health educators).</p><p><strong>Results: </strong>The analysis resulted in 3 themes: \"A valuable tool in clinical practice,\" \"How to get everyone onboard when implementing fall risk screening,\" and \"Applicable in many areas of health services but not in all\" with 4 related subthemes \"Quick and easy to use for all health care professionals,\" \"Simplifies assessment and creates a platform for discussion,\" \"Need for clear instructions and action list,\" and \"Should be incorporated into daily routines.\"</p><p><strong>Conclusion: </strong>The FIF tool was well-received by participants in practice as it was user-friendly and potentially effective in preventing falls. However, there is room for improvement, particularly in clarifying instructions to mitigate possible misinterpretations. The participants emphasized that implementation of a new screening tool requires favorable organizational conditions such as managerial support, that the tool is easily accessible, and the results are easy to document.</p><p><strong>Impact: </strong>The FIF tool seems to be a valuable screening tool for predicting first-time injurious falls in older adults, suitable for use by various health care professionals.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441455","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":"Metabolic Health Screening in Physical Therapist Private Practice in Australia: A Feasibility Study.","authors":"Sally E Mastwyk, Nicholas F Taylor, A Lowe, C F Dalton, Casey L Peiris","doi":"10.1093/ptj/pzaf019","DOIUrl":"https://doi.org/10.1093/ptj/pzaf019","url":null,"abstract":"<p><strong>Importance: </strong>Noncommunicable diseases are the leading cause of morbidity and mortality globally. Physical therapists working in private practice have an opportunity to embed health screening in their practice to support chronic disease prevention. However, it is not known if it is feasible to conduct health screenings in physical therapist private practice settings.</p><p><strong>Objective: </strong>The aim of this study was to determine the feasibility of physical therapists conducting client health screening with point-of-care testing.</p><p><strong>Design: </strong>This was a feasibility study, comprising of in-depth interviews and descriptive quantitative data.</p><p><strong>Setting: </strong>The health screenings took place in physical therapist private practices in Australia. The 1-to-1 interviews were conducted via phone, video conference, or face-to-face, according to participant preference.</p><p><strong>Participants: </strong>Two hundred and thirty adult clients participated in a health screen at a physical therapist practice. Follow-up interviews were completed with 20 clients and 8 physical therapists.</p><p><strong>Interventions: </strong>Clients had a 30-minute health screen that included collection of self-reported physical activity and dietary intake and physical examination of metabolic risk factors including waist circumference, blood pressure, and point-of-care testing of cholesterol and glucose.</p><p><strong>Main outcomes and measures: </strong>Using interpretative description methods and inductive thematic analysis, themes were identified from the interviews and then mapped deductively onto feasibility domains of acceptability, demand, implementation, practicality, and integration.</p><p><strong>Results: </strong>Three themes were identified. Clients perceived screening as convenient and comfortable; provided important health information; and could be part of usual physical therapy. Physical therapists saw health screening as a valuable add-on service and beneficial for client management but were uncertain about future integration.</p><p><strong>Conclusions and relevance: </strong>Incorporating health screening into private practice physical therapist services is feasible and valued by clients but physical therapists were unsure how they could integrate this into their practice/business. Physical therapists working in private practice need additional training to incorporate health screening into their practice. Concurrently, funding models need to support this by prioritizing investment in health promotion and disease prevention.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441462","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":"Application of Algorithm-Based Treatment Approach to Low Back Pain in the Emergency Department.","authors":"Kyle J Strickland, Howard S Kim, Amee L Seitz","doi":"10.1093/ptj/pzaf016","DOIUrl":"https://doi.org/10.1093/ptj/pzaf016","url":null,"abstract":"<p><p>Low back pain accounts for nearly 4 million annual emergency department (ED) visits, and patient outcomes following an ED visit for low back pain are poor. Additionally, only a small portion of patients visiting the ED for low back pain follow-up with outpatient physical therapy within 3 months, despite established benefits of early versus delayed physical therapy referral such as improved patient outcomes, less opioid use, and reduced downstream health care utilization. Integrating a physical therapist directly into the ED care team can facilitate evidence-based guideline concordant care and improve patient outcomes, however, physical therapists who are staffed into this role from other settings may lack experience with evaluating and managing patients with acute low back pain. Additionally, there are several unique considerations of the ED care environment which may make existing treatment-based classification approaches difficult to apply in this setting, including physical constraints (eg, delivering care in stretchers and hallways), higher symptom severity and psychosocial stressors necessitating an emergency visit, and greater likelihood of alternative medical diagnoses (eg, kidney stone, aortic aneurysm) contributing to symptoms of low back pain. This perspective presents a modified ED treatment-based classification system (ED-TBC) for low back pain with 3 illustrative case examples. The ED-TBC for low back pain can be used to facilitate guideline concordant care, increase physical therapist confidence in evaluating low back pain in the ED, and reduce clinical practice variation.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416960","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":"Validation of the Revised American Physical Therapy Association Physical Therapist Clinical Performance Instrument 3.0.","authors":"Derrick F Campbell, Mansoor Alameri, Felicity Macahilig-Rice, Sean E Witkin, Nancy G Hellman","doi":"10.1093/ptj/pzaf015","DOIUrl":"https://doi.org/10.1093/ptj/pzaf015","url":null,"abstract":"<p><strong>Importance: </strong>Validation of the revised American Physical Therapy Association (APTA) Physical Therapist Clinical Performance Instrument (PT CPI 3.0) is essential to ensure that we are effectively assessing Doctor of Physical Therapy (DPT) students' clinical performance.</p><p><strong>Objective: </strong>The purpose was to validate the revised PT CPI 3.0 for use with DPT students as a measure of clinical performance.</p><p><strong>Design: </strong>A descriptive and exploratory combined cross-sectional retrospective and prospective cohort design was used.</p><p><strong>Setting: </strong>University DPT students' clinical education experiences were explored.</p><p><strong>Participants: </strong>Participants were selected using a convenience sample of 693 DPT students from 1 US multi-campus DPT program(s) during Fall 2023 and Spring 2024 clinical education experiences.</p><p><strong>Exposure(s): </strong>DPT students on (1) integrated (ICE) and (2) 2 terminal clinical education experiences (TCE I and TCE II) participated in the study.</p><p><strong>Main outcome(s): </strong>Clinical instructor (CI) PT CPI 3.0 item ratings of DPT students at midterm and final assessments during clinical education experiences were investigated.</p><p><strong>Measure(s): </strong>Descriptive and inferential statistics evaluated differences between CI PT CPI 3.0 item ratings of DPT students during clinical education experiences.</p><p><strong>Results: </strong>The PT CPI 3.0 demonstrated good internal reliability, and factor analysis with a 1-factor solution explained 81.3% of variance. Construct validity was supported by significant differences in PT CPI item scores between DPT students on integrated (ICE) and each of 2 terminal clinical education experiences (TCE I and TCE II). Construct and convergent validity were supported by significant score increases from midterm to final assessments for DPT students on integrated and terminal clinical education experiences and by moderate to large correlations between prior clinical experiences and remaining didactic coursework.</p><p><strong>Conclusions: </strong>Findings support validity of the revised PT CPI 3.0 as a measure of clinical performance. A limitation is that this study did not assess rater reliability.</p><p><strong>Relevance: </strong>This study provides preliminary support for validation of the newly revised APTA PT CPI 3.0 as a measure to assess entry-level physical therapist student clinical performance.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414913","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":"Evaluating the Potential of Large Language Models for Vestibular Rehabilitation Education: A Comparison of ChatGPT, Google Gemini, and Clinicians.","authors":"Yael Arbel, Yoav Gimmon, Liora Shmueli","doi":"10.1093/ptj/pzaf010","DOIUrl":"https://doi.org/10.1093/ptj/pzaf010","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the performance of 2 large language models, ChatGPT and Google Gemini, against experienced physical therapists and students in responding to multiple-choice questions related to vestibular rehabilitation. The study further aimed to assess the accuracy of ChatGPT's responses by board-certified otoneurologists.</p><p><strong>Methods: </strong>This study was conducted among 30 physical therapist professionals experienced with vestibular rehabilitation and 30 physical therapist students. They were asked to complete a vestibular knowledge test (VKT) consisting of 20 multiple-choice questions that were divided into 3 categories: (1) Clinical Knowledge, (2) Basic Clinical Practice, and (3) Clinical Reasoning. ChatGPT and Google Gemini were tasked with answering the same 20 VKT questions. Three board-certified otoneurologists independently evaluated the accuracy of each response using a 4-level scale, ranging from comprehensive to completely incorrect.</p><p><strong>Results: </strong>ChatGPT outperformed Google Gemini with a 70% score on the VKT test, while Gemini scored 60%. Both excelled in Clinical Knowledge scoring 100% but struggled in Clinical Reasoning with ChatGPT scoring 50% and Gemini scoring 25%. According to 3 otoneurologic experts, ChatGPT's accuracy was considered \"comprehensive\" in 45% of the 20 questions, while 25% were found to be completely incorrect. ChatGPT provided \"comprehensive\" responses in 50% of Clinical Knowledge and Basic Clinical Practice questions, but only 25% in Clinical Reasoning.</p><p><strong>Conclusion: </strong>Caution is advised when using ChatGPT and Google Gemini due to their limited accuracy in clinical reasoning. While they provide accurate responses concerning Clinical Knowledge, their reliance on web information may lead to inconsistencies. ChatGPT performed better than Gemini. Health care professionals should carefully formulate questions and be aware of the potential influence of the online prevalence of information on ChatGPT's and Google Gemini's responses. Combining clinical expertise and clinical guidelines with ChatGPT and Google Gemini can maximize benefits while mitigating limitations. The results are based on current models of ChatGPT3.5 and Google Gemini. Future iterations of these models are expected to offer improved accuracy as the underlying modeling and algorithms are further refined.</p><p><strong>Impact: </strong>This study highlights the potential utility of large language models like ChatGPT in supplementing clinical knowledge for physical therapists, while underscoring the need for caution in domains requiring complex clinical reasoning. The findings emphasize the importance of integrating technological tools carefully with human expertise to enhance patient care and rehabilitation outcomes.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399614","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}