Physical Therapy最新文献

{"title":"A mixed methods exploratory study of availability, compliance, and inclusivity of technical standards in United States professional physical therapist education programs.","authors":"Amanda Sharp, Jesse Miller, Benjamin Case, Deana Herrman","doi":"10.1093/ptj/pzag055","DOIUrl":"10.1093/ptj/pzag055","url":null,"abstract":"<p><strong>Importance: </strong>The representation of students with disabilities (SWD) in physical therapist education programs is lower than in other health care education programs. Technical standards (TS), the non-academic requirements for admission to health care education programs, may impact access to education for SWD. However, the availability and language of TS has not been comprehensively assessed.</p><p><strong>Objective: </strong>The objective of this study was to describe the availability and language of TS in physical therapist education programs.</p><p><strong>Design: </strong>This study was conducted as a mixed methods online exploratory study. Phase 1 collected TS and described the availability and ease of locating TS. Phase 2 analyzed TS compliance and inclusivity using a Critical Disability Studies framework.</p><p><strong>Setting: </strong>The study setting was online, with physical therapist education program websites reviewed as a part of the data collection.</p><p><strong>Participants: </strong>Websites from United States Commission on Accreditation of Physical Therapy accredited physical therapist education programs as of March 2023 (n = 260) were included in the study.</p><p><strong>Main outcome(s) and measure(s): </strong>Phase 1: Analyzed TS for availability and ease of locating. Phase 2: Analyzed available TS for willingness to provide accommodations, nature of compliance with legal obligations and locus of responsibility for providing accommodations.</p><p><strong>Results: </strong>Phase 1: 75% of programs had TS available and 77.9% of TS were easy to locate. Phase 2: 45% of TS were equivocal in willingness to accommodate. Most TS were compliant (83%). No programs identified the student as responsible for providing accommodations and 13 (7.6%) described a shared process between the school and the student.</p><p><strong>Conclusions: </strong>Findings show some movement towards disability inclusion and offer areas to address TS. More research is needed to understand the impact of TS on SWD applying to physical therapist education programs.</p><p><strong>Relevance: </strong>Including SWD in physical therapist education programs may transform the workforce to meet the need for more physical therapists as well as potentially mitigate health disparities.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147988690","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":"Efficacy of physical therapy interventions delivered with home exercise programs for pain and function in plantar fasciitis: a systematic review and network meta-analysis of randomized controlled trials.","authors":"Zelin Li, Siyi He, Jiaqi Wu, Zhaoying Zhu, Ling Chen, Wei Lu","doi":"10.1093/ptj/pzag056","DOIUrl":"10.1093/ptj/pzag056","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the effects of 7 physical therapy interventions delivered with Home Exercise Program (HEP) versus HEP alone on pain and function in plantar fasciitis (PF).</p><p><strong>Data sources: </strong>Studies were identified through PubMed, Embase, the Cochrane Library, Web of Science, and Scopus from database inception to January 2026.</p><p><strong>Study selection: </strong>Randomized controlled trials (RCTs) comparing physical therapy interventions delivered with HEP versus HEP alone in individuals with PF were included.</p><p><strong>Data extraction and synthesis: </strong>A frequentist random-effects network meta-analysis was conducted.Outcomes were assessed at short-term (≤6 weeks), medium-term (6-12 weeks), and long-term (≥12 weeks) follow-up periods. Eight treatment nodes were analyzed: extracorporeal shock wave therapy, ultrasound therapy, manual therapy, taping, low-level laser therapy, orthoses, and dry needling, all delivered with HEP, and HEP alone as the control. Risk of bias was assessed using the Cochrane Risk-of-Bias tool, and the certainty of evidence was evaluated with the Confidence in Network Meta-Analysis framework.</p><p><strong>Main outcomes and measures: </strong>Pain and functional outcomes were evaluated using standardized mean differences (SMDs) with 95% CIs.</p><p><strong>Results: </strong>Twenty-four RCTs (1240 participants) were included. For pain outcomes, dry needling (DN) (SMD = -1.26, 95% CI = -2.25 to -0.28), low-level laser therapy (-1.54, -2.82 to -0.27), and manual therapy (MT) (-1.02, -1.82 to -0.21), delivered with HEP, resulted in clinically significant improvements in short-term pain (moderate-quality evidence). The pain-relieving effects of DN delivered with HEP were sustained in the medium term (-1.14, -1.62 to -0.66; high-quality evidence). For functional outcomes, DN (0.66, 0.13 to 1.19) and taping (0.84, 0.27 to 1.40), delivered with HEP, resulted in clinically significant improvements in short-term function (moderate-quality evidence). Additionally, DN with HEP sustained significant clinical improvements in medium-term function (1.06, 0.24 to 1.87; moderate-quality evidence).</p><p><strong>Conclusions and relevance: </strong>When delivered with HEP, DN, low-level laser therapy, and MT provided clinically significant short-term improvements in pain compared to HEP alone, with DN and taping improving short-term functional outcomes. Dry needling further sustained its benefits in both pain and function into the medium term.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148006466","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, June 2026.","authors":"","doi":"10.1093/ptj/pzag061","DOIUrl":"https://doi.org/10.1093/ptj/pzag061","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 6","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148339733","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 physical therapy: 2025 consensus definition.","authors":"Katie O'Bright, Alyson M Cavanaugh, Ashley Cassel, Jennifer C Turner, David Macchia, Evan E Kelley, Layne Compton, Riley J Luetkenhaus, Steven Wentz, Micah A K M Wong","doi":"10.1093/ptj/pzag035","DOIUrl":"10.1093/ptj/pzag035","url":null,"abstract":"<p><p>Over several decades, the American Physical Therapy Association (APTA) has been prompted with numerous motions in its House of Delegates to elaborate on the role of physical therapists in primary care. The 2025 APTA House of Delegates adopted a motion recognizing primary care physical therapy (PCPT) as an area of specialty and residency practice. One of the most common inquiries presented to the 2022 to 2025 APTA Federal Primary Care Special Interest Group board members was \"how is primary care physical therapy (PCPT) defined?\" As this practice area develops, it was determined that a consensus definition would prove to be an invaluable resource to ensure consistent language and knowledge translation. Therefore, the purpose of this project was to develop a consensus definition for PCPT. >Impact Statement: As an emerging practice area in the United States, a consensus definition of primary care physical therapy (PCPT) is needed to advance team-based primary care and to conduct valid research regarding the impact of PCPT on the quality and cost of health care services.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147675791","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 Schweizer et al.","authors":"Jessica Marengo, Allyson Sutkowi-Hemstreet, Chris Condran, Noa Goodman, Kale Offstein, Matthew Nippins","doi":"10.1093/ptj/pzag047","DOIUrl":"https://doi.org/10.1093/ptj/pzag047","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 6","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296082","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":"Effects of sub-symptom threshold aerobic exercise on persistent postconcussion symptom burden and exercise intolerance: a randomized controlled trial.","authors":"Lars-Johan V Valaas, Helene L Soberg, Mari S Rasmussen, Sophie E Steenstrup, Cathrine Brunborg, Cecilie Røe, Ingerid Kleffelgård","doi":"10.1093/ptj/pzag049","DOIUrl":"10.1093/ptj/pzag049","url":null,"abstract":"<p><strong>Importance: </strong>Persistent postconcussion symptoms (PCS) following mild traumatic brain injury (mTBI) are common and are often associated with exercise intolerance. The effects of aerobic exercise on PCS in adolescent athletes have been promising. However, randomized controlled trials targeting persistent PCS in the adult population are needed.</p><p><strong>Objective: </strong>The objective of this study was to evaluate the effects of sub-symptom threshold aerobic exercise (SSTAE) on symptom burden and exercise intolerance in adults with persistent PCS.</p><p><strong>Design: </strong>This was a randomized (1:1) controlled single-blind, parallel-group trial with follow-up at 12 weeks and 6 months.</p><p><strong>Setting: </strong>The setting was a TBI outpatient clinic at Oslo University Hospital, Norway.</p><p><strong>Participants: </strong>The participants were 81 adults who were 18 to 59 years old and had PCS and exercise intolerance 3 to 24 months after mTBI.</p><p><strong>Interventions: </strong>The interventions were treatment-as-usual plus SSTAE versus treatment-as-usual including only general exercise information and advice.</p><p><strong>Main outcomes and measures: </strong>The primary outcome was symptom burden, measured with the Rivermead Post-Concussion Symptoms Questionnaire. The secondary outcome was exercise intolerance, measured as the symptom threshold and minutes to stop on the Buffalo Concussion Treadmill Test. Tertiary outcomes were measurements of health-related quality of life, depression, anxiety, fatigue, and level of physical activity.</p><p><strong>Results: </strong>No between-group differences were observed in the Rivermead Post-Concussion Symptoms Questionnaire at 12 weeks or 6 months. sub-symptom threshold aerobic exercise significantly improved the Buffalo Concussion Treadmill Test symptom threshold at 12 weeks, with effects sustained at 6 months. Additionally, the SSTAE group was superior to the control group in minutes to stop at 12 weeks but not at 6 months. No adverse events occurred. No statistically significant treatment effects were observed for the tertiary outcomes.</p><p><strong>Conclusions: </strong>The added benefit of SSTAE to treatment-as-usual did not lead to greater reduction in symptom burden compared to the control group. However, SSTAE significantly improved exercise intolerance and was safe and well tolerated. Both groups improved over time in symptom burden, health-related quality of life, depression, anxiety, and fatigue.</p><p><strong>Relevance: </strong>Symptom restricted aerobic exercise intervention, provided by physical therapist, improves exercise intolerance in patients with persistent postconcussion symptoms after mTBI.</p>","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13252595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147875235","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":"Letter by Ansari et al on \"Cost-Effectiveness of Physical Therapist Treatment in Addition to Usual Podiatry Management of Plantar Heel Pain: Economic Evaluation of a Randomized Clinical Trial.\" McClinton SM, Heiderscheit BC, Flynn TW, Pinto D. Phys Ther. 2025;105:pzaf119. https://doi.org/10.1093/Ptj/pzaf119.","authors":"Md Rafe Ansari, Aditi Popli, Renu Burathi","doi":"10.1093/ptj/pzag040","DOIUrl":"10.1093/ptj/pzag040","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148034168","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 \"Does Treating Low Back Pain With Therapeutic Exercise Reduce the Risk of Subsequent Lower Extremity Injury? A Population-Level Cohort Analysis.\" Foster K, Wang-Price S, Weber M, et al. Phys Ther. 2025;105(11):pzaf122. https://doi.org/10.1093/ptj/pzaf122.","authors":"Gang Wang, Yafei Kong, Yunchao Wang","doi":"10.1093/ptj/pzag044","DOIUrl":"10.1093/ptj/pzag044","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147778570","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":"Response to Ansari et al and Mbmaurya and Gupta.","authors":"Shane M McClinton, Bryan C Heiderscheit, Timothy W Flynn, Daniel Pinto","doi":"10.1093/ptj/pzag042","DOIUrl":"10.1093/ptj/pzag042","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148034127","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 Mbmaurya and Gupta on \"Cost-Effectiveness of Physical Therapist Treatment in Addition to Usual Podiatry Management of Plantar Heel Pain: Economic Evaluation of a Randomized Clinical Trial.\" McClinton SM, Heiderscheit BC, Flynn TW, Pinto D. Phys Ther. 2025;105:pzaf119. http://doi.org/10.1093/Ptj/pzaf119.","authors":"Mansi Mbmaurya, Bhawana Gupta","doi":"10.1093/ptj/pzag041","DOIUrl":"10.1093/ptj/pzag041","url":null,"abstract":"","PeriodicalId":20093,"journal":{"name":"Physical Therapy","volume":"106 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148034166","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}