Physiotherapy Research International最新文献

{"title":"Correlation Between the Severity of Low Back Pain and Sitting Posture Parameters Among Female Bharatanatyam Dancers.","authors":"Sushmitha Devi Satishkumar, Sowmiya Meganathan","doi":"10.1002/pri.70235","DOIUrl":"10.1002/pri.70235","url":null,"abstract":"<p><strong>Background and purpose: </strong>Bharatanatyam, a venerable and highly structured classical dance form from India, requires significant physical strength, postural control, and precise movements. Dancers often begin to training during adolescence, a crucial period of musculoskeletal development. A key posture in Bharatanatyam, the Araimandi (half-sitting position), involves sustained hip and knee flexion with external rotation, which imposes considerable stress on the lumbopelvic complex. Repeatedly practicing this position may lead to compensatory changes, such as increased lumbar lordosis and anterior pelvic tilt, which potentially predispose the dancers to low back pain (LBP). This study aims to examine the relationship between sitting posture and the severity of low back pain in female Bharatanatyam dancers.</p><p><strong>Methods: </strong>A total of 100 female Bharatanatyam dancers aged 16-35 years were selected through convenience sampling to evaluate their sitting posture using GaitON Software. Low back pain intensity and functional disability were measured using the Visual Analog Scale and the Roland-Morris Disability Questionnaire.</p><p><strong>Results: </strong>Statistical analysis was conducted using R-Studio. Age and BMI showed a moderate positive correlation (r = 0.53). Hip-knee alignment was negatively correlated with trunk-thigh angle (r = -0.66) and knee angle (r = -0.59). A weak positive correlation was found between knee angle and trunk-thigh angle (r = 0.38). The Roland-Morris Disability Score showed no significant relationship with biomechanical or demographic characteristics. The results indicated no significant correlation between low back pain and sitting postural parameters.</p><p><strong>Discussion: </strong>Despite the physical demands and sustained postures involved in Bharatanatyam practice, this study found no significant link between sitting postural parameters and low back pain. This suggests that discomfort in dancers may be more influenced by dynamic performance factors, repetitive loading, and training intensity than by static sitting posture alone. The results highlight the intricate characteristics of low back pain in dancers and the necessity of focusing on movement patterns and muscular endurance in effective rehabilitation approaches.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70235"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pelvic Floor Muscle Activity in Adolescent Idiopathic Scoliosis.","authors":"Busra Ilica Genc, Selda Basar, Deniz Oke","doi":"10.1002/pri.70297","DOIUrl":"10.1002/pri.70297","url":null,"abstract":"<p><strong>Background and purpose: </strong>Pelvic floor muscle activity (PFMA) in adolescents with idiopathic scoliosis (AIS) has not yet been thoroughly investigated. The objective of this study was to evaluate PFMA in patients with AIS without urinary incontinence (UI) and to compare these findings with those of age- and sex-matched healthy controls.</p><p><strong>Methods: </strong>This cross-sectional study evaluated 15 adolescents diagnosed with AIS who did not present with UI, along with 9 healthy controls. Both groups underwent assessments that included quality of life (QoL) assessment using the Paediatric Quality of Life Inventory, and the objective measurement of Cobb angles via anteroposterior and lateral radiographs, axial trunk rotation (ATR) via a scoliometer, and PFMA via surface electromyography. Comparisons of QoL scores and objective measurement results between the patient and control groups were conducted using the Mann-Whitney U test, while correlations among these parameters were analysed using Spearman's correlation coefficient.</p><p><strong>Results: </strong>Lower physical health (p = 0.017) and total QoL scores (p = 0.037) were observed in the patient group compared with controls. The PFMA scores during the work phase were lower in patients compared with controls (work mean, p = 0.002; maximum voluntary contraction [%MVC], p = 0.005). The work mean score of PFMA negatively correlated with thoracic Cobb angle (r = -0.558, p = 0.020) and ATR (r = -0.569, p = 0.004), and the %MVC score of PFMA negatively correlated with ATR (r = -0.437, p = 0.033). There was no significant correlation between sagittal plane curvatures and PFMA or QoL.</p><p><strong>Discussion: </strong>PFMA was reduced in adolescents with AIS compared with healthy controls. Exploratory analyses suggested negative associations between PFMA and scoliosis severity, particularly thoracic Cobb angle and ATR. These findings suggest a potential relationship between scoliosis-related spinal deformity, trunk asymmetry, and PFMA. Therefore, PFM function may be considered in the comprehensive evaluation and rehabilitation of adolescents with AIS, although confirmation in larger studies is warranted.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70297"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological Considerations in Evaluating Preoperative Physiotherapy for Lumbar Spine Surgery.","authors":"Priyanka Kumari Nahak","doi":"10.1002/pri.70261","DOIUrl":"10.1002/pri.70261","url":null,"abstract":"","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70261"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Energy Cost of Walking in Relation to Impairment and Functional Independence After Stroke: The Role of Walking Speed.","authors":"Amine Guediri, Maxence Compagnat, Alix Poyet, Jean-Christophe Daviet, Stéphane Mandigout","doi":"10.1002/pri.70287","DOIUrl":"10.1002/pri.70287","url":null,"abstract":"<p><strong>Background and purpose: </strong>Stroke survivors often exhibit reduced walking efficiency, reflected by an increased energy cost of walking (Cw). Although Cw has been associated with walking performance, its relationship with impairment severity and independence in activities of daily living (ADL) remains unclear, particularly across real-life walking conditions. This study aimed to examine the association between impairment severity and Cw across real-life walking tasks. A secondary objective was to assess the association between Cw and independence in ADL.</p><p><strong>Methods: </strong>This secondary analysis used data from a cross-sectional study including 30 stroke survivors. Participants performed walking tasks under real-life conditions (overground, irregular surface, slope, and stairs) at self-selected speeds. Oxygen consumption was measured using portable indirect calorimetry, and Cw was calculated as the ratio of oxygen consumption to walking speed. Impairment severity and independence in ADL were assessed using the NIHSS and the Barthel Index. Associations were analyzed using Spearman's correlations, with additional analyses adjusted for walking speed.</p><p><strong>Results: </strong>Unadjusted analyses showed significant associations between Cw and impairment severity across overground walking, stair descent, irregular terrain walking, and downhill walking (ρ = 0.38-0.59). Cw was also significantly associated with independence in ADL across overground walking, stair descent, irregular terrain walking, uphill, and downhill walking (ρ = -0.38 to -0.59), with the strongest associations generally observed during irregular terrain and downhill walking. After adjustment for walking speed, none of these associations remained statistically significant (all p > 0.05).</p><p><strong>Discussion: </strong>Cw was associated with both impairment severity and independence in ADL, but these relationships were largely explained by walking speed. These findings suggest that gait velocity is a central factor linking walking energetics to clinical and functional outcomes after stroke. Limitations include the relatively mild impairment level and the cross-sectional design.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT05477238.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70287"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Modulation of Lumbar Motor Unit Behavior During Experimentally Induced Low Back Pain: A Motor Unit Decomposition Analysis.","authors":"Franciele Parolini, Klaus Magno Becker, João Paulo Vilas-Boas, Ulysses Fernandes Ervilha, Rubim Santos, Márcio Fagundes Goethel","doi":"10.1002/pri.70278","DOIUrl":"10.1002/pri.70278","url":null,"abstract":"<p><strong>Background and purpose: </strong>Acute low back pain is a prevalent musculoskeletal disorder that can disrupt motor control and compromise functional stability. Evidence suggests that pain alters motor unit discharge characteristics and the temporal organization of muscle activation; however, the specific neuromuscular adaptations associated with acute low back pain remain insufficiently understood. This study aimed to investigate the effects of experimentally induced acute low back pain on force steadiness and motor unit discharge characteristics (including recruitment threshold, motor unit firing rate, and action potential amplitude) during a sustained spinal extension task METHODS: Thirty-three healthy participants (aged 18-40 years) performed a sustained spinal extension task at 20% of their maximum voluntary contraction under two experimental conditions: pre- and during pain induced by hypertonic saline injection, and pre- and during-isotonic saline injection into the right lumbar region. Electromyography signals were recorded bilaterally from the longissimus muscles. Signals were decomposed into individual motor unit action potential trains using advanced algorithms and clustered using the K-means method.</p><p><strong>Results: </strong>The hypertonic saline injection successfully induced moderate pain on the numerical pain rating scale (NPRS) (median = 4.71; interquartile range (IQR) = 1.61), which was significantly higher than the isotonic control condition (NPRS median = 1.50; IQR = 1.00; p < 0.001). During the pain condition, significant lateralized adaptations were observed: motor units within the contralateral (left) longissimus muscle exhibited an increased firing rate (p = 0.020, r = 0.33), with no significant changes in the recruitment threshold or motor unit action potential amplitude. On the ipsilateral side, subtle modulations in recruitment threshold were detected. In contrast, the isotonic condition elicited only localized and nonsystemic neuromuscular changes, without the coordinated bilateral organization observed under acute pain.</p><p><strong>Discussion: </strong>Acute low back pain induces a dynamic and lateralized modulation of motor unit recruitment, suggesting a compensatory redistribution of neural drive that may help preserve functional stability despite altered motor coordination. These findings provide novel insights into the neuromuscular adaptations underlying acute low back pain and have potential implications for physiotherapy assessment and intervention.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70278"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extracorporeal Radial Shock Wave Therapy Combined With Repetitive Transcranial Magnetic Stimulation for Nonspecific Low Back Pain: A Randomized Controlled Trial Protocol.","authors":"Pu Zhao, Guo-Hui Zhang, Wen-Juan Song, Jia-Jia Wu, Jie Ma, Xu-Yun Hua, Jian-Guang Xu","doi":"10.1002/pri.70217","DOIUrl":"10.1002/pri.70217","url":null,"abstract":"<p><strong>Objective: </strong>Nonspecific low back pain is extremely common, with clinical symptoms mainly characterized by pain and functional impairment. Moreover, pain can further induce anxiety, depression, and sleep disorders. Although there are many existing rehabilitation methods, their therapeutic effects are limited and the recurrence rate is high. Therefore, we plan to conduct a clinical efficacy evaluation of extracorporeal radial shock wave therapy combined with repetitive transcranial magnetic stimulation for nonspecific low back pain and also explore the potential therapeutic mechanisms.</p><p><strong>Methods: </strong>This study employed a randomized, double-blind, parallel-controlled trial design (allocation ratio: 1:1:1:1). A total of 160 patients were enrolled and randomly assigned to four groups (n = 40 per group): Extracorporeal Shock Wave Therapy group (Active ESWT + Sham rTMS), Repetitive Transcranial Magnetic Stimulation group (Sham ESWT + Active rTMS), Combined Treatment group (Active ESWT + Active rTMS), Placebo group (Sham ESWT + Sham rTMS). Outcome assessments were performed at baseline and after 4 weeks of intervention, including the Visual Analog Scale (VAS), Short-Form McGill Pain Questionnaire (SF-MPQ), lumbar Range of Motion (ROM), Pittsburgh Sleep Quality Index (PSQI), Hamilton Anxiety Scale (HAMA), Zung Self-Rating Depression Scale (SDS Index), multimodal magnetic resonance imaging (MRI), and inflammatory factors. All participants were followed up for 3 months. The primary outcome measure was the VAS score. Data were collected after treatment and subjected to statistical analysis.</p><p><strong>Conclusion: </strong>This study will verify the clinical intervention efficacy of ESWT combined with rTMS for nonspecific low back pain and explore the potential therapeutic mechanisms.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70217"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Sensorimotor and Balance Training Compared to Conventional Physiotherapy on Balance and Quality of Life in Chemotherapy-Induced Peripheral Neuropathy: A Randomised Controlled Trial.","authors":"Anisha R Pednekar, Sachin Gawande, Alisha Gracias","doi":"10.1002/pri.70299","DOIUrl":"10.1002/pri.70299","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy-induced peripheral neuropathy (CIPN) is a debilitating side effect that leads to sensory deficits, impaired balance, and a reduced quality of life (QoL). This study evaluates the effectiveness of sensorimotor and balance training compared with conventional physiotherapy.</p><p><strong>Objective: </strong>Determine whether integrating sensorimotor and balance training results in greater improvements in balance, neuropathic symptoms, and QoL among patients with CIPN.</p><p><strong>Methods: </strong>A single-blinded randomised controlled trial was conducted with 86 participants undergoing neurotoxic chemotherapy. Outcomes, measured at baseline, Week 4, and follow-up at Week 6, included the Michigan Neuropathy Screening Instrument (MNSI), Berg Balance Scale (BBS), and Functional Assessment of Cancer Therapy-General (FACT-G).</p><p><strong>Results: </strong>Linear mixed-effects modelling revealed significant group × time interactions for balance, physical well-being, emotional well-being, and functional well-being, favouring the experimental group (all p < 0.001). Large effect sizes were observed for balance (d = 0.70-0.82), physical well-being (d = 0.76-0.80), and functional well-being (d = 0.56-0.75). Social well-being showed a small, transient improvement at Week 4 (d = 0.32) that was not sustained at Week 6.</p><p><strong>Conclusions: </strong>Sensorimotor and balance training significantly enhance balance, reduce neuropathic symptoms, and improve QoL in patients with CIPN.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70299"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13391165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Discriminative Performance of SARC-F and SARC-CalF in Identifying Functional Impairment in Community-Dwelling Older Adults.","authors":"Marcia de Araújo Corcino Fernandes, Geraldo Eduardo Guedes de Brito, Kauane Flechas Arruda Perdigão, Gabriel Cavalcante de Oliveira Fernandes, Juliana Lustosa Torres, Silvia Lanziotti Azevedo da Silva","doi":"10.1002/pri.70301","DOIUrl":"10.1002/pri.70301","url":null,"abstract":"<p><strong>Background and purpose: </strong>To estimate the prevalence of sarcopenia risk, examine the association between reduced functional performance and sarcopenia risk using the SARC-F questionnaire (Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls) and the SARC-CalF tool (SARC-F combined with calf circumference), and evaluate the discriminative ability of these instruments to identify reduced functional performance among community-dwelling older adults living in a small municipality in Northeastern Brazil.</p><p><strong>Methods: </strong>This cross-sectional observational study was conducted in Jacaraú, Paraíba, Brazil, and included 253 older adults. The discriminative ability of SARC-F and SARC-CalF to identify reduced functional performance was assessed using receiver operating characteristic (ROC) curve analysis. All analyses were conducted using R software, version 4.3.1.</p><p><strong>Results: </strong>The SARC-F demonstrated greater discriminative ability for identifying impairments in balance across the evaluated postures. Both the SARC-F and SARC-CalF showed comparable discriminative performance for reduced gait speed and lower-limb muscle strength. In contrast, the SARC-CalF showed superior discriminative ability for identifying low handgrip strength.</p><p><strong>Discussion: </strong>Both the SARC-F and SARC-CalF demonstrated acceptable discriminative ability for identifying functional impairment, with area under the curve (AUC) values ranging from 0.60 to 0.80 across the functional domains evaluated.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70301"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Efficacy of Active Exercises to Improve Range of Motion in Knee Joint After Total Knee Arthroplasty. A Randomized Controlled Trial.","authors":"Jatin Sangwan, Urvashi Chauhan","doi":"10.1002/pri.70296","DOIUrl":"10.1002/pri.70296","url":null,"abstract":"","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70296"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13391164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment and Management Practices for Post-Stroke Shoulder Pain Among Rehabilitation Professionals in Vietnam: A Cross-Sectional Survey.","authors":"Nam Thanh Nguyen, Mantana Vongsirinavarat, Pagamas Piriyaprasarth, Vimonwan Hiengkaew, Khanh Tuan Luong","doi":"10.1002/pri.70290","DOIUrl":"10.1002/pri.70290","url":null,"abstract":"<p><strong>Background: </strong>Post-stroke shoulder pain (PSSP) is a common complication that negatively affects functional recovery and rehabilitation outcomes. Despite the availability of evidence-informed management strategies, clinical practice may vary across settings, particularly in lower-and middle-income countries.</p><p><strong>Purpose: </strong>To investigate current assessment and management practices for PSSP among physical and occupational therapists in Vietnam and to identify potential evidence and practice gaps as well as the barriers to effective care.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted online among rehabilitation professionals working in stroke care in 14 hospitals across all regions of Vietnam. A structured questionnaire was designed to capture the actual practice information on assessment approaches, treatment strategies, preventive measures, and perceived barriers to PSSP management. Descriptive statistics were used to summarize responses, and comparisons between levels of clinical experience were performed. The results were also analyzed for their alignment with the evidence-informed rehabilitation principles.</p><p><strong>Results: </strong>A total of 214 therapists (191 physical therapists and 23 occupational therapists) participated in the online survey. Most respondents reported that 25%-75% of their stroke patients experienced shoulder pain. Common assessment methods included shoulder subluxation, patient-reported pain, and range-of-motion evaluation. Only 53.74% of respondents reported using standardized outcome measures. Preventive strategies such as positioning and sling usage were widely implemented (70.64%). In treatment, 37.38% of therapists emphasized modalities, while 35.98% used combined approaches and 26.64% focused on mobility-based exercise. Key barriers included lack of long-term follow-up (65.42%), time constraints (45.79%), and inconsistent treatment approaches (45.79%).</p><p><strong>Discussion: </strong>The findings revealed considerable variation in PSSP assessment and management practices among rehabilitation professionals in Vietnam, with a substantial proportion of respondents reporting treatment approaches centered on passive modalities. System-level barriers, including limited follow-up and time constraints, were frequently perceived by respondents as influencing their clinical practice. These findings may help inform future initiatives related to professional training, practice standardization, and development of context-specific guidelines for post-stroke shoulder pain management.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 3","pages":"e70290"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13372232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}