Physiotherapy Theory and Practice最新文献

{"title":"Could aerobic exercise applied before constraint-induced movement therapy change circulating molecular biomarkers in chronic post-stroke?","authors":"Luisa Fernanda García-Salazar, Natalia Duarte Pereira, Erika Shirley Moreira Silva, Jean Alex Matos Ribeiro, Gabriela Nagai Ocamoto, Rafaella Mendes Zambetta, Simone Garcia de Oliveira, Aparecida Maria Catai, Alexandra Borstad, Thiago Luiz Russo","doi":"10.1080/09593985.2024.2411311","DOIUrl":"10.1080/09593985.2024.2411311","url":null,"abstract":"<p><strong>Background: </strong>Integrating aerobic exercise (AE) into rehabilitation programs for post-stroke individuals could enhance motor recovery and cardiovascular health by increasing brain-derived neurotrophic factor (BDNF) and the myokine irisin. Chronic stroke survivors typically exhibit elevated matrix metalloproteinase-9 (MMP-9) activity, which is negatively correlated with steps and time in medium cadence, although the impact of AE on this biomarker remains unclear.</p><p><strong>Objective: </strong>To evaluate the effect of high-intensity AE training prior to modified constraint-induced movement therapy (mCIMT) on BDNF and irisin concentration, and on MMP-2 and MMP-9 activity in chronic post-stroke individuals and to associate these results with functional improvements.</p><p><strong>Methods: </strong>Nine participants received AE combined with mCIMT for two weeks, while the control group (<i>n</i> = 7) received mCIMT alone. Manual dexterity and functional capacity were assessed before and after the intervention. Serum samples were analyzed for BDNF, irisin, MMP-2 and MMP-9.</p><p><strong>Results: </strong>There were no significant main effects of assessment, group or interaction on molecular biomarkers. However, the AE group had a significant increase in MMP-9 activity post-intervention (<i>p</i> = .033; <i>d</i> = 0.67). For the Box and Block Test, there were significant main effects of assessment (<i>F</i> [1, 14] = 33.27, <i>p</i> = .000, <i>η</i>_p² = 0.70) and group (<i>F</i> [1, 14] = 5.43, <i>p</i> = .035, <i>η</i>_p² = .28). No correlations were found between biomarkers and clinical assessments.</p><p><strong>Conclusion: </strong>AE prior to mCIMT did not influence circulating BDNF and irisin levels but did induce an acute rise in MMP-9 activity, suggesting potential effects on cardiovascular remodeling in this population.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1191-1202"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382084","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":"Physiotherapists' perspectives on factors affecting the scope of in-home palliative care treatments: a qualitative study.","authors":"Anat Woldman, Hadass Goldblatt, Michal Elboim-Gabyzon","doi":"10.1080/09593985.2024.2414111","DOIUrl":"10.1080/09593985.2024.2414111","url":null,"abstract":"<p><strong>Background: </strong>Physiotherapy has demonstrated significant benefits in enhancing quality of life and managing symptoms of people in need of palliative care (PC). Despite these benefits, palliative physiotherapy is infrequently integrated into community-based care, where most PC services are delivered. The limited prevalence of these treatments highlights the need to explore the factors influencing their delivery in home settings.</p><p><strong>Objectives: </strong>This study‎ aimed to elucidate the factors that influence the scope of occasional in-home palliative physiotherapists' interventions as perceived by the physiotherapists who provide these treatments.</p><p><strong>Methods: </strong>A qualitative study was conducted, involving 15 physiotherapists (nine women and six men), all employed by a Health Maintenance Organization (HMO), who typically work in community-based clinics but occasionally provide palliative physiotherapy treatments outside of their regular working hours. Data were collected via in-depth, semi-structured interviews, using an interview guide and analyzed using reflective thematic analysis.</p><p><strong>Result: </strong>Two main themes emerged: (1) External factors influencing the scope of palliative physiotherapy treatments. These include patients' characteristics and their disposition toward palliative physiotherapy treatments, family dynamics amongst each other and with the physiotherapists, and interactions of the physiotherapists with the palliative multidisciplinary team; (2) Physiotherapists‎'‎ inclination to provide PC treatments. This theme encompasses the physiotherapists' knowledge, role perception, emotional experiences, and coping strategies during the provision of PC.</p><p><strong>Conclusion: </strong>External and personal factors shape the scope of in-home PC treatments. Improving communication and addressing emotional challenges and coping strategies could enhance care delivery.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1254-1264"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478266","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":"Ultrasonography assessments of talar cartilage and ATFL after running in chronically unstable, coper, and healthy ankles: a case-control study.","authors":"Dongkyun Seo, Jihong Park","doi":"10.1080/09593985.2024.2412209","DOIUrl":"10.1080/09593985.2024.2412209","url":null,"abstract":"<p><strong>Background: </strong>Comparisons of talar cartilage and the anterior talofibular ligament (ATFL) profiles in individuals with different levels of chronic ankle instability (CAI) provide insight into early adaptation of tissue morphology.</p><p><strong>Purpose: </strong>This study compared morphologic response and recovery of the talar cartilage and ATFL before and after 30-min of self-paced treadmill running between individuals with CAI, coper (full recovery from a first-time ankle sprain), and healthy controls.</p><p><strong>Methods: </strong>Sixty young males (24.8 years, 176.9 cm, 75.7 kg) were allocated into the CAI, coper, and healthy control group by their number of ankle sprains and scores on the self-reported ankle instability questionnaires (Cumberland Ankle Instability Tool, and Foot and Ankle Ability Measure-Activities of Daily Living). Ultrasonographic images in the cross-sectional area (CSA; overall, lateral, and medial) and ATFL length (unstressed and stressed and position) before and after treadmill running were recorded and analyzed.</p><p><strong>Results: </strong>There were no group by time interactions in the talar cartilage CSA (F_14,399 <1.09, <i>p</i> > .36 for all tests) and ATFL length (F_14,399< .69, <i>p</i> > .79 for all tests). Regardless of time, CAIs had the largest overall (F_2,399 = 42.68, <i>p</i> < .001), lateral (F_2,399 = 37.16, <i>p</i> < .001), and medial (F_2,399 = 36.57, <i>p</i> < .001) CSA of talar cartilage and the longest stressed-ATFL length (F_2,399 = 54.42, <i>p</i> < .001), followed by copers and healthy controls.</p><p><strong>Conclusion: </strong>Morphologic features of the talar cartilage and ATFL appear to depend on the level of ankle instability (e.g. a history of recurrent ankle sprain).</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1228-1238"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478267","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":"Comparing selective and general hamstring stretching and strengthening for pain, disability, and quality of life in patients with primary knee osteoarthritis and varus deformity: A randomized clinical trial.","authors":"Hamed Mamipour, Hossein Negahban, Afsaneh Zeinalzadeh, Mohammad Hosein Ebrahimzadeh, Salman Nazary-Moghadam","doi":"10.1080/09593985.2024.2415966","DOIUrl":"10.1080/09593985.2024.2415966","url":null,"abstract":"<p><strong>Background: </strong>A combination of hamstring stretching and strengthening exercises may benefit patients with knee osteoarthritis by promoting pain relief and disability improvement.</p><p><strong>Purpose: </strong>The current study aimed to compare the effects of lateral hamstring strengthening and medial hamstring stretching with general hamstring stretching and general hamstring strengthening on pain, disability, and quality of life in patients with primary knee osteoarthritis and varus deformity.</p><p><strong>Methods: </strong>Forty patients with knee osteoarthritis were randomly assigned to two groups: a general hamstring strengthening group (14 women, 6 men) and a selective hamstring strengthening group (16 women, 4 men). In the general hamstring strengthening group, participants performed hamstring stretching and strengthening exercises broadly. In contrast, the selective hamstring strengthening group specifically targeted lateral hamstring strengthening and medial hamstring stretching. The treatment program was conducted three times a week for 4 weeks. Pain and disability levels were evaluated before and after treatment using the Knee Injury and Osteoarthritis Outcome Score (KOOS), quality of life was assessed using the Osteoarthritis Knee and Hip Quality of Life (OAKHQOL) questionnaire, and physical activity levels were determined using the Tegner activity scale.</p><p><strong>Results: </strong>Both groups demonstrated significant improvement in all outcomes except for the quality of life subscale of the KOOS questionnaire (<i>p</i> = .98) in the general hamstring strengthening group. However, the selective hamstring strengthening group exhibited greater improvements in symptoms (<i>p</i> = .02, effect size (d) = 0.92) and pain subscales (<i>p</i> = .01, d = 0.80) according to the KOOS questionnaire. Additionally, the pain subscale (<i>p</i> = .02, d = 0.79) of the OAKHQOL questionnaire exhibited greater improvements in the selective hamstring strengthening group. Tegner activity scale scores significantly improved in both groups.</p><p><strong>Conclusion: </strong>Strengthening the lateral hamstring and stretching the medial hamstring muscles seem to be beneficial for reducing pain in patients with primary knee osteoarthritis and varus deformity. Attention to stabilization in frontal and horizontal planes in the knee joint might be better than simply evaluating the joint in the sagittal plane.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1203-1212"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478263","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":"Physiotherapists may influence hospital patient physical activity levels indirectly through workforce training.","authors":"Helen L Kugler, Natasha K Brusco, Nicholas F Taylor","doi":"10.1080/09593985.2024.2406286","DOIUrl":"10.1080/09593985.2024.2406286","url":null,"abstract":"<p><strong>Background: </strong>Lower levels of patient physical activity in hospital are associated with poorer functional outcomes. Physiotherapists may influence physical activity outside of therapy time through nursing workforce training.</p><p><strong>Objective: </strong>To estimate physical activity levels in acute inpatients after the Risk Assessment for Moving Individuals SafEly (RAISE) manual handling training intervention for nurses. The secondary aims evaluated nurse experiences of training and the extent to which nurses learnt RAISE skills and incorporated them in clinical practice.</p><p><strong>Methods: </strong>Using a pre-post design, nurses from an acute neurological and medical ward participated in a physiotherapy-led, 4-hour training session teaching dynamic risk assessment to safely move patients. Patient physical activity and clinical observation audits of patient transfers were assessed prior to, and 1-week following, training. Surveys evaluated nurse experiences of training.</p><p><strong>Results: </strong>Among 26 patients, there was a non-significant, moderate positive effect size favoring increased daily steps by 43% (<i>g</i>=.35, MD 208, 95% CI -263 to 679, <i>p</i> = .370). There was no change in sit-to-stand transitions (<i>g</i>=-.02, MD -0.4, 95% CI -16 to 15, <i>p</i> =.963) or daily sedentary hours (<i>g</i>=.05, MD 0.05, 95% CI -0.8 to 0.9, <i>p</i>=.908). Training was well received by all nurse participants, and the physical risk assessment was implemented into practice 89% of the time post training (<i>X</i>^<i>2</i>(1) = 5.00, <i>p</i> = .025).</p><p><strong>Conclusion: </strong>A physiotherapy-led manual handling training program involving dynamic risk assessment may help hospital inpatients to increase physical activity outside of therapy time.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1181-1190"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299101","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 telerehabilitation-implemented core stability exercises on patient-reported and performance-based outcomes in total knee arthroplasty patients: randomised controlled trial.","authors":"Akın Süzer, Nihal Büker, Harun Reşit Güngör, Nusret Ök, Raziye Şavkin","doi":"10.1080/09593985.2024.2411312","DOIUrl":"10.1080/09593985.2024.2411312","url":null,"abstract":"<p><strong>Background: </strong>Face-to-face access to exercise programs, including standard exercises (SE) and core stability exercises (CSE), can be challenging for many total knee arthroplasty (TKA) patients.</p><p><strong>Objectives: </strong>To investigate the effects of adding CSE to SE on patient-reported and performance-based outcomes in TKA patients using telerehabilitation (TR).</p><p><strong>Methods: </strong>Group 1 (SE, <i>n</i> = 21) and Group 2 (SE+CSE, <i>n</i> = 21). Follow-up included videoconferences (1-8 weeks) and telephone calls (9-12 weeks). Assessments (preoperatively and at 1st, 2nd, and 3rd postoperative months) included; Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC): functional level, Visual Analogue Scale (VAS): pain intensity, Copenhagen Knee Range of Motion (ROM) Scale (CKRS): knee ROM, Short Form-12 (SF-12) and World Health Organization Quality of Life Brief Version (WHOQOL-BREF): quality of life, 30-s Chair-Stand Test: muscle strength, and Stair Climb Test: locomotor performance.</p><p><strong>Results: </strong>All assessments showed a significant improvement after treatment in group 1 (<i>p</i> < .001, Cohen's d = 0.315 to 0.959) and group 2 (<i>p</i> < .001, d = 0.445 to 0.901). There was no significant difference between groups in knee flexion ROM (<i>p</i> > .05). Group 2 achieved better results in functional level (<i>p</i> = .001 to 0.003,d = -0.334 to 1.207), pain intensity (<i>p</i> = .030,d = -0.334), knee extension ROM (<i>p</i> = .015,d = -0.374), quality of life (<i>p</i> = .001 to 0.046,d = -0.308 to -1.366), muscle strength (<i>p</i> = .002 to 0.016,d = -0.779 to -1.030), and locomotor performance (<i>p</i> = .004 to 0.009, d = 0.404 to 0.954).</p><p><strong>Conclusion: </strong>SE and SE+CSE via TR enhance patient-reported and performance-based outcomes in post-operative TKA patients, with CSE providing additional benefits. These results support using CSE in TR programs for TKA and encourage further research on TR.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1213-1227"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382085","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":"A quick balance assessment tool for all clinical settings: validity and reliability of the Hungarian version of the activities-specific balance confidence scale.","authors":"Brigitta Ruszin-Perecz, Alexandra Makai, Miklos Pozsgai, Nora Nusser, Endre Pal, Norbert Kovacs, Jozsef Janszky, Melinda Jaromi, Agnes Sebok","doi":"10.1080/09593985.2024.2396074","DOIUrl":"10.1080/09593985.2024.2396074","url":null,"abstract":"<p><strong>Background: </strong>The Activities-specific Balance Confidence Scale was developed for testing the balance confidence of elderly individuals, and it has been used extensively for evaluating various patients. No such scale has been adapted for the Hungarian population.</p><p><strong>Objective: </strong>To translate and culturally adapt the Activities-specific Balance Confidence Scale and test the reliability and validity of the Hungarian version.</p><p><strong>Methods: </strong>The study included 167 independently mobile subjects, of whom 39 filled in the questionnaire twice, 1 week apart. Beaton's six-step principle was applied for cross-cultural adaptation. Reliability was assessed by internal consistency measured by Cronbach's alpha and through test-retest analysis. Types of validity evaluated were concurrent validity using the Berg Balance Scale and cross-cultural validity.</p><p><strong>Results: </strong>Excellent internal consistency was shown by Cronbach's alpha = 0.977. Test-retest analysis resulted in an Intra-Class Correlation Coefficient of 0.962 (0.865-0.961, 95% CI, <i>p</i> < .001) for the whole test; no floor or ceiling effects were found. The convergent validity of the scale was tested by Spearman's rank correlation analysis using the Berg Balance scale for external validation and showed a strong positive correlation (Rho = 0.755, <i>p</i> < .001). Receiver Operating Characteristic curve analysis showed an Area Under the Curve of 0.821 (CI 95% 0.75, 0.892). Mean detectable change based on the 95% confidence interval was 10.49% on the scale ranging from 0 to 100%.</p><p><strong>Conclusions: </strong>The Hungarian version of the Activities-Specific Balance Confidence Scale provides a valid and reliable picture of the patients' self-assessed balance. It is recommended both for clinicians and for clinical studies.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1287-1296"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120895","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":"Self-Efficacy of Physical Therapist Student Outcomes (SEPTSO): longitudinal responsiveness over a three-year curriculum.","authors":"Lois A Stickley, Suzanna D Okere","doi":"10.1080/09593985.2024.2394843","DOIUrl":"10.1080/09593985.2024.2394843","url":null,"abstract":"<p><strong>Background: </strong>Understanding the relationship between self-efficacy and academic and clinical education outcomes may improve professional physical therapist education.</p><p><strong>Objectives: </strong>To document the longitudinal responsiveness of Self-Efficacy of Physical Therapist Student Outcomes (SEPTSO) scores from a single cohort throughout a three-year professional physical therapist curriculum and also to explore relationships between SEPTSO, grade point average (GPA), clinical education outcomes, and first-time pass rate on the National Physical Therapy Examination (NPTE).</p><p><strong>Methods: </strong>Thirty-five Doctor of Physical Therapy (DPT) students participated. The SEPTSO was administered electronically during semesters one and nine. The final GPA, Physical Therapist Manual for the Assessment of Clinical Skills (PT MACS), and NPTE outcomes were recorded.</p><p><strong>Results: </strong>There was a significant increase in SEPTSO scores from semester 1 to 9 (<i>t</i>₍₁₆₎ = 34.55, <i>p</i> < .01, Cohen's d = 9.79, <i>n</i> = 17). In semester 1 (<i>n</i> = 35), there were no significant associations between SEPTSO scores and GPA (<i>r</i> = .011, <i>p</i> = .949), PT MACS outcomes (<i>r</i> = .092, <i>p</i> = .867), or first-time NPTE pass rate (r_s = -0.088, <i>p</i> = .634).</p><p><strong>Conclusion: </strong>Longitudinal responsiveness of the SEPTSO in a three-year DPT curriculum was demonstrated. There were no associations between SEPTSO scores and other outcome measures.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1135-1143"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082366","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":"Diagnosis of occult scaphoid fractures: an exploratory study to assess whether clusters of clinical features are diagnostic in comparison to reduced sequence magnetic resonance imaging.","authors":"Christopher Burton, Bonnie McRae, Greg Kyle, Iulian Nusem","doi":"10.1080/09593985.2024.2397084","DOIUrl":"10.1080/09593985.2024.2397084","url":null,"abstract":"<p><strong>Background: </strong>Occult scaphoid fractures are difficult to diagnose radiographically. Evidence regarding prevalence and diagnostic accuracy of clinical tests is growing; however, gaps in knowledge remain and further research is needed.</p><p><strong>Purpose: </strong>This study aimed to determine the prevalence of occult scaphoid fractures and other hand/wrist fractures, plus any clinical/demographic findings diagnostic of scaphoid fractures.</p><p><strong>Methods: </strong>Prognostic prospective cohort study. Patients referred with diagnosis of occult scaphoid fractures, non-diagnostic radiographs, and one or more positive provocative test for scaphoid fractures were included. Clinical data were compared to reduce sequence magnetic resonance imaging. Univariate logistic regression was used to determine significance. Multivariable logistic regression was used to determine the effect size of these variables.</p><p><strong>Results: </strong>Of 197 included participants, 43(22%) had a scaphoid fracture and 59(30%) had an occult fracture other than scaphoid. Average age of patients with confirmed occult scaphoid fractures was 22 years old. Distal pole fractures were the most common scaphoid fracture (<i>n</i> = 28/65.1%, average age 16.9 years). Three clinical tests (pain with ulnar-deviation, anatomical snuffbox swelling and pain-free grip) plus two demographics (age <23 and male) resulted in accuracy of 81.7%, positive predictive value of 73.3%, and negative predictive value of 82.4% in diagnosing scaphoid fractures.</p><p><strong>Conclusion: </strong>This study confirms a high prevalence of occult fractures in our population. Patients demonstrating the relevant demographics and positive clinical tests may be appropriate to treat as scaphoid fractures without advanced imaging. Most patients will present with differing clinical findings and/or demographics, and routine use of magnetic resonance imaging is recommended.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1162-1171"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299100","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 anatomy of a systematic review: Does it meet the minimum threshold for review?","authors":"Paul A Salamh, Morey J Kolber","doi":"10.1080/09593985.2025.2496843","DOIUrl":"10.1080/09593985.2025.2496843","url":null,"abstract":"","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1133-1134"},"PeriodicalIF":1.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055182","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}