Physiotherapy Theory and Practice最新文献

{"title":"From information to action; co-designing pain neuroscience education for adolescents with low back pain: Focus group insights.","authors":"Anna Ahlqwist, Louise Danielsson, Mari Lundberg, Emma Varkey","doi":"10.1080/09593985.2026.2743833","DOIUrl":"https://doi.org/10.1080/09593985.2026.2743833","url":null,"abstract":"<p><strong>Introduction: </strong>Low back pain (LBP) is a common health problem among adolescents. Adolescents with pain report higher stress, more school absenteeism, poorer academic performance, and frequent healthcare use. LBP during adolescence may increase the risk of pain in adulthood, underscoring the importance of supporting young people in developing strategies to understand and manage pain.</p><p><strong>Objective: </strong>To develop educational material based on pain neuroscience education (PNE) through co-design with adolescents experiencing LBP.</p><p><strong>Methods: </strong>Adolescents 15-19 years old were recruited to review an initial prototype developed by the authors. Four focus group discussions involving 15 participants were conducted and analyzed using Krueger's analysis framework. The findings guided the development of a refined prototype, which was then further improved through an additional focus group with six participants to validate interpretations and adjust content.</p><p><strong>Results: </strong>Four themes captured adolescents' needs in relation to pain education. Need for recognition: \"This is about me\" emphasized relatable, back-specific information. Need for practical tools and support: \"What can I do myself?\" reflected adolescents' desire for actionable strategies. A format that sparks interest: \"Otherwise I will stop reading\" highlighted the importance of engaging, concise content adapted to young people. The pathway from information to useful support: \"It must be easy to find\" underlined the value of structure and simple navigation. Participants confirmed the relevance of the prototype and suggested adjustments, which guided further refinement. Based on these insights, the final Back To Move prototype was developed as a complement to healthcare services.</p><p><strong>Conclusion: </strong>Adolescents with LBP value PNE that is back-specific, practical, trustworthy, and presented in a format adapted to their preferences. When evidence-based knowledge is combined with language and design tailored to the target group, educational material becomes more engaging and supportive. These findings highlight the importance of involving young people as active co-designers of health information.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-20"},"PeriodicalIF":1.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138794","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":"Factors associated with exercise preferences and perceived barriers in individuals with chronic stroke: a psychophysical perspective.","authors":"Humeyra Kiloatar, Hilal Telli, Aylin Aydogdu Delibay, Ayse Doven, Azra Ozyurek, Ozge Ilik, Rumeysa Ozturk, Melike Köse, Begüm Demir","doi":"10.1080/09593985.2026.2745707","DOIUrl":"https://doi.org/10.1080/09593985.2026.2745707","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to comprehensively investigate psychophysical factors associated with exercise preferences and perceived exercise barriers in individuals with chronic stroke.</p><p><strong>Methods: </strong>This cross-sectional study included 110 participants with chronic stroke. Assessments included the Stroke Exercise Preference Inventory (SEPI), Exercise Benefits/Barriers Scale (EBBS), Tampa Scale for Kinesiophobia (TSK), Falls Efficacy Scale-International (FES-I), Hospital Anxiety and Depression Scale (HADS), Functional Independence Measure (FIM), and PainDETECT Questionnaire (PD-Q).</p><p><strong>Results: </strong>SEPI-Exercise preferences showed a weak negative correlation with TSK and FES-I, a moderate negative correlation with HADS-Depression, and a weak positive correlation with FIM (<i>p</i> < .05). SEPI-Barriers and EBBS-Barriers showed strong-to-moderate positive correlations with TSK, FES-I, and HADS-Anxiety, and a moderate negative correlation with FIM (<i>p</i> < .001). In multiple linear regression analyses, HADS-Depression was independentlyassociated withlower SEPI-Exercise Preferences scores (β = -0.440, <i>p</i> < .001; Adjusted R² = 0.116). In the SEPI-Exercise Barriers Model, TSK (β = 0.383), FES-I (β = 0.374), and HADS-Anxiety (β = 0.300) demonstrated significant positive associations, while HADS-Depression (β = -0.175) showed a small negative association (all <i>p</i> < .05; Adjusted R2 = 0.548). Finally, TSK was significantly and positively associated with EBBS-Barriers (β:0.326; Adjusted R²: 0.358).</p><p><strong>Conclusion: </strong>Depression may influence exercise preferences, whereas kinesiophobia, fear of falling, and anxiety may contribute to perceived exercise barriers after stroke. Addressing these psychological factors alongside physical limitations may support long-term exercise adherence.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138817","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":"Reframing hands-on musculoskeletal assessment as a measurement instrument rather than a technique debate: a theoretical framework applying COSMIN to HODA-A.","authors":"Jo-Anne H Abbott, Charles R Hazle, Neil Tuttle","doi":"10.1080/09593985.2026.2743102","DOIUrl":"https://doi.org/10.1080/09593985.2026.2743102","url":null,"abstract":"<p><strong>Background: </strong>Hands-on assessment remains central to musculoskeletal practice across physiotherapy and related professions. However, its scientific status has been questioned because reliability and diagnostic accuracy studies have produced inconsistent findings, often without prior construct definition, content validity assessment, or examiner calibration. The palpation literature illustrates this problem, with mixed findings that appear to vary according to the construct under investigation.</p><p><strong>Purpose: </strong>This theoretical paper proposes Hands-On Data Acquisition and Analysis (HODA-A) as a framework for conceptualizing hands-on musculoskeletal examination and assessment as a clinician-reported outcome measurement process, rather than as isolated manual techniques.</p><p><strong>Methods: </strong>Although the same measurement principles apply to other clinical tests, hands-on assessment poses challenges as tactile-perceptual data streams and target constructs are often less defined. The Consensus-based Standards for the selection of health Measurement Instruments (COSMIN), although frequently associated with patient-reported outcome measures, is applicable to clinician-reported outcome measures when adapted to the construct and context being evaluated.</p><p><strong>Results: </strong>Drawing on COSMIN principles, this paper argues that evaluation of hands-on musculoskeletal assessment requires an explicit sequence: construct definition, content validity, examiner calibration, reliability and measurement error testing, construct validity or hypothesis testing, responsiveness, and interpretability. Because the construct is the clinician-generated judgment itself, HODA-A has no single gold standard; validity is therefore addressed through hypothesis testing, with criterion validity confined to subconstructs for which a justified reference standard exists.</p><p><strong>Conclusion: </strong>HODA-A does not claim premature validity but establishes a foundation for validation research by defining hands-on assessment as a structured clinician-reported measurement process warranting scrutiny comparable to other outcome measurement instruments.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128737","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":"Concurrent validity and TEST-RETEST reliability of the incremental shuttle walk TEST in patients with type 2 diabetes mellitus.","authors":"Melis Usul, Gülenay Yıldırım, İlayda Kayapınar, Goksen Kuran Aslan, Semiramis Ozyilmaz, Muhammed Tunc","doi":"10.1080/09593985.2026.2743105","DOIUrl":"https://doi.org/10.1080/09593985.2026.2743105","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes mellitus (T2DM) is a chronic metabolic-endocrine disorder characterized by insulin resistance and relative insulin deficiency. Functional capacity is considered a key determinant of the ability to perform activities of daily living and maintain quality of life, and it is frequently impaired in individuals with T2DM. The Incremental Shuttle Walk Test (ISWT) is a low-cost, externally paced field test used to assess maximal exercise capacity; however, evidence regarding its validity and reliability in individuals with T2DM remains limited.</p><p><strong>Objective: </strong>Investigate the concurrent validity of the ISWT against the Six-Minute Walk Test (6MWT) and determine its test-retest reliability in individuals with T2DM.</p><p><strong>Methods: </strong>Twenty-six individuals with T2DM (16 females, 10 males; mean age 56.0 ± 12.02 years) were included. Concurrent validity of the ISWT was assessed by comparison with the 6MWT. Test-retest reliability was evaluated by repeating the measurements after 7 days, provided that participants' clinical condition remained stable. Statistical analyses were performed using SPSS Statistics version 31.</p><p><strong>Results: </strong>The ISWT demonstrated acceptable-to-good test-retest reliability, with an intraclass correlation coefficient ICC_3,1 of 0.778 (95% confidence interval: 0.568-0.893; <i>p</i> < .001). No significant difference was found between the first and second measurements (336.54 ± 102.53 m vs. 323.85 ± 84.95 m; t(25) = 1.032; <i>p</i> = .312), indicating that no statistically significant systematic change was observed between the test and retest assessments. The standard error of measurement (SEM) was 48.3 m, and the minimal detectable change at the 95% confidence level (MDC₉₅) was 134.0 m.</p><p><strong>Conclusion: </strong>The ISWT demonstrated acceptable concurrent validity with the 6MWT and good test-retest reliability in individuals with T2DM. Therefore, it may be a useful tool for assessing functional exercise capacity and objectively evaluating functional status in clinical practice. However, SEM and MDC values should be carefully considered when interpreting individual changes in this population.Clinical Trials Number NCT06519318.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128821","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":"Impact of extended reality technology on shoulder function and pain in patients with shoulder disorders: a systematic review and meta-analysis.","authors":"Borui Li, Wanqiu Li, Qixu Zhou, Guiyan Shi, Naze Xie, Chaoran Chen","doi":"10.1080/09593985.2026.2743103","DOIUrl":"https://doi.org/10.1080/09593985.2026.2743103","url":null,"abstract":"<p><strong>Background: </strong>Shoulder disorders are common musculoskeletal conditions causing pain and functional limitation. Extended reality (XR) technology offers immersive and interactive rehabilitation, but evidence of its effectiveness remains inconclusive.</p><p><strong>Objective: </strong>To evaluate the effects of XR-based interventions versus conventional rehabilitation on function and pain in patients with shoulder disorders, and to explore potential effects of XR type, country income level, and intervention duration.</p><p><strong>Methods: </strong>Four English and three Chinese databases were searched from inception to July 25, 2026, for randomized controlled trials (RCTs) comparing XR-based rehabilitation with conventional care. Risk of bias was assessed using the Cochrane RoB 2.0 tool. Meta-analyses and subgroup analyses were performed using Stata 18.0.</p><p><strong>Results: </strong>Nine RCTs involving 613 participants were included. The XR intervention significantly improved shoulder function compared with conventional rehabilitation (SMD = 0.75, 95% CI 0.30, 1.20), with substantial heterogeneity (I² = 85.1%). The XR intervention did not significantly reduce pain (SMD =  -0.18, 95% CI - 0.43, 0.08). Subgroup analyses showed that the study groupings based on XR type and national economic development level were completely identical; therefore, the observed between-group differences could not be attributed to either variable independently and should be interpreted only as exploratory findings. No significant difference was observed between subgroups based on intervention duration. Sensitivity analyses showed that the direction of the primary results remained generally consistent after sequentially excluding individual studies. According to the GRADE assessment, the certainty of evidence was very low for shoulder function and low for pain.</p><p><strong>Conclusion: </strong>The XR intervention may improve overall shoulder function, but evidence certainty is very low; it should not replace conventional rehabilitation and provides no additional pain benefit. This review defines the current evidence boundary, supports cautious clinical use of XR as an adjunct, and highlights key issues for future research, including confounding, protocol standardization, and long-term follow-up.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-16"},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116735","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":"Therapeutic alliance in spinal cord injury rehabilitation: power, institutions, and disabling control.","authors":"Esha Lovrić, Niki Edwards, Julie King","doi":"10.1080/09593985.2026.2647781","DOIUrl":"10.1080/09593985.2026.2647781","url":null,"abstract":"<p><strong>Background: </strong>The therapeutic alliance (TA) is fundamental to improving the quality of health and rehabilitation services.</p><p><strong>Purpose: </strong>This study critically explored patient perspectives on the influence of TAs with practitioners while participating in inpatient rehabilitation after spinal cord injury (SCI).</p><p><strong>Methods: </strong>A qualitative design involving (<i>n</i> = 18) in-depth interviews with inpatients was employed. The verbatim transcripts were subjected to an iterative, reflective thematic analysis (RTA), guided by a social constructionist epistemology and deductively informed by theories of power and psychotherapy.</p><p><strong>Results: </strong>Patient accounts reinforce that TAs lie at the core of patient-centered rehabilitation. Significantly, narratives revealed that patients often struggled to find environmental conditions conducive to developing real and authentic working relationships. Narratives suggested that the institutional context and its associated responsibilities continuously introduced procedural complexities that shaped, ruptured, or obstructed the formation of effective working alliances, hindering therapeutic relationships. A primary theme that emerged, Control as disabling: Biopower and surveillance, highlighted that TAs could not develop with practitioners who constrained patient autonomy and control, thereby intensifying the experience of disability. Patients described an environment and behaviors characteristic of institutionalization, particularly when autonomy and agency were undermined.</p><p><strong>Conclusion: </strong>Institutionalized practices reduce the likelihood of developing effective TAs. The findings highlight that TAs in SCI rehabilitation can potentially mitigate the effects of institutionalization, safeguard person-first identity, reduce identity risk, and support genuinely individualized person-centered care. To address the unique and complex needs of people with SCI, specialized TA training for rehabilitation practitioners, reinforced through ongoing professional development, is strongly recommended.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1313-1330"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491942","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":"An assessor-blinded randomized controlled trial comparing a tele-rehabilitation program with wearable technology to conventional face-to-face physiotherapy in patients with knee osteoarthritis.","authors":"Congcong Cai, Poh Gek Tiang, Amanda Ng, Faye Ng Xian Fei, Wei Ling Koh","doi":"10.1080/09593985.2026.2635044","DOIUrl":"10.1080/09593985.2026.2635044","url":null,"abstract":"<p><strong>Introduction: </strong>Access to face-to-face physiotherapy for knee osteoarthritis (OA) is often limited by logistical barriers. This study compared a tele-rehabilitation program integrating video-conferencing and wearable motion sensors with conventional physiotherapy.</p><p><strong>Methods: </strong>Thirty-five participants with radiographic knee OA (Kellgren - Lawrence grades II - III) were randomized to a tele-rehabilitation group used a wearable sensor (<i>n</i> = 16) or conventional group (<i>n</i> = 19) attended face-to-face sessions. Both groups underwent a 12-week exercise program.</p><p><strong>Results: </strong>Both groups improved significantly over time in Numeric Pain Rating Scale score (end-intervention: B = -1.05, <i>p</i> = .003, 3-month follow-up: B = -1.15, <i>p</i> = .001, and 6-month follow-up: B = -0.97, <i>p</i> = .015), Patient-Specific Functional Scale score (end-intervention: B = 1.37, <i>p</i> < .001, 3-month follow-up: B = 1.83, <i>p</i> < .001, and 6-month follow-up: B = 2.06, <i>p</i> < .001), 30-second Chair Stand Test (end-intervention: B = 2.08, <i>p</i> = .001) and most of Knee Injury and Osteoarthritis Outcome Score (symptoms) (B = -1.03 to -0.50, <i>p</i> < .042) with no significant time × group interactions (<i>p</i> > .192).</p><p><strong>Conclusion: </strong>Tele-rehabilitation supported by wearable technology achieved outcomes comparable to conventional physiotherapy and may represent a viable alternative for delivering knee OA rehabilitation.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1282-1291"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776731","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 making of World Physiotherapy: leadership, diplomacy and the foundation of WCPT.","authors":"Glenn A Ruscoe","doi":"10.1080/09593985.2026.2717401","DOIUrl":"10.1080/09593985.2026.2717401","url":null,"abstract":"<p><strong>Background: </strong>The World Confederation for Physical Therapy (WCPT), now World Physiotherapy, was founded in Copenhagen on September 8, 1951. Although its establishment is often portrayed as an inevitable consequence of post-Second World War international cooperation, recently examined archival material suggests a more complex history.</p><p><strong>Purpose: </strong>To reflect on the foundation of WCPT on its seventy-fifth anniversary and consider the lessons its formation offers the contemporary physiotherapy profession.</p><p><strong>Key themes: </strong>International collaboration among physiotherapists long predated WCPT. While there was broad agreement that an international organization was needed, there was considerable disagreement regarding its structure, governance and representation. The creation of WCPT emerged through sustained negotiation between competing organizational models and professional traditions. The leadership of figures including Mildred Elson, Muriel Neilson and Andrѐ Nicolle was pivotal in navigating these differences and establishing an organization founded on cooperation rather than uniformity.</p><p><strong>Conclusions: </strong>The history of WCPT demonstrates that enduring international organizations are built through diplomacy, compromise and shared purpose rather than unanimous agreement. Seventy-five years later, the circumstances surrounding its foundation remain relevant to contemporary discussions of professional leadership, governance and international collaboration.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1367-1370"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866125","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":"Differences in morphological parameters of calf muscles among children and adolescents with spastic cerebral palsy at different mobility levels and their relationships with walking ability.","authors":"Ümit Erkut, Hasan Bingöl","doi":"10.1080/09593985.2026.2647789","DOIUrl":"10.1080/09593985.2026.2647789","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have demonstrated alterations in skeletal muscle morphology and architecture in individuals with spastic cerebral palsy (CP). However, it remains unclear whether these morphological parameters vary across different mobility levels or how they relate to walking ability.</p><p><strong>Purpose: </strong>This study aimed to examine morphological parameters of calf muscle across functional mobility levels in children and adolescents with spastic CP and their relationships with walking ability.</p><p><strong>Methods: </strong>Children and adolescents with spastic CP, aged 5-17 years (mean age: 11.72 ± 4.6 years), were recruited in the study. Morphological parameters of the gastrocnemius medialis (GM), gastrocnemius lateralis (GL), and soleus muscle in the more severely affected lower limb were assessed using a B-mode ultrasound. Walking ability (i.e. mobility and locomotion activities) was evaluated using both the Gillette Functional Assessment Questionnaire-22 item skill set (FAQ-22) and ABILOCO-Kids.</p><p><strong>Results: </strong>Analysis revealed a significant decrease in muscle thickness (p₁ = .013; p₂ = .032; p₃ < .001) and fascicle length (p₁ < .001; p₂ < .001) with declining mobility levels, except for GL fascicle length (<i>p</i> = .061). Conversely, pennation angle was significantly greater in children with severe motor involvement (<i>p</i> < .001 for all). Moderate to very strong correlations were found between calf muscle morphological parameters and walking ability (<i>r</i> = -0.41 to 0.89). Notably, muscle thickness demonstrated the strongest correlation coefficients with walking ability (<i>r</i> = 0.83-0.89).</p><p><strong>Conclusion: </strong>The significant associations between GM and soleus muscle thickness and walking ability indicated that these muscles are important contributors to functional mobility in children and adolescents with CP. These findings also emphasized that musculoskeletal integrity remains a critical factor of mobility and locomotion activities, even within contemporary participation‑focused rehabilitation models.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1304-1312"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487959","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":"Conservative management of Madelung deformity: a case report.","authors":"Ozan Gür, Betül Çiftçi","doi":"10.1080/09593985.2026.2635042","DOIUrl":"10.1080/09593985.2026.2635042","url":null,"abstract":"<p><strong>Introduction: </strong>Various surgical techniques have been developed for the management of Madelung deformity. However, there is inadequate information about conservative treatment for Madelung deformity. This case report demonstrates the role of conservative treatment in a particular case where there were no known etiological factors of Madelung deformity and discusses its outcomes.</p><p><strong>Case presentation: </strong>A 30-year-old female patient presented with deformity and pain in her right wrist. Physical examination indicated a volar displacement of the right hand, a dorsal prominence of the ulna, and restricted joint motion in the wrist. The radiographs revealed a radially inclined radius and a triangular carpal configuration. According to these findings, the right wrist was diagnosed with Madelung deformity.</p><p><strong>Outcomes: </strong>Following conservative treatment including splinting, activity modification, therapeutic ultrasound, cold packs, and exercise, assessments at weeks 8 and 12 showed significant improvements for the patient. The patient reported no pain at rest or at night, with activity pain decreasing from an initial 5/10 to 2/10 on the Visual Analogue Scale. While range of motion improved, except for radial deviation, it remained lower in the affected wrist compared to the unaffected side. Although there was a slight decrease in range of motion from week 8 to week 12, it remained higher than baseline measurements. The grip strength values, initially at 80% of the unaffected side, exhibited an increase but did not reach the level of the unaffected side. Scores from the Patient-Rated Wrist Evaluation and the Quick Disability of the Arm, Shoulder, and Hand questionnaires showed reductions compared to baseline at weeks 8 and 12, surpassing the 14-point minimal clinically important difference. However, the week 12 assessment indicated an increase in survey results relative to week 8.</p><p><strong>Conclusion: </strong>Implementation of conservative treatment for Madelung deformity resulted in symptom alleviation and enhancement of the patient's condition.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1331-1339"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259697","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}