Physiotherapy Theory and Practice最新文献

{"title":"Investigation of the psychometric properties of \"exercise Benefits/Barriers scale\" in Turkish patients with rheumatoid arthritis.","authors":"Melissa Köprülüoğlu, Devrim Can Saraç, İlknur Naz, Vedat Gerdan, Dilek Solmaz, Servet Akar","doi":"10.1080/09593985.2024.2353259","DOIUrl":"10.1080/09593985.2024.2353259","url":null,"abstract":"<p><strong>Background: </strong>Rheumatoid arthritis (RA) is a chronic systemic disease accompanied by several symptoms and functional disabilities. Physical activity (PA) is crucial for disease management and patients' perception of exercise is essential for a rehabilitation plan.</p><p><strong>Purpose: </strong>This study aims to examine the psychometric properties of the Exercise Benefits/Barriers Scale (EBBS) that is frequently used in previous studies in the RA population.</p><p><strong>Methods: </strong>We included a total of 104 patients in our study. Test-retest reliability was assessed using intraclass correlation coefficient (ICC 2,k). The International Physical Activity Questionnaire (IPAQ) and the Bristol Rheumatoid Arthritis Fatigue Scale (BRAFS) were used for the convergent validity of the scale. For discriminant validity analysis, the total barriers and benefits scores were examined according to exercise status (yes/no), PA level (high/low), and fatigue severity (high/low). Additionally, standard error of measurement (SEM) and minimal detectable change with 95% confidence (MDC₉₅) are calculated.</p><p><strong>Results: </strong>EBBS subscores showed moderate to excellent reliability (ICC: 0.71 to 0.98) and correlated PA (<i>r</i> = 0.453 and 0.515, EBBS-barriers and benefits subscores, respectively) and fatigue (<i>r</i>=-0.261 and -0.393, EBBS-barriers and benefits subscores, respectively). The SEM and MDC₉₅ values were calculated as 2.03 and 7.96 for EBBS-benefits subscores and 0.93 and 3.65 for EBBS-barriers subscores. The EBBS-Benefits and Barriers subscores differed according to exercise status (<i>p</i> = .08), PA level (<i>p</i> < .01), and fatigue (<i>p</i> = .08).</p><p><strong>Conclusion: </strong>The results highlighted that the EBBS is a reliable and valid instrument to assess exercise benefits and barriers in patients with RA.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"555-562"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065860","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":"\"Exploring job demands and resources influencing mental health and work engagement among physical therapists: a cross-sectional survey of Norwegian physical therapists.\"","authors":"Susanne Hagen, Linn Therese Jacobsen Bergheim, Steffen Torp","doi":"10.1080/09593985.2024.2348731","DOIUrl":"10.1080/09593985.2024.2348731","url":null,"abstract":"<p><strong>Background: </strong>Physical therapists play a vital role in the Norwegian health care system, and their work environment may be a significant determinant for their wellbeing and job performance.</p><p><strong>Objective: </strong>1) Assess differences in work environment, mental health problems, and work engagement between physical therapists working in specialist versus municipal health care services. 2) Assess the relationships between work environment factors and work engagement and mental health problems.</p><p><strong>Methods: </strong>In this cross-sectional study, 273 physical therapists responded to the Survey for Workplace Health Promotion (response rate = 35%). Independent-sample t-tests, Pearson correlations, and multiple regression analyses were performed.</p><p><strong>Results: </strong>This study did not find any significant differences between physical therapists working in Norwegian hospitals and therapists working in the municipal health care services. Analyses showed that general demands (<i>β</i> = 0.21), fragmented work tasks (0.18), predictability (-0.17) and social support (-0.34) were associated with mental health problems, while meaningful work (0.41), the opportunity to use one's strengths and potential (0.14), and social support (0.25) were associated with higher work engagement.</p><p><strong>Conclusion: </strong>This study highlights the role of poor job design and professional isolation as hindrances to work engagement among physical therapists, whereas work related meaningfulness and peer support promote their health and wellbeing.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"532-543"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900050","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 effect of chronic low back pain and lumbopelvic stabilization instructions on gluteus medius activation during sidelying hip movements.","authors":"Myra M Meekins, Audrey Zucker-Levin, Marcie Harris-Hayes, Kunal Singhal, Kyle Huffman, Richard Kasser","doi":"10.1080/09593985.2024.2357130","DOIUrl":"10.1080/09593985.2024.2357130","url":null,"abstract":"<p><strong>Background: </strong>People with chronic low back pain (LBP) often demonstrate altered muscle activation with movements that involve the lumbopelvic region and hips.</p><p><strong>Objective: </strong>The purpose of this study was to compare gluteus medius activity during sidelying hip abduction (SHA) and sidelying hip abduction-lateral rotation (SHALR) with and without instruction for lumbopelvic stabilization in people with and without chronic LBP.</p><p><strong>Methods: </strong>A cross-sectional study was conducted recruiting participants with (<i>n</i> = 17) and without (<i>n</i> = 17) chronic LBP. Gluteus medius activity was recorded with surface electromyography during the performance of SHA and SHALR with and without instructions including the abdominal drawing-in maneuver for lumbopelvic stabilization.</p><p><strong>Results: </strong>For SHA and SHALR, there was a significant main effect for instruction for stabilization indicated by a decrease in gluteus medius activity with instructions (<i>p</i> = .001, <i>p</i> < .001). There was not a significant main effect of chronic LBP on gluteus medius activity between groups for either activity. There was no significant interaction effect of pain and instruction for stabilization with SHA or SHALR.</p><p><strong>Conclusion: </strong>Knowledge of changes in gluteus medius muscle activation patterns with trunk stabilization instruction may help clinicians with assessment of exercise performance to optimize gluteus medius activation.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"563-570"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155757","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":"Psychometric properties of 3-meter backward walk test (3MBWT) in people with Parkinson disease.","authors":"Kristen Barta, Anne Hill Boddy, Megan Flores, Lindsay Perry, Kathryn Sawyer, Ashley Campbell","doi":"10.1080/09593985.2024.2348034","DOIUrl":"10.1080/09593985.2024.2348034","url":null,"abstract":"<p><strong>Background and purpose: </strong>The purpose of this study was to investigate the 3-meter backward walk test (3MBWT) in individuals with Parkinson Disease (PD) to determine the following: (1) concurrent validity with other gait velocity measures and (2) interrater and intrarater reliability of in-person and video assessment.</p><p><strong>Methods: </strong>A convenience sample of 25 people with PD participated. Forward gait velocity was measured using a computerized walkway (Zeno Walkway System), the 10-meter walk test (10MWT), and 4-meter walk test (4MWT). Backward gait velocity was measured using the 3MBWT. Concurrent validity was assessed using Pearson's correlations. Reliability was assessed using intra-class correlation coefficients (ICC_(2,1)).</p><p><strong>Results: </strong>All relationships between the 3MBWT and gait outcome measures were significant. The 3MBWT demonstrated strong correlations with the 4MWT dual task (<i>r</i> = .795, <i>p</i>=<.001) and moderate correlations with 4MWT comfortable walking speed (<i>r</i> = .658, <i>p</i> < .001), 4MWT fast walking speed (<i>r</i> = .601,<i>p</i>=.002), 10MWT comfortable walking speed (<i>r</i> = .512, <i>p</i> = .009), and 10MWT dual task (<i>r</i> = .535, <i>p</i> = .006). A low yet significant correlation was noted with the 10MWT fast walking speed (<i>r</i> = .398, <i>p</i> = .049). Association between the 3MBWT and the Zeno Walkway System revealed moderate correlations. All reliability tests were significant at <i>p</i> < .001. Interrater reliability ICC_(2,1) values were very high for 3MBWT (ICC_(2,1) = 0.93, [0.83-0.91]). Intrarater reliability was also very high (ICC_(2,1) = 0.96 [0.90-0.98]).</p><p><strong>Conclusion: </strong>The 3MBWT demonstrates validity and reliability as a tool for assessing gait speed in the posterior direction in people with PD.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"656-663"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861033","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":"Feasibility study of a home-based graded motor imagery intervention (GraMI protocol) for amputees with phantom limb pain.","authors":"Sandra Rierola-Fochs, Marc Terradas-Monllor, Luz Adriana Varela-Vasquez, Mirari Ochandorena-Acha, Eduard Minobes-Molina, Jose Antonio Merchán Baeza","doi":"10.1080/09593985.2024.2349759","DOIUrl":"10.1080/09593985.2024.2349759","url":null,"abstract":"<p><strong>Introduction: </strong>Phantom limb pain affects 64% of amputees. Graded Motor Imagery comprises three consecutive application techniques designed to reorganize maladaptive changes that have occurred after the amputation.</p><p><strong>Objective: </strong>To assess the feasibility of a home-based Graded Motor Imagery intervention, the GraMI protocol, for amputee people with phantom limb pain.</p><p><strong>Methods: </strong>Twenty individuals over 18 years of age with upper or lower limb amputation, experiencing phantom limb pain, who were pharmacologically stable, and had been discharged from the hospital were recruited. The experimental group followed the GraMI protocol. Primary outcomes included study processes, such as recruitment time and rate, adherence, compliance, and the acceptability of digital technologies as a treatment tool. Secondary outcomes assessed the impact on phantom limb pain, quality of life, functionality, and depressive symptoms.</p><p><strong>Results: </strong>On average, seven participants were recruited monthly over a three-month period. No losses were recorded throughout the nine weeks of intervention. Treatment adherence averaged 89.32%, and all participants demonstrated familiarity with the usability of digital technologies. No significant differences were observed between groups (<i>p</i> = .054). However, within the experimental group, intragroup analysis revealed a significant (<i>p</i> = .005) and clinically relevant reduction (>2 points) with a large effect size (0.89) in phantom limb pain.</p><p><strong>Conclusion: </strong>Conducting a multicenter study with a home-based intervention using the GraMI protocol is feasible. Future clinical trials are needed to verify its effectiveness in managing phantom limb pain.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"544-554"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870751","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":"Can physiotherapy in an interdisciplinary pain rehabilitation setting improve physical function? A long-term mixed methods follow-up study.","authors":"Angelica Dahlbäck, Birgit Heckemann, Paulin Andréll, Sara Åkerlund, Emma Varkey","doi":"10.1080/09593985.2024.2351978","DOIUrl":"10.1080/09593985.2024.2351978","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to describe chronic pain patients' perception of their physical function and treatment factors for improving or maintaining physical function long-term after the completion of an Interdisciplinary Pain Rehabilitation Program (IPRP) and to compare physical function before, directly after and at long-term follow-up (16-20 months after treatment).</p><p><strong>Materials and methods: </strong>Patients with severe nonmalignant chronic pain, participating in an IPRP at a specialist clinic, were eligible for inclusion in a convergent mixed methods study. Quantitative data included aerobic capacity, level of physical activity (PA) and self-efficacy for exercise. Qualitative data were collected through semi-structured interviews.</p><p><strong>Results: </strong>The qualitative analysis resulted in one theme: Orientation change and two categories: Permission to feel self-worth and Reclaiming life, which illuminated factors that enabled a sustained increase in PA. The quantitative data (<i>n</i> = 11) showed a significantly increased maximal oxygen uptake (VO₂max) from 2.46 l/min (SD = 0.9) at baseline to 2.63 l/min (SD = 0.9, <i>p</i> = .03) on completion of the program. VO₂max was sustained at long-term follow-up (2.56 l/min (SD = 1.0, <i>p</i> = .24).</p><p><strong>Conclusion: </strong>This study indicates that an orientation change process through an IPRP can lead to increased physical function and a sustainable level of PA. Furthermore, it highlights the importance of a person-centered approach to enable sustainable change in patients with chronic pain.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"588-601"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900004","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":"Current state of entry-level physical therapy qualitative research methods curricula in the United States: A faculty survey.","authors":"Michelle E Wormley, Chris Sebelski, Jason Cook, Gail Jensen, Melissa M Tovin","doi":"10.1080/09593985.2025.2471409","DOIUrl":"https://doi.org/10.1080/09593985.2025.2471409","url":null,"abstract":"<p><strong>Introduction: </strong>Qualitative research methods in healthcare delve into the nuanced complexities of health professions work, seeking to comprehend the contextual and interpretive dimensions of patient, caregiver, and provider perspectives and experiences. Qualitative research is an essential contribution to evidence-based and evidence-informed practice, and therefore foundational for practice across all health professions.</p><p><strong>Purpose: </strong>This study aimed to examine the breadth and depth of curricular content, delivery models, instructional strategies, and resources related to qualitative research methods in Doctor of Physical Therapy (DPT) programs in the United States.</p><p><strong>Methods: </strong>In this cross-sectional design, an online survey was developed, piloted, and emailed to 256 Commission for the Accreditation of Physical Therapy Education accredited DPT programs. Descriptive statistics, independent samples t-tests, one-way ANOVA, and chi-square statistics were completed.</p><p><strong>Results: </strong>The overall response rate was 31.6%. Respondents reported a mean of 5 instructional hours of qualitative research content, ranging from 0 to 12 hours. Analysis revealed a significant difference in contact hours (<i>p</i> = .026) between faculty reporting no expertise (2.7 hours) and high expertise (7.5 hours). Qualitative research content was primarily located early in the curriculum (76%) and in a stand-alone course (70%), with wide variability in intended learning outcomes, activities, and resources.</p><p><strong>Conclusion: </strong>Given the critical importance that clinicians understand and apply qualitative and quantitative findings as part of evidence informed practice, this study highlights the need for building resources and faculty capacity to integrate qualitative methods of education in DPT curricula. Findings may inform the development of curriculum models, guidelines, and DPT learner competencies.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525000","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":"Physical therapist characteristics and therapeutic relationship process construct factors that improve patient health outcomes in physical therapy: a systematic review.","authors":"Óscar Rodríguez-Nogueira, Eduardo Alba-Pérez, María José Álvarez-Álvarez, Antonio Rafael Moreno-Poyato","doi":"10.1080/09593985.2025.2469162","DOIUrl":"https://doi.org/10.1080/09593985.2025.2469162","url":null,"abstract":"<p><strong>Background: </strong>It appears that the therapeutic relationship in physiotherapy practice facilitates the success of patient health outcomes, although the process by which it is carried out has been poorly studied.</p><p><strong>Objective: </strong>To explore the influence of the therapeutic relationship on any patient health outcomes in physical therapy settings.</p><p><strong>Methods: </strong>PubMed, Web of Science, Scopus, CINAHL, LILACS and Dialnet databases were systematically searched following PRISMA guidelines. The searches were completed in August 2024. Qualitative and quantitative studies measuring the therapeutic relationship and assessing its influence on health outcomes of patients treated with physical therapy were included.</p><p><strong>Results: </strong>The search yielded a total of 769 results. 13 studies ultimately retained for analysis. A total of 1555 individuals were studied who had suffered injuries such as low back pain; osteoarthritis; underwent cardiac surgery; hip fracture and elite athletes recovering from injuries. The results obtained were classified into three main themes: characteristics and skills of physical therapists (interpersonal, organizational, leadership and communication skills), therapeutic relationship factors (shared decision making, trusting relationships, motivating the patient and individualization of care) and patient health outcomes influenced by therapeutic relationship (functional outcomes, disability, pain intensity, outcome expectations, perceived global effect, adherence, self-efficacy, sports performance and lung function).</p><p><strong>Conclusions: </strong>Through physical therapist's soft skills, therapeutic relationship factors are built under the paradigm of person-centered care and shared decision making, having a positive influence on certain patient health outcomes. Therefore, evidence support that therapeutic relationship contributes to improved patient health outcomes.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-16"},"PeriodicalIF":1.6,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484321","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 physiotherapy-led bike fitting on the evolution of knee pain in recreational cyclists: the PBF study.","authors":"Ariane Viau, Christina Tremblay, Guillaume Coutu, François Desmeules, Simon Lafrance","doi":"10.1080/09593985.2025.2468908","DOIUrl":"https://doi.org/10.1080/09593985.2025.2468908","url":null,"abstract":"<p><strong>Introduction: </strong>A Physiotherapy-led Bike Fitting (PBF) intervention including a bike fit, education, and exercise prescription can be helpful among cyclists with knee pain.</p><p><strong>Objective: </strong>To describe the PBF intervention and to assess knee-related pain and disability change among recreational cyclists exposed to the PBF intervention.</p><p><strong>Methods: </strong>This is a single group prospective observational longitudinal study on a cohort of recreational road cyclists who consulted for cycling-related knee pain at a physiotherapy clinic specialized in cycling. The PBF included a comprehensive bike fit focusing on key measurements such as knee flexion and knee alignment relative to the pedal axis while cycling. Additionally, tailored education was provided on cycling cadence and training progression, along with exercise prescriptions. The primary outcome was the knee pain during cycling measured with the numerical pain rating scale (NPRS; 0-10). Linear models were used to assess within-group changes across time points at 4 and 12 weeks.</p><p><strong>Results: </strong>Seventy-six recreational road cyclists with knee pain while cycling were included and all received the PBF intervention. In terms of evolution over time following the intervention, there were significant improvements over time in worst, least, and average knee pain while cycling (<i>p</i> < .001) with respective improvements of -2.52 (95% CI: -3.04; -2), -0.7 (95% CI: -1.02; -0.38) and -1.81 (95% CI: -2.27; -1.36) at 12 weeks.</p><p><strong>Conclusions: </strong>Based on this single group observational study, recreational road cyclist exposed to a PBF intervention, including a bike fit, tailored education, and exercises prescriptions reported a reduction in cycling-related knee pain and disability.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469634","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":"Use of blood flow restriction and electrical stimulation in a patient with transverse myelitis: a case report.","authors":"Paul Mintken, Winter Ball, Mark M Mañago","doi":"10.1080/09593985.2025.2468909","DOIUrl":"https://doi.org/10.1080/09593985.2025.2468909","url":null,"abstract":"<p><strong>Background: </strong>Transverse myelitis (TM) is a rare inflammatory disorder of the spinal cord resulting in neurological impairments that impact motor function and mobility. Blood flow restriction (BFR) training has emerged as a feasible intervention in neurologic populations to improve strength and functional performance. Recent studies suggest that combining BFR with neuromuscular electrical stimulation (NMES) may further enhance outcomes.</p><p><strong>Objective: </strong>To evaluate the effects of an 8-week, low-intensity lower-extremity resistance training program incorporating BFR (2×/week for 4 weeks) followed by combined BFR+NMES (2×/week for 4 weeks) on functional performance in a patient with chronic TM. The patient was seen for a total of 17 visits.</p><p><strong>Case description: </strong>A 31-year-old male with a 17-year history of TM presented with significant left lower extremity weakness, functional mobility limitations, and challenges navigating stairs and walking long distances. His primary goal was to improve his functional mobility.</p><p><strong>Outcomes: </strong>Post-intervention assessments demonstrated improvement across multiple functional performance measures. The patient's gait speed with the 10-Meter Walk Test (10MWT) increased from 1.17 to 1.43 m/s (MDC 0.13 m/s), Timed Up and Go (TUG) time improved by 17.5% (MCID 10-15%), and his 30-Second Sit-to-Stand (30STS) performance increased by two repetitions (MDC 1.13). Improvements were also seen in the Patient-Specific Functional Scale (PSFS) and the SF-36.</p><p><strong>Discussion: </strong>The findings suggest that BFR, alone or in combination with NMES, may improve function in chronic TM patients with lower extremity weakness. BFR appears to offer a promising approach for individuals with neurological conditions where traditional high-intensity resistance training is limited.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460305","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}