Physiotherapy Theory and Practice最新文献

{"title":"Efficacy of complex decongestive therapy in a patient with deep venous insufficiency: A case report.","authors":"Ana Martín Jiménez, Héctor Menéndez Alegre, Elena Sánchez Jiménez, M Del Rosario Ferreira Sánchez, Celia García Macías, Beatriz María Bermejo Gil","doi":"10.1080/09593985.2025.2487188","DOIUrl":"10.1080/09593985.2025.2487188","url":null,"abstract":"<p><strong>Background: </strong>Deep venous insufficiency (DVI) affects 30% of individuals with superficial venous insufficiency (SVI). It is caused by valvular incompetence or obstruction, leading to venous hypertension. While conservative treatment is compression therapy, there is evidence supporting the efficacy of complex decongestive therapy (CDT), although it has not been studied in patients with DVI without ulcerations.</p><p><strong>Objective: </strong>We present a program for the evaluation and treatment of CDT in patients with DVI.</p><p><strong>Case description: </strong>The patient was a 49-year-old woman with bilateral DVI classified as C3 according to the Clinical-Etiological-Anatomical-Pathophysiological (CEAP) classification. She experienced pain, heaviness, mild edema, decreased quality of life (QoL), and retrograde reflux > 0.5 seconds in the deep venous system of both extremities (femoral, common femoral, and popliteal veins). The patient was evaluated using ultrasound, impedance measurement, circumferential measurements, and the Venous Clinical Severity Score (VCSS) and Chronic Venous InsufficiencyQualityofLifeQuestionnaire (CIVIQ-20). She underwent CDT (manual lymphatic drainage, pressotherapy, and bandaging) twice a week for 4 weeks, with follow-up assessments conducted after treatment and at 6 weeks.</p><p><strong>Outcomes: </strong>The patient reported a decrease in pain and heaviness (VCSS), along with an increase in QoL (CIVIQ-20) (60.8% T1, 67.1% T2), flow velocity in the deep veins, and decreased reflux. While there was no improvement in edema, the fat mass in the extremities was reduced.</p><p><strong>Conclusion: </strong>CDT was effective in improving severity and symptoms in this patient with DVI. Randomized controlled studies are necessary to further demonstrate the efficacy of this treatment in patients with DVI.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2211-2219"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774631","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 gender, body mass index, grade level, and physical activity level on the attitudes and behaviors of physiotherapy students toward physical activity.","authors":"Nisa Nur Tokmak, Burcin Aktar, Birgul Balci","doi":"10.1080/09593985.2025.2507208","DOIUrl":"10.1080/09593985.2025.2507208","url":null,"abstract":"<p><strong>Background: </strong>Understanding physiotherapy students' attitudes and behaviors toward physical activity (PA) is essential for promoting a healthy lifestyle.</p><p><strong>Objective: </strong>This study aimed to examine the relationships between attitudes and behaviors toward PA and factors such as gender, body mass index (BMI), grade, and PA level. Additionally, it explored the associations between PA attitudes and behaviors, actual PA levels, sedentary behavior, and overall well-being in physiotherapy students.</p><p><strong>Methods: </strong>Students' physical activity, sedentary behavior, attitudes and behaviors toward PA, and well-being were assessed online using the International Physical Activity Questionnaire-Short Form (IPAQ-SF), Sedentary Behavior Questionnaire (SBQ), Cognitive Behavioral Physical Activity Questionnaire (CBPAQ), and Well-Star Scale (WSS).</p><p><strong>Results: </strong>A total of 254 students participated in the study. Male students reported higher self-regulation (<i>p</i> = .025), whereas females reported higher scores on the personal barriers (<i>p</i> = .028). Overweight students had better self-regulation than those with underweight students (<i>p</i> = .010). Outcome expectation was higher in the fourth-year students than in first-year students (<i>p</i> = .001). Students who reported a high level of PA had higher CBPAQ scores than those with low or moderate levels of PA (<i>p</i> ≤ .004). Outcome expectation, self-regulation, and personal barriers were respectively correlated with IPAQ-SF (rho = 0.339, <i>p</i> < .001; rho = 0.451, <i>p</i> < .001; rho = -0.378, <i>p</i> < .001) and WSS (rho = 0.441, <i>p</i> < .001; rho = 0.424, <i>p</i> < .001; rho = -0.253, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>Gender, BMI, grade, and PA level can all be more or less effective in influencing attitudes toward PA of physiotherapy students. Promoting positive attitudes toward PA is essential so physiotherapy students, as future professionals, can be role models for developing a healthier future generation.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2182-2190"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144172","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":"Three-dimensional foot-ankle exercise versus clam exercise in addition to short-foot exercise in individuals with flexible flatfoot: a randomized controlled trial.","authors":"Dilek Hande Esen, Tolga Duman, Serkan Taş, Nihan Karataş","doi":"10.1080/09593985.2025.2492166","DOIUrl":"10.1080/09593985.2025.2492166","url":null,"abstract":"<p><strong>Background: </strong>Three-Dimensional (3D) foot-ankle exercise and clam exercise have been used to improve foot posture in flatfoot. However, studies on this topic are limited, and more supporting evidence is needed to investigate the benefits of these exercises on flatfoot.</p><p><strong>Purpose: </strong>To compare the effects of 3D foot-ankle and clam exercise in addition to Short-Foot exercise on navicular drop, foot posture and structure in individuals with flexible flatfoot.</p><p><strong>Methods: </strong>Single-blind, randomized controlled trial. Fifty-six participants were divided into Foot Exercise Group (FEG), Hip Exercise Group (HEG), and a Control Group (CG). FEG performed 3D foot-ankle+Short-Foot exercise. HEG performed clam+Short-Foot exercise. CG performed only Short-Foot exercise. The Navicular Drop Test (NDT), Foot Posture Index-6 (FPI-6), Clarke's Angle (CA), Staheli Index (SI), Wejsflog Index, hallux valgus angle, and varus deformity angle of the fifth toe were assessed pre-and post-intervention (six week later).</p><p><strong>Results: </strong>Post-intervention, NDT, CA, and SI scores improved significantly more in FEG compared to other groups (<i>p</i>  =  <0.001, η² = 0.425-0.802). FPI-6 score decreased similarly in FEG and HEG (<i>p</i> = .477), significantly more than in CG (<i>p</i>  =  <0.001, <i>r</i> = -0.692; <i>p</i>  =  <0.001, <i>r</i>= -0.560, respectively). CA and SI scores improved more in HEG than in CG (<i>p</i> =  <0.001, <i>r</i> = -0.851; <i>p</i> =  <0.001, <i>r</i>= -0.536, respectively).</p><p><strong>Conclusion: </strong>The 3D foot-ankle and clam exercise may be an effective intervention that provides satisfactory functional results for navicular drop, foot pronation, and anthropometric properties of the foot in flexible flatfoot.</p><p><strong>Clinical trial registration number: </strong>NCT06313125.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2043-2054"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021591","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 inspiratory muscle training on dyspnea and lung capacity in patients with chronic kidney disease on hemodialysis: a systematic review and meta-analysis.","authors":"Juliana Rodrigues da Silva, Júlio Henrique Policarpo, Diego Dantas, Patrícia Érika de Melo Marinho","doi":"10.1080/09593985.2025.2495129","DOIUrl":"10.1080/09593985.2025.2495129","url":null,"abstract":"<p><strong>Introduction: </strong>Inspiratory muscle training (IMT) is an alternative to improve the respiratory condition of hemodialysis (HD) patients with respiratory muscle weakness.</p><p><strong>Objective: </strong>To evaluate the effect of IMT on dyspnea and lung capacity in dialysis patients.</p><p><strong>Method: </strong>A systematic review of randomized controlled trials (RCTs) which evaluated the effects of IMT in dialysis patients on the outcomes of dyspnea, lung capacity, respiratory muscle strength and dialysis effectiveness index (Kt/V) was conducted. The searches were conducted in February 2025 and were performed in the Medline/PubMed, Cochrane Library, LILACS, CINAHL, PEDro, Web of Science, Embase and Google Scholar databases. Study quality was assessed using the Cochrane RoB2 tool.</p><p><strong>Results: </strong>Six studies were analyzed (<i>n</i> = 210). One study showed an improvement in dyspnea [4.17   ±   0.58; 95%CI (0.0073-0.884); <i>p</i> = .022], and the meta-analyses found a mean difference of 0.34 L/min [95%CI (0.08-0.61); <i>p</i> = .010] in forced vital capacity (FVC) and 25.15 cmH₂O [95%CI (17.05-33.24); <i>p</i> < .001] in maximum inspiratory pressure (MIP) in the IMT groups. There was no difference in Kt/V. Only one study showed a low risk of bias.</p><p><strong>Conclusion: </strong>IMT in patients with CKD on HD improved dyspnea, FVC and MIP. Considering the low quality of the studies, new RCTs with greater methodological rigor are needed.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2202-2210"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023094","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":"Has anyone ever been rude to you at work? A mixed-methods exploration of incivility in the physiotherapy profession.","authors":"Michelle Naylor, Daniel J M Fleming, Clare Killingback","doi":"10.1080/09593985.2025.2502506","DOIUrl":"10.1080/09593985.2025.2502506","url":null,"abstract":"<p><strong>Introduction: </strong>Incivility has negative consequences for healthcare professionals, healthcare organizations and patient care. There is limited understanding about the effect of incivility within physiotherapy.</p><p><strong>Purpose: </strong>The purpose of this study was to explore the views and experiences of physiotherapists regarding incivility.</p><p><strong>Methods: </strong>A convergent mixed-methods approach was utilized via a cross-sectional survey. 339 participants completed the survey which included the Workplace Incivility Scale. A moderated regression model was fit to understand if, and how, band and gender interact as it pertains to incivility. Open-ended responses were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Workplace incivility scale responses revealed that Band 5 males experience higher levels of incivility than select other groups. Specifically, band 5 males perceived higher levels of incivility than band 6 females <i>t</i>(326) = -3.39, <i>p</i> = .018, band 7 females <i>t</i>(326) = -3.42, <i>p</i> = .016, band 6 males <i>t</i>(326) = -3.52, <i>p</i> = .011, and band 8 males <i>t</i>(326) = -3.11, <i>p</i> = .043. Thematic analysis of 179 open question responses led to four themes:1) the complexity of healthcare work at the root of incivility in physiotherapy practice;2) manifestations of incivility in the workplace; 3)the negative impact of incivility on individuals and organizations; and 4) addressing and mitigating incivility.</p><p><strong>Conclusion: </strong>The novel findings of this study have revealed that incivility affects physiotherapists across the spectrum of their career and has a negative impact on them professionally and personally.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2141-2152"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053519","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":"Student perceptions of artificial intelligence in Doctor of Physical Therapy Education.","authors":"Rachel Reoli, Victoria Marchese, Aryaan Duggal, Kelby Kaplan","doi":"10.1080/09593985.2025.2496978","DOIUrl":"10.1080/09593985.2025.2496978","url":null,"abstract":"<p><strong>Purpose: </strong>Health profession education is impacted by developments in artificial intelligence (AI). While AI provides useful supplemental material, it is unknown how it will affect learning complex clinical topics. Artificial intelligence has the potential to be a powerful tool when used in tandem with traditional human studying methods. This study aims to understand Doctor of Physical Therapy students' perceptions of AI as a study tool.</p><p><strong>Methods: </strong>Students participated in an online pre/post survey evaluating their perceptions of AI's ability to diagnose and treat clinical cases, and two corresponding research activities where students were asked to complete a neurologic case study using classroom notes and a separate case using AI. Descriptive statistics, Wilcoxon signed-rank tests, and effect sizes were calculated.</p><p><strong>Results: </strong>Twenty-three first year Doctor of Physical Therapy students volunteered to participate. In the post-survey, students' perceptions of AI included increased trust to provide a clinical diagnosis (<i>p</i> = .001; <i>r</i> = 0.66) and a treatment plan (<i>p</i> = .005; <i>r</i> = 0.58), and to consider patient-centered plans of care (<i>p</i> = .036; <i>r</i> = 0.44). There was no significant difference following the research activities about concern handling sensitive information (<i>p</i> = .499), replacing a human clinician (<i>p</i> = .255), or the need for human oversight (<i>p</i> = .833).</p><p><strong>Conclusion: </strong>The use of AI as a study tool is rapidly developing. This study showed that students' perceptions of AI were significantly more positive after an exposure of clinical course application. These results are beneficial to educators to ensure that students are shown the practical applications of AI throughout learning strategies.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2112-2117"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053531","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":"Entrustable professional activities for physiotherapists to demonstrate digital health competency: an international delphi study.","authors":"M Merolli, P Vallance, K McCreesh, C O'Sullivan, O Ahmed, R Kerry, K Butler-Henderson, K Gray","doi":"10.1080/09593985.2025.2495130","DOIUrl":"10.1080/09593985.2025.2495130","url":null,"abstract":"<p><strong>Background: </strong>The physiotherapy workforce is going through a staggering period of change, amidst an evolving technological landscape. Whilst the profession has cautiously begun to embrace digital physiotherapy practice, there remains a lack of clear, evidence-based standardized guidance regarding tangible activities that demonstrate relevant clinical competence with digital health technologies in practice.</p><p><strong>Objective: </strong>Establish the world's first international consensus on entrustable professional activities (EPAs) for digital physiotherapy practice.</p><p><strong>Methods: </strong>International Delphi study of experts over three rounds, to establish consensus on digital physiotherapy practice EPAs and associated specifications.</p><p><strong>Results: </strong>Fifty-five participants completed the study (which was an 83.3% retention rate from round 1). Participants represented 16 countries. Over 50% were academics, and over 30% were clinicians. The final framework consisted of nine EPAs and 56 specifications for digital physiotherapy practice. The highest percentage rated specification was for \"obtaining informed consent\" for using digital health.</p><p><strong>Conclusions: </strong>This Delphi study is a seminal international consensus on the core EPAs for digital physiotherapy practice. These EPAs materialize competency. As global attention to digital health continues to increase, our workforce will need to continue to mature in this space. This international consensus will support employers, universities, peak bodies, and individual physiotherapists alike to develop alongside technology. With greater evidence and the establishment of international standards, confidence in the outcomes of digital physiotherapy practice will increase.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2075-2088"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055159","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 association between digital device usage behaviors and the incidence of de Quervain's tenosynovitis among university students.","authors":"Yusuf Jamil, Hale Öktem, Sinem Nur Sever","doi":"10.1080/09593985.2025.2496348","DOIUrl":"10.1080/09593985.2025.2496348","url":null,"abstract":"<p><strong>Background: </strong>The extensive use of mobile and digital devices has been implicated in various musculoskeletal disorders, including de Quervain's tenosynovitis (dQD), a condition affecting the thumb.</p><p><strong>Purpose: </strong>The present study investigates the relationship between digital device usage patterns and the prevalence of dQD among university students.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 508 participants (255 females and 253 males), collecting data on daily device use time, wrist positions, hand dominance, and stretching practices via a questionnaire. Data collection was carried out through a supervised, face-to-face survey. Diagnosis of dQD was determined using Finkelstein's test, all data were analyzed using SPSS software.</p><p><strong>Results: </strong>Out of 508 participants, 187 (36.8%) tested positive for dQD, with 152 (95.6)% occurring in the dominant hand (<i>p</i> = .006, Cramér's <math><mi>υ</mi></math> = 0.121). 250 participants used their devices with wrists in ulnar deviation (49.2%), which was strongly linked to a positive Finkelstein test result (<i>p</i> = .004, Cramér's <math><mi>υ</mi></math> = 0.175). Finkelstein's test showed increasing positivity with device use, ranging from 12.5% for < 2 hours to 46.2% for ≥ 8 hours, with a statistically significant association (<i>p</i> < .001, Cramér's <math><mi>υ</mi></math> = 0.234). Device usage varied, with the highest test positivity rates among those using devices 6-8 hours per day suggesting a significant association with dQD (<i>p</i> = .001). No significant relationship was found between dQD and the practice of stretching or relieving movements (<i>p</i> = .146).</p><p><strong>Conclusion: </strong>The findings indicate that prolonged digital device usage, specific wrist positions such as ulnar deviation, and dominant-hand use are significantly associated with an increased risk of de Quervain's tenosynovitis among college students.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2089-2099"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020363","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":"Which self-reported bio-psychosocial variables predict recovery in rotator cuff tendinopathy? An international prospective cohort study.","authors":"Mehmet Delen, Abdulhamit Tayfur, Halime Gulle, Aleksandra Birn-Jeffery, Dylan Morrissey","doi":"10.1080/09593985.2025.2502509","DOIUrl":"10.1080/09593985.2025.2502509","url":null,"abstract":"<p><strong>Introduction: </strong>It is unclear what baseline factors predict recovery from rotator cuff (RC) tendinopathy, making evidence-based prognostic estimates difficult. The study aimed to identify predictors of RC tendinopathy recovery to guide clinical decision-making.</p><p><strong>Methods: </strong>People with RC tendinopathy were recruited to an international prospective cohort study. Participants completed a detailed baseline survey in which 41 plausible bio-psychosocial and demographic factors were measured. Recovery was established via the Global Rating of Change scale at monthly follow-ups for a year. Univariate and multivariate Cox proportional-hazards regression analyses were conducted to identify predictors and to build models. Model performance (internal validity) was evaluated using bootstrapping.</p><p><strong>Results: </strong>Seventy-three people with RC tendinopathy (43.9 ± 14.0 years; Shoulder Pain and Disability Index = 37.7 ± 24.4; 45 females) were recruited, providing 15,284 days at risk (208 ± 129 days). The recovery rate was 47%. Participants typically recovered around month seven. Being moderately active (hazard ratio (HR) = 2.23) and having higher health status (HR = 1.03) were associated with recovery. Demographic and shoulder severity variables did not improve the model performance nor individually predict recovery. The final model partially predicted recovery with near acceptable performance (optimism-corrected Harrell's C discrimination = 0.66 and Calibration Slope = 0.99).</p><p><strong>Conclusion: </strong>The inadequate recovery rate in RC tendinopathy (under 50%) indicates a necessity for enhancements in treatment strategies for this condition. Demographic variables and shoulder pain severity are not useful factors to predict RC tendinopathy recovery. However, clinicians may consider assessing baseline health status and activity level to guide decision-making as these variables partially predict recovery. Strategies to include these factors in intervention development should be considered.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2153-2166"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081447","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":"Exercise based multisite pain management in temporomandibular dysfunction and chronic low back pain: a randomized controlled trial.","authors":"İkra Cakıcı, Gizem Ergezen Sahin","doi":"10.1080/09593985.2025.2507848","DOIUrl":"10.1080/09593985.2025.2507848","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMDs) and chronic low back pain (CLBP) frequently coexist, with CLBP reported in 29% of TMDs cases. This co-occurrence emphasizes the importance of multisite pain management approaches.</p><p><strong>Objective: </strong>To compare the effects of Rocabado's exercises alone or combined with structured back exercises on TMD-related pain, mandibular range of motion (ROM), and CLBP severity.</p><p><strong>Methods: </strong>Forty participants with myogenic TMD and nonspecific CLBP were randomly assigned to a control group (CG, Rocabado only) or complex exercise group (CEG, Rocabado + back exercises). Both underwent 24 supervised sessions over six weeks. Pain was assessed via the Graded Chronic Pain Scale (GCPS-2.0), Short Form-McGill Pain Questionnaire (SF-MPQ), and Numeric Pain Rating Scale (NPRS). Jaw function and ROM were evaluated using the Jaw Functional Limitation Scale (JFLS-20) and objective mandibular movement measures. Oral health-related quality of life was assessed via the Oral Health Impact Profile-14 (OHIP-14).</p><p><strong>Results: </strong>Both groups showed significant improvements in pain, jaw function, ROM, and OHIP scores (<i>p</i> < .001). A large effect size was observed for pain reduction as measured by the GCPS-2.0 (d = 0.876) in both groups and by the NPRS in the complex exercise group (d = 3.756). Sensory pain on SF-MPQ improved more in CEG (<i>p</i> = .045). JFLS-20 and ROM showed significant within-group improvements with large effect sizes (<i>p</i> < .001, d > 0.8).</p><p><strong>Conclusion: </strong>Rocabado's exercises reduced TMDs pain and improved jaw function, while structured back exercises provided additional benefits for the pain severity of CLBP and sensory pain of TMDs.</p><p><strong>Trial registration: </strong>Clinical trial approval was obtained at https://www.clinicaltrials.gov/, and the registration status was made publicly available with the number NCT06343155 on April 1, 2024. (https://clinicaltrials.gov/study/NCT06343155).</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2191-2201"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144173","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}