Physiotherapy Theory and Practice最新文献

{"title":"Fast walking speed and self-efficacy are associated with physical activity in chronic stroke survivors: a smartphone-based study.","authors":"Marina Makhoul, Janaine Cunha Polese, Vitoria Leite Domingues, Elen Beatriz Pinto, Camila Torriani-Pasin","doi":"10.1080/09593985.2026.2647782","DOIUrl":"10.1080/09593985.2026.2647782","url":null,"abstract":"<p><strong>Introduction: </strong>Low levels of physical activity (PA) are commonly reported among stroke survivors; however, the physical and psychological factors associated with these low levels remain inconclusive, particularly in low- and middle-income countries.</p><p><strong>Purpose: </strong>To identify how modifiable physical and psychological factors are associated with both objectively measured and self-reported physical activity in individuals with chronic stroke living in community-dwelling in a middle-income country.</p><p><strong>Methods: </strong>This cross-sectional study included 60 individuals with chronic stroke living in a middle-income country. Physical activity was assessed using objective (low-cost smartphone app- step count) and self-reported measures (Adjusted Activity Score of the Human Activity Profile). Physical variables included functional mobility, aerobic capacity, and fast walking speed, while psychosocial variables included depression and self-efficacy. Pearson's correlation and stepwise multiple regression analyses were performed to examine associations with physical activity.</p><p><strong>Results: </strong>The sample had a mean age of 54.5 years (±13.8), and most participants had an ischemic stroke (75%). Participants accumulated a mean of 4048 (±2,982.9) steps/day, and the mean Human Activity Profile score was 57.5 (±15.1). Functional mobility, aerobic capacity, fast walking speed, and self-efficacy were associated with objectively measured physical activity. In regression analyses, fast walking speed explained 46% of the variance in objective physical activity. For self-reported physical activity, all physical and psychosocial factors were associated, with fast walking speed explaining 28% and the combination of fast walking speed and self-efficacy explaining 33% of the variance.</p><p><strong>Conclusion: </strong>In regression analyses, fast walking speed was the main factor associated with objectively measured physical activity, while fast walking speed and self-efficacy were associated with self-reported physical activity in individuals with chronic stroke living in a middle-income country.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1292-1303"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575810","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":"Prevalence and factors associated with difficult discharges in outpatient physical therapy: A cross-sectional survey.","authors":"Benton Lindaman, Michael Clarke, John Mischke, James Smoliga","doi":"10.1080/09593985.2026.2635038","DOIUrl":"10.1080/09593985.2026.2635038","url":null,"abstract":"<p><strong>Background: </strong>Outpatient physical therapy often marks the final stage of formal rehabilitation and is punctuated by discharge to community-based wellness or home exercise program. Despite its critical role in care continuity, the outpatient discharge process remains underexplored, specifically those discharges that are more difficult or challenging.</p><p><strong>Objective: </strong>This exploratory study examined the prevalence, contributing factors, and clinician-perceived impact of difficult discharges in outpatient physical therapy to inform early conceptual and operational definition development.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using an Qualtrics survey that incorporated both quantitative and qualitative components. Three hundred and twenty four licensed physical therapists (PTs) practicing in United States (US) outpatient settings who primarily treated adults completed the survey. Quantitative data were analyzed descriptively and with regression modeling to examine clinician and practice characteristics associated with self-reported discharge difficulty, while qualitative responses to four open-ended questions were analyzed thematically to identify recurrent concepts and contextual factors influencing difficult discharges.</p><p><strong>Results: </strong>The median self-reported prevalence of difficult discharges was 20% (interquartile range [IQR] 10-31%). Physical therapist age was inversely associated with reported discharge difficulty, with younger clinicians (<34-years-old) and those treating neurological populations reporting higher rates and emotional burden. Thematic analysis helped generate a preliminary working definition of the difficult discharge. Six qualitative themes were identified: early communication and education, knowledge gaps, chronic condition complexity, behavioral compliance, financial barriers, and interdisciplinary collaboration. These themes illustrated the multifactorial nature of difficult discharges and their impact on care transitions and clinician well-being.</p><p><strong>Conclusions: </strong>Difficult discharges are common in outpatient physical therapy and arise from interconnected patient, provider, and system factors. Younger clinicians and those working in neurological practice may experience greater emotional strain. Early, consistent discharge planning and improved support systems may be associated with smoother care transitions and help sustain clinician well-being.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1257-1272"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259667","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":"Neural and functional changes following vestibular rehabilitation in persistent postural-perceptual dizziness: A case report.","authors":"Sang Soo Lee, Sang Seok Yeo","doi":"10.1080/09593985.2026.2647784","DOIUrl":"10.1080/09593985.2026.2647784","url":null,"abstract":"<p><strong>Background: </strong>Persistent Postural Perceptual Dizziness (PPPD) is defined by chronic dizziness and impaired balance, often associated with disruptions in cortical activity and vestibular pathways.</p><p><strong>Purpose: </strong>The primary objective of this report is to assess the effects of a six-week home-based vestibular rehabilitation regimen on dizziness, postural stability, cortical activation, and white matter microstructural integrity in a woman diagnosed with PPPD.</p><p><strong>Case presentation: </strong>A 24-year-old female patient presenting with chronic dizziness, balance deficits, and frequent falls characteristic of PPPD participated in a six-week home-based vestibular rehabilitation intervention. Outcomes were measured using the Dizziness Handicap Inventory (DHI), Vertigo Symptom Scale (VSS), center of pressure (COP) analysis during static postural assessment, functional near infrared spectroscopy (fNIRS), and diffusion tensor imaging (DTI).</p><p><strong>Outcomes: </strong>Following the intervention, the DHI score decreased from 28 to 18, but it failed to meet the minimal clinically important difference of 18 points. Furthermore, the VSS score dropped from 46 to 39 but remained above the mean score of 20.8 for patients with chronic dizziness, indicating limited improvement in subjective symptoms. In contrast, objective measures demonstrated robust recovery; COP parameters decreased by 27-72%, notably exceeding standard improvement thresholds of 15-25%. Furthermore, fNIRS revealed reduced cortical activation suggesting enhanced neural efficiency, and DTI showed a two- to four-fold volume increase in the lateral vestibulospinal tracts (VST), confirming structural plasticity.</p><p><strong>Conclusion: </strong>In this case, while subjective symptom improvements were limited, home-based vestibular rehabilitation was associated with substantial objective postural recovery. These functional gains coincided with structural adaptations in the VST and enhanced cortical efficiency, highlighting the potential value of objective biomechanical and neuroimaging assessments in monitoring therapeutic responses in PPPD.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1357-1366"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500160","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 a pulmonary rehabilitation program on exercise capacity, muscle oxygenation, and respiratory and peripheral muscle strength, in a patient with subphrenic abscesses: A case report.","authors":"Başak Kavalcı Kol, Başak Çiğdem Karaçay","doi":"10.1080/09593985.2026.2647783","DOIUrl":"10.1080/09593985.2026.2647783","url":null,"abstract":"<p><strong>Background: </strong>Subphrenic abscesses are infected structures that arise above or below the diaphragm and cause pulmonary problems such as dyspnea, pneumonia, and basal atelectasis. After medical treatment, persistent respiratory and functional impairments may remain, requiring additional interventions such as pulmonary rehabilitation.</p><p><strong>Case description: </strong>A 16-year-old previously healthy male adolescent was diagnosed with a subphrenic abscess accompanied by pneumonia and pleural effusion after radiological and laboratory evaluation. Although appropriate medical treatment was completed and the patient was discharged, dyspnea and fatigue persisted during rest and physical activity. Therefore, pulmonary rehabilitation was initiated to improve persistent respiratory symptoms and functional limitations.</p><p><strong>Outcomes: </strong>The patient's functional exercise capacity (69 meters), upper extremity exercise capacity, quadriceps femoris muscle oxygenation (muscle oxygen saturation increased from 16% to 20%), respiratory muscle strength (MIP: 31 cmH₂O, MEP: 28 cmH₂O), and upper and lower extremity peripheral muscle strength improved, and dyspnea and fatigue perception decreased.</p><p><strong>Conclusion: </strong>This case report demonstrates the value of a timely and comprehensive pulmonary rehabilitation program in improving pulmonary and extrapulmonary symptoms for a patient with subphrenic abscess accompanied by pleural effusion and pneumonia.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1348-1356"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487967","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":"Rehabilitation challenges and progress in a patient with sensory ataxic Guillain-Barré syndrome: a case report.","authors":"Tokio Kinoshita, Shinji Kawasaki, Yohei Furotani, Shuhei Ogami, Yoshiaki Nakayama, Katsuichi Miyamoto, Ken Kouda","doi":"10.1080/09593985.2026.2635043","DOIUrl":"10.1080/09593985.2026.2635043","url":null,"abstract":"<p><strong>Background: </strong>The sensory ataxia variant of Guillain - Barré syndrome (GBS) is a rare form with an unconfirmed prognosis and clinical course and no documented rehabilitation outcomes.</p><p><strong>Objective: </strong>This report describes the clinical course - from onset to discharge - and the rehabilitation details of a patient with sensory ataxic GBS who struggled to regain independent ambulation 6 months after intravenous immunoglobulin (IVIg) therapy.</p><p><strong>Case description: </strong>A 75-year-old male was admitted with abnormal sensations and severe limb and trunk ataxia. Owing to the severity of ataxia, the patient was fully dependent on assistance with activities of daily living (ADLs). Muscle strength was mildly weakened in the right hand but was otherwise normal. Cerebrospinal fluid analysis revealed albuminocytologic dissociation, and nerve conduction studies showed poor sensory response conduction.</p><p><strong>Intervention: </strong>Physical therapy focused on standing and gait training, whereas occupational therapy targeted balance and ADL training. Because sensory recovery was slow, the intervention aimed to maintain muscle strength and joint range of motion, providing maximal assistance during standing and gait activities; the level of assistance was modified according to the patient's response.</p><p><strong>Outcomes: </strong>The patient was transferred to a rehabilitation hospital 33 days after IVIg administration and was discharged 21 weeks later. At that time, the patient could transfer to a wheelchair and move around independently using the wheelchair; additionally, walking was possible with a walker under supervision but independent walking was not possible. The Scale for the Assessment and Rating of Ataxia score improved from 31 to 20.</p><p><strong>Conclusions: </strong>In cases of sensory ataxic GBS with severe ataxia, prevention of functional decline during the acute phase until the observation of reduced ataxia symptoms is critical. The rehabilitation and treatment course described in this case may provide valuable insights for managing patients with sensory ataxic GBS who experience difficulty with recovery.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1340-1347"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229592","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":"Immediate effects of a single session of stimulated occlusal imbalance and jaw clenching on balance and fall risk in patients with chronic stroke: a randomized controlled trial.","authors":"Ömer Dursun, Ahmet Burak Mavuş","doi":"10.1080/09593985.2026.2635041","DOIUrl":"10.1080/09593985.2026.2635041","url":null,"abstract":"<p><strong>Background: </strong>Stimulated occlusal imbalance and jaw clenching may improve balance; however, their immediate effects in patients with chronic stroke patients remain unclear.</p><p><strong>Objectives: </strong>This study aimed to evaluate the immediate effects of a single session of stimulated occlusal imbalance and jaw clenching on postural stability, fall risk, and weight-bearing distribution in patients with chronic stroke.</p><p><strong>Methods: </strong>In this single-blind, three-arm randomized controlled trial, 60 patients with chronic stroke were randomly and equally assigned to a single session of ipsilesional or contralesional stimulated occlusal imbalance (Groups I and II) or jaw clenching (Group III). Postural stability, fall risk, and weight-bearing distribution were assessed before and during the intervention using the ProKin 252 system.</p><p><strong>Results: </strong>The groups had similar stroke characteristics (H = 3.787, <i>p</i> = .151; χ² = 0.291-3.137, <i>p</i> = .268-1.000), except for time since stroke onset (Group I vs II, <i>p</i> = .002; Group I vs III, <i>p</i> = .006). Within-group analyses revealed significant improvements in the jaw clenching group for overall stability index (<i>p</i> < .001, d = 2.32), whereas no significant changes were observed in the stimulated occlusal imbalance groups (<i>p</i> > .05, <i>r</i> = 0.00-0.38). Between-group comparisons showed the jaw clenching group improved significantly compared with Group I and II for overall stability index (Group I: <i>p</i> < .001, <i>r</i> = 0.85; Group II: <i>p</i> < .001, <i>r</i> = 0.89). Stimulated occlusal imbalance groups differed only in weight-bearing distribution (<i>p</i> = .016, <i>r</i> = 0.38).</p><p><strong>Conclusions: </strong>Jaw clenching, rather than stimulated occlusal imbalance, was associated with greater immediate improvements in postural stability, fall risk scores, and weight-bearing distribution in patients with chronic stroke.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1273-1281"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259619","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":"Social needs and social vulnerability are associated with outpatient orthopedic physical therapy outcomes: A prospective cohort study.","authors":"Allison Butcher, Wayne Brewer, Rupal Patel, Kelli Brizzolara, Gregory Marchetti","doi":"10.1080/09593985.2026.2740638","DOIUrl":"https://doi.org/10.1080/09593985.2026.2740638","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health may contribute substantially to health outcomes, yet their relationship to outpatient orthopedic physical therapy outcomes remains incompletely understood.</p><p><strong>Objective: </strong>To examine whether individual social needs, community-level social vulnerability, and self-rated health were independently associated with discharge functional status among adults receiving outpatient orthopedic physical therapy after adjustment for baseline function. Secondary exploratory analyses examined associations with baseline function and functional change.</p><p><strong>Methods: </strong>A prospective cohort study was conducted among 164 adults receiving in-person, outpatient orthopedic physical therapy within a large urban public hospital system in Houston, Texas between September 2021 and May 2022. Participants completed the Health Leads Screening Tool (HLST), Self-Rated Health Question (SRHQ), and Focus on Therapeutic Outcomes (FOTO) assessment at their initial evaluation. Social Vulnerability Index (SVI) values were assigned using population-weighted census tract estimates aggregated within ZIP codes. Of 164 participants, 112 completed treatment and discharge assessment and were included in outcome analyses. Multiple linear regression examined associations between baseline FOTO, HLST, SRHQ, SVI, and discharge FOTO. Attrition analyses compared completers and non-completers and evaluated predictors of treatment completion.</p><p><strong>Results: </strong>The primary model explained 61.7% of the variance in discharge functional status. After adjustment for baseline FOTO, greater social need burden was independently associated with lower discharge functional status (B = -2.35, β = -0.329, <i>p</i> < .001). Better self-rated health was associated with higher discharge function (B = 3.13, β = 0.187, <i>p</i> = .006), while greater social vulnerability was associated with lower discharge function (B = -10.88, β = -0.144, <i>p</i> = .018). No baseline variables significantly predicted treatment completion.</p><p><strong>Conclusion: </strong>Greater social need burden, poorer self-rated health, and higher community social vulnerability were independently associated with lower functional status at discharge. Further research is needed to determine the prognostic utility of social needs screening across rehabilitation settings.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116740","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":"Immediate effects of myofascial release and Kinesio taping on muscle viscoelasticity and functional performance in low back pain: a three-arm controlled study.","authors":"Kübra Kardeş, Yunus Emre Tütüneken, Ayşe Zengin Alpözgen","doi":"10.1080/09593985.2026.2731246","DOIUrl":"https://doi.org/10.1080/09593985.2026.2731246","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain (LBP) represents a major cause of functional limitations and disability worldwide.</p><p><strong>Objective: </strong>To compare the immediate effects of myofascial release technique (MRT), kinesio taping (KT), and no intervention on muscle viscoelastic properties, pain, lumbar mobility, and functional performance.</p><p><strong>Methods: </strong>Sixty-six participants with chronic nonspecific LBP were randomly assigned to MRT, KT, or control groups. Both interventions were delivered in a single session, while the control group rested for an equivalent period. Primary outcomes were paraspinal muscle tone, stiffness, elasticity (MyotonPRO). Secondary outcomes included pain (The Visual Analog Scale-VAS), lumbar mobility (Modified Schober Test), lifting capacity (Progressive Isoinertial Lifting Evaluation-PILE), functional performance (The 1-Minute Stair Climb Test-1-min SCT). All outcomes were assessed immediately before and after the intervention session. Potential clinical relevance was examined using the smallest worthwhile change (SWC).</p><p><strong>Results: </strong>MRT produced a greater reduction in overall bilateral muscle tone than KT and control (group×time interaction: <i>p</i> = .004, ηp² = 0.161), with the MRT change exceeding the SWC. Overall bilateral muscle stiffness decreased significantly within the MRT group (<i>p</i> = .011, Kendall's W = 0.298), exceeded the SWC, and was greater than that in the control group (<i>p</i> = .021). Pain reduction was greater in both the MRT and KT groups than in the control group (group×time interaction:<i>p</i> < .001, ηp² = 0.260), with both interventions exceeding their SWC thresholds. Within-group PILE performance improved in MRT (<i>p</i> = .021, Kendall's W = 0.242) and KT (<i>p</i> = .033, Kendall's W = 0.208), with both exceeding their SWC thresholds. 1-min SCT improved over time (<i>p</i> < .001, ηp² = 0.189), although no significant group×time interaction was observed (<i>p</i> = .854); only the MRT change exceeded the SWC.</p><p><strong>Conclusion: </strong>A single MRT session was associated with immediate improvements in muscle tone, stiffness, pain, lumbar mobility, and lifting performance, whereas KT was associated with immediate reductions in pain and improvements in lifting performance. These findings are limited to the immediate post-treatment period and should not be interpreted as evidence of sustained clinical effectiveness.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082619","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":"Doctor of physical therapy students' perceptions of artificial intelligence chatbots versus peer role play for therapeutic interviewing practice.","authors":"Kelby B Kaplan, Alisa M Pravdo, Rachel Reoli","doi":"10.1080/09593985.2026.2741350","DOIUrl":"https://doi.org/10.1080/09593985.2026.2741350","url":null,"abstract":"<p><strong>Introduction: </strong>Therapeutic interviewing supports rapport building, diagnostic accuracy, and person-centered care. Peer role play (PRP) is used in Doctor of Physical Therapy (DPT) education for rehearsing patient-provider interactions; however, there are limitations regarding patient portrayal. Artificial intelligence chatbots (AI) may offer an alternative. This study examined DPT students' perceptions and quality of information using AI for therapeutic interviewing compared with PRP.</p><p><strong>Methods: </strong>This retrospective mixed methods cohort study analyzed data from two simulated interviewing activities involving AI and PRP cases. Quantitative data were analyzed descriptively and with Mann-Whitney U tests; qualitative responses underwent thematic analysis.</p><p><strong>Results: </strong>68 DPT students participated in Activity 1, and 58 students (85.3%) completed an anonymous survey. Seventy students completed Activity 2 and documentation checklist. Four themes highlighted AI advantages: realistic rapport and conversation, active listening and reflective responses, reduced performance anxiety, unlimited independent practice. Six themes identified AI disadvantages: robotic/disingenuous interactions, technological glitches, lack of non-verbal communication, impediments to conversational flow, environmental/social ethical concerns, lack of real-world pressure. PRP consistently demonstrated higher accuracy and fewer omissions compared to AI. AI led to higher rates of incorrect data regarding prior level of function (65.7% vs. 9.7% PRP), medical/surgical history (54.3% vs. 0% PRP), and current level of function (80% vs. 57.2% PRP). Medication was more accurate in PRP (87.5% correct) than AI (67.1% correct). Mann-Whitney U tests showed a significant difference for demographics (U = 1424, <i>p </i>= <0.001, alpha = 0.05), prior level of function (U = 672, <i>p</i>=<0.001, alpha = 0.05), patient goals (U = 2048, <i>p</i> = .044, alpha = 0.05), social history (U = 1756, <i>p</i>=<0.001, alpha = 0.05) general health, medical/surgical history (U = 1486, <i>p</i>=<0.001, alpha = 0.05), and medications (U = 1980, <i>p</i> = .002, alpha = 0.05).</p><p><strong>Conclusions: </strong>While AI mitigates student performance anxiety via a safe space to practice interviews, it also reduces documentation accuracy. DPT programs may benefit from utilizing AI as a supplemental tool; however, technological limitations and formatting inconsistencies prevent it from replacing PRP.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-15"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116968","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 pain characteristics, associated symptoms, and physical impairments according to resting scapular position in people with chronic non-specific neck pain: a cross-sectional study.","authors":"Nipaporn Wannaprom, Nitchanan Buthkub, Ratchaneekorn Jaikam, Supawit Prasanphan","doi":"10.1080/09593985.2026.2741357","DOIUrl":"https://doi.org/10.1080/09593985.2026.2741357","url":null,"abstract":"<p><strong>Background: </strong>Altered resting scapular position is commonly observed in people with chronic non-specific neck pain. However, clinical characteristics associated with different patterns of resting scapular dysfunction remain unclear.</p><p><strong>Objective: </strong>To compare neck pain characteristics, associated symptoms, and physical impairments among people with chronic non-specific neck pain with resting scapular downward rotation (SDR), those with resting scapular protraction, those without resting scapular dysfunction, and asymptomatic controls without resting scapular dysfunction.</p><p><strong>Methods: </strong>A total of 144 participants were recruited (36 in each group). Outcome measures included neck pain characteristics (intensity, disability, duration, and area), associated symptoms (headache and dizziness), and physical impairments (cervical range of motion (ROM), flexion rotation test(FRT), cervical and shoulder joint position errors (JPEs), and pressure pain thresholds (PPTs) at C5-C6 zygapophyseal joints, upper trapezius, levator scapulae, and tibialis anterior).</p><p><strong>Results: </strong>All neck pain groups showed greater pain, symptoms, and physical impairments than controls (all <i>p</i> < .01, η_P² = 0.28-0.74). The neck pain group with resting SDR demonstrated the greatest impairments, including higher pain intensity, upper and whole neck pain, headache and dizziness, reduced cervical ROM and FRT range, increased cervical and shoulder JPEs, and lower PPTs at local and remote sites (all <i>p</i> < .01, η_p² = 0.23-0.72). Conversely, the neck pain group with resting scapular protraction exhibited clinical features similar to those without resting scapular dysfunction, including lower neck and upper trapezius pain, decreased cervical ROM, increased cervical and shoulder JPEs, and reduced PPTs at local sites (all <i>p</i> < .01, η_P² = 0.28-0.74).</p><p><strong>Conclusion: </strong>Patterns of resting scapular dysfunction may represent distinct clinical phenotypes in people with chronic non-specific neck pain. Resting SDR was associated with more severe and widespread clinical deficits, highlighting the importance of considering both biomechanical and pain mechanisms in clinical evaluation and management of this population.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116942","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}