Physiotherapy Theory and Practice最新文献

{"title":"\"Definitely a Dark Time:\" professional and ethical issues in post-acute care physical therapy during the COVID-19 pandemic.","authors":"Rebecca Edgeworth Ditwiler, Dustin Hardwick, Laura Lee Swisher","doi":"10.1080/09593985.2024.2321216","DOIUrl":"10.1080/09593985.2024.2321216","url":null,"abstract":"<p><strong>Background: </strong>Disproportionate effects of the SARS-CoV-2 (COVID-19) pandemic on older adults in post-acute care settings created many professional and ethical challenges for patients and healthcare providers.</p><p><strong>Objective: </strong>The purpose of this study was to examine the professional and ethical issues of physical therapists (PTs) and physical therapist assistants (PTAs) in providing facility-based post-acute care in residential settings (skilled nursing facilities, inpatient rehabilitation facilities, and long-term acute care hospitals) during the COVID-19 pandemic.</p><p><strong>Methods: </strong>A qualitative descriptive research design was used to explore professional and ethical issues during the COVID-19 pandemic. PTs and PTAs described their experiences during semi-structured interviews conducted virtually. Interview data was analyzed with reflexive thematic analysis.</p><p><strong>Results: </strong>Thematic analysis produced 4 themes: facility-wide battle against infection and death, doing the best you can to provide care amidst COVID-19 constraints, promoting ethical good and doing the right thing, and a dark intense time.</p><p><strong>Conclusions: </strong>Professional and ethical constraints on providing care faced by PTs and PTAs during the COVID-19 pandemic can inform current and future clinical practice. Although some of the challenges faced by PTs and PTAs were unique to COVID-19, many problems represent preexisting systemic and organizational issues that were exacerbated by the pandemic.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"169-186"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991551","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":"Writing for the role: A qualitative exploration of new graduate physiotherapists' transition to practice of clinical documentation.","authors":"Sarah Wilesmith, Allison Mandrusiak, Romany Martin, Andric Lu, Roma Forbes","doi":"10.1080/09593985.2024.2315255","DOIUrl":"10.1080/09593985.2024.2315255","url":null,"abstract":"<p><strong>Introduction: </strong>Clinical documentation is an integral component of effective physiotherapy practice. Minimal research has explored how new graduate physiotherapists transition to practice of documentation.</p><p><strong>Objective: </strong>To understand new graduate physiotherapists' experiences and support needs for transitioning into this professional role, from the perspectives of new graduates and clinical supervisors.</p><p><strong>Methods: </strong>This study utilized the qualitative methodology of reflexive thematic analysis, situated within a critical realist framework and informed by Duchscher's stages of transition theory. Semi-structured interviews of 16 new graduate physiotherapists (less than two years post-graduation) and seven clinical supervisors (of new graduate physiotherapists) were subjected to inductive analysis, where codes were organized into themes and subthemes.</p><p><strong>Results: </strong>Three overarching themes were generated with associated subthemes. V<i>ariable preparedness for documentation</i> identified that new graduates were equipped with the basics of documentation, yet challenged by unfamiliarity and complexity. <i>Documentation practices evolve over time</i> outlined experiences of new graduates developing a \"written voice\" and improving documentation efficiency. <i>Workplace support is necessary irrespective of preparedness</i>, discusses: i) opportunities to practice, reflect and refine skills, ii) protected time for documentation, and iii) access to templates and examples.</p><p><strong>Conclusion: </strong>New graduate physiotherapists enter the workforce with variable levels of preparedness for clinical documentation, and may experience challenges when facing unfamiliar contexts and clinical complexity. Understanding expectations and engaging in opportunities to improve documentation skills were perceived as beneficial for enhancing new graduate practice of clinical documentation across workplace settings. Implications for workplace support to promote safe and effective practice of documentation are discussed.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"115-127"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984202","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 therapeutic alliance in spinal cord injury rehabilitation: Control, identity, and liminality.","authors":"Esha Lovrić, Niki Edwards, Julie King","doi":"10.1080/09593985.2024.2443028","DOIUrl":"https://doi.org/10.1080/09593985.2024.2443028","url":null,"abstract":"<p><strong>Background: </strong>The therapeutic alliance (TA) has emerged as a key principle in enhancing the quality of health and rehabilitation services.</p><p><strong>Purpose: </strong>This study aimed to explore patient perspectives on the influence of TAs with practitioners during inpatient rehabilitation following spinal cord injury (SCI).</p><p><strong>Methods: </strong>Using a qualitative methodology, (<i>n</i> = 18) in-depth interviews were conducted with inpatient participants. Interviews were transcribed verbatim and analyzed using reflective thematic analysis. The study was grounded in a social constructionist epistemology, employing theories of liminality and psychotherapy as theoretical frameworks.</p><p><strong>Results: </strong>Patient narratives suggest TAs are central to the rehabilitation experience. Additionally, analysis of patient stories revealed that patients entered a state of liminality upon admission. The primary theme, \"Control as Enabling: Transition, the Marge,\" highlighted during rehabilitation, patients navigated an identity separation and transition phase central to liminal spaces. Where practitioners accommodated patients' identity journeys, meaningful TAs were established, enhancing rehabilitation. Conversely, when control was constrained, TAs weakened, increasing identity risks. TAs were found to be instrumental in protecting and preserving pre-SCI identity as well as facilitating movement through the liminal phase.</p><p><strong>Conclusion: </strong>This research underscores the significance of TAs in SCI rehabilitation, demonstrating their role in enabling patient control, safeguarding identity, and facilitating the potential exit from liminality. To address the unique needs of SCI patients, it is recommended that SCI practitioners receive specialized TA training and professional development.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-17"},"PeriodicalIF":1.6,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899503","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 single-task versus dual-task assessment on muscle strength and performance in individuals with knee osteoarthritis.","authors":"Hazal Genç, Gamze Demircioğlu","doi":"10.1080/09593985.2024.2447488","DOIUrl":"https://doi.org/10.1080/09593985.2024.2447488","url":null,"abstract":"<p><strong>Background: </strong>Dual-task activities, which involve performing two separate tasks simultaneously, often result in reduced motor function and daily activity performance among individuals with knee osteoarthritis (OA).</p><p><strong>Objective: </strong>This study aimed to investigate the impact of single- and dual-task conditions on muscle strength and performance in individuals with knee OA and examine how cognitive load influences physical task performance in this population.</p><p><strong>Methods: </strong>Sixty patients with knee OA were included. Baseline data included demographic characteristics, pain (Visual Analog Scale), and physical function (Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)). Muscle strength and performance were assessed using isokinetic and sit-to-stand tests, initially under single-task conditions, and then under dual-task conditions three days later. Dual-tasking involved physical tasks with varying cognitive exercises (changed between sessions) and familiarization sessions to minimize learning effects.</p><p><strong>Results: </strong>The investigation revealed that individuals with knee OA showed reduced muscle strength and impaired sit-to-stand performance during dual-task activities, with lower peak torque (<i>p</i> = .0025), total work (<i>p</i> = .026), and longer time to peak torque (<i>p</i> = .011). Decreased muscle performance correlated with worse WOMAC scores (<i>p</i> ≤ .01, <i>r</i> = -0.506), particularly in dual-task conditions. Regression analysis identified extension total work and the sit-to-stand test as key predictors of dual-task performance, explaining 32.2% of the variance.</p><p><strong>Conclusion: </strong>Dual-task performance impairs muscle strength and physical function in individuals with knee OA, demonstrated by reduced peak torque, total work, and sit-to-stand performance. Extension total work and sit-to-stand test emerged as key predictors of dual-task performance, emphasizing the need to address cognitive load in rehabilitation strategies.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886245","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":"Validity and test-retest reliability of a modified version of the upper quarter Y balance test in athletes with spinal cord injury and lower limb amputation.","authors":"Mohammadreza Mahmoudkhani, Fatemeh Alizadeh, Mohammad Karimizadeh Ardakani, Zahra Fathi","doi":"10.1080/09593985.2024.2444386","DOIUrl":"https://doi.org/10.1080/09593985.2024.2444386","url":null,"abstract":"<p><strong>Background: </strong>The Upper Quarter Y Balance Test (YBT-UQ) assesses upper limb dynamic balance in able-bodied individuals but lacks a reliable version for those with disabilities.</p><p><strong>Objective: </strong>This study aimed to introduce a modified YBT-UQ (mYBT-UQ) for physically impaired individuals (PI) and establish its validity and reliability.</p><p><strong>Methods: </strong>The study involved 33 male athletes aged 18-55, divided into three equal groups: able-bodied, spinal cord injury with trunk control (SCI), and below-the-knee amputation (BKA). To ensure test validity, able-bodied athletes completed both tests. Test-retest reliability was evaluated by repeating the mYBT-UQ seven days after the first test by PI groups. The validity was assessed using the Pearson correlation and Bland-Altman plot. The intraclass correlation coefficient (ICC) (2,1), standard error of measurement (SEM), and the minimal detectable change with 95% confidence (MDC95%) were calculated to assess relative and absolute reliability.</p><p><strong>Results: </strong>There were significant differences and excellent relationships between YBT-UQ and the mYBT-UQ. Also, the Bland-Altman plot showed minimal bias and an acceptable range of agreement. In athletes with BKA, the ICC (2,1) was above 0.90 for both limbs. The SEM ranged from 2.4%-2.7%, and MDC95% ranged from 6.7%-7.5%. In athletes with SCI, the ICC (2,1) ranged from 0.72-0.80. The SEM ranged from 3.1%-3.2% and MDC95% ranged from 8.6%-8.9%.</p><p><strong>Conclusion: </strong>The results indicate that the mYBT-UQ is a reliable test to assess upper quarter dynamic balance in athletes with SCI and BKA. However, regarding the small sample size of the study, there is a need to conduct other research to establish the validity of the test.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865890","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 virtual reality exercise on pain, joint motion, and quality of life in patients with frozen shoulder: a randomized controlled study.","authors":"Oguzhan Bahadir Demir, Serkan Kablanoglu, Pakize Nurgul Sari, Bulent Alyanak, Feride Taskin Yilmaz, Erbil Dursun","doi":"10.1080/09593985.2024.2443027","DOIUrl":"10.1080/09593985.2024.2443027","url":null,"abstract":"<p><strong>Background: </strong>Restriction of shoulder movements in frozen shoulder may negatively affect individual's daily living activities. The effect of the virtual reality (VR)-based exercise program, which is an innovative application and has been used in the field of physiotherapy in recent years, is unknown on patients diagnosed with frozen shoulder.</p><p><strong>Objective: </strong>This study was conducted to determine the effects of a VR-based exercise program provided to patients with frozen shoulder on their pain, joint motion, and quality of life.</p><p><strong>Methods: </strong>In the randomized controlled study, patients were divided into two groups to receive treatment five times a week for four weeks:VR-based exercise (VR group, <i>n</i> = 18) and conventional treatment(control group, <i>n</i> = 18). The data were collected using the VisualAnalog Scale, the Shoulder Pain and Disability Index, and the ShortForm - 36 health Scale.</p><p><strong>Results: </strong>In comparison to the pre-treatment measurements, improvements were observed in pain, joint range of motion, and quality of life in both groups after the treatment (<i>p</i> < .001). The improvement in pain observed in the VR group after the treatment was greater than that observed in the control group (<i>U</i>=-2.064, <i>p</i>= .030). After the treatment, the quality of life in the mental health dimension was better for patients in the VR group (<i>U</i>= -1.979, <i>p</i>= .048).</p><p><strong>Conclusion: </strong>VR-based exercise was an effective method for reducing the pain levels and improving the mental health of patients diagnosed with frozen shoulder.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865974","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":"Workload of physiotherapy procedures in the adult intensive care unit: a descriptive study in a Brazilian teaching hospital.","authors":"Alexandra Siqueira Colombo, Leda Tomiko Yamada da Silveira, Carolina Fu","doi":"10.1080/09593985.2024.2440852","DOIUrl":"https://doi.org/10.1080/09593985.2024.2440852","url":null,"abstract":"<p><strong>Background: </strong>Physiotherapy techniques applied in intensive care units (ICU) aim to counteract functional decline and manage acute respiratory conditions. Treatment strategies vary depending on factors such as diagnosis, disease severity, and costs. Staffing resources and workload impact the duration and frequency of interventions. Understanding the workload of procedures may enhance patient care quality.</p><p><strong>Objective: </strong>To determine the frequency, duration, and workload of physiotherapy procedures applied to adult ICU patients. Secondarily, we analyzed the time spent per shift on teaching-related and non-procedure-related activities.</p><p><strong>Methods: </strong>Longitudinal panel study conducted in a 12-bed university hospital. Physiotherapy sessions applied to adult ICU patients were included. The list of procedures was derived using the Delphi method. The investigator followed physiotherapists to measure the duration of procedures and calculate a workload index for each (determined as duration x frequency). Duration of teaching-related and non-procedure-related tasks was also recorded.</p><p><strong>Results: </strong>A total of 339 physiotherapy sessions were analyzed across 79 shifts, involving 181 patients and 19 physiotherapists. Procedures with the highest workload index were: out-of-bed mobilization, patient positioning, passive limb mobilization, active exercises, artificial airway suctioning, and equipment management. Time distribution across the shifts was as follows: direct patient care 40% (SD 12%), non-procedure-related activities 20% (SD 6%), and teaching-related activities 10% (range: 4%-19%).</p><p><strong>Conclusion: </strong>The procedures with the highest workload index were those directly related to rehabilitation, such as mobilization and exercises, and those not specific to patient condition, like positioning and equipment management. Physiotherapists spent most of their time in direct patient care, followed by indirect care activities and teaching.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848110","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":"Anterior chain activation and high intensity gait training to improve walking in an adult with cerebral palsy: a case report.","authors":"Nicole Brennan, Ethan Hood, Allyson Badman","doi":"10.1080/09593985.2024.2441974","DOIUrl":"https://doi.org/10.1080/09593985.2024.2441974","url":null,"abstract":"<p><strong>Background and purpose: </strong>Adults living with Cerebral Palsy (CP) who are non-ambulatory are at increased risk for falls, contractures, reduced bone density, and pain. There is limited evidence for core strength training, anterior chain activation exercises, or high intensity gait training (HIGT) to improve gait function in adults with CP. The purpose of this case report is to describe the use of anterior chain muscle activation and HIGT to improve walking in a non-ambulatory adult male with quadriplegic CP.</p><p><strong>Case description: </strong>The participant was a 26 y.o. male living with spastic quadriplegic CP with a goal to cross the finish line of an adaptive triathlon while ambulating. The outpatient physiotherapy protocol emphasized anterior chain activation exercises and HIGT to improve strength, gait, and mobility at a frequency of 1-2 times a week for 8 months.</p><p><strong>Outcomes: </strong>The minimal detectable change of 19 points was achieved on the Function in Sitting Test (FIST). The original ambulation goal was exceeded to a maximum of 76 meters overground. The participant was able to walk across the finish line using a gait trainer while supervised at an adaptive triathlon.</p><p><strong>Conclusions: </strong>Focusing on anterior chain exercises and HIGT was effective to minimize extensor spasticity by strengthening body flexors allowing improved mobility and gait.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830597","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 robot-assisted arm training on respiratory muscle strength, activities of daily living, and quality of life in patients with stroke: a single-blinded randomized controlled trial.","authors":"Abdurrahim Yildiz, Ishtiaq Ahmed, Rustem Mustafaoglu, Fatma Nur Kesiktas","doi":"10.1080/09593985.2023.2299727","DOIUrl":"10.1080/09593985.2023.2299727","url":null,"abstract":"<p><strong>Background: </strong>Post-stroke clinical changes not only affect extremities and trunk muscles but also the respiratory muscles.</p><p><strong>Purpose: </strong>To determine the effect of robot-assisted arm training with conventional rehabilitation (CombT) on respiratory muscle strength, activities of daily living (ADL), and quality of life in patients with stroke and to compare the results with conventional rehabilitation (CR).</p><p><strong>Methods: </strong>It was a two-arm, single-blinded, randomized controlled trial in which 66 patients were randomly allocated to either CombT or CR to receive 30 sessions (5/week) over 6 weeks. The respiratory muscle strength (maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP)), activities of daily life (ABILHAND questionnaire), and quality of life (Stroke Impact Scale (SIS)) were measured before and 6 weeks after training.</p><p><strong>Results: </strong>The CombT group showed significantly better MIP, MEP, and performance in ADLs after 6 weeks of training compared to the CR group (<i>p</i> < .01). The effect size was large for MIP (d = 0.9) and MEP (d = 0.9), whereas medium for performance in ADLs (d = 0.62). Also, the SIS-arm strength (<i>p</i> < .01), hand function (<i>p</i> = .04), ADLs (<i>p</i> = .02), and recovery (<i>p</i> = .04) were significantly better in CombT group with a medium (d = 0.6, d = 0.5, d = 0.5, and d = 0.5, respectively) effect size compared with CR group.</p><p><strong>Conclusions: </strong>Both CombT and CR groups improved respiratory muscle strength, performance in ADLs, and quality of life in patients with stroke. However, CombT appears to offer more comprehensive benefits, highlighting its valuable role in respiratory and functional recovery after stroke.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2818-2826"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075626","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 matched vs. unmatched physical therapy interventions on pain or disability in patients with neck pain - a systematic review and meta-analysis.","authors":"Paolo Mastromarchi, Sionnadh McLean, Nancy Ali, Stephen May","doi":"10.1080/09593985.2023.2285892","DOIUrl":"10.1080/09593985.2023.2285892","url":null,"abstract":"<p><strong>Background: </strong>The interventions performed in most randomized controlled trials (RCTs) on neck pain patients are standardized, irrespective of the high heterogeneity of patients. However, clinicians tend to choose an intervention based on the patients' clinical characteristics, and thus match the treatment to the patient.</p><p><strong>Objectives: </strong>To investigate the effectiveness of interventions matched to the clinical characteristics of patients with neck pain versus the same, but unmatched treatment for improving pain or disability.</p><p><strong>Design: </strong>A systematic review and meta-analysis conducted following Cochrane guidelines.</p><p><strong>Methods: </strong>Databases searches were performed from inception to September 2023. RCTs were included if the patients in the experimental group received a treatment matched to clinical presentation or to clinicians' assessment, if the patients in the control group received a similar but unmatched treatment, and if pain or disability were reported as outcome measures.</p><p><strong>Results: </strong>The literature search produced 9516 records of which 27 met the inclusion criteria. Matched exercise therapy was superior to unmatched exercise for pain (SMD -0.57; 95% CI -0.95, -0.18) and for disability (SMD -0.69; 95% CI -1.14, -0.23) at short term, but not at intermediate-term follow-up. Matched manual treatment was not superior to unmatched manual therapy for pain or for disability at short or intermediate-term follow-up.</p><p><strong>Conclusions: </strong>Results suggest that matching exercise to movement limitation, trapezius myalgia, or forward head position may lead to better outcomes in the short term, but not in the intermediate-term. Matched manual therapy was not superior to unmatched treatment either short or intermediate-term. Further research is warranted to verify if those criteria are potentially useful matching criteria.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"3000-3019"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463682","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}