Physiotherapy Theory and Practice最新文献

{"title":"Patients and hospital staff perceive diverting patients from the emergency department to physiotherapy outpatients as safe and effective: a qualitative descriptive study.","authors":"Piers Truter, Jane Gaspar, Luke Bongiascia, Eithne Finucane, Tanya Parkin, Mathew Melville, Landy Ng, Cobie Starcevich, Vinicius Cavalheri, Caroline Bulsara","doi":"10.1080/09593985.2025.2559905","DOIUrl":"https://doi.org/10.1080/09593985.2025.2559905","url":null,"abstract":"<p><strong>Background: </strong>It is estimated that 6% to 12% of Australian emergency department (ED) presentations are due to musculoskeletal (MSK) conditions. In response, primary contact physiotherapy roles have developed in many Australian EDs. A further innovation is a diversion pathway for people with MSK conditions to move from the ED to a primary contact physiotherapy outpatient clinic.</p><p><strong>Objective: </strong>To explore the perceptions of people with MSK conditions and hospital staff on diverting patients from the emergency department (ED) to receive care from primary contact physiotherapists in the outpatient setting.</p><p><strong>Methods: </strong>A qualitative descriptive study with thematic analysis.</p><p><strong>Results: </strong>Fourteen patient and 18 staff participants with experience of the diversion pathway were interviewed. There were four main themes combining staff and patient participant perspectives. The three combined themes were: (i) appropriateness of physiotherapists diverting patients from ED; (ii) communication; and (iii) impact of diverting patients from the ED. The unique staff theme was \"staff perceptions of the diversion pathway.\" All patients felt diversion from the ED to see a physiotherapist in the outpatient clinic was appropriate, even if this was not their initial expectation of receiving care in the ED. Staff also perceived the diversion process as safe and valued addition to the ED. Both patient and staff participants described positive communication experiences from the physiotherapists in the diversion pathway. Several staff participants suggested improvements to the diversion pathway.</p><p><strong>Conclusion: </strong>Patient and staff participants perceived the diversion pathway as a safe, appropriate and effective addition to the public general hospital ED processes.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066142","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":"Cross-sectional analysis of faculty distribution and program characteristics: correlations with top 25 Doctor of Physical Therapy programs.","authors":"Luis A Feigenbaum, Thomas Otley, Neva Kirk-Sanchez, Joseph M Mirando, Philip E Grattan, Kyle P Burnett, Michele A Raya, Julia L Rapicavoli","doi":"10.1080/09593985.2025.2561199","DOIUrl":"https://doi.org/10.1080/09593985.2025.2561199","url":null,"abstract":"<p><strong>Introduction: </strong>This study examined the distribution of board-certified and PhD/EdD faculty, as well as residency, fellowship, and PhD program offerings, across the top 25 physical therapy programs in the United States ranked by U.S. News & World Report, assessing their correlation with rankings and the impact of Research 1 (R1) designation on prestige.</p><p><strong>Materials and methods: </strong>Data were sourced from program websites, the American Board of Physical Therapy Specialties (ABPTS), and the American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE), analyzing faculty specialization, terminal degrees, and post-professional offerings.</p><p><strong>Results: </strong>Statistical analysis included Spearman's rho correlations and a Mann-Whitney U test. Results showed a predominance of full-time faculty in Orthopedics and Neurology, with no board-certified faculty in Oncology. Significant positive correlations were found between rankings and board-certified faculty (ρ = .455, <i>p</i> = .011), full-time PhD/EdD faculty (ρ = .467, <i>p</i> = .009), and total PhD/EdD faculty (ρ = .434, <i>p</i> = .015), while R1 institutions ranked higher than non-R1 programs (U = 26.000, Z = -2.305, <i>p</i> = .021). However, residency (<i>p</i> = .664) and fellowship (<i>p</i> = .286) programs did not influence rankings.</p><p><strong>Discussion: </strong>A strong presence of PhD/EdD faculty drives higher rankings, with less impact from board-certified faculty, and that specialty gaps may reflect institutional priorities.</p><p><strong>Conclusion: </strong>The study demonstrates that elevated proportions of PhD/EdD and board-certified faculty, alongside R1 designation, boost program rankings. The dominance of Orthopaedics and Neurology, alongside Oncology gaps, suggests targeted development opportunities, emphasizing research-intensive environments and terminal degrees in shaping future physical therapy education strategies.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066117","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":"Somatosensory impairments and mobility outcomes in ambulatory individuals with stroke: a comparative study between those with and without sensory deficits.","authors":"Phouthasone Thavone, Sugalya Amatachaya, Kunthida Mora, Yaowaraporn Yuenyong, Salinee Boonrod, Wilairat Namwong, Thiwabhorn Thaweewannakij, Pipatana Amatachaya","doi":"10.1080/09593985.2025.2558795","DOIUrl":"https://doi.org/10.1080/09593985.2025.2558795","url":null,"abstract":"<p><strong>Background: </strong>There is limited evidence regarding somatosensory impairments and their impact on mobility outcomes among ambulatory individuals with stroke, particularly within the context of developing countries.</p><p><strong>Objectives: </strong>To report the proportion of somatosensory impairments and compare mobility necessary for independence and safety among ambulatory individuals with stroke, with and without somatosensory deficits.</p><p><strong>Methods: </strong>Eighty ambulatory individuals with stroke (average age of 60 years old) were recruited from medical records at a provincial hospital in a developing country. Participants were assessed for their sensorimotor functions, and mobility using the 10-meter walk test (10MWT), timed up-and-go test (TUG), five times sit-to-stand test (FTSST), and six-minute walk test (6MWT). The findings between the groups with and without somatosensory impairments were compared using the Mann-Whitney U test.</p><p><strong>Results: </strong>Nearly 60% of participants who mostly walked without a walking device (68.8%) experienced somatosensory impairments, mostly in the proprioception (91.5%) of the lower extremity (85.1%). Their mobility outcomes (10MWT = 0.46 m/s, TUG = 21.1s, FTSST = 14.4s, and 6MWT = 175.2 m) were significantly poorer than those with intact sensations (10MWT = 0.79 m/s, TUG = 12.9s, FTSST = 11.3s, and 6MWT = 302 m, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>A large proportion of ambulatory individuals with stroke experienced somatosensory impairments, particularly in lower extremity proprioception, which affects their mobility. Therefore, in addition to motor functions, rehabilitation strategies should also focus on improving somatosensory function to promote safe community participation for these individuals.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041969","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":"Effectiveness of backward walking exercises combined with conventional rehabilitation programs on managing pain intensity and disability in patients with knee osteoarthritis: A systematic review and meta-analysis of randomized controlled trials.","authors":"Long-Huei Lin, Yi-Ling Peng, Ling-Wei Yen, Yun-Lin Tsai, Chih-Hsiu Cheng","doi":"10.1080/09593985.2025.2550532","DOIUrl":"https://doi.org/10.1080/09593985.2025.2550532","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (OA) causes pain and diminishes quality of life. Backward walking exercise (BWE) has been shown to improve lower muscle strength and reduce knee adduction moment, making it a recommended intervention for knee OA rehabilitation. This study aims to evaluate the effectiveness of BWE combined with conventional rehabilitation programs on pain intensity and disability among individuals with knee OA.</p><p><strong>Material and methods: </strong>Following the PRISMA guidelines, we systematically searched for studies from the inception to June 2025, prioritizing pain intensity as the primary outcome and disability as the secondary outcome, standardized by Hedges' <i>g</i>. A random-effects model was utilized for data pooling. Subgroup analyses focused on different walking speeds, surfaces, and control group characteristics.</p><p><strong>Results: </strong>Based on the final inclusion of 13 randomized controlled trials, combining BWE with conventional rehabilitation programs was found to significantly reduce pain intensity (Hedges' <i>g</i> = -0.997, 95% CI = -1.373 to -0.620) and improve disability (Hedges' <i>g </i>= -1.015, 95% CI = -1.326 to -0.703). Subgroup analyses revealed larger effect sizes for comfortable walking speed, and treadmill walking. Significant differences were observed across all control group comparisons (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>BWE combined with rehabilitation showed moderate-to-large effect sizes in reducing pain and disability in knee OA. Future research should assess its standalone efficacy, long-term impact, and certainty of the evidence.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024495","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":"Management of tri-canal benign paroxysmal positional vertigo using sequential repositioning maneuvers: a case report.","authors":"Ajay Kumar Vats, Andrea Castellucci, Alfarghal Mohamad, Sudhir Kothari, Shreya Vats","doi":"10.1080/09593985.2025.2558800","DOIUrl":"https://doi.org/10.1080/09593985.2025.2558800","url":null,"abstract":"<p><strong>Background: </strong>Multi-canal benign paroxysmal positional vertigo (MC-BPPV) is a rare form of BPPV characterized by the simultaneous involvement of multiple semicircular canals, often resulting in complex diagnostic and therapeutic challenges. While MC-BPPV most commonly affects the posterior and horizontal semicircular canals, tri-canal involvement - especially with bilateral asymmetry - is exceedingly rare.</p><p><strong>Purpose: </strong>To describe a unique case of tri-canal BPPV involving right posterior and horizontal semicircular cupulolithiasis and left horizontal semicircular canalolithiasis, successfully managed with a structured, sequential protocol of repositioning maneuvers including a novel Bascule maneuver.</p><p><strong>Case description: </strong>A 43-year-old woman presented with vertigo triggered by positional changes. Detailed positional testing identified cupulolithiasis in the right posterior and horizontal canals and canalolithiasis in the left horizontal canal. Sequential diagnostic maneuvers, including half Dix-Hallpike, inversion, and supine roll tests, revealed complex nystagmus patterns indicating multicanal involvement. Treatment began with mastoid oscillations and the Bascule maneuver targeting the right posterior canal, followed by the Zuma and Gufoni maneuvers for horizontal canal involvement.</p><p><strong>Outcomes: </strong>Right posterior canal cupulolithiasis resolved within 24 hours. On day 2, transformation of horizontal nystagmus patterns enabled identification and successful treatment of right horizontal canal cupulolithiasis. On day 3, the left horizontal canalolithiasis was confirmed and treated. Complete symptom resolution and negative positional testing were achieved within 72 hours.</p><p><strong>Conclusion: </strong>This case highlights the importance of comprehensive positional testing and a sequential, canal-specific therapeutic approach in managing complex MC-BPPV. The Bascule maneuver, combined with tailored repositioning techniques, proved highly effective in resolving tri-canal involvement rapidly and completely.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031086","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 talocrural joint manipulation on static balance in patients with stroke: a randomized crossover trial.","authors":"Ömer Dursun, Ahmet Burak Mavuş","doi":"10.1080/09593985.2025.2556133","DOIUrl":"https://doi.org/10.1080/09593985.2025.2556133","url":null,"abstract":"<p><strong>Background: </strong>Talocrural joint manipulation has been shown to enhance proprioception, potentially improving static balance.</p><p><strong>Objective: </strong>This study investigated the immediate effects of talocrural joint manipulation on postural stability and ankle mobility in patients with chronic stroke.</p><p><strong>Methods: </strong>A randomized crossover study included 32 patients with chronic stroke. Each participant received a single session of both placebo and actual talocrural joint manipulation, alongside a conventional treatment program, with order randomized. Manipulation was applied in a high-velocity, low-amplitude manner, whereas the placebo involved 20 seconds of passive contact. Postural stability and ankle mobility assessed using a Biodex® Balance System and a smartphone's spirit level before and after interventions. Safety was monitored by recording adverse events.</p><p><strong>Results: </strong>In the placebo group, improvements in ankle mobility (<i>r</i> = 0.35-0.51; <i>p</i> = .004-0.046) and overall postural stability (d = 0.38; <i>p</i> = .039) were observed, although these changes were small and not supported by confidence intervals. In contrast, talocrural joint manipulation produced significant gains across all outcomes (d = 0.78-0.87; <i>p</i> <.001). Intergroup analyses confirmed greater benefits with manipulation, particularly for overall postural stability (<i>r</i> = 0.45-0.52; <i>p</i> <.001, d = 0.78; <i>p</i> = .002), including the primary outcome of overall postural stability (<i>r</i> = 0.47; <i>p</i> <.001; CI = 3.00 to 9.00 points). No significant carryover effects were detected (f = 0.26-2.80; <i>p</i> = .10-0.61). Participants with audible cavitation showed greater improvements in both outcomes (<i>r</i> = 0.411-0.720; <i>p</i> <.001-0.034).</p><p><strong>Conclusion: </strong>These preliminary findings suggest that talocrural joint manipulation may induce immediate improvements in postural stability and ankle mobility in patients with chronic stroke, without any adverse events.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006621","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":"Patient reported outcomes from a student-led physical therapy clinic in two medically underserved areas.","authors":"Maegan Powell, Kelly Atkins, Amanda Lane, Sarah Ross, William Scogin, Lacy Smith, John B Waits, C Scott Bickel","doi":"10.1080/09593985.2025.2483347","DOIUrl":"10.1080/09593985.2025.2483347","url":null,"abstract":"<p><strong>Background: </strong>Student-led physical therapy (PT) clinics are a standard component of many entry-level PT curricula; however, reports on the operating procedures and patient outcomes of these clinics are limited. Therefore, our aim is to provide a descriptive report of a student-led, faculty-supervised PT clinic and to report available patient reported functional outcomes.</p><p><strong>Methods: </strong>The clinic maintains a database of de-identified patient information for quality assurance and improvement purposes. The following data from a period of one academic year were retrospectively analyzed from this database: demographic information, referring diagnosis, visit frequency, and score on the Patient Specific Functional Scale (PSFS), a patient-reported functional measure. Descriptive statistics were used to aggregate demographic and visit information, and a Wilcoxon-signed rank test was used to compare the first recorded PSFS score to the last recorded PSFS score of patients who attended multiple visits.</p><p><strong>Results: </strong>Five hundred eight patients were treated for a total of 1000 visits. Thirty-eight percent of patients returned for at least one follow-up visit. Statistically significant improvements in PSFS scores (+1.49,Z = -6.934, <i>p</i> < .001, 95% CI [1.00,1.75]) were achieved in patients who attended multiple visits, with 33% improving by the minimally clinically important difference for their condition.</p><p><strong>Conclusion: </strong>In addition to student learning opportunities, student-led PT clinics can result in statistically significant and clinically important improvements in patient-reported function for those who attend more than one visit.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1866-1873"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711881","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":"Effectiveness of high-power laser therapy on partial tears of the supraspinatus tendon: A randomized controlled trial.","authors":"Zohreh Zaki, Roya Ravanbod, Morteza Nakhaei Amroodi, Mohammed Najafi Ashtiani","doi":"10.1080/09593985.2025.2474607","DOIUrl":"10.1080/09593985.2025.2474607","url":null,"abstract":"<p><strong>Background: </strong>High-power laser therapy (HPLT) has potential in treating shoulder disorders. However, the impact of HPLT on supraspinatus partial thickness tear (SS-PTT) remains unexplored.</p><p><strong>Objective: </strong>To evaluate the effects of HPLT on pain, function, and musculoskeletal ultrasound (MSK-US) parameters in SS-PTT.</p><p><strong>Methods: </strong>A randomized, assessor-blinded, placebo-controlled clinical trial was conducted. Thirty-six patients with SS-PTT were randomized into the HPLT+ exercise (Exs) group or the sham+ Exs group. Eighteen age-matched healthy subjects were evaluated for MSK-US parameters as the control group. Ten treatment sessions were administered three times per week. The HPLT was used with a maximum power of 20 watts (W), 2478 joules (J), and 24.78 J/cm² for the first three sessions, followed by 4678 J and 46.78 J/cm² for the subsequent seven sessions. Musculoskeletal parameters, visual analog scale (VAS), and shoulder pain and disability index (SPADI) were measured before and 48 hours after the final treatment session.</p><p><strong>Results: </strong>At baseline, short-axis (SAX) thickness (<i>p</i> = .027, η² <i>p</i> = .13), echogenicity (<i>p</i> = .014, η² <i>p</i> = .16), and occupation ratio (OR) (<i>p</i> = .003, η² <i>p</i> = .2) were different between patient groups with control. All measured parameters significantly improved in the HPLT, except for echogenicity (<i>p</i> = .447, η² <i>p</i> = .02) and the disability subscale of the SPADI (<i>p</i> = .131, η² <i>p</i> = .07). After treatment, sham + Exs still showed significant differences in SAX thickness (<i>p</i> = .047, η² <i>p</i> = .11), echogenicity (<i>p</i> = .001, η² <i>p</i> = .25) and OR (<i>p</i> = .015, η² <i>p</i> = .15) with control.</p><p><strong>Conclusion: </strong>High-power laser therapy was an effective modality for patients with SS-PTT. Its ability to decrease pain and improve MSK-US parameters, especially tear size, enhances its value as part of conservative treatments.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1795-1806"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626505","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":"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":"1761-1770"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","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":"Adolescents' perceptions of being physically active in the presence of lowback pain - an interview study.","authors":"Anna Ahlqwist, Emma Varkey, Mari Lundberg","doi":"10.1080/09593985.2025.2487187","DOIUrl":"10.1080/09593985.2025.2487187","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to explore the knowledge adolescents with low back pain (LBP) need and already claim to have about being in motion despite pain, and how they search to increase this knowledge.</p><p><strong>Methods: </strong>Face-to-face semi-structured, in-depth interviews based on an interview guide were conducted with 15 adolescents with LBP recruited from a senior secondary school in Gothenburg, Sweden and analyzed using qualitative content analysis.</p><p><strong>Results: </strong>An overarching theme \"Stuck in ambivalence\" emerged, comprising three categories: \"Existing knowledge is insufficient,\" \"Searching for trustworthy information\" and \"Making sense of the new information\" based on six sub-categories that together illustrate the participants' thoughts and beliefs about being physically active despite LBP. Their lives were negatively affected by not fully understanding the cause of their pain or what they can do to alleviate it. They wanted information tailored to their specific needs and searched for support and guidance to feel safe and gain confidence in the ability of their body to move and exercise.</p><p><strong>Conclusion: </strong>The participants were aware of the benefits of remaining physically active despite LBP but were unsure how to apply this knowledge. Healthcare professionals should support adolescents with LBP by means of person-centered guidance about how they can turn information about pain and activity into health-promoting knowledge. It is of the utmost importance to apply a person-centered approach when providing evidence-based information.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1914-1926"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804591","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}