Physiotherapy Theory and Practice最新文献

{"title":"Comparison of the muscle oxygenation during submaximal and maximal exercise tests in patients post-coronavirus disease 2019 syndrome with pulmonary involvement.","authors":"Başak Kavalcı Kol, Meral Boşnak Güçlü, Ece Baytok, Nilgün Yılmaz Demirci","doi":"10.1080/09593985.2024.2327534","DOIUrl":"10.1080/09593985.2024.2327534","url":null,"abstract":"<p><strong>Introduction: </strong>Pulmonary involvement is prevalent in patients with coronavirus disease 2019 (COVID-19). Arterial hypoxemia may reduce oxygen transferred to the skeletal muscles, possibly leading to impaired exercise capacity. Oxygen uptake may vary depending on the increased oxygen demand of the muscles during submaximal and maximal exercise.</p><p><strong>Objective: </strong>This study aimed to compare muscle oxygenation during submaximal and maximal exercise tests in patients with post-COVID-19 syndrome with pulmonary involvement.</p><p><strong>Methods: </strong>Thirty-nine patients were included. Pulmonary function (spirometry), peripheral muscle strength (dynamometer), quadriceps femoris (QF) muscle oxygenation (Moxy® device), and submaximal exercise capacity (six-minute walk test (6-MWT)) were tested on the first day, maximal exercise capacity (cardiopulmonary exercise test (CPET)) was tested on the second day. Physical activity level was evaluated using an activity monitor worn for five consecutive days. Cardiopulmonary responses and muscle oxygenation were compared during 6-MWT and CPET.</p><p><strong>Results: </strong>Patients' minimum and recovery muscle oxygen saturation were significantly decreased; maximum total hemoglobin increased, heart rate, blood pressure, breathing frequency, dyspnea, fatigue, and leg fatigue at the end-of-test and recovery increased in CPET compared to 6-MWT (<i>p</i> < .050). Peak oxygen consumption (VO_2peak) was 18.15 ± 4.75 ml/min/kg, VO_2peak; percent predicted < 80% was measured in 51.28% patients. Six-MWT distance and QF muscle strength were less than 80% predicted in 58.9% and 76.9% patients, respectively.</p><p><strong>Conclusions: </strong>In patients with post-COVID-19 syndrome with pulmonary involvement, muscle deoxygenation of QF is greater during maximal exercise than during submaximal exercise. Specifically, patients with lung impairment should be evaluated for deoxygenation and should be taken into consideration during pulmonary rehabilitation.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"275-288"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102679","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":"Experiences of individually tailored physical exercise in boys with Duchenne muscular dystrophy: a qualitative study.","authors":"Siri Dahl Aune, Margrethe Aase Schaufel, Tiina Maarit Andersen, Stian Hammer, Liv Heide Magnussen","doi":"10.1080/09593985.2024.2323994","DOIUrl":"10.1080/09593985.2024.2323994","url":null,"abstract":"<p><strong>Introduction: </strong>Excessive and insufficient physical exercise have both been associated with accelerated muscle function decline in boys with Duchenne Muscular Dystrophy (DMD), and optimal exercise remains unclear.</p><p><strong>Objective: </strong>This study explored participants' experiences with a one-year training program.</p><p><strong>Methods: </strong>Five semi-structured qualitative individual interviews and one focus group interview were conducted and analyzed using systematic text condensation.</p><p><strong>Results: </strong>Participants included boys with DMD who participated in the intervention study (<i>n</i> = 10), their relatives and/or assistants (<i>n</i> = 7). Four main themes emerged: 1) the crucial role of motivation to maintain training routines, 2) benefiting from exercise, but with a need for balancing it, 3) time management challenges, and 4) the training as a social arena and meeting place. The participants emphasized the importance of experiencing progress, basic skills and enjoyable training. Parents were reassured knowing the appropriate exercise intensity and technique. The boys needed flexibility and support to find a balance between exercise and other activities and described benefits from sharing experiences with each other.</p><p><strong>Conclusion: </strong>Clinical guidelines for physical exercise in DMD should encompass customization of exercise interventions supporting motivational factors, balance and social interaction, and identify competing commitments. Successful training programs may enhance quality of life and functionality for these boys.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"327-336"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991552","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":"Physiotherapy management focusing on proprioceptive impairment in a patient with gait and balance impairments following stroke: A case report.","authors":"Aisuke Takahashi, Shun Kitsunai, Hikaru Kawana, Naoshi Saito, Akioh Yoshihara, Katsuhiro Furukawa","doi":"10.1080/09593985.2024.2332792","DOIUrl":"10.1080/09593985.2024.2332792","url":null,"abstract":"<p><strong>Background: </strong>Proprioceptive impairment contributes to gait and balance impairments in patients with stroke. Diagnosis functional impairments and evaluation treatment efficacy require quantitative proprioception assessment. However, proprioception assessment has remained limited to ordinal scale measurement, with a lack of ratio scale measurements.</p><p><strong>Purpose: </strong>This case report describes a physiotherapy management program focusing on proprioceptive impairment in patients with stroke using quantitative tests such as Threshold to Detect Passive Motion (TDPM) and Joint Position Sense (JPS).</p><p><strong>Case description: </strong>A63-year-old male patient with an acute pontine lacunar infarction was admitted to our hospital. His muscle strength, selective movement, and trunk activity were preserved. However, the Berg Balance Scale (BBS) and Gait Assessment andIntervention Tool (GAIT) score were 42 and 9 points, observing balance impairment and the buckling knee pattern with hip ataxia during gait. Based on these, TDPM and JPS using image capture were performed. In physiotherapeuticdiagnosis, proprioceptive impairments in the hip and knee joints were the primary functional impairments related to balance and gait. To address these proprioceptive impairments, a 13-day treatment protocol incorporating transcutaneous electrical nerve stimulation (intensity: sensory threshold, frequency: 100 Hz) targeting the quadriceps femoris was performed.</p><p><strong>Outcomes: </strong>The patient was discharged after achieving independent ambulation and improvement in BBS (56 points) and GAIT (2 points) scores, exceeding the minimum clinically important difference. Recovery of proprioceptive impairment corresponded withimproved balance and gait ability.</p><p><strong>Conclusion: </strong>Quantitatively evaluating proprioceptive impairments may provide novel rehabilitation for patients with stroke who have proprioceptive impairments and contribute to clinical decision-making.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"432-446"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186012","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":"\"Life has always been physical physical, now visual\": an explorative study on the use of digital health technologies to promote physiotherapy home treatment programs among older people.","authors":"Chisom Favour Ede, Natasha Fothergill-Misbah, Stephen Sunday Ede","doi":"10.1080/09593985.2024.2329936","DOIUrl":"10.1080/09593985.2024.2329936","url":null,"abstract":"<p><strong>Background: </strong>There has been a recent rise in the use of technology for health promotional practices, which have begun to gain popularity among physiotherapists but not much research has been conducted to explore its many opportunities and challenges among older adults in developing countries.</p><p><strong>Objectives: </strong>To explore Nigerian-based Physiotherapists' perspectives on how digital health technologies (DHT) can be utilized to promote physiotherapy home treatment programs among Nigerian older people.</p><p><strong>Methods: </strong>This is a one-on-one semi-structured interview of 12 geriatric physiotherapists (7 Male, 5 female) virtually in the Teams Meeting platform. Data generated were analyzed thematically using the latest version of NVivo software.</p><p><strong>Results: </strong>Three overarching themes were conceptualized including the usage of DHT in Nigeria, challenges to DHT application, and strategies to improve DHT usage. These described a low awareness and usage of DHT despite its recognized need and advantages for promoting home program. The forms of DHT commonly being used are mostly mobile-based through calls or texts, which could be due to barriers to the use of DHT including older people's declining cognition, poverty, and low interest in technology. Some external problems included the physiotherapists' attachment to hands-on practice and low commitment from the informal caregivers.</p><p><strong>Conclusions: </strong>These findings suggested ways to utilize the DHT in promoting physiotherapy home treatment programs among older people by encouraging technological innovations and raising awareness among physiotherapists, while the physiotherapists need to patiently educate both the older people and involve their informal caregivers.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"337-350"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319550","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 fall prevention exercise regimen on physical and psychosocial outcomes in elderly community dwellers: a randomized comparative study.","authors":"Ji-Yeon Sim, Jung-Wan Koo, Yeon-Gyu Jeong","doi":"10.1080/09593985.2024.2325561","DOIUrl":"10.1080/09593985.2024.2325561","url":null,"abstract":"<p><strong>Background: </strong>There is a need for comprehensive programs that address both the physical and psychosocial aspects of fall prevention for the elderly.</p><p><strong>Objective: </strong>This study assessed the efficacy of the exercise regimen on various health metrics for elderly community dwellers.</p><p><strong>Methods: </strong>Forty-four participants were divided into experimental and control groups. The experimental group adhered to a 9-step core exercise regimen for fall prevention, practicing three times a week for 30 minutes across 10 weeks, while the control group maintained their regular daily activities without any specific exercise program. Before and after the intervention, participants underwent the timed up-and-go t est to evaluate the physical function, the berg balance scale (BBS) and one-legged stance test (OLST) for balance assessment, the activity-specific balance confidence scale for fall-related self-efficacy, and measures for health-related quality of life.</p><p><strong>Results: </strong>Participants in the experimental group showed significant improvements in physical function (<i>p</i> = .04, Cohen's effect size (d) = 0.2). and balance ability on BBS (<i>p</i> < .01, d = 0.2) and OLST (<i>p</i> < .01, d = 1.3) compared to the control group. Furthermore, there was a notable enhancement in the quality of life indicators for this group, especially in areas such as physical function (<i>p</i> = .04, d = 0.2), physical-role limitation (<i>p</i> = .04, d = 0.2), mental health (<i>p</i> = .01, d = 0.3), vitality (<i>p</i> = .02, d = 0.4), body pain (<i>p</i> = .04, d = 0.5), and general health (<i>p</i> = .04, d = 0.4).</p><p><strong>Conclusion: </strong>These findings highlight the potential of the fall prevention exercise program in improving physical health aspects, but its influence on specific psychosocial elements remains to be determined.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"252-259"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029371","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":"Perceptions of stigma associated with chronic knee pain: voices of selected women in Thailand and Malaysia.","authors":"Claudia Danes-Daetz, John P Wainwright, Siew Li Goh, Kim McGuire, Komsak Sinsurin, Jim Richards, Ambreen Chohan","doi":"10.1080/09593985.2024.2329942","DOIUrl":"10.1080/09593985.2024.2329942","url":null,"abstract":"<p><strong>Introduction: </strong>A higher prevalence of knee pain in Southeast Asian countries, compared with non-Asian countries, is an established fact. This article hypothesizes that this fact, combined with personal, cultural, and environmental factors, may influence attitudes toward illness and treatment-seeking behavior and adherence.</p><p><strong>Objective: </strong>This study aimed to determine current attitudes, stigma, and barriers of women to the management of chronic knee pain and treatment in two Southeast Asian countries.</p><p><strong>Methods: </strong>Fourteen semi-structured interviews explored female lived perceptions of chronic knee pain in Southeast Asia. Using a phenomenological reduction process, open-ended questions allowed participants to voice their perceptions of their experience of this knee condition. Particular foci were potential stigma associated with the perceptions of others, health-seeking attitudes, and attitudes toward exercise.</p><p><strong>Results: </strong>The shared experiences of managing chronic knee pain revealed the impact of their condition on participants' normality of life and their struggles with pain, limitations, and fear for the future. Key individual, interpersonal, organizational and community barriers and facilitators impacted the health seeking attitudes and engagement with conservative rehabilitation programmes.</p><p><strong>Conclusion: </strong>Improved socio-cultural competency and consideration for an individuals' intersectional identity and interpersonal relationships are key to designing rehabilitation and conservative management solutions. Co-creating alternative pathways for rehabilitation for individuals that are more distant from health facilities may help reduce socio-cultural barriers at a community level.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"405-419"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121115","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":"Investigation of the validity and reliability of the short physical performance battery in patients undergoing total knee arthroplasty.","authors":"Damla Özcan, Bayram Unver, Vasfi Karatosun","doi":"10.1080/09593985.2024.2337784","DOIUrl":"10.1080/09593985.2024.2337784","url":null,"abstract":"<p><strong>Background: </strong>Practical, applicable, valid, and reliable tools are needed to assess physical performance in patients with Total Knee Arthroplasty (TKA) in a variety of settings, including routine clinical assessment, research studies, and community-based programs.</p><p><strong>Objective: </strong>The aim of this study is to evaluate the validity and reliability of the Short Physical Performance Battery (SPPB) among patients with TKA.</p><p><strong>Methods: </strong>We included 45 patients who underwent TKA surgery (mean age 68.89 ± 9.26). The SPPB, Timed up and go (TUG) test and, Hospital for Special Surgery (HSS) Knee Score were administered to the patients. SPPB was performed twice on the same day with 1 h rest.</p><p><strong>Results: </strong>The ICC_(2,1) coefficient, MDC₉₅ and SEM values were 0.97, 1.02 and 0.37 respectively. The Pearson correlation coefficient of the SPPB with the TUG and HSS was -.78, and 0.74 respectively.</p><p><strong>Conclusion: </strong>SPPB has excellent reliability, and strong validity in assessing physical performance in patients with TKA. SPPB can identify even minimal detectable difference in physical performance and can be reliably used to monitor patient outcomes in the postoperative period for a comprehensive assessment of TKA in many physical performance domains, including balance, walking speed, and lower extremity strength.</p><p><strong>Clinical trial number: </strong>NCT06201637.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"370-376"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337264","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":"Physiotherapists often encounter clients disclosing suicidal thoughts and behaviors: a cross-sectional survey of Australian physiotherapists.","authors":"Ryan L McGrath, Tracey Parnell, Sophie Shephard, Sarah Verdon, Rodney Pope","doi":"10.1080/09593985.2024.2327516","DOIUrl":"10.1080/09593985.2024.2327516","url":null,"abstract":"<p><strong>Background: </strong>All health professionals have a role in suicide prevention, although little is known about physiotherapists' contact with clients experiencing suicidal thoughts and behaviors.</p><p><strong>Objective: </strong>The aims of this study were to investigate physiotherapists' self-reported frequency of contact with clients who disclose suicidal thoughts and behaviors and to identify potential factors associated with frequency of contact.</p><p><strong>Methods: </strong>Three-hundred and thirty-eight Australian physiotherapists were surveyed using an online questionnaire, with an estimated response rate of 6.1%. Data were analyzed using descriptive analysis and logistic regression.</p><p><strong>Results: </strong>Over half the respondents (52.1%) reported encountering clients at least once a year who disclosed suicidal thoughts, and nearly half (49.4%) reported having received at least one disclosure of a suicide plan at some point in their career. Among those working in the public sector, 67.5% of respondents reported having received a disclosure of a suicide plan, and almost all physiotherapists working in pain management reported having received such a disclosure (93.8%). The binary logistic regression model explained approximately 39.7% of the variance in whether a physiotherapist had a client disclose a plan for suicide at some point in their career or not.</p><p><strong>Conclusion: </strong>The results highlight that all physiotherapists should receive training in suicide prevention.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"260-274"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094897","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 reliability of the Turkish version of the 20-item jaw functional limitation scale.","authors":"Nazım Tolgahan Yıldız, Hikmet Kocaman, Hasan Bingöl","doi":"10.1080/09593985.2024.2329959","DOIUrl":"10.1080/09593985.2024.2329959","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to translate the 20-item Jaw Functional Limitation Scale (JFLS-20) into Turkish (JFLS-20-TR) and investigate the psychometric properties of the JFLS-20-TR.</p><p><strong>Methods: </strong>This study included 232 patients with temporomandibular disorder (TMD) and 130 individuals without TMD. Structural (with confirmatory factor analysis [CFA]), convergent (with pain intensity, Fonseca Anamnestic Index [FAI], and Oral Health Impact Profile [OHIP-14]), discriminant (with maximum mouth opening [MMO]) and known-group validity were investigated to assess the construct validity. Cronbach's alpha for internal consistency and the intraclass correlation coefficient (ICC_2,1) for test-retest reliability were calculated. Additionally, content and face validity, smallest detectable change (SDC₉₅), and floor/ceiling effects were evaluated.</p><p><strong>Results: </strong>According to CFA, the model fit indices were acceptable for JFLS-20-TR, confirming structural validity. Strong correlations were found between the global and subdomain scores of the JFLS-20-TR and pain intensity (<i>r</i> ≥ 0.80), FAI (<i>r</i> ≥ 0.83), OHIP-14 (<i>r</i> ≥ 0.76), and MMO (<i>r</i> ≥ -0.79) scores, confirmed the convergent and discriminant validity of the JFLS-20-TR. In addition, JFLS-20-TR differentiated between patients with TMD and individuals without TMD (<i>p</i> < .05). Internal consistency (Cronbach's alpha values: 0.91-0.93) was excellent, and test-retest reliability (ICC_2,1 values: 0.91-0.95) was high. Content and face validity were satisfactory. The SDC₉₅ values ranged from 0.79 to 1.43. No floor or ceiling effects were observed.</p><p><strong>Conclusion: </strong>The JFLS-20-TR is a valid, reliable, and useful tool for assessing jaw functional limitations in Turkish-speaking patients with TMD.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"377-389"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121116","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 multidisciplinary team in the management of chronic pain and pain-related fear: an evidence-based approach in a clinical case.","authors":"Davide Venturin, Andrea Battimelli, Giovanni di Cara, Antonio Poser","doi":"10.1080/09593985.2024.2336099","DOIUrl":"10.1080/09593985.2024.2336099","url":null,"abstract":"<p><strong>Purpose: </strong>Pain is a complex, intimate, and subjective experience influenced by biological, psychological, and social factors. This case report investigates the effectiveness of a multidisciplinary team approach in addressing chronic pain and pain-related fear.</p><p><strong>Case description: </strong>The case report describes a 22-year-old female who experienced anterior knee pain for seven years, despite undergoing two knee surgeries and physiotherapy without improvement. Following a comprehensive assessment, which included a detailed medical history, clinical examination, and thoughtful clinical analysis, a multidisciplinary approach was recommended. Employing an evidence-based methodology that integrated neurocognitive rehabilitation techniques, including Pain Neuroscience Education, Graded Motor Imagery, and Tactile Discrimination Training, alongside psychological rehabilitation strategies such as Mindfulness, Acceptance and Commitment Therapy, and Problem-Solving Therapy, the report presents a comprehensive in-depth rehabilitation plan exemplifying the application of this multimodal approach within a clinical setting in a patient with chronic pain. This approach is designed not to address the biomechanical aspects but to delve into the cognitive facets associated with pain perception and avoidance, as well as potential psychological factors that may be influencing the onset and persistence of symptoms.</p><p><strong>Outcomes: </strong>The scores from the rating scales provided valuable insights into patient progress in pain management, functional improvement, fear of movement, and overall physical, psychological, and emotional well-being, at six months.</p><p><strong>Conclusion: </strong>This case report offers valuable insights into the usefulness of this multidisciplinary and multimodal approach, highlighting its potential as an avenue in the management of chronic pain and pain-related fear.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"447-464"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319551","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}