Physiotherapy Theory and Practice最新文献

{"title":"Burnout in occupational therapy and physiotherapy students: a systematic review of the risk and protective factors.","authors":"Mineka Vedamuttu, Michelle Hood, Lindsay Eastgate, Andrea Bialocerkowski","doi":"10.1080/09593985.2025.2478091","DOIUrl":"10.1080/09593985.2025.2478091","url":null,"abstract":"<p><strong>Background and purpose: </strong>Studies consistently suggest that work as an occupational therapist or physiotherapist is associated with burnout, yet no review has been conducted on the risk and protective factors of burnout in physiotherapy and occupational therapy students (collectively termed allied health students). This systematic review identified and synthesized the risk and protective factors associated with burnout in allied health students.</p><p><strong>Methods: </strong>Eight databases, Google Scholar, and Connected Papers were searched in November 2024 systematically for mixed-method or quantitative studies containing primary data on the risk and protective factors of burnout. Titles, abstracts, and full-text articles were reviewed by two authors independently against the selection criteria. Risk of bias was evaluated in included studies, and the level of evidence was classified using National Health and Medical Research Council guidelines. Risk and protective factors were collated and summarized as modifiable or non-modifiable.</p><p><strong>Results: </strong>Eleven studies (10 physiotherapy, 1 occupational therapy) with 2,444 participants were included. The risk of bias was variable, and the level of evidence was satisfactory. Fifteen risk and protective factors were identified. Protective factors including higher grit and resilience, more physical activity and self-care, and more time spent supported by family, peers, faculty, and academic advisors, were consistently related to lower burnout. The relationships of other variables with burnout were unclear.</p><p><strong>Conclusion: </strong>The factors identified in this study can be targeted in wellbeing, preventative, and intervention recommendations and strategies for students. Examples include increasing family and faculty support, and physical activity, to protect against burnout.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1986-2001"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651565","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":"Extracurricular activities on academic stress levels in physical therapy students: a cross-sectional analytical study.","authors":"Iván Cuyul-Vásquez, Mauro Obreque, Katherine Cárdenas-Altamirano, Mauricio Barramuño-Medina, Felipe Ponce-Fuentes, Joaquín Salazar-Méndez","doi":"10.1080/09593985.2025.2480850","DOIUrl":"10.1080/09593985.2025.2480850","url":null,"abstract":"<p><strong>Background: </strong>Participating in extracurricular activities may reduce academic stress, although its impact on physical therapy students is not clearly determined.</p><p><strong>Objective: </strong>To evaluate the association between participation in extracurricular activities and academic stress levels among physical therapy students.</p><p><strong>Methods: </strong>A cross-sectional analytical study was conducted on 110 fourth-year undergraduate physical therapy students in Chile. Participants completed an online form reporting demographic data and extracurricular activity characteristics. Academic stress was assessed using the Academic Stressors Questionnaire.</p><p><strong>Results: </strong>The mean age of the sample was 23.1 ± 2.3 years, and 64 (58.2%) students were engaged in extracurricular activities. Students involved in extracurricular activities reported significantly lower academic stress levels compared to those who did not (3.09 ± 0.89 vs. 2.54 ± 0.80; <i>p</i> < 0.001; <i>d</i> = 0.66). For all students, female gender was significantly associated with higher academic stress level (<i>r</i> = 0.20, <i>p</i> = 0.033). Additionally, a weak negative association was observed between academic stress and participation in extracurricular activities (<i>r</i> = -0.31, <i>p</i> < 0.001).Furthermore, gender and extracurricular activity accounted for 11.8% of the variance in academic stress (F_2,107 = 7.17; <i>p</i> < 0.001; <i>r</i>² = 0.118). However, the gender was not significant in this model (<i>p</i> = 0.114).</p><p><strong>Conclusion: </strong>Engagement in extracurricular activities is associated with significantly lower academic stress, irrespective of the type or duration of the activity. These findings highlight the potential psychological benefits of extracurricular engagement for physical therapy students.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1807-1815"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701578","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":"Knowledge, attitude and practice of physical therapists in the care of women undergoing treatment for cervical cancer: a survey of practice in Brazil.","authors":"Amanda Lavarini Calazans Moura, Gabriela Vale Bayão, Nathália Celestino Da Silva, Giulia Batista Palma, Marcela Ponzio Pinto E Silva, Mariana Maia de Oliveira Sunemi","doi":"10.1080/09593985.2025.2456515","DOIUrl":"10.1080/09593985.2025.2456515","url":null,"abstract":"<p><strong>Background: </strong>The increase in survival rates among women treated for cervical cancer (CC) requires greater attention to the side effects of treatment. Although a high prevalence of pelvic floor disorders (PFD) in this population is documented, there is a lack of consensus regarding physical therapy approaches.</p><p><strong>Methods: </strong>Cross-sectional observational study with 56 physiotherapists who answered a questionnaire. The data were exported to Microsoft Excel® and analyzed descriptively.</p><p><strong>Results: </strong>Most physiotherapists interviewed have postgraduate degrees in Women's Health (74.5%). The most common PFDs treated are sexual dysfunctions (26%), mixed urinary incontinence (23.9%), urge urinary incontinence (14,3%), pelvic organ prolapse (8,9%) and anal incontinence (4,1%). The PERFECT scale is the most used (20.2%) to assess the pelvic floor muscles. Female Sexual Function Index is the most used questionnaire for evaluation of sexual dysfunctions (46.7%) and vaginal desensitization (23.3%) for treatment of this condition. To assess urinary incontinence, 45.9% of the physiotherapists use voiding diary and the most cited intervention are pelvic floor muscle training (32.9%), bladder training and behavioral therapy (31.7%). Most of the physiotherapist intervieweddo not use specific instruments (65.4%) to assess pelvic organ prolapse and use pelvic floor muscle training (77.4%) for treatment. Anal incontinence is usually evaluated by Bristol Stool Scale (42.2%) and treated by Electrostimulation of the posterior tibial nerve (38.8%).</p><p><strong>Conclusion: </strong>Most physiotherapists are qualified to manage PFDs. The variability in assessment methods and therapeutic approaches highlights the lack of consensus on managing PFD in women with cervical cancer, indicating the need for evidence-based guidelines.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1927-1935"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068789","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":"Kinesio taping can relieve symptoms and enhance functions in patients with mild-to-moderate carpal tunnel syndrome: A systematic review and meta-analysis.","authors":"Zelin Li, Xiyang Liu, Siyi He, Jiaqi Wu, Zhaoying Zhu, Wei Lu","doi":"10.1080/09593985.2025.2463902","DOIUrl":"10.1080/09593985.2025.2463902","url":null,"abstract":"<p><strong>Background: </strong>The effectiveness of Kinesio Taping (KT) for mild-to-moderate Carpal Tunnel Syndrome (CTS) remains controversial.</p><p><strong>Objective: </strong>To evaluate both the short-term and long-term efficacy of KT in the management of CTS.</p><p><strong>Methods: </strong>Electronic searches were conducted in PubMed, EMBASE, The Cochrane Library, Web of Science and Scopus databases up to October 2024. Randomized controlled trials comparing KT with control (sham, no intervention, or basic treatment) or other conservative treatment were included. The revised Cochrane Risk of Bias tool (ROB-2) was used to assess the risk of bias across studies. Meta-analysis was performed to pool data from studies, calculating Mean Differences (MD) and 95% confidence intervals (CI) for continuous outcomes.</p><p><strong>Results: </strong>Fourteen studies with 637 participants were included. Kinesio Taping (KT) significantly improved long-term pain relief compared to control (MD = -1.14, 95% CI: -1.69 to -0.59, <i>p</i> < .001). Additionally, KT led to significant improvements in symptoms and functional status. KT showed similar therapeutic outcomes to orthoses, and combining KT with orthoses provided greater short-term pain relief than orthoses alone (MD = -0.94, 95% CI: -1.76 to -0.11, <i>p</i> = .03).</p><p><strong>Conclusion: </strong>Low to moderate quality evidence indicates that KT may effectively improve long-term pain relief and functional outcomes in patients with CTS. Additionally, low quality evidence suggests that the combination of KT and orthoses may provide greater short-term pain relief.<b>PROSPERO registration number</b>: CRD42024555320.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1936-1951"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450643","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 Mobilization With Movement Technique on Cervical Muscle Stiffness, Pain, and Range of Motion in Individuals With Mechanical Neck Pain: A Double-Blind Randomized Controlled Trial.","authors":"Yıldız Analay Akbaba, Ayşem Ecem Özdemir, Kübra Bali, Ecem Yalçın","doi":"10.1080/09593985.2025.2473471","DOIUrl":"10.1080/09593985.2025.2473471","url":null,"abstract":"<p><strong>Background: </strong>Mulligan sustained natural apophyseal glide (SNAG) is a mobilization technique that aims to reduce pain and improve function by correcting positional errors in the facet joint.</p><p><strong>Purpose: </strong>To investigate the immediate effects of the Mulligan SNAG application on muscle stiffness, pain, pressure pain threshold (PPT) and range of motion (RoM) in patients with chronic mechanical neck pain.</p><p><strong>Methods: </strong>A randomized, double-blind trial was conducted. Forty individuals with chronic mechanical neck pain (mean age = 39.35 ± 6.68 years) were randomized into two groups: Mobilization with movement group (MWMG), and sham group (SG). Muscle stiffness was measured with MyotonPro, pain intensity with Numerical Pain Rating Scale, cervical RoM with a digital inclinometer, and PPT with an algometer. Measurements were performed pre-and 5 minutes post-intervention in a single session.</p><p><strong>Results: </strong>Muscle stiffness significantly changed in the MWMG for the left trapezius and right cervical extensors (<i>p</i> = .003, effect size (ES) = 0.42; <i>p</i> = .031, ES = 0.49, respectively), whereas no significant changes were observed in the SG (<i>p</i> = .097, ES = 0.12; <i>p</i> = .270, ES = 0.22, respectively). The MWMG showed improvements in pain (<i>p</i> = .001, ES = 0.70) and RoM (right: <i>p</i> = .0001, ES = 0.89; left: <i>p</i> = .0001, ES = 0.99). The SG also showed improvements in pain (<i>p</i> = .0001, ES = 0.76) and RoM (right: <i>p</i> = .0001, ES = 0.49; left: <i>p</i> = .0001, ES = 0.35). PPT improvements were observed in the MWMG for right and left trapezius (<i>p</i> = .0001, ES = 1.21; <i>p</i> = .040, ES = 0.43, respectively), whereas no significant changes occurred in the SG (<i>p</i> = .713, ES = 0.03; <i>p</i> = .839, ES = 0.01, respectively).</p><p><strong>Conclusion: </strong>The mobilization with movement technique leads to significant immediate improvements in muscle stiffness and pain-related parameters in individuals with chronic neck pain.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1783-1794"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573774","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":"Understanding responsiveness to an exercise intervention for people with persistent low back pain and lateral abdominal muscle impairments. A mixed methods study.","authors":"Caitlin Lauren Siobhan Prentice, Carol Ann Flavell, Nicola Massy-Westropp, Steve Milanese","doi":"10.1080/09593985.2025.2484593","DOIUrl":"10.1080/09593985.2025.2484593","url":null,"abstract":"<p><strong>Background: </strong>Exercise consistently demonstrates a small effect size for patients with persistent low back pain (PLBP). Determining patient characteristics that influence intervention responsiveness may improve treatment allocation and effect sizes. An exercise intervention for patients with PLBP and maladaptive changes in lateral abdominal muscle (LAM) contraction was recently trialed.</p><p><strong>Objective: </strong>To identify factors predicting responsiveness to an exercise intervention for patients with PLBP and why.</p><p><strong>Methods: </strong>This was a secondary mixed methods analysis of results from a feasibility randomized controlled trial with 50 participants. The 12-week program included individualized motor control and graded activity exercise. Regressions were performed to understand potential associations between characteristics (demographic, condition-specific signs and symptoms, compliance with exercise, and beliefs about exercise) and outcomes (pain, function, disability, and LAM contraction). Interview transcripts were analyzed for characteristics unique to participants that responded most and least to the intervention. Data was integrated for complementarity.</p><p><strong>Results: </strong>At baseline, females, participants with lower BMIs, decreased chronicity, fewer areas of pain, who had less previous interactions with healthcare professionals, and who were more positive about the potential for exercise to improve their pain had greater responsiveness (Adjusted R² ranged from 0.17 to 0.66). During and after the program, increased physical activity levels was a positive predictor.</p><p><strong>Conclusion: </strong>Responsiveness to the intervention may have been mediated by several baseline factors which may have affected participants' engagement with the intervention and continuation with exercise post intervention. Such characteristics may assist clinicians identifying whether this may be an appropriate intervention for patients with PLBP.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1830-1850"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755359","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":"Feelings of fatigue, annoyance or anger, or hostility predict improvement in pain-related disability following an interdisciplinary multimodal pain treatment program for chronic musculoskeletal pain: a longitudinal cohort study.","authors":"Elise Cnockaert, Rob Smeets, Laura Beckers, Mira Meeus, Robby De Pauw, Jessica Van Oosterwijck","doi":"10.1080/09593985.2025.2482056","DOIUrl":"10.1080/09593985.2025.2482056","url":null,"abstract":"<p><strong>Background: </strong>Knowledge about predictive factors for treatment response is essential to stratify patients with chronic musculoskeletal pain (CMP) to the most effective treatment program. Sociodemographic, functional and pain-related factors are well-researched, but less is known about the predictive role of psychological factors.</p><p><strong>Objective: </strong>This study aimed to explore the predictive value of understudied multi-dimensional symptoms for pain-related disability reduction following an interdisciplinary multimodal pain treatment program (IMPT) for CMP.</p><p><strong>Methods: </strong>A dataset of 653 patients with CMP who attended either a 10 or 20-week IMPT at the Clinics in Rehabilitation in the Netherlands was analyzed. The data was collected by questionnaires at screening, after 10 weeks, and after 20 weeks when applicable. The treatment effect on disability was assessed using the Pain Disability Index (PDI). The predictive value of the Tampa Scale of Kinesiophobia (TSK), Checklist Individual Strength (CIS), Beck Depression Inventory (BDI), Utrechtse Coping List (UCL), and Symptom Checklist-90 (SCL-90) was assessed.</p><p><strong>Results: </strong>Pre-treatment CIS (<i>p</i> = .03), subcategory \"Expression of emotion\" of the UCL (<i>p</i> = .01), and subcategory \"Hostility\" of the SCL-90 (<i>p</i> = .02) scores were predictive for treatment success. Additionally, a decrease of 11.7 points on the total PDI score was found following a 20 week IMPT.</p><p><strong>Conclusions: </strong>These results suggest that an IMPT, built according to the biopsychosocial model, will result in a greater reduction of pain disability in patients who report more severe fatigue, more annoyance or anger, or more signs of hostility prior to starting the treatment.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1816-1829"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722095","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":"Physiotherapist- and peer-led physical activity counseling for people with spinal cord injury: a cross-sectional study of barriers and facilitators to implementation in the rehabilitation to community transition.","authors":"Marisa S Lin, Kathleen A Martin Ginis, Catherine Le Cornu Levett, Christopher B McBride, Regina Colistro, Tova Plashkes, Andrea Bass, Teri Thorson, Ryan Clarkson, Rod Bitz, Kristen Walden, Cassandra Kell-Cattrysse, Jasmin K Ma","doi":"10.1080/09593985.2025.2484610","DOIUrl":"10.1080/09593985.2025.2484610","url":null,"abstract":"<p><strong>Introduction: </strong>A large decrease in physical activity (PA) is typically observed among people with spinal cord injury (SCI) upon discharge from in-hospital rehabilitation. Physiotherapists and SCI peers are well-positioned to intervene at this critical timepoint; however,the implementation of coordinated PA interventions between these two groups have yet to be studied.</p><p><strong>Purpose: </strong>To identify barriers and facilitators that affect the implementation of coordinated PA counseling among physiotherapists and SCI peers during the transition from in-hospital rehabilitation to the community.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with nine physiotherapists and two SCI peer coaches, using an interview guide informed by the Theoretical Domains Framework (TDF). Interviews were transcribed and coded deductively onto the TDF with themes and subthemes generated by inductive content analysis.</p><p><strong>Results: </strong>The most salient TDF domains were social influences, environmental context and resources, and skills. Specifically, participants identified challenges such as addressing patient barriers and continual staff onboarding. Facilitators included the availability of peer coaches with lived experience, support from champions of the PA counseling intervention, group training sessions for physiotherapists and SCI peer coaches, and an adaptable PA counseling form as a conversation guide.</p><p><strong>Conclusion: </strong>Successful coordination of services provided during the transition from in-hospital rehabilitation to the community may be strengthened by 1) providing resources and training that guide both content and delivery of PA counseling and 2) a referral system that leverages the strengths of both physiotherapists and peer support.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1901-1913"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765524","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":"Delivering trauma-focused physiotherapy interventions for trauma-exposed refugees: a qualitative study exploring perspectives and experiences from Jordan and Kenya.","authors":"Hanan Khalil, Ilona Fricker, Mohammad S Nazzal, Ahlam Al-Qudah, Tammara Lababneh, Huda Yousef, Shannon Golden, Monica Busse","doi":"10.1080/09593985.2025.2484609","DOIUrl":"10.1080/09593985.2025.2484609","url":null,"abstract":"<p><strong>Objectives: </strong>Trauma-focused physiotherapy refers to physical interventions and strategies that are used by physical therapists to address the functional and psychological impact of traumatic experiences. The aim of this study was to explore physical therapists' experiences and perspectives when delivering trauma-focused physiotherapy to trauma-exposed refugees.</p><p><strong>Methods: </strong>Six focus groups, involving 26 physical therapists working in Jordan (<i>n</i> = 13) and Kenya (<i>n</i> = 13) were conducted. A topic guide based on literature, and clinical views was used. Focus group conversations were audio recorded, transcribed and analyzed thematically, with peer checking carried out.</p><p><strong>Results: </strong>Five main themes were identified: (1) intertwined physical, social and psychological symptoms are a key feature of the clinical presentation for trauma-exposed refugees, (2) a client-centered approach that accommodates the complex clinical presentation is critical throughout the care pathway, (3) trauma-focused physiotherapy is recognized as a specialized approach with its own distinct characteristics, (4) therapists and in need of additional self-care, and (5) trauma-focused physiotherapy training gaps are evident.</p><p><strong>Conclusions: </strong>This study highlights the varied and related symptoms experienced by trauma-exposed refugees, which may be amenable to physiotherapy interventions. Specific knowledge and skills are required by physical therapists of trauma-informed care and trauma-focused physiotherapy to enable the delivery of such interventions within a client-centered biopsychosocial approach. Therapists are exposed to possible negative reactions as they are confronted daily by suffering and grief. Study findings are the first step in increasing our understanding of key processes inherent in delivering a trauma-focused physiotherapy approach.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1886-1900"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722093","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 effectiveness of proprioceptive neuromuscular facilitation techniques versus conventional therapy in patients with proximal humerus fracture: randomized controlled trial.","authors":"Gamze Kus, Ayse Zengin Alpozgen, Arzu Razak Ozdincler, Feray Gungor, Suleyman Altun","doi":"10.1080/09593985.2025.2486418","DOIUrl":"10.1080/09593985.2025.2486418","url":null,"abstract":"<p><strong>Background: </strong>To date, no study has investigated the effectiveness of proprioceptive neuromuscular facilitation (PNF) techniques for patients with proximal humerus fractures (PHF).</p><p><strong>Objective: </strong>To compare the effect of PNF, conventional physicaltherapy (CPT) on shoulder passive and active range of motion (ROM), function, muscle strength, pain, kinesiophobia, quality of life (QoL), and patient satisfaction in patients with PHF.</p><p><strong>Methods: </strong>A total of 40 patients with PHF were randomly allocated into two groups of CPT and PNF. Both groups received treatment programs three times a week for 6 weeks. The primary measures were shoulder ROM, function, and muscle strength. The secondary measures were pain, kinesiophobia, QoL, and patient satisfaction.</p><p><strong>Results: </strong>Forty patients analyzed at the end of the study. There were no statistically significant group-by-time interactions for function, pain, shoulder ROM (active and passive), or muscle strength (<i>p</i> > .05). However, there were statistically significant group-by-time interactions in role limitations due to physical health subscale of the 36-item Short Form Survey (SF-36) in CPT (<i>p</i> = .046, η²_p = 0.078). In addition, a significant difference was found in patient satisfaction at 3 weeks in CPT (<i>p</i> = .021) but no difference at 6 weeks between groups (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>The PNF techniques demonstrated similar outcomes to the CPT in reducing pain, improving function and shoulder ROM, and enhancing quality of life in patients with PHF in short time. According to our findings, PNF techniques are as effective as CPT and can be proposed as a potential adjunctive treatment for patients with PHF.</p><p><strong>Clinicaltrialnumber: </strong>NCT05960435.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1851-1865"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765526","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}