Physiotherapy Theory and Practice最新文献

{"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":"https://doi.org/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":"1-21"},"PeriodicalIF":1.6,"publicationDate":"2025-03-31","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":"https://doi.org/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":"1-14"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","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":"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":"https://doi.org/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":"1-15"},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","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":"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":"https://doi.org/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":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2025-03-26","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":"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":"https://doi.org/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":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","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":"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":"https://doi.org/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":"1-16"},"PeriodicalIF":1.6,"publicationDate":"2025-03-17","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":"Experience of physiotherapeutic care in pregnancy-related pelvic girdle pain: A qualitative study from a primary care perspective.","authors":"Malin Eklund, Rita Sjöström","doi":"10.1080/09593985.2025.2478494","DOIUrl":"https://doi.org/10.1080/09593985.2025.2478494","url":null,"abstract":"<p><strong>Introduction: </strong>Although pregnancy-related pelvic girdle pain (PPGP) is a common cause of pain, there seem to be deficiencies in healthcare, regarding both knowledge and awareness of the condition. There is clearly a need for more research in the field of PPGP.</p><p><strong>Objective: </strong>The aim was to highlight how people affected by PPGP experience physiotherapeutic care in the primary care setting in Sweden.</p><p><strong>Methods: </strong>This qualitative interview study applied an inductive approach. The participants were selected through strategic sampling in primary healthcare units and via snowball sampling. Sixteen individual interviews were analyzed via qualitative content analysis according to Graneheim and Lundman.</p><p><strong>Results: </strong>The analysis identified one overarching theme: Reflection on the participants' experiences cracks the façade, exposing a great need for healthcare. This theme is based on the participants' descriptions of initially feeling satisfied with the care they received for PPGP. However, when given the opportunity to reflect on their experiences, the participants clearly expressed wishes for improvements in physiotherapists' competence and interventions. The participants also emphasized a great desire to improve society's understanding of female-coded diagnoses.</p><p><strong>Conclusions: </strong>The results highlight the participants' ambivalent experience of healthcare for PPGP. Paying attention to the diagnosis and taking it seriously should be emphasized. One way to improve healthcare for PPGP would be to improve physiotherapists' competence regarding PPGP.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634878","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, Mohammad Najafi Ashtiani","doi":"10.1080/09593985.2025.2474607","DOIUrl":"https://doi.org/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":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","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":"Effects of immersive virtual reality-based action observation training integrated with focal muscle vibration on upper extremity in a patient with chronic disability following stroke: a single-subject study.","authors":"Paola Adamo, Davide De Leo, Tommaso Fava, Simone Binda, Pietro Avanzini, Maddalena Fabbri-Destro, Roberto Gatti","doi":"10.1080/09593985.2025.2468472","DOIUrl":"https://doi.org/10.1080/09593985.2025.2468472","url":null,"abstract":"<p><strong>Background: </strong>The association of different sensory inputs enhances brain plasticity in patients after stroke, but no studies have associated Action Observation Training (AOT) delivered in immersive virtual reality (VR) with Focal Vibration (FV) to elicit a kinesthetic illusion coherent with the observed task to improve motor function.</p><p><strong>Objective: </strong>The study aimed to evaluate the feasibility of AOT delivered in immersive VR integrated with FV of upper limb muscles on manual dexterity in patients with chronic stroke.</p><p><strong>Methods: </strong>A single-subject study was conducted (A-B design). A chronic stroke patient with right spastic hemiparesis underwent a 12-session VR-AOT training consisting of observation and imitation of upper limb transitive tasks. In addition, FV was applied on wrist and finger extensor muscles during observation. Upper limb dexterity was assessed through the Box and Blocks test and kinematic indexes during Nine-Hole Peg Test (NHPT) using an optoelectronic system. The patient underwent three evaluation sessions before treatment (A-phase), three during treatment (B-phase), and a follow-up assessment after 3 months. Change was considered meaningful when two consecutive data points in the treatment period exceeded the baseline two standard deviation range.</p><p><strong>Results: </strong>An improvement in the NHPT score exceeding the minimal detectable change of 32.8 s was found for the paretic upper limb during the B-phase. No differences were found in the Box and Block Test.</p><p><strong>Conclusion: </strong>Benefits induced by integrating VR-based AOT with FV in the current study suggested the need to investigate the effects of this intervention in chronic stroke patients with spasticity.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597921","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":"https://doi.org/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":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2025-03-06","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}