Physiotherapy Theory and Practice最新文献

{"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}

{"title":"Sensory profiles and their role in the persistence of central sensitization symptoms in low back pain. A prospective cohort study.","authors":"Pieter J Gräper, Jan Hartvigsen, Aldo Scafoglieri, Jacqueline R Clark, Emiel van Trijffel, Joannes M Hallegraeff","doi":"10.1080/09593985.2024.2326592","DOIUrl":"10.1080/09593985.2024.2326592","url":null,"abstract":"<p><strong>Introduction: </strong>Acute lower back pain can lead to neuroplastic changes in the central nervous system, and symptoms of central sensitization after 12 weeks. While sensory sensitivity has been shown to predict symptoms of central sensitization, trait sensory profiles may be prognostic in the persistence of central sensitization symptoms in low back pain over time.</p><p><strong>Objective: </strong>To examine sensory profiles as prognostic symptoms of central sensitization in people with acute low back pain.</p><p><strong>Methods: </strong>A longitudinal type 2 prognostic factor research study was performed according to the PROGRESS framework. Baseline and 12-week follow-up measures were taken using the Adolescent/Adult Sensory Profile and the Central Sensitization Inventory measures. Study participants were consecutively included from primary care physiotherapy practices. Univariable, and multivariable regression analyses were performed to adjust sensory profiles based on previous history of low back pain, baseline Central Sensitization Inventory scores, level of pain, disability, age, and duration of low back pain.</p><p><strong>Results: </strong>After adjustment, the sensory profiles of Low Registration B = 0.44, 95%CI (0.18, 0.70), Sensation Seeking B = 0.38, 95%CI (0.19, 0.57), Sensory Sensitive B = 0.49, 95%CI (0.25, 0.74), Sensation Avoiding B = 0.40, 95% CI (0.15, 0.65) was significantly associated with the persistence of central sensitization symptoms (<i>N</i> = 103).</p><p><strong>Conclusion: </strong>Sensory profiles may predict symptoms of central sensitization after 12 weeks in people with acute low back pain.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"317-326"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094898","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":"Prioritizing mobility factors for assessment during the transition of older adults from hospital to home: a cross-sectional survey of physiotherapists in Southeastern Nigeria.","authors":"D G Rayner, P Charles, S Maduagwu, A Odega, M E Kalu","doi":"10.1080/09593985.2024.2324351","DOIUrl":"10.1080/09593985.2024.2324351","url":null,"abstract":"<p><strong>Background: </strong>Assessing all factors influencing older adults' mobility during the hospital-to-home transition is not feasible given the complex and time-sensitive nature of hospital discharge processes.</p><p><strong>Objective: </strong>To describe the mobility factors that Nigerian physiotherapists prioritize to be assessed during hospital-to-home transition of older adults and explore the differences in the prioritization of mobility factors across the physiotherapists' demographics and practice variables.</p><p><strong>Methods: </strong>This cross-sectional study included 121 physiotherapists who completed an online questionnaire, ranking 74 mobility factors using a nine-point Likert scale. A factor was prioritized if ≥ 70% of physiotherapists rated the factor as \"Critical\" (scores ≥7) and ≤ 15% of physiotherapists rated a factor as \"Not Important\" (scores ≤3). We assessed the differences in the prioritization of mobility factors across the physiotherapists' demographics/practice variables using Mann Whitney U and Kruskal-Wallis tests.</p><p><strong>Findings: </strong>Forty-three of 74 factors were prioritized: four cognitive, two environmental, one financial, four personal, eighteen physical, seven psychological, and seven social factors. Males and those with self-reported expertise in each mobility determinants more frequently rated factors as critical.</p><p><strong>Conclusion: </strong>Prioritizing many mobility factors underscores the complex nature of mobility, suggesting that an interdisciplinary approach to addressing these factors may enhance post-hospital discharge mobility outcomes.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"239-251"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029372","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 physical interventions on pain and disability in chronic low back pain with pronated feet: a systematic review and meta-analysis.","authors":"Md Farhan Alam, Sumbul Ansari, Saima Zaki, Saurabh Sharma, Shibili Nuhmani, Abdullah Alnagmoosh, Mohammed Essa Alsubaiei","doi":"10.1080/09593985.2024.2325581","DOIUrl":"10.1080/09593985.2024.2325581","url":null,"abstract":"<p><strong>Background: </strong>A link between pronated feet (PF) and chronic low back pain (CLBP) has been reported in the literature. However, physical interventions (PI) like physiotherapy and orthotics mainly target the lower back, neglecting the broader biomechanical impacts of PF that affect the feet, ankles, and overall posture. Currently, there is a lack of comprehensive meta-analyses or systematic reviews on this subject.</p><p><strong>Objectives: </strong>This systematic review with a meta-analysis aimed to evaluate the effects of PI on pain and disability in patients having CLBP with PF.</p><p><strong>Methods: </strong>From inception until October 15, 2023, Medline/PubMed, Web of Science, and Scopus databases were searched using the desired keywords for randomized control trials (RCTs). The quality of the RCTs was evaluated using the PEDro scale and risk of bias tool.</p><p><strong>Results: </strong>Four studies involving 268 patients were identified, two compared custom-made foot orthoses to non-biomechanical foot insoles, while the other two used exercises. The meta-analysis included four studies for pain and three for disability. The results showed a significant change in pain [-2.43 (95% CI -2.73 to -2.13, <i>p</i> < .001)] and disability of -6.69 (95% CI -8.04 to -5.33, <i>p</i> < .001)].</p><p><strong>Conclusions: </strong>This systematic review and meta-analysis of four RCTs elucidates that PI, specifically targeting PF, significantly alleviate pain and reduce disability in patients having CLBP with PF. These findings advocate for integrating foot-based PI within the treatment protocols for patients suffering from CLBP accompanied by PF.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"390-404"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023065","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":"Safety and efficacy of myofascial release therapy in the treatment of patients with hemophilic ankle arthropathy. Single-blind randomized clinical trial.","authors":"Elena Donoso-Úbeda, Roberto Ucero-Lozano, Javier Meroño-Gallut, Rubén Cuesta-Barriuso, Raúl Pérez-Llanes","doi":"10.1080/09593985.2024.2334752","DOIUrl":"10.1080/09593985.2024.2334752","url":null,"abstract":"<p><strong>Background: </strong>Hemophilia is characterized by degenerative joint damage. Patients with hemophilic arthropathy present joint damage, reduced range of motion, and decreased strength and functional capacity. Myofascial release therapy aims to decrease pain and improve tissue mobility and functionality.</p><p><strong>Objectives: </strong>To evaluate the safety and efficacy of myofascial release therapy in patients with hemophilic ankle arthropathy.</p><p><strong>Method: </strong>Single-blind randomized controlled trial. Fifty-eight adult patients with hemophilia were randomly allocated to the experimental group (myofascial release therapy with foam roller) or the control group (no intervention whatsoever). The daily home protocol of myofascial release therapy for the lower limbs using a foam roller lasted eight consecutive weeks. The primary variable was the safety of myofascial release therapy (weekly telephone follow-up). The secondary variables were pain intensity (visual analog scale), range of motion (goniometer), functional capacity (<i>2-Minute Walk Test</i>) and muscle strength (dynamometer), at baseline and at 8 and 10 weeks.</p><p><strong>Results: </strong>During the experimental phase, none of the patients in the experimental group developed ankle hemarthrosis. There were statistically significant changes in time*group interaction in ankle dorsal flexion (F_[1.75] = 10.72; <i>p</i> < .001), functional capacity (F_[1.16] = 5.24; <i>p</i> = .009) and gastrocnemius strength (F_[2] = 26.01; <i>p</i> < .001). The effect size of the changes after the intervention was medium-large in pain intensity (d = -1.77), functional capacity (d = 1.34) and gastrocnemius strength (d = 0.76).</p><p><strong>Conclusion: </strong>Myofascial release therapy is a safe form of physical therapy for patients with hemophilia. Myofascial release therapy can effectively complement prophylactic pharmacological treatment in patients with hemophilic arthropathy, improving range of motion in dorsal flexion, functional capacity and gastrocnemius strength.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"289-298"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289352","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":"Assessment of reliability and quality of YouTube® exercise videos in people with rheumatoid arthritis.","authors":"Fulden Sari, Zilan Bazancir Apaydin, Süleyman Sari","doi":"10.1080/09593985.2024.2334753","DOIUrl":"10.1080/09593985.2024.2334753","url":null,"abstract":"<p><strong>Background: </strong>YouTube_®, one of the busiest video-sharing platforms, may lack sufficient or accurate information on health information and practices given the absence of a rigorous evaluation process.</p><p><strong>Purpose: </strong>This study aims to evaluate the reliability of information and quality of exercise videos on YouTube_® for rheumatoid arthritis.</p><p><strong>Methods: </strong>Video features and the source of the upload were sorted. Reliability of the information shared in the videos was evaluated using the mDISCERN too, and quality was assessed using the Global Quality Scale and JAMA scoring system. Videos were independently analyzed by two physiotherapists specialized in rheumatologic rehabilitation. Any bias was resolved by an independent third assessor.</p><p><strong>Results: </strong>One hundred thirty-four exercise videos were included. A hundred and twenty-six (94%) of the 134 exercise videos were found to be useful, and 8 (6%) were misleading. The useful and misleading videos had similar numbers of views, likes, comments, and subscribers (<i>p</i> > .05), while video duration and time since upload were higher for useful videos (<i>p</i> < .05). Cohen's Kappa scores demonstrated that the level of agreement between the assessors were moderate (mDISCERN = 0.417, Global Quality Scale = 0.582, and JAMA = 0.555). There was a significant difference in JAMA scores (<i>p</i> = .013) between the sources of the videos. However, no significant difference was found in mDISCERN (<i>p</i> = .104) and Global Quality Scale (<i>p</i> = .128) scores.</p><p><strong>Conclusion: </strong>YouTube_® exercise videos provide partially reliable and moderate-quality information for people with rheumatoid arthritis. However, patients should be cautious and not rely directly on YouTube_® exercise videos. Instead, they should consult a physician or physical therapist for exercises.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"362-369"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295050","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":"Personalizing rehabilitation for individuals with musculoskeletal impairments: Feasibility of implementation of the Measures Associated to Prognostic (MAPS) tool.","authors":"Nathalie Desmarais, Simon Décary, Catherine Houle, Christian Longtin, Thomas Gerard, Kadija Perreault, Emilie Lagueux, Pascal Tétreault, Marc-André Blanchette, Hélène Beaudry, Yannick Tousignant-Laflamme","doi":"10.1080/09593985.2024.2329960","DOIUrl":"10.1080/09593985.2024.2329960","url":null,"abstract":"<p><strong>Introduction: </strong>The <b>M</b>easures <b>A</b>ssociated to <b>P</b>rogno<b>S</b>tic (MAPS) tool is a standardized questionnaire that integrates validated prognostic tools to detect the presence of biopsychosocial prognostic factors in patients consulting for musculoskeletal disorders.</p><p><strong>Purpose: </strong>The objectives were to assess the: 1) feasibility of implementation of the MAPS tool, 2) clinicians' acceptability of the dashboard, and 3) patients' acceptability of the MAPS tool.</p><p><strong>Methods: </strong>Twenty physiotherapists and two occupational therapists from seven outpatient musculoskeletal clinics were recruited to implement the MAPS tool during a 3-month timeframe, where new patients completed the questionnaire upon initial assessment. The results were presented to the clinicians via a dashboard. Surveys and semi-structured interviews were conducted to measure feasibility and acceptability.</p><p><strong>Results: </strong>Six out of 11 feasibility criteria (55%) and 21 out of 24 acceptability criteria (88%) reached the a priori threshold for success. The interviews allowed us to identify three main themes to facilitate implementation: 1) limiting the burden, 2) ensuring patients' understanding of the tool's purpose, and 3) integrating the dashboard as a clinical information tool.</p><p><strong>Conclusion: </strong>Our quantitative and qualitative results support the feasibility of implementation and acceptability of the MAPS tool pending minor adjustments. Depicting the patients' prognostic profile has the potential to help clinicians optimize their interventions for patients presenting with musculoskeletal disorders.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"420-431"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132883","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":"https://doi.org/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":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-01-30","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":"Movement control of the cervical spine declines with aging: a cross-sectional study.","authors":"Izabela Luznik, Maja Pajek, Ziva Majcen Rosker","doi":"10.1080/09593985.2025.2454519","DOIUrl":"10.1080/09593985.2025.2454519","url":null,"abstract":"<p><strong>Background: </strong>Previous studies suggest that cervical spine position sense declines with age, while the relationship between aging and cervical spine movement control remains unknown.</p><p><strong>Objective: </strong>To investigate the relationship between age and cervical spine movement control in asymptomatic adults.</p><p><strong>Methods: </strong>One hundred five asymptomatic adults (21-79 years old) were included. The Butterfly test (performed with an inertial measurement unit) was used to assess movement control of the cervical spine, in which participants tracked an unpredictable moving target with active head and neck movements at three different movement path difficulty levels (3 repetitions each). The determined parameters were amplitude accuracy (AA), time on target (ToT), undershoot (U) and overshoot (O). Spearman's rank correlation coefficient and simple linear regression analysis were used to assess the relationship between age and each parameter.</p><p><strong>Results: </strong>A significant relationship was demonstrated between advancing age and the AA, ToT and U parameters for all three movement path difficulty levels (<i>p</i> ≤ .001), but not for the O parameter (<i>p</i> > .05). Advancing age explained 19.8-30.4%, 24.5-30.8% and 33.7-37.2% of the variance in the AA, ToT, and U parameters, respectively.</p><p><strong>Conclusion: </strong>The results suggest that cervical spine movement control declines with aging in an asymptomatic population. Clinicians may need to monitor potential deficits in cervicocephalic kinesthesia in older asymptomatic adults, as these impairments may have a considerable impact on their functional abilities.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053975","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 kinesiotaping on proprioception, pain, disability, and quality of life in patients with cervical spondylosis: a randomized controlled trial.","authors":"Selin Aksungur, Tugba Ozsoy-Unubol, Gokcenur Yalcin, Serenay Vardar, Yeliz Bahar-Ozdemir, Muhammet Ali Yavuzdemir, Emre Ata","doi":"10.1080/09593985.2025.2449585","DOIUrl":"10.1080/09593985.2025.2449585","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the effects of kinesiotaping (KT) adjunct to physical therapy (PT) on proprioception, cervical range of motion (ROM), pain, disability, anxiety, depression, and quality of life (QoL) in cervical spondylosis.</p><p><strong>Methods: </strong>Sixty-nine patients aged 50-70 years were randomized into three groups: PT, PT plus KT(PT+KT), PT plus sham-taping(PT+ST). All participants underwent standardized 15-session PT, 5 days/week. Additionally, group-II received KT, and group-III received ST 2 days/week for 3 weeks. Primary outcome was the cervical-joint-position-error-test (CJPET), with secondary outcomes active-cervical ROM, handgrip strength, Visual-Analogue-Scale (VAS), Douleur Neuropathique-4 Questions (DN4), Upper-Limb-Functional-Index (ULFI), Neck-Disability-Index (NDI), Hospital Anxiety and Depression Scale (HADS), and 36-Item Short Form Survey (SF-36).</p><p><strong>Results: </strong>CJPET for flexion improved in all groups (<i>p</i> < .05), with no significant intergroup differences (<i>p</i> > .05). ROM improved in all groups (<i>p</i> < .05), with significant intergroup differences in extension at both T1 (<i>p</i> = .006, eta squared = 0.125, medium effect size) and T2 (<i>p</i> = .022, eta squared = 0.086, medium effect size); revealing greater improvement for PT+KT and PT+ST compared to PT (<i>p</i> < .05).VAS, DN4, NDI, and SF-36 pain domain scores improved in all groups (<i>p</i> < .05). Handgrip strength increased in the nondominant hand in PT+KT and PT+ST (<i>p</i> = .021). No improvements were observed in HADS (<i>p</i> > .05). ULFI increased in PT (<i>p</i> = .043) and PT+ST (<i>p</i> = .005).</p><p><strong>Conclusion: </strong>KT adjunct to PT shows potential in improving proprioception, pain, and disability in cervical spondylosis. Further studies are needed to refine taping techniques and assess long-term effects.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-15"},"PeriodicalIF":1.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053974","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}