Physiotherapy Theory and Practice最新文献

{"title":"Cost of manual therapy for musculoskeletal disorders: a systematic review of systematic reviews with methodological and reporting quality.","authors":"Kaitlin Kirker, Michael Masaracchio, Rebecca States, Jodi Young","doi":"10.1080/09593985.2025.2471398","DOIUrl":"https://doi.org/10.1080/09593985.2025.2471398","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this systematic review of systematic reviews was to determine the cost-effectiveness of manual therapy in the management of patients with musculoskeletal disorders, with an assessment of methodological and reporting quality.</p><p><strong>Methods: </strong>To be included, publications needed to be systematic reviews including studies with participants with musculoskeletal conditions > 18 years old; the experimental intervention was manual therapy; assessed the cost of manual therapy; and were published in English. Literature, narrative, and scoping reviews were excluded. An electronic search was conducted in May 2024 using CINAHL (EBSCO Host), Ovid MEDLINE® ALL, the Cochrane Library, and Embase. The methodological and reporting quality of systematic reviews was assessed using A MeaSurement Tool to Assess Systematic Reviews 2 (AMSTAR 2) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020). Cost data was reported narratively. AMSTAR 2 and PRISMA compliancewas summarized narratively and graphically.</p><p><strong>Results: </strong>Eleven systematic reviews were included. Approximately half of the reviews on spine pain concluded that manual therapy and acupuncture were cost-effective compared to usual care. A limited number of systematic reviews on peripheral joint pain concluded that manual therapy was cost-effective for shoulder pain, but was inconclusive for ankle fractures and knee osteoarthritis. Confidence in the results of the included reviews was low to critically low. Compliance with PRISMA guidelines was highly variable.</p><p><strong>Conclusion: </strong>Overall low to critically low methodological quality, variability in reporting quality, and heterogeneity of cost data makes it difficult to draw summative conclusions about the cost-effectiveness of manual therapy for patients with musculoskeletal conditions.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-18"},"PeriodicalIF":1.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558304","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":"\"This patient is not appropriate\": Perspectives of physiotherapy students and clinical educators on exposing students to patients with complex needs during clinical practice placements.","authors":"Elaine McGivern, Allison Mandrusiak, Ann Rahmann, Roma Forbes","doi":"10.1080/09593985.2024.2355243","DOIUrl":"10.1080/09593985.2024.2355243","url":null,"abstract":"<p><strong>Background: </strong>Clinical practice placements play an important role in preparing students for challenging areas of clinical practice. Little is known about student learning needs for working with patients with complex needs during clinical practice placements, and clinical educator decision-making that underpins this exposure.</p><p><strong>Purpose: </strong>To explore the perspectives of physiotherapy students and clinical educators on exposing students to working with and learning from patients with complex needs during clinical practice placements across Queensland and New South Wales, Australia.</p><p><strong>Methods: </strong>Six semi-structured focus groups with pre-registration physiotherapy students undertaking clinical practice placements (<i>n</i> = 19) and semi-structured one-on-one interviews with clinical educators (<i>n</i> = 20). Data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Four overarching themes were generated following analysis: 1) Complexity is challenging; 2) Tension between student exposure and patient care; 3) Variance in expectations; and 4) Readiness for complexity.</p><p><strong>Conclusion: </strong>Physiotherapy students and clinical educators recognize the challenges and importance of exposure to patients with complex needs. Student learning experiences are influenced by clinical educator decision-making, which is often unclear, leading to varying opportunities. This study highlights the need for enhanced support from clinical educators to prepare students for working with patients with complex needs.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"617-632"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of adding Mediterranean diet to aerobic and strengthening exercise program on pain, inflammation, and muscle performance in females with rheumatoid arthritis: a randomized controlled trial.","authors":"Nabil M Abdel-Aal, Ragia M Kamil, Dalia I Tayel, Rania H Hamed, Mohamed M Ragab, Alshaymaa S Abd El-Azeim","doi":"10.1080/09593985.2024.2358122","DOIUrl":"10.1080/09593985.2024.2358122","url":null,"abstract":"<p><strong>Background: </strong>People with rheumatoid arthritis (RA) frequently use dietary interventions such as Mediterranean diet (MedDiet) and exercises to complement pharmacotherapy.</p><p><strong>Objective: </strong>To investigate the effect of adding MedDiet to a designed exercise program on quadriceps and hamstrings muscles performance, pain, C-reactive protein (CRP), handgrip strength, bodyweight, and function in females with RA.</p><p><strong>Methods: </strong>Sixty females were allocated randomly to the MedDiet plus exercise program (<i>n</i> = 30) or exercise program only (<i>n</i> = 30). The interventions continued for 6 months followed by 6 months of follow-up with no intervention. The primary outcome was the quadriceps and hamstrings muscles performance (agonist-antagonist ratio). The secondary outcomes were visual analog scale (VAS) for pain, CRP blood marker for inflammation, handheld dynamometer for handgrip strength, Health AssessmentQuestionnaire disability index (HAQ-DI) for function, and body weight. All outcomes were measured at baseline, 6-month post-intervention, and 12 months from baseline as a follow-up.</p><p><strong>Results: </strong>The MedDiet group showed statistically significant improvements in all the measured outcomes than the control group (<i>p</i> < .05) after 6 and 12 months. After 6 months of intervention, the mean±SD for agonist-antagonist ratio, pain, and HAQ-DI were 84.59 ± 5.33 and 69.92 ± 5.56 (<i>p</i> < .001, ƞ² = 0.65), 42.33 ± 8.98 and 54.33 ± 10.06 (<i>p</i> < .001, ƞ² = 0.3), 1.13 ± 0.48 and 1.9 ± 0.59 (<i>p</i> < .001, ƞ² = 0.34) in the MedDiet and control groups, respectively.</p><p><strong>Conclusion: </strong>Adding MedDiet to aerobic and strengthening exercise program improved quadriceps and hamstrings muscles performance, pain, functional ability, CRP, handgrip strength, and body weight. Consequently, Mediterranean diet should be considered as adjunctive therapy in treating females with RA.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"571-587"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159250","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":"Health-promoting physical activities for refugees from Syria - physiotherapists' clinical reasoning.","authors":"Marianne Lindahl, Signe Andersen, Anne Vollen Rafn, Jan Rafn, Jeannette Præstegaard, Anne Juul Sønderskov, Nina Odgaard Nielsen","doi":"10.1080/09593985.2024.2353244","DOIUrl":"10.1080/09593985.2024.2353244","url":null,"abstract":"<p><strong>Background: </strong>Refugees from Syria face health challenges with psychosocial dimensions due to disrupted networks, uncertain life situations, and language barriers. Additionally, a sedentary lifestyle increases the risk of noncommunicable diseases, so health-promoting initiatives involving physical activities are essential.</p><p><strong>Purpose: </strong>To explore physiotherapists' clinical reasoning and collaboration with refugee families in developing group-based health-promoting physical exercising to increase participants' wellbeing, sense of togetherness, and self-efficacy.</p><p><strong>Methods: </strong>The design was participating action research with 24 resettled refugees from Syria. Data consisted of field notes and three focus group interviews. Data gathering followed a phenomenological approach, and the four-step analysis was inspired by Giorgi.</p><p><strong>Results: </strong>Based on clinical reasoning and collaboration with the participants and their wishes, the physiotherapists organized a physical exercise intervention integrating language learning. The physiotherapists based the intervention on social cognitive theory, focusing on the group's and the individual's capacity and working with the participants on exercise and organizational adaptations to the group and individual. The participants appreciated the joyful physical activities, body awareness, and a sense of togetherness. To accommodate that many suffered from musculoskeletal pain, the physiotherapists developed an intervention for therapeutic exercising that included individual assessment and pain management.</p><p><strong>Conclusion: </strong>The physiotherapists' clinical reasoning in working with refugees included the cultural, linguistic, and social context rooted in a salutogenic perspective. The participants' wellbeing and self-efficacy in adhering to exercise increased. They experienced pain relief and increased confidence in using the body.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"602-616"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945947","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":"Reliability and validity of the 6-minute pegboard and ring test for functional exercise capacity in patients with breast cancer.","authors":"Hacer Oncu, Ebru Calik-Kutukcu, Naciye Vardar Yagli, Deniz Inal-Ince, Melda Saglam, Ferhat Unal, Sercan Aksoy","doi":"10.1080/09593985.2024.2353260","DOIUrl":"10.1080/09593985.2024.2353260","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain, sensory disturbances, and lymphedema are frequent after breast cancer, leading to arm dysfunction. There is a need for objective performance-based clinical exercise tests for the upper extremity in patients with breast cancer.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the validity and reliability of the 6-minute pegboard and ring test (6PBRT) in breast cancer survivors.</p><p><strong>Methods: </strong>Forty-eight women with breast cancer (mean age = 55.40 ± 10.40 years) were included. All patients performed 6PBRT on the first day and one week later to investigate the test-retest reliability of the 6PBRT, and intraclass correlation coefficients (ICC) were calculated. The peak workload (W_peak) and oxygen consumption level (VO_2peak) during the arm ergometer test were used as outcomes for the criterion validity of the 6PBRT.</p><p><strong>Results: </strong>The 6PBRT showed good test - retest reliability with an ICC_1,2 value of 0.871 [95% confidence interval (CI) 0.769-0.928]. The first 6PBRT score was very strongly correlated with the second test score (<i>r</i> = 0.866, <i>p</i> < .001). The 6PBRT score was significantly correlated with VO_2peak (<i>r</i> = 0.634, <i>p</i> < .001), and W_peak (<i>r</i> = 0.546, <i>p</i> < .001). While the 6PBRT score had less effect on VO_2peak, the determination of VO_2peak in the model was very good (R² = 0.832).</p><p><strong>Conclusion: </strong>The 6PBRT has good test-retest reliability and is a valid test in individuals with breast cancer. These findings suggest that 6PBRT is a practical, useful, valid and reliable assessment tool for determining functional arm exercise capacity in patients with breast cancer.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"643-655"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916451","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 psychometric properties of \"exercise Benefits/Barriers scale\" in Turkish patients with rheumatoid arthritis.","authors":"Melissa Köprülüoğlu, Devrim Can Saraç, İlknur Naz, Vedat Gerdan, Dilek Solmaz, Servet Akar","doi":"10.1080/09593985.2024.2353259","DOIUrl":"10.1080/09593985.2024.2353259","url":null,"abstract":"<p><strong>Background: </strong>Rheumatoid arthritis (RA) is a chronic systemic disease accompanied by several symptoms and functional disabilities. Physical activity (PA) is crucial for disease management and patients' perception of exercise is essential for a rehabilitation plan.</p><p><strong>Purpose: </strong>This study aims to examine the psychometric properties of the Exercise Benefits/Barriers Scale (EBBS) that is frequently used in previous studies in the RA population.</p><p><strong>Methods: </strong>We included a total of 104 patients in our study. Test-retest reliability was assessed using intraclass correlation coefficient (ICC 2,k). The International Physical Activity Questionnaire (IPAQ) and the Bristol Rheumatoid Arthritis Fatigue Scale (BRAFS) were used for the convergent validity of the scale. For discriminant validity analysis, the total barriers and benefits scores were examined according to exercise status (yes/no), PA level (high/low), and fatigue severity (high/low). Additionally, standard error of measurement (SEM) and minimal detectable change with 95% confidence (MDC₉₅) are calculated.</p><p><strong>Results: </strong>EBBS subscores showed moderate to excellent reliability (ICC: 0.71 to 0.98) and correlated PA (<i>r</i> = 0.453 and 0.515, EBBS-barriers and benefits subscores, respectively) and fatigue (<i>r</i>=-0.261 and -0.393, EBBS-barriers and benefits subscores, respectively). The SEM and MDC₉₅ values were calculated as 2.03 and 7.96 for EBBS-benefits subscores and 0.93 and 3.65 for EBBS-barriers subscores. The EBBS-Benefits and Barriers subscores differed according to exercise status (<i>p</i> = .08), PA level (<i>p</i> < .01), and fatigue (<i>p</i> = .08).</p><p><strong>Conclusion: </strong>The results highlighted that the EBBS is a reliable and valid instrument to assess exercise benefits and barriers in patients with RA.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"555-562"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of chronic low back pain and lumbopelvic stabilization instructions on gluteus medius activation during sidelying hip movements.","authors":"Myra M Meekins, Audrey Zucker-Levin, Marcie Harris-Hayes, Kunal Singhal, Kyle Huffman, Richard Kasser","doi":"10.1080/09593985.2024.2357130","DOIUrl":"10.1080/09593985.2024.2357130","url":null,"abstract":"<p><strong>Background: </strong>People with chronic low back pain (LBP) often demonstrate altered muscle activation with movements that involve the lumbopelvic region and hips.</p><p><strong>Objective: </strong>The purpose of this study was to compare gluteus medius activity during sidelying hip abduction (SHA) and sidelying hip abduction-lateral rotation (SHALR) with and without instruction for lumbopelvic stabilization in people with and without chronic LBP.</p><p><strong>Methods: </strong>A cross-sectional study was conducted recruiting participants with (<i>n</i> = 17) and without (<i>n</i> = 17) chronic LBP. Gluteus medius activity was recorded with surface electromyography during the performance of SHA and SHALR with and without instructions including the abdominal drawing-in maneuver for lumbopelvic stabilization.</p><p><strong>Results: </strong>For SHA and SHALR, there was a significant main effect for instruction for stabilization indicated by a decrease in gluteus medius activity with instructions (<i>p</i> = .001, <i>p</i> < .001). There was not a significant main effect of chronic LBP on gluteus medius activity between groups for either activity. There was no significant interaction effect of pain and instruction for stabilization with SHA or SHALR.</p><p><strong>Conclusion: </strong>Knowledge of changes in gluteus medius muscle activation patterns with trunk stabilization instruction may help clinicians with assessment of exercise performance to optimize gluteus medius activation.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"563-570"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155757","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":"Psychometric properties of 3-meter backward walk test (3MBWT) in people with Parkinson disease.","authors":"Kristen Barta, Anne Hill Boddy, Megan Flores, Lindsay Perry, Kathryn Sawyer, Ashley Campbell","doi":"10.1080/09593985.2024.2348034","DOIUrl":"10.1080/09593985.2024.2348034","url":null,"abstract":"<p><strong>Background and purpose: </strong>The purpose of this study was to investigate the 3-meter backward walk test (3MBWT) in individuals with Parkinson Disease (PD) to determine the following: (1) concurrent validity with other gait velocity measures and (2) interrater and intrarater reliability of in-person and video assessment.</p><p><strong>Methods: </strong>A convenience sample of 25 people with PD participated. Forward gait velocity was measured using a computerized walkway (Zeno Walkway System), the 10-meter walk test (10MWT), and 4-meter walk test (4MWT). Backward gait velocity was measured using the 3MBWT. Concurrent validity was assessed using Pearson's correlations. Reliability was assessed using intra-class correlation coefficients (ICC_(2,1)).</p><p><strong>Results: </strong>All relationships between the 3MBWT and gait outcome measures were significant. The 3MBWT demonstrated strong correlations with the 4MWT dual task (<i>r</i> = .795, <i>p</i>=<.001) and moderate correlations with 4MWT comfortable walking speed (<i>r</i> = .658, <i>p</i> < .001), 4MWT fast walking speed (<i>r</i> = .601,<i>p</i>=.002), 10MWT comfortable walking speed (<i>r</i> = .512, <i>p</i> = .009), and 10MWT dual task (<i>r</i> = .535, <i>p</i> = .006). A low yet significant correlation was noted with the 10MWT fast walking speed (<i>r</i> = .398, <i>p</i> = .049). Association between the 3MBWT and the Zeno Walkway System revealed moderate correlations. All reliability tests were significant at <i>p</i> < .001. Interrater reliability ICC_(2,1) values were very high for 3MBWT (ICC_(2,1) = 0.93, [0.83-0.91]). Intrarater reliability was also very high (ICC_(2,1) = 0.96 [0.90-0.98]).</p><p><strong>Conclusion: </strong>The 3MBWT demonstrates validity and reliability as a tool for assessing gait speed in the posterior direction in people with PD.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"656-663"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861033","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":"\"Exploring job demands and resources influencing mental health and work engagement among physical therapists: a cross-sectional survey of Norwegian physical therapists.\"","authors":"Susanne Hagen, Linn Therese Jacobsen Bergheim, Steffen Torp","doi":"10.1080/09593985.2024.2348731","DOIUrl":"10.1080/09593985.2024.2348731","url":null,"abstract":"<p><strong>Background: </strong>Physical therapists play a vital role in the Norwegian health care system, and their work environment may be a significant determinant for their wellbeing and job performance.</p><p><strong>Objective: </strong>1) Assess differences in work environment, mental health problems, and work engagement between physical therapists working in specialist versus municipal health care services. 2) Assess the relationships between work environment factors and work engagement and mental health problems.</p><p><strong>Methods: </strong>In this cross-sectional study, 273 physical therapists responded to the Survey for Workplace Health Promotion (response rate = 35%). Independent-sample t-tests, Pearson correlations, and multiple regression analyses were performed.</p><p><strong>Results: </strong>This study did not find any significant differences between physical therapists working in Norwegian hospitals and therapists working in the municipal health care services. Analyses showed that general demands (<i>β</i> = 0.21), fragmented work tasks (0.18), predictability (-0.17) and social support (-0.34) were associated with mental health problems, while meaningful work (0.41), the opportunity to use one's strengths and potential (0.14), and social support (0.25) were associated with higher work engagement.</p><p><strong>Conclusion: </strong>This study highlights the role of poor job design and professional isolation as hindrances to work engagement among physical therapists, whereas work related meaningfulness and peer support promote their health and wellbeing.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"532-543"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900050","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":"Can physiotherapy in an interdisciplinary pain rehabilitation setting improve physical function? A long-term mixed methods follow-up study.","authors":"Angelica Dahlbäck, Birgit Heckemann, Paulin Andréll, Sara Åkerlund, Emma Varkey","doi":"10.1080/09593985.2024.2351978","DOIUrl":"10.1080/09593985.2024.2351978","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to describe chronic pain patients' perception of their physical function and treatment factors for improving or maintaining physical function long-term after the completion of an Interdisciplinary Pain Rehabilitation Program (IPRP) and to compare physical function before, directly after and at long-term follow-up (16-20 months after treatment).</p><p><strong>Materials and methods: </strong>Patients with severe nonmalignant chronic pain, participating in an IPRP at a specialist clinic, were eligible for inclusion in a convergent mixed methods study. Quantitative data included aerobic capacity, level of physical activity (PA) and self-efficacy for exercise. Qualitative data were collected through semi-structured interviews.</p><p><strong>Results: </strong>The qualitative analysis resulted in one theme: Orientation change and two categories: Permission to feel self-worth and Reclaiming life, which illuminated factors that enabled a sustained increase in PA. The quantitative data (<i>n</i> = 11) showed a significantly increased maximal oxygen uptake (VO₂max) from 2.46 l/min (SD = 0.9) at baseline to 2.63 l/min (SD = 0.9, <i>p</i> = .03) on completion of the program. VO₂max was sustained at long-term follow-up (2.56 l/min (SD = 1.0, <i>p</i> = .24).</p><p><strong>Conclusion: </strong>This study indicates that an orientation change process through an IPRP can lead to increased physical function and a sustainable level of PA. Furthermore, it highlights the importance of a person-centered approach to enable sustainable change in patients with chronic pain.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"588-601"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900004","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}