Physiotherapy Theory and Practice最新文献

{"title":"Conservative management of Madelung deformity: a case report.","authors":"Ozan Gür, Betül Çiftçi","doi":"10.1080/09593985.2026.2635042","DOIUrl":"https://doi.org/10.1080/09593985.2026.2635042","url":null,"abstract":"<p><strong>Introduction: </strong>Various surgical techniques have been developed for the management of Madelung deformity. However, there is inadequate information about conservative treatment for Madelung deformity. This case report demonstrates the role of conservative treatment in a particular case where there were no known etiological factors of Madelung deformity and discusses its outcomes.</p><p><strong>Case presentation: </strong>A 30-year-old female patient presented with deformity and pain in her right wrist. Physical examination indicated a volar displacement of the right hand, a dorsal prominence of the ulna, and restricted joint motion in the wrist. The radiographs revealed a radially inclined radius and a triangular carpal configuration. According to these findings, the right wrist was diagnosed with Madelung deformity.</p><p><strong>Outcomes: </strong>Following conservative treatment including splinting, activity modification, therapeutic ultrasound, cold packs, and exercise, assessments at weeks 8 and 12 showed significant improvements for the patient. The patient reported no pain at rest or at night, with activity pain decreasing from an initial 5/10 to 2/10 on the Visual Analogue Scale. While range of motion improved, except for radial deviation, it remained lower in the affected wrist compared to the unaffected side. Although there was a slight decrease in range of motion from week 8 to week 12, it remained higher than baseline measurements. The grip strength values, initially at 80% of the unaffected side, exhibited an increase but did not reach the level of the unaffected side. Scores from the Patient-Rated Wrist Evaluation and the Quick Disability of the Arm, Shoulder, and Hand questionnaires showed reductions compared to baseline at weeks 8 and 12, surpassing the 14-point minimal clinically important difference. However, the week 12 assessment indicated an increase in survey results relative to week 8.</p><p><strong>Conclusion: </strong>Implementation of conservative treatment for Madelung deformity resulted in symptom alleviation and enhancement of the patient's condition.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259697","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":"Rehabilitation challenges and progress in a patient with sensory ataxic Guillain-Barré syndrome: a case report.","authors":"Tokio Kinoshita, Shinji Kawasaki, Yohei Furotani, Shuhei Ogami, Yoshiaki Nakayama, Katsuichi Miyamoto, Ken Kouda","doi":"10.1080/09593985.2026.2635043","DOIUrl":"https://doi.org/10.1080/09593985.2026.2635043","url":null,"abstract":"<p><strong>Background: </strong>The sensory ataxia variant of Guillain - Barré syndrome (GBS) is a rare form with an unconfirmed prognosis and clinical course and no documented rehabilitation outcomes.</p><p><strong>Objective: </strong>This report describes the clinical course - from onset to discharge - and the rehabilitation details of a patient with sensory ataxic GBS who struggled to regain independent ambulation 6 months after intravenous immunoglobulin (IVIg) therapy.</p><p><strong>Case description: </strong>A 75-year-old male was admitted with abnormal sensations and severe limb and trunk ataxia. Owing to the severity of ataxia, the patient was fully dependent on assistance with activities of daily living (ADLs). Muscle strength was mildly weakened in the right hand but was otherwise normal. Cerebrospinal fluid analysis revealed albuminocytologic dissociation, and nerve conduction studies showed poor sensory response conduction.</p><p><strong>Intervention: </strong>Physical therapy focused on standing and gait training, whereas occupational therapy targeted balance and ADL training. Because sensory recovery was slow, the intervention aimed to maintain muscle strength and joint range of motion, providing maximal assistance during standing and gait activities; the level of assistance was modified according to the patient's response.</p><p><strong>Outcomes: </strong>The patient was transferred to a rehabilitation hospital 33 days after IVIg administration and was discharged 21 weeks later. At that time, the patient could transfer to a wheelchair and move around independently using the wheelchair; additionally, walking was possible with a walker under supervision but independent walking was not possible. The Scale for the Assessment and Rating of Ataxia score improved from 31 to 20.</p><p><strong>Conclusions: </strong>In cases of sensory ataxic GBS with severe ataxia, prevention of functional decline during the acute phase until the observation of reduced ataxia symptoms is critical. The rehabilitation and treatment course described in this case may provide valuable insights for managing patients with sensory ataxic GBS who experience difficulty with recovery.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229592","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 a single session of stimulated occlusal imbalance and jaw clenching on balance and fall risk in patients with chronic stroke: a randomized controlled trial.","authors":"Ömer Dursun, Ahmet Burak Mavuş","doi":"10.1080/09593985.2026.2635041","DOIUrl":"https://doi.org/10.1080/09593985.2026.2635041","url":null,"abstract":"<p><strong>Background: </strong>Stimulated occlusal imbalance and jaw clenching may improve balance; however, their immediate effects in patients with chronic stroke patients remain unclear.</p><p><strong>Objectives: </strong>This study aimed to evaluate the immediate effects of a single session of stimulated occlusal imbalance and jaw clenching on postural stability, fall risk, and weight-bearing distribution in patients with chronic stroke.</p><p><strong>Methods: </strong>In this single-blind, three-arm randomized controlled trial, 60 patients with chronic stroke were randomly and equally assigned to a single session of ipsilesional or contralesional stimulated occlusal imbalance (Groups I and II) or jaw clenching (Group III). Postural stability, fall risk, and weight-bearing distribution were assessed before and during the intervention using the ProKin 252 system.</p><p><strong>Results: </strong>The groups had similar stroke characteristics (H = 3.787, <i>p</i> = .151; χ² = 0.291-3.137, <i>p</i> = .268-1.000), except for time since stroke onset (Group I vs II, <i>p</i> = .002; Group I vs III, <i>p</i> = .006). Within-group analyses revealed significant improvements in the jaw clenching group for overall stability index (<i>p</i> < .001, d = 2.32), whereas no significant changes were observed in the stimulated occlusal imbalance groups (<i>p</i> > .05, <i>r</i> = 0.00-0.38). Between-group comparisons showed the jaw clenching group improved significantly compared with Group I and II for overall stability index (Group I: <i>p</i> < .001, <i>r</i> = 0.85; Group II: <i>p</i> < .001, <i>r</i> = 0.89). Stimulated occlusal imbalance groups differed only in weight-bearing distribution (<i>p</i> = .016, <i>r</i> = 0.38).</p><p><strong>Conclusions: </strong>Jaw clenching, rather than stimulated occlusal imbalance, was associated with greater immediate improvements in postural stability, fall risk scores, and weight-bearing distribution in patients with chronic stroke.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259619","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":"Comparative effects of overground and treadmill gait training on post-stroke quality of life and walking performance.","authors":"Mashael A Al-Homayin, Matar A Alzahrani","doi":"10.1080/09593985.2026.2627991","DOIUrl":"10.1080/09593985.2026.2627991","url":null,"abstract":"<p><strong>Background: </strong>Post-stroke gait impairment significantly affects patients' functional independence and quality of life (QoL). Gait training strategies such as overground and treadmill-based interventions are frequently employed in stroke rehabilitation, yet the comparative effectiveness of these modalities remains inconclusive.</p><p><strong>Objective: </strong>To compare the effects of overground (OGT) and treadmill (TGT) gait training on post-stroke QoL and walking performance over a 4-week intervention period comprising 12 training sessions.</p><p><strong>Methods: </strong>An experimental pre-post intervention design was employed, involving 17 stroke survivors (<i>n</i> = 7 over ground, <i>n</i> = 10 on a treadmill). Participants underwent structured gait training and were assessed using the WHOQOL-BREF, walking speed (m/s), and 6-minute walk test (6MWT) for walking capacity. A multivariate repeated measures ANOVA examined effects of time, group, and interaction on QoL domains and performance metrics.</p><p><strong>Results: </strong>Significant within-group improvement was observed in overall QoL (Wilks' Λ = 0.501, F (1, 15) = 14.94, <i>p</i> = .002, partial η² = 0.499), irrespective of training modality, with no significant between-group differences (<i>p</i> = .712). Walking capacity demonstrated a statistically significant increase among all participants (F (1, 15) = 10.66, <i>p</i> = .005, partial η² = 0.415), with no significant between-group difference (<i>p</i> = .668). In contrast, changes in walking speed were not statistically significant (F (1, 15) = 1.96, <i>p</i> = .182), and no significant difference was observed between the OGT and TGT groups (<i>p</i> = .269).</p><p><strong>Conclusion: </strong>Both OGT and TGT significantly improved QoL and walking capacity among stroke survivors, with no superior effect observed between modalities. However, neither intervention significantly enhanced walking speed. These findings suggest that both training approaches are equally beneficial in improving endurance and overall well-being post-stroke, though additional strategies may be needed to target gait speed.77.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167643","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":"Diagnostic accuracy of SARC-F and SARC-CalF as sarcopenia screening instruments in rheumatoid arthritis according to European Working Group on Sarcopenia in Older People.","authors":"Merve Karapınar, Zübeyde Uğurlu, Fatma Gür Hatip, Ferdi Başkurt, Mehmet Şahin, Atalay Doğru","doi":"10.1080/09593985.2026.2627992","DOIUrl":"https://doi.org/10.1080/09593985.2026.2627992","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the diagnostic accuracy of SARC-F and SARC-CalF as screening tools for sarcopenia in patients with rheumatoid arthritis using the European Working Group on Sarcopenia in Older People 2 algorithm as the reference standard.</p><p><strong>Method: </strong>A cross-sectional study was conducted among 106 patients with rheumatoid arthritis diagnosed according to the 2010 ACR/EULAR criteria. Sarcopenia was assessed through handgrip strength, appendicular skeletal muscle mass (via bioelectrical impedance analysis), and gait speed, following the EWGSOP2 \"Find - Assess - Confirm - Severity\" (F-A-C-S) model. The diagnostic performance of SARC-F and SARC-CalF was evaluated using sensitivity, specificity, positive and negative predictive values (PPV, NPV), and receiver operating characteristic (ROC) curves.</p><p><strong>Results: </strong>Among the participants, 43.3% had probable sarcopenia (low muscle strength), 15% had confirmed sarcopenia (low muscle strength plus low muscle mass), and 11.3% had severe sarcopenia (low strength, low mass, and poor physical performance), according to EWGSOP2 criteria. SARC-F showed high sensitivity (86.2%) and NPV (91.3%) for probable sarcopenia but had low specificity (54.5%) and poor discrimination for confirmed (AUC: 0.43) and severe (AUC: 0.44) cases. In contrast, SARC-CalF demonstrated improved specificity (90.7%) and better AUC (0.63) for confirmed sarcopenia, although sensitivity remained low (32.3%). Both tools showed limited performance in detecting severe sarcopenia.</p><p><strong>Conclusion: </strong>SARC-F, with its high sensitivity, can serve as a first-line physiotherapy screening tool to identify patients with rheumatoid arthritis at risk of sarcopenia, enabling timely referral for muscle-strengthening interventions. SARC-CalF offers greater specificity for confirmed cases and supports individualized exercise planning. As neither tool alone detects severe sarcopenia, a two-step approach combining both questionnaires with confirmatory assessments is recommended to enhance early detection and optimize functional outcomes in physiotherapy practice.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183091","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":"Predictive value of 6-minute walk test for weight loss after bariatric and metabolic surgery in individuals with class III obesity.","authors":"Sunghwan Choi, Eunse Park, Dilbar Abdurakhimova, Heidi C Bednarchuk, Joy M Macheel, Wootaek Lim","doi":"10.1080/09593985.2026.2627993","DOIUrl":"https://doi.org/10.1080/09593985.2026.2627993","url":null,"abstract":"<p><strong>Background: </strong>Class III obesity is associated with wide variability in early weight-loss response after metabolic and bariatric surgery (MBS), creating a need for simple preoperative measures that can help stratify risk for early nonresponse.</p><p><strong>Objective: </strong>To determine whether preoperative physical functional capacity, assessed by the six-minute walk test (6MWT), predicts short-term weight loss outcomes following MBS.</p><p><strong>Methods: </strong>In this retrospective study, a total of 164 adults (mean age = 43.1 ± 10.9 years) with class III obesity underwent MBS, predominantly laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy. Three 6MWT models using (1) absolute distance, (2) percentage of predicted distance, and (3) 6MWT/body mass index (BMI) were evaluated to predict nonresponse, defined as less than 45% excess BMI loss at six months. Patients were split into development and validation cohorts. Predictive performance was assessed with receiver operating characteristic curves, area under the curve (AUC), sensitivity, and specificity.</p><p><strong>Results: </strong>Patients achieved a total body weight loss of 26.0 ± 6.9% and excess BMI loss of 57.3 ± 18.0% (76.6% follow-up). Model 3 showed the strongest predictive performance (development AUC = 0.74; validation AUC = 0.78). Model 1 demonstrated high sensitivity (0.83) but lower discrimination (validation AUC = 0.67).</p><p><strong>Conclusions: </strong>Preoperative 6MWT performance provides promising prognostic information for early nonresponse to weight loss following MBS. The 6MWT/BMI ratio showed the strongest and most consistent predictive performance within our cohort, supporting its potential role as a valuable supplementary risk stratification tool. Absolute 6MWT distance may serve as a high-sensitivity screening tool. When used in conjunction with other clinical assessments, this two-step approach may help identify patients at risk for nonresponse and guide targeted perioperative interventions.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144265","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 efficacy of adding proprioceptive neuromuscular facilitation to conventional treatments for myogenous temporomandibular disorders: a randomized controlled trial.","authors":"Gizem Ergezen Sahin, Erkin Ergezen, Sukru Can Akmansoy, Meltem Meran Caglar, Yasemin Ozkan","doi":"10.1080/09593985.2026.2624517","DOIUrl":"https://doi.org/10.1080/09593985.2026.2624517","url":null,"abstract":"<p><strong>Background: </strong>Temporomandibular disorders (TMDs) are associatedwith orofacial pain and functional limitations. Although conventionalphysiotherapy is commonly used, the additional benefits ofproprioceptive neuromuscular facilitation (PNF) remain unclear. Thisstudy investigated the effects of adding PNF to conventional exercisetherapy in individuals with myogenous TMD.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with 66participants aged 18-65 years diagnosed with myogenic TMD.Participants were divided into two groups for 4 weeks: a traditionalexercise group (CEG) or a traditional + PNF exercise group (PNFE).Pain intensity was assessed using the Numerical Pain Rating Scale(NPRS). Patient-reported mandibular function was evaluated using theMandibular Function Impairment Questionnaire (MFIQ). Mandibularmobility was assessed using jaw range of motion measures, includingactive range of motion (AROM) parameters (pain-free opening (PFO) andmaximum unassisted opening (MUO)) and assisted active range of motion(AAROM), measured as maximum mouth opening (MMO). Evaluations wereperformed at baseline (T0) and immediately after completion of the4-week intervention (T1).</p><p><strong>Results: </strong>From T0 to T1, pain intensity decreased significantlyin both groups (<i>p</i> < .001), with a moderate effect size indicating a greater reduction in the PNFE group (ηp² = 0.110, <i>p</i> = .043).Patient-reported mandibular function(MFIQ), improved in both groupsover the 4-week intervention period (<i>p</i> < .001). The PNFE groupdemonstrated greater gains in jaw range of motion (MMO and MUO);however, these changes were small (ηp² = 0.021 and ηp² = 0.002).</p><p><strong>Conclusion: </strong>PNF exercises, when combined with conventionalexercises, provided greater pain relief and improved ROM compared toconventional exercises alone, suggesting their potential value inTMDs rehabilitation. Further research is needed to assess long-termeffects.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127253","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":"Is exercise progression necessary to increase cephalic vein diameter and distensibility in patients with chronic kidney disease? A case series.","authors":"Júlio Henrique Policarpo, Juliana Rodrigues da Silva, Lívia Gabriele da Costa Silva, Frederico Castelo Branco Cavalcanti, Alessandra Campos de Oliveira, Francini Porcher Andrade, Patrícia Érika de Melo Marinho","doi":"10.1080/09593985.2025.2566148","DOIUrl":"10.1080/09593985.2025.2566148","url":null,"abstract":"<p><strong>Introduction: </strong>Exercise is used for maturing arteriovenous fistula (AVF) in patients with chronic kidney disease (CKD) to improve endothelial function and vessel adjustments for hemodialysis.</p><p><strong>Objective: </strong>To evaluate the effects of a progressive exercise protocol to increase the diameter and distensibility of the cephalic vein prior to AVF creation.</p><p><strong>Method: </strong>This is a case series study developed with nine patients with CKD (stages 4 and 5) aged between 35-75 years who participated in the training protocol distributed in two groups [non-progression group (NPG) and exercise progression group (EPG)], trained five days a week for four weeks. Patients were evaluated for diameter and distensibility of the cephalic vein (ultrasonography) at 2, 10 and 20 cm of the non-dominant limb and handgrip strength (HGS) before and after the protocol.</p><p><strong>Results: </strong>Th patients who participated in the study all showed an increase in the diameter and distensibility of the cephalic vein. Younger and older patients showed better performance in terms of diameter and distensibility of the cephalic vein in the 2 cm (1.3 to 4.2 mm) and 20 cm segments (1.6 to 5.2 mm), respectively. All patients increased their HGS after applying the exercise protocol with a range of 30-68 kilogram-force (kgf) and 35 to 68 kgf for the NPG and EPG groups, respectively.</p><p><strong>Conclusion: </strong>Exercises with and without load progression may indicate the onset of an increase in the diameter and distensibility of the cephalic vein in patients with CKD, notably in the group which performed the protocol without load adjustment.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"351-358"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability of the Spanish movement ability measure: an item response theory approach.","authors":"Natalia Hernández-Segura, Arrate Pinto-Carral, Diane D Allen, Alba Marcos-Delgado, Tania Fernández Villa, Antonio J Molina","doi":"10.1080/09593985.2025.2566155","DOIUrl":"10.1080/09593985.2025.2566155","url":null,"abstract":"<p><strong>Background: </strong>Assessment of movement capacity is fundamental in the field of physiotherapy to understand patient progress and the effectiveness of therapeutic interventions. The Movement Ability Measure (MAM) instrument is a self-reported questionnaire designed to assess self-perceived movement capacity.</p><p><strong>Objective: </strong>To validate a Spanish version of the MAM instrument.</p><p><strong>Methods: </strong>A two-part study was designed, based on guidelines for the cultural adaptation of patient-reported outcome measures: a phase for adaptation, involving 15 participants, and a phase for psychometric property analysis using Item Response Theory. The second phase included 205 subjects (49.9 ± 16.2 years, and 60.5% women). Structural validity was examined through the partial credit model. Reliability was estimated using the coefficient of reliability separation, test information function, and test-retest reliability (intraclass correlation coefficient) at one week. The association with the Physical Functioning Subscale was assessed using Spearman correlation coefficients. Movement capacity across different groups was compared using Wilcoxon - Mann - Whitney and Kruskal - Wallis tests.</p><p><strong>Results: </strong>The Spanish version of the MAM instrument showed good fit indices, especially in the multidimensional model. The correlation with the Physical Functioning Subscale was 0.79 (<i>p</i> < .001), and the coefficient of reliability separation was 0.98. The intraclass correlation coefficient was 0.94 (95% CI 0.89-0.97). When analyzing differences between groups based on age, reported mobility issues, presence of chronic illness, and origin group, statistically significant differences were found according to prior hypotheses (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>The Spanish version of the MAM instrument is both reliable and valid for evaluating movement ability.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"252-262"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214130","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":"Responsiveness and minimal clinically important changes of the Persian version of the back pain functional scale and spine functional index in patients with non-specific chronic low back pain.","authors":"Fatemeh Mahdianfar, Hossein Negahban, Mehraneh Movahedi Aliabadi, Neda Mostafaee, Majid Shahbazi, Hossein Rafsanjani Deh Qazi, Sogand Mansouri Jusheqan","doi":"10.1080/09593985.2026.2615386","DOIUrl":"https://doi.org/10.1080/09593985.2026.2615386","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic low back pain is a common condition that often results in long-term disability and reduced quality of life.</p><p><strong>Purpose: </strong>To assess the responsiveness and determine the Minimal Clinically Important Change (MCIC) of the Persian version of the Back Pain Functional Scale (BPFS) and Spine Functional Index (SFI) in patients with nonspecific chronic low back pain (LBP) following physiotherapy intervention.</p><p><strong>Methods: </strong>Patients with nonspecific chronic LBP, recruited from outpatient clinics, completed the BPFS, SFI, Roland-Morris Disability Questionnaire (RMDQ), and Functional Rating Index (FRI) at pre-treatment. At post-treatment, these four questionnaires, along with the Global Rating of Change Scale (GRS), were administered. Responsiveness was evaluated using a criterion approach with the area under the receiver operating characteristic curve (AUC) and a construct approach by testing eight a priori hypotheses. The MCIC was determined as the optimal cutoff point on the ROC curve using GRS as an external anchor.</p><p><strong>Results: </strong>A total of 100 patients with nonspecific chronic LBP participated in the study. The AUC was acceptable for both the BPFS (0.83) and the SFI (0.75). All predefined hypotheses were supported by both the BPFS and the SFI. The MCIC values were 9.5 for the BPFS and 13.5 for the SFI.</p><p><strong>Conclusion: </strong>The Persian versions of the BPFS and SFI are responsive and clinically useful tools for evaluating functional changes in patients with nonspecific chronic LBP following physiotherapy. These tools can be effectively utilized in both clinical and research settings to monitor treatment outcomes.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100908","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}