Physiotherapy Theory and Practice最新文献

{"title":"Immediate effects of Compressive Myofascial Release versus Talocrural Joint Mobilization on passive mechanical properties and functional outcomes in participants with Achilles tendon repair.","authors":"Firat Tan, Zilan Bazancir-Apaydin, Defne Kaya Utlu, Ahmet Gurler, Mehmet Orçun Akkurt, Hande Guney-Deniz","doi":"10.1080/09593985.2025.2547294","DOIUrl":"https://doi.org/10.1080/09593985.2025.2547294","url":null,"abstract":"<p><strong>Objective: </strong>To compare the immediate effects of two manual therapy techniques - Compressive Myofascial Release (CMR) and Talocrural Joint Mobilization (TJM) - on passive mechanical properties, ankle mobility, and functional performance in individuals following Achilles tendon repair.</p><p><strong>Methods: </strong>Twenty participants with surgically repaired Achilles tendons received a single session of either CMR or TJM. Passive mechanical properties (tone, elasticity, stiffness) of the medial/lateral gastrocnemius and Achilles tendon were assessed via handheld myotonometer. Functional outcomes included the Weight-Bearing Lunge Test (WBLT), Achilles Tendon Resting Angle (ATRA), and heel-rise height. Patient-reported outcomes were the Achilles Tendon Total Rupture Score (ATRS) and Foot and Ankle Outcome Score (FAOS).</p><p><strong>Results: </strong>Demographic variables were similar between groups (<i>p</i> > .05). The mean time since surgery was 12.8 ± 10.3 months in the TJM group and 16.8 ± 13.25 months in the CMR group. CMR led to significantly greater improvements in MG stiffness (<i>p</i> = .007, <i>r</i> = 0.85), MG tone (<i>p</i> = .032, <i>r</i> = 0.68), and LG stiffness (<i>p</i> = .005, <i>r</i> = 0.89), with changes exceeding minimal detectable change (MDC) values. Although Achilles tendon stiffness also decreased significantly (<i>p</i> = .037, <i>r</i> = 0.66), this change did not exceed its MDC. Both groups showed statistically and clinically meaningful gains in ATRA, heel-rise height, and WBLT (all <i>p</i> < .01, <i>r</i> > 0.85). ATRS and FAOS indicated high functional recovery.</p><p><strong>Conclusion: </strong>CMR yielded greater short-term improvements in clinically relevant muscle-tendon mechanical properties than TJM and may be a valuable therapeutic option following Achilles tendon repair.</p><p><strong>Level of evidence: </strong>Level II.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975211","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":"Estimating the minimal important change of WHODAS 2.0 in individuals with chronic stroke: a methodological comparison.","authors":"Ariadne Cardoso da Silva, Léia Cordeiro de Oliveira, Bibiana Cadeira Monteiro, Gustavo Pietracatelli Janizello, Shamyr Sulyvan de Castro, Cid André Fidelis de Paula Gomes, Soraia Micaela Silva","doi":"10.1080/09593985.2025.2549455","DOIUrl":"10.1080/09593985.2025.2549455","url":null,"abstract":"<p><strong>Introduction: </strong>Assessing the state of functioning and disability post-stroke is essential for managing treatment and allocating appropriate resources.</p><p><strong>Purpose: </strong>To explore the minimal important change (MIC) of the World Health Disability Assessment Schedule 2.0 (WHODAS 2.0) in individuals with chronic stroke using different statistical approaches.</p><p><strong>Methods: </strong>WHODAS 2.0 was administered at baseline and after six months. MIC was estimated through distribution-based methods, anchor-based approaches, and ROC curve analysis using the Youden's index. A logistic regression model was also applied to estimate a predictive MIC (MIC_pred). Positive and negative predictive values (PPV and NPV) were estimated for three MIC thresholds.</p><p><strong>Results: </strong>Fifty participants with chronic stroke were included (48% male; mean age approximately 60 years). Most (78%) had mild disability, and 80% showed functional improvement after six months. MIC estimates varied: 1.6 points (standard error of measurement), 5.28 points (0.33 × SD), and 8 points (0.5 × SD). ROC analysis yielded an AUC of 0.67, Youden's index of 0.35, sensitivity of 75%, specificity of 60%, and MIC ≤ 1.89 points. MIC_pred was 10.3 points (Nagelkerke R² = 0.078). The threshold of 5.28 points showed the best PPV (90.67%) and modest NPV (26.32%).</p><p><strong>Conclusion: </strong>MIC values for WHODAS 2.0 in chronic stroke differ by method. The 5.28-point threshold offered the most balanced predictive value but should be interpreted cautiously. The findings support using multiple methods and emphasize the need for patient-centered assessment and methodological consistency in MIC determination.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876216","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":"Navigating the complexities of supervising challenging students in clinical education: perspectives of physiotherapy educators and departmental managers.","authors":"Catherine Johnston, Clint Newstead, Lesley MacDonald-Wicks","doi":"10.1080/09593985.2025.2546085","DOIUrl":"https://doi.org/10.1080/09593985.2025.2546085","url":null,"abstract":"<p><strong>Background: </strong>Physiotherapy clinical educators report that supervising students who are underperforming, struggling and/or challenging is one of the most difficult aspects of their role. These situations impact the individual educator and may also have negative effects on other students, staff, and the workplace.</p><p><strong>Objective: </strong>The aim of this project was to explore the attitudes and opinions of physiotherapy clinical educators and departmental managers regarding the impact of supervising challenging students and document their needs for support/training.</p><p><strong>Methods: </strong>This study was a cross-sectional design employing qualitative and quantitative methods of data analysis. Participants were Australian physiotherapy clinical educators and departmental managers.</p><p><strong>Results: </strong>There were 209 completed surveys returned (educators <i>n</i> = 166, managers <i>n</i> = 43), Overall response rate was 60%. Most respondents indicated that they had supervised (87% of educators) or worked with (93% of managers), a student they perceived to be challenging. Supervising challenging students often had a negative impact on physiotherapy clinical educators and their workplaces. It was perceived by both educators and departmental managers that these difficult situations resulted in an increased workload, additional stress, and often adversely influenced willingness to engage in further student clinical education. A need for more training and face-to-face support to assist in the management of challenging student situations was widely reported and particularly highlighted by novice educators.</p><p><strong>Conclusion: </strong>Challenging students have a considerable impact on physiotherapy clinical educators and their workplace. Better pre-placement student preparation and improved support and training are vital to enhance educator job satisfaction, contribute to a positive workplace culture around student supervision and maintain capacity to provide high-quality physiotherapy clinical placements.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876217","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":"Minimal clinically important difference of the Kansas University standing balance scale in patients with acute-to-subacute stroke using two external anchors.","authors":"Asall Kim, Younji Kim, Myungki Ji, Jae-Young Lim","doi":"10.1080/09593985.2025.2547293","DOIUrl":"https://doi.org/10.1080/09593985.2025.2547293","url":null,"abstract":"<p><strong>Background: </strong>Stroke-related balance impairments reduce independence, making accurate assessment vital for rehabilitation. However, research on the minimal clinically important difference for the Kansas University Standing Balance Scale (KUSBS) is limited.</p><p><strong>Objectives: </strong>This study determined the minimal clinically important difference for the KUSBS based on reduced assistance in walking and daily living activities for inpatients with acute-to-subacute stroke.</p><p><strong>Methods: </strong>This retrospective study included 407 inpatients diagnosed with acute-to-subacute stroke who were referred to the rehabilitation department between 2016 and 2022. Clinical outcomes - including the Kansas University Standing Balance Scale (KUSBS), Berg Balance Scale (BBS), Functional Ambulation Category (FAC), and Modified Barthel Index (MBI) - were assessed at both admission and discharge. The minimal clinically important difference was determined using anchor-based methods, including receiver operating characteristic curve analysis.</p><p><strong>Results: </strong>The minimal clinically important difference for the KUSBS was 0.5 for both anchors; for the BBS, it ranged from 5.5 to 9.5. Subgroup analysis demonstrated statistical significance for patients requiring assistance with activities. Multivariate analysis indicated that functional improvements varied according to the initial functional levels.</p><p><strong>Conclusion: </strong>The minimal clinically important difference for the KUSBS was 0.5 for patients requiring walking assistance and 1.5 for those needing maximal assistance with daily activities. Alternative balance assessment tools may be more suitable for patients who do not require assistance. Our study findings emphasize the importance of incorporating qualitative balance assessment tools, such as the KUSBS, alongside traditional quantitative measures, such as the BBS, to provide a more comprehensive evaluation of post-stroke balance function.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862570","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":"Physiotherapists' perceptions of palliative care: a qualitative survey.","authors":"Martina Egloff, Steffen Eychmüller, Martin L Verra, Sofia C Zambrano","doi":"10.1080/09593985.2025.2544185","DOIUrl":"https://doi.org/10.1080/09593985.2025.2544185","url":null,"abstract":"<p><strong>Background: </strong>There is a clear need for physiotherapy in the care of patients receiving palliative care, especially in hospital-based settings.</p><p><strong>Objective and methods: </strong>This study aimed to identify Swiss hospital-based physiotherapists' perceptions and experiences in palliative care, using an online qualitative survey design, and analyzing the data using reflexive thematic analysis.</p><p><strong>Results: </strong>In total, 75 hospital-based physiotherapists participated in the study, of which 68% had palliative care experience. Three main themes were identified: 1) Recognizing the importance of palliative care, 2) the personal impact on physiotherapists, and 3) the search for individual solutions. Under the first theme were the positive perceptions toward palliative care, including wanting an earlier involvement of palliative care, as well as more acknowledgment of the key role that physiotherapists have in palliative care. The personal impact encompassed the way in which participants were affected by difficult patient situations, but also a recognition of the rewards of working in palliative care, including learning valuable lessons for life. The last theme encompassed participants' experiences of finding a sense of security in the team, their flexibility in setting adapted goals, and their own <i>experience</i> as a facilitator.</p><p><strong>Conclusion: </strong>Physiotherapists seem to have a natural way of coping with difficult situations with support from their teams. In addition, hospital-based physiotherapists seem generally well equipped to treat patients in palliative situations and their involvement in the care of patients receiving palliative care should be promoted.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144862571","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 impact of symptoms, proprioception, and electrodiagnostic findings on activity and participation in idiopathic carpal tunnel syndrome: an ICF framework approach.","authors":"Zeynep Sena Namaz, Emrah Afsar, Merve Akdeniz Leblebicier","doi":"10.1080/09593985.2025.2547296","DOIUrl":"https://doi.org/10.1080/09593985.2025.2547296","url":null,"abstract":"<p><strong>Background: </strong>The role of carpal tunnel syndrome (CTS) in activity and participation is critical for improving rehabilitation outcomes, but there is a gap in the literature on this subject. This study presents an innovative application of Structural Equation Modelling (SEM) within the framework of the International Classification of Functioning, Disability and Health (ICF) for CTS patients.</p><p><strong>Purpose: </strong>The aim of this study was to examine the effects of symptoms, proprioception, electrodiagnostic findings, and activity/participation in idiopathic CTS.</p><p><strong>Methods: </strong>This cross-sectional study included 81 patients with mild to moderate idiopathic CTS. For the assessment of body structure/function, symptoms were measured by Visual Analogue Scale, Leeds Assessment of Neuropathic Symptoms and Signs, and Boston Carpal Tunnel Questionnaire - Symptom Severity Scale; proprioception by the force reproduction tests; and electrodiagnostic findings. Activity/participation were assessed using the Boston Carpal Tunnel Questionnaire - Functional Status Scale and the Quick Disability of the Arm, Shoulder, and Hand. SEM was used to examine the effect of body structure/function on activity/participation.</p><p><strong>Results: </strong>This study revealed that symptoms (standardized coefficient = 0.858, <i>p</i> < .001) and proprioception (0.207, <i>p</i> = .032) had a significant effect on activity/participation. Conversely, the model results indicated no significant effect of sensory nerve conduction findings (-0.031, <i>p</i> = .673) and motor nerve conduction findings (0.195, <i>p</i> = .170) on activity/participation.</p><p><strong>Conclusion: </strong>Relying solely on electrodiagnostic findings may contribute to the underestimation or misinterpretation of activity/participation limitations in patients with CTS. The findings of this study suggest that reducing symptoms may enhance activity/participation. Incorporating proprioception into the management of CTS patients may offer promising benefits.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822962","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":"Hispanic and Latino perspectives on stroke and rehabilitation research in the midwestern United States: an exploratory mixed methods study.","authors":"Sarah M Schwab-Farrell, Valéria Andrade, Erin Wagner, Becca Rose, Daria Pressler, Jordan José Fiallos, Amu De Silva, Ligia Gómez, Karen Rosen-Guevara, Via Miller, Julie McGregor, Hillary Williams","doi":"10.1080/09593985.2025.2546555","DOIUrl":"https://doi.org/10.1080/09593985.2025.2546555","url":null,"abstract":"<p><strong>Background: </strong>Individuals in the Hispanic and Latino community have the lowest levels of post-stroke function compared to other races and ethnicities and are poorly represented in stroke rehabilitation research studies.</p><p><strong>Objective: </strong>To understand the Hispanic and Latino perspective on stroke and rehabilitation research in the midwestern United States.</p><p><strong>Methods: </strong>An academic-community partnership was formed between stroke rehabilitation researchers and community experts. Over a 9-month period, we developed and administered a survey and conducted focus group discussions aimed at understanding Hispanic and Latino perspectives on stroke and rehabilitation research. Themes from focus group discussions were abstracted using inductive thematic analysis.</p><p><strong>Results: </strong>The survey identified that there are concerns which may limit research participation in general and that family comfort with the research team is valued. Three themes emerged from focus group discussions: (1) Research Engagement and Information; (2) Stroke Knowledge; and (3) Community Contextualization and Cultural Congruence. While generally interested in research and motivated to attain additional information, participants were widely unaware of stroke and rehabilitation research opportunities and reported limited stroke knowledge. Participants noted language differences as a critical concern, and there was a strong desire to understand the community impact of research.</p><p><strong>Conclusion: </strong>Limited information exchange and limited understanding of stroke are concerns among the Hispanic and Latino community in the midwestern United States. It is necessary for stroke and rehabilitation research teams to engage in productive information sharing and enhance relationships with community partners.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822961","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":"Ankle cartilage health and physical activity in adults with a history of lateral ankle sprain.","authors":"Amin Mohammadi, Leryn Reynolds, Ryan McCann","doi":"10.1080/09593985.2025.2546083","DOIUrl":"https://doi.org/10.1080/09593985.2025.2546083","url":null,"abstract":"<p><strong>Introduction: </strong>Lateral ankle sprain (LAS) is a common injury with long-term consequences, including joint degeneration and behavioral adaptations.</p><p><strong>Objective: </strong>This study compares talar cartilage measures, physical activity, and injury-related fear between young and middle-aged adults with and without a history of LAS.</p><p><strong>Methods: </strong>Forty adults were categorized into four groups: young ankle sprain (YAS), young control (YC), middle-aged ankle sprain (MAS), and middle-aged control (MC). Talar cartilage cross-sectional area (CSA), echointensity (EI), and echogenicity (EG) were measured using ultrasound. Physical activity was assessed via accelerometry and the Godin Questionnaire. The Tampa Scale of Kinesiophobia-11 (TSK-11), the Fear-Avoidance Beliefs Questionnaire (FABQ), and the Foot and Ankle Disability Index (FADI) were used to evaluate injury-related fear and ankle function.</p><p><strong>Results: </strong>Significant age × LAS interactions for lateral EI (<i>p</i> = .016, d = -0.88) and medial EI (<i>p</i> = .007, d = -0.91) indicated compositional decline in MAS vs. YAS. Medial EI was higher in YAS than MAS (<i>p</i> = .007, d = 0.91), reflecting better cartilage composition in younger LAS participants. LAS history was associated with increased lateral CSA (<i>p</i> = .008, d = 0.62) and medial CSA (<i>p</i> = .017, d = 1.50). LAS participants also had reduced lateral EG (<i>p</i> = .009, d = 0.78), FADI-ADL (<i>p</i> = .001, d = 1.21), FADI-S (<i>p</i> = .019, d = 0.79), and very vigorous physical activity (<i>p</i> = .023, d = 0.74) compared to controls. No significant differences were observed for TSK-11 (<i>p</i> = .054) or FABQ (<i>p</i> = .102).</p><p><strong>Conclusion: </strong>Adults with prior LAS exhibited early signs of talar cartilage morphology, evidenced by thickening and a more hypoechoic appearance on ultrasound. These changes occurred with selfreported functional deficits, but without significant increases in fear of movement or exercise avoidance.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838324","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 metric properties of the Londrina Activities of Daily Living Protocol in patients with idiopathic pulmonary fibrosis.","authors":"Serife Demirbas, İlknur Naz, Melissa Köprülüoğlu Koç, Elvan Felekoglu, Ceyda Anar","doi":"10.1080/09593985.2025.2544192","DOIUrl":"https://doi.org/10.1080/09593985.2025.2544192","url":null,"abstract":"<p><strong>Background: </strong>Patients with idiopathic pulmonary fibrosis (IPF) often experience a decline in activities of daily living (ADL) due to progressive lung impairment. Therefore, it is essential to evaluate ADL performance in a way that reflects real-life challenges.</p><p><strong>Purpose: </strong>This study aims to investigate the metric properties of the Londrina ADL Protocol in patients with IPF.</p><p><strong>Methods: </strong>Thirty-three patients (66.7% men, age: 66.7 ± 5.2 years) participated in this observational metric analysis study. We evaluated the protocol's validity, reliability, standard error of measurement (SEM), and minimal detectable change with 95% confidence (MDC₉₅). To assess validity, we calculated correlation coefficients between the Londrina-ADL protocol and the Glittre Test (TGlittre), the 6-Minute Walk Test (6MWT), the London Chest-ADL (LCADL) Scale, hand grip strength, knee extension strength, and respiratory functions. Intra-rater reliability was analyzed using the intraclass correlation coefficient (ICC), paired sample t-test, SEM, MDC₉₅, and the learning effect.</p><p><strong>Results: </strong>The Londrina-ADL protocol showed significant correlations with the TGlittre, the 6MWT, the LCADL, hand grip strength, knee extension strength, and respiratory functions (<i>r</i> = 0.742, <i>r</i> = -0.619, <i>r</i> = 0.665, <i>r</i> = -0.601, <i>r</i> = -0.587, <i>p</i> < .001, respectively.). The protocol demonstrated excellent intra-rater reliability (ICC = 0.939). Test durations differed significantly between tests (<i>p</i> < .001). The SEM and MDC₉₅ values were 8.69 seconds and 24.01 seconds, respectively, with a learning effect of 4.7% observed between the first and second tests.</p><p><strong>Conclusion: </strong>Given its strong metric properties, the Londrina-ADL protocol may serve as a practical and sensitive tool for evaluating daily functional capacity and guiding individualized rehabilitation strategies in patients with IPF.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818021","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 lived experiences of Black, Indigenous, people of color in physical therapy.","authors":"Lois A Stickley, Virginia Tufano","doi":"10.1080/09593985.2025.2544978","DOIUrl":"https://doi.org/10.1080/09593985.2025.2544978","url":null,"abstract":"<p><strong>Objectives: </strong>The physical therapy workforce lacks racial and ethnic diversity, with Black, Indigenous, People of Color (BIPOC) overwhelmingly underrepresented in the profession. This study explored the lived experiences of BIPOC physical therapists who have navigated the academic and social challenges of entrance into the profession. The research question was What are the facilitators, barriers, and challenges encountered by participants throughout their studies in a Doctor of Physical Therapy (DPT) program, while applying for their first job as a physical therapist, and subsequent adjustment to their work environment?</p><p><strong>Methods: </strong>A descriptive phenomenological design with semi-structured interviews was used. Participants included six physical therapists who met the inclusion criteria for the study. A set of open-ended interview questions derived from the study's purpose encouraged participants to reflect on their lived experiences as a student and subsequently on entering the profession. The interviews were recorded and transcribed verbatim from a video-conferencing platform. Analysis included open coding, theming, and horizontalization.</p><p><strong>Results: </strong>Six themes emerged: representation, biases/microaggressions, favoritism, identity/recognition, role models, and language barriers.</p><p><strong>Conclusions: </strong>The six themes identified in the study were supported by previous studies. The findings of this study demonstrated an overall negative experience for BIPOC individuals in physical therapy education and practice. Recommendations to improve the BIPOC experience included changes at the social/cultural, institutional, programmatic, and clinical levels.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818022","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}