Physiotherapy Theory and Practice最新文献

{"title":"Functional immersive rehabilitation for a severely burned patient with refractory pain: A case report.","authors":"Cristián Lathrop, Carolina Pino, Benjamín Peralta-Wieland","doi":"10.1080/09593985.2026.2615378","DOIUrl":"10.1080/09593985.2026.2615378","url":null,"abstract":"<p><strong>Background: </strong>Severe burn injuries often lead to prolonged hospitalization, functional impairments, and painful necessary interventions such as physical and occupational therapy. Pharmacological pain management is often insufficient and associated with adverse effects, highlighting the need for integrative strategies that combine pain modulation with functional rehabilitation.</p><p><strong>Objective: </strong>To evaluate the feasibility and impact of immersive virtual reality (VR) rehabilitation for pain modulation, functional recovery, and health economics in a severely burned patient.</p><p><strong>Case description: </strong>A 24-year-old firefighter sustained burns over 60% of total body surface area resulting in refractory pain and requiring prolonged intensive care unit stay. A rehabilitation protocol combining immersive motor training with conventional therapy was implemented, consisting of 12 sessions using a VR system designed to modulate pain and enhance motor engagement. Outcomes included Numerical Rating Scale (NRS) for pain, VR experience, Functional Independence Measure (FIM), User Satisfaction Evaluation Questionnaire (USEQ), and medication costs.</p><p><strong>Outcomes: </strong>Procedural pain decreased from severe (median NRS: 8/10) to moderate (4/10), with greater immersion correlating with lower pain intensity. Functionally, the patient progressed from full dependence (FIM: 13/91) to assisted ambulation (45/91), reaching improved independence by 8 months (59/91). The intervention was well tolerated (USEQ: 93.33%) with a reduced need for analgesic medication, resulting in a substantial cost savings (overall 59% reduction in total analgesic costs).</p><p><strong>Conclusion: </strong>Immersive rehabilitation was a feasible, non-pharmacologic strategy that enhanced recovery, reduced pain, and decreased pharmacologic costs for a complex patient recovering from severe burns.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1112-1119"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953151","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":"Comparison of voice call based and multimodal telerehabilitation after total knee arthroplasty: a randomized controlled trial.","authors":"Sema Nur Aslan, Sibel Bozgeyik-Bagdatli, Murat Demirel, Bülent Atilla, Gizem Irem Kinikli","doi":"10.1080/09593985.2026.2618088","DOIUrl":"10.1080/09593985.2026.2618088","url":null,"abstract":"<p><strong>Background: </strong>Telerehabilitation has emerged as a promising approach in postoperative care following total knee arthroplasty(TKA);nevertheless,the relative effectiveness of different telerehabilitation modules is still under discussion, leaving room for alternative and multimodal program approaches.</p><p><strong>Objectives: </strong>This study aimed to compare the effectiveness of a multimodal telerehabilitation(MTR) and voice call based telerehabilitation(VTR) in patients undergoing TKA.</p><p><strong>Methods: </strong>A two-arm randomized controlled trial was conducted with 24 patients (68.42 ± 9.28y) in the MTR group and 21(71.19 ± 7.26y) in the VTR group. The MTR group received weekly digital booklets containing asynchronous exercise videos, one voice call, one video call,and text messages,for a total of three contacts per week. The VTR group received weekly printed booklets and voice calls three times a week(on alternate days) over the 8-week intervention period. Outcomes were assessed face to face at discharge, and at the 4th and 8th postoperative weeks. Measures included Visual Analog Scale(VAS), active and passive range of motion(ROM), Knee Osteoarthritis Outcome Score-Physical Function(KOOS-PS), Five Repetition Sit to Stand Test(5xSST), Brief Fear of Movement(BFoM) Scale, isometric Quadriceps muscle strength, Forgotten Joint Score-12(FJS-12),Exercise Adherence Rating Scale(EARS). The primary outcome was active knee flexion ROM. Statistical significance was set at <i>p</i> < .05; effect sizes (r, W) were reported for the Mann - Whitney U and Wilcoxon tests.</p><p><strong>Results: </strong>After 8 weeks, a statistically significant difference in pain during activity was observed between the MTR and VTR groups (<i>p</i> < .001, <i>r</i> = 0.62). Both groups showed significant gains in active and passive knee flexion ROM, 5xSST, and KOOS-PS scores (all <i>p</i> < .001), while the MTR group also improved in rest pain, knee extension, and BFoM (all <i>p</i> < .001). At week 8, statistically significant differences were observed between the MTR and VTR groups across all outcome measures (all <i>p</i> < .001).</p><p><strong>Conclusion: </strong>Both telerehabilitation approaches were effective in improving pain, ROM, and functional outcomes after TKA.Although this study did not compare outcomes with conventional in-person rehabilitation, MTR showed greater overall improvements than VTR. Nevertheless, VTR remains a reasonable alternative when MTR cannot be implemented.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1067-1079"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the Spencer technique on pain, disability and range of motion in patients with frozen shoulder: A systematic review and meta-analysis with meta-regression of randomized controlled trials.","authors":"Yu-Ya Tsai, Yu-Jhen Chen, Long-Huei Lin","doi":"10.1080/09593985.2026.2615392","DOIUrl":"10.1080/09593985.2026.2615392","url":null,"abstract":"<p><strong>Introduction: </strong>Frozen shoulder (FS) is a disabling condition marked by pain and restricted mobility. The Spencer technique is a structured manual therapy protocol that has been used in clinical practice. However, evidence regarding its effectiveness remains inconsistent. This study systematically evaluated its effects on pain, disability, shoulder range of motion, and potential moderating factors.</p><p><strong>Methods: </strong>Following PRISMA 2020 guidelines, a comprehensive search of PubMed, Physiotherapy Evidence Database (PEDro), and Medline-Ovid was conducted up to September 2025. Sixteen randomized controlled trials involving 659 participants were included. Outcomes assessed were pain, disability, and shoulder range of motion (external rotation [ER], abduction [ABD], internal rotation [IR]). Random-effects meta-analysis, subgroup, sensitivity, and meta-regression analyses were performed.</p><p><strong>Results: </strong>The Spencer technique demonstrated positive effects compared with conventional physical therapies (CPTs) in reducing pain, improving disability, and range of motion, including ER, ABD, and IR. However, it did not show superiority over other manual therapies. Meta-regression identified the addition of muscle energy technique as a significant moderator associated with greater improvements in pain intensity (<i>β</i> =  -2.095, <i>p</i> = .012), disability (<i>β</i> =  -1.623, <i>p</i> = .001), and range of motion, including ER (<i>β</i> = 3.878, <i>p</i> < .001), ABD (<i>β</i> = 3.686, <i>p</i> < .001), and IR (<i>β</i> = 1.941, <i>p</i> = .009).</p><p><strong>Conclusion: </strong>The Spencer technique provides clinical benefits compared with CPTs. However, it does not demonstrate significant superiority over other manual therapy approaches in patients with FS. Incorporation of muscle energy technique enhances its therapeutic effects. Future trials with long-term follow-up and stage-specific analyses are warranted to clarify treatment durability or optimize clinical application.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1080-1096"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991478","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":"Passive hip adduction flexibility impairment measured with the modified Ober test predicts chronicity of iliotibial band syndrome: a cross-sectional pilot study.","authors":"Banumathi Varadarajan, Syaheeda Mohd Noor, Nagarajan Manickaraj","doi":"10.1080/09593985.2025.2610430","DOIUrl":"10.1080/09593985.2025.2610430","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate predictive features of passive hip adduction flexibility impairment measured during modified Ober's test on chronicity of pain in runners with Iliotibial Band Syndrome (ITBS).</p><p><strong>Methods: </strong>Twenty male runners with ITBS were evaluated for self-reported pain characteristics and passive hip adduction angle using a digital inclinometer during the modified Ober test. The receiver operating characteristics (ROC) analysis identified the cutoff value for hip adduction angle that predicts ITBS chronicity, and linear regression determined the relationship between these two variables.</p><p><strong>Results: </strong>The average passive hip adduction measured with the modified Ober test was 7.48°±3.03°. The ROC analysis determined an optimal cutoff value of 6.35° passive hip adduction as a potential indicator of ITBS chronicity (AUC = 0.740; <i>p</i> = .034; SE 0.113, 95% CI 0.518 to 0.962) with good sensitivity (80%), moderate specificity (60%) in runners with ITBS (<i>p</i> = .034). A significant positive association existed between greater passive hip adduction and increased ITBS chronicity (R² = 0.226; β = 0.475; <i>p</i> = .034).</p><p><strong>Conclusion: </strong>The preliminary findings of this study suggest that passive hip adduction impairment identified during the modified Ober test may be a potential indicator of pain chronicity in male runners with ITBS, hinting at its potential benefit in treatment. While hip adduction flexibility impairment in ITBS appears to be a protective feature, it may reflect maladaptive mechanical pain sensitivity linked to changes in ITB stiffness during running. Given this is a pilot study, caution should be considered when interpreting and generalizing the identified hip adduction flexibility impairment cutoff value for clinical application.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1011-1018"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858646","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":"Association between sleep disorders and functional status in individuals with chronic obstructive pulmonary disease: a systematic review.","authors":"Isabela Julia Cristiana Santos Silva, Manuela Karloh, Julia Zanotto, Gustavo Faustino Demétrio, Guilherme de Oliveira da Silva, Monielly Simas, Juliana Araújo, Anamaria Fleig Mayer","doi":"10.1080/09593985.2026.2618081","DOIUrl":"10.1080/09593985.2026.2618081","url":null,"abstract":"<p><strong>Background: </strong>Sleep disorders and reduced functional status are common in individuals with chronic obstructive pulmonary disease (COPD) and negatively impact health outcomes. However, their association remains unclear. This systematic review aimed to synthesize evidence on the association between sleep disorders and functional status in individuals with COPD, and identify the instruments, variables, and diagnostic criteria used to assess these outcomes.</p><p><strong>Methods: </strong>A comprehensive search was initially conducted in 2021 and updated twice, with the final search performed on July 11, 2025, in CINAHL, Cochrane Library, EMBASE, LILACS, MEDLINE, PEDro, SciVerse Scopus, and Web of Science. Reporting and methodological quality were assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist and the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.</p><p><strong>Results: </strong>Fifteen studies were included, totaling 2297 individuals with COPD. Sleep disorders were assessed using six diagnostic methods, and functional status was evaluated using three approaches. Twelve studies met 50-80% of STROBE criteria, and three met > 80%. Methodological quality was fair in 73%, good in 13% and poor in 13% of the studies. Sleep disorders were weakly to moderately associated with functional status, including field walking tests, maximal exercise capacity, and time spent in physical activity > 1.5 METs.</p><p><strong>Conclusion: </strong>Moderate methodological quality suggests a weak-to-moderate association between sleep disorders and functional status in individuals with COPD. Further high-quality studies using validated instruments and study designs tailored to minimize bias are warranted to clarify this relationship and enhance its clinical applicability.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1097-1111"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087731","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":"Effect of an evidence-based modified developmental physiotherapy intervention on muscle tone, motor functions, and trunk control in a child with hereditary spastic paraplegia type 47: A case report.","authors":"Bayram Sırrı","doi":"10.1080/09593985.2026.2615379","DOIUrl":"10.1080/09593985.2026.2615379","url":null,"abstract":"<p><strong>Background: </strong>Most current studies on Hereditary Spastic Paraplegia (HSP) focus on adolescents and adults. There is a lack of research on the effectiveness of structured, evidence-based developmental physiotherapy during early childhood. While early intervention strategies for children with motor development delays offer a useful framework, no specific guidelines have been developed for early physiotherapy in HSP. This report aimed to describe the effects of a home-based, evidence-based developmental physiotherapy approach in a child diagnosed with HSP Type 47 (SPG47).</p><p><strong>Case description: </strong>A two-year-old child with SPG47 participated with parental consent. Before intervention, the child was unable to stand up using support or take more than a few side steps. Muscle tone, motor function, functional level, and trunk control were assessed using MAS, GMFCS, GMFM-66, and SATCo, respectively.</p><p><strong>Interventions: </strong>A developmental physiotherapy program based on current evidence was implemented at home for 2 hours daily over 8 weeks, with daily home implementation by the family. The intervention was grounded in family-centered care principles and evidence-based early developmental physiotherapy, tailored to the child's clinical presentation.</p><p><strong>Outcomes: </strong>After the program, GMFM-66 increased by 7.2%. The child gained the ability to stand independently and take more than five side steps. MAS scores improved, SATCo increased from level 6 to 7, and GMFCS improved from level III to II.</p><p><strong>Conclusion: </strong>In this child with SPG47, an early structured developmental physiotherapy approach was associated with improved motor function and reduced spasticity, supported by motor learning, environmental adaptations, and family involvement. Integrating early intervention principles with HSP-specific considerations enabled targeted task progression and practical home implementation. These findings apply only to this child, and further research is needed to determine whether similar strategies may benefit children with AP4B1-related HSP.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1120-1129"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953180","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 the role of experiential learning in shaping physical therapy student self-efficacy for neurologic practice: A mixed methods study.","authors":"Martha D Cullaty, Jenny Hall, David Halpin, Lisa Allison-Jones","doi":"10.1080/09593985.2026.2615385","DOIUrl":"10.1080/09593985.2026.2615385","url":null,"abstract":"<p><strong>Introduction: </strong>Self-efficacy, one's confidence in performing specific tasks, is a theoretically grounded construct integral to learner motivation, engagement, and perceived readiness for clinical practice. As the prevalence of individuals with neurologic conditions increases, it is essential that physical therapy students develop the confidence and competence needed to meet the complex needs of this population.</p><p><strong>Objective: </strong>The purpose of this study was to examine how participation in a structured experiential learning program with individuals with neurologic conditions influenced physical therapy students' self-efficacy for neurologic practice.</p><p><strong>Methods: </strong>A sequential-explanatory mixed methods design was used across three academic semesters with second-year DPT students (<i>n</i> = 32). Quantitative data were first collected via the Physiotherapy Self-Efficacy neurologic subscale, and a 2 × 3 repeated measures ANOVA assessed changes over time and across semesters. Qualitative narrative reflections were then thematically analyzed using deductive and inductive coding to contextualize the quantitative findings.</p><p><strong>Results: </strong>Twenty-eight students completed the study; three students did not complete all instruments, and one student withdrew from the program. Students' self-efficacy significantly improved over time (F(1, 27) = 131.14, <i>p</i> < .001), by semester (F(1, 38) = 71.60, <i>p</i> < .001), and with a time-by-semester interaction (F(1, 40) = 8.12, <i>p</i> = .003). Four themes helped explain these increases in self-efficacy: <i>concrete experiences, developing confidence for practice, social modeling, and emerging professional identity</i>.</p><p><strong>Conclusion: </strong>Structured experiential learning with neurologic populations was associated with significant increases in physical therapy students' self-efficacy for neurologic clinical practice. Findings highlight its value in fostering student confidence, professional identity, and task-specific competence. Future research should examine these outcomes across diverse programs.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1031-1040"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991441","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":"Does ankle support orthosis and kinesio tape affect evertor muscles strength and their ability to control force signal in chronic ankle instability? A randomized controlled trial.","authors":"Nastaran Ghahremanpour-Khotbehsara, Alireza Farsi, Maryam Jalali, Mohammad Yousefi, Fatemeh Azadinia","doi":"10.1080/09593985.2026.2615382","DOIUrl":"10.1080/09593985.2026.2615382","url":null,"abstract":"<p><strong>Background: </strong>Ankle musculature serves as active dynamic stabilizers, yet conventional assessment focusing solely on peak torque fails to capture critical aspects of neuromuscular control. The ability to generate accurate, steady forces is paramount for functional joint stability. External supports may modulate sensorimotor function, potentially improving force control.</p><p><strong>Objective: </strong>To compare the effectiveness of bracing and taping on the quantity and quality of evertor muscle force.</p><p><strong>Methods: </strong>Sixty participants (18-40 years old) with chronic ankle instability, were randomly allocated to 3 groups: ankle orthosis, kinesio tape, and a control group. Evertor muscle strength, force sense, force steadiness, and kinesiophobia were evaluated at the baseline and at the end of week 4.</p><p><strong>Results: </strong>The group × time interaction effects were significant for concentric evertor strength at both angular velocities of 60°/s and 120°/s. While orthosis group and kinesio tape group demonstrated significant within-group changes, there was no difference between the two intervention groups (<i>p</i> = .771; d_ppc2 = -0.17 at angular velocity of 60°/s, and at angular velocity of 120 °/s <i>p</i> = .930; d_ppc2 = 0.35), between orthosis group and control group (<i>p</i> = .883; d_ppc2 = 0.76 at angular velocity 60°/s, and <i>p</i> = .800; d_ppc2 = 0.71 at angular velocity 120°/s), or between kinesio tape group and control group (<i>p</i> = .975; d_ppc2 = 1.08, and <i>p</i> = .959; d_ppc2 = 0.39 at 60°/s, and 120°/s respectively). The group × time interaction effect was also significant for kinesiophobia, but there was no significant difference between the two intervention groups, between orthosis group and control group, and between kinesio tape group and control group. The main effects of time were significant for all variables, except for force sense.</p><p><strong>Conclusion: </strong>Both ankle orthosis and kinesio tape application for four weeks significantly improved evertor muscle strength and reduced kinesiophobia, with notable trends toward improved force steadiness. These findings support their use as effective interventions for enhancing ankle neuromuscular function and mitigating fear of movement.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1019-1030"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020230","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 the experiences of individuals living with neurological conditions in UMove: a physiotherapy student-led physical activity program.","authors":"Sequoia Dobson, Claire Hargest, Donna Keen, Leigh Hale","doi":"10.1080/09593985.2026.2709087","DOIUrl":"https://doi.org/10.1080/09593985.2026.2709087","url":null,"abstract":"<p><strong>Introduction: </strong>Physical activity engagement can improve wellbeing and social participation for individuals living with long-term neurological conditions. Student-led services enable healthcare access for those clinically underserved and increase student clinical opportunities. Furthermore, attendees become important facilitators of student learning. UMove is a free undergraduate physiotherapy student-led physical activity program aimed at improving wellbeing for people living with long-term neurological conditions. Its ongoing nature is unique for a physical activity program, with some attendees coming for over 12 years. Student experiences within physiotherapy student-led programs are well-documented, however, those of attendees, particularly those with long-term neurological conditions, remain underexplored.</p><p><strong>Objective: </strong>The primary objective was to explore the experiences of long-term UMove attendees. Secondary objectives included identifying perceived benefits and barriers to participation, and evaluating whether and how UMove affected attendees' wellbeing.</p><p><strong>Method: </strong>Participants were 11 adults with a long-term neurological condition attending UMove for over one year. Employing Interpretive Description qualitative methodology, individualized interviews were semi-structured, audio-recorded, transcribed verbatim, and analyzed. Questions included experiences, reasons for joining, and perceived barriers and motivators to attendance.</p><p><strong>Results: </strong>The key theme, \"Valuing UMove,\" epitomized the value participants placed not only on this accessible program but their work with students. The flexible, tailored program met diverse and evolving needs of attendees (\"Person-Centered Care\"). Opportunities for social interaction with other attendees and students facilitated meaningful social connection and a sense of community, driving adherence and engagement (\"Connection Conundrum\" and Wise Participation). \"Challenges and Improvements\" highlighted improvements that could be made.</p><p><strong>Conclusion: </strong>Participants had positive experiences and valued the opportunities UMove provided them which went beyond physical activity to include socialization and supporting student learning.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-11"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654785","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 therapeutic exercise framework: an integrative approach to optimizing tissue capacity.","authors":"Christina Inman, Peter Schrey, John Borstad","doi":"10.1080/09593985.2026.2709826","DOIUrl":"https://doi.org/10.1080/09593985.2026.2709826","url":null,"abstract":"<p><strong>Background: </strong>Selecting and modifying the most appropriate therapeutic exercises at the optimal therapeutic parameters for each individual patient is a skill that can be challenging to learn and apply effectively. In this perspective, an integrative framework is presented that provides a straightforward paradigm on which to have a starting point for clinical decisions about therapeutic exercise in musculoskeletal conditions.</p><p><strong>Description of framework: </strong>The therapeutic exercise framework is based on a combination of three foundational constructs - physical stress on tissue, stages of tissue healing, and tissue-specific mechanobiology - all considered in the context of person-centered care. These three foundational components of the framework are interconnected, enabling clinicians to more precisely identify a patient's potential loading tolerance, implement safe and evidence-based timelines, and optimize stress-strain zones. The ultimate purpose of applying these concepts is to build tissue capacity, using the framework as a guide, to either rehabilitate injured tissue or develop more robust tissue that can manage greater functional demands.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632331","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}