Journal of Neurologic Physical Therapy最新文献

{"title":"Clustering of Sedentary Behavior and Longitudinal Changes in Patients With Stroke Undergoing Rehabilitation.","authors":"Masashi Kanai, Yosuke Kimura, Toshiya Sakoda, Tomoya Ishigaki, Tatsuya Ogawa, Natsuki Shimizu, Hiroki Kubo, Sota Kobayashi, Mutsuo Takeuchi, Shu Tanaka, Keishi Yoshida, Seiya Yamamoto, Kohei Moronaga, Takumi Kai, Yoshiki Suzuki, Tomohiro Yoshimura, Tomohiro Ota","doi":"10.1097/NPT.0000000000000559","DOIUrl":"10.1097/NPT.0000000000000559","url":null,"abstract":"<p><strong>Background and purpose: </strong>Sedentary behavior (SB) is highly prevalent during stroke rehabilitation. Evaluating both the duration and pattern of SB may inform tailored interventions. This study aimed to classify patients with stroke undergoing inpatient rehabilitation into distinct subgroups based on multiple SB indicators at admission and examine their longitudinal changes in SB outcomes over a 1-month period.</p><p><strong>Methods: </strong>This multicenter prospective longitudinal study was conducted across 14 rehabilitation hospitals in Japan. SB was objectively assessed using triaxial accelerometers at admission and at 1 month. K -means clustering was applied to the following 5 SB-related variables: short (<30 minutes), medium (30-59 minutes), and long (≥60 minutes) sedentary bout ratios; total SB time; and break frequency. Longitudinal changes were examined using generalized linear mixed models.</p><p><strong>Results: </strong>A total of 420 participants (median age 71.0 years; 57.9% male) were enrolled. Clustering analysis identified 3 subgroups: low SB (n = 109), moderate SB (n = 196), and high SB (n = 115). Generalized linear mixed models showed significant main effects of time for most SB indicators, except the long SB bout ratio. Significant group × time interactions were observed for the short and medium SB bout ratios and break frequency in the low SB group and for the medium and long SB bout ratios in the high SB group ( P < 0.05).</p><p><strong>Discussion and conclusions: </strong>Three distinct SB phenotypes were identified among patients with stroke during inpatient rehabilitation. Early behavioral profiling using SB indicators may support the development of individualized strategies to reduce sedentary time.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":"223-231"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential Factors Influencing Heart Rates During Locomotor Training Poststroke and Their Associations With Locomotor Outcomes.","authors":"Thomas George Hornby, Christina J Voigtmann, Lindsay Heffron, Abbey Plawecki, Jennifer K Lotter, Emily Lucas, Christopher E Henderson","doi":"10.1097/NPT.0000000000000560","DOIUrl":"10.1097/NPT.0000000000000560","url":null,"abstract":"<p><strong>Background and purpose: </strong>Previous studies suggest targeting higher heart rates (HRs) during locomotor training improves locomotor outcomes (ie, walking speed and distances) in individuals poststroke. However, those who walk slower or are prescribed β-adrenergic antagonists (β-blockers) may not achieve targeted HRs. The purpose of this study was to evaluate the contributions of these patient-related variables on the ability to achieve targeted HRs during graded exercise testing (GXT) or locomotor training, and their effects on locomotor outcomes.</p><p><strong>Methods: </strong>This secondary analysis of a randomized trial enrolled 90 individuals >6 months poststroke assigned to either high-intensity training targeting >70% HR reserve (HRR) or low-intensity training (<40% HRR). Associations between baseline walking speeds and distances or β-blocker use versus HRRs during GXTs and training were identified. Subsequent analysis focused on whether training HRs or ratings of perceived exertion (RPEs) were related to changes in walking speeds/distances.</p><p><strong>Results: </strong>Achieving higher HRRs during GXTs was related to faster peak treadmill speeds ( r = 0.60, P < 0.01) and β-blockers use ( r = -0.23, P < 0.05). However, training HRRs were unrelated to initial locomotor outcomes, with depressed HRRs in those using β-blockers. Only 40% of participants averaged >70% HRRs during high-intensity training. Regression analysis suggested training HRRs were related to walking speeds/distances only in those without β-blockers, while RPEs were correlated regardless of β-blocker use. Analysis of changes in walking speeds/distances indicates no differences in those able or unable to achieve targeted HRRs.</p><p><strong>Discussion and conclusion: </strong>Achieving targeted HRRs was not a primary determinant of locomotor outcomes, although attempts to achieve higher intensities and use of RPEs may be helpful.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":"202-211"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Physical Modalities for Hemiplegic Shoulder Pain After Stroke: A Systematic Review.","authors":"Stefania Spina, Salvatore Facciorusso, Milena Carmela D'Ascanio, Mirko Filippetti, Marco Battaglia, Alessio Baricich, Alessandro Picelli, Andrea Santamato","doi":"10.1097/NPT.0000000000000562","DOIUrl":"10.1097/NPT.0000000000000562","url":null,"abstract":"<p><strong>Background and purpose: </strong>Hemiplegic shoulder pain (HSP) represents a common and disabling complication following stroke, which has multiple causes and important functional consequences. Physical modalities are frequently used to manage HSP, but evidence on their effectiveness remains inconsistent. Our aim is to systematically review the evidence from randomized controlled trials (RCTs) on the efficacy and safety of physical modalities, compared with sham or standard care, for improving pain and function in adults with poststroke HSP.</p><p><strong>Methods: </strong>This systematic review was conducted following the Cochrane Guidelines and Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. We included RCTs assessing physical modalities versus sham or standard therapy in adult stroke survivors with HSP. The primary outcome was pain reduction; secondary outcomes included functional mobility, quality of life, and adverse events. A comprehensive search was conducted in MEDLINE, EMBASE, CENTRAL, PEDro, CINAHL, Web of Science, ClinicalTrials.gov , and World Health Organisation International Clinical Trials Registry Platform (WHO ICTRP) up to July 30, 2025. Risk of bias was assessed using the Cochrane Risk of Bias tool 2.</p><p><strong>Results: </strong>Twelve RCTs involving 567 participants were included. Interventions comprised electrotherapy (n = 6), shock wave therapy (n = 3), and laser therapy (n = 3). Most studies showed significant pain reduction compared with control. Electrotherapy provided sustained analgesia; extracorporeal shock wave therapy improved structural abnormalities and pain; laser therapy enhanced both pain and functional outcomes. Adverse events were mostly mild. However, safety conclusions are limited by incomplete and inconsistent adverse event reporting. Heterogeneity in interventions and outcomes precluded meta-analysis.</p><p><strong>Discussion and conclusions: </strong>Based on low to very low certainty evidence, physical modalities may offer benefit for HSP, but uncertainty remains regarding both long-term effectiveness and safety. Integration into multimodal rehabilitation protocols may be considered.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":"260-273"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Compositional Data Analysis to Explore Movement Behaviors in People Who Have Experienced a Stroke.","authors":"George D Fulk, Karen J Klingman, Sandra A Billinger, Bria L Bartsch, Amanda J Britton-Carpenter, Keenan Batts, Mary Forgea, Pamela W Duncan, Emily Peterson","doi":"10.1097/NPT.0000000000000565","DOIUrl":"10.1097/NPT.0000000000000565","url":null,"abstract":"<p><strong>Background and purpose: </strong>People with stroke have low levels of activity, are sedentary, and have poor sleep, which have a negative impact on outcomes. Compositional data analysis (CoDA) provides a method to analyze movement behaviors that preserves the relative nature of the different movement behaviors within a day. The purpose of this study was to use CoDA analysis to explore the association between the composition of movement behaviors and physical function and to compare it to traditional analyses that consider movement behaviors as independent variables.</p><p><strong>Methods: </strong>Participants (n = 68) wore activity monitors that measured time in active, sedentary, and sleep behaviors at 60 days post stroke. CoDA using the isometric log-ratios of the composition of the movement behaviors in a linear regression was used to explore the association between movement behaviors and the Stroke Impact Scale 16. Traditional analysis considered individual movement behaviors separately.</p><p><strong>Results: </strong>The compositional mean of the movement behaviors found that participants spent 7.3% of the day in active, 58.1% in sedentary, and 34.6% in sleep behaviors. The composition of the movement behaviors was significantly associated with Stroke Impact Scale 16 (adjusted R2 = 0.5007, P < 0.05). This was greater than when the individual movement behaviors were considered separately (adjusted R2 = 0.3926, P < 0.05).</p><p><strong>Discussion and conclusions: </strong>The composition of movement behaviors (active, sedentary, and sleep) was associated with physical function. Using CoDA with movement behavior data in people with stroke may improve the interpretability of the data by accounting for the dependency between compositional components. Clinicians may want to consider a comprehensive intervention to support behavioral change that seeks to increase physical activity, enhance sleep, and reduce sedentary time.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":"243-251"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13573727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Taking the First Step: A Pilot Study on Gait Initiation Training in People With Parkinson Disease.","authors":"Chelsea Parker Duppen, Jenna Cole, Zola Sheek, Amelia Anderson, Nina Browner, Michael D Lewek","doi":"10.1097/NPT.0000000000000582","DOIUrl":"https://doi.org/10.1097/NPT.0000000000000582","url":null,"abstract":"<p><strong>Background and purpose: </strong>People with Parkinson disease (PwP) demonstrate decreased first step length and speed during gait initiation, mirroring impairments observed during continuous walking. Despite similar impairments, interventions targeting continuous walking may not address gait initiation's unique postural control demands, and there is a lack of evidence supporting gait initiation-specific training. This study compared continuous walking versus gait initiation-specific training on changes to first step length, first step speed, and anticipatory postural adjustment (APA) sizes during gait initiation in PwP. We hypothesized that task-specific training would yield greater improvements across all metrics.</p><p><strong>Methods: </strong>Using a randomized crossover design, 10 PwP (Hoehn and Yahr stages 2-3) completed gait initiation-specific and continuous walking training 3 times per week for 2 weeks with a 1-week washout between training types. Gait initiation-specific training included repeated practice of gait initiation using visual biofeedback for weight shift amplitude and verbal cues for increased first step length and speed. Continuous walking training used targeted rhythmic auditory cueing to increase step length and gait speed. Each phase included pre-test, post-test, and 1-week follow-up assessments.</p><p><strong>Results: </strong>Gait initiation-specific training yielded longer and faster first steps that persisted at follow-up (P ≤ 0.028), whereas continuous walking training did not (P ≥ 0.129). Anteroposterior APA size increased regardless of training type (P = 0.008), but mediolateral APAs remained unchanged (P ≥ 0.084).</p><p><strong>Discussion and conclusions: </strong>In this pilot study, task-specific training improved first-step performance, while continuous walking training did not. This highlights the potential importance of task-specific practice for gait initiation in PwP. Further work is required to confirm these results.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Group-based Vestibular Rehabilitation in Adults With Central or Peripheral Vestibular Dysfunction: A Systematic Review.","authors":"Jia Ying Ang, Sabrina Hernandez, Matthew King, David Snowdon","doi":"10.1097/NPT.0000000000000579","DOIUrl":"https://doi.org/10.1097/NPT.0000000000000579","url":null,"abstract":"<p><strong>Background and purpose: </strong>Vestibular dysfunction causes dizziness, vertigo, and balance issues, reducing quality of life. Its high prevalence highlights the need for efficient, equitable management, such as group-based rehabilitation. This systematic review examined the effectiveness of group-based vestibular rehabilitation for adults with central or peripheral vestibular dysfunction.</p><p><strong>Methods: </strong>Databases (MEDLINE, Embase, CINAHL, and Cochrane Central Register of Controlled Trials) were searched for randomized controlled trials involving adults with vestibular dysfunction. Outcomes included symptom severity, function, and quality of life. Risk of bias was assessed using the Physiotherapy Evidence Database (PEDro) scale. Standardized mean differences (SMD) and 95% confidence intervals (CIs) were calculated and combined in meta-analyses. The Grading of Recommendations, Assessment, Development, and Evaluation approach was used to evaluate the certainty of evidence.</p><p><strong>Results: </strong>Nine trials (399 participants; median PEDro score: 5/10) were included. Low-certainty evidence suggests group-based rehabilitation may reduce dizziness compared with no intervention (SMD -0.40, 95% CI -0.73 to -0.07) and improve tandem walking (SMD -0.54, 95% CI -1.04 to -0.03). Group-based rehabilitation may also reduce dizziness compared with medical intervention (SMD -0.54, 95% CI -1.02 to -0.06). No differences were found compared with 1:1 rehabilitation.</p><p><strong>Discussion and conclusions: </strong>Group-based vestibular rehabilitation may improve dizziness and tandem walking, though evidence certainty is low. Neither group-based nor 1:1 vestibular rehabilitation is superior in regard to its effects on patient outcomes. Group-based rehabilitation provides peer support for patients and requires fewer resources than 1:1 rehabilitation. Therefore, group-based rehabilitation may be a safe alternative in the management of central and peripheral vestibular dysfunction.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote Monitoring Enhanced Outpatient Physical Therapy: A Mixed-Methods Implementation Study.","authors":"Kristen Hohl, Monica Hendricksen, Reed Handlery, Hannah Redd, Kevin Smaller, Steven Jackson, Miriam R Rafferty","doi":"10.1097/NPT.0000000000000574","DOIUrl":"https://doi.org/10.1097/NPT.0000000000000574","url":null,"abstract":"<p><strong>Background and purpose: </strong>Remote therapeutic monitoring uses technology to track physical activity and exercise. This study evaluates the implementation outcomes and effects of remote therapeutic monitoring on steps and exercise over 6 months.</p><p><strong>Methods: </strong>Mixed-methods were used in this hybrid type 2 effectiveness implementation report in outpatients with Parkinson's disease, multiple sclerosis, stroke, concussion, post-COVID-fatigue, or musculoskeletal pain. Participants wore activity trackers synced to a mobile application. Clinicians evaluated activity, tailored goals, and performed clinical measures as part of their physical therapy. Effects were measured using daily steps and weekly aerobic exercise minutes. Implementation outcomes synthesized data from medical records, surveys, exit interviews, and meeting notes.</p><p><strong>Results: </strong>Forty-two patient participants (mean age 56 ± 16 years; 55% female) enrolled in this study; 81% (n = 34) completed 6 months of monitoring. Fidelity to participant tracker use and clinician goal setting were high. Daily steps increased from 4892 ± 3694 to 5958 ± 4385, and weekly exercise from 44 ± 66 to 83 ± 85 minutes. Mixed effects models showed significant but decelerating improvements (steps: β = 87.5, P = 0.002; β2 = -2.4, P = 0.01; exercise: β = 3.6, P = 0.002; β2 = -0.1, P = 0.006). Participant interviews showed motivation and accountability drove engagement, while health and technology issues were barriers.</p><p><strong>Discussion and conclusions: </strong>This first study of remote therapeutic monitoring of steps and exercise in physical therapy suggests therapist-supported monitoring is implementable and may enhance long-term physical activity and exercise participation.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Equations Predict Community Participation at 3 and 6 Months After Stroke: A Cohort Study.","authors":"Thaciany Correia, Elizângela Kuster, Letícia Ventura, Silvia Lanziotti Azevedo Da Silva, Lucas R Nascimento","doi":"10.1097/NPT.0000000000000571","DOIUrl":"https://doi.org/10.1097/NPT.0000000000000571","url":null,"abstract":"<p><strong>Background and purpose: </strong>Individuals after stroke experience participation restrictions. The purpose of this study was to investigate whether measures collected early after stroke predict participation at 3 and 6 months and develop clinical prediction equations.</p><p><strong>Methods: </strong>A prospective cohort study was conducted. Adults were initially assessed in person at the hospital (<7 days), followed by phone interviews at 28 days, 3, and 6 months. The outcome of interest was participation, measured using the Stroke Impact Scale Participation Subscale. Predictors were prestroke (age, activity/participation, environmental factors, and mobility) and poststroke factors (mobility, cognition, depression, functional independence, social support, and self-efficacy).</p><p><strong>Results: </strong>A total of 251 participants (129 men) were included. The equation to predict participation at 3 months (P-3) explained 26% of the variance: P-3: Participation (y) = 25.10 - (5.81 × Modified Rankin Scale) + (1.20 × stroke self-efficacy) (R2 = 0.26). Its predictive performance showed a moderate positive predictive value (54%; 95% confidence interval [CI], 0.39-0.68) and a high negative predictive value (83%; 95% CI, 0.52-0.98). The equation to predict participation at 6 months (P-6) explained 48% of the variance: P-6: Participation (y) = 64.04 + (0.29 × Stroke Impact Scale _baseline) - (4.33 × Modified Rankin Scale) - (1.40 × Mini-Mental) + (0.21 × life-space assessment) (R2 = 0.48). The positive predictive value was moderate (55%; 95% CI, 0.40-0.68), and the negative predictive value was high (100%; 95% CI, 0.59-1.00).</p><p><strong>Discussion and conclusions: </strong>This study provided simple equations that predict participation at 3 and 6 months after stroke, based on data collected early after stroke.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regional Pain is Associated with Functional Performance in People with Parkinson's Disease.","authors":"Ryan P Duncan, Monica R Hendricksen, Luke Ekdahl, Kevin Smaller, Benjamin Friedman, Miriam R Rafferty","doi":"10.1097/NPT.0000000000000569","DOIUrl":"10.1097/NPT.0000000000000569","url":null,"abstract":"<p><strong>Background and purpose: </strong>Little is known about how pain influences physical function in people with mild Parkinson disease (PwPD). The purpose of this study was to investigate the association between physical function and pain presence, location, and intensity in PwPD who were evaluated in an early physical therapy program.</p><p><strong>Methods: </strong>Retrospective cross-sectional analysis of electronic medical records from patients with PD evaluated at a single center (2016-2023). Pain presence, location, and intensity (0-10 scale) were recorded at the initial physical therapy evaluation. Functional outcomes included 5-time sit-to-stand, 10-meter walk test, 6-minute walk test, timed up and go, mini-BESTest, and Functional Gait Assessment. Multivariable linear and proportional-odds regression models assessed associations between pain (presence and intensity by location) and function, adjusting for age and sex, with significance set at P < 0.05.</p><p><strong>Results: </strong>Ninety-eight (28%) of the 355 patients with PD reported pain. The presence of pain was associated with worse performance on the 10-meter walk test, 6-minute walk test, and 5-time sit-to-stand test. Those with lower extremity pain had worse gait performance as pain intensity increased. There were no associations between pain intensity and functional performance for those with axial or upper extremity pain.</p><p><strong>Discussion and conclusions: </strong>Even in individuals with early PD, pain was associated with worse gait, endurance, and sit-to-stand performance. Surprisingly, increasing axial pain intensity was not associated with poorer gait performance, but increasing lower extremity pain was. There are opportunities for future studies on integrated pain assessment and management within neurologic Parkinson's care.</p>","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"JNPT Congratulates the Members Honored With the 2026 Academy of Neurologic Physical Therapy Awards.","authors":"","doi":"10.1097/NPT.0000000000000564","DOIUrl":"https://doi.org/10.1097/NPT.0000000000000564","url":null,"abstract":"","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":"50 3","pages":"198"},"PeriodicalIF":3.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}