{"title":"Critically appraised paper: Once-weekly semaglutide in people with obesity and knee osteoarthritis [commentary]","authors":"Sam Adie (Professor of Orthopaedic Surgery)","doi":"10.1016/j.jphys.2025.02.008","DOIUrl":"10.1016/j.jphys.2025.02.008","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page 135"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critically appraised paper: In-bed cycle ergometry in mechanically ventilated patients is safe but does not improve physical function after intensive care discharge [synopsis]","authors":"Prudence Plummer","doi":"10.1016/j.jphys.2024.11.017","DOIUrl":"10.1016/j.jphys.2024.11.017","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page 132"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matthew D Jones , Harrison J Hansford , Andrew Bastianon , Mitchell T Gibbs , Yannick L Gilanyi , Nadine E Foster , Sarah G Dean , Rachel Ogilvie , Jill A Hayden , Lianne Wood
{"title":"Exercise adherence is associated with improvements in pain intensity and functional limitations in adults with chronic non-specific low back pain: a secondary analysis of a Cochrane review","authors":"Matthew D Jones , Harrison J Hansford , Andrew Bastianon , Mitchell T Gibbs , Yannick L Gilanyi , Nadine E Foster , Sarah G Dean , Rachel Ogilvie , Jill A Hayden , Lianne Wood","doi":"10.1016/j.jphys.2025.03.004","DOIUrl":"10.1016/j.jphys.2025.03.004","url":null,"abstract":"<div><h3>Question</h3><div>What is the association between exercise adherence and the effects of exercise on pain intensity and functional limitations in adults with chronic non-specific low back pain (CNSLBP)?</div></div><div><h3>Design</h3><div>Systematic review with meta-analysis.</div></div><div><h3>Participants</h3><div>Adults with CNSLBP.</div></div><div><h3>Intervention</h3><div>Randomised controlled trials of exercise compared with no exercise (eg, usual care, placebo/sham or another conservative treatment). Adherence to exercise must have been reported.</div></div><div><h3>Outcome measures</h3><div>Pain intensity and functional limitations.</div></div><div><h3>Results</h3><div>This study included 46 trials with 56 exercise groups. High exercise adherence (80 to 100%) was associated with reduced pain intensity (0 to 100 scale) (MD –14.32, 95% CI –18.61 to –10.03, low certainty) and functional limitations (0 to 100 scale) (MD –8.08, 95% CI –10.68 to –5.49, low certainty). Moderate exercise adherence (60 to 79%) was not associated with reduced pain intensity (MD –4.53, 95% CI –9.39 to 0.34, very low certainty) or functional limitations (MD –2.75, 95% CI –6.00 to 0.51, very low certainty). Low exercise adherence (< 59%) was associated with reduced pain intensity (MD –5.33, 95% CI –10.00 to –0.66, low certainty) and functional limitations (MD –4.43, 95% CI –7.14 to –1.72, moderate certainty). Compared with low adherence, additional differences in outcomes for moderate and high adherence were mostly negligible.</div></div><div><h3>Conclusion</h3><div>Higher exercise adherence is associated with larger improvements in clinical outcomes in adults with CNSLBP, although overall differences are small compared with lower adherence. Other factors besides adherence between the trials and exercise programs could explain these results. Further research is needed to determine the causal effect of exercise adherence on outcomes in adults with CNSLBP.</div></div><div><h3>Registration</h3><div>PROSPERO CRD42023447355 and Open Science Framework <span><span>https://osf.io/7p6dw/</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Pages 91-99"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cover image and highlights","authors":"","doi":"10.1016/S1836-9553(25)00026-8","DOIUrl":"10.1016/S1836-9553(25)00026-8","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page OFC"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physiotherapy management of gluteal tendinopathy","authors":"Angela M Fearon","doi":"10.1016/j.jphys.2025.03.005","DOIUrl":"10.1016/j.jphys.2025.03.005","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Pages 81-90"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Research Note: Health economic modelling to inform the cost-effectiveness of physiotherapy interventions","authors":"Anagha Killedar , Alison Hayes","doi":"10.1016/j.jphys.2025.02.001","DOIUrl":"10.1016/j.jphys.2025.02.001","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Pages 139-142"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anita Camila Sampaio Coelho, Janine Fontele Dourado, Pedro Olavo de Paula Lima
{"title":"High-intensity and low-intensity Pilates have similar effects on pain and disability in people with chronic non-specific low back pain: a randomised trial","authors":"Anita Camila Sampaio Coelho, Janine Fontele Dourado, Pedro Olavo de Paula Lima","doi":"10.1016/j.jphys.2025.03.002","DOIUrl":"10.1016/j.jphys.2025.03.002","url":null,"abstract":"<div><h3>Question</h3><div>In people with chronic non-specific low back pain, what is the effect of high-intensity Pilates exercise compared with low-intensity Pilates exercise on pain, disability, patient-specific function, kinesiophobia and isometric hip strength?</div></div><div><h3>Design</h3><div>Randomised trial with concealed allocation, blinded assessors and intention-to-treat analysis.</div></div><div><h3>Participants</h3><div>One hundred and sixty-eight people with chronic non-specific low back pain and aged between 18 and 60 years.</div></div><div><h3>Interventions</h3><div>Participants were allocated to undertake 1-hour sessions of clinical Pilates at either high-intensity or low-intensity, twice per week for 6 weeks.</div></div><div><h3>Outcome measures</h3><div>The primary outcomes were the numerical pain scale and the Roland Morris Disability Questionnaire at the end of the 6-week intervention period. The secondary outcomes were the Patient-Specific Functional Scale, the Tampa Scale for Kinesiophobia and isometric hip strength at 6 weeks. Pain and disability were also re-measured 6 and 12 months after the intervention.</div></div><div><h3>Results</h3><div>The two Pilates regimens had negligible differences in effects on all outcomes at the end of the intervention period. At 6 and 12 months, the between-group differences in pain intensity were still negligible but the confidence intervals around those estimates spanned from around no effect to a worthwhile benefit (≥ 1.4) from low-intensity Pilates compared with high-intensity Pilates: 6-month MD 0.6 (95% CI –0.2 to 1.4) and 12-month MD 0.8 (95% CI 0.0 to 1.6). The effect on disability remained negligible at 6 and 12 months. Adverse events were less common in the low-intensity group: absolute risk reduction 0.20 (95% CI 0.10 to 0.31).</div></div><div><h3>Conclusion</h3><div>High-intensity and low-intensity Pilates had very similar effects on pain, disability and other outcomes in people with chronic non-specific low back pain. Physiotherapists should endorse low-intensity Pilates exercises for managing chronic non-specific low back pain because the effects on most outcomes are very similar to high-intensity Pilates exercise but there are fewer side effects.</div></div><div><h3>Registration</h3><div>RBR-2d2vb9.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Pages 100-107"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Appraisal of Clinical Practice Guideline: Early and locally advanced breast cancer: diagnosis and management","authors":"Amy Dennett","doi":"10.1016/j.jphys.2025.02.009","DOIUrl":"10.1016/j.jphys.2025.02.009","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page 138"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}