Journal of Physiotherapy最新文献

{"title":"Critically appraised paper: Remote multicomponent rehabilitation does not improve quality of life in survivors of critical illness requiring mechanical ventilation, despite gains in strength, fatigue and anxiety [synopsis]","authors":"Yvonne C Learmonth","doi":"10.1016/j.jphys.2026.08.007","DOIUrl":"10.1016/j.jphys.2026.08.007","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Page 309"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117222","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: An unsupervised online tai chi program improves knee pain and physical function more than online education alone in people with knee osteoarthritis [commentary]","authors":"Vicky Duong","doi":"10.1016/j.jphys.2026.08.002","DOIUrl":"10.1016/j.jphys.2026.08.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Page 308"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117194","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":"Recent highlights in pulmonary rehabilitation research","authors":"Tiffany J. Dwyer,&nbsp;Sonia WM. Cheng,&nbsp;Renae J. McNamara,&nbsp;Marita T. Dale,&nbsp;Sally L. Wootton,&nbsp;Angela T. Burge","doi":"10.1016/j.jphys.2026.08.012","DOIUrl":"10.1016/j.jphys.2026.08.012","url":null,"abstract":"<div><h3>Introduction</h3><div>This paper highlights research relating to pulmonary rehabilitation (PR) for adults with chronic respiratory diseases (CRD) published between January 2021 and May 2026.</div></div><div><h3>Methods</h3><div>To identify studies for inclusion, three electronic databases were searched: MEDLINE, the Cochrane Database of Systematic Reviews and CINAHL. Search results were screened and relevant studies were grouped according to their topic area. Studies perceived to be of high quality and of substantial clinical importance were selected for inclusion in the review.</div></div><div><h3>Findings</h3><div>This narrative review synthesised five key themes in PR research. Theme 1 (access, uptake and completion of PR): Workforce capacity-building, effective referral practices and culturally adapted programs are increasingly recognised as key strategies for improving PR participation. Theme 2 (PR beyond stable chronic obstructive pulmonary disease (COPD)): The evidence for PR now extends well beyond stable COPD, with growing evidence of benefit and safety for people after an acute exacerbation of COPD, interstitial lung disease, pulmonary hypertension, bronchiectasis, lung cancer, asthma and post-tuberculosis lung disease. Theme 3 (alternative PR models): A growing range of alternative PR models offers opportunities to improve access and support personalised care. Evidence-based alternative models should be offered when centre-based PR is not feasible. Theme 4 (maintenance of benefits after completion of PR): Ongoing exercise is essential after PR, although the optimal method remains unclear. Incorporating behaviour change techniques appears important for sustaining exercise beyond the initial PR program. Theme 5 (economic analyses of PR): There is mounting evidence for the economic benefits associated with different program delivery models for people with a range of CRD.</div></div><div><h3>Conclusion</h3><div>PR has significantly expanded its scope in recent years, with effectiveness beyond stable COPD and with new delivery modes beyond centre-based PR. There is also now evidence for the economic benefits of PR, although low access to PR and maintaining the benefits after PR completion remain ongoing challenges.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Pages 262-270"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117232","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: Clinician-supported biopsychosocial self-management for people with acute or subacute low back pain has a small effect on preventing impactful chronic low back pain [synopsis]","authors":"Travis Haber","doi":"10.1016/j.jphys.2026.08.008","DOIUrl":"10.1016/j.jphys.2026.08.008","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Page 310"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117250","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":"Delivery fidelity was high with variable uptake of optional components in a remote multicomponent rehabilitation intervention in intensive care unit survivors (iRehab): a mixed-methods fidelity assessment","authors":"Judy M. Bradley,&nbsp;Cara G. Ghiglieri,&nbsp;Brenda M. O’Neill,&nbsp;Darren Murphy,&nbsp;Jill Costley,&nbsp;Daniel F. McAuley,&nbsp;Bronwen A. Connolly","doi":"10.1016/j.jphys.2026.09.003","DOIUrl":"10.1016/j.jphys.2026.09.003","url":null,"abstract":"<div><h3>Question</h3><div>What was the fidelity of a remote multicomponent rehabilitation intervention in intensive care unit survivors (iRehab) across the National Institutes of Health Behavior Change Consortium Treatment Fidelity framework domains (design, training, delivery, receipt and enactment)?</div></div><div><h3>Participants</h3><div>iRehab participants (n = 429; 231 intervention, 198 standard care); interviews involved 20 intervention participants, 15 standard care participants and six intervention staff.</div></div><div><h3>Methods</h3><div>A mixed-methods fidelity assessment was embedded within the process evaluation of a multicentre randomised controlled trial. Quantitative fidelity was assessed using structured checklists, participant-level tracking data and longitudinal monitoring of potential drift. Qualitative interviews explored fidelity processes across domains.</div></div><div><h3>Results</h3><div>Study design fidelity was maintained, with clear differentiation between the experimental intervention and standard care. Provider training included structured training, competency assessment and ongoing multidisciplinary support. Delivery fidelity was high for one-to-one sessions, with no systematic drift in sampled sessions. Of 231 participants allocated to iRehab, 169 (73%) attended at least five one-to-one appointments. The uptake of optional group-based components was more variable. Qualitative findings indicated participant understanding and engagement, whereas tracking data and participant accounts provided evidence of strategies being applied in daily life.</div></div><div><h3>Conclusion</h3><div>The iRehab intervention was delivered with high delivery fidelity while allowing individualisation to patient needs. For physiotherapists, monitoring of fidelity should extend beyond attendance and exercise prescription to whether patients can independently apply rehabilitation strategies when symptoms, fatigue and everyday demands fluctuate. Defined core components, staff training, staff competency assessment, ongoing support and fidelity monitoring may help support consistent remote delivery.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Pages 299-306"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171330","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":"Clinimetrics: The 30-second chair stand test","authors":"Travis Haber","doi":"10.1016/j.jphys.2026.08.003","DOIUrl":"10.1016/j.jphys.2026.08.003","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Page 312"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117163","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: European Alliance of Associations for Rheumatology recommendations for physical activity in people with inflammatory arthritis and osteoarthritis: 2025 update","authors":"Jillian Eyles","doi":"10.1016/j.jphys.2026.08.005","DOIUrl":"10.1016/j.jphys.2026.08.005","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Page 313"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116779","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: An unsupervised online tai chi program improves knee pain and physical function more than online education alone in people with knee osteoarthritis [synopsis]","authors":"Tuva Moseng","doi":"10.1016/j.jphys.2026.08.001","DOIUrl":"10.1016/j.jphys.2026.08.001","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Page 308"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117267","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":"Physiotherapist-delivered stress inoculation training integrated with exercise is cost-effective from a health system perspective compared with exercise alone for acute whiplash injury: an economic evaluation","authors":"Christopher Papic,&nbsp;Nigel Armfield,&nbsp;Rachel A. Elphinston,&nbsp;Michele Sterling","doi":"10.1016/j.jphys.2026.09.004","DOIUrl":"10.1016/j.jphys.2026.09.004","url":null,"abstract":"<div><h3>Question</h3><div>Is a physiotherapist-delivered integrated psychological and exercise intervention cost-effective compared with exercise alone for acute whiplash-associated disorders (WAD)?</div></div><div><h3>Design</h3><div>Economic evaluation using randomised controlled trial data, from health system (direct costs) and societal (direct and indirect costs) perspectives.</div></div><div><h3>Participants</h3><div>Adults recruited from physiotherapy clinics, with acute WAD (&lt; 4 weeks) and at least moderate neck pain-related disability and stress-related symptoms.</div></div><div><h3>Intervention</h3><div>Integrated stress inoculation training and exercise (<em>StressModex</em>) compared with exercise alone, both delivered by physiotherapists (10 sessions over 6 weeks). Both groups received an education booklet.</div></div><div><h3>Outcome measures</h3><div>Quality-adjusted life years (QALYs) and Neck Disability Index (NDI; 0 to 100) over 12 months. Direct costs comprised physiotherapist training and patient healthcare utilisation; indirect costs were estimated from lost work productivity.</div></div><div><h3>Results</h3><div>Per participant, health system costs were AUD –290 (95% CI –1,168 to 570), with greater health gains for <em>StressModex</em> versus exercise alone (QALYs 0.07, 95% CI 0.00 to 0.15; NDI –8.7, 95% CI –14.3 to –3.1). From a health system perspective there was high probability of cost-effectiveness (90% at a willingness-to-pay of ∼ AUD 6,000 per QALY), with StressModex saving AUD 4,143 per QALY and AUD 330 per 10-point mean improvement in NDI. Societal costs were AUD 3,489 (95% CI –6,222 to 14,242) higher per participant for <em>StressModex.</em> The point-estimate ICERs (AUD 49,843 per QALY gained; AUD 4,200 per 10-point mean improvement in NDI) were within common Australian willingness-to-pay thresholds, but the probability of cost-effectiveness was modest (53% at AUD 60,000 per QALY).</div></div><div><h3>Conclusion</h3><div>Compared with exercise alone, StressModex was cost-effective with high probability from a health system perspective. From a societal perspective, the point-estimate ICER fell within commonly used Australian willingness-to-pay thresholds, but with considerable uncertainty. Findings provide evidence to inform clinicians, insurers and policymakers on early intervention for acute WAD.</div></div><div><h3>Trial registration</h3><div>ACTRN12614001036606.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Pages 278-287"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138999","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":"Clinimetrics: The Foot Health Status Questionnaire","authors":"Kade L Paterson,&nbsp;Lara S Chapman","doi":"10.1016/j.jphys.2026.02.006","DOIUrl":"10.1016/j.jphys.2026.02.006","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 4","pages":"Page 311"},"PeriodicalIF":9.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867287","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}