Journal of Physiotherapy最新文献

{"title":"Appraisal of Clinical Practice Guideline: Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction","authors":"Stephanie Filbay","doi":"10.1016/j.jphys.2025.02.006","DOIUrl":"10.1016/j.jphys.2025.02.006","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page 137"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694205","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: Once-weekly semaglutide in people with obesity and knee osteoarthritis [synopsis]","authors":"Tuva Moseng","doi":"10.1016/j.jphys.2025.02.011","DOIUrl":"10.1016/j.jphys.2025.02.011","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":"143694217","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":"Group-based exercise reduces pain and disability and improves other outcomes in older people with chronic non-specific low back pain: the ESCAPE randomised trial","authors":"Hytalo de Jesus Silva ,&nbsp;Júlio Pascoal de Miranda ,&nbsp;Whesley Tanor Silva ,&nbsp;Leticia Soares Fonseca ,&nbsp;Diêgo Mendes Xavier ,&nbsp;Murilo Xavier Oliveira ,&nbsp;Vinicius Cunha Oliveira","doi":"10.1016/j.jphys.2025.03.003","DOIUrl":"10.1016/j.jphys.2025.03.003","url":null,"abstract":"<div><h3>Question</h3><div>In older people with chronic non-specific low back pain (CNSLBP), what is the effect of a group-based exercise protocol compared with a waitlist control on pain intensity, disability, global perceived effect, frequency of falls, fear of falling and physical activity?</div></div><div><h3>Design</h3><div>Randomised trial with concealed allocation and intention-to-treat analysis.</div></div><div><h3>Participants</h3><div>One hundred and twenty people aged ≥ 60 years with CNSLBP.</div></div><div><h3>Interventions</h3><div>Participants were allocated to undertake 1-hour group exercise sessions, three times per week for 8 weeks or to a waitlist control.</div></div><div><h3>Outcome measures</h3><div>The primary outcomes were pain intensity and disability. Secondary outcomes were the global perceived effect, frequency of falls, fear of falling and physical activity level. Data were collected at baseline, 8 weeks, 5 months and 12 months after randomisation.</div></div><div><h3>Results</h3><div>Compared with control, group-based exercise reduced pain intensity on a 0-to-10 scale (MD –2.0, 95% CI –2.8 to –1.3) and disability on the 0-to-24 Roland-Morris Disability Questionnaire (MD –3.4, 95% CI –4.7 to –2.1). Group-based exercise also led to higher ratings of global perceived effect sustained through to 12 months and higher levels of physical activity at week 8. The effect on fear of falling was clearly negligible.</div></div><div><h3>Conclusion</h3><div>Group-based exercise has long-term benefits for pain intensity, disability and global perceived effect, with at least a short-term benefit for physical activity. Group-based exercise can be safely implemented in primary healthcare settings to manage CNSLBP in older people.</div></div><div><h3>Registration</h3><div>RBR-9j5pqs</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Pages 108-116"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774684","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: Physiotherapy-led overground gait training using a wearable robot may enhance gross motor function for children and adolescents with cerebral palsy [commentary]","authors":"Free Coulston","doi":"10.1016/j.jphys.2025.02.002","DOIUrl":"10.1016/j.jphys.2025.02.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page 133"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694221","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":"Aims and scope / Editorial Board","authors":"","doi":"10.1016/S1836-9553(25)00029-3","DOIUrl":"10.1016/S1836-9553(25)00029-3","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page ii"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792662","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":"Sex, gender and pain: beyond false binaries","authors":"Emre Ilhan ,&nbsp;Roxie Swart ,&nbsp;Megan H Ross","doi":"10.1016/j.jphys.2025.02.007","DOIUrl":"10.1016/j.jphys.2025.02.007","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Pages 75-77"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694141","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: Physiotherapy-led overground gait training using a wearable robot may enhance gross motor function for children and adolescents with cerebral palsy [Synopsis]","authors":"Nikki Milne","doi":"10.1016/j.jphys.2025.02.003","DOIUrl":"10.1016/j.jphys.2025.02.003","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page 133"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694225","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":"Low back pain management","authors":"Natasha C Pocovi ,&nbsp;Mark R Elkins","doi":"10.1016/j.jphys.2025.03.008","DOIUrl":"10.1016/j.jphys.2025.03.008","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Pages 78-80"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774714","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 adults on mechanical ventilation with weaning difficulties, high-intensity inspiratory muscle training did not improve the weaning success rate compared with sham inspiratory muscle training [synopsis]","authors":"Vinicius Cavalheri","doi":"10.1016/j.jphys.2025.02.005","DOIUrl":"10.1016/j.jphys.2025.02.005","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page 134"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774700","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":"The smallest worthwhile effect of surgery versus non-surgical treatments for sciatica: a benefit-harm trade-off study","authors":"Ali Salame ,&nbsp;Manuela L Ferreira ,&nbsp;Harrison J Hansford ,&nbsp;Chris G Maher ,&nbsp;Joshua R Zadro ,&nbsp;Chung-Wei Christine Lin ,&nbsp;Ashish Diwan ,&nbsp;James H McAuley ,&nbsp;Mark J Hancock ,&nbsp;Ian A Harris ,&nbsp;Giovanni E Ferreira","doi":"10.1016/j.jphys.2025.02.012","DOIUrl":"10.1016/j.jphys.2025.02.012","url":null,"abstract":"<div><h3>Question</h3><div>What is the smallest worthwhile (SWE) effect of discectomy compared with non-surgical treatments amongst people with sciatica?</div></div><div><h3>Design</h3><div>Benefit-harm trade-off study.</div></div><div><h3>Participants</h3><div>People with sciatica of any duration living in Australia and recruited through social media.</div></div><div><h3>Outcome</h3><div>The outcome of interest was leg pain intensity. Participants were asked to nominate the additional percentage reduction in leg pain from discectomy––above the reduction anticipated from non-surgical treatments––that would make discectomy worthwhile for them. The SWE was estimated as the median (IQR) of the smallest percentage reduction in leg pain with discectomy (compared with non-surgical treatment) that participants considered worthwhile. The SWE was estimated for the overall sample and those with acute (≤ 6 weeks), subacute (&gt; 6 to 12 weeks) and chronic (&gt; 12 weeks) sciatica, and investigated factors associated with the SWE.</div></div><div><h3>Results</h3><div>Two hundred participants with a mean age of 59 years (SD 12) were included. The SWE was estimated to be an additional 15% (IQR 10 to 40) reduction in leg pain with discectomy, beyond any reduction in leg pain achieved by non-surgical treatments. Dissatisfaction with previous non-surgical treatments and low pain self-efficacy were associated with smaller SWE estimates.</div></div><div><h3>Conclusion</h3><div>People with sciatica would require discectomy to provide an additional 15% reduction in their leg pain beyond the expected 50% improvement in leg pain from non-surgical treatments in the short term to consider discectomy worthwhile. These results can inform the interpretation of the effects of discectomy in randomised trials and meta-analysis from the perspective of consumers.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Pages 125-131"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694144","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}