Journal of Physiotherapy最新文献

{"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}

{"title":"Clinimetrics: The vertical single leg hop test","authors":"Justin M Losciale ,&nbsp;Christina Y Le","doi":"10.1016/j.jphys.2025.02.010","DOIUrl":"10.1016/j.jphys.2025.02.010","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 2","pages":"Page 136"},"PeriodicalIF":9.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694207","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 [commentary]","authors":"Meg Harrold","doi":"10.1016/j.jphys.2025.02.004","DOIUrl":"10.1016/j.jphys.2025.02.004","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":"143694210","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 [commentary]","authors":"Ianthe Boden","doi":"10.1016/j.jphys.2024.11.016","DOIUrl":"10.1016/j.jphys.2024.11.016","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":"143774703","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 individualised, progressive walking and education intervention reduces the risk of low back pain recurrence [synopsis]","authors":"Nina Østerås","doi":"10.1016/j.jphys.2024.09.006","DOIUrl":"10.1016/j.jphys.2024.09.006","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Page 57"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367143","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":"Correspondence: Re: Satpute et al","authors":"Saliha Rafat,&nbsp;Adarsh Kumar Srivastav,&nbsp;Digvijay Sharma","doi":"10.1016/j.jphys.2024.11.002","DOIUrl":"10.1016/j.jphys.2024.11.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Page 72"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819904","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 patellofemoral pain in adolescents","authors":"Michael Skovdal Rathleff ,&nbsp;Natalie J Collins","doi":"10.1016/j.jphys.2024.11.018","DOIUrl":"10.1016/j.jphys.2024.11.018","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Pages 8-17"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830426","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: Economic evaluations in physiotherapy","authors":"Johanna M van Dongen ,&nbsp;Judith E Bosmans","doi":"10.1016/j.jphys.2024.10.003","DOIUrl":"10.1016/j.jphys.2024.10.003","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Pages 66-71"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830432","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 rural youth, the iAmHealthy paediatric weight management intervention stabilises body mass index z-scores and impacts health behaviours compared with newsletters with similar content [synopsis]","authors":"Nikki Milne","doi":"10.1016/j.jphys.2024.11.007","DOIUrl":"10.1016/j.jphys.2024.11.007","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Page 59"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808294","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 Knee injury and Osteoarthritis Outcome Score (KOOS)","authors":"Natalie J Collins ,&nbsp;Kathryn Mills","doi":"10.1016/j.jphys.2024.11.011","DOIUrl":"10.1016/j.jphys.2024.11.011","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 1","pages":"Pages 62-63"},"PeriodicalIF":9.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819882","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}