Journal of Physiotherapy最新文献

{"title":"Research Note: Adaptive platform trials","authors":"Kathryn S Hayward, Chloe A Mutimer, Leonid Churilov","doi":"10.1016/j.jphys.2026.02.004","DOIUrl":"10.1016/j.jphys.2026.02.004","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Pages 232-236"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377705","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":"Practical Guide: Usual-care mobilisation of adult patients in the intensive care unit","authors":"Michelle Paton, Carol L Hodgson","doi":"10.1016/j.jphys.2026.06.004","DOIUrl":"10.1016/j.jphys.2026.06.004","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Pages 237-242"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354441","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 WalkBack (walking and education) program for prevention of low back pain is acceptable to physiotherapists but relies on training, flexibility and system-level enablers to optimise implementation: a qualitative study","authors":"Seong Kyeong Yeom,&nbsp;Georgia Fisher,&nbsp;Mark R Hancock,&nbsp;Deborah Wareham,&nbsp;Andrew Gratchev,&nbsp;Jorden Pavlovski,&nbsp;Natasha C Pocovi","doi":"10.1016/j.jphys.2026.06.007","DOIUrl":"10.1016/j.jphys.2026.06.007","url":null,"abstract":"<div><h3>Questions</h3><div>What are the perceived barriers and facilitators to physiotherapists adopting a prevention-based walking and education program (WalkBack) in routine practice for patients with recurrent low back pain? What refinements to the WalkBack program could enhance future implementation efforts?</div></div><div><h3>Design</h3><div>This was a qualitative study using individual, online, semi-structured interviews.</div></div><div><h3>Participants</h3><div>Twenty registered physiotherapists practising in Australia, including 10 with previous experience delivering the WalkBack program and 10 without prior exposure. Purposive sampling was used to capture insights from physiotherapists across geographic settings, roles and experience levels. Interview questions were informed by the RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance) framework and analysed using an inductive framework analysis.</div></div><div><h3>Data analysis</h3><div>Themes were iteratively developed through team-based discussions.</div></div><div><h3>Results</h3><div>Four themes were identified. First, the WalkBack program is relevant and acceptable to physiotherapists, aligning with the profession’s shift towards prevention-based care and further supported by its endorsement by research and professional bodies. Second, the WalkBack training is important for effective delivery and implementation. Its flexible online and face-to-face format facilitated engagement, and forming communities of practice was viewed as critical for sustaining future implementation. Third, flexible delivery and structured resources were seen as critical to enabling scalable implementation. This included developing ready-to-use resources such as referral communication templates and advertising materials. Fourth, successful adoption hinges on system-level enablers, including supportive leadership, funding structures and alignment with service settings.</div></div><div><h3>Conclusion</h3><div>Physiotherapists viewed WalkBack as relevant, acceptable and clinically valuable. Future implementation will need to address training needs, enhance resource provision and explore system-level support. Each clinic’s unique service and funding structures may support or deter adoption of the WalkBack program. The findings offer transferable insights to inform implementation of similar clinician-delivered programs, particularly in contexts that share similar clinical and organisational characteristics.</div></div><div><h3>Registration</h3><div><span><span>https://osf.io/t3xbc</span><svg><path></path></svg></span></div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Pages 214-221"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354479","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":"Journal publication information","authors":"","doi":"10.1016/S1836-9553(26)00077-9","DOIUrl":"10.1016/S1836-9553(26)00077-9","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Page iv"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148545186","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":"Smallest worthwhile effect of anterior cruciate ligament reconstruction compared with non-surgical management: a benefit-harm trade-off study","authors":"Fahd Dibsh,&nbsp;Giovanni E Ferreira,&nbsp;Chris G Maher,&nbsp;Adam Culvenor,&nbsp;Evangelos Pappas,&nbsp;Harrison J Hansford,&nbsp;Simon Hall,&nbsp;Joshua R Zadro","doi":"10.1016/j.jphys.2026.05.006","DOIUrl":"10.1016/j.jphys.2026.05.006","url":null,"abstract":"<div><h3>Questions</h3><div>What is the estimated smallest worthwhile effect of anterior cruciate ligament (ACL) reconstruction followed by rehabilitation for improving knee function and return to sport compared with rehabilitation only? What are the associations between participant characteristics (age, gender, health insurance status, sports participation level, preference for surgery versus non-surgical management, previous ACL rupture) and these smallest worthwhile effect estimates?</div></div><div><h3>Design</h3><div>Benefit-harm trade-off study conducted via an online survey.</div></div><div><h3>Participants</h3><div>A total of 92 people engaged in recreational or competitive sport.</div></div><div><h3>Data collection</h3><div>Participants provided demographic information and answered two benefit-harm trade-off scenarios: a knee function scenario and a return to sport scenario. Participants indicated the minimum additional percentage improvement they would require for ACL reconstruction to be worthwhile compared with the anticipated percentage improvement with rehabilitation only. The expected benefits of rehabilitation only were based on published trial data. Associations between these smallest worthwhile effect estimates and participant characteristics were investigated using univariable regression models.</div></div><div><h3>Results</h3><div>The median smallest worthwhile effect was 12% (IQR 8 to 16) for knee function and 41% (IQR 35 to 47) for return to sport. Smallest worthwhile effects were slightly higher for those participating in competitive sport. Age was associated with smallest worthwhile effect for the knee function scenario (0.3% increase per year older, 95% CI 0.1 to 0.4), although the size of this effect may not be clinically relevant. None of the tested predictors were associated with the smallest worthwhile effect for the return to sport scenario.</div></div><div><h3>Conclusion</h3><div>This study is the first to estimate the smallest worthwhile effect of ACL reconstruction. Participants require an additional 12% improvement in knee function or a 41% increase in the likelihood of returning to sport to justify undergoing ACL reconstruction. Therefore, the effects of surgery reported in many studies fall below what patients consider to be worthwhile.</div></div><div><h3>Registration</h3><div>OSF; <span><span>https://osf.io/2kn97/</span><svg><path></path></svg></span></div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Pages 209-213"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303668","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 papers: Adding physiotherapy or motivational text messages does not improve pain beyond home exercise alone for degenerative meniscal tear and knee pain [commentary]","authors":"Rachel K Nelligan","doi":"10.1016/j.jphys.2026.05.008","DOIUrl":"10.1016/j.jphys.2026.05.008","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Page 225"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303626","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 children with developmental coordination disorder, motor-based interventions improve gross motor proficiency and activity levels but not psychosocial functions [synopsis]","authors":"Nikki Milne","doi":"10.1016/j.jphys.2026.05.009","DOIUrl":"10.1016/j.jphys.2026.05.009","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Page 224"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303675","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 Physical Activity Vital Sign (PAVS)","authors":"Sjaan R Gomersall,&nbsp;Tahlia Alsop","doi":"10.1016/j.jphys.2025.11.003","DOIUrl":"10.1016/j.jphys.2025.11.003","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Pages 226-227"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303695","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: Society of Critical Care Medicine Guidelines on Caring for Older Adults in the ICU","authors":"Luke A McDonald,&nbsp;Thomas C Rollinson","doi":"10.1016/j.jphys.2026.05.011","DOIUrl":"10.1016/j.jphys.2026.05.011","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Page 231"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309970","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 motor recovery and rehabilitation research after stroke","authors":"Emily J Dalton,&nbsp;Natalie A Fini,&nbsp;Gert Kwakkel,&nbsp;Catherine E Lang,&nbsp;Natasha A Lannin,&nbsp;Kathryn S Hayward","doi":"10.1016/j.jphys.2026.06.005","DOIUrl":"10.1016/j.jphys.2026.06.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Improving motor functioning is a top priority for clinicians and people living with stroke. This review aimed to identify recent advances in motor recovery and rehabilitation research after stroke and to provide recommendations for future trials.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed from 2020 was performed to identify randomised controlled trials (RCTs, n ≥ 100 participants), RCT protocols (projected sample of n ≥ 100) and systematic reviews of RCTs with meta-analysis of upper and/or lower limb motor training in adults with stroke. Together, 118 RCTs, protocols and systematic reviews with meta-analyses were identified. Additional eligible studies published after the systematic search were included from late-breaking trial presentations at 2025 international stroke conferences and authorship team knowledge. Identified evidence was synthesised to inform the development of four themes that were confirmed through multiple online meetings. Each theme was narratively discussed and recommendations to advance stroke recovery and rehabilitation were subsequently presented.</div></div><div><h3>Findings</h3><div>Four themes were established: motor training provides the foundation; mode is a tool to support the delivery of motor training; motor training may be improved with adjuvants; and motor trials need a defined measurement strategy. These themes highlight the integral role of high-quality motor training to stroke recovery and rehabilitation trial conduct. Five recommendations to drive continued advances in stroke motor recovery and rehabilitation were developed. It is recommended that researchers: deliver motor training that adheres to evidence-informed parameters of motor training; consider the use of delivery mode as a tool to support higher dose motor training; always pair an adjuvant with evidence-informed motor training; select or subgroup participants enrolled in trials according to potentially modifying characteristics such as severity and time since stroke; and match measurement strategies to the research question, main effect of interest, clinical trial phase, patient population tested and intervention delivered.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Pages 179-189"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354400","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}