Journal of Physiotherapy最新文献

{"title":"Critically appraised papers: Cyclical electrical stimulation improves muscle strength and activity after stroke [synopsis]","authors":"Yvonne C Learmonth","doi":"10.1016/j.jphys.2026.05.005","DOIUrl":"10.1016/j.jphys.2026.05.005","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Page 223"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320340","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":"Exercise-based cancer telerehabilitation is safe but not superior to a single session of physiotherapy for improving quality of life: a randomised trial","authors":"Amy M Dennett,&nbsp;Nora Shields,&nbsp;Christian Barton,&nbsp;Germaine Tan,&nbsp;Katherine E Harding,&nbsp;Casey L Peiris,&nbsp;Phillip Parente,&nbsp;Lauren Lynch,&nbsp;David Lim,&nbsp;Nicholas F Taylor","doi":"10.1016/j.jphys.2026.06.008","DOIUrl":"10.1016/j.jphys.2026.06.008","url":null,"abstract":"<div><h3>Questions</h3><div>What is the effect of group exercise–based telerehabilitation compared with a single session of in-person assessment and advice on health-related quality of life in cancer survivors? What are the effects on activity, function, safety and cost-effectiveness?</div></div><div><h3>Design</h3><div>An assessor-blinded, pragmatic randomised controlled trial with embedded cost analysis, concealed allocation and intention-to-treat analysis.</div></div><div><h3>Participants</h3><div>Adult cancer survivors with any cancer diagnosis who were receiving treatment or within 12 months of treatment completion.</div></div><div><h3>Intervention</h3><div>The experimental group received an 8-week, twice-weekly, physiotherapist-led exercise group via videoconferencing, supplemented with support resources and a single in-person session of assessment and advice (TeleCaRe). The control group received a single in-person session of exercise assessment and advice.</div></div><div><h3>Outcome measures</h3><div>Assessments were completed at baseline, after the intervention (week 9) and at follow-up (week 26). The primary outcome was health-related quality of life, measured using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, at week 9. Secondary measures were walking capacity (6-minute walk test), physical activity (accelerometer), self-efficacy (Health Action Process Approach Questionnaire), adverse events, and health service and cost data.</div></div><div><h3>Results</h3><div>In total, 117 participants were recruited. Their mean age was 59 years, 82 (70%) were female, and 47 (40%) had breast cancer. Participants attended an average of seven out of 16 sessions (SD 6). There were no major adverse events. Intention-to-treat analysis found that TeleCaRe was not superior for improving quality of life (MD –5.3 units, 95% CI –13.3 to 2.6) or any secondary outcomes. TeleCaRe cost AU$363 per participant.</div></div><div><h3>Conclusion</h3><div>Group exercise–based cancer telerehabilitation was safe but attendance was poor. The addition of telerehabilitation to assessment and advice was not superior to a single in-person physiotherapy session alone for improving quality of life.</div></div><div><h3>Registration</h3><div>ACTRN12621001417875.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Pages 200-208"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354440","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(26)00075-5","DOIUrl":"10.1016/S1836-9553(26)00075-5","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Page ii"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148545188","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":"Expressions of interest for the Journal of Physiotherapy Editorial Fellowship","authors":"","doi":"10.1016/j.jphys.2026.06.001","DOIUrl":"10.1016/j.jphys.2026.06.001","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 3","pages":"Page 167"},"PeriodicalIF":9.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148559222","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 mild autism, non-immersive virtual reality combined with traditional physiotherapy is superior to traditional physiotherapy alone for improving balance and postural control [commentary]","authors":"Karen Hurtubise","doi":"10.1016/j.jphys.2026.02.002","DOIUrl":"10.1016/j.jphys.2026.02.002","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 2","pages":"Page 147"},"PeriodicalIF":9.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-intensity respiratory muscle training improves maximal respiratory pressures, breathing endurance, dyspnoea and exercise capacity in people with Parkinson’s disease: a randomised trial","authors":"Sherindan Ayessa Ferreira de Brito,&nbsp;Aline Alvim Scianni,&nbsp;Bruna Mara Franco Silveira,&nbsp;Elem Rodrigues Martins de Oliveira,&nbsp;Christina Danielli Coelho de Morais Faria","doi":"10.1016/j.jphys.2026.03.006","DOIUrl":"10.1016/j.jphys.2026.03.006","url":null,"abstract":"<div><h3>Questions</h3><div>What is the effect of home-based, high-intensity, combined inspiratory and expiratory muscle training on maximal respiratory pressures, inspiratory muscle endurance, peak cough flow, dyspnoea, fatigue, exercise capacity and quality of life in people with Parkinson's disease?</div></div><div><h3>Design</h3><div>A randomised controlled trial with concealed allocation, intention-to-treat analysis and blinding of participants, assessors and statisticians.</div></div><div><h3>Participants</h3><div>People with Parkinson’s disease.</div></div><div><h3>Intervention</h3><div>The experimental group received high-intensity combined inspiratory and expiratory muscle training at 60% of maximal inspiratory pressure (MIP) and 60% of maximal expiratory pressure (MEP). The control group received sham training using the same protocol, but without any resistive load. Both groups trained for 20 minutes, twice per day, 7 days/week for 8 weeks.</div></div><div><h3>Outcome measures</h3><div>The primary outcome was respiratory muscle strength (MIP and MEP). Secondary outcomes included inspiratory muscle endurance, peak cough flow, dyspnoea (0-to-4 Medical Research Council scale, where lower scores are better), fatigue (1-to-7 Fatigue Severity, where lower scores are better), exercise capacity (6-minute walk test) and quality of life (0-to-100 Parkinson’s Disease Questionnaire-39, where lower scores are better). All outcomes were measured at 0, 8 and 12 weeks.</div></div><div><h3>Results</h3><div>Thirty-four participants were included. Compared with control, the experimental group had better MIP (MD 20 cmH₂O, 95% CI 10 to 30), MEP (MD 24 cmH₂O, 95% CI 10 to 39) and inspiratory muscle endurance (MD 1.2 minutes, 95%CI 0.4 to 2.0). The benefits in MIP and inspiratory muscle endurance were maintained at follow-up. Benefits also occurred in dyspnoea (MD –0.71, 95% CI –1.30 to –0.12) and exercise capacity (MD 24.9 m, 95% CI 0.2 to 49.7); however, the confidence intervals spanned worthwhile and trivial effects, indicating uncertainty about whether those effects are clinically worthwhile.</div></div><div><h3>Conclusion</h3><div>High-intensity combined inspiratory and expiratory muscle training improved respiratory muscle strength, inspiratory muscle endurance, dyspnoea and exercise capacity in people with Parkinson’s disease.</div></div><div><h3>Registration number</h3><div>NCT05608941.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 2","pages":"Pages 128-136"},"PeriodicalIF":9.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent highlights in low back pain research, Part II: Prevention and management","authors":"Bruno T. Saragiotto ,&nbsp;Christina Abdel Shaheed ,&nbsp;Mark Overton ,&nbsp;Jill A. Hayden ,&nbsp;Jan Hartvigsen ,&nbsp;Rafael Zambelli Pinto","doi":"10.1016/j.jphys.2026.03.002","DOIUrl":"10.1016/j.jphys.2026.03.002","url":null,"abstract":"<div><h3>Introduction</h3><div>This paper highlights research relating to the prevention and management of non-specific low back pain (LBP) published between January 2020 and December 2025.</div></div><div><h3>Methods</h3><div>To identify studies for inclusion, MEDLINE, CINAHL and the Cochrane Database of Systematic Reviews were searched. Relevant studies were grouped according to topic area. From those results, studies that were perceived to be of great clinical importance and particularly high quality were selected.</div></div><div><h3>Results</h3><div>This narrative review synthesised five key themes in contemporary LBP management. Theme 1 (Prevention) demonstrated consistent evidence that exercise-based programs, particularly when combined with education, reduce the risk and impact of recurrent LBP. Theme 2 (Non-pharmacological management) showed that education, exercise, manual therapy, acupuncture and psychologically informed approaches generally produce small to moderate effects on average, with the strongest and most sustained benefits observed for exercise and psychologically informed approaches. In Theme 3 (Pharmacological management), it was found that commonly used medicines provide at best small benefits while carrying meaningful risks, reinforcing their limited and time-restricted role in care. Theme 4 (Invasive and surgical interventions) highlighted that most invasive procedures offer little to no meaningful benefit for LBP and expose patients to substantial harm and cost. Finally, Theme 5 (Special populations) showed that older adults, children, adolescents, and Indigenous and underserved communities remain under-represented in clinical trials and are more likely to receive non-guideline concordant care, emphasising the need for tailored, equity-oriented approaches.</div></div><div><h3>Conclusion</h3><div>LBP care is most effective when it is active and person‑centred. Education, exercise and psychologically informed approaches should be prioritised, while medicines and invasive procedures offer little benefit and carry risk; care should be tailored to reduce persistent inequities across populations.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 2","pages":"Pages 106-115"},"PeriodicalIF":9.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timely access to skilled physiotherapy during prostate cancer treatment is valued but inequitable: a qualitative study","authors":"Alesha M Sayner ,&nbsp;Clarice Y Tang ,&nbsp;Kellie Toohey ,&nbsp;Kath Nichols ,&nbsp;Claire Pearce ,&nbsp;Irmina Nahon","doi":"10.1016/j.jphys.2026.03.005","DOIUrl":"10.1016/j.jphys.2026.03.005","url":null,"abstract":"<div><h3>Question</h3><div>What experiences do people undergoing treatment for prostate cancer have with access to and participation in physiotherapy services in metropolitan and regional public and private settings?</div></div><div><h3>Design</h3><div>A phenomenological qualitative approach was used to describe patient experiences with access to and participation in physiotherapy services in metropolitan and regional Australian public and private settings. We conducted 29 one-to-one interviews and reflexive thematic analysis was used to identify themes in the data.</div></div><div><h3>Results</h3><div>Four themes were identified. There was limited patient awareness that physiotherapy can provide symptomatic support. Participants stressed the importance of early implementation of pelvic floor muscle training. Transperineal, real-time ultrasound was valued as biofeedback. Regional locations and public health settings challenged access and impacted participation.</div></div><div><h3>Conclusion</h3><div>This research identified that physiotherapy supportive care in prostate cancer should be established early and under the supervision of an appropriately trained clinician. Referral should be directed to specific providers and further exposure and education around physiotherapists’ role in this space may be required. Different health service and geographical contexts influence access. Strategies to address systemic barriers need ongoing attention.</div></div>","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 2","pages":"Pages 137-143"},"PeriodicalIF":9.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aims and scope / Editorial Board","authors":"","doi":"10.1016/S1836-9553(26)00034-2","DOIUrl":"10.1016/S1836-9553(26)00034-2","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 2","pages":"Page ii"},"PeriodicalIF":9.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147636530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Title page","authors":"","doi":"10.1016/S1836-9553(26)00033-0","DOIUrl":"10.1016/S1836-9553(26)00033-0","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"72 2","pages":"Page i"},"PeriodicalIF":9.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147636529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}