JOSPT open最新文献

{"title":"Measures of Health-Related Domains Used in Patellofemoral Pain: A Scoping Review and Mapping to the Outcome Measures in Rheumatology (OMERACT) Core Areas.","authors":"Manuela Besomi, Eliane de Morais Machado, Kristian Damgaard Lyng, Sinead Holden, Magnus Bye Blumenfeld, Alessandro Andreucci, Danilo De Oliveira Silva, Neal Glaviano, Samual A Kayll, Liam Maclachlan, Mark Matthews, Natalie Mazzella, Kade L Paterson, Marcella F Pazzinatto, Larissa Rodrigues Souto, Jade Tan, Guido J van Leeuwen, Narelle Wyndow, Marienke van Middelkoop, Michael Skovdal Rathleff, Bill Vicenzino, Natalie J Collins","doi":"10.2519/josptopen.2026.0232","DOIUrl":"10.2519/josptopen.2026.0232","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To provide an overview of measures used in studies of people with patellofemoral pain (PFP) and to map these measures to the core areas of the Outcome Measures in Rheumatology (OMERACT) initiative. <b>DESIGN</b>: Scoping review. <b>DATA SOURCES:</b> Data were sourced from Medline, Embase, Web of Science, and the Cochrane Library. <b>ELIGIBILITY CRITERIA:</b> We included studies published between 2000 and 2024 that reported health-related measures in participants of any age or gender with PFP, in accordance with consensus definitions. All study designs were eligible. <b>RESULTS:</b> Of 7,415 records, 969 studies (n = 39,963 participants; 69% female; 61% aged 20-30 years) were included. Cross-sectional (56%) and clinical trials (28%) predominated. Patient-reported measures were used in 85% of studies, most commonly assessing pain (71%) and function/participation (67%). Quantitative measures were reported in 96% of studies, most often anthropometry (84%), neuromuscular capacity (39%), clinical assessment measures (35%), and biomechanics (32%). Mapping to the OMERACT initiative showed strong representation of \"life impact\" (eg, pain, function) and \"pathophysiological manifestations\" (eg, strength, structure). Few studies included measures related to \"resource use,\" and none addressed \"death/lifespan impact.\" <b>CONCLUSION:</b> Studies predominantly measured pain, physical function, and mechanical impairments, with limited assessment of psychosocial factors or health system impacts. These findings support the need for a consensus-based core outcome measurement set for PFP. <i>JOSPT Open 2026;4(3):276-288. Epub 20 May 2026. doi:10.2519/josptopen.2026.0232</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 3","pages":"276-288"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Upper Extremity Injury Prevalence and Risk in Pickleball Players: A Nationwide Survey.","authors":"Eric J V Bellm, Jac Lindish, Wassim Mourad, Oluwatoyosi B A Owoeye","doi":"10.2519/josptopen.2026.0171","DOIUrl":"https://doi.org/10.2519/josptopen.2026.0171","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To describe the prevalence and predictors of upper extremity injury in pickleball players. <b>DESIGN:</b> Cross-sectional study. <b>METHODS:</b> Pickleball players aged ≥18 years from across the United States were invited to take a prevalidated survey. The primary outcome was self-reported upper extremity all-complaint injuries (time-loss and non-time-loss) in the past 12 months. Collected through a survey, potential predictor variables were sex, age, playing time (amount per week), and perception of injury prevention programs. Injury prevalence was reported with 95% confidence intervals (CIs) and injury predictors were analyzed using multivariable logistics regression. <b>RESULTS:</b> A total of 1758 athletes responded. Of these, 689 players (39.0%; 95% CI: 37.0%, 41.6%) reported experiencing at least 1 upper extremity injury (male, 42.0%; female, 37.0%). Additionally, 285 players (16.2%; 95% CI: 14.5%, 18.0%) reported time-loss injuries and 527 players (30.0%; 95% CI: 27.7, 32.1) experienced non-time-loss injuries. The most frequently cited injury types were chronic overuse conditions (41%), sprains (24%), and strains (20%). The significant predictors of injury were male sex, increased frequency of play during the week, shorter play history, and decreased perceived importance of injury prevention. <b>CONCLUSION:</b> Upper extremity injuries in pickleball players were common; 1 in 3 athletes reported injuries annually. Non-time-loss and chronic injuries were the most common injuries. <i>JOSPT Open 2026;4(2):174-180. Epub 22 January 2026. doi:10.2519/josptopen.2026.0171</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"174-180"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variations in Gluteus Medius Activity During Clam Exercise: Differences Due to Hip Flexion Angle During Exercise and Maximum Passive Internal Rotation Range.","authors":"Sho Mitomo, Junya Aizawa, Kenji Hirohata, Takehiro Ohmi, Shunsuke Ohji, Hidetaka Furuya, Tomoko Kawasaki, Yayoi Sakai, Kazuyoshi Yagishita","doi":"10.2519/josptopen.2026.0178","DOIUrl":"https://doi.org/10.2519/josptopen.2026.0178","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To assess differences in the activity of each gluteus-medius segment in response to variations in the maximum passive hip internal-rotation range and across ranges of hip flexion angle during clam exercises. <b>DESIGN:</b> Cross-sectional study. <b>METHODS:</b> The participants were healthy women. The maximum passive range of hip internal rotation was measured in prone with the hip in a neutral position and the knee flexed to 90°. Based on these values, participants were classified into 2 groups (the excessive-range group and the normal-range group). Differences in the activity of 3 gluteus-medius segments (anterior, middle, and posterior) during the clam exercise, performed at hip flexion angles of 30°, 45°, and 60°, were compared between groups. Analysis of variance for a split-plot factorial design was used to assess statistical differences (<i>P</i> = .05). <b>RESULTS:</b> Activity in the posterior gluteus-medius segment was significantly higher when the hip flexion angle was 60° (<i>P</i> = .042; 95% confidence interval [CI]: 0.10, 6.4; effect size, 0.32) or 45° (<i>P</i> = .035; 95% CI: 0.1, 4.2; effect size, 0.20) than when it was 30° during clam exercises. <b>CONCLUSION:</b> Deeper hip flexion angles during the clam exercise were associated with increased posterior gluteus-medius activity, regardless of individual differences in hip internal rotation range. <i>JOSPT Open 2026;4(2):196-203. Epub 8 January 2026. doi:10.2519/josptopen.2026.0178</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"196-203"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"See One, Do One, Teach One…Fail One?\" Intellectual Humility in Musculoskeletal Care and Education.","authors":"Michael J Battistone, Lauren A Maggio, Ronald M Cervero, Justin M Losciale, Abigail Konopasky","doi":"10.2519/josptopen.2026.0206","DOIUrl":"https://doi.org/10.2519/josptopen.2026.0206","url":null,"abstract":"<p><p><b>SYNOPSIS:</b> This viewpoint presents a turning point in clinical training and practice, where an attending physician faced difficulty performing an arthrocentesis in front of a trainee, highlighting challenges and vulnerabilities inherent in practice. The situation was resolved by enlisting the expertise of a colleague, who successfully completed the procedure. This experience prompted reflections on the concept of intellectual humility in health professional education-the ability to acknowledge limitations, seek help, and embrace collaborative learning and teaching. This article examines how intellectual humility can shape clinicians' responses to failure, particularly when role modeling for learners. It also raises critical questions about how educators and trainees navigate intellectual humility. By examining a moment of failure and related reflection, this article invites musculoskeletal rehabilitation clinicians to consider how intellectual humility can strengthen teaching, learning, and clinical practice. <i>JOSPT Open 2026;4(2):128-132. Epub 19 February 2026. doi:10.2519/josptopen.2026.0206</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"128-132"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural and Functional Brain Differences Related to Recurrent Shoulder Instability: A Systematic Review.","authors":"Camille Tooth, Alexandre Maricot, Jo Verschueren, Suzanne Gard, Bruno Tassignon","doi":"10.2519/josptopen.2026.0157","DOIUrl":"10.2519/josptopen.2026.0157","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To explore (1) structural and functional brain changes associated with recurrent shoulder instability (RSI) and (2) their associations with clinical outcomes. <b>DESIGN:</b> Systematic review of observational and case-control studies. <b>LITERATURE SEARCH:</b> A comprehensive search was conducted in PubMed, Web of Science, and EMBASE for articles published up to December 2023. Reporting was guided by the PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science) and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 guidelines. <b>STUDY SELECTION CRITERIA:</b> Peer-reviewed observational and case-control studies were eligible if they included individuals with RSI and assessed structural or functional brain changes using neuroimaging. <b>DATA SYNTHESIS:</b> The internal validity of included studies was evaluated using the National Heart, Lung, and Blood Institute's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and Quality Assessment of Case-Control Studies. Outcomes were synthesized qualitatively due to heterogeneity in imaging protocols and outcome measures. <b>RESULTS:</b> Seven studies met the inclusion criteria, involving 100 patients with RSI and 70 healthy controls. Structural brain differences assessed via voxel-based morphometry were not significant in 3 studies but were significant in 1 study. Six studies reported consistent patterns of neuroplasticity in functional brain outcomes, with increased functional connectivity in the primary sensorimotor cortex, dorsolateral prefrontal cortex, and anterior insula. Four studies identified significant correlations between brain connectivity measures and clinical scores, suggesting a link between sensorimotor and emotion-regulation networks and functional outcomes in RSI. <b>CONCLUSION:</b> Functional, rather than structural, brain alterations appeared to be involved in RSI. These findings support the relevance of central mechanisms in RSI and require confirmation through longitudinal designs and larger cohorts. <i>JOSPT Open 2026;4(2):133-154. Epub 6 February 2026. doi:10.2519/josptopen.2026.0157</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"133-154"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Impact of Post-professional Training on Diagnostic Clinical Reasoning Using the Script Concordance Test for Cervical Spine Disorders: A Cross-sectional Survey.","authors":"Matthew R Schumacher, Rafaiel Piwowski, Taylor A Meyrick, Kelsey A Mischel, Jordyn M Kisse","doi":"10.2519/josptopen.2026.0200","DOIUrl":"https://doi.org/10.2519/josptopen.2026.0200","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To examine the differences in diagnostic clinical reasoning among physical therapists with varying levels of post-professional training using the Script Concordance Test (SCT), while investigating associations between participant demographics and the most recent American Physical Therapy Association cervical spine clinical practice guideline use. <b>DESIGN:</b> Cross-sectional survey. <b>METHODS:</b> A 1-way analysis of variance (ANOVA) with post hoc Bonferroni analysis compared SCT mean scores across 3 cervical spine cases, and binary logistic regression identified associations between demographic variables. <b>RESULTS:</b> One hundred thirty-one participants completed the survey. A 1-way ANOVA revealed a small-to-moderate effect, with fellowship-trained clinicians scoring higher than those without advanced training (<i>P</i> = .01; 95% confidence interval [CI]: -2.04, -0.27). Board-certified Orthopedic Clinical Specialists did not differ significantly from either the fellowship-trained group (<i>P</i> = .40; 95% CI: -1.89, 0.44) or those without advanced training (<i>P</i> = .89; 95% CI: -1.37, 0.54). <b>CONCLUSION:</b> Fellowship-trained clinicians demonstrated superior diagnostic reasoning regarding the cervical spine case vignettes compared to clinicians with no post-professional training. <i>JOSPT Open 2026;4(2):239-246. Epub 25 March 2026. doi:10.2519/josptopen.2026.0200</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"239-246"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gait Biomechanics During Early Stance Phase Predict Pain Flares in Persons With Patellofemoral Joint Osteoarthritis.","authors":"Jessica G Wagner, Eric Hammond, Katherine A Boyer, Joshua Johnson, Kelsey H Collins, Sharmila Majumdar, Richard B Souza","doi":"10.2519/josptopen.2026.0183","DOIUrl":"10.2519/josptopen.2026.0183","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To examine gait mechanics associated with the occurrence of a movement-evoked pain flare in individuals with patellofemoral joint osteoarthritis (PFJOA). <b>DESIGN:</b> Cross-sectional observational study. <b>METHODS:</b> Twenty-two participants with PFJOA and 10 healthy control participants completed five overground gait trials at a fixed speed of 1.35 m/s ± 5%. Lower limb kinematics and kinetics were recorded using motion capture and in-ground force plates. PFJOA participants completed a 20-minute decline treadmill walk, rating pain every minute via the Numeric Pain Rating Scale (NPRS). Participants were grouped based on change in NPRS (≥2-point increase = Pain Flare [PF]; <2-point = No Flare [NF]). Analysis of variance and post hoc analyses compared gait mechanics between groups (PF, NF, and C [Control]). <b>RESULTS:</b> During the first half of stance, people with pain flares (n = 12) had higher peak knee flexion angle (17.7 ± 2.4) compared to controls (13.6 ± 3.4; <i>p</i> = .003) and higher knee flexion moment impulse (0.62 ± 0.11) compared to people with no pain flare (n = 10; 0.45 ± 0.19; <i>p</i> = 0.001) and to controls (0.39 ± 0.12; <i>p</i> = .0001). The no pain flare group had lower knee adduction moment impulse (0.45 ± 0.16) compared to controls (0.61 ± 0.12; <i>p</i> = .04). In the second half of stance, the no pain flare group had higher knee external rotation angles (8.7 ± 5.2) compared to the PF group (4.9 ± 3.0; <i>p</i> = 0.02) and to controls (4.5 ± 2.9; <i>p</i> = .009). <b>CONCLUSION:</b> People with PFJOA and who were prone to movement-evoked pain flares had increased sagittal plane loading during gait, while those without flares had reduced frontal plane loading and greater knee external rotation angles. Further investigation into a causal relationship between these gait alterations and movement-evoked pain would provide valuable insight for treatment of patients with PFJOA. <i>JOSPT Open 2026;4(2):223-231. Epub 23 January 2026. doi:10.2519/josptopen.2026.0183</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"223-231"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of lumbar paraspinal muscle size and quality with physical function, disability, and pain in adults with chronic low back pain.","authors":"Cristiane R Carlesso, Jaclyn M Sions, William J Anderst, Charity G Patterson, Allison M Voss, Luiza P Weissmann, Blake S Johnson, Michael J Schneider, Sara R Piva","doi":"10.2519/josptopen.2026.0202","DOIUrl":"10.2519/josptopen.2026.0202","url":null,"abstract":"<p><strong>Objective: </strong>Chronic low back pain (LBP) is linked to reduced lumbar paraspinal muscle size and quality. Given their role in spinal stabilization, this study examined associations between lumbar paraspinal muscle morphology and physical function, disability, and pain in chronic LBP.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Cross-sectional area (CSA) and attenuation of the erector spinae and multifidi (upper: L1-L3; lower: L4-S1), psoas and quadratus lumborum (L3) were measured from computed tomography images. Performance-based physical function was assessed using the Five Times sit-to-stand, 2-minute walk, 4-meter walk, active sit-up, and single-leg stance tests. Disability and symptoms were evaluated using the Oswestry Disability Index, Numerical Pain Rating Scale, and PainDETECT. Linear and logistic regression analyses were conducted, adjusting for age, sex, and body mass index (BMI).</p><p><strong>Results: </strong>We analyzed data from 193 adults (age 55.0 ±16.0 years; BMI 27.2 ±4.0; 55% female). Regarding CSA, lower erector spinae was associated with walking speed (β:.0001, p:.021), upper erector spinae with balance (β:.002, p:.039), lower multifidi with neuropathic symptoms (β:-.010, p:.030), and quadratus lumborum with abdominal endurance (β:-.006, p:.012). For attenuation, upper erector spinae was associated with abdominal endurance (β:.046, p:.047) and quadratus lumborum with balance (β:.046, p:.030).</p><p><strong>Conclusions: </strong>Lumbar paraspinal muscle morphology was associated with physical function and neuropathic symptoms in chronic LBP.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"181-195"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13251710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Self-Efficacy Mediates the Relationship Between Pain Catastrophizing and Physical Function in People With Knee Osteoarthritis.","authors":"Rupal M Patel, Melle Broekman, Bethany L Anderson, Sina Ramtin, John B Bartholomew","doi":"10.2519/josptopen.2026.0168","DOIUrl":"10.2519/josptopen.2026.0168","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To examine the associations between pain catastrophizing, pain self-efficacy, and physical function among individuals with chronic knee osteoarthritis. <b>DESIGN:</b> Cross-sectional observational study. <b>METHODS:</b> Data were collected from patients using a survey at routine visits to orthopedic providers. The participants (n = 104) were people with knee osteoarthritis (62.5% female), a mean age of 65 years (range: 29-91), and a mean body mass index of 31.86 ± 9.05 kg/m². We estimated a regression-based mediation (PROCESS Model 4; 10,000 bootstrap samples) to test whether pain self-efficacy statistically mediated the association between pain catastrophizing and physical function. <b>RESULTS:</b> The total effect of pain catastrophizing on physical function was statistically significant. Pain catastrophizing had a significant direct effect on physical function after controlling for covariates. We observed a significant indirect effect of pain catastrophizing through pain self-efficacy, suggesting that the relationship between pain catastrophizing and physical function was partially mediated by pain self-efficacy. <b>CONCLUSION:</b> The observed pattern was consistent with individuals reporting lower pain self-efficacy also reporting higher pain catastrophizing and lower physical function. <i>JOSPT Open 2026;4(2):215-222. Epub 21 January 2026. doi:10.2519/josptopen.2026.0168</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"215-222"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Experiences of People With Hip Osteoarthritis Who Participated in a Multicomponent Lifestyle Intervention Involving Exercise and Weight Loss Diet Delivered via Telehealth: A Qualitative Study.","authors":"Belinda J Lawford, Penny K Campbell, Bridget Graham, Rana S Hinman, Catherine Keating, Kim L Bennell","doi":"10.2519/josptopen.2026.0197","DOIUrl":"https://doi.org/10.2519/josptopen.2026.0197","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To explore the experiences of people with hip osteoarthritis who participated in a lifestyle intervention involving exercise and, for those with overweight or obesity, an additional weight loss diet. <b>DESIGN:</b> Qualitative study underpinned by interpretive description paradigm embedded in a randomized controlled trial. <b>METHODS:</b> We conducted semi-structured individual interviews with 20 people with hip osteoarthritis who completed a 6-month physical therapist-prescribed exercise program and, for those with overweight/obesity, an additional dietitian-prescribed weight loss diet (very low energy diet). We conducted inductive reflexive thematic analysis to develop themes and subthemes from the data, with the overarching goal of informing clinical practice and future research. <b>RESULTS:</b> Just over half (55%) of participants completed the combined exercise and diet program, while 45% (ineligible for the diet program) completed the exercise program only. Five themes were developed: (1) clinician guidance was paramount to success (provided accountability, provided encouragement and support); (2) ease and convenience of program (weight loss diet and meal replacements, video consultations); (3) challenges with exercise program (difficult exercises; cuff weights were difficult to use; adherence was a challenge for some; preference for some in-person contact with physical therapist); (4) useful resources; and (5) favorable outcomes (reduced hip pain and improved mobility, weight loss, increased knowledge and confidence). <b>CONCLUSION:</b> Participants had positive experiences with the intervention, particularly valuing clinician support, its overall ease and convenience, and the useful resources. Some found engaging with the exercise program to be challenging. <i>JOSPT Open 2026;4(2):204-214. Epub 16 February 2026. doi:10.2519/josptopen.2026.0197</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"204-214"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}