JOSPT open最新文献

{"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}

{"title":"Blood Flow Restriction Training After Orthopedic Procedures: A Scoping Review of Current Trends and Functional Outcome Assessments.","authors":"Alice Wang, David Stockton, Krystal Herfst, Karen Jiang, Natasha Witts, Kelly A Lefaivre","doi":"10.2519/josptopen.2026.0176","DOIUrl":"10.2519/josptopen.2026.0176","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To summarize current protocols and outcome measures used in blood flow restriction training (BFRT) after orthopedic procedures. <b>DESIGN:</b> Scoping review. <b>LITERATURE SEARCH:</b> MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science Core Collection were searched from inception to July 2024. <b>STUDY SELECTION CRITERIA:</b> We included studies of BFRT used after orthopedic procedures and that reported function-based and patient-reported outcome measures. <b>DATA SYNTHESIS:</b> Qualitative synthesis was performed to identify current BFRT protocols used following orthopedic procedures, and the function-based and patient-reported outcomes reported. Studies were categorized by procedure type; outcomes were presented according to the frequency of reporting. <b>RESULTS:</b> Thirty studies (831 patients) were included. The use of BFRT was most frequently studied after anterior cruciate ligament reconstruction (18 studies) and knee arthroscopy (5 studies). There were 2 studies of BFRT after distal radius open reduction and internal fixation (ORIF), and single studies of BFRT after ankle ORIF, high tibial osteotomy, total knee arthroplasty, shoulder stabilization, and distal biceps repair. BFRT was initiated within 2 weeks postoperatively in 16 studies. The most common measures were muscle strength, torque, or endurance (25 studies); pain (12 studies); muscle size or limb circumference (10 studies); and the International Knee Documentation Committee subjective knee function score (8 studies). <b>CONCLUSION:</b> There was heterogeneity in procedures, protocols, and outcome measures across existing BFRT studies. <i>JOSPT Open 2026;4(2):155-165. Epub 19 February 2026. doi:10.2519/ josptopen.2026.0176</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"155-165"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883293","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":"Low-Load Blood Flow Restriction Training as an Alternative to Heavy-Load Resistance Training in Early-Stage Rehabilitation Following Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial.","authors":"Baris B Koc, Martijn G M Schotanus, Tom Ehlen, Alexander Truyens, Rob de Bie, Edwin J P Jansen","doi":"10.2519/josptopen.2026.0185","DOIUrl":"10.2519/josptopen.2026.0185","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To compare the effects of low-load blood flow restriction training (LL-BFRT) and heavy-load resistance training (HLRT) on quadriceps and hamstring strength, knee pain, joint effusion, and range of motion following bone-patellar tendon-bone (BPTB) anterior cruciate ligament (ACL) reconstruction. <b>DESIGN:</b> Randomized controlled trial. <b>METHODS:</b> LL-BFRT and HLRT included 12 weeks of biweekly strength training. Quadriceps and hamstring strength, measured in Newton-meters per kilogram, was assessed at 60°/s, 180°/s, and 300°/s at baseline and final follow-up. At final follow-up, knee pain, joint effusion, and range of motion deficits were assessed. <b>RESULTS:</b> Of 28 patients, 23 completed the study. Study groups were comparable at baseline. At final follow-up, no significant differences were observed in quadriceps strength at 60°/s (2.7 and 3.1, p = 0.738), 180°/s (2.3 and 2.8, p = 0.387), and 300°/s (2.2 and 2.8, p = 0.387) as well as in hamstring strength at 60°/s (3.2 and 3.1, p = 0.738), 180°/s (3.2 and 2.9, p = 0.738), and 300°/s (2.8 and 2.6, p = 0.738) for the LL-BFRT and HLRT groups, respectively. Similarly, no significant differences were found for knee pain (14.3% and 35.7%, p = 0.380), joint effusion (7.1% and 35.7%, p = 0.444), flexion deficit (7.1% and 28.6%, p = 0.426), and extension deficit (0.0% and 14.3%, p = 0.478). <b>CONCLUSION:</b> LL-BFRT in the early phase of rehabilitation following BPTB ACL reconstruction demonstrated similar muscle strength, knee pain, joint effusion, and range of motion compared with HLRT. These results support LL-BFRT as a safe alternative when HLRT cannot be performed. <i>JOSPT Open 2026;4(2):166-173. Epub 8 January 2026. doi:10.2519/josptopen.2026.0185</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"166-173"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882972","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":"Do Treatment Expectations Moderate the Effect of Manual Therapy in People With Knee Osteoarthritis? A Secondary Analysis of Randomized Clinical Trials.","authors":"Richelle Caya, Moody Gayed, Ross Wilson, John D Childs, Rory McMahon Christopherson, Lívia Gaspar Fernandes, Yen Wei Lim, Andrés Pierobon, Yana Pryymachenko, J Haxby Abbott","doi":"10.2519/josptopen.2026.0180","DOIUrl":"10.2519/josptopen.2026.0180","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To investigate whether treatment expectations for joint mobilization or massage moderated the effect of manual therapy on pain outcomes in knee osteoarthritis (OA). <b>DESIGN:</b> Secondary moderation analysis of two 2×2 factorial randomized controlled trials. <b>METHODS:</b> Data were pooled from two trials that compared manual therapy and exercise to exercise alone in 375 people with knee OA. Before randomization, expectations were measured using a questionnaire that captured patients' views about the effect of common OA treatments to reduce knee pain using a 5-point Likert scale ranging from \"completely disagree\" to \"completely agree.\" Responses regarding joint mobilization and massage were dichotomized into high and low expectations. The primary outcome was pain intensity at 9 weeks measured by the Numeric Pain Rating Scale. Linear regression models were used to test whether treatment expectations moderated manual therapy treatment response. Models were conducted separately for each of the two potential moderators (joint mobilization and massage) and adjusted for the same covariates associated with the outcomes of the original trials. <b>RESULTS:</b> Primary regression analysis showed no significant interaction effect between manual therapy and treatment expectations on pain outcomes at 9-weeks follow-up (mobilization: β = -0.17, 95% confidence interval [CI]: -0.90 to 0.56; massage: β = -0.26, 95% CI: -1.00 to 0.47). Sensitivity analyses showed similar findings. <b>CONCLUSION:</b> These exploratory findings indicated that treatment expectations did not moderate patient response to manual therapy for OA. <i>JOSPT Open 2026;4(2):232-238. Epub 16 February 2026. doi:10.2519/josptopen.2026.0180</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 2","pages":"232-238"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882046","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 Pain of Poor Sleep: A Clinician's Guide to Assessing and Addressing Sleep Dysfunction in People With Musculoskeletal Pain Conditions.","authors":"Mark H Shepherd, Brett D Neilson, Catherine F Siengsukon","doi":"10.2519/josptopen.2025.0198","DOIUrl":"https://doi.org/10.2519/josptopen.2025.0198","url":null,"abstract":"<p><p><b>BACKGROUND:</b> Poor sleep is highly prevalent among individuals with pain conditions and contributes to increased sensitivity, emotional dysregulation, and impaired recovery. Despite the strong evidence linking sleep disturbances with pain and disability, sleep is rarely addressed systematically. Physical therapists have the opportunity to screen for sleep dysfunction, provide behavioral education, and refer patients to sleep medicine specialists when necessary. <b>CLINICAL QUESTION:</b> How can physical therapists effectively integrate sleep health assessment and behavioral strategies into the management of individuals with musculoskeletal pain conditions? <b>KEY RESULTS:</b> This commentary provides a pragmatic framework for addressing sleep dysfunction in physical therapy. A stepped approach to sleep screening is recommended, focusing on key questions and validated tools to identify insomnia, obstructive sleep apnea, and restless legs syndrome. The role of cognitive behavioral therapy for insomnia (CBT-I) is highlighted, with an emphasis on 4 domains: reducing presleep arousal, increasing sleep drive, entraining circadian rhythm, and promoting sleep hygiene. Sleep hygiene alone has limited impact, but when integrated with other strategies, it supports broader behavioral change. <b>CLINICAL APPLICATION:</b> Physical therapists should routinely assess sleep as part of a comprehensive pain management strategy. Integrating sleep health promotion, screening tools, and appropriate referral pathways into practice supports person-centered pain care. Enhanced training in sleep health for physical therapists will support the delivery of evidence-informed sleep support. <i>JOSPT Open 2026;4(1):12-22. Epub 11 November 2025. doi:10.2519/josptopen.2025.0198</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 1","pages":"12-22"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883296","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":"Interlimb Symmetry Characteristics Among Male and Female Athletes: A Systematic Review.","authors":"Cinthuja Pathmanathan, Nicolas Herrera, Julie N Côté, Shawn Robbins","doi":"10.2519/josptopen.2025.0137","DOIUrl":"10.2519/josptopen.2025.0137","url":null,"abstract":"<p><p><b>OBJECTIVES:</b> (1) To summarize the literature, (2) determine sex differences, and (3) determine the changes under exercise-induced fatigue, in biomechanical lower-limb interlimb asymmetries in healthy adult male and female athletes, including those with a history of injuries. <b>LITERATURE SEARCH:</b> We searched MEDLINE, Web of Science, EMBASE, and CINAHL databases from inception to March 7, 2025 (PROSPERO; registration number: CRD42023417697). <b>STUDY SELECTION:</b> Studies were included if they assessed lower-limb interlimb biomechanical asymmetry, or compared or reported biomechanical values for both lower limbs in adult male and female athletes. <b>RESULTS:</b> Sixty-four studies (5837 athletes) were included. Forty studies compared sex-specific asymmetries. Fourteen studies reported significant sex differences in healthy athletes in asymmetry in hip abductor strength, explosive power, and kinetic measures commonly in females, as well as in quadriceps and hamstring strength in both males and females, while 11 studies found no sex differences. Five studies investigated asymmetries in healthy athletes with a history of injuries and reported sex differences in explosive power, and no sex differences for balance and knee muscle strength. Asymmetry in explosive power was more commonly noted in female healthy athletes (peak power [Females: 17.21 (0.07) > males: 12.81 (0.06)], <i>P</i><.05, effect size = 0.33) and healthy athletes with a history of injury (asymmetry (%) [males: 95.4%, <i>P</i> = .003; females: 96.5%, <i>P</i> = .049]). A meta-analysis was not performed due to study heterogeneity. No studies assessed sex-specific asymmetry under exercise-induced fatigue. <b>CONCLUSION:</b> Sex-specific biomechanical lower-limb asymmetry remained inconsistent, with generally no sex differences except asymmetry in explosive power, which was more commonly reported in female athletes. High-quality studies are needed to address these gaps. <i>JOSPT Open 2026;4(1):36-60. Epub 3 December 2025. doi:10.2519/josptopen.2025.0137</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 1","pages":"36-60"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883268","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 Perceived Controllability, Fear, and Catastrophizing With Pain Experience: Insights From a Cross-sectional Study in Individuals With Lateral Elbow Tendinopathy.","authors":"Christopher Keating, Emilio Puentedura, Ann Lucado, Joshua Cleland","doi":"10.2519/josptopen.2025.0179","DOIUrl":"10.2519/josptopen.2025.0179","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> To investigate associations between locus of control, fear, and pain experience in individuals with lateral elbow tendinopathy (LET). <b>DESIGN:</b> Cross-sectional observational study using validated patient-reported outcome measures alongside neurophysiological assessments. <b>METHODS:</b> Participants with LET were assessed using the Short-Form McGill Pain Questionnaire, numeric pain-rating scale, and Central Sensitization Inventory to evaluate pain intensity. Pain interference was measured via the Patient-Specific Functional Scale, Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, and Fear-Avoidance Beliefs Questionnaire. Neurophysiological aspects of pain were evaluated using Pain-Free Grip Strength, Two-Point Discrimination, and Laterality tests. Group characteristics were compared using chi-square and independent-samples <i>t</i> tests. Logistic regression identified significant predictors of chance locus of control, and linear regression analyzed the association of pain intensity with fear-avoidance behaviors. <b>RESULTS:</b> There was a significant association between higher levels of fear-avoidance beliefs, increased pain catastrophizing, and elevated continuous pain intensity. Psychological factors were associated with pain experience in LET. Chance locus of control was not associated with LET pain. <b>CONCLUSION:</b> Psychological constructs, particularly fear-avoidance beliefs and catastrophizing, were strongly associated with pain intensity in LET. These results underscore the importance of addressing psychological factors in clinical management to improve patient outcomes. <i>JOSPT Open 2026;4(1):111-120. Epub 9 December 2025. doi:10.2519/josptopen.2025.0179</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 1","pages":"111-120"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883254","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":"Sticks and Stones: Bias and Readability Assessment in Large Language Model-Generated Patient Education for Anterior Cruciate Injury.","authors":"Katherine F Wilford, Rhonda Cook, Alexander Robinson, Sara Wash, Anyka Wilkin, Vaishnavi V Chiddarwar, Gesine H Seeber","doi":"10.2519/josptopen.2025.0190","DOIUrl":"https://doi.org/10.2519/josptopen.2025.0190","url":null,"abstract":"<p><p><b>OBJECTIVE:</b> This study aimed to (1) explore sex/gender/ethnic/socioeconomic status (SES)-related bias in large language model (LLM)-generated anterior cruciate ligament (ACL) patient education materials (PEMs) and (2) assess the accuracy, consistency, and understandability of the information provided. <b>DESIGN:</b> Cross-sectional study. <b>METHODS:</b> Four LLMs provided PEMs on ACL injury following 10 unique personas. Readability was assessed via Flesch-Kincaid Grade Level. Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) assessed understandability and actionability. The Linguistic Inquiry and Word Count dictionary assessed language differences to measure sex/gender/ethnic/SES-related bias. A qualitative analysis assessed accuracy and robustness. <b>RESULTS:</b> Forty LLM-generated responses were analyzed. Mean Flesch-Kincaid Grade Level ranged between 9.9 (SD=0.8; Low SES persona) and 11.4 (SD=1.5; Boy persona). Thirty-six (90%) and 27 (67.5%) responses scored above the 70% adequate PEMAT-P threshold for understandability and actionability, respectively. The Kruskal-Wallis test and Mann-Whitney <i>U</i> test revealed no statistically significant language differences between personas, across LLMs (p>.05). Linguistic analysis revealed that 37 (92.5%) persona responses had a negative tone. <b>CONCLUSION:</b> The LLM-generated PEMs were adequately understandable with minimal sex/gender/ethnic/SES-related bias and provided actionable information. The difficult reading level may limit generalizability. Crucial information was lacking from PEMs and the negative tone may unintentionally increase patient fear. <i>JOSPT Open 2026;4(1):69-81. Epub 17 December 2025. doi:10.2519/josptopen.2025.0190</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 1","pages":"69-81"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883301","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 TAMERE Randomized Controlled Trial: Comparative Effectiveness of Topical Manual Pain Therapy Versus Exercise Therapy in Chronic Nonspecific Neck Pain.","authors":"Tobias Saueressig, Patrick J Owen, Jochen Zebisch, Frank Diemer, Daniel L Belavy","doi":"10.2519/josptopen.2025.0182","DOIUrl":"10.2519/josptopen.2025.0182","url":null,"abstract":"<p><p><b>OBJECTIVES:</b> We compared topical manual pain therapy (TMPT), a myofascial manual therapy using patient-guided pressure techniques, with exercise training, in adults with chronic nonspecific neck pain. <b>METHODS:</b> In this parallel (1:1) randomized controlled trial, 91 participants (68 women, 23 men) with neck pain ≥3 months were allocated to 3 weeks of TMPT (<i>n</i> = 51) or exercise training (<i>n</i> = 40). TMPT included six therapist-guided myofascial massage sessions; exercise training involved resistance-based neck and shoulder exercises. The primary outcome was pain intensity (100-point visual analogue scale) at 6 months. Secondary outcomes included disability, Global Rating of Change, sleep, psychological health, and adverse events. <b>RESULTS:</b> At the primary endpoint (6 months), there was no significant between-group difference in current pain intensity mean difference (MD; MD = 0.05 [-7.80, 7.97], <i>P</i> = .990) between TMPT and exercise. TMPT yielded greater short-term improvements in current pain (MD = 14.58 [-21.18, -7.98]), average pain (MD = 7.67 [-14.43, -0.91]), and disability (MD = 3.4 [-6.54, -0.42]), but these differences did not persist. No between-group differences were observed for maximal pain. Patterns were similar for disability and Global Rating of Change. No serious adverse events occurred. <b>CONCLUSION:</b> TMPT did not offer greater long-term benefits compared to exercise. Although short-term between-group differences favored TMPT, these did not exceed the predefined minimal clinically important difference (15 points on the visual analogue scale) and were not sustained. Future studies should explore blinded delivery, booster sessions, and combined approaches. <i>JOSPT Open 2026;4(1):101-110. Epub 3 December 2025. doi:10.2519/josptopen.2025.0182</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 1","pages":"101-110"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883326","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":"Psychological Phenotyping in Osteoarthritis Management: Recommendations for Implementation in Physical Therapy Practice.","authors":"Ashley F Kinsey, Preston Roundy, Olivia Fleming, Andrea Christian, Monica Austin, William A Jiranek, Trevor A Lentz","doi":"10.2519/josptopen.2025.0177","DOIUrl":"https://doi.org/10.2519/josptopen.2025.0177","url":null,"abstract":"<p><p><b>BACKGROUND:</b> Clinical phenotyping in osteoarthritis has the potential to improve the personalization of care for this heterogenous condition. To date, research studies have identified numerous clinical phenotypes, but with very limited guidance on how to integrate phenotyping into physical therapy clinical practice. Phenotyping focused on distinct clinical profiles of psychological distress in patients with osteoarthritis offers a timely and relevant example of how to integrate this innovative approach into care. <b>CLINICAL QUESTIONS:</b> How can psychological phenotyping be incorporated into clinical practice at initial evaluation to inform decision making in the management of osteoarthritis? What are common challenges that must be overcome to successfully deliver this approach to care? How can our experiences with psychological phenotyping inform different applications of clinical phenotyping in physical therapy? <b>KEY RESULTS:</b> We implemented psychological phenotyping within a physical therapist-led, whole-person care model of osteoarthritis management. In this model, clinicians assigned psychological phenotypes using a standardized assessment and algorithm and are offered care pathway recommendations that address phenotype-specific psychological traits. Implementation challenges included phenotype assignment uncertainty, collection of valid and complete assessment data, avoiding stigma associated with classifying patients, and changing clinician behavior. <b>CLINICAL APPLICATION:</b> Phenotyping has the potential to improve the consistency and scalability of tailored care for musculoskeletal conditions, in this case related to management of psychological distress among patients with osteoarthritis. Lessons from this example can aid in implementation of phenotyping programs that consider additional biopsychosocial domains and inform translation of this framework to other musculoskeletal conditions. <i>JOSPT Open 2026;4(1):1-11. Epub 5 November 2025. doi:10.2519/josptopen.2025.0177</i>.</p>","PeriodicalId":520324,"journal":{"name":"JOSPT open","volume":"4 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883298","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}