Physiotherapy最新文献

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The RESISTANT study (Respiratory Muscle Training in Patients with Spinal Muscular Atrophy): results of a randomized controlled trial 抗药研究(脊髓性肌萎缩患者的呼吸肌训练):一项随机对照试验的结果
IF 3 3区 医学
Physiotherapy Pub Date : 2025-09-06 DOI: 10.1016/j.physio.2025.101842
Kim Kant-Smits , Bart Bartels , Ruben P.A. van Eijk , Fay-Lynn Asselman , Esther S. Veldhoen , Kors van der Ent , W. Ludo van der Pol , Erik H.J. Hulzebos
{"title":"The RESISTANT study (Respiratory Muscle Training in Patients with Spinal Muscular Atrophy): results of a randomized controlled trial","authors":"Kim Kant-Smits ,&nbsp;Bart Bartels ,&nbsp;Ruben P.A. van Eijk ,&nbsp;Fay-Lynn Asselman ,&nbsp;Esther S. Veldhoen ,&nbsp;Kors van der Ent ,&nbsp;W. Ludo van der Pol ,&nbsp;Erik H.J. Hulzebos","doi":"10.1016/j.physio.2025.101842","DOIUrl":"10.1016/j.physio.2025.101842","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the efficacy and feasibility of respiratory muscle training (RMT) in patients with spinal muscular atrophy (SMA) and respiratory muscle weakness.</div></div><div><h3>Design</h3><div>A 4-month, single-blinded RCT, followed by an 8-month extension phase.</div></div><div><h3>Setting</h3><div>The outpatient clinic of the Neurology department and the Child Development and Exercise Center at the University Medical Center Utrecht, The Netherlands.</div></div><div><h3>Participants</h3><div>30 participants, ≥eight years, SMA type 1 to 4, and respiratory muscle weakness.</div></div><div><h3>Interventions</h3><div>The training group started RMT at 30% of their maximum inspiratory (PImax) and expiratory pressure (PEmax) and adjusted their training intensity based on perceived exertion. The control group started and continued RMT at 10% of PImax and PEmax. After four months, the control group received the same RMT as the training group.</div></div><div><h3>Main outcome measures</h3><div>The primary outcome was the between-group difference in PImax after the RCT phase. Additionally, we explored the association between training volume (i.e., number of training sessions x training intensity) and increase in PImax over 1 year.</div></div><div><h3>Results</h3><div>25 participants completed the study. Mean PImax after four months (corrected for baseline value) training group: 61.1 cmH<sub>2</sub>O, control group: 54.3 cmH<sub>2</sub>O, mean difference in PImax: 6.8 cmH<sub>2</sub>O [95% CI: −2.0 to 15.6]. Despite the study being underpowered, we did find an association between training volume and increase in PImax (R<sup>2</sup> = 0.531).</div></div><div><h3>Conclusion</h3><div>There was a small between-group difference in PImax after the RCT phase. The training was safe, but the feasibility of the training needs further improvement.</div></div><div><h3>Clinical Trial Registration Number</h3><div>NL73280.041.20.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>There was a small difference in PImax improvement between training at different intensities (10% vs 30% of PImax).</div></span></li><li><span>•</span><span><div>Higher training volume (frequency times intensity) is associated with improvement of inspiratory muscle strength.</div></span></li><li><span>•</span><span><div>Supervision (by physiotherapists) might contribute to better adherence to respiratory muscle training.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101842"},"PeriodicalIF":3.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editors 编辑器
IF 3 3区 医学
Physiotherapy Pub Date : 2025-07-31 DOI: 10.1016/S0031-9406(25)00365-7
{"title":"Editors","authors":"","doi":"10.1016/S0031-9406(25)00365-7","DOIUrl":"10.1016/S0031-9406(25)00365-7","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"128 ","pages":"Article 101827"},"PeriodicalIF":3.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Depression among people with low back pain: a cross-sectional descriptive survey of Irish musculoskeletal triage physiotherapists’ screening and referral practices 抑郁症的人与腰痛:爱尔兰肌肉骨骼分诊物理治疗师的筛选和转诊实践的横断面描述性调查
IF 3 3区 医学
Physiotherapy Pub Date : 2025-07-31 DOI: 10.1016/j.physio.2025.101836
Julie Sugrue , Sean McKenna , Siobhan MacHale , Kieran O’Sullivan
{"title":"Depression among people with low back pain: a cross-sectional descriptive survey of Irish musculoskeletal triage physiotherapists’ screening and referral practices","authors":"Julie Sugrue ,&nbsp;Sean McKenna ,&nbsp;Siobhan MacHale ,&nbsp;Kieran O’Sullivan","doi":"10.1016/j.physio.2025.101836","DOIUrl":"10.1016/j.physio.2025.101836","url":null,"abstract":"<div><h3>Background</h3><div>Low back pain (LBP) is associated with a poorer prognosis when there is concomitant depression. Musculoskeletal (MSK) triage physiotherapists clinically assess a significant proportion of LBP referrals to public hospital outpatient waiting lists.</div></div><div><h3>Objectives</h3><div>To establish depression screening and referral practices of MSK triage physiotherapists, and to compare confidence in depression screening to red flag (e.g. cauda equina syndrome) and yellow flag (e.g. fear avoidance beliefs) screening.</div></div><div><h3>Methods</h3><div>Using a descriptive cross-sectional design, a bespoke e-survey was distributed to MSK triage physiotherapists in adult public hospital outpatient services in Ireland following ethical approval.</div></div><div><h3>Results</h3><div>Thirty-six surveys were completed and submitted (55% response rate). A minority of respondents (3/36, 8%) directly ask all patients with LBP about depression, while more than one third (13/36, 36%) never screened for depression. Reported barriers included lack of training or skill, time constraints, and absence of referral pathways. Confidence in screening for depression was lower than for red flags or yellow flags. There was some indication that a day or more of training improved depression screening confidence and practice.</div></div><div><h3>Discussion</h3><div>This study provides insight into current depression screening practices for people with LBP and the factors influencing decision-making among MSK triage physiotherapists working in advanced practice roles.</div></div><div><h3>Conclusion</h3><div>Few MSK triage physiotherapists in this sample directly screen for depression, and screening confidence was low. Understanding the current processes and determinants of practice, including the potential positive impact of targeted training, may support strategies to improve depression screening practices.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>This is the first study, to the authors’ knowledge, that details depression screening practices in a cohort of LBP patients by MSK triage physiotherapists in advanced practice roles.</div></span></li><li><span>•</span><span><div>This study presents novel information on confidence in screening for depression compared to screening for red flags or yellow flags.</div></span></li><li><span>•</span><span><div>The findings from this niche group of clinicians are likely reflective of MSK triage physiotherapists worldwide. While the study focused on LBP populations, we hope that it encourages readers to reflect on their own confidence and practice when screening for depression, which may also be relevant to other patient groups.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101836"},"PeriodicalIF":3.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to editor (in reply): a cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial. 致编辑(回复):一项基于神经肌肉训练的心脏康复计划提高了急性冠状动脉综合征患者的功能能力:一项初步随机对照试验。
IF 3 3区 医学
Physiotherapy Pub Date : 2025-07-01 DOI: 10.1016/j.physio.2025.101813
Noemí Valtueña-Gimeno, Óscar Fabregat-Andrés, Isabel Martinez-Hurtado, Francisco José Martinez-Olmos, Marta Lluesma-Vidal, María Dolores Arguisuelas, Francisco-José Ferrer-Sargues
{"title":"Letter to editor (in reply): a cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial.","authors":"Noemí Valtueña-Gimeno, Óscar Fabregat-Andrés, Isabel Martinez-Hurtado, Francisco José Martinez-Olmos, Marta Lluesma-Vidal, María Dolores Arguisuelas, Francisco-José Ferrer-Sargues","doi":"10.1016/j.physio.2025.101813","DOIUrl":"https://doi.org/10.1016/j.physio.2025.101813","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":" ","pages":"101813"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-design of a personalised physical activity intervention for stroke survivors 卒中幸存者个性化身体活动干预的共同设计
IF 3 3区 医学
Physiotherapy Pub Date : 2025-06-26 DOI: 10.1016/j.physio.2025.101817
Natalie A. Fini , Emily Ramage , Julie Bernhardt , Erin Bicknell , Chris Tzefronis , Paul Fink , Erin Godecke , Jill Francis , Rebecca Wood , Nicole Li , Brandon Lin , Coralie English , Catherine M. Said
{"title":"Co-design of a personalised physical activity intervention for stroke survivors","authors":"Natalie A. Fini ,&nbsp;Emily Ramage ,&nbsp;Julie Bernhardt ,&nbsp;Erin Bicknell ,&nbsp;Chris Tzefronis ,&nbsp;Paul Fink ,&nbsp;Erin Godecke ,&nbsp;Jill Francis ,&nbsp;Rebecca Wood ,&nbsp;Nicole Li ,&nbsp;Brandon Lin ,&nbsp;Coralie English ,&nbsp;Catherine M. Said","doi":"10.1016/j.physio.2025.101817","DOIUrl":"10.1016/j.physio.2025.101817","url":null,"abstract":"<div><h3>Introduction/ aims</h3><div>Incorporating the perspectives of knowledge-users such as stroke survivors into intervention development processes can enhance their relevance and feasibility. The aims of this study were: i) to use co-design to determine “active ingredients” and develop a personalised physical activity intervention for stroke survivors, and ii) to evaluate the co-design process.</div></div><div><h3>Methods</h3><div>A four-stage integrated knowledge translation approach (involving planning and workshops) was applied to co-design a post-stroke physical activity intervention. Knowledge-user participants (stroke survivors (<em>n</em> = 10), carers (<em>n</em> = 3) and clinicians (<em>n</em> = 12)) were recruited.</div><div>Knowledge-user participants (<em>n</em> = 25) and the research team (<em>n</em> = 13) were invited to participate in a survey evaluation of the co-design process. Quantitative survey responses were analysed descriptively. Open-ended responses were grouped and summarised as key findings.</div></div><div><h3>Results</h3><div>Knowledge-users highlighted that flexibility in intervention delivery, consideration of personal preferences, aphasia-friendly resources and ongoing support were important intervention active ingredients. The developed physical activity intervention included a shared decision-making process, programme set-up, ongoing support and resources.</div><div>High levels of trust, transparency and shared learning in the co-design process were reported by 81% of knowledge-users on project completion. Survey key findings included: 1) Co-design and the lived experience are highly valued by all involved. 2) Output that improves stroke care is important. 3) The co-design workshops provided a respectful atmosphere with opportunity for open discussion. 4) Participation in co-design can be personally beneficial.</div></div><div><h3>Conclusions</h3><div>Using co-design, active ingredients were identified, and a comprehensive post-stroke physical activity intervention was developed. The co-design process was highly regarded by all and added valuable insights.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Co-design is an important component of intervention development in stroke rehabilitation.</div></span></li><li><span>•</span><span><div>Stroke survivors and clinicians highlight that flexibility, personalisation, having options, and ongoing support were important active ingredients of this post-stroke physical activity programme.</div></span></li><li><span>•</span><span><div>Co-design processes that demonstrate trust, respect, transparency and shared-learning are highly valued and beneficial to knowledge-users and researchers.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101817"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acceptability and feasibility of a novel postural management night-time intervention to improve respiratory health of children and young people with complex neurodisability (Breathe-Easy): proof of concept study 一种新型体位管理夜间干预改善复杂神经残疾儿童和青少年呼吸系统健康(Breathe-Easy)的可接受性和可行性:概念验证研究
IF 3 3区 医学
Physiotherapy Pub Date : 2025-06-26 DOI: 10.1016/j.physio.2025.101816
Sarah Crombie , Diane Sellers , Akshat Kapur , Jessica Baskerville , Stephen Bremner , Christopher Morris
{"title":"Acceptability and feasibility of a novel postural management night-time intervention to improve respiratory health of children and young people with complex neurodisability (Breathe-Easy): proof of concept study","authors":"Sarah Crombie ,&nbsp;Diane Sellers ,&nbsp;Akshat Kapur ,&nbsp;Jessica Baskerville ,&nbsp;Stephen Bremner ,&nbsp;Christopher Morris","doi":"10.1016/j.physio.2025.101816","DOIUrl":"10.1016/j.physio.2025.101816","url":null,"abstract":"<div><h3>Objectives</h3><div>Children and young people with complex neurodisability (CYPCN) are at high risk of respiratory illness, frequent hospital admissions and premature death. This study aimed to test the acceptability and feasibility of Breathe-Easy, a novel night-time postural intervention to improve respiratory health in CYPCN.</div></div><div><h3>Design</h3><div>Case series design incorporating a pre-post interventional study and qualitative study.</div></div><div><h3>Setting</h3><div>Intervention conducted at home by parents/carers.</div></div><div><h3>Participants</h3><div>CYPCN aged 2 to 18 years, dependent on others to move, swallowing difficulties, gastrostomy/jejunostomy, and under care of a respiratory paediatrician.</div></div><div><h3>Intervention</h3><div>Breathe-Easy protocol included CYPCN lying on a flat bed, three-quarters prone or side-lying using existing night-time positioning equipment. A bile-bag was used to minimise reflux. CYPCN trialled intervention for 6 months.</div></div><div><h3>Main outcome measures</h3><div>Measures of respiratory health and sleep were collected at baseline, three and six months. Semi-structured interviews were conducted with parents, CYPCN, and healthcare professionals post intervention. Data analysis comprised descriptive statistics and thematic analysis.</div></div><div><h3>Results</h3><div>Eleven CYPCN were recruited; eight completed the trial. We interviewed 5 CYPCN, 9 parents, 8 healthcare professionals, 6 carers and one teaching assistant. Positive views were expressed regarding sleep quality, breathing, secretion management and reduced hospitalisation. Overall improvement in respiratory health and sleep measures. All eight participants planned to continue with Breathe-Easy.</div></div><div><h3>Conclusion</h3><div>Breathe-Easy appears acceptable and feasible. Further research will need to evaluate feasibility of implementation by other teams and families, and any impact on progressive musculoskeletal deformity, including addressing methodological challenges gathering key outcomes and adverse events.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Aspiration is a common cause of respiratory illness and CYPCN may be at risk of aspiration of saliva or stomach contents if positioned on their backs to sleep.</div></span></li><li><span>•</span><span><div>The Breathe-Easy intervention provides a novel night-time position with the potential to improve breathing, sleep, help prevent respiratory illness and improve quality of life.</div></span></li><li><span>•</span><span><div>Effects of this new positioning will need to be evaluated with respect to any consequences for progressive musculoskeletal deformity.</div></span></li><li><span>•</span><span><div>This study highlighted the feasibility of some outcome measures and need for review in future research.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101816"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of reporting matched interventions for non-specific neck pain in randomised controlled trials and its association with trial outcomes: a secondary analysis of a systematic review 随机对照试验中非特异性颈部疼痛匹配干预措施的报告质量及其与试验结果的关联:一项系统评价的二次分析
IF 3 3区 医学
Physiotherapy Pub Date : 2025-06-26 DOI: 10.1016/j.physio.2025.101815
Paolo Mastromarchi , Stephen May , Nancy Ali , Sionnadh McLean , George M. Peat
{"title":"Quality of reporting matched interventions for non-specific neck pain in randomised controlled trials and its association with trial outcomes: a secondary analysis of a systematic review","authors":"Paolo Mastromarchi ,&nbsp;Stephen May ,&nbsp;Nancy Ali ,&nbsp;Sionnadh McLean ,&nbsp;George M. Peat","doi":"10.1016/j.physio.2025.101815","DOIUrl":"10.1016/j.physio.2025.101815","url":null,"abstract":"<div><h3>Background</h3><div>Exercise and manual therapy are recommended for managing non-specific neck pain (NSNP), but most randomised controlled trials (RCT) have not identified specific subgroups that might respond best to each intervention. Although matched exercise was found to be superior to unmatched interventions in the short term, high heterogeneity in effectiveness estimates and variable levels of intervention fidelity and quality of delivery may contribute to inconsistent findings on the effectiveness of matched or stratified care.</div></div><div><h3>Objectives</h3><div>To assess the quality of intervention reporting and its relationship to treatment effect estimates in RCTs comparing matched versus unmatched exercise or manual therapy interventions for NSNP.</div></div><div><h3>Design</h3><div>Secondary analysis of a systematic review with meta-analysis.</div></div><div><h3>Methods</h3><div>For all included RCTs, independent reviewers rated the quality of intervention reporting using the TIDieR checklist. Meta-regression was used to assess the direction and magnitude of association between TIDieR scores and treatment effect estimates (standardised mean difference of change scores) for short-term pain and disability outcomes.</div></div><div><h3>Results</h3><div>The items related to intervention fidelity were not adequately reported. Materials used, intervention provider, location and modification were inconsistently reported. Poorer quality of intervention reporting was associated with larger treatment effect estimates in short-term pain and disability in favour of matched interventions.</div></div><div><h3>Conclusions</h3><div>Trials with inadequate intervention reporting may overestimate the benefits of matched exercise or manual therapy treatments for NSNP. The lack of SUFFICIENT information to judge intervention fidelity in this field reinforces the need for better guidance on this specific aspect of study design, conduct, and reporting.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Reporting of intervention fidelity in trials comparing matched versus unmatched exercise or manual therapy in non-specific neck pain is sub-optimal.</div></span></li><li><span>•</span><span><div>Trials with poorer completeness of intervention reporting tend to favour matched interventions</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101815"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144919854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to editor: a cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial. 致编辑:一项基于神经肌肉训练的心脏康复计划提高了急性冠状动脉综合征患者的功能能力:一项初步随机对照试验。
IF 3 3区 医学
Physiotherapy Pub Date : 2025-06-26 DOI: 10.1016/j.physio.2025.101814
Benil Nesli Ata
{"title":"Letter to editor: a cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial.","authors":"Benil Nesli Ata","doi":"10.1016/j.physio.2025.101814","DOIUrl":"https://doi.org/10.1016/j.physio.2025.101814","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":" ","pages":"101814"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moving minds: strengthening mental health through physiotherapy in low-income settings 感动心灵:在低收入环境中通过物理治疗加强心理健康
IF 3 3区 医学
Physiotherapy Pub Date : 2025-06-10 DOI: 10.1016/j.physio.2025.101810
Davy Vancampfort , James Mugisha
{"title":"Moving minds: strengthening mental health through physiotherapy in low-income settings","authors":"Davy Vancampfort ,&nbsp;James Mugisha","doi":"10.1016/j.physio.2025.101810","DOIUrl":"10.1016/j.physio.2025.101810","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101810"},"PeriodicalIF":3.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A qualitative study exploring influencers on metropolitan and regional physiotherapy practice in prostate cancer 一项探讨大都市和区域前列腺癌物理治疗实践影响因素的定性研究
IF 3 3区 医学
Physiotherapy Pub Date : 2025-06-10 DOI: 10.1016/j.physio.2025.101811
Alesha M. Sayner , Clarice Y. Tang , Kellie Toohey , Chennelle Mendoza , Irmina Nahon
{"title":"A qualitative study exploring influencers on metropolitan and regional physiotherapy practice in prostate cancer","authors":"Alesha M. Sayner ,&nbsp;Clarice Y. Tang ,&nbsp;Kellie Toohey ,&nbsp;Chennelle Mendoza ,&nbsp;Irmina Nahon","doi":"10.1016/j.physio.2025.101811","DOIUrl":"10.1016/j.physio.2025.101811","url":null,"abstract":"<div><div>Physiotherapists play a crucial role in managing symptoms that can arise from treatments for prostate cancer. Despite the benefits, limited evidence exists on physiotherapists’ self-perceived capabilities, enablers, and barriers in service provision. This qualitative study employed a phenomenological approach to explore the experiences of physiotherapists providing supportive care to patients with prostate cancer in metropolitan and regional Victoria, Australia. Two online focus groups were conducted, one with metropolitan and the other with regional physiotherapists. Reflexive thematic analysis identified three key themes: 1) the need for accessible professional development, 2) the impact of public system operational constraints on service access, and 3) the importance of rapport building within the multidisciplinary team and with patients. Positive enablers included online learning opportunities and effective multidisciplinary collaboration. Recommendations highlight the importance of bolstering professional development opportunities, fostering mentorship programs, and dismantling systemic barriers to enhance access to physiotherapy services. This study identifies the necessity for targeted support for physiotherapists in delivering optimal care for patients with prostate cancer across different geographical contexts.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>This study provides valuable insights into the experiences of physiotherapists providing supportive care to people with prostate cancer (PCa).</div></span></li><li><span>•</span><span><div>It highlights critical areas requiring attention, such as enhancing professional development, the constraints of systems operations, the value of multi-disciplinary collaboration and unique challenges faced by regionally located physiotherapists.</div></span></li><li><span>•</span><span><div>Addressing these challenges will enhance the ability to provide accessible and evidence-based care to patients with PCa, ultimately improving treatment outcomes and quality of life.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101811"},"PeriodicalIF":3.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144921055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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