Archives of physiotherapy最新文献

{"title":"What do people search online about sciatica? What answers do they get from Dr. Google? A mixed analysis of Italian web-based data.","authors":"Massimo Esposto, Matteo Cioeta, Giuseppe Giovannico, Valerio Barbari, Alessandra Arca","doi":"10.33393/aop.2025.3360","DOIUrl":"10.33393/aop.2025.3360","url":null,"abstract":"<p><strong>Introduction: </strong>Spine-related leg pain (SRLP), also commonly referred to as sciatica, is characterized by many unanswered questions. Nowadays, patients search for information online to find answers not provided by clinicians. Therefore, this work aimed to (i) collect the main questions and keywords searched by the Italian general population related to SRLP, (ii) analyze the content of the most clicked web pages, (iii) investigate its alignment with evidence-based recommendations, and (iv) assess their credibility and (v) readability.</p><p><strong>Methods: </strong>SEMrush was used to collect questions, keywords, search volumes, and web pages. Credibility was assessed through the QUality Evaluation Scoring Tool (QUEST). Readability was evaluated by the Gulpease index. Thematic and content analyses were performed.</p><p><strong>Results: </strong>Monthly search volumes ranged from 4,400 to 33,100. QUEST scores ranged from 1 to 14 out of 28. Readability scores ranged from 20 to 47 out of 100. Common themes highlighted the roles of medications and physiotherapy, the value of doing effortless activities, and the importance of sleep. Content analysis showed that 11 codes (41%) were aligned with, 7 (26%) were contradicted by, and 26 (96%) were entirely omitted from at least one web page.</p><p><strong>Conclusion: </strong>The findings suggest that inaccurate, poorly credible, and difficult-to-read information on SRLP are common online, leading to plausible targets for the educational intervention of clinicians dealing with SRLP patients. Clinicians are now more aware of the questions that their patients could be asking to Google and the answers it provides about SRLP.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"195-205"},"PeriodicalIF":2.1,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12282466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692560","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":"Authors' reply to: \"Comments on: Impact of direct access on the quality of primary care musculoskeletal physiotherapy: a scoping review from a patient, provider, and societal perspective\".","authors":"Erik Cattrysse, Jona Van den Broeck, Robin Petroons, Amber Teugels, Aldo Scafoglieri, Emiel van Trijffel","doi":"10.33393/aop.2025.3666","DOIUrl":"https://doi.org/10.33393/aop.2025.3666","url":null,"abstract":"","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"194"},"PeriodicalIF":2.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638814","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":"Comments on: Impact of direct access on the quality of primary care musculoskeletal physiotherapy: a scoping review from a patient, provider, and societal perspective.","authors":"Jean-François Kaux, Marc Schiltz, Patrick Linden, Geoffrey Brands, Bruno Schoonejans, Thierry Lejeune","doi":"10.33393/aop.2025.3538","DOIUrl":"10.33393/aop.2025.3538","url":null,"abstract":"","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"192-193"},"PeriodicalIF":2.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638815","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":"Primary care rehabilitation after Knee Replacement - a cross sectional study.","authors":"Elin Östlind, Marcus Ljung, Caroline Ståhl, Anna Cronström, Thérèse Jönsson","doi":"10.33393/aop.2025.3405","DOIUrl":"10.33393/aop.2025.3405","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation after Knee Replacement (KR) surgery often entails an extensive rehabilitation in primary care but evidence-based high-quality guidelines are lacking. There is also a knowledge gap regarding current rehabilitation modalities applied in primary care in Sweden. This study aimed to (I) describe rehabilitation in primary care after KR and (II) explore physiotherapists' perceptions of patients' challenges during the rehabilitation.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey was conducted among Swedish physiotherapists working in primary care. Questions were categorical or open-ended and related to current rehabilitation practices, treatment modalities, and physiotherapists' perceptions of patients' challenges in rehabilitation after KR. Data were described descriptively and open-ended answers were analyzed with quantitative and qualitative content analysis.</p><p><strong>Results: </strong>In total, 202 physiotherapists answered the survey. Rehabilitation focused on home exercises with recurrent physiotherapy visits. Common treatment modalities were knee range of motion exercises, strength training, and stationary cycling. Key rehabilitation challenges included the following categories: <i>Patients are unprepared</i>, <i>Challenging to find the optimal load</i>, and <i>Restoring function and trust in the knee</i>.</p><p><strong>Conclusion: </strong>Rehabilitation after KR in Swedish primary care seems to be in line with previously recommended international treatment modalities. According to the physiotherapists in this study, some of the key challenges that patients faced were not being prepared for the severe pain regaining function and trust in the knee, balancing load/recovery, and resuming physically demanding activities.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"184-191"},"PeriodicalIF":2.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562131","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":"Motor and cognitive changes across 2 years: a longitudinal study in early Multiple Sclerosis.","authors":"Elisa Gervasoni, Claudio Solaro, Denise Anastasi, Rachele Di Giovanni, Marco Rovaris, Giampaolo Brichetto, Paolo Confalonieri, Andrea Tacchino, Ilaria Carpinella, Davide Cattaneo","doi":"10.33393/aop.2025.3254","DOIUrl":"10.33393/aop.2025.3254","url":null,"abstract":"<p><strong>Background: </strong>Functional disorders appear early in the course of the disease and develop over time, impacting participation and quality of life. However, little is known about functional deterioration assessed by clinical and instrumented tools in longitudinal studies.</p><p><strong>Methods: </strong>We included 63 PwMS with Expanded Disability Status Scale (EDSS) ≤2.5 points, disease duration ≤5 years, and age (Mean ± Standard Deviation) 38.7 ± 10.7 years. Participants were assessed at baseline and after 2 years with clinical and instrumented evaluations. Data on disability and functional disorders were collected using EDSS, Six-Minute Walk Test (6MWT), Multiple Sclerosis Walking Scale-12 (MSWS-12), Fatigue Severity Scale (FSS), and Symbol-digit modality test (SDMT), while instrumented data measuring complexity and intensity of balance disorders and gait symmetry-regularity-instability were extracted from wearable devices.</p><p><strong>Results: </strong>Clinical scales (EDSS, 6MWT, FSS, MSWS-12, and SDMT) did not show a statistically significant deterioration when baseline and 2-year follow-up were compared: EDSS (Median and min-max) from 2 (0-2.5) to 1.5 (0-4.5)points, 6MWT from 566.2±٨٠.4 to 573.9 ± 94.7m, FSS from 2.89 (0.89-7) to 2.67(1-7)points, MSWS-12 from 25 (20-65) to 25 (20-78.3) points, and SDMT from 55.34 ± 14.7 to 61.4 ± 15.5 points. We observed similar results in instrumented variables: complexity from -0.15 ± 1.06 to -0.38 ± 1.08 [au], intensity from 0.00 ± 0.69 to -0.17 ± 0.78 [au], gait regularity from 0.87 ± 0.07 to 0.88 ± 0.08 [au], gait symmetry from 80.24 ± 20.24 to 83.0 ± 8.85 [au], and gait instability from 0.67 ± 0.11 to 0.70 ± 0.13 [au].</p><p><strong>Conclusion: </strong>We hypothesized that subtle functional deteriorations would be detectable over two years. However, our data showed a functional stability of the disease at follow-up. This held even when an instrumented assessment was added to assess subtle functional disorders.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"174-183"},"PeriodicalIF":2.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562130","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":"Evaluation and Synthesis of Physiotherapy Protocols for Femoroacetabular Impingement Syndrome (FAIS): A Scoping Review.","authors":"Céline Berguerand, Noemie Rossi, Rahel Caliesch","doi":"10.33393/aop.2025.3381","DOIUrl":"10.33393/aop.2025.3381","url":null,"abstract":"<p><strong>Introduction: </strong>The physiotherapeutic treatment of femoroacetabular impingement syndrome (FAIS) is a topic of growing interest in the literature. The aim of this study is to present all of the treatment modalities used in scientific research in order to analyze the extent to which the protocols are explicit.</p><p><strong>Method: </strong>This is a scoping review. The literature search was performed using the Cochrane, Embase and PubMed databases. The data was collected in various tables and the protocols were assessed using the Template for Intervention Description and Replication (TIDieR) and the Consensus on Exercise Reporting Template (CERT) tools.</p><p><strong>Results: </strong>Twenty-four studies were selected and 30 protocols were analyzed. The most frequently reported treatment modalities were strengthening (n = 25), manual therapy (n = 22) and stretching (n = 21). The average total score was 47% for studies evaluated by the TIDieR checklist and 40% for studies evaluated by the CERT checklist.</p><p><strong>Discussion: </strong>The treatment modalities identified are similar to those used for other musculoskeletal conditions. Specific treatments were found and were generally consistent with the clinical characteristics of FAIS. The lack of precision in the reporting of interventions compromises their clinical use. The same lack of detail is noted for other physiotherapeutic interventions in the musculoskeletal field.</p><p><strong>Conclusion: </strong>Numerous treatment methods are presented in the literature. However, the protocols lack in explicitness and the use of the TIDieR and CERT evaluation grids is not widespread.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"165-173"},"PeriodicalIF":2.9,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509789","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":"Head Pain Reproduction and Resolution Behavior in Response to Sustained Mobilization of the Upper Cervical Spine: A Case Series.","authors":"Damien C Cummins, Lucy C Thomas, Peter G Osmotherly","doi":"10.33393/aop.2025.3340","DOIUrl":"10.33393/aop.2025.3340","url":null,"abstract":"<p><strong>Background: </strong>Reproduction and resolution of head pain with sustained upper cervical mobilization has been proposed as a diagnostic indicator of Cervicogenic Headache (CGH). However, there has been little focus on describing head pain response during the application of these maneuvers. The purpose of this study was to describe the head pain response during the performance of sustained upper cervical spine mobilization in people with probable CGH.</p><p><strong>Methods: </strong>In this case series of 20 individuals with probable CGH as defined under the International Headache Society criteria, were assessed by one experienced physiotherapist who administered five sustained upper cervical spine mobilization techniques to each participant. Reproduction of head pain during mobilization was noted. At the start, during, and end of each mobilization technique, change in head pain intensity and time taken to achieve head pain resolution was recorded.</p><p><strong>Results: </strong>Sixteen of the 20 participants experienced reproduction and resolution of head pain within 90 seconds of sustained upper cervical mobilization. This phenomenon occurred no more frequently with the mobilization of C2 than with C1. Eight patients reported this on the dominant head pain side only, 6 patients experienced this bilaterally. Neck pain was present in 13 of the 20 participants.</p><p><strong>Conclusion: </strong>From this case series, it seems that neither the duration (measured in seconds) nor the magnitude of reduction in head pain intensity was markedly different across dominant compared to non-dominant head pain sides or across cervical levels, indicating reproduction and resolution behavior is irregular. The presence of CGH without neck pain is possible.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"158-164"},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12188232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499620","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":"Validation of a Novel device for Assessing Neck Muscle Strength.","authors":"Michail Arvanitidis, Hon Hin Ken Mak, Eduardo Martinez-Valdes, Marco Barbero, Deborah Falla","doi":"10.33393/aop.2025.3476","DOIUrl":"10.33393/aop.2025.3476","url":null,"abstract":"<p><strong>Background: </strong>The Neuromuscular Cranio-Cervical Device (NOD) was originally designed to evaluate Cranio-Cervical Flexion Test performance but can also be used as a handheld dynamometer for testing other muscle groups, including neck muscle strength. It offers a potential alternative to the Multi-Cervical Unit (MCU), a fixed dynamometer, more closely aligned with isokinetic dynamometry, the gold standard. However, its validity and reliability need to be established. This study aimed to evaluate concurrent validity compared to the MCU and inter- and intra-rater reliability of the NOD for measuring neck flexion and extension muscle strength.</p><p><strong>Methods: </strong>Twenty participants were assessed for neck flexion/extension strength whilst in a seated position, with the measurements repeated over three sessions. Concurrent validity was assessed by comparing NOD measurements to the MCU using Pearson correlation coefficients, and reliability was determined using Intraclass Correlation Coefficients (ICCs).</p><p><strong>Results: </strong>Concurrent validity was strong for extension (r = 0.954) but lower for flexion (r = 0.705), indicating some variability in flexion measurements. Inter-rater reliability was good to excellent for both flexion (ICC = 0.931) and extension (ICC = 0.896). Intra-rater reliability for extension was good to excellent (ICC = 0.893), while flexion ranged from moderate to excellent (ICC = 0.844).</p><p><strong>Conclusions: </strong>The NOD is a valid tool, particularly for extension measurements, although further refinement of testing is needed to improve the accuracy for flexion strength measurements. It is also reliable for both extension and flexion, showing promise as a practical, affordable, portable tool with real-time feedback for the assessment of neck muscle strength in clinical settings.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"148-157"},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287398","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":"A new test protocol and device for measuring the cranio-cervical flexion test in participants with bruxism.","authors":"Mareile Jung, Annika Zind, Markus J Ernst","doi":"10.33393/aop.2025.3448","DOIUrl":"10.33393/aop.2025.3448","url":null,"abstract":"<p><strong>Introduction: </strong>The craniocervical flexion test (CCFT) has been proposed to assess muscular stabilization using deep neck flexors. Reliability of the CCFT using a pressure biofeedback unit has been regarded as doubtful, and the level of evidence is reportedly low.The aim of the current study is to pilot test an alternative measurement protocol by using a new digital device during the staged CCFT when compared to surface electromyography (sEMG) of neck flexor muscles in participants with bruxism.</p><p><strong>Methods: </strong>Cross-sectional pilot study including five participants with bruxism and five controls. Measuring five incremental stages (20-100%), from a maximum force of 17 N for the CCFT and parallel to sEMG measurements of bilateral sternocleidomastoideus (SCM) and masseter muscles. SEMG data were normalized to their activity during maximal voluntary contraction. Performance during the staged CCFT was fed back via a smartphone screen.</p><p><strong>Results: </strong>A two-way repeated measures ANOVA found a significant stage (F = 32.56, df = 4, p = 0.001) but not group (0.30, df = 1, p = 0.65) main effect for SCM activity, with both groups demonstrating higher normalized sEMG activity for incremental stages of the CCFT. Neither group nor stage effects were found for normalized masseter activity during the staged CCFT.</p><p><strong>Conclusion: </strong>A new measurement protocol and test device for the CCFT were examined in participants with and without bruxism. In parallel, sEMG used showed differences in SCM activity for incremental test stages. Group differences could not be found.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"138-147"},"PeriodicalIF":2.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12146741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259498","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":"Application and adaptation of the Virtual Eggs Test for assessing hand dexterity in subjects with stroke: a pilot study.","authors":"Michele Piazzini, Tommaso Ciapetti, Marco Baccini, Stefano Doronzio, Lucia Angelini, Paola Mucci, Robinson Guachi, Marco Controzzi, Francesca Cecchi","doi":"10.33393/aop.2025.3291","DOIUrl":"10.33393/aop.2025.3291","url":null,"abstract":"<p><strong>Objectives: </strong>To verify the feasibility of the Virtual Eggs Test (VET) and establish the ranges of fragilities of the Virtual Eggs (VEs) for assessing dexterity of stroke subjects and to collect feedback to improve its usability.</p><p><strong>Methods: </strong>An observational non-profit study, with a pre-market medical device. It was conducted at a hospital neurorehabilitation unit. Nine subjects with chronic stroke (5 males; mean age 55.8 ± 18.9) performed the pilot with their paretic arm. Time to complete the test (TT), the number of failures for each VE, the threshold (T), and participants' self-reported comfort in performing the test were measured.</p><p><strong>Results: </strong>The T varied among participants from 1.70 to 4.88 N/N. The average TT was 20.1 ± 6.5 minutes (range 11-33). Only one subject found the test uncomfortable.</p><p><strong>Conclusions: </strong>The study found that the VET, with minor modifications, is feasible in stroke subjects. It might be useful for assessing sensorimotor impairment in both the affected and the less affected arm. Its metric properties and normative values in the healthy population will be determined in a study currently underway.</p>","PeriodicalId":72290,"journal":{"name":"Archives of physiotherapy","volume":"15 ","pages":"131-137"},"PeriodicalIF":2.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236088","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}