Journal of Physiotherapy最新文献

英文中文

Critically appraised paper: Once-weekly semaglutide in people with obesity and knee osteoarthritis [commentary] 批评性评价论文：每周一次的西马鲁肽用于肥胖和膝骨关节炎患者[评论]。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2025.02.008

Sam Adie (Professor of Orthopaedic Surgery)

引用次数: 0

Exercise adherence is associated with improvements in pain intensity and functional limitations in adults with chronic non-specific low back pain: a secondary analysis of a Cochrane review 坚持运动与慢性非特异性腰痛成人患者疼痛强度和功能限制的改善相关：Cochrane综述的一项二次分析。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2025.03.004

Matthew D Jones , Harrison J Hansford , Andrew Bastianon , Mitchell T Gibbs , Yannick L Gilanyi , Nadine E Foster , Sarah G Dean , Rachel Ogilvie , Jill A Hayden , Lianne Wood

Question

What is the association between exercise adherence and the effects of exercise on pain intensity and functional limitations in adults with chronic non-specific low back pain (CNSLBP)?

Design

Systematic review with meta-analysis.

Participants

Adults with CNSLBP.

Intervention

Randomised controlled trials of exercise compared with no exercise (eg, usual care, placebo/sham or another conservative treatment). Adherence to exercise must have been reported.

Outcome measures

Pain intensity and functional limitations.

Results

This study included 46 trials with 56 exercise groups. High exercise adherence (80 to 100%) was associated with reduced pain intensity (0 to 100 scale) (MD –14.32, 95% CI –18.61 to –10.03, low certainty) and functional limitations (0 to 100 scale) (MD –8.08, 95% CI –10.68 to –5.49, low certainty). Moderate exercise adherence (60 to 79%) was not associated with reduced pain intensity (MD –4.53, 95% CI –9.39 to 0.34, very low certainty) or functional limitations (MD –2.75, 95% CI –6.00 to 0.51, very low certainty). Low exercise adherence (< 59%) was associated with reduced pain intensity (MD –5.33, 95% CI –10.00 to –0.66, low certainty) and functional limitations (MD –4.43, 95% CI –7.14 to –1.72, moderate certainty). Compared with low adherence, additional differences in outcomes for moderate and high adherence were mostly negligible.

Conclusion

Higher exercise adherence is associated with larger improvements in clinical outcomes in adults with CNSLBP, although overall differences are small compared with lower adherence. Other factors besides adherence between the trials and exercise programs could explain these results. Further research is needed to determine the causal effect of exercise adherence on outcomes in adults with CNSLBP.

Registration

PROSPERO CRD42023447355 and Open Science Framework https://osf.io/7p6dw/.

问题在患有慢性非特异性腰背痛（CNSLBP）的成年人中，坚持锻炼与锻炼对疼痛强度和功能限制的影响之间有何关联？参与者：患有慢性非特异性腰背痛的成年人：干预：干预措施：运动与不运动（如常规护理、安慰剂/沙姆或其他保守疗法）相比的随机对照试验。结果测量：疼痛强度和功能限制：结果：疼痛强度和功能限制：该研究包括 46 项试验，56 个运动组。运动依从性高（80% 至 100%）与疼痛强度（0 至 100 分）降低（MD -14.32，95% CI -18.61 至 -10.03，低确定性）和功能限制（0 至 100 分）降低（MD -8.08，95% CI -10.68 至 -5.49，低确定性）相关。中度锻炼依从性（60% 至 79%）与疼痛强度降低（MD -4.53，95% CI -9.39至0.34，确定性极低）或功能限制（MD -2.75，95% CI -6.00至0.51，确定性极低）无关。运动依从性低（< 59%）与疼痛强度降低（MD -5.33，95% CI -10.00至-0.66，低度确定性）和功能限制（MD -4.43，95% CI -7.14至-1.72，中度确定性）有关。与低依从性相比，中度和高度依从性在结果上的额外差异大多可以忽略不计：结论：较高的运动依从性与CNSLBP成人患者临床结果的较大改善相关，尽管与较低的依从性相比，总体差异较小。除了试验和运动项目之间的依从性外，其他因素也可能解释这些结果。要确定坚持锻炼对中枢神经系统脑病（CNSLBP）成人患者预后的因果效应，还需要进一步的研究：PROSPERO CRD42023447355 和开放科学框架 https://osf.io/7p6dw/。

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引用次数: 0

Cover image and highlights 封面图片及亮点

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/S1836-9553(25)00026-8

引用次数: 0

Physiotherapy management of gluteal tendinopathy 臀腱病的物理治疗。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2025.03.005

Angela M Fearon

引用次数: 0

Research Note: Health economic modelling to inform the cost-effectiveness of physiotherapy interventions 研究说明：卫生经济模型为物理治疗干预的成本效益提供信息。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2025.02.001

Anagha Killedar , Alison Hayes

引用次数: 0

High-intensity and low-intensity Pilates have similar effects on pain and disability in people with chronic non-specific low back pain: a randomised trial 高强度和低强度普拉提对慢性非特异性腰痛患者的疼痛和残疾有相似的影响：一项随机试验。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2025.03.002

Anita Camila Sampaio Coelho, Janine Fontele Dourado, Pedro Olavo de Paula Lima

Question

In people with chronic non-specific low back pain, what is the effect of high-intensity Pilates exercise compared with low-intensity Pilates exercise on pain, disability, patient-specific function, kinesiophobia and isometric hip strength?

Design

Randomised trial with concealed allocation, blinded assessors and intention-to-treat analysis.

Participants

One hundred and sixty-eight people with chronic non-specific low back pain and aged between 18 and 60 years.

Interventions

Participants were allocated to undertake 1-hour sessions of clinical Pilates at either high-intensity or low-intensity, twice per week for 6 weeks.

Outcome measures

The primary outcomes were the numerical pain scale and the Roland Morris Disability Questionnaire at the end of the 6-week intervention period. The secondary outcomes were the Patient-Specific Functional Scale, the Tampa Scale for Kinesiophobia and isometric hip strength at 6 weeks. Pain and disability were also re-measured 6 and 12 months after the intervention.

Results

The two Pilates regimens had negligible differences in effects on all outcomes at the end of the intervention period. At 6 and 12 months, the between-group differences in pain intensity were still negligible but the confidence intervals around those estimates spanned from around no effect to a worthwhile benefit (≥ 1.4) from low-intensity Pilates compared with high-intensity Pilates: 6-month MD 0.6 (95% CI –0.2 to 1.4) and 12-month MD 0.8 (95% CI 0.0 to 1.6). The effect on disability remained negligible at 6 and 12 months. Adverse events were less common in the low-intensity group: absolute risk reduction 0.20 (95% CI 0.10 to 0.31).

Conclusion

High-intensity and low-intensity Pilates had very similar effects on pain, disability and other outcomes in people with chronic non-specific low back pain. Physiotherapists should endorse low-intensity Pilates exercises for managing chronic non-specific low back pain because the effects on most outcomes are very similar to high-intensity Pilates exercise but there are fewer side effects.

Registration

RBR-2d2vb9.

问题：对于慢性非特异性腰痛患者，与低强度普拉提运动相比，高强度普拉提运动对疼痛、残疾、患者特异性功能、运动恐惧症和髋部等长肌力的影响是什么？设计：随机试验，隐蔽分配，盲法评估和意向治疗分析。参与者：168名慢性非特异性腰痛患者，年龄在18至60岁之间。干预措施：参与者被分配进行1小时的临床普拉提，高强度或低强度，每周两次，持续6周。结果测量：在6周的干预期结束时，主要结果是数值疼痛量表和Roland Morris残疾问卷。次要结果是患者特异性功能量表、运动恐惧症的坦帕量表和6周时的等长髋关节力量。在干预6个月和12个月后重新测量疼痛和残疾。结果：两种普拉提方案在干预期结束时对所有结果的影响差异可以忽略不计。在6个月和12个月时，组间疼痛强度的差异仍然可以忽略不计，但与高强度普拉提相比，低强度普拉提的估计置信区间从没有影响到有价值的获益（≥1.4）：6个月的MD为0.6 (95% CI为-0.2至1.4)，12个月的MD为0.8 （95% CI为0.0至1.6）。在6个月和12个月时对残疾的影响仍然可以忽略不计。低强度组的不良事件较少：绝对风险降低0.20 （95% CI 0.10 ~ 0.31）。结论：高强度和低强度普拉提对慢性非特异性腰痛患者的疼痛、残疾和其他结果的影响非常相似。物理治疗师应该支持低强度普拉提运动来治疗慢性非特异性腰痛，因为大多数结果的效果与高强度普拉提运动非常相似，但副作用更少。注册:RBR-2d2vb9。

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引用次数: 0

Appraisal of Clinical Practice Guideline: Early and locally advanced breast cancer: diagnosis and management 临床实践评价指南：早期和局部晚期乳腺癌：诊断和治疗。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2025.02.009

Amy Dennett

引用次数: 0

Title page 标题页

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/S1836-9553(25)00028-1

引用次数: 0

Appraisal of Clinical Practice Guideline: Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction 临床实践指南评价：Aspetar前交叉韧带重建术后康复临床实践指南。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2025.02.006

Stephanie Filbay

引用次数: 0

Critically appraised paper: Once-weekly semaglutide in people with obesity and knee osteoarthritis [synopsis] 批评性评价论文：每周一次的西马鲁肽在肥胖和膝骨关节炎患者中的应用[摘要]。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2025.02.011

Tuva Moseng

引用次数: 0

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