Journal of Physiotherapy最新文献

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Correspondence: reconsidering pelvic floor muscle training in elite gymnasts (by Gram et al) 对应：重新考虑优秀体操运动员的骨盆底肌肉训练（由Gram等人）。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.11.011

Linkun Shen, Sheng Li

引用次数: 0

Clinimetrics: Upper Extremity Motor Activity Log 临床指标：上肢运动活动记录。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.11.005

Gabriela da Silva Matuti , Sandra Regina Alouche

引用次数: 0

Unilateral mirror therapy may improve upper limb motor recovery after stroke but bilateral mirror therapy provides little or no additional benefit: a systematic review 单侧镜像治疗可能改善中风后上肢运动恢复，但双侧镜像治疗提供很少或没有额外的好处：一项系统综述。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.12.008

Augusto Boening , Louise Ada , Maria Tereza M Alvarenga , Aline A Scianni , Lucas R Nascimento

Question

Is mirror therapy, using only the intact upper limb (unilateral), superior to the same amount and type of practice without the mirror at reducing upper limb impairments or activity limitations? Is mirror therapy, using the intact and the affected upper limb (bilateral), superior to the same amount and type of practice without the mirror at reducing upper limb impairments or activity limitations?

Design

Systematic review of randomised trials with meta-analysis.

Participants

Adults at any time after stroke of any severity.

Intervention

Supervised mirror therapy for the upper limb.

Outcome measures

Motor impairments and/or activities.

Results

A total of 19 trials, involving 618 participants, were included. The mean PEDro score of the trials was 6 (range 3 to 8). Low-level evidence indicates that unilateral mirror therapy may have a moderate effect on motor recovery (SMD 0.48, 95% CI 0.14 to 0.82) and moderate level evidence indicates that this is similar in terms of the Fugl-Meyer Assessment (MD 5 out of 66 points, 95% CI 0 to 10). Moderate-level evidence indicates that bilateral mirror therapy has little or no effect on motor recovery (SMD 0.15, 95% CI –0.07 to 0.38) and moderate level evidence indicates that this is similar in terms of the Fugl-Meyer Assessment (MD 2 out of 66 points, 95% CI –1 to 6).

Conclusion

This systematic review suggests that unilateral mirror therapy may improve motor recovery after stroke. In contrast, bilateral mirror therapy appears to offer little benefit compared with practice without the mirror.

Registration

PROSPERO (CRD420251038374).

问题：仅使用完整上肢（单侧）的镜像疗法在减少上肢损伤或活动限制方面是否优于不使用镜像的相同数量和类型的练习？镜像疗法，使用完整的和受影响的上肢（双侧），在减少上肢损伤或活动限制方面是否优于相同数量和类型的无镜像练习？设计：采用荟萃分析对随机试验进行系统评价。参与者：任何严重程度中风后的任何时间的成年人。干预：上肢监督镜像治疗。结果测量：运动障碍和/或活动。结果：共纳入19项试验，618名受试者。试验的平均PEDro评分为6分（范围3至8分）。低水平证据表明，单侧镜像治疗可能对运动恢复有中等影响（SMD 0.48, 95% CI 0.14至0.82），中等水平证据表明，这与Fugl-Meyer评估（MD 5 / 66分，95% CI 0至10）相似。中等水平的证据表明，双侧镜像治疗对运动恢复的影响很小或没有影响（SMD为0.15,95% CI为-0.07至0.38），中等水平的证据表明，这与Fugl-Meyer评估（dm2 / 66分，95% CI为-1至6）相似。结论：本系统综述提示单侧镜像治疗可改善脑卒中后的运动恢复。相比之下，双侧镜像治疗与不使用镜像的治疗相比似乎没有什么好处。注册：普洛斯彼罗（CRD420251038374）。

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引用次数: 0

Clinimetrics: Lower Extremity - Motor Activity Log 临床指标：下肢运动活动记录。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.11.004

Elaine Menezes de Oliveira , Gabriela da Silva Matuti

引用次数: 0

Research Note: Unequal randomisation in randomised trials 研究说明：随机试验中的不平等随机化。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.11.009

Mark Elkins , Sze-Ee Soh

引用次数: 0

Correspondence: clarifying baseline balance and the training regimen (reply to Shen and Li) 通信：澄清基线平衡和训练方案（回复沈和李）。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.11.010

Marte Charlotte Dobbertin Gram, Morten Wang Fagerland, Kari Bø

引用次数: 0

Telerehabilitation reduced urinary incontinence, pelvic pain and dyspareunia in women after treatment for gynaecological cancer: a randomised trial 远程康复可减少妇科癌症治疗后妇女的尿失禁、盆腔疼痛和性交困难：一项随机试验。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.12.007

Tatiana de Bem Fretta , Kari Bø , Pauliana Carolina de Souza Mendes , Mirella Dias , Daiane Leite da Roza , Cristine Homsi Jorge

Question

How effective is a telerehabilitation program in reducing reports of pelvic floor dysfunction in women after gynaecological cancer treatment?

Design

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

Participants

Fifty-eight women reporting urinary incontinence (UI) after treatment for gynaecological cancer.

Interventions

Experimental group participants were allocated to undertake telerehabilitation sessions including pelvic floor muscle training once a week for 12 weeks. The control group received usual care.

Outcome measures

The primary outcome was the prevalence of UI on the International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ-UI-SF). The secondary outcomes were: the impact of UI on quality of life (ICIQ-UI-SF), sexual function (Female Sexual Function Index), dyspareunia (numerical assessment scale), self-esteem (Rosenberg), pain (numerical assessment scale), faecal incontinence, stool consistency, vaginal stenosis, quality of life (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire) and level of physical activity. After 12 weeks, the telerehab group also responded about treatment satisfaction, adherence and system usability.

Results

After 12 weeks, the experimental group had better outcomes than the control group in several areas: prevalence of UI (RD –0.45, 95% CI –0.62 to –0.23); total ICIQ-UI-SF score (MD –9.5, 95% CI –11.8 to –7.1); pelvic pain (MD –3.1, 95% CI –4.7 to –1.4); self-esteem (MD 2.9, 95% CI 0.7 to 5.1); and measures of vaginal stenosis and quality of life.

Conclusion

A 12-week telerehabilitation program was effective in reducing reports of UI, severity of UI, pelvic pain and dyspareunia in women after the treatment of gynaecological cancer.

Registration

Brazilian Clinical Trials Registry (ReBEC) RBR-8ht5nqq.

问题：远程康复计划在减少妇科癌症治疗后妇女盆底功能障碍报告方面有多有效？设计：随机对照试验，采用盲法评估，隐蔽分配和意向治疗分析。参与者：58名报告妇科癌症治疗后尿失禁（UI）的妇女。干预措施：实验组参与者被分配进行远程康复课程，包括盆底肌肉训练，每周一次，持续12周。对照组接受常规护理。结果测量：主要结果是尿失禁国际咨询问卷-尿失禁简表（ICIQ-UI-SF）中尿失禁的患病率。次要结局是：尿失禁对生活质量（ICIQ-UI-SF）、性功能（女性性功能指数）、性交困难（数值评估量表）、自尊（Rosenberg）、疼痛（数值评估量表）、大小便失禁、大便一致性、阴道狭窄、生活质量（欧洲癌症研究与治疗组织生活质量问卷）和身体活动水平的影响。12周后，远程治疗组也对治疗满意度、依从性和系统可用性做出了回应。结果：12周后，实验组在几个方面优于对照组：尿失禁患病率（RD -0.45, 95% CI -0.62 ~ -0.23）；ICIQ-UI-SF总分（MD -9.5, 95% CI -11.8 ~ -7.1）；盆腔疼痛（MD -3.1, 95% CI -4.7 ~ -1.4）；自尊（MD 2.9, 95% CI 0.7 ~ 5.1）；以及阴道狭窄和生活质量的测量。结论：12周的远程康复治疗可有效减少妇科癌症患者术后尿失禁、尿失禁严重程度、盆腔疼痛和性交困难的报告。注册：巴西临床试验登记处（ReBEC） RBR-8ht5nqq。

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引用次数: 0

Recent highlights in low back pain research, Part I: Diagnosis and Prognosis 最近腰痛研究的亮点，第一部分：诊断和预后。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.12.002

Rafael Zambelli Pinto , Alice Kongsted , Samuel Silva , Jill A Hayden , Aron Downie , Bruno T Saragiotto

Introduction

This paper highlights research relating to diagnosis and prognosis in low back pain (LBP) published between January 2020 and September 2025.

Methods

To identify studies for inclusion, we searched Medline, CINAHL and the Cochrane Database of Systematic Reviews. Search results were screened and relevant studies were grouped according to their topic area. From those results, we selected studies that were perceived to be of great clinical importance, particularly high quality and/or controversial.

Findings

This narrative review synthesised five key themes in LBP research. For Theme 1 (Serious pathologies presenting as LBP), we found that serious spinal conditions are rare, and clinicians should assess overall concern using a combination of alerting features rather than isolated red flags. In Theme 2 (Imaging in LBP management), we discussed the limited role of imaging, noting its continued overuse and frequent inappropriate application. In Theme 3 (Diagnostic uncertainty), we highlighted that LBP often lacks a clear anatomical cause and that embracing uncertainty while focusing on modifiable factors can help patients feel more supported and in control. Theme 4 (Clinical course and pain trajectories) showed that although recovery is common in recent onset LBP, recurrences are frequent; even long-lasting pain can improve. Traditional labels such as ‘acute’ and ‘chronic’ often fail to capture the fluctuating nature of LBP. Finally, in Theme 5 (Prognostic factors and prediction models), we presented patient characteristics related to delayed recovery but highlighted that current prediction models are not yet ready for clinical implementation. We provided direction for future research across all themes. The identified themes help clinicians make informed, evidence-based decisions and navigate current uncertainties in diagnosis and prognosis.

本文重点介绍了2020年1月至2025年9月期间发表的与腰痛（LBP）诊断和预后相关的研究。方法：为了确定纳入的研究，我们检索了Medline、CINAHL和Cochrane系统评价数据库。对搜索结果进行筛选，并根据其主题领域对相关研究进行分组。从这些结果中，我们选择了被认为具有重要临床意义的研究，特别是高质量和/或有争议的研究。研究结果：这篇叙述性综述综合了LBP研究中的五个关键主题。对于主题1（以腰痛为表现的严重病理），我们发现严重的脊柱疾病是罕见的，临床医生应该使用警报特征的组合来评估整体关注，而不是孤立的危险信号。在主题2 （LBP管理中的成像）中，我们讨论了成像的有限作用，注意到它的持续过度使用和频繁的不适当应用。在主题3（诊断不确定性）中，我们强调了下腰痛通常缺乏明确的解剖学原因，在关注可改变因素的同时接受不确定性可以帮助患者获得更多支持和控制。主题4（临床过程和疼痛轨迹）表明，虽然最近发作的腰痛恢复很常见，但复发也很频繁；即使是长期的疼痛也可以改善。传统的标签，如“急性”和“慢性”往往不能捕捉到腰痛的波动性质。最后，在主题5（预后因素和预测模型）中，我们介绍了与延迟恢复相关的患者特征，但强调当前的预测模型尚未准备好用于临床实施。我们为所有主题的未来研究提供了方向。确定的主题有助于临床医生做出明智的、基于证据的决定，并在诊断和预后中导航当前的不确定性。

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引用次数: 0

Critically appraised papers: The Sustainable Model of Early Intervention and Telerehabilitation for Children with CP (SMART-CP) results in earlier diagnosis and access to treatment compared with usual care [commentary] 批评性评价论文：与常规护理相比，CP儿童早期干预和远程康复的可持续模式（SMART-CP）导致早期诊断和获得治疗[评论]。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.08.001

Cherie Zischke

引用次数: 0

Physiotherapy management of multiple sclerosis 多发性硬化的物理治疗管理。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2026-01-01 DOI: 10.1016/j.jphys.2025.11.008

Yvonne C Learmonth

引用次数: 0

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