Journal of Physiotherapy最新文献

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IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/S1836-9553(25)00122-5

引用次数: 0

People with chronic knee pain are willing to pay for telerehabilitation physiotherapy consultations if they offer more communication time, greater pain improvement and less travel and waiting time: a discrete choice experiment 如果远程康复理疗咨询能提供更多的沟通时间、更大的疼痛改善、更少的旅行和等待时间，患有慢性膝关节疼痛的人愿意支付费用：这是一个离散选择实验。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/j.jphys.2025.09.006

Maame Esi Woode , Rana S Hinman , Anthony Harris , Kim L Bennell , Belinda J Lawford

Question

What do people with chronic knee pain value in physiotherapy consultations and how much are they willing to pay for a telerehabilitation consultation as opposed to an in-person consultation?

Design

Discrete choice experiment and contingent valuation.

Participants

A total of 844 Australian adults with a clinical diagnosis of knee osteoarthritis were recruited in April 2021.

Data collection

Participants were presented with a series of hypothetical scenarios and asked to choose between telerehabilitation (videoconferencing) or in-person physiotherapy consultations. Seven attributes (listening and discussion time; choice of physiotherapist; consultation security/privacy; travel time; pain improvement; waiting time; and consultation cost) with varying levels presented in each scenario.

Data analysis

A generalised mixed multinomial logit model was used to estimate the strength of preferences across attributes, the implied monetary willingness to pay for telerehabilitation consultations, and the likely uptake of telerehabilitation in the population.

Results

Participants were willing to pay AU$38.68 less for a telerehabilitation consultation compared with an in-person consultation. For a plausible set of base case attribute values, 40% of participants chose telerehabilitation. However, preferences for telerehabilitation consults increased when there was less waiting and travel time, more communication time, and when offered at a lower fee. Younger adults, females, those not working, those more confident using videoconferencing technology and those with less knee pain were more likely to prefer telerehabilitation.

Conclusion

People with chronic knee pain prefer in-person consultations but there is a demand for telerehabilitation physiotherapy consultations, particularly if offered at a lower fee, if there is a substantial amount of travel and waiting time for an in-person consultation, or if telerehabilitation offers more communication time with the physiotherapist.

问题：慢性膝关节疼痛患者在物理治疗咨询中的价值是什么？与面对面咨询相比，他们愿意为远程康复咨询支付多少钱？设计：离散选择实验和条件评估。参与者：2021年4月，共有844名临床诊断为膝骨关节炎的澳大利亚成年人被招募。数据收集：研究人员向参与者展示了一系列假设场景，并要求他们在远程康复（视频会议）和面对面的物理治疗咨询之间做出选择。7个属性（倾听和讨论时间、物理治疗师的选择、咨询安全/隐私、旅行时间、疼痛改善、等待时间和咨询成本）在每个场景中呈现不同程度。数据分析：使用广义混合多项逻辑模型来估计跨属性偏好的强度，为远程康复咨询支付的隐含货币意愿，以及人群中可能接受远程康复的可能性。结果：与面对面咨询相比，参与者愿意为远程康复咨询少支付38.68澳元。对于一组合理的基本情况属性值，40%的参与者选择了远程康复。然而，当等待和旅行时间较短、沟通时间较多、费用较低时，人们对远程康复咨询的偏好增加。年轻人、女性、不工作的人、对视频会议技术更有信心的人以及膝盖疼痛较少的人更倾向于远程康复。结论：慢性膝关节疼痛患者更喜欢面对面咨询，但远程康复物理治疗咨询有需求，特别是如果提供较低的费用，如果需要大量的旅行和等待时间进行面对面咨询，或者远程康复提供了更多与物理治疗师沟通的时间。

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引用次数: 0

Among non-pharmacological interventions, breathing strategies reduce dyspnoea and improve quality of life in adults with stable chronic lung disease: a systematic review 在非药物干预措施中，呼吸策略可减少成人稳定慢性肺病患者的呼吸困难并改善其生活质量：一项系统综述。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/j.jphys.2025.09.004

Makayla Pinna , Ellen Castle , Vinicius Cavalheri , Kylie Hill

Question

How much do interventions other than prescribed pharmacology or exercise training change dyspnoea and health-related quality of life in adults with stable chronic lung disease?

Design

Systematic review with meta-analysis.

Participants

Adults with a chronic lung disease.

Intervention and follow-up

Any non-pharmacological intervention, other than exercise training, applied to reduce dyspnoea or improve health-related quality of life.

Outcome measures

Dyspnoea, measured at rest, on exertion or during daily activities, and health-related quality of life measured using a validated questionnaire.

Data sources

CINAHL, PEDro, PubMed and EMBASE were searched. Studies were included if they had at least one group that was prescribed a non-pharmacological intervention other than exercise training, and at least one group that received usual care.

Results

Thirteen randomised controlled trials and two randomised cross-over trials met the study criteria. For adults with obstructive lung diseases, low quality evidence suggests that pursed lip breathing may result in a moderate reduction in dyspnoea when measured within 3 months of treatment initiation (SMD –0.45), although the effect may be substantially larger or smaller (95% CI –0.87 to –0.04). Similarly, breathing re-training may result in small to moderate improvements in health-related quality of life when measured ≥ 3 months following treatment initiation (SMD –0.31, 95% CI –0.48 to –0.14).

Conclusion

In adults with chronic lung diseases, there is low quality evidence that breathing techniques may reduce dyspnoea and improve health-related quality of life.

Registration

CRD42024491524.

问题：除处方药物或运动训练外，干预措施在多大程度上改变了成人稳定慢性肺病患者的呼吸困难和健康相关的生活质量？设计：采用荟萃分析的系统评价。参与者：患有慢性肺病的成年人。干预和随访：除运动训练外，用于减轻呼吸困难或改善健康相关生活质量的任何非药物干预。结果测量：呼吸困难，在休息、运动或日常活动时测量，健康相关生活质量使用有效问卷测量。数据来源：检索CINAHL、PEDro、PubMed、EMBASE。如果研究中至少有一组患者接受了除运动训练以外的非药物干预，并且至少有一组患者接受了常规护理，那么这些研究就会被纳入其中。结果：13项随机对照试验和2项随机交叉试验符合研究标准。对于患有阻塞性肺疾病的成人，低质量证据表明，在治疗开始后3个月内测量时，收唇呼吸可能导致呼吸困难的中度减轻（SMD -0.45），尽管效果可能大大增加或减少（95% CI -0.87至-0.04）。同样，当治疗开始后≥3个月测量时，呼吸再训练可能导致健康相关生活质量的小到中度改善（SMD -0.31, 95% CI -0.48至-0.14）。结论：在成人慢性肺病患者中，有低质量的证据表明呼吸技术可以减轻呼吸困难并改善与健康相关的生活质量。注册:CRD42024491524。

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引用次数: 0

Appraisal of Clinical Practice Guideline: European Stroke Organisation (ESO) guideline on motor rehabilitation 临床实践指南评估：欧洲卒中组织（ESO）运动康复指南。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/j.jphys.2025.09.014

Sue Peters

引用次数: 0

Aims and scope / Editorial Board 目标和范围/编委会

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/S1836-9553(25)00120-1

引用次数: 0

Correspondence: In memory of Professor Rinaldo Bellomo 通信：纪念雷纳多·贝洛莫教授。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/j.jphys.2025.09.009

Thomas C Rollinson, David J Berlowitz, Kimberley J Haines, Carol Hodgson, Luke A McDonald, Sue Berney

引用次数: 0

Transversus abdominis and rectus abdominis activation exercises do not alter inter-recti distance in pregnant women: a randomised trial 腹横肌和腹直肌激活运动不会改变孕妇腹直肌间距离：一项随机试验。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/j.jphys.2025.09.013

Alana Leandro Cabral , Angélica Lemos Debs Diniz , Elder Henrique de Oliveira , Ana Flávia Lozano Valadão Caserta , Gabriela Faria Rodrigues , Leylaine Cristine Andrade Tavares , Rejane Amélia Reis Gonçalves , Rogério de Melo Costa Pinto , Vanessa Santos Pereira-Baldon

Questions

What are the effects of transversus abdominis (TrA) or rectus abdominis (RA) activation exercises, compared with general exercise without specific abdominal activation, on the inter-recti distance (IRD) in pregnant women? How do TrA and RA activation exercises compare with general exercise for their effects on pelvic floor dysfunction?

Design

Three-arm randomised controlled trial with assessor blinding, concealed allocation and intention-to-treat analysis.

Participants

Sixty-three primigravida pregnant women at 18 to 21 gestational weeks.

Intervention

The control group performed general exercises without abdominal focus. In addition to the control group intervention, the drawing-in group added TrA activation exercises, and the abdominal crunch group added RA-targeted exercises. All groups completed 24 sessions over 12 weeks.

Outcome measures

The primary outcome was change in IRD (mm), measured 2 cm above and below the umbilicus, at rest and during active trunk flexion. The secondary outcome was the Pelvic Floor Bother Questionnaire, which scores the severity of symptoms of pelvic floor dysfunction.

Results

All groups showed a similar increase in IRD after intervention. No substantial differences were observed between either targeted exercise group and the control group. At 2 cm above the umbilicus, general exercises had a similar effect to the in-drawing TrA exercises (between-group difference 6 mm, 95% CI –3 to 15) or the RA exercises (4 mm, 95% CI –5 to 12) at rest. Similar or smaller between-group differences occurred below the umbilicus and during trunk flexion. Similar or smaller between-group differences occurred between the drawing-in and abdominal crunch groups. No substantial between-group differences were found in pelvic floor dysfunction symptoms.

Conclusion

A 12-week abdominal exercise program focusing on TrA or RA activation did not substantially change IRD or pelvic floor dysfunction symptoms compared with general exercise; this suggests that pregnant women do not need to avoid targeted TrA or RA exercises.

Registration

RBR-4v2r4bg.

问题：与没有特定腹部激活的一般运动相比，腹横肌（TrA）或腹直肌（RA）激活运动对孕妇腹直肌间距（IRD）的影响是什么？与一般运动相比，TrA和RA激活运动对盆底功能障碍的影响如何？设计：三组随机对照试验，采用评估盲法、隐式分配和意向治疗分析。参与者：63名妊娠期18 - 21周的初产妇。干预：对照组进行一般运动，不进行腹部聚焦。在对照组干预的基础上，引入组增加了TrA激活练习，腹卷组增加了针对ra的练习。所有组在12周内完成24个疗程。结果测量：主要结果是IRD （mm）的变化，测量脐上下2cm，在休息和主动躯干屈曲期间。次要结果是盆底困扰问卷，该问卷对盆底功能障碍症状的严重程度进行评分。结果：干预后各组IRD均有相似的升高。在目标运动组和对照组之间没有观察到实质性的差异。在脐部以上2 cm处，一般运动与静息时的拉入TrA运动（组间差异为6 mm， 95% CI为-3至15）或RA运动（4 mm， 95% CI为-5至12）效果相似。类似或更小的组间差异发生在脐以下和躯干屈曲期间。在拉入组和腹部收缩组之间也出现了类似或更小的组间差异。盆底功能障碍症状组间无明显差异。结论：与一般运动相比，为期12周的专注于TrA或RA激活的腹部运动计划并没有实质性地改变IRD或盆底功能障碍症状；这表明孕妇不需要避免有针对性的TrA或RA运动。注册:RBR-4v2r4bg。

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引用次数: 0

Critically appraised paper: Gamified rehabilitation enhances upper limb function in stroke survivors [synopsis] 批评性评价论文：游戏化康复增强中风幸存者的上肢功能[摘要]。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/j.jphys.2025.06.012

Yvonne C Learmonth

引用次数: 0

Correspondence: Commentary on the effectiveness of mobilisation with movement and exercise for shoulder pain relief 通信：评论与运动和运动对肩部疼痛缓解动员的有效性。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/j.jphys.2025.09.010

Liangping Zhang, Rongqi Cao, Ligang Ni

引用次数: 0

Critically appraised paper: High-intensity interval training is not superior to moderate intensity training in people with multiple sclerosis [commentary] 评论文章：在多发性硬化症患者中，高强度间歇训练并不优于中等强度训练。

IF 9.4 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-10-01 DOI: 10.1016/j.jphys.2025.05.010

Evan T Cohen, Herb Karpatkin

引用次数: 0

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