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Non-specific diagnostic labels for musculoskeletal conditions foster positive views about prognosis and non-invasive management but require clear explanation: a systematic review 肌肉骨骼疾病的非特异性诊断标签促进了对预后和非侵入性治疗的积极看法，但需要明确的解释：系统回顾。
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.06.011
Stephen Martin , Matthew Smith , David A Wilson , Joshua R Zadro , Giovanni E Ferreira , Mary O’Keeffe

Questions

What are patient and public perceptions of diagnostic labels for musculoskeletal pain? How do these labels influence beliefs, emotions and treatment preferences?

Design

Systematic review and qualitative meta-synthesis.

Participants

People with musculoskeletal pain or people presented with hypothetical vignettes of musculoskeletal pain.

Intervention

Diagnostic labels for musculoskeletal pain.

Outcome measures

Patient/public perceptions of diagnostic labels for musculoskeletal pain and the influence of these labels on beliefs, emotions and treatment preferences.

Results

Four major themes emerged. First, patients strongly valued diagnoses to validate their pain and guide treatment. Second, poor diagnostic explanations and use of medical jargon led to patient frustration and confusion. Third, specific diagnostic labels were validating but promoted fear and a biomedical view of pain, whereas non-specific labels were associated with less fear but higher confusion. Fourth, non-specific labels led to more positive views towards prognosis and non-invasive management but led some patients to believe that further investigations were needed.

Conclusion

Patients have a strong desire for a diagnosis and may prefer specific diagnostic labels, but these can lead to patient harm. Non-specific labels, while less threatening, require clear explanations to avoid confusion.

Registration

CRD42024592437.
问题：患者和公众对肌肉骨骼疼痛诊断标签的看法是什么？这些标签是如何影响信念、情绪和治疗偏好的？设计：系统回顾和定性综合。参与者：患有肌肉骨骼疼痛的人或假想的肌肉骨骼疼痛的人。干预：肌肉骨骼疼痛的诊断标签。结果测量：患者/公众对肌肉骨骼疼痛诊断标签的认知，以及这些标签对信念、情绪和治疗偏好的影响。结果：出现了四个主要主题。首先，患者非常重视诊断，以验证他们的疼痛并指导治疗。其次，糟糕的诊断解释和医学术语的使用导致患者沮丧和困惑。第三，特定的诊断标签是有效的，但促进了恐惧和对疼痛的生物医学观点，而非特定标签与较少的恐惧有关，但更高的困惑。第四，非特异性标签导致对预后和无创治疗的更积极的看法，但使一些患者认为需要进一步的调查。结论：患者有强烈的诊断欲望，可能更喜欢特定的诊断标签，但这可能导致患者伤害。非特异性标签虽然威胁性较小，但需要明确的解释以避免混淆。注册:CRD42024592437。
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引用次数: 0
Recent highlights and uncertainties in exercise management of knee osteoarthritis 膝关节骨关节炎运动管理的最新亮点和不确定性。
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.06.010
Travis Haber , Belinda J Lawford , Kim Bennell , Melanie Holden , Daniel K White , Rana S Hinman

Introduction

This narrative review outlines recent research highlights and uncertainties in the exercise management of knee osteoarthritis (OA) published between January 2020 and February 2025.

Methods

To identify studies for inclusion, these electronic databases were searched: Medline, CINAHL Plus, Cochrane Central Trial Register of Controlled Trials and Cochrane Database of Systematic Reviews. Search results were screened and article selection was discussed among the entire research team. Studies that were deemed to be of significant clinical importance, particularly high-quality and/or controversial were selected for inclusion. Study findings were summarised according to overarching themes and future research directions were suggested for each thematic area.

Findings

This review highlighted six themes formulated as questions: Is exercise as effective as previously thought? How does exercise work and who might benefit the most? Is there an optimal exercise dose and type? Can patient adherence be improved – and does it matter? Do patients need to be seen in person to deliver exercise? How does communication about osteoarthritis influence patient beliefs about exercise? There were several key findings related to these themes. First, there was reduced certainty in the effectiveness of exercise for knee OA. Additionally, the mechanisms by which exercise improves clinical outcomes are largely unknown and it is unclear which individuals benefit the most from exercise. Research has failed to demonstrate a dose-response relationship between exercise and clinical outcomes and improving patient adherence to exercise may not lead to improved clinical outcomes. Nonetheless, exercise therapy can be effectively delivered remotely via a variety of methods. Communicating about OA using an impairment-based approach has been causally linked to negative beliefs about exercise.
本文概述了2020年1月至2025年2月期间发表的膝关节骨关节炎（OA）运动管理的最新研究亮点和不确定性。方法：检索Medline、CINAHL Plus、Cochrane中央对照试验注册库和Cochrane系统评价数据库，以确定纳入的研究。对检索结果进行筛选，并在整个研究团队中讨论文章选择。被认为具有重要临床意义的研究，特别是高质量和/或有争议的研究被选择纳入。研究结果根据总体主题进行了总结，并为每个主题领域提出了未来的研究方向。研究发现：这篇综述强调了六个主题，并提出了以下问题：锻炼是否像之前认为的那样有效？运动是如何起作用的，谁可能受益最大？有没有最佳的运动剂量和运动类型？病人的依从性能得到改善吗？这重要吗？病人需要亲自去看医生进行锻炼吗？关于骨关节炎的交流如何影响患者对运动的看法？有几个与这些主题相关的关键发现。首先，运动对膝关节OA有效性的确定性降低。此外，运动改善临床结果的机制在很大程度上是未知的，也不清楚哪些人从运动中受益最多。研究未能证明运动与临床结果之间的剂量反应关系，提高患者对运动的坚持可能不会改善临床结果。尽管如此，运动疗法可以通过多种方法有效地远程提供。使用基于损伤的方法来沟通OA与对运动的负面看法有因果关系。
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引用次数: 0
Clinimetrics: The Chelsea Critical Care Physical Assessment tool (CPAx) 临床指标：切尔西重症监护身体评估工具（CPAx）。
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.006
Sabrina Eggmann , Michelle Paton
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引用次数: 0
Critically appraised paper: In adults with multiple sclerosis, improvements in physical capacity following aerobic or resistance training did not translate to improved physical function compared with usual care 批评性评价论文：在患有多发性硬化症的成人中，与常规护理相比，有氧或阻力训练后身体能力的改善并没有转化为身体功能的改善[摘要]。
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.04.001
Vinicius Cavalheri
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引用次数: 0
Practical Guide: The active cycle of breathing technique (ACBT) 实用指南：主动循环呼吸技术（ACBT）。
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.06.007
Alice YM Jones , Rowan Pickering , Suzanne Gough , Allison Mandrusiak
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引用次数: 0
Correspondence: Mechanically assisted gait training after stroke: the case for more cautious interpretation 对应：中风后机械辅助步态训练：更谨慎解释的案例。
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.013
Prakash V, Shrushti Shah
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引用次数: 0
Aims and scope / Editorial Board 目标和范围/编委会
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/S1836-9553(25)00083-9
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引用次数: 0
Expressions of interest for the Journal of Physiotherapy Editorial Fellowship 《物理治疗杂志》编辑奖学金的兴趣表达
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.06.003
{"title":"Expressions of interest for the Journal of Physiotherapy Editorial Fellowship","authors":"","doi":"10.1016/j.jphys.2025.06.003","DOIUrl":"10.1016/j.jphys.2025.06.003","url":null,"abstract":"","PeriodicalId":49153,"journal":{"name":"Journal of Physiotherapy","volume":"71 3","pages":"Page 150"},"PeriodicalIF":9.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Appraisal of Clinical Practice Guideline: Achilles, pain, stiffness and muscle power deficits: mid-portion Achilles tendinopathy revision – 2024 临床实践指南评估：跟腱、疼痛、僵硬和肌肉力量不足：跟腱中段病变修订- 2024。
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.06.001
Ebonie Rio
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引用次数: 0
Critically appraised paper: Adding healthy lifestyle management to guideline-based care improves disability for low back pain [commentary] 批评性评价论文：在基于指南的护理中加入健康生活方式管理可改善下腰痛的残疾[评论]。
IF 9.7 1区 医学 Q1 ORTHOPEDICS
Journal of Physiotherapy
Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.005
Saurab Sharma
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引用次数: 0
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