Journal of Physiotherapy最新文献

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Critically appraised paper: Progressive resistance training was not superior to neuromuscular exercise in patients with hip osteoarthritis [commentary] 批评性评价论文：渐进式阻力训练在髋关节骨关节炎患者中并不优于神经肌肉训练[评论]。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.003

Simone Battista

引用次数: 0

Critically appraised paper: Progressive resistance training was not superior to neuromuscular exercise in patients with hip osteoarthritis 批评性评价论文：渐进式阻力训练并不优于髋关节骨关节炎患者的神经肌肉运动[摘要]。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.002

Nina Østerås

引用次数: 0

Critically appraised papers: Manual therapy may improve passive cervical range of motion, symmetric head posture and reduce sternocleidomastoid tumour thickness in infants and young children with congenital muscular torticollis 批判性评价论文：手工疗法可以改善婴幼儿先天性肌性斜颈的被动颈椎活动度、对称头部姿势和减少胸锁乳突瘤的厚度[摘要]。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.008

Nikki Milne

引用次数: 0

Critically appraised papers: Manual therapy may improve passive cervical range of motion, symmetric head posture, and reduce sternocleidomastoid tumour thickness in infants and young children with congenital muscular torticollis [commentary] 批判性评价论文：手工疗法可以改善婴幼儿先天性肌性斜颈的被动颈椎活动度，对称头部姿势，并减少胸锁乳突瘤的厚度[评论]。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.007

Anita R Gross

引用次数: 0

Exploring the mediators of the BOOST intervention on walking disability at 12 months: a causal mediation analysis 探索BOOST干预12个月行走障碍的中介因素：因果中介分析。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.012

Lianne Wood , Christine Comer , Paul Newell , Daniel C Ribeiro , Esther Williamson , Sarah E Lamb

Question

Are improvements in walking disability, measured with the walking component of the Oswestry Disability Index, mediated by walking confidence, capacity, fear avoidance, pain severity and/or physical performance?

Participants

Community-dwelling adults aged ≥ 65 years.

Data analysis

A causal mediation analysis was conducted. A directed acyclic graph identified potential pre-treatment confounders. Missing data were imputed, and intervention-mediator and mediator-outcome effects were estimated, along with the natural indirect effects (NIEs) through each mediator, the natural direct effect and the total intervention effect.

Results

The analysis included 435 participants. At 12 months, participants receiving the BOOST intervention had greater odds of walking more than one-quarter of a mile (and less than a mile) than those in the control arm (OR 1.38, 95% CI 0.85 to 2.16). The combined NIE via all mediators favoured the intervention (OR 0.71, 95% CI 0.56 to 0.91). The intervention improved walking disability in part by increasing walking confidence at 6 months (NIE OR 0.87, 95% CI 0.76 to 1.00) and reducing pain severity (NIE OR 0.90, 95% CI 0.79 to 1.02), which accounted for 41% and 32% of the combined indirect effect from all mediators, respectively.

Conclusion

The BOOST intervention improved walking disability primarily through improving the walking confidence and pain severity of older adults with neurogenic claudication. Clinicians should prioritise interventions that build walking confidence (such as walking practice and dynamic balance exercises) and reduce pain severity, to optimise long-term mobility outcomes.

Trial registration

ISRCTN12698674.

问题：用Oswestry残疾指数（Oswestry disability Index）的步行部分衡量的步行残疾的改善是否由步行信心、能力、恐惧回避、疼痛严重程度和/或身体表现介导？参与者：≥65岁的社区居民。数据分析：进行因果中介分析。有向无环图确定了潜在的预处理混杂因素。对缺失数据进行估算，并估计干预-中介效应和中介-结局效应，以及通过每种中介的自然间接效应（NIEs）、自然直接效应和总干预效应。结果：分析包括435名参与者。在12个月时，接受BOOST干预的参与者比对照组的参与者步行超过四分之一英里（不到一英里）的几率更大（OR 1.38, 95% CI 0.85至2.16）。通过所有介质的联合NIE有利于干预（OR 0.71, 95% CI 0.56至0.91）。干预改善行走障碍的部分原因是在6个月时增加行走信心（NIE OR 0.87, 95% CI 0.76至1.00）和减轻疼痛严重程度（NIE OR 0.90, 95% CI 0.79至1.02），这分别占所有介质间接效应的41%和32%。结论：BOOST干预主要通过改善老年神经源性跛行患者的行走信心和疼痛程度来改善行走障碍。临床医生应该优先考虑建立步行信心（如步行练习和动态平衡练习）和减轻疼痛严重程度的干预措施，以优化长期的活动结果。试验注册：ISRCTN12698674。

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引用次数: 0

Physiotherapists prioritise compassionate and patient-centred care while navigating systemic constraints and ethical dilemmas in cancer rehabilitation: a mixed-methods study 物理治疗师优先考虑富有同情心和以患者为中心的护理，同时在癌症康复中导航系统约束和伦理困境：一项混合方法研究。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.03.007

Gianluca Bertoni , Sara Patuzzo Manzati , Valentina Conti , Marco Testa , Simone Battista

Question

How do physiotherapists address bioethical issues in cancer rehabilitation? What drives physiotherapists’ clinical actions regarding non-disclosure, patient autonomy, risk-benefit balance and treatment withdrawal?

Design

A mixed-methods study with an explanatory sequential design.

Participants

681 Italian registered physiotherapists recruited via the National Federation of Physiotherapists’ Registers.

Intervention

An online survey assessed physiotherapists’ ethical responses, followed by focus groups with participants whose survey responses aligned with key bioethical principles: beneficence/non-maleficence, self-determination, justice/equity, defensive prudence and compassionate care.

Outcome measures

Quantitative data identified bioethical principles adherence patterns, while qualitative analysis explored the reasoning behind these ethical stances.

Results

Quantitative findings highlighted compassionate care as the most emphasised principle (29%), followed by self-determination (26%) and defensive prudence (23%). Beneficence/non-maleficence (16%) and justice and equity (6%) were less prioritised. Qualitative analysis identified five themes: functional recovery as dignity (‘clinical good is the patient good’), patient autonomy (‘patient knows better’), equity concerns (‘everyone deserves care’), risk aversion (‘it’s better not to take risks’) and the relational nature of care (‘relationships can heal’). The mixed-methods integration showed how physiotherapists balance ethical ideals with systemic constraints, highlighting the importance of care equity, not underscored by the sole quantitative data.

Conclusion

Physiotherapists working in cancer rehabilitation prioritise compassionate and patient-centred care while facing systemic constraints, risks and professional responsibilities. This study offers a framework for future research internationally and on other healthcare professionals.

问：物理治疗师如何解决癌症康复中的生物伦理问题？是什么驱使物理治疗师在保密、患者自主、风险-收益平衡和治疗退出方面采取临床行动？设计：采用解释顺序设计的混合方法研究。参与者：681名意大利注册物理治疗师，通过全国物理治疗师注册联合会招募。干预：一项在线调查评估了物理治疗师的道德反应，随后是焦点小组，参与者的调查回答符合关键的生物伦理原则：善行/非恶意，自决，正义/公平，防御谨慎和同情护理。结果测量：定量数据确定了生物伦理原则的遵守模式，而定性分析探讨了这些伦理立场背后的原因。结果：定量研究结果强调，最强调的原则是同情关怀（29%），其次是自我决定（26%）和防御谨慎（23%）。慈善/非恶意（16%）和正义与公平（6%）的优先级较低。定性分析确定了五个主题：功能康复作为尊严（“临床好就是病人好”）、病人自主（“病人知道得更多”）、公平关切（“每个人都应该得到护理”）、风险规避（“最好不要冒险”）和护理的关系本质（“关系可以治愈”）。混合方法的整合显示了物理治疗师如何平衡伦理理想与系统约束，突出了护理公平的重要性，而不是由单一的定量数据强调。结论：癌症康复理疗师在面临系统约束、风险和职业责任的同时，优先考虑富有同情心和以患者为中心的护理。本研究为未来国际和其他医疗保健专业人员的研究提供了一个框架。

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引用次数: 0

Physiotherapy for surgical patients 外科病人的物理治疗。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.05.011

Sarah White , Mark R Elkins

引用次数: 0

Physiotherapy management of pleural effusion 胸腔积液的物理治疗。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-07-01 DOI: 10.1016/j.jphys.2025.06.009

Mark R Elkins

引用次数: 0

Journal publication information 期刊出版信息

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/S1836-9553(25)00031-1

引用次数: 0

Critically appraised paper: In-bed cycle ergometry in mechanically ventilated patients is safe but does not improve physical function after intensive care discharge [synopsis] 评价论文：机械通气患者的床上周期几何术是安全的，但不能改善重症监护出院后的身体功能[摘要]。

IF 9.7 1区医学 Q1 ORTHOPEDICS

Journal of Physiotherapy

Pub Date : 2025-04-01 DOI: 10.1016/j.jphys.2024.11.017

Prudence Plummer

引用次数: 0

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