Physiotherapy最新文献

{"title":"Development of a virtual reality game for rehabilitation of patients with lower extremity musculoskeletal disorders","authors":"Shamim Kiani ,&nbsp;Iman Rezaei ,&nbsp;Naghmeh Ebrahimi ,&nbsp;Sanaz Abasi ,&nbsp;Azita Yazdani","doi":"10.1016/j.physio.2025.101870","DOIUrl":"10.1016/j.physio.2025.101870","url":null,"abstract":"<div><h3>Introduction</h3><div>Exercise therapy is a commonly recommended intervention for managing musculoskeletal disorders. Utilizing virtual reality (VR) could prove effective in enhancing exercise therapy. Consequently, the objective of this study is to design and develop a prototype of a VR-based therapeutic exercise game called Vitality, which is suitable for patients with lower limb musculoskeletal disorders.</div></div><div><h3>Methods</h3><div>This development-applied study was conducted in three phases, determining the identification and confirming requirements, development, and performance evaluation. In the first phase, functionality was extracted by the Delphi technique. In the second phase, the prototype was developed using the Unity 2018 reconstruction engine. Finally, the Vitality was evaluated using the ISO/IEC 25010:2011 product quality model.</div></div><div><h3>Results</h3><div>The implementation of the first phase led to the extraction of therapeutic practice and the selection of 54 information items during two Delphi rounds for the VR game. A game prototype was then developed, focusing on each of the 16-step therapy exercises in an avatar-based fashion. The evaluation results showed that the functional suitability of the Vitality was 88% and its usability was 94%.</div></div><div><h3>Conclusions</h3><div>This research presents the VR game for the rehabilitation of different types of musculoskeletal disorders by considering more exercises and a customizable user interface that allows for game difficulty adjustment.</div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"131 ","pages":"Article 101870"},"PeriodicalIF":3.0,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Red flags to screen for tumours in patients with neck pain: A scoping review","authors":"Beatrice Occhetto ,&nbsp;Martina Ballesio ,&nbsp;Firas Mourad ,&nbsp;Marco Trucco ,&nbsp;Filippo Maselli ,&nbsp;Alessandro Chiarotto ,&nbsp;Daniel Feller","doi":"10.1016/j.physio.2025.101869","DOIUrl":"10.1016/j.physio.2025.101869","url":null,"abstract":"<div><h3>Introduction</h3><div>Neck pain is a prevalent condition that can occasionally indicate serious underlying pathologies, such as tumours. Red flags are clinical indicators used to identify patients at risk of such conditions. This scoping review systematically maps and summarizes the literature on red flags for tumours in patients presenting with neck pain in primary care, highlighting evidence gaps and priorities for future research.</div></div><div><h3>Methods</h3><div>A comprehensive search across four databases up to June 2025 targeted studies on patients of any age or gender presenting with neck pain as the primary complaint and a final diagnosis of a tumour. Only studies conducted in primary care were included, with no time or geographical restrictions. Data were synthesized quantitatively and thematically.</div></div><div><h3>Results</h3><div>From 10,211 initial records, 25 studies met the inclusion criteria, all being case reports. The most frequently reported red flags were severe neck pain, which may become progressive and constant, neurological signs and symptoms, and nocturnal neck pain. However, inconsistencies in reporting were observed: many commonly discussed red flags were absent from case reports, while some red flags highlighted in case reports are not extensively covered in the literature.</div></div><div><h3>Conclusion</h3><div>Evidence on red flags for tumours in patients with neck pain in primary care remains fragmented. While certain red flags were frequently reported, their clinical utility is limited by inconsistent reporting and a lack of robust evidence. Further research is needed to standardize red flags and assess their diagnostic accuracy to improve early tumour detection in patients with neck pain.</div></div><div><h3>Contribution of paper</h3><div><ul><li><span>•</span><span><div>Evidence regarding red flags for tumours in patients with neck pain in primary care is fragmented, underscoring the need for comprehensive history-taking and thorough clinical examination.</div></span></li><li><span>•</span><span><div>Key red flags, such as progressive pain, neurological symptoms, and nocturnal pain, are frequently reported, though inconsistencies in their documentation across studies are evident.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"131 ","pages":"Article 101869"},"PeriodicalIF":3.0,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145950132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating change in self-reported function and pain in patients with musculoskeletal concerns attending a physiotherapy student-led service","authors":"Andrea Hams ,&nbsp;Chloe Prudden ,&nbsp;Emmah Baque ,&nbsp;Tyler Collings ,&nbsp;Sandy Edwards ,&nbsp;Renae Shepherd ,&nbsp;Taryn Jones","doi":"10.1016/j.physio.2025.101866","DOIUrl":"10.1016/j.physio.2025.101866","url":null,"abstract":"<div><h3>Background</h3><div>Musculoskeletal conditions contribute significantly to global health burden through impaired function and pain. Physiotherapy student-led services provide a model for addressing community healthcare needs while offering clinical training experiences. Despite their prevalence, description of patient demographics and clinical outcomes (function and pain) remains under-explored.</div></div><div><h3>Objectives</h3><div>To evaluate changes in self-reported function and pain and describe patient demographics and presenting musculoskeletal conditions of patients accessing a student-led service.</div></div><div><h3>Design setting and participants</h3><div>Observational pre-post study at a student-led musculoskeletal physiotherapy service in Australia involving ninety-nine community-dwelling participants (Mdn age = 29 years, IQR = 22–40).</div></div><div><h3>Methods</h3><div>Final-year physiotherapy students managed patient care under senior physiotherapist supervision. Demographic and presenting condition data were collected at the initial appointment, while self-reported outcome measures of function (Patient Specific Functional Scale: PSFS) and pain (Numeric Pain Rating Scale: NPRS) were recorded at all appointments.</div></div><div><h3>Results</h3><div>A significant positive correlation was observed between appointment frequency and PSFS scores. At each appointment, the PSFS score increased by 0.8 units (95% CI 0.4 to 1.1, p &lt; .001). There was a significant negative correlation between appointment frequency and NPRS scores, with each appointment associated with a 0.6 unit decrease in NPRS scores (95% CI: -0.8 to -0.4, p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>This study adds to growing evidence describing patient-reported outcomes within student-led physiotherapy services, showing that patients attending reported improvement in self-reported function and pain. Limitations of a pragmatic service evaluation are acknowledged; further multi-site longitudinal research is recommended.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Patients attending a physiotherapy student-led service reported improvement in self-reported function and reduction in pain.</div></span></li><li><span>•</span><span><div>Student-led services may support addressing the community need for musculoskeletal care while providing meaningful clinical learning for students.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"131 ","pages":"Article 101866"},"PeriodicalIF":3.0,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145981798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“My bloody leg” – The lived experience of arthrofibrosis after total knee arthroplasty","authors":"Fiona Moffatt ,&nbsp;Melanie Narayanasamy ,&nbsp;Ben Smith ,&nbsp;Joanne Stock ,&nbsp;Katie Sheehan ,&nbsp;Cath Sackley ,&nbsp;Michelle Hall","doi":"10.1016/j.physio.2025.101862","DOIUrl":"10.1016/j.physio.2025.101862","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;Arthrofibrosis following total knee arthroplasty (TKA) is a recognised complication resulting in severe stiffness with limited options for treatment. To date, little is known about the lived experiences of those affected. This study aimed to understand the perceived impact of arthrofibrosis, the experience of the treatment pathway, and perceptions of barriers to optimal care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Participants who had undergone elective TKA with postoperative arthrofibrosis, were recruited from three NHS orthopaedic units. All interviews were conducted using a semi-structured interview schedule, digitally recorded, and transcribed verbatim. Data were analysed using thematic analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Fourteen patients were recruited. Four themes were developed from the data:&lt;/div&gt;&lt;div&gt;&lt;em&gt;Adjusting to Loss: Erosion of Function and Identity&lt;/em&gt; – the impact on function was overwhelming and significantly impaired social functioning. This resulted in self-reported adverse mental health outcomes. &lt;em&gt;Seeking Clarity and Compassion: Navigating Communication with Healthcare Professionals&lt;/em&gt; – many participants described inconsistency in advice given post-TKA, particularly concerning exercise. Many felt that they had unmet needs related to their rehabilitation. &lt;em&gt;Making Sense of a Stalled Recovery: The Quest for Answers, Solutions and Hope&lt;/em&gt; – significant emotional labour was invested in understanding what was happening to their knee. &lt;em&gt;Commitment and Constraint: Navigating Rehabilitation in Everyday Life&lt;/em&gt; – participants described a commitment to post-operative exercise regimes; all had integrated exercises into daily activities but continued to face challenges.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The experience of arthrofibrosis after TKA is disruptive, distressing and frustrating. Future development of interventions and clinical pathways should ensure person-centred approaches that offer consistency and clarity of advice, particularly regarding exercise.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Contribution of paper&lt;/h3&gt;&lt;div&gt;&lt;ul&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;This paper provides a rich account of the lived experience of arthrofibrosis after total knee arthroplasty, highlighting the significant disruption to biopsychosocial functioning.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Individuals’ experiences were framed by a quest for understanding, but their communication with healthcare professionals was typically perceived as inadequate and inconsistent.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Exercise was identified as a crucial component of rehabilitation, with individuals expressing commitment to their programmes. Other treatment adjuncts were rarely discussed.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;The results support the future development of person-centred, non-reductionist interventions that meet informational needs and support active patient involvement.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;/u","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101862"},"PeriodicalIF":3.0,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editors","authors":"","doi":"10.1016/S0031-9406(25)00391-8","DOIUrl":"10.1016/S0031-9406(25)00391-8","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101853"},"PeriodicalIF":3.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the integration of advanced practice physiotherapists in Danish hospitals","authors":"Nikolaj Agger ,&nbsp;Merete Nørgaard Madsen ,&nbsp;Cecilie Rud Budtz ,&nbsp;François Desmeules ,&nbsp;David Høyrup Christiansen","doi":"10.1016/j.physio.2025.101859","DOIUrl":"10.1016/j.physio.2025.101859","url":null,"abstract":"<div><h3>Objectives</h3><div>To map the extent of advanced practice physiotherapy (APP) integration in Danish hospitals and explore the roles and characteristics of these models of care.</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Setting</h3><div>All hospitals in Denmark (secondary care).</div></div><div><h3>Participants</h3><div>Representatives from all 36 Danish hospitals were contacted; 31 responded (86 % response rate).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main outcome measures</h3><div>Prevalence and duration of APP models, departmental placement, scope of responsibilities, and any required education or competencies.</div></div><div><h3>Results</h3><div>Seventeen of the 31 respondent hospitals (55 %) reported having APP roles. The mean duration of APP integration was 9.7 years. Most APP models were located in orthopaedic departments, although they were also present in rheumatology, internal medicine, and acute medical units. Common APP functions included initial patient examination, triage, ordering diagnostic imaging, establishing medical diagnoses, and, in some settings, performing injections or fracture repositioning. Less frequently reported functions included ultrasound examinations and cast application. All respondents noted continuous access to physician consultation. Considerable regional variation was observed in both the departmental integration of APP and the range of responsibilities undertaken by APP clinicians.</div></div><div><h3>Conclusions</h3><div>Approximately half of Danish hospitals reported established APP roles, indicating broader uptake than previously captured by global surveys. The observed variability across regions and departments underscores the need for standardized guidelines, further research on clinical effectiveness, and clarification of required competencies. Understanding these factors may help optimize APP implementation and improve patient access to timely and effective musculoskeletal and general healthcare.</div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101859"},"PeriodicalIF":3.0,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the validity of smartphone based single camera markerless motion capture technology to quantify knee range of motion in patients with knee osteoarthritis","authors":"B. Langley ,&nbsp;M. Greig ,&nbsp;T.N. Board","doi":"10.1016/j.physio.2025.101850","DOIUrl":"10.1016/j.physio.2025.101850","url":null,"abstract":"<div><h3>Background</h3><div>Single camera markerless motion capture technology offers a potential means of assessing joint function in patients with musculoskeletal disorders/diseases. The aim of this study was to determine the validity and within-session reliability of sagittal plane knee joint kinematics quantified using the Deep Vision platform in patients with knee osteoarthritis.</div></div><div><h3>Methods</h3><div>Sagittal plane knee joint kinematics were quantified using a 3D motion capture system, the msk.ai Deep Vision platform and Kinovea in fifteen patients with knee osteoarthritis. Bland Altman plots with 95 % limits of agreement were used to assess validity and within-session reliability, with mean differences and limits of agreement explored relative to ± 5° and 10° clinically meaningful thresholds, respectively. This is based on the assumption that changes in joint angles greater than 5° are clinically meaningful.</div></div><div><h3>Results</h3><div>Mean differences and 95 % limits of agreement were within the clinically meaningful thresholds when using the Deep Vision platform to quantify peak knee flexion and extension, and range of motion. Mean differences were within the clinically meaningful threshold for Kinovea based assessments, but 95 % limits of agreement exceeded the ± 10° clinically meaningful threshold for peak flexion and range of motion. All assessment methods displayed mean differences and 95 % confidence intervals within the clinically meaningful thresholds on average when comparing across repetitions to quantify within-session reliability.</div></div><div><h3>Conclusion</h3><div>The findings of the study demonstrate that the msk.ai Deep Vision platform provides a valid and reliable means of quantifying peak knee flexion, extension and range of motion.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>The Deep Vision platform, a smartphone based markerless motion capture technology, provides a valid means of measuring knee range of motion.</div></span></li><li><span>•</span><span><div>The Deep Vision platform displays high reliability when measuring knee range of motion.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101850"},"PeriodicalIF":3.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From impairment to environment: Rethinking physiotherapy practice through social determinants of health","authors":"Davy Vancampfort ,&nbsp;Brendon Stubbs ,&nbsp;Tine Van Damme","doi":"10.1016/j.physio.2025.101849","DOIUrl":"10.1016/j.physio.2025.101849","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101849"},"PeriodicalIF":3.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Letter to the Editor regarding article \"Redefining the role of physiotherapy in modern healthcare: a shift from pain relief to functional empowerment\".","authors":"Kate Purcell","doi":"10.1016/j.physio.2025.101844","DOIUrl":"https://doi.org/10.1016/j.physio.2025.101844","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":" ","pages":"101844"},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On \"Redefining the role of physiotherapy in modern healthcare: a shift from pain relief to functional empowerment\".","authors":"Seth Peterson","doi":"10.1016/j.physio.2025.101845","DOIUrl":"https://doi.org/10.1016/j.physio.2025.101845","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":" ","pages":"101845"},"PeriodicalIF":3.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}