Physiotherapy最新文献

{"title":"Editors","authors":"","doi":"10.1016/S0031-9406(26)00005-2","DOIUrl":"10.1016/S0031-9406(26)00005-2","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101879"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037540","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":"2026-03-01","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":"Comment on: a behaviour change intervention to reduce sedentary behaviour in chronic obstructive pulmonary disease: a qualitative study","authors":"Yuhuan Sun ,&nbsp;Xiaoyan Duan","doi":"10.1016/j.physio.2025.101823","DOIUrl":"10.1016/j.physio.2025.101823","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101823"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574923","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":"10.1016/j.physio.2025.101844","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101844"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","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":"Nasopharyngeal/tracheal suctioning – “Blind”, challenging and not without risk-we must do better","authors":"George Ntoumenopoulos","doi":"10.1016/j.physio.2025.101847","DOIUrl":"10.1016/j.physio.2025.101847","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101847"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571696","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":"Socio-cultural associates of pain, disability and health-related quality of life in 1350 primary care physiotherapy patients with non-specific musculoskeletal pain","authors":"Renske Annevelink ,&nbsp;Sanneke Don ,&nbsp;Jo Nijs ,&nbsp;David Beckwée ,&nbsp;Kelly Ickmans ,&nbsp;Wilfried Cools ,&nbsp;Lennard Voogt","doi":"10.1016/j.physio.2025.101804","DOIUrl":"10.1016/j.physio.2025.101804","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To 1) describe the socio-cultural characteristics of people with non-specific musculoskeletal pain (NSMSP) visiting Dutch primary care physiotherapy, and 2) to determine associations between socio-cultural factors and pain intensity, disability, and health-related quality of life (HRQoL) in people with NSMSP visiting Dutch primary care physiotherapy.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Exploratory cross-sectional study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;35 Dutch primary care physiotherapy facilities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;1350 patients with NSMSP.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main outcome measures&lt;/h3&gt;&lt;div&gt;Participants completed self-reported questionnaires on socio-cultural (e.g., migration background, living situation, education level), demographic (e.g., sex, age), health-related (e.g., smoking, Body Mass Index (BMI)), and pain-related (e.g., analgesics) factors, along with standardized measures for outcomes pain intensity, disability, and HRQoL.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;After controlling for covariates (sex, age, smoking, BMI, The Mental Health Inventory (MHI-5), co-morbidity, analgesics, and chronic widespread pain), socio-cultural variable migration background was associated with on average higher pain intensity (ß = .447, &lt;em&gt;p&lt;/em&gt; &lt; .001), higher disability (ß = 3.997, &lt;em&gt;p&lt;/em&gt; &lt; .001), and poorer mental HRQoL (ß = −1.475, &lt;em&gt;p&lt;/em&gt; &lt; .001). Unemployment was associated with higher pain intensity (ß = .279, &lt;em&gt;p&lt;/em&gt; .028) and lower physical HRQoL (ß = −1.709, &lt;em&gt;p&lt;/em&gt; .004). Overall, higher education levels were associated with better outcomes, with on average lower pain intensity found for university (ß = −.731, &lt;em&gt;p&lt;/em&gt; &lt; .001) and higher professional education levels (ß = −.358, &lt;em&gt;p&lt;/em&gt; .003) compared to no education.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Migration background, unemployment and lower education levels were on average associated with poorer pain intensity, disability and HRQoL in people with NSMSP visiting Dutch primary care physiotherapy. Due to the cross-sectional nature of this study, findings should be interpreted with caution.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Contribution of the 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 exploratory study found that migration background was associated with on average higher pain intensity (ß = .447, &lt;em&gt;p&lt;/em&gt; &lt; .001), greater disability (ß = 3.997, &lt;em&gt;p&lt;/em&gt; &lt; .001), and poorer mental health-related quality of life (ß = −1.475, &lt;em&gt;p&lt;/em&gt; &lt; .001) in people with non-specific musculoskeletal pain visiting Dutch primary care physiotherapy.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Unemployment was associated with higher pain intensity (ß = .279, &lt;em&gt;p&lt;/em&gt; .028) and lower physical health-related quality of life (ß = −1.709, &lt;em&gt;p&lt;/em&gt; .004), while higher education levels were associated with overall better non-specific musculoskeletal pain outcomes.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101804"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979082","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":"Reliability and validity of the Six-Spot Step Test in patients with total hip arthroplasty","authors":"Elif Aygun-Polat ,&nbsp;Yusuf Polat ,&nbsp;Yunus Emre Ozbilen ,&nbsp;Alperen Altun ,&nbsp;Sevim Acaroz ,&nbsp;Alper Cirakli","doi":"10.1016/j.physio.2025.101848","DOIUrl":"10.1016/j.physio.2025.101848","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the validity and reliability of the Six-Spot Step Test (SSST) in total hip arthroplasty (THA) patients.</div></div><div><h3>Design</h3><div>Cross-sectional cohort study.</div></div><div><h3>Setting</h3><div>Outpatient clinic.</div></div><div><h3>Participants</h3><div>Sixty-one patients at least six months post-primary THA.</div></div><div><h3>Main outcome measures</h3><div>The SSST was performed twice on the same day by Rater 1, along with the Timed Up and Go (TUG), Four-Square Step Test (FSST), and Berg Balance Scale (BBS). It was repeated 5–7 days later by Raters 1 and 2. Reliability was assessed using intraclass correlation coefficients (ICC) and Bland–Altman analysis; validity with Spearman’s correlation. A fall-risk cut-off was identified via receiver operating characteristic (ROC) analysis.</div></div><div><h3>Results</h3><div>Participants’ mean (SD) age was 64 (7) years, with an Oxford Hip Score of 37 (8). As defined by the Bland–Altman analysis, the agreement intervals, within which 95% of the differences of the second measurement, compared to the first one, fall were: within day −1.7 to 2.3 seconds (s), −2.3 to 2.0 seconds between day and −2.0 to 1.9 between raters. Reliability was excellent within-day (ICC: 0.95), between-day (ICC: 0.94), and inter-rater (ICC: 0.95). The SSST correlated strongly with the TUG (ρ = 0.70) and FSST (ρ = 0.81), and moderately with the BBS (ρ = −0.62). A cut-off of 10.7 seconds indicated fall risk (sensitivity: 75%; specificity: 73%; AUC = 0.82, 95% CI: 0.71–0.94, p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The SSST is a reliable and valid tool for assessing mobility in THA patients. It effectively identified fall risk in this sample, supporting its clinical use. However, further validation in different samples is required.</div></div><div><h3>Clinical Trial Registration number</h3><div>NCT06704217</div></div><div><h3>Contribution of paper</h3><div><ul><li><span>•</span><span><div>The SSST is a reliable and valid tool for assessing functional mobility in patients after total hip arthroplasty.</div></span></li><li><span>•</span><span><div>A variation exceeding the 95% limits of agreement (−2.3 to 2.0 seconds) can be considered a true performance change.</div></span></li><li><span>•</span><span><div>SSST effectively identified fall risk in this sample, with a cutoff time of 10.7 seconds.</div></span></li><li><span>•</span><span><div>Strong correlations with established balance and mobility tests support SSST’s clinical utility.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101848"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607495","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":"2026-03-01","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":"The essential role of the physiotherapy profession in incretin-based weight loss","authors":"Jade Sampford ,&nbsp;Richard Myers-Ingram ,&nbsp;Gareth D. Jones ,&nbsp;Simon Cork","doi":"10.1016/j.physio.2025.101840","DOIUrl":"10.1016/j.physio.2025.101840","url":null,"abstract":"<div><div>Obesity is a global health concern requiring multidisciplinary approaches for effective management. Incretin-based pharmacotherapies, such as glucagon-like peptide 1 receptor agonists and dual GLP-1 and glucose-dependent insulinotropic polypeptide receptor agonists, have demonstrated significant weight loss outcomes, yet their impact on body composition remains underexplored. Evidence indicates that weight loss with these medications may lead to disproportionate fat-free mass loss, heightening risks of sarcopenia and sarcopenic obesity, which are associated with frailty, comorbidities, and reduced functionality. Exercise, particularly resistance training, has proven effective in preserving fat-free mass and optimising long-term weight maintenance. Physiotherapists are uniquely positioned, as one of the largest professions within the Allied Healthcare Professional workforce, their expertise in exercise prescription, rehabilitation, and behaviour change, has the potential to address these challenges. However, concerningly, much of the guidance around the prescription of incretin-based therapies for weight loss fails to mention the inclusion of physiotherapists in the patient management team, and the impact that they can have on clinical outcomes. This debate article argues for the inclusion of physiotherapy within interdisciplinary teams managing patients on incretin-based pharmacotherapy to optimise their efficacy and promote healthier weight loss.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>This paper highlights the underutilised role of physiotherapists in incretin-based pharmacotherapy and their potential contribution to obesity management.</div></span></li><li><span>•</span><span><div>It discusses secondary health risks, particularly the often-overlooked loss of muscle mass during active weight loss, which could lead to long-term issues such as sarcopenia, sarcopenic obesity and weight regain post-treatment.</div></span></li><li><span>•</span><span><div>It advocates for integrating physiotherapists into interdisciplinary obesity management teams, emphasising their role in exercise prescription, rehabilitation and long-term condition management to improve treatment outcomes and patient experiences.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101840"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571695","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":"Response to commentary on: a behaviour change intervention to reduce sedentary behaviour in chronic obstructive pulmonary disease: a qualitative study","authors":"Sonia Wing Mei Cheng ,&nbsp;Catherine Guan ,&nbsp;Sarah Dennis ,&nbsp;Jennifer Alison ,&nbsp;Zoe McKeough","doi":"10.1016/j.physio.2025.101822","DOIUrl":"10.1016/j.physio.2025.101822","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101822"},"PeriodicalIF":3.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574919","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}