Physiotherapy最新文献

{"title":"Reply to letter to the editor regarding article: “‘we’re stuck in recruitment, because we can’t retain’: an interview study exploring physiotherapy recruitment and retention in rural Australia”","authors":"Ryan L. McGrath , Vivianne Phung , Maddison McAlister , Anusha Budehal , Anna Terry , Nimesh Arachchi , Debra Virtue , Tandy Hastings-Ison","doi":"10.1016/j.physio.2025.101820","DOIUrl":"10.1016/j.physio.2025.101820","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101820"},"PeriodicalIF":3.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318833","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":"Letter to editor (in reply): a cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial","authors":"Noemí Valtueña-Gimeno , Óscar Fabregat-Andrés , Isabel Martinez-Hurtado , Francisco José Martinez-Olmos , Marta Lluesma-Vidal , María Dolores Arguisuelas , Francisco-José Ferrer-Sargues","doi":"10.1016/j.physio.2025.101813","DOIUrl":"10.1016/j.physio.2025.101813","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101813"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979065","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":"A qualitative study exploring the desired elements, potential benefits, barriers and facilitators of a physiotherapy-led exercise-based service in a primary care setting to improve the quality of life of people with metastatic breast cancer.","authors":"J M C V O'Riordan, Ruth McCullagh, Grainne Sheill, Helen P French, Frances Horgan","doi":"10.1016/j.physio.2025.101812","DOIUrl":"https://doi.org/10.1016/j.physio.2025.101812","url":null,"abstract":"<p><strong>Objective: </strong>Cancer rehabilitation interventions can improve quality of life (QOL) in people with metastatic breast cancer (PwMBC), but little is known on how to tailor cancer rehabilitation strategies in a primary care (primary care) setting. Using Focus Group Discussion (FGDs) including PwMBC and physiotherapists, this qualitative study aimed to explore the desired elements, potential benefits, barriers and facilitators of a proposed physiotherapy-led, exercise-based cancer rehabilitation service in a primary care setting to improve the QOL of PwMBC.</p><p><strong>Methods: </strong>We used a World Café approach guided by interpretative description qualitative methodology and the Braun and Clarke process. We included PwMBC and physiotherapists working in primary care, national and local acute oncology and palliative care services in three FGDs. All FGDs were transcribed and analysed inductively. The COnsolidated criteria for REporting Qualitative research checklist was used.</p><p><strong>Results: </strong>FGD1 (N = 13) comprised of physiotherapists working in primary care and national acute oncology care settings. FGD2 included PwMBC (N = 4). FGD3 (N = 4) included physiotherapists working in palliative and local acute care settings. Three themes were identified. 1. 'Empowerment' highlighted potential benefits and facilitators including the maintenance of overall health, a self-management approach, symptom management and maintaining independence. 2. 'Social safety' outlined elements of the proposed intervention including primary care setting, multi-disciplinary approach, appropriate resources and access to information. 3. 'Trust' suggested barriers including lack of: suitably trained therapists to provide intervention, bidirectional communication, shared care management and the importance of causing no harm.</p><p><strong>Conclusions: </strong>PwMBC are underrepresented in cancer rehabilitation and this research provides evidence supporting strategies and interventions to optimise rehabilitation of PwMBC. CONTRIBUTION OF THE PAPER.</p>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":" ","pages":"101812"},"PeriodicalIF":3.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356802","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":"Closing the mind-body divide: physiotherapists as leaders in pain management in serious mental illness","authors":"Brendon Stubbs ,&nbsp;Ryan L. McGrath ,&nbsp;Davy Vancampfort","doi":"10.1016/j.physio.2025.101821","DOIUrl":"10.1016/j.physio.2025.101821","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101821"},"PeriodicalIF":3.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318879","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":"Letter to the editor: “we’re stuck in recruitment, because we can’t retain”: an interview study exploring physiotherapy recruitment and retention in rural Australia","authors":"Renu Sah ,&nbsp;Ankita Mathur","doi":"10.1016/j.physio.2025.101818","DOIUrl":"10.1016/j.physio.2025.101818","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"130 ","pages":"Article 101818"},"PeriodicalIF":3.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318899","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":"Co-design of a personalised physical activity intervention for stroke survivors","authors":"Natalie A. Fini ,&nbsp;Emily Ramage ,&nbsp;Julie Bernhardt ,&nbsp;Erin Bicknell ,&nbsp;Chris Tzefronis ,&nbsp;Paul Fink ,&nbsp;Erin Godecke ,&nbsp;Jill Francis ,&nbsp;Rebecca Wood ,&nbsp;Nicole Li ,&nbsp;Brandon Lin ,&nbsp;Coralie English ,&nbsp;Catherine M. Said","doi":"10.1016/j.physio.2025.101817","DOIUrl":"10.1016/j.physio.2025.101817","url":null,"abstract":"<div><h3>Introduction/ aims</h3><div>Incorporating the perspectives of knowledge-users such as stroke survivors into intervention development processes can enhance their relevance and feasibility. The aims of this study were: i) to use co-design to determine “active ingredients” and develop a personalised physical activity intervention for stroke survivors, and ii) to evaluate the co-design process.</div></div><div><h3>Methods</h3><div>A four-stage integrated knowledge translation approach (involving planning and workshops) was applied to co-design a post-stroke physical activity intervention. Knowledge-user participants (stroke survivors (<em>n</em> = 10), carers (<em>n</em> = 3) and clinicians (<em>n</em> = 12)) were recruited.</div><div>Knowledge-user participants (<em>n</em> = 25) and the research team (<em>n</em> = 13) were invited to participate in a survey evaluation of the co-design process. Quantitative survey responses were analysed descriptively. Open-ended responses were grouped and summarised as key findings.</div></div><div><h3>Results</h3><div>Knowledge-users highlighted that flexibility in intervention delivery, consideration of personal preferences, aphasia-friendly resources and ongoing support were important intervention active ingredients. The developed physical activity intervention included a shared decision-making process, programme set-up, ongoing support and resources.</div><div>High levels of trust, transparency and shared learning in the co-design process were reported by 81% of knowledge-users on project completion. Survey key findings included: 1) Co-design and the lived experience are highly valued by all involved. 2) Output that improves stroke care is important. 3) The co-design workshops provided a respectful atmosphere with opportunity for open discussion. 4) Participation in co-design can be personally beneficial.</div></div><div><h3>Conclusions</h3><div>Using co-design, active ingredients were identified, and a comprehensive post-stroke physical activity intervention was developed. The co-design process was highly regarded by all and added valuable insights.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Co-design is an important component of intervention development in stroke rehabilitation.</div></span></li><li><span>•</span><span><div>Stroke survivors and clinicians highlight that flexibility, personalisation, having options, and ongoing support were important active ingredients of this post-stroke physical activity programme.</div></span></li><li><span>•</span><span><div>Co-design processes that demonstrate trust, respect, transparency and shared-learning are highly valued and beneficial to knowledge-users and researchers.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101817"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932848","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":"Acceptability and feasibility of a novel postural management night-time intervention to improve respiratory health of children and young people with complex neurodisability (Breathe-Easy): proof of concept study","authors":"Sarah Crombie ,&nbsp;Diane Sellers ,&nbsp;Akshat Kapur ,&nbsp;Jessica Baskerville ,&nbsp;Stephen Bremner ,&nbsp;Christopher Morris","doi":"10.1016/j.physio.2025.101816","DOIUrl":"10.1016/j.physio.2025.101816","url":null,"abstract":"<div><h3>Objectives</h3><div>Children and young people with complex neurodisability (CYPCN) are at high risk of respiratory illness, frequent hospital admissions and premature death. This study aimed to test the acceptability and feasibility of Breathe-Easy, a novel night-time postural intervention to improve respiratory health in CYPCN.</div></div><div><h3>Design</h3><div>Case series design incorporating a pre-post interventional study and qualitative study.</div></div><div><h3>Setting</h3><div>Intervention conducted at home by parents/carers.</div></div><div><h3>Participants</h3><div>CYPCN aged 2 to 18 years, dependent on others to move, swallowing difficulties, gastrostomy/jejunostomy, and under care of a respiratory paediatrician.</div></div><div><h3>Intervention</h3><div>Breathe-Easy protocol included CYPCN lying on a flat bed, three-quarters prone or side-lying using existing night-time positioning equipment. A bile-bag was used to minimise reflux. CYPCN trialled intervention for 6 months.</div></div><div><h3>Main outcome measures</h3><div>Measures of respiratory health and sleep were collected at baseline, three and six months. Semi-structured interviews were conducted with parents, CYPCN, and healthcare professionals post intervention. Data analysis comprised descriptive statistics and thematic analysis.</div></div><div><h3>Results</h3><div>Eleven CYPCN were recruited; eight completed the trial. We interviewed 5 CYPCN, 9 parents, 8 healthcare professionals, 6 carers and one teaching assistant. Positive views were expressed regarding sleep quality, breathing, secretion management and reduced hospitalisation. Overall improvement in respiratory health and sleep measures. All eight participants planned to continue with Breathe-Easy.</div></div><div><h3>Conclusion</h3><div>Breathe-Easy appears acceptable and feasible. Further research will need to evaluate feasibility of implementation by other teams and families, and any impact on progressive musculoskeletal deformity, including addressing methodological challenges gathering key outcomes and adverse events.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Aspiration is a common cause of respiratory illness and CYPCN may be at risk of aspiration of saliva or stomach contents if positioned on their backs to sleep.</div></span></li><li><span>•</span><span><div>The Breathe-Easy intervention provides a novel night-time position with the potential to improve breathing, sleep, help prevent respiratory illness and improve quality of life.</div></span></li><li><span>•</span><span><div>Effects of this new positioning will need to be evaluated with respect to any consequences for progressive musculoskeletal deformity.</div></span></li><li><span>•</span><span><div>This study highlighted the feasibility of some outcome measures and need for review in future research.</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101816"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144997182","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":"Quality of reporting matched interventions for non-specific neck pain in randomised controlled trials and its association with trial outcomes: a secondary analysis of a systematic review","authors":"Paolo Mastromarchi ,&nbsp;Stephen May ,&nbsp;Nancy Ali ,&nbsp;Sionnadh McLean ,&nbsp;George M. Peat","doi":"10.1016/j.physio.2025.101815","DOIUrl":"10.1016/j.physio.2025.101815","url":null,"abstract":"<div><h3>Background</h3><div>Exercise and manual therapy are recommended for managing non-specific neck pain (NSNP), but most randomised controlled trials (RCT) have not identified specific subgroups that might respond best to each intervention. Although matched exercise was found to be superior to unmatched interventions in the short term, high heterogeneity in effectiveness estimates and variable levels of intervention fidelity and quality of delivery may contribute to inconsistent findings on the effectiveness of matched or stratified care.</div></div><div><h3>Objectives</h3><div>To assess the quality of intervention reporting and its relationship to treatment effect estimates in RCTs comparing matched versus unmatched exercise or manual therapy interventions for NSNP.</div></div><div><h3>Design</h3><div>Secondary analysis of a systematic review with meta-analysis.</div></div><div><h3>Methods</h3><div>For all included RCTs, independent reviewers rated the quality of intervention reporting using the TIDieR checklist. Meta-regression was used to assess the direction and magnitude of association between TIDieR scores and treatment effect estimates (standardised mean difference of change scores) for short-term pain and disability outcomes.</div></div><div><h3>Results</h3><div>The items related to intervention fidelity were not adequately reported. Materials used, intervention provider, location and modification were inconsistently reported. Poorer quality of intervention reporting was associated with larger treatment effect estimates in short-term pain and disability in favour of matched interventions.</div></div><div><h3>Conclusions</h3><div>Trials with inadequate intervention reporting may overestimate the benefits of matched exercise or manual therapy treatments for NSNP. The lack of SUFFICIENT information to judge intervention fidelity in this field reinforces the need for better guidance on this specific aspect of study design, conduct, and reporting.</div></div><div><h3>Contribution of the Paper</h3><div><ul><li><span>•</span><span><div>Reporting of intervention fidelity in trials comparing matched versus unmatched exercise or manual therapy in non-specific neck pain is sub-optimal.</div></span></li><li><span>•</span><span><div>Trials with poorer completeness of intervention reporting tend to favour matched interventions</div></span></li></ul></div></div>","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101815"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144919854","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":"Letter to editor: a cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial","authors":"Benil Nesli Ata","doi":"10.1016/j.physio.2025.101814","DOIUrl":"10.1016/j.physio.2025.101814","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101814"},"PeriodicalIF":3.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979090","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":"Moving minds: strengthening mental health through physiotherapy in low-income settings","authors":"Davy Vancampfort ,&nbsp;James Mugisha","doi":"10.1016/j.physio.2025.101810","DOIUrl":"10.1016/j.physio.2025.101810","url":null,"abstract":"","PeriodicalId":54608,"journal":{"name":"Physiotherapy","volume":"129 ","pages":"Article 101810"},"PeriodicalIF":3.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878448","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}