Physiotherapy [JOURNAL]
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200 papers
Letter to the Editor: "A cardiac rehabilitation programme based on neuromuscular training improves the functional capacity of patients with acute coronary syndrome: a preliminary randomised controlled trial".
Mall A, Rasotra R
Physiotherapy · 2026 Jun · PMID 40121122 · Publisher ↗
Abstract loading — click title to view on PubMed.
The impact of physical changes to appearance on people with vertebral fragility fracture: a qualitative study.
Barker KL, Hannink E, Room J … +1 more , Toye F
Physiotherapy · 2025 Jun · PMID 40120571 · Publisher ↗
OBJECTIVES: The aim of this study was to explore the experiences of people with Vertebral Fragility Fracture (VFF) due to osteoporosis and the impact of the physical changes resulting from their condition. DESIGN: Interp...
OBJECTIVES: The aim of this study was to explore the experiences of people with Vertebral Fragility Fracture (VFF) due to osteoporosis and the impact of the physical changes resulting from their condition. DESIGN: Interpretive qualitative research using semi-structured individual interviews PARTICIPANTS: Eighteen people with VFF were interviewed; nine men and nine women. Participants ranged in age from 55 to 92 years and had between 1 and 10 previous vertebral fragility fractures. SETTING: Interviews were offered in participants own homes, at the hospital or by Microsoft TEAMS or telephone. These were audio-recorded, transcribed verbatim, and analysed through reflexive thematic analysis. RESULTS: Results are presented within four themes: loss of height; finding spinal curvature upsetting, the impact on looking good and whether having a stoop was inevitable or could be prevented by active engagement. CONCLUSION: The findings show the negative impact on self-image caused by the physical manifestations of a VFF and that these can be as significant and distressing as pain and functional limitations. This information is useful for physiotherapists treating people with vertebral fragility fractures offering insight into the patients' experiences of these physical changes. CONTRIBUTION OF THE PAPER.
Exploring the concept of feedback provision during motor skill training for people living with a long - term neurological impairment: a scoping review.
Papakonstantinou KN, van der Linden ML, Baer G
Physiotherapy · 2025 Jun · PMID 40120570 · Publisher ↗
BACKGROUND: Feedback plays a fundamental role in motor skill training. A significant challenge that physiotherapists face during daily clinical practice is to structure, formulate and deliver feedback in an efficient man...
BACKGROUND: Feedback plays a fundamental role in motor skill training. A significant challenge that physiotherapists face during daily clinical practice is to structure, formulate and deliver feedback in an efficient manner, incorporating a standardized approach that will facilitate motor skill acquisition for people with neurological disorders. OBJECTIVES: The objective of this scoping review was to identify and describe feedback provided by physiotherapists during the rehabilitation process of people living with long-term neurological impairments. DATA SOURCES: A comprehensive search across the following databases was undertaken: PubMed, Cochrane Library, Medline, PsycINFO, CINAHL, Sport Discus, Web of Science and Pedro STUDY SELECTION: Articles were included if they reported on studies involving feedback applied by the therapist during rehabilitation for people living with long-term neurological impairments. SYNTHESIS METHODS: A narrative synthesis was undertaken to describe and appraise the current state of the literature RESULTS: Eighteen articles were included and analysed in this scoping review. Most of the articles involved stroke patients, apart from one study that involved cerebral palsy children and another one including patients with Parkinson disease. Verbal feedback was the most described type of feedback. Verbal feedback and other types of feedback identified have not been reported with consistency and clarity. It was also found that the feedback provided was often not described in sufficient detail. CONCLUSION: Feedback protocols used in the rehabilitation of people living with long-term conditions have been poorly described and structured in the articles included in this review. CONTRIBUTION OF THE PAPER.
Effect of involving physiotherapists in the management of low back pain at emergency departments: a systematic review.
Rolving N, Kræmmer J, Rafaelsen C … +4 more , Jørgensen CK, Andersen ED, Sauer AT, Riis A
Physiotherapy · 2025 Jun · PMID 40014896 · Publisher ↗
OBJECTIVES: To conduct a systematic review investigating the effects of physiotherapy in emergency departments (EDs) on health care use and patient-reported outcomes for patients referred to EDs due to low back pain (LBP...
OBJECTIVES: To conduct a systematic review investigating the effects of physiotherapy in emergency departments (EDs) on health care use and patient-reported outcomes for patients referred to EDs due to low back pain (LBP), compared with usual care. METHODS: A search was conducted in PubMed, Cinahl and Embase in April 2023, and rerun in September 2024. Randomised and quasi-randomised trials and observational studies including adult patients referred to an ED due to LBP were eligible. Study quality was assessed using ROBINS-I and PEDro, and the strength of the evidence was assessed using GRADE. RESULTS: Included studies were three retrospective cohorts, two prospective cohorts and two randomised controlled trials, totalling 4,057 patients. Four of six studies were rated as serious risk of bias, primarily due to limitations in the study design, two studies were rated as moderate risk, and one as low risk. Overall, the studies indicated a positive effect of ED physiotherapy in comparison with usual care in relation to length of stay, imaging and patient satisfaction. For the remaining outcomes on health-care use and patient-reported outcomes, findings were inconclusive. For all outcomes, the certainty of the evidence was considered very low or low. CONCLUSIONS: The present review indicates that there may be beneficial effects of involving PTs in the management of patients with LBP in EDs. However, given the very low certainty of evidence the findings should be interpreted with great caution. Future high level evidence studies in the field should therefore be a priority. REGISTRATION NUMBER PROSPERO: CRD42023420107. CONTRIBUTION OF THE PAPER.
Nonsurgical treatment of chronic idiopathic urinary retention: a scoping survey of physiotherapists' perspectives.
McRae S, Nielsen G, McLoughlin C … +6 more , McWhirter L, Davie C, Vasquez N, Carson A, Stone J, Hoeritzauer I
Physiotherapy · 2025 Jun · PMID 40009958 · Publisher ↗
BACKGROUND: Treatment for chronic idiopathic urinary retention often involves invasive or surgical inventions. Physiotherapy may have a range of non-invasive treatments to offer, but this is under studied. PURPOSE: To su...
BACKGROUND: Treatment for chronic idiopathic urinary retention often involves invasive or surgical inventions. Physiotherapy may have a range of non-invasive treatments to offer, but this is under studied. PURPOSE: To survey healthcare professionals exploring their experience and understanding of non-surgical treatments for chronic idiopathic urinary retention. MATERIALS AND METHODS: An online survey was conducted using purposive sampling to include healthcare professionals who see patients with chronic idiopathic urinary retention. RESULTS: There were 100 responses with 20/100 (20%) answering the optional "specialist" questions. Ninety percent perceived that chronic idiopathic urinary retention occurred with other conditions. Perception of recovery was poor. Only 3/20 (15%) perceived that more than half of patients improve. Non-surgical interventions included: education, pelvic floor physiotherapy, biofeedback, and tibial nerve stimulation. There were moderate to high levels of interest in treating this condition but low levels of confidence in ability. Seventy percent (70/100) perceived a lack of support from referrers and multidisciplinary colleagues. CONCLUSIONS: Health professionals were interested in treating chronic idiopathic urinary retention and perceived that physiotherapy had something to offer this patient group. The low reported levels of confidence in ability reflects the lack of supporting literature. CONTRIBUTION OF THE PAPER.
Letter to the 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.
Valtueña-Gimeno N, Fabregat-Andrés Ó, Martinez-Hurtado I … +4 more , Martinez-Olmos FJ, Lluesma-Vidal M, Arguisuelas MD, Ferrer-Sargues FJ
Physiotherapy · 2025 Sep · PMID 39986955 · Publisher ↗
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Association of preoperative spirometry with postoperative pulmonary complications and prolonged length of hospital stay following coronary artery graft surgery.
Reeves JM, Bannon P, Steffens D … +1 more , Carey S
Physiotherapy · 2025 Jun · PMID 39954536 · Publisher ↗
PURPOSE: Ventilatory function measured by spirometry is commonly performed preoperatively in people undergoing coronary artery graft surgery (CAGS). Minimal information exists on the associations between spirometry param...
PURPOSE: Ventilatory function measured by spirometry is commonly performed preoperatively in people undergoing coronary artery graft surgery (CAGS). Minimal information exists on the associations between spirometry parameters, postoperative pulmonary complications (PPC), and prolonged (≥7 days) length of hospital stay (LOHS) following cardiac surgery. This study aims to investigate the relationships between preoperative spirometry values with both PPC and prolonged LOHS in patients undergoing CAGS, and to compare the predictive value of preoperative spirometry against other known PPC risk factors. METHODS: This retrospective observational cohort study analysed patients undergoing preoperative spirometry and CAGS at Royal Prince Alfred Hospital between January 2017 and December 2021. Forced expiratory volume in the first one second (FEV) and forced vital capacity (FVC) were measured. For each patient, both were converted to percentage of predicted value for a healthy person with matched characteristics termed FEV%pred and FVC%pred respectively. The association between FEV%pred and FVC%pred against the incidence of PPC and prolonged LOHS was determined using multivariate logistic regression analysis. RESULTS: 956 patients [773 male, mean (SD): age 65 (10) years; BMI 29 (6)] were analysed. Lower FEV%pred was associated with PPC (odds ratio: 0.99; 95% CI: 0.98 to 0.99, P = 0.009) and prolonged LOHS (odds ratio: 0.99; 95% CI: 0.98 to 0.99, P = 0.003). FVC%pred was not associated with PPC or prolonged LOHS in multivariate analyses. CONCLUSIONS: Preoperative spirometry could be valuable in predicting risk of PPC and prolonged LOHS in people undergoing CAGS and therefore could be useful in identifying at risk patients preoperatively. CONTRIBUTION OF THE PAPER.
Development and evaluation of text messages designed for people with COPD on the mobile pulmonary rehabilitation (m-PR™) platform.
Dale MT, Wootton SL, Alison J … +10 more , McNamara R, Leung R, Spencer L, Colman Z, McAnulty A, King M, Dennis S, Yang IA, Chan ASL, McKeough Z
Physiotherapy · 2025 Jun · PMID 39951834 · Publisher ↗
OBJECTIVE: To develop and evaluate the ease of understanding and helpfulness of text messages designed to educate, support and motivate people with chronic obstructive pulmonary disease (COPD) as part of an eight-week mo...
OBJECTIVE: To develop and evaluate the ease of understanding and helpfulness of text messages designed to educate, support and motivate people with chronic obstructive pulmonary disease (COPD) as part of an eight-week mobile pulmonary rehabilitation program (m-PR™). DESIGN, PARTICIPANTS, SETTING AND OUTCOME MEASURES: Text messages were developed in an iterative three stage process: i. development of 85 evidence-based text messages by multidisciplinary health professionals. ii. A survey, including random samples of text messages, was completed by people with COPD who attended a pulmonary rehabilitation assessment at one of five programs in Australia. For each message, participants rated the ease of understanding and helpfulness using a Likert scale and answered an open-ended question seeking feedback. iii. Review of all scores and free text comments informed retention, modification or removal of a text message with the final text messages evaluated for readability. RESULTS: Eighty-six participants with COPD completed the survey (86/100, 86%; mean (standard deviation) age 72 (9) years; 58% female). Each text message was reviewed by a minimum of five participants. The median score for ease of understanding and helpfulness of text message content was 5 ('strongly agree') and 4 ('agree') respectively. Following review of all text messages, the final bank of 80 text messages had a Flesch-Kincaid Grade level of 6.5 indicating that the messages were fairly easy to read. CONCLUSION: Most participants with COPD agreed that text messages developed for m-PR™ were easy to understand and helpful. For people with COPD, text messages may educate, support and improve motivation during a pulmonary rehabilitation program. CONTRIBUTION OF PAPER.
Current practice of targeted breathing exercises after abdominal and cardiothoracic surgery: a national multicentre observational study.
Fagevik Olsén M, Svensson-Raskh A, Westerdahl E … +3 more , Nygren Bonnier M, Reeve J, Sehlin M
Physiotherapy · 2025 Jun · PMID 39946932 · Publisher ↗
OBJECTIVES: To describe the timing and type of the first targeted breathing exercises after abdominal and cardiothoracic surgery, and to identify factors associated with early initiation (Commencement within three hours...
OBJECTIVES: To describe the timing and type of the first targeted breathing exercises after abdominal and cardiothoracic surgery, and to identify factors associated with early initiation (Commencement within three hours after arriival to a postoperative ward). DESIGN: Multicentre observational study. METHODS: In 18 hospitals in Sweden, the start time and type of targeted breathing exercises were recorded in consecutive series of patients who underwent abdominal or cardiothoracic surgery. Demographic data were retrieved from hospital records. Patients were divided into seven groups based on the category of surgery. RESULTS: In total, 1492 patients were included in this study; of these, 1128 (76%) performed some form of targeted breathing exercise after surgery. Targeted breathing exercises commenced a median of 3.63 hours (interquartile range 1.58 to 11.75 hours) after arrival on a postoperative ward, with earlier commencement after minor abdominal surgery and later commencement after major abdominal surgery (P < 0.001). Most patients who performed targeted breathing exercises used positive expiratory pressure (n = 968/1492, 65%) or deep breathing without any devices (n = 207/1492, 14%). The odds of initiating breathing exercises within the first 3 hours after arrival on a postoperative ward were higher if a patient underwent pulmonary or abdominal surgery [odds ratio (OR) > 2.04; P < 0.001], or had intravenous analgesia (OR 1.50, 95% CI 1.05 to 2.14; P = 0.026). The odds were lower (OR 0.43, 95% CI 0.21 to 0.88; P = 0.021) for patients who arrived on the postoperative ward in the evening/night or for patients who had undergone laparoscopic surgery (OR 0.63, 0.43-0.92, p=0.018). CONCLUSION: The majority (76%) of patients undergoing abdominal or cardiothoracic surgery performed some form of targeted breathing exercise, starting a median of 3.63 hours after arrival on a postoperative ward. TRIAL REGISTRATION: "FoU in Sweden" (Research and Development in Sweden) ID: 275357 and Clinical Trials NCT04729634. CONTRIBUTION OF THE PAPER.
Can healthcare practitioners deliver health behaviour change to patients with musculoskeletal injuries as part of routine care?: a feasibility study.
Fisher B, Dennison E, McDonald H … +2 more , Rimmer T, Fallowfield JL
Physiotherapy · 2025 Jun · PMID 39946931 · Publisher ↗
The requirement to consider whole patient health is a core component of physiotherapy professional standards across several countries, including the U.K, Australia, New Zealand and the U.S.A. Although the wording varies,...
The requirement to consider whole patient health is a core component of physiotherapy professional standards across several countries, including the U.K, Australia, New Zealand and the U.S.A. Although the wording varies, the standards place an obligation on practitioners to promote good health and prevent ill-health in patients. However, healthcare practitioners have reported a lack of confidence and skills to provide the necessary health behaviour change support. This study assessed the feasibility of implementing a practitioner training programme designed to enable physiotherapists to deliver health behaviour change support to patients with musculoskeletal injuries during the care pathway. A mixed-methods study utilising a quality improvement (QI) programme approach included the delivery of a training package to 21 healthcare practitioners at three musculoskeletal (MSK) primary care clinics within UK Defence. The study used the RE-AIM framework to guide the evaluation of programme implementation and determine factors influencing feasibility, successful adoption and maintenance by practitioners. Qualitative data including focus groups were used to inform assessment of the programme. The development of a patient health behaviour self-report tool, the Defence Health Behaviour Index (DHBI), is reported and its utility to initiate health conversations, where 99% of patients (n = 750) completed the DHBI. Evidence is presented demonstrating that it was possible to deliver training that enabled physiotherapists to include health behaviour change interventions during routine care, and that patients were receptive to these interventions. However, there were individual and organisational challenges in implementing this QI programme across a multi-centre, multi-practitioner patient population. CONTRIBUTION OF THE PAPER.
Best practice recommendations for physiotherapists providing telerehabilitation to First Nations people: a modified Delphi study.
Petry Moecke D, Holyk T, Campbell KL … +2 more , Ho K, Camp PG
Physiotherapy · 2025 Jun · PMID 39919644 · Publisher ↗
OBJECTIVES: This study aimed to develop best practice recommendations for physiotherapists providing telerehabilitation to First Nations people. DESIGN: Modified Delphi study. PARTICIPANTS: Eighteen experts from four gro...
OBJECTIVES: This study aimed to develop best practice recommendations for physiotherapists providing telerehabilitation to First Nations people. DESIGN: Modified Delphi study. PARTICIPANTS: Eighteen experts from four groups were selected: (a) physiotherapists who provide telerehabilitation to First Nations people, (b) Carrier Sekani Family Services leaders (CSFS, First Nations-led health organization/research partners), (c) telehealth experts from British Columbia (BC), Canada, and (d) First Nations individuals (end users) with experience in telerehabilitation. METHODS: Panelists rated recommendations on telehealth best practices in two rounds using an online questionnaire. Recommendations were synthesized from a scoping review and two qualitative studies. Each statement was rated on a four-point Likert scale indicating whether it was essential, useful, not useful, or unnecessary for inclusion in the best practices. Statements endorsed by ≥80% of panel members were considered for inclusion in the final document. RESULTS: Following the Delphi process, 77 recommendations covering foundational components, information technology utilization, professional expertise, therapeutic relationships, cultural safety, and the telehealth visit were validated for inclusion in the policy document. Participants also validated the methodology. CONCLUSION: The recommendations offer a valuable resource for continuing education and professional development, empowering physiotherapists to enhance their skills and competencies in delivering culturally competent telerehabilitation to the First Nations population. The adoption of these best practices ensures that First Nations people are getting the best standard of care, potentially enhancing uptake and experiences with telehealth. It also enables healthcare organizations and policymakers to monitor adherence to established standards and identify areas for improvement. CONTRIBUTION OF THE PAPER.
Employing a coaching model of supervision during physiotherapy placements: charting the learner experience in England.
Smith S, Godley S, Anderson A … +1 more , Miller PK
Physiotherapy · 2025 Jun · PMID 39919643 · Publisher ↗
OBJECTIVES: The UK government has moved to increase pre-qualification training places across all Allied Health Professions by 50%, without any reduction in quality of education. Universities and healthcare teams are ther...
OBJECTIVES: The UK government has moved to increase pre-qualification training places across all Allied Health Professions by 50%, without any reduction in quality of education. Universities and healthcare teams are therefore being asked to change their ways of working and consider alternative practice supervision models during placements. This study explores the experiences of pre-qualifying physiotherapy learners involved in a trial of one such model, a coaching and peer-learning approach. The work described assesses its facility as an augmentation to the traditional one-to-one clinical supervision model. DESIGN: A qualitative-thematic approach using semi-structured interviews was employed. Detailed, open-ended interviews were conducted in order to ascertain the nuanced experiences of participants involved in the trial. SETTING: An intervention in multiple sites (both hospital inpatient and community care) within a single NHS trust, administered by a single UK university. PARTICIPANTS: Participants Seventeen pre-qualifying participants involved in the trial consented to be interviewed. Of these, 11 were final year undergraduate learners, and 6 were final year postgraduates, of which 12 identified as female and 5 identified as male.. RESULTS: Analysis revealed four interconnected major themes: 1. Teamwork, Camaraderie and Hierarchical Tensions in Peer-Support; 2. Adapting to Leadership and Being Led; 3. Safety Nets versus Supervisors; 4. Fast Starts and Variable Endings in Learning and Experience. CONCLUSION AND IMPLICATIONS: The model was broadly well-received by participants, and ultimately gave rise to greater workplace confidence, with potential impact for capacity, though the nuanced outcomes of the research indicated contingencies around gradual assimilation and group dynamics that should be considered in future development. CONTRIBUTION OF THE PAPER.
Reply to editor letter regarding article, "Efficacy of aquatic vs land-based therapy for pain management in women with fibromyalgia: a randomised controlled trial".
Rivas Neira S, Pasqual Marques A, Fernández Cervantes R … +2 more , Seoane Pillado MT, Vivas Costa J
Physiotherapy · 2025 Mar · PMID 39701883 · Publisher ↗
Abstract loading — click title to view on PubMed.
Is aquatic therapy more effective than land-based therapy for fibromyalgia? A randomised controlled trial discussion.
Pontes-Silva A
Physiotherapy · 2025 Jun · PMID 39701882 · Publisher ↗
Abstract loading — click title to view on PubMed.
Reporting of sex and/or gender in randomised controlled trials of physiotherapy interventions remains problematic: a systematic review.
Ilhan E, Solis K, Liu C … +3 more , Khawaja J, Chau TDK, Gray K
Physiotherapy · 2025 Mar · PMID 39689410 · Publisher ↗
BACKGROUND: Little is known about how sex and/or gender is reported in trials on physiotherapy interventions. OBJECTIVES: To determine the nature and extent of reporting sex and/or gender information in randomised contro...
BACKGROUND: Little is known about how sex and/or gender is reported in trials on physiotherapy interventions. OBJECTIVES: To determine the nature and extent of reporting sex and/or gender information in randomised controlled trials of physiotherapy interventions. DATA SOURCES: Physiotherapy, Journal of Physiotherapy, Physical Therapy, Brazilian Journal of Physical Therapy, and Journal of Orthopaedics and Sports Physical Therapy. STUDY SELECTION OR ELIGIBILITY CRITERIA: Randomised controlled trials of physiotherapy interventions published between 2018 and 2024 were independently screened by two reviewers throughout title/abstract and full-text stages, then data were extracted from eligible full texts. Information on whether and how sex and/or gender data were collected, reported, and defined were extracted. SYNTHESIS METHODS: Data were analysed descriptively using frequencies and percentages. RESULTS: Of 182 studies included in the review, 153 studies did not have sex and/or gender exclusive recruitment. Of these, 136 studies (89%) used the terms "sex" or "gender" when reporting demographic characteristics. Three studies used the term "sex assigned at birth". When reporting sex and/or gender, 82/139 (59%) studies provided two descriptors for sex and/or gender (e.g., male and female; men and women), 39/139 (28%) studies provided one descriptor (e.g., female) despite not being sex and/or gender exclusive. Four studies provided more than 2 descriptors (e.g., transgender women). In all studies, it was unclear how sex and/or gender was defined. In all but three studies, it was unclear how sex and/or gender was collected and whether data collection methods allowed for gender diverse options (e.g., non-binary) to be selected. LIMITATIONS: Only 5 journals were surveyed. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: The lack of inclusive reporting of gender and/or sex characteristics limits the scope and applicability of research in physiotherapy to the full spectrum of human experiences. PROSPERO REGISTRATION: CRD42022383976. CONTRIBUTION OF THE PAPER.
Are clinical decision support systems seen as helpful to First Contact Practitioners (FCPs) working in musculoskeletal health?
Salt E, Khalid M, Van Der Windt D … +1 more , Hill J
Physiotherapy · 2025 Mar · PMID 39689409 · Publisher ↗
BACKGROUND: There is increasing burden on musculoskeletal (MSK) First Contact Practitioners (FCPs) working in primary care. One possible solution is to use digital technologies such as clinical decision support systems (...
BACKGROUND: There is increasing burden on musculoskeletal (MSK) First Contact Practitioners (FCPs) working in primary care. One possible solution is to use digital technologies such as clinical decision support systems (CDSS). The primary objective of this study was to understand the potential for MSK FCPs to use a CDSS to support their practice in the United Kingdom. DESIGN: An exploratory sequential mixed methods design, using a cross sectional survey questionnaire and a subsequent focus group. Following ethical approval responders were recruited via professional networks to complete an online survey. A subsequent focus group enabled an in-depth exploration of survey results. Descriptive statistics were used to summarise survey data and thematic analysis with normalisation process theory used to describe findings. METHODS: A snowball sampling method was used to invite MSK FCPs to complete the survey, using email, adverts and social media. The questionnaire captured responders' demographic and professional practice characteristics, their knowledge and use of CDSS and their views and experiences regarding CDSS in MSK practice. RESULTS: There were 75 responders to the survey and six participants in the focus group. The majority of responders 67% (n = 50/75) reported to be in favour of integrating a CDSS into their practice. Three themes were: 1) ensuring CDSS address efficiency concerns, 2) using CDSS to reduce unwarranted variation in practice, and 3) ensuring CDSS sustainability. CONCLUSIONS: CDSSs have potential value for FCPs working in MSK primary care settings. Eight summary recommendations advise future developments of CDSS for FCPs working in MSK primary care practice. CONTRIBUTION OF THE PAPER.
Resistance exercise to reduce risk of falls in people with Alzheimer's disease: a randomised clinical trial.
Cámara-Calmaestra R, Martínez-Amat A, Aibar-Almazán A … +5 more , Hita-Contreras F, de Miguel-Hernando N, Rodríguez-Almagro D, Jiménez-García JD, Achalandabaso-Ochoa A
Physiotherapy · 2025 Mar · PMID 39689408 · Publisher ↗
OBJECTIVES: To evaluate the impact of resistance exercise on the risk of falls, fear of falling, muscle strength, neuropsychiatric symptoms and ability to perform activities of daily living in people with Alzheimer's dis...
OBJECTIVES: To evaluate the impact of resistance exercise on the risk of falls, fear of falling, muscle strength, neuropsychiatric symptoms and ability to perform activities of daily living in people with Alzheimer's disease (AD). DESIGN: Single-blinded randomised controlled trial. SETTING: Five aged care centres specialising in AD, located in Andalucía, Spain. PARTICIPANTS: Sixty people diagnosed with AD were assigned at random to either the intervention group (n = 30) or the control group (n = 30). INTERVENTIONS: The intervention group completed three weekly resistance exercise sessions for 12 weeks, in addition to cognitive training, until completion of the study. The control group undertook cognitive training alone. MAIN OUTCOME MEASURE: Main outcome measure: risk of falls (Short Physical Performance Battery). SECONDARY OUTCOMES: muscle strength (hand dynamometry), neuropsychiatric symptoms (Neuropsychiatric Inventory Questionnaire), fear of falling (Activities-Specific Balance Confidence Scale) and ability to perform activities of daily living (Lawton Instrumental Activities of Daily Living Scale). RESULTS: The analysis demonstrated differences in favour of the intervention group, in both the short and medium term, for risk of falls [post-treatment: mean difference (MD) 1.5, 95% CI of the difference 0.9 to 2.0; 3-month follow up: MD 1.1, 95% CI of the difference 0.6 to 1.6]; fear of falling (post-treatment: MD 1.5, 95% CI of the difference 4.0 to 7.7; 3-month follow up: MD 6.3, 95% CI of the difference 4.3 to 8.2); activities of daily living (post-treatment: MD 0.2, 95% CI of the difference -0.01 to 0.4; 3-month follow up: MD 0.3, 95% CI of the difference 0.01 to 0.5); neuropsychiatric symptoms (post-treatment: MD -2.2, 95% CI of the difference -3.3 to -1.0; 3-month follow up: MD -2.4, 95% CI of the difference -3.7 to -1.2); and dynamometry (post-treatment: MD 3.1, 95% CI of the difference 2.5 to 3.7; 3-month follow up: MD 2.6, 95% CI of the difference 1.9 to 3.3). CONCLUSION: Resistance exercise effectively reduces the risk of falls, fear of falling and neuropsychiatric symptoms, and improves muscle strength in people with AD in both the short and medium term. CONTRIBUTION OF THE PAPER.
Systematic development of a complex intervention: a theory and evidence-based physiotherapist led group intervention to increase physical activity and reduce sedentary behaviour following bariatric surgery (PARIS).
James J, Hardeman W, Goodall M … +2 more , Eborall H, Wilding JPH
Physiotherapy · 2025 Mar · PMID 39673908 · Publisher ↗
OBJECTIVES: To describe the systematic development of a physiotherapist led group behaviour change intervention targeting physical activity and sedentary behaviour in individuals who have undergone bariatric surgery. STU...
OBJECTIVES: To describe the systematic development of a physiotherapist led group behaviour change intervention targeting physical activity and sedentary behaviour in individuals who have undergone bariatric surgery. STUDY DESIGN: Intervention development including evidence synthesis, qualitative research and mapping of intervention components, using the 2008 MRC framework for complex interventions. METHODS: We conducted a systematic review to identify the evidence for promising interventions and components to increase physical activity and reduce sedentary behaviour following bariatric surgery. We also conducted primary qualitative research exploring these behaviours with three key stakeholder groups: patients, clinicians and commissioners. We selected two contemporary behaviour change frameworks to inform intervention development and developed a conceptual matrix in which intervention objectives were defined to inform selection of appropriate behaviour change techniques, proposed mechanisms of action(s), and mode of delivery. We also developed two intervention handbooks for participants and facilitators to support delivery and receipt of the intervention. RESULTS: We have developed a behaviour change intervention targeting physical activity and sedentary behaviour in patients following bariatric surgery. Eight intervention objectives were defined and mapped to the Behaviour Change Wheel and Theoretical Domains Framework. We identified what the intervention must be able to do (intervention functions), behaviour change techniques that could be used to achieve this, the proposed mechanism of action, and mode of delivery. This intervention will be subject to a feasibility study, with the intervention delivered online over a six-week period to participants who have had bariatric surgery within the previous five years. CONTRIBUTION OF THE PAPER.
Acceptability and utility of a broad test battery to evaluate physical functioning and frailty in community-based settings for people experiencing homelessness and addiction-Findings from the LEAP trials.
Kennedy F, Ní Cheallaigh C, Romero-Ortuno R … +2 more , Murray D, Broderick J
Physiotherapy · 2025 Mar · PMID 39626407 · Publisher ↗
BACKGROUND: Physical function deficits and frailty are commonly reported in people experiencing homelessness and addiction. Typically, geriatric, or general physical performance measures are employed to evaluate these co...
BACKGROUND: Physical function deficits and frailty are commonly reported in people experiencing homelessness and addiction. Typically, geriatric, or general physical performance measures are employed to evaluate these constructs. OBJECTIVES AND SETTING: We aimed to investigate the feasibility of a broad test battery to evaluate physical functioning and frailty in a non-geriatric community-based population of people experiencing homelessness and addiction. DESIGN AND METHODS: Physical function and the presence of frailty was evaluated using combined data from two linked low-threshold exercise pre-post intervention studies (LEAP-I and II). PARTICIPANTS: Seventy-four participants attending an open-access day-service centre (18 to 65 years) were evaluated. Participants with acute confusion or behavioural issues, or major medical conditions precluding safe participation were excluded. INTERVENTION: A broad test battery was performed which evaluated physical functioning and frailty. MAIN OUTCOME MEASURES: Outcome measures included were the Short Physical Performance Battery, Single Leg Stance, Chair Stand Test, 10mWT and 2 Minute Walk Tests, limb circumference, dynamometry, Clinical Frailty Scale, SHARE-Frailty Instrument, Numerical Pain Rating Scale and Short Form-12. RESULTS: Test completion was 100% for all outcomes except pain rating (81% and 79% for LEAP-I and II, respectively), and balance and walking tests (95% and 93% in LEAP-II). A ceiling effect was detected for the Short Physical Performance Battery. CONCLUSION: High feasibility of the test batteries was demonstrated. An optimised test battery was proposed based on findings. This has important implications for clinicians working in inclusion health settings. CLINICAL TRIAL REGISTRATION NUMBER: Clinical Trials.gov: NCT05700305. CONTRIBUTION OF THE PAPER.
Acceptability of physiotherapists as primary care practitioners for the care of people with musculoskeletal disorders: a French population-based cross-sectional survey.
Demont A, Vervaeke R, Lafrance S … +3 more , Desmeules F, Dumas A, Bourmaud A
Physiotherapy · 2025 Mar · PMID 39615064 · Publisher ↗
OBJECTIVES: In France, early access to physiotherapy for people with musculoskeletal disorders (MSKDs) depends on prescription and referral by the family physician in the physician-led model of care. The readiness of Fre...
OBJECTIVES: In France, early access to physiotherapy for people with musculoskeletal disorders (MSKDs) depends on prescription and referral by the family physician in the physician-led model of care. The readiness of French people for direct access to physiotherapy is not known. This survey aims to identify the perceptions of French adults regarding physiotherapists' competence to diagnose and manage MSKDs if they were primary care practitioners, confidence in their ability to provide quality care, and satisfaction with the last episode of care for those concerned; and to identify factors associated with these three variables. DESIGN: French population-based cross-sectional survey. PARTICIPANTS: A representative sample of the French adult population was surveyed between June 2020 and September 2021. OUTCOME MEASURES: Collected variables included previous physiotherapy experience, perception of competence to diagnose and manage MSKDs as primary care practitioners, confidence about quality of care, and self-referral preferences. Multivariate logistic regression analyses were performed to identify the factors associated with these three variables. RESULTS: A total of 1000 participants completed the survey; 854 (85%) believed that physiotherapists would be competent primary care practitioners, and 920 (92%) were confident about the quality of care. Most had previously consulted a physiotherapist (n = 823, 82%); of these, 762 (91%) were satisfied with care received. CONCLUSION: This large sample of French adults considered physiotherapists as competent to diagnose and treat some MSKDs as primary care practitioners, and that they provided quality care. Further studies should investigate the scope of care, safety, and efficacy of a direct access physiotherapy model. CONTRIBUTION OF PAPER.
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