Journal Of Physiotherapy[JOURNAL]

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Research Note: Economic evaluations in physiotherapy.

van Dongen JM, Bosmans JE

J Physiother · 2025 Jan · PMID 39675946 · Publisher ↗

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Clinician experiences in providing reassurance for patients with low back pain in primary care: a qualitative study.

Young A, French SD, Traeger AC … +3 more , Ayre J, Hancock M, Jenkins HJ

J Physiother · 2025 Jan · PMID 39672760 · Publisher ↗

QUESTIONS: What reassurance is being delivered by physiotherapists and chiropractors to people with non-specific low back pain? How is it being delivered? What are the barriers and enablers to delivering reassurance to p... QUESTIONS: What reassurance is being delivered by physiotherapists and chiropractors to people with non-specific low back pain? How is it being delivered? What are the barriers and enablers to delivering reassurance to people with non-specific low back pain? DESIGN: A qualitative study. PARTICIPANTS: Thirty-two musculoskeletal clinicians (16 physiotherapists and 16 chiropractors) who manage low back pain in primary care. METHOD: Semi-structured interviews were conducted about their experiences delivering reassurance. The interview schedule was developed using the Theoretical Domains Framework and analysed using framework thematic analysis. RESULTS: Four themes were identified: giving reassurance is a core clinical skill for delivering high-quality care; it takes practice and experience to confidently deliver reassurance; despite feeling capable and motivated, clinicians identified situations that challenge the delivery of reassurance; and reassurance needs to be contextualised to the individual. CONCLUSION: Clinicians possess a strong understanding of reassurance but require clinical experience to confidently deliver it. This study provides insights into how reassurance is individualised in clinical practice, including suggestions for clinicians about how to implement reassurance effectively for people with low back pain.

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Critically appraised paper: In-bed cycle ergometry in mechanically ventilated patients is safe but does not improve physical function after intensive care discharge [synopsis].

Plummer P

J Physiother · 2025 Apr · PMID 39672759 · Publisher ↗

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Neurological conditions.

Shaikh H, Elkins MR

J Physiother · 2025 Jan · PMID 39672758 · Publisher ↗

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Correspondence: Response to Rafat et al.

Satpute K, Bedekar N, Hall T

J Physiother · 2025 Jan · PMID 39668098 · Publisher ↗

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Clinimetrics: The Knee injury and Osteoarthritis Outcome Score (KOOS).

Collins NJ, Mills K

J Physiother · 2025 Jan · PMID 39668097 · Publisher ↗

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Critically appraised paper: Cognitive behavioural therapy with best-evidence pain management was not superior to best-evidence pain management alone for patients with chronic spinal pain and insomnia [commentary].

Ferreira GE

J Physiother · 2025 Jan · PMID 39668096 · Publisher ↗

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Critically appraised paper: Cognitive behavioural therapy with best-evidence pain management was not superior to best-evidence pain management alone for patients with chronic spinal pain and insomnia [synopsis].

Østerås N

J Physiother · 2025 Jan · PMID 39668095 · Publisher ↗

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Correspondence: Re: Satpute et al.

Rafat S, Srivastav AK, Sharma D

J Physiother · 2025 Jan · PMID 39668094 · Publisher ↗

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Critically appraised paper: An internet intervention with or without telephone support in primary care is not superior to usual care for low back pain [synopsis].

Østerås N

J Physiother · 2025 Jan · PMID 39668093 · Publisher ↗

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Clinimetrics: The Star Excursion Balance Test.

Pierobon A

J Physiother · 2025 Jan · PMID 39658424 · Publisher ↗

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Critically appraised paper: In rural youth, the iAmHealthy paediatric weight management intervention stabilises body mass index z-scores and impacts health behaviours compared with newsletters with similar content [synopsis].

Milne N

J Physiother · 2025 Jan · PMID 39658423 · Publisher ↗

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Critically appraised paper: In rural youth, the iAmHealthy paediatric weight management intervention stabilises body mass index z-scores and impacts health behaviours compared with newsletters with similar content [commentary].

Tsiros MD

J Physiother · 2025 Jan · PMID 39658422 · Publisher ↗

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Appraisal of Clinical Practice Guideline: Australian Physical Activity Clinical Practice Guideline for people with moderate to severe traumatic brain injury 2024.

Tang A

J Physiother · 2025 Jan · PMID 39658421 · Publisher ↗

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Mechanically assisted walking with body weight support results in more independent walking and better walking ability compared with usual walking training in non-ambulatory adults early after stroke: a systematic review.

Alvarenga MTM, Hassett L, Ada L … +3 more , Dean CM, Nascimento LR, Scianni AA

J Physiother · 2025 Jan · PMID 39658420 · Publisher ↗

QUESTIONS: In subacute, non-ambulatory individuals after stroke, does mechanically assisted walking with body weight support result in more independent walking or better walking ability than usual walking training in the... QUESTIONS: In subacute, non-ambulatory individuals after stroke, does mechanically assisted walking with body weight support result in more independent walking or better walking ability than usual walking training in the short term? Are any benefits maintained in the longer term? Is it detrimental to walking in terms of walking speed? DESIGN: A systematic review with meta-analysis of randomised studies with a Physiotherapy Evidence Database (PEDro) score > 4. PARTICIPANTS: Non-ambulatory adults ≤ 12 weeks after stroke. INTERVENTION: Any type of mechanically assisted walking with body weight support. OUTCOME MEASURES: Independent walking (ie, proportion of independent walkers), walking ability (eg, 0 to 5 Functional Ambulation Category, FAC) and walking speed. RESULTS: Fifteen studies involving 1,014 participants (mean PEDro score 6.4) were included. In the short term, mechanically assisted walking with body weight support resulted in more independent walking (RD 0.19, 95% CI 0.11 to 0.26) and better walking ability (MD 0.8 on the FAC, 95% CI 0.5 to 1.0) compared with the same amount of usual walking training. In the longer term, it resulted in better walking ability (MD 0.6 on the FAC, 95% CI 0.2 to 1.1). Mechanically assisted walking with body weight support does not appear to be detrimental to walking speed in the short term (MD 0.13 m/s, 95% CI 0.03 to 0.22) or longer term (MD 0.11 m/s, 95% CI 0.00 to 0.22). CONCLUSION: This review provides high-certainty evidence that mechanically assisted walking with body weight support results in more independent walking and better walking ability in individuals with stroke who are non-ambulatory subacutely compared with usual walking training. Given the importance of achieving walking in the short term, clinicians are encouraged to use this intervention. REGISTRATION: PROSPERO CRD42024549678.

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