[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"physiotherapy\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:physiotherapy":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,20,0,[8,42,81,108,138,171,193,238,266,302,324,361,386,409,449,475,508,531,558,585],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":30,"lastUpdatePostDateStruct":31,"startDateStruct":34,"completionDateStruct":36,"leadSponsor":38,"locationsCount":41},"100568432","pharmacist-physiotherapist-collaborative-management-for-early-knee-osteoarthritis-100568432",false,"NCT06681142","Pharmacist-physiotherapist Collaborative Management for Early Knee Osteoarthritis","PACE-OA","Inclusion Criteria:\n\n* regularly experiencing pain, aching, or stiffness in and\u002For around the knee for at least 1 month\n* complete the screening PhIT-OA questionnaire\n\nExclusion Criteria:\n\n* Prior total knee replacement or on the waitlist to have your knee replaced\n* Knee surgery within the previous 4 months\n* History of acute injury to knee within previous 6 months\n* Unable to speak and read English\n* Unwilling or unable to visit a physiotherapist at a community physiotherapy clinic (specifically the dates and times of the partnering physiotherapy clinic)\n* Previous physician-diagnosed inflammatory arthritis (including this list): Rheumatoid arthritis, Psoriatic arthritis, Ankylosing spondylitis, Lupus, Gout\n* Physician diagnosed fibromyalgia\n* A sudden, severely painful, hot, swollen joint at any time in the past\n* History of the following medications: csDMARD or bDMARD or tsDMARD, Immunosuppressive, Allopurinol or febuxostat, Colchicine\n* Received a knee joint injection in the past 3 months or have one scheduled in the next 3 months\n* Has completed the GLA:D Hip and Knee program at all in the past","ALL","50 Years",{"count":19,"type":20},125,"ESTIMATED","INTERVENTIONAL",[23],"NA","Osteoarthritis (OA) is a slowly progressive chronic condition that is associated with aging and is characterized as joint pain. Individuals with early-stage OA usually do not seek medical attention. If and when they do, patients more often present to a pharmacy for over-the-counter medications.\n\nThe investigators want to leverage community pharmacists' accessibility and scope of practice to best support patients with early knee OA. Given there are no disease-modifying treatments for OA, treatment guidelines center on patient education, self-management, and exercise, with medications playing a supporting role. Self-management is an effective strategy that provides a solid foundation for managing this progressive chronic condition and health care professionals like physiotherapists and pharmacists can help with the development and application of these skills.",[26,27,28],"Osteoarthritis (OA) of the Knee","Physiotherapy","Pharmacy","RECRUITING","2026-06-23",{"date":32,"type":33},"2026-06-26","ACTUAL",{"date":35,"type":33},"2025-08-13",{"date":37,"type":20},"2027-09",{"name":39,"class":40},"University of Alberta","OTHER",1,{"id":43,"slug":44,"hasResults":11,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":48,"eligibilityCriteria":49,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":51,"targetDuration":4,"studyType":53,"phases":4,"briefSummary":54,"conditions":55,"keywords":65,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":71,"lastUpdatePostDateStruct":72,"startDateStruct":74,"completionDateStruct":76,"leadSponsor":78,"locationsCount":80},"100637471","balance-gait-and-motion-analysis-in-multiple-sclerosis-100637471","NCT07630311","\"Balance, Gait, and Motion Analysis in Multiple Sclerosis\"","\"Functional Assessment of Balance and Gait and Correlation With Kinetic and Kinematic Parameters in Patients With Multiple Sclerosis: Cross-Sectional Study\"","MS-BALGAIT","Inclusion Criteria:\n\n* Adults (≥ 18 years) with confirmed diagnosis of Multiple Sclerosis\n* Expanded Disability Status Scale (EDSS) score \\\u003C6\n* Ability to ambulate independently without the use of assistive devices\n* Absence of significant orthopedic or neurological conditions affecting mobility\n* Ability to understand and follow verbal instructions.\n\nExclusion Criteria:\n\n* History of injury or surgical intervention to the lower limbs or spine within the past year\n* Any musculoskeletal, neurological, cardiovascular, or other medical condition, other than Multiple Sclerosis, that may significantly affect gait or balance or compromise participant safety during testing.\n* Severe balance impairment or high risk of falling that prevents safe participation in single-leg stance, gait analysis, or obstacle negotiation tasks.","18 Years",{"count":52,"type":20},40,"OBSERVATIONAL","The goal of this observational cross-sectional study is to investigate the relationship between functional measures of balance and gait and objective kinetic and kinematic parameters in people with Multiple Sclerosis (MS).\n\nThe main questions it aims to answer are:\n\ni) What is the relationship between kinetic and kinematic gait and balance parameters measured using the Vicon motion analysis system and performance on clinical functional assessments in people with Multiple Sclerosis?\n\nii) Which biomechanical parameters are most strongly associated with functional balance, gait, and physical performance outcomes?\n\nParticipants will attend a single laboratory-based assessment session. During this session, they will undergo biomechanical gait and balance analysis using the Vicon motion capture system, complete functional assessments of balance, gait, and physical performance, complete questionnaires assessing fear of falling and fatigue, and undergo assessment of lower-limb spasticity.",[56,57,58,59,60,61,62,27,63,64],"Multiple Sclerosis","Gait Disorders, Neurologic","Postural Balance","Motion Analysis","Biomechanics","Kinetics","Kinematics","Fatigue","Fall",[56,66,67,59,68,69,70,63,60],"Balance","Gait","Vicon System","Functional Assessments","Physical Performance","2026-06-21",{"date":73,"type":33},"2026-06-24",{"date":75,"type":33},"2025-09-01",{"date":77,"type":20},"2026-08-30",{"name":79,"class":40},"University of Patras",2,{"id":82,"slug":83,"hasResults":11,"nctId":84,"briefTitle":85,"officialTitle":86,"acronym":87,"eligibilityCriteria":88,"healthyVolunteers":11,"sex":89,"minAge":50,"maxAge":4,"enrollmentInfo":90,"targetDuration":4,"studyType":21,"phases":92,"briefSummary":93,"conditions":94,"keywords":4,"overallStatus":98,"whyStopped":4,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":102,"completionDateStruct":104,"leadSponsor":106,"locationsCount":80},"100625086","evaluation-of-the-impact-of-pre-habilitation-using-physiotherapy-and-mechanical-stimulation-on-shoulder-pain-and-mobility-in-patients-undergoing-breast-reconstruction-using-a-latissimus-dorsi-flap-100625086","NCT07418060","Evaluation of the Impact of Pre-habilitation Using Physiotherapy and Mechanical Stimulation on Shoulder Pain and Mobility in Patients Undergoing Breast Reconstruction Using a Latissimus Dorsi Flap","Randomized, Multicentre Study Evaluating the Impact of Pre-habilitation Using Physiotherapy and Mechanical Stimulation on Shoulder Pain and Mobility in Patients Undergoing Breast Reconstruction Using a Latissimus Dorsi Flap","PREHAB KINELGD","Inclusion Criteria:\n\n* Female patient aged 18 years or older\n* Scheduled for breast reconstruction with a latissimus dorsi flap following breast cancer\n* Patient has been informed and has signed the informed consent form\n* Affiliated with a social security system\n\nExclusion Criteria:\n\n* Patient with pre-existing shoulder pathology (Constant score \\\u003C 80\u002F100)\n* Patient with uncontrolled psychiatric or mental disorders\n* Patient unable to understand French","FEMALE",{"count":91,"type":20},72,[23],"Each year in France, nearly 59,000 new cases of breast cancer are diagnosed, and approximately 22,000 mastectomies are performed. Among these patients, 30% choose to undergo breast reconstruction. Breast cancer leads to numerous physical and psychological changes. The need to strengthen patient support around breast reconstruction has been highlighted, and it is one of the priorities of the national Ten-Year Cancer Control Strategy. The growing number of patients living after cancer makes the management of post-treatment sequelae essential.\n\nThe rate of reconstruction is increasing thanks to improvements in technique and better access to information. Among the available options, the latissimus dorsi (LD) flap has been a standard technique for immediate and delayed breast reconstruction for over 25 years. The LD technique offers several advantages: high reliability, feasibility even in irradiated thoraxes, low rates of postoperative complications, and satisfactory aesthetic outcomes. Its versatility and reliability have made it a cornerstone of breast surgery. However, this technique can lead to short- and long-term functional sequelae, which persist in 10% of patients. To reduce these side effects, an optimized version-the lipofilled mini-latissimus dorsi flap (mLD)-was developed by a team in Strasbourg. This quicker and less muscle-invasive technique is mainly used for immediate reconstruction or to replace implant-based reconstruction, with systematic lipofilling. However, no objective functional assessment of this method has yet been carried out, justifying a stratification according to the type of procedure for randomization in future studies. According to a prospective Icelandic study involving 15 patients, full recovery can be expected, but patients must be informed of the time and effort required to achieve it. The authors also concluded that further research is necessary to better understand the limits of long-term recovery.\n\nA study of 450 LD reconstructions showed that pain and the main functional sequelae were located in the back and shoulder, with 10% of patients experiencing significant long-term pain. In addition, according to this study, around 40% of patients consider postoperative sequelae and scarring burdensome. However, regret rates remain low, at under 3%.\n\nIn view of these findings, preventing pain and functional impairment has become a key research focus to improve patients' quality of life.\n\nPostoperative rehabilitation plays a crucial role in managing pain, reducing functional impairment, and optimizing aesthetic outcomes. The addition of mechanostimulation (MS) has been shown to improve scar appearance, shoulder function, and functional well-being compared with rehabilitation alone. MS is delivered using a device equipped with motorized rollers and suction to mobilize tissues. In physiotherapy, it helps relieve pain and improve mobility.\n\nPrehabilitation, a rapidly expanding concept in surgery, aims to prepare patients before their procedure. However, to date, no prehabilitation approach combining physiotherapy and MS has been considered prior to LD flap surgery. One study highlighted improved tissue trophicity after tissue preparation with MS before lipomodelling.\n\nThe objective of our study is to evaluate the benefit of prehabilitation through physiotherapy incorporating MS to prepare tissues (in particular skin and muscle) on shoulder pain and functional outcomes in patients undergoing breast reconstruction with a latissimus dorsi flap.\n\nAdditionally, due to the heterogeneity and sometimes limited access to specialized postoperative physiotherapy, extensive patient follow-up has been planned in order to describe, on an exploratory basis, real-world rehabilitation practices.",[95,27,96,97],"Breast Cancer","Breast Reconstruction","Latissimus Dorsi Flap","NOT_YET_RECRUITING","2026-06-02",{"date":101,"type":33},"2026-06-04",{"date":103,"type":20},"2026-08",{"date":105,"type":20},"2029-05",{"name":107,"class":40},"Institut du Cancer de Montpellier - Val d'Aurelle",{"id":109,"slug":110,"hasResults":11,"nctId":111,"briefTitle":112,"officialTitle":113,"acronym":114,"eligibilityCriteria":115,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":116,"enrollmentInfo":117,"targetDuration":4,"studyType":21,"phases":119,"briefSummary":120,"conditions":121,"keywords":124,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":130,"lastUpdatePostDateStruct":131,"startDateStruct":133,"completionDateStruct":134,"leadSponsor":136,"locationsCount":41},"100637467","telerehabilitation-vs-supervised-physiotherapy-for-medial-epicondylitis-100637467","NCT07582510","Telerehabilitation vs Supervised Physiotherapy for Medial Epicondylitis","Effectiveness of Telerehabilitation Versus Supervised Physiotherapy on Pain, Function, Strength, and Musculoskeletal Ultrasound Parameters in Patients With Medial Epicondylitis: A Randomized Controlled Trial","TELE-ME","Inclusion Criteria:\n\n* Age 18 to 60 years\n* Clinical diagnosis of medial epicondylitis\n* Symptoms duration ≥6 weeks\n* Pain with resisted wrist flexion\n* Local tenderness at medial epicondyle\n\nExclusion Criteria:\n\n* Previous elbow surgery\n* Corticosteroid injection within the past 3 months\n* Cervical radiculopathy\n* Systemic inflammatory disease\n* Bilateral symptoms","60 Years",{"count":118,"type":20},60,[23],"This randomized controlled trial aims to compare the effectiveness of telerehabilitation and supervised physiotherapy in patients with medial epicondylitis. The primary outcome is improvement in pain and function using the Patient-Rated Elbow Evaluation (PREE). Secondary outcomes include pain intensity, grip strength, musculoskeletal ultrasound findings, adherence, and upper limb disability measured by Quick DASH.",[122,123,27],"Medial Epicondylitis","Telerehabilitation",[125,126,127,128,129],"medial epicondylitis","telerehabilitation","grip strength","Patient-Rated Elbow Evaluation","Quick DASH","2026-05-14",{"date":132,"type":33},"2026-05-18",{"date":130,"type":33},{"date":135,"type":20},"2026-12-15",{"name":137,"class":40},"Benha University",{"id":139,"slug":140,"hasResults":11,"nctId":141,"briefTitle":142,"officialTitle":143,"acronym":4,"eligibilityCriteria":144,"healthyVolunteers":145,"sex":16,"minAge":4,"maxAge":4,"enrollmentInfo":146,"targetDuration":147,"studyType":53,"phases":4,"briefSummary":148,"conditions":149,"keywords":153,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":161,"lastUpdatePostDateStruct":162,"startDateStruct":164,"completionDateStruct":166,"leadSponsor":168,"locationsCount":170},"100639140","physiotherapy-practice-in-flemish-nursing-homes-100639140","NCT07576751","Physiotherapy Practice in Flemish Nursing Homes","Physiotherapy in Flemish Nursing Homes: Insights Into Practice, Barriers, and Facilitators","Inclusion Criteria:\n\n* None beyond being a licensed physiotherapist working in a Flemish nursing home and willing to participate.\n\nExclusion Criteria:\n\n* None",true,{"count":52,"type":20},"2 Weeks","The goal of this observational study is to evaluate the extent to which physiotherapy sessions in Flemish nursing homes adhere to the IAGG-GARN guidelines and to explore factors influencing clinical practice among physiotherapists.\n\nThe study targets multiple nursing homes across Flanders, with 3 to 5 centers in each of the provinces of Limburg, Antwerp, and Flemish Brabant. This selection ensures variation in geographic location and organizational context. The participants in this study are physiotherapists working in the participating nursing homes.\n\nThe main questions it aims to answer are:\n\n* To what extent do the physiotherapy sessions align with the IAGG-GARN guidelines?\n* Are there differences in physiotherapy session content and volume according to physiotherapist characteristics and resident characteristics?\n* What barriers and facilitators do physiotherapists experience when implementing guideline-based practice in Flemish nursing homes?\n\nResearchers will observe physiotherapy sessions delivered as part of routine care and document session content and duration using structured observation diaries. Participating physiotherapists will also take part in focus groups discussing experiences with guideline implementation, barriers, facilitators, and clinical decision-making.",[150,27,151,152],"Guideline Implementation","Nursing Homes","Focus Group",[154,155,156,157,158,159,160],"Physical therapy","Older adults","Geriatrics","Long-term care","Guideline implementation","Focus groups","Clinical practice","2026-05-04",{"date":163,"type":33},"2026-05-08",{"date":165,"type":33},"2026-03-23",{"date":167,"type":20},"2028-12-01",{"name":169,"class":40},"Hasselt University",3,{"id":172,"slug":173,"hasResults":11,"nctId":174,"briefTitle":175,"officialTitle":176,"acronym":4,"eligibilityCriteria":177,"healthyVolunteers":145,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":178,"targetDuration":4,"studyType":21,"phases":179,"briefSummary":180,"conditions":181,"keywords":183,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":161,"lastUpdatePostDateStruct":186,"startDateStruct":188,"completionDateStruct":190,"leadSponsor":192,"locationsCount":41},"100581104","physiotherapy-dry-needling-accuracy-100581104","NCT06845969","Physiotherapy Dry Needling Accuracy","Reducing Dangerous Placement of Needles by Physiotherapists Who Use Dry Needling (DN) by Introducing Cadaver Anatomy Review: a Randomized Control Trial Assessing Needle Placement Accuracy and Confidence","Inclusion Criteria:\n\n* Physiotherapy volunteers: Physiotherapists who are in good standing with their regulatory College and licensed to practice dry needling.\n* Needling volunteers (those who will be needled) must be able to provide informed consent\n\nExclusion Criteria:\n\n* Physiotherapy volunteers: Physiotherapists who are not in good standing with their regulatory College or not licensed to practice dry needling or have taken a cadaver review class post-graduation from their entry to practice physiotherapy program.\n* Needling volunteers (those who will be needled): Anyone who posses any contraindications to dry needling or not within normal BMI measurements",{"count":118,"type":20},[23],"The goal of this clinical trial is to learn if the addition of cadaver review improves:\n\n* the accuracy of physiotherapists who practice dry needling.\n* the perceived safety of dry needling by physiotherapists. Researchers will compare the effects of an anatomy review using cadaver material to that of an educational intervention not related to anatomy to see if the anatomy review improves the needling accuracy and safety of physiotherapist who practice dry needling as compared to the control intervention of education not related to anatomy.\n\nParticipants will:\n\n* Needle three muscles related to safety and\u002For accuracy using ultrasound imaging to gather accuracy and safety measurements.\n* Take an initial knowledge exam capturing their knowledge on needling safety.\n* Be randomized into a control group or intervention group.\n* The control group will receive an online educational session not related to anatomy.\n* The intervention group will receive a cadaver anatomy review class focused on high-risk area.\n* Re-take a knowledge exam after their course (either cadaver lab or on-line education) to capture any change.\n* Needle the same three muscles again using ultrasound to capture accuracy and safety measurements.\n\nIf reviewing anatomy using cadaver materials improve physiotherapists needling accuracy and safety, then this educational intervention could be recommended to be added to dry needling course instruction.",[182,27],"Dry Needling",[182,184,185,27],"Safety","Accuracy",{"date":187,"type":33},"2026-05-06",{"date":189,"type":33},"2025-04-10",{"date":191,"type":20},"2027-03-31",{"name":39,"class":40},{"id":194,"slug":195,"hasResults":11,"nctId":196,"briefTitle":197,"officialTitle":197,"acronym":4,"eligibilityCriteria":198,"healthyVolunteers":145,"sex":16,"minAge":199,"maxAge":200,"enrollmentInfo":201,"targetDuration":4,"studyType":21,"phases":203,"briefSummary":204,"conditions":205,"keywords":219,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":227,"lastUpdatePostDateStruct":228,"startDateStruct":230,"completionDateStruct":232,"leadSponsor":234,"locationsCount":237},"100636162","develop-and-evaluate-an-artificial-intelligence-assisted-prehabilitation-program-for-returning-to-work-and-cost-effectiveness-analysis-in-patients-with-oral-cancer-100636162","NCT07562100","Develop and Evaluate An Artificial Intelligence Assisted Prehabilitation Program for Returning to Work and Cost-effectiveness Analysis in Patients With Oral Cancer","Inclusion Criteria:\n\n* Adult (\\> 20 years old and younger than 70 years old)\n* Newly diagnosed as OC and scheduled to receive cancer-related treatment\n* Able to use Mobile phone\n* Willing to sign an informed consent form after receiving a detailed explanation of the study's aims and procedures\n* Healthcare professionals involved in patients' care, including doctors, nurses, case managers, dietitians, rehabilitation therapists, and psychologists\n* Family members who are primary caregivers of the participating patients, engaged in different stages of medical care\n\nExclusion Criteria:\n\n* Risk populations for walking or performing exercise\n* Patients with cognitive impairment or psychiatric diseases","20 Years","70 Years",{"count":202,"type":20},650,[23],"The goal of this clinical trial is to develop and evaluate an Artificial Intelligence Assisted Prehabilitation Program (AI APP) for returning to work and cost-effectiveness analysis in patients with oral cancer (OC). The main questions it aims to answer are:\n\n* What kinds of needs are related to returning to work (RTW) in patients with OC from diagnosis to survival that we can incorporate into the development of AI APP to assist this population ?\n* How is the effect of the AI APP that based on findings from the first question for patients with OC on physical and psychological distress, fear of recurrence, self-efficacy in coping with cancer, communication, motor function, quality of life, and RTW?\n* How is the effect of the RTW AI prediction model to identify high-risk groups ? And how is the comprehensive cost effectiveness of benefits and quality of life of the AI APP for OC population?\n\nResearchers will compare patients without using AI APP to see if the AI APP works to assist with coping physical and psychological distress, communication, motor function, quality of life, and RTW issues for individuals with OC?\n\nParticipants will:\n\n* Be asked to fulfill a structural questionnaire, or engage in a semi-structured one-by-one interview or a focus group to assess their physical, psychological, and social support needs in the first stage.\n* Be invited to participant the pilot testing of AI APP in the second stage.\n* Be provided and trained by 3-month AI APP for 3 months or cared as usual in the third stage.\n* Complete a structural questionnaire and follow up one year, including the baseline (before using the AI app) and at 1-2 weeks, 3 months, 6 months, 9 months, and 12 months after the baseline.\n* Engage in one-by-one interview or a focus group to assess user experiences of the AI APP.",[206,207,208,27,209,210,211,212,213,214,215,216,217,218],"Oral Cancer","Psychological Distress","Communication Aids for Disabled","Return to Work","Prehabilitation","Physical Symptom Distress","Motor Function","Rehabilitation","Quality of Life","Cost Effectiveness","Artifical Intelligence","Prediction Model","Case Management, APP(Application)",[220,209,206,207,208,27,210,221,222,213,223,224,225,226],"Artificial Intelligence","Physical symptom distress","motor function","Quality of life","Cost effectiveness","prediction model","case management, APP(Application)","2026-04-24",{"date":229,"type":33},"2026-05-01",{"date":231,"type":33},"2024-09-27",{"date":233,"type":20},"2029-12-01",{"name":235,"class":236},"Taipei Veterans General Hospital, Taiwan","OTHER_GOV",5,{"id":239,"slug":240,"hasResults":11,"nctId":241,"briefTitle":242,"officialTitle":243,"acronym":4,"eligibilityCriteria":244,"healthyVolunteers":145,"sex":16,"minAge":116,"maxAge":245,"enrollmentInfo":246,"targetDuration":4,"studyType":21,"phases":248,"briefSummary":249,"conditions":250,"keywords":252,"overallStatus":98,"whyStopped":4,"lastUpdateSubmitDate":258,"lastUpdatePostDateStruct":259,"startDateStruct":261,"completionDateStruct":262,"leadSponsor":264,"locationsCount":41},"100633354","social-work-supported-physiotherapy-and-psychosocial-outcomes-in-third-age-university-and-nursing-home-residents-100633354","NCT07525596","Social Work-Supported Physiotherapy and Psychosocial Outcomes in Third Age University and Nursing Home Residents","Comparison of the Effects of a Social Work-Supported Physiotherapy Intervention on Psychosocial Well-Being and Social Health Levels Within the ICF Framework Among Third Age University Students and Nursing Home Residents","Inclusion Criteria:\n\n* Being between 60 and 80 years of age\n* Being informed about the study and providing written informed consent for voluntary participation\n* Not having any physical, cognitive, or psychological limitations that would prevent participation in the physiotherapy interventions and assessments\n\nExclusion Criteria:\n\n* Having uncontrolled cardiovascular, neurological, psychiatric, or orthopedic conditions that may medically contraindicate participation in the physiotherapy intervention\n* Having cognitive, psychological, or mental impairments that would prevent the reliable administration of the assessments\n* Having undergone a major surgical procedure within the last 6 months that could affect the research process","80 Years",{"count":247,"type":20},48,[23],"The aging process is considered not only as a phase characterized by changes in physical functioning, but also as a multidimensional life stage affecting psychosocial well-being, social participation, and quality of life. The World Health Organization's healthy aging approach and the International Classification of Functioning, Disability and Health emphasize that the health status of older adults should be evaluated through the interaction of biological, psychological, and social dimensions. The literature indicates that physical activity and rehabilitation-based interventions not only improve functionality in older individuals but also enhance psychological well-being and social participation; however, the sustainability of these gains is largely determined by social support and environmental factors. In this context, the integration of social work and physiotherapy practices has gained importance in terms of interdisciplinary and holistic intervention models in elderly care.\n\nThe aim of this study is to comparatively examine the effects of a social work-supported physiotherapy intervention, implemented among students enrolled in a Third Age University (60+ Refresher University) and older adults living in a nursing home in Turkey, on functionality, psychosocial well-being, and social health levels within the ICF framework. The study is designed as a pretest-posttest controlled quasi-experimental research model. The study population consists of students of Munzur 60+ Refresher University and individuals aged 60 and over residing in a nursing home in Tunceli. Participants selected through stratified random sampling will be assigned to intervention and control groups. A 6-week social work-supported physiotherapy program will be implemented for the intervention groups by physiotherapists and social workers. During the data collection process, physical functioning, psychosocial well-being, and social health-covering the components of the ICF-will be assessed before and after the intervention using standardized measurement tools. The study is expected to provide evidence-based contributions to holistic and interdisciplinary intervention models for older adults.",[251,27],"Social Work, Psychiatric",[253,254,255,256,257],"Disability and Health","International Classification of Functioning","Interdisciplinary Intervention","Psychosocial Well-Being","Social Work-Supported Physiotherapy","2026-04-10",{"date":260,"type":33},"2026-04-13",{"date":258,"type":20},{"date":263,"type":20},"2026-07-10",{"name":265,"class":40},"Munzur University",{"id":267,"slug":268,"hasResults":11,"nctId":269,"briefTitle":270,"officialTitle":271,"acronym":4,"eligibilityCriteria":272,"healthyVolunteers":145,"sex":16,"minAge":4,"maxAge":4,"enrollmentInfo":273,"targetDuration":4,"studyType":21,"phases":275,"briefSummary":276,"conditions":277,"keywords":285,"overallStatus":98,"whyStopped":4,"lastUpdateSubmitDate":294,"lastUpdatePostDateStruct":295,"startDateStruct":297,"completionDateStruct":299,"leadSponsor":300,"locationsCount":41},"100606549","neck-and-low-back-pain-in-physical-therapy-students-at-the-university-of-the-west-indies-mona-jamaica-100606549","NCT07177001","Neck and Low Back Pain in Physical Therapy Students at The University of the West Indies, Mona, Jamaica","The Prevalence of Neck and Low Back Pain With a Randomised Controlled Trial Comparing Spine-Specific and Non-Spine Specific Exercise Interventions in Physical Therapy Students at The University of the West Indies, Mona, Jamaica: A Two-Phase Study","Inclusion Criteria:\n\n1. All students enrolled in the Physical Therapy program at the University of the West Indies, Mona Campus, Jamaica during the period November 1, 2025 to October 31, 2026.\n2. Individuals who express a willingness to consent to the study.\n3. Individuals who express a willingness to adhere to the standardised exercise program for the stipulated period.\n\nExclusion Criteria:\n\n1. Individuals with a history of having spine surgery.\n2. Individuals who were previously diagnosed with spine pathology and currently receiving rehabilitation therapy.\n3. Individuals who express an unwillingness to participate in the study.",{"count":274,"type":20},120,[23],"The purpose of this study is to determine the prevalence of neck and low back pain among physical therapy students enrolled at The University of the West Indies, Mona. It also aims to assess students' knowledge, attitudes, and practices regarding spine health and to evaluate the effectiveness of an eight-week standardised spine-specific exercise programme in reducing musculoskeletal pain and improving functional status among those reporting symptoms. The study will be conducted in two phases, beginning with a descriptive cross-sectional assessment of prevalence, followed by a prospective randomised controlled trial in which students experiencing neck and\u002For low back pain will be allocated to either a spine-specific exercise intervention group or a non-spine-specific exercise control group for comparative analysis of outcomes.",[278,279,280,281,282,283,27,213,284],"Back Pain","Low Back Pain","Musculoskeletal Pain","Spine Health","Physical Therapy","Physiotherapist Students","Neck Pain",[286,287,288,289,290,291,292,293],"lower back pain","low back pain","neck pain","musculoskeletal pain","spine health","physical therapy students","physiotherapy students","rehabilitation","2026-02-20",{"date":296,"type":33},"2026-02-24",{"date":298,"type":20},"2026-04-01",{"date":191,"type":20},{"name":301,"class":40},"The University of The West Indies",{"id":303,"slug":304,"hasResults":11,"nctId":305,"briefTitle":306,"officialTitle":307,"acronym":4,"eligibilityCriteria":308,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":245,"enrollmentInfo":309,"targetDuration":4,"studyType":21,"phases":311,"briefSummary":312,"conditions":313,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":315,"lastUpdatePostDateStruct":316,"startDateStruct":318,"completionDateStruct":320,"leadSponsor":322,"locationsCount":41},"100534448","effectiveness-of-telerehabilitation-in-continuity-with-outpatient-physiotherapy-after-total-hip-replacement-100534448","NCT06238960","Effectiveness of Telerehabilitation in Continuity With Outpatient Physiotherapy After Total Hip Replacement.","Effectiveness of Telerehabilitation in Continuity With Outpatient Physiotherapy After Total Hip Replacement: Randomized Clinical Trial.","Inclusion Criteria:\n\n* Having undergone total hip replacement surgery (THA)\n* Start outpatient treatment within 7 days of discharge from the Orthopedic Department\n* Age between 50 and 80 years.\n* Continuation of rehabilitation treatments at the IOR Physical Medicine and Rehabilitation service in Argenta.\n* The subjects or any caregivers must be able to use an electronic device (PC, tablet, smartphone).\n\nExclusion Criteria:\n\n* patients undergoing revision of previous prosthesis surgery\n* difficulty understanding the Italian language\u002Flanguage barrier\n* unavailability stable wi-fi connection by the patient",{"count":310,"type":20},104,[23],"Total arthroplasty (THA) is the treatment of choice for severe osteoarthritis of the hip joint. Following this type of intervention, a multidisciplinary rehabilitation approach allows you to reduce pain and improve the ability to carry out activities of daily living (ADL), but it is not clear what the optimal rehabilitation program is. Recently, the use of telerehabilitation has increased over the years. Specifically, in treatment of patients following THA surgery, telerehabilitation is able to give similar results to the treatment performed in person terms of pain and function. The aim of this study is to verify whether telerehabilitation associated with In-person treatment is comparable in terms of pain, recovery functionality and patient participation and satisfaction, compared to those provided by rehabilitation alone in the presence of patients undergoing THA surgery.",[314,123,27],"Total Hip Replacement","2026-02-19",{"date":317,"type":33},"2026-02-23",{"date":319,"type":33},"2024-02-10",{"date":321,"type":20},"2026-12-10",{"name":323,"class":40},"Istituto Ortopedico Rizzoli",{"id":325,"slug":326,"hasResults":11,"nctId":327,"briefTitle":328,"officialTitle":329,"acronym":330,"eligibilityCriteria":331,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":332,"targetDuration":4,"studyType":53,"phases":4,"briefSummary":334,"conditions":335,"keywords":340,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":353,"lastUpdatePostDateStruct":354,"startDateStruct":355,"completionDateStruct":357,"leadSponsor":359,"locationsCount":41},"100589917","dosage-of-early-rehabilitation-of-icu-patients-100589917","NCT06960642","Dosage of Early Rehabilitation of ICU Patients","Early Rehabilitation of Intensive Care Unit Patients - a Multinational Prospective Observational Study on Dosage and Outcome","ERUPT","Inclusion Criteria:\n\n* Adults (≥ 18 years old) within 48 hours of ICU admission\n* Expected to stay \\> 24 hours in the ICU\n\nExclusion Criteria:\n\n* Patients who receive end-of-life care at the time of screening\n* Patients whose treatment plans are still under discussion and\u002For not all team members are committed to full active treatment\n* Patients whose functional status is unlikely to be obtainable\n* Patients with language barriers",{"count":333,"type":20},6000,"Rehabilitation already begins in the intensive care unit (ICU) to maintain or restore the functional capacity of ICU patients and to counteract the long-term effects of intensive care treatment. Mobilisation is an important component.\n\nThe aim of this multinational observational study is to record and evaluate the different mobilisation practices for ICU patients worldwide. The investigators want to find out which forms of mobilisation in intensive care patients achieve the best results in terms of physical function, functional status and quality of life.\n\nThe goal is to recruit over 6,000 patients internationally. No interventions will be carried out, only routine clinical data will be documented and standardised and already established physical tests and questionnaires will be used.",[336,337,27,338,339],"Critical Care, Intensive Care","Critical Illness","Early Ambulation","Interprofessional Team Collaboration",[341,342,343,344,282,345,346,347,348,349,350,351,352],"early ambulation","early rehabilitation","early mobilisation","physiotherapy","ICUAW","PICS","Intensive Care Unit Acquired Weakness","Post Intensive Care Syndrom","Physical Function","Critical Care","Interprofessional","Nursing","2026-02-18",{"date":294,"type":33},{"date":356,"type":33},"2025-12-14",{"date":358,"type":20},"2027-06",{"name":360,"class":40},"Medical University of Vienna",{"id":362,"slug":363,"hasResults":11,"nctId":364,"briefTitle":365,"officialTitle":365,"acronym":366,"eligibilityCriteria":367,"healthyVolunteers":11,"sex":16,"minAge":368,"maxAge":4,"enrollmentInfo":369,"targetDuration":4,"studyType":21,"phases":370,"briefSummary":371,"conditions":372,"keywords":374,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":377,"lastUpdatePostDateStruct":378,"startDateStruct":380,"completionDateStruct":382,"leadSponsor":384,"locationsCount":41},"100579183","evaluation-of-the-quality-of-life-of-patients-with-dbb-with-the-installation-of-opep-100579183","NCT06820983","Evaluation of the Quality of Life of Patients With DBB With the Installation of OPEP","EQOPEP","Inclusion Criteria:\n\n* Children (from 8 years of age) and adults over 18 years of age with DDB who doesn't use oscillating PEP.\n\nThe study population will be clinically stable and will be seen in follow-up consultations.\n\nExclusion Criteria:\n\n* Children under 8 years of age.\n* Patients who use an OPEP\n* Patients in the acute exacerbation phase of their DDB\n* Patients who are not under regular consultation\n* Patients with severe, uncontrolled co-morbidities\n* Patients with cognitive or psychiatric disorders preventing proper adherence to the study protocol\n* Patients taking part simultaneously in another clinical study that could interfere with the results of the OPEP study","8 Years",{"count":118,"type":20},[23],"To carry out an assessment of compliance and quality of life in a population (children and adults) with DDB before and after the use of an oscillating PEP. The aim is to determine the impact of the use of oscillating PEP on the daily life of this population in particular.",[373,214,27],"Bronchiectasis",[375,373,376,344],"quality of life","oscillating PEP devices","2026-01-22",{"date":379,"type":33},"2026-01-23",{"date":381,"type":33},"2024-10-17",{"date":383,"type":20},"2026-04",{"name":385,"class":40},"Centre Hospitalier Universitaire, Amiens",{"id":387,"slug":388,"hasResults":11,"nctId":389,"briefTitle":390,"officialTitle":391,"acronym":4,"eligibilityCriteria":392,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":393,"targetDuration":4,"studyType":21,"phases":395,"briefSummary":396,"conditions":397,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":400,"lastUpdatePostDateStruct":401,"startDateStruct":403,"completionDateStruct":405,"leadSponsor":407,"locationsCount":41},"100603533","effect-and-cost-of-a-physiotherapy-led-care-model-in-emergency-departments-for-patients-with-minor-musculoskeletal-injuries-100603533","NCT07137754","Effect and Cost of a Physiotherapy-led Care Model in Emergency Departments for Patients With Minor Musculoskeletal Injuries","Effect and Cost-effectiveness of a Physiotherapy-led Care Model for Patients Referred to an Emergency Department Due to Musculoskeletal Injuries: A Multicentre Quasi-randomized Clinical Trial","Inclusion Criteria:\n\n* Musculoskeletal pain and injury to the upper or lower extremities\n* Triaged non-urgent (blue) in the emergency department\n* Speaks and understands Danish\n\nExclusion Criteria:\n\n* High velocity trauma\n* Cognitively unable to participate\n* Non-malignant conditions (cancer, inflammation, infection)",{"count":394,"type":20},800,[23],"Both in Denmark and internationally, emergency departments have been overwhelmed for several years by a growing number of patients, combined with a shortage of doctors and nurses. This problem is expected to continue because the number of elderly people with multiple health problems is increasing. To keep providing good quality care in emergency departments, we need to consider new ways of organizing treatment.\n\nIn Canada, Australia, and the UK, some hospitals have tried a model where specially trained physiotherapists examine and treat patients who come in with muscle and joint injuries and pain. Since these patients make up about 25% of all those referred to emergency departments, this model could help take some pressure off doctors and nurses. That way, doctors and nurses can spend more time caring for seriously ill patients who need urgent help.\n\nSeveral studies on these physiotherapist-led models show benefits for both patients and the healthcare system. Patients report being more satisfied and better informed about their injury and treatment. They wait less, have fewer unnecessary tests, and need fewer repeat visits to the emergency department.\n\nHowever, similar studies have never been done in Scandinavia, even though some Danish emergency departments have tested similar models. Healthcare systems and the education of physiotherapists differ between Scandinavian countries and the countries mentioned above. So, we don't know if we would see the same benefits here. Also, there has been no research on whether this model is cost-effective, which is important for decision-makers when planning future healthcare budgets.\n\nWith this research project, we want to test a model in Danish hospitals where specially trained physiotherapists take care of examining, treating, and discharging patients with muscle and joint pain and injuries. We will look at how this model affects patient experiences (like pain and satisfaction) and clinical outcomes (like repeat emergency visits and use of imaging tests), compared to the usual practice where doctors handle these patients. We will also study whether the model is cost-effective, meaning whether the benefits of using this approach are worth the costs, or even greater than the costs.\n\nThe study will be conducted at 4-5 hospitals, where a total of 800 patients with minor musculoskeletal injuries will be included in connection with their visit at the emergency department. Patients will receive questionnaires at 1, 4, 12 and 26 weeks after injury regarding patient reported outcomes. Register data will be retrieved at 26 weeks regarding the patients' health care use during follow-up.",[398,399,27],"Musculoskeletal Disorders","Emergency Care","2025-08-22",{"date":402,"type":33},"2025-08-28",{"date":404,"type":33},"2025-08-15",{"date":406,"type":20},"2028-03-01",{"name":408,"class":40},"Aarhus University Hospital",{"id":410,"slug":411,"hasResults":11,"nctId":412,"briefTitle":413,"officialTitle":413,"acronym":4,"eligibilityCriteria":414,"healthyVolunteers":145,"sex":89,"minAge":415,"maxAge":416,"enrollmentInfo":417,"targetDuration":4,"studyType":21,"phases":419,"briefSummary":420,"conditions":421,"keywords":432,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":440,"lastUpdatePostDateStruct":441,"startDateStruct":443,"completionDateStruct":445,"leadSponsor":447,"locationsCount":41},"100597993","transperineal-ultrasound-as-a-biofeedback-tool-for-pelvic-floor-muscle-therapy-in-postpartum-patients-100597993","NCT07065708","Transperineal Ultrasound as a Biofeedback Tool for Pelvic Floor Muscle Therapy in Postpartum Patients","Inclusion Criteria:\n\n* Female participants\n* Aged 21 - 45 years old.\n* Within 4 months of a singleton, vaginal delivery\n\nExclusion Criteria:\n\n* Currently pregnant\n* Over 4 months since vaginal birth.\n* Previous caesarean delivery.\n* Previous pelvic floor surgery (eg. pelvic floor repair, continence surgery, cervicetomy,cosmetic pelvic floor procedures)\n* Neurological disorder affecting muscle contraction (eg. Guillan-Barre syndrome, motorneuron disease, multiple sclerosis)","21 Years","45 Years",{"count":418,"type":20},94,[23],"Regular and effective pelvic floor muscle exercises after vaginal birth are crucial in reducing the risk of pelvic floor disorders in women. Pelvic floor muscle exercises are generally encouraged by healthcare providers to their patients after birth. However, it is often difficult to confirm whether a patient is performing pelvic floor muscle contractions correctly. A supervised pelvic floor physiotherapy session allows a professional to assess the pelvic floor and give their verbal feedback to patients. However even in this setting, patient's are reliant on the physiotherapist and have no way to assess their own performance. The 'biofeedback approach' allows for the clinician and patient to visually assess and modify their performance and can potentially allow for more effective therapy and better engagement. Transperineal ultrasonography is a widely available, safe and non-invasive biofeedback tool that can used at the bedside in order to assess pelvic floor muscle contractions. Our aim is to assess if using transperineal ultrasound can enhance the ability of postpartum patients to perform effective pelvic floor muscle therapy.",[422,423,424,425,426,427,428,429,430,27,431],"Pelvic Floor Muscle Training","Transperineal Ultrasound","Biofeedback Therapy","Postpartum","Pelvic Floor Disorder","Pelvic Floor Muscle Exercise","Pelvic Floor, Obstetric","Pelvic Floor Dysfunction","Pelvic Floor Health After Childbirth","Physiotherapy Specialty",[433,434,435,436,344,437,438,439],"pelvic floor muscle training","biofeedback","transperineal ultrasound","pelvic floor exercises","pelvic floor dysfunction","pelvic floor disorder","pelvic floor contraction","2025-07-03",{"date":442,"type":33},"2025-07-15",{"date":444,"type":33},"2025-05-20",{"date":446,"type":20},"2026-09",{"name":448,"class":40},"Singapore General Hospital",{"id":450,"slug":451,"hasResults":11,"nctId":452,"briefTitle":453,"officialTitle":454,"acronym":4,"eligibilityCriteria":455,"healthyVolunteers":11,"sex":16,"minAge":416,"maxAge":456,"enrollmentInfo":457,"targetDuration":4,"studyType":21,"phases":459,"briefSummary":460,"conditions":461,"keywords":465,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":440,"lastUpdatePostDateStruct":467,"startDateStruct":469,"completionDateStruct":471,"leadSponsor":473,"locationsCount":41},"100591920","effects-of-voodoo-flossing-technique-in-knee-osteoarthritis-patients-100591920","NCT06986694","Effects of Voodoo Flossing Technique in Knee Osteoarthritis Patients","Effects of Voodoo Flossing Technique on Pain, Range of Motion and Physical Function in Patients With Knee Osteoarthritis: A Randomized Control Study","Inclusion Criteria:\n\n* Age ≥ 45 and ≤ 65\n* Both Male and Female\n* Knee Pain persisting for at-least 3 months\n* Pain severity during walking ≥ 2\u002F10 on a Numeric Pain Rating Scale\n* Walking and Balance (Mobility) problems according to Time Up \\& Go (TUG) test\n* Poor scoring on WOMAC scale for pain, stiffness and physical activities\n* Knee OA Grade II (according to Kellgren-Lawrence method)\n* Participants must provide informed consent for participation in RCT\n\nExclusion Criteria:\n\n* Age \\\u003C 45 and \\> 65\n* Severe Knee pain during Walking ≥ 9\u002F10 on a Numeric Pain Rating Scale\n* Knee OA Grade I, III \\& IV (according to Kellgren-Lawrence method)\n* Physical or Mental co-morbidity severely affecting daily life of patient\n* Any Contraindication to provide Exercise Therapy\n* Suspicion of chronic widespread pain (i.e., pain present for at least 3 months in at least three joints including left and right side of the body, above and below the waist, and the axial skeleton)\n* Participant undergone total knee arthroplasty or on waiting list for total knee arthroplasty in any knee\n* Any other reasons for knee pain than knee OA (e.g., rheumatoid arthritis and gout)\n* Received intraarticular injections in past 6 months because of knee pain (Hyaluronic Gel or steroid)","65 Years",{"count":458,"type":20},42,[23],"Knee osteoarthritis (KOA) is a prevalent degenerative joint disease characterized by pain, stiffness, and reduced physical function, significantly impacting quality of life especially in elderly population. This study aims to evaluating the effectiveness of an emerging technique, known as 'Voodoo Flossing' on pain, range of motion and physical function in KOA to provide evidence-based insight of voodoo flossing as a potential therapeutic adjunct in KOA management.\n\nThis randomized controlled trial will be conducted at Riphah Rehabilitation Clinic, Lahore and Horizon Hospital Lahore in a time span of 8 months. A sample size of 42 subjects selected through non-probability convenient sampling with age group between 45 to 65 having present complain confirmed through Kellgren-Lawrence (KL) scale of grade-II will be divided into two groups, will undergo aerobic exercises, strengthening exercises and conventional physiotherapy protocol either with or without Voodoo Flossing technique.",[462,463,464,27],"Knee Osteoarthritis","Pain","Range of Motion",[462,463,349,27,464,466],"Voodoo Flossing",{"date":468,"type":33},"2025-07-04",{"date":470,"type":33},"2025-06-12",{"date":472,"type":20},"2025-12-01",{"name":474,"class":40},"Riphah International University",{"id":476,"slug":477,"hasResults":11,"nctId":478,"briefTitle":479,"officialTitle":480,"acronym":481,"eligibilityCriteria":482,"healthyVolunteers":145,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":483,"targetDuration":4,"studyType":21,"phases":485,"briefSummary":486,"conditions":487,"keywords":493,"overallStatus":98,"whyStopped":4,"lastUpdateSubmitDate":499,"lastUpdatePostDateStruct":500,"startDateStruct":502,"completionDateStruct":504,"leadSponsor":506,"locationsCount":41},"100578748","efficacy-of-shock-wave-therapy-in-post-stroke-muscle-spasticity-management-100578748","NCT06815328","Efficacy of Shock Wave Therapy in Post-Stroke Muscle Spasticity Management","Efficacy of Shock Wave Therapy in Patients with Muscle Spasticity After a Stroke","SWT-PI","\"Inclusion Criteria\":\n\n* Adults aged 18 years or older.\n* Confirmed diagnosis of stroke (ischemic or hemorrhagic) at least 6 months prior to enrollment.\n* Clinically diagnosed muscle spasticity, measured by the Modified Ashworth Scale (MAS), with a score of 0 to 3.\n* Stable medical condition that permits participation in the intervention.\n* No significant changes in spasticity-related treatment for at least 3 months prior to the study.\n* Ability to provide written informed consent to participate in the study.\n* Ability to attend weekly sessions and follow-up visits as required.\n\n\"Exclusion Criteria\":\n\n* Severe spasticity or contractures unresponsive to prior treatments.\n* Contraindications to Shock Wave Therapy, including:\n* Local infections in the treatment area.\n* Known or suspected malignancy near the treatment site.\n* Severe bleeding disorders or anticoagulation therapy.\n* Pregnancy.\n* Neurological conditions other than stroke that could interfere with study outcomes (e.g., Parkinson's disease, multiple sclerosis).\n* Recent treatments that might interfere with spasticity assessment, including:\n* Injections of botulinum toxin within the past 6 months.\n* Recent surgery or other interventions targeting spasticity.\n* Cognitive impairment or other conditions preventing the participant from following instructions or completing study tasks.\n* Severe cardiovascular, renal, or hepatic disease that might complicate therapy or participation.\n* Inability to commit to follow-up visits or complete the intervention protocol due to logistical, mobility, or health-related issues.",{"count":484,"type":20},50,[23],"The goal of this clinical trial is to evaluate the efficacy and safety of shock wave therapy (SWT) in reducing muscle spasticity in patients who have suffered a stroke. The main questions it aims to answer are:\n\nDoes SWT reduce muscle tone and improve joint range of motion in post-stroke patients with spasticity? Does SWT improve the quality of life for these patients? What side effects, if any, occur during or after SWT? Researchers will compare SWT to conventional spasticity treatments to determine its effectiveness and potential advantages.\n\nParticipants will:\n\nUndergo SWT sessions as part of their rehabilitation protocol over a period of 8 weeks.\n\nAttend follow-up visits to assess muscle tone, joint mobility, and overall functional improvement.\n\nComplete quality-of-life questionnaires to measure the therapy's impact on daily living.",[488,489,490,491,492,27],"Stroke","Spasticity","Post-stroke","Muscle Hypertonia","Neurological Disorders",[494,495,496,214,497,498],"Shock Wave Therapy","Post-Stroke Spasticity","Non-Invasive Therapy","Neurological physical therapy","Muscle Hypertonia Treatment","2025-03-09",{"date":501,"type":33},"2025-03-12",{"date":503,"type":20},"2025-03-15",{"date":505,"type":20},"2025-04-30",{"name":507,"class":40},"University of Oviedo",{"id":509,"slug":510,"hasResults":11,"nctId":511,"briefTitle":512,"officialTitle":513,"acronym":4,"eligibilityCriteria":514,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":456,"enrollmentInfo":515,"targetDuration":4,"studyType":21,"phases":517,"briefSummary":518,"conditions":519,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":522,"lastUpdatePostDateStruct":523,"startDateStruct":525,"completionDateStruct":527,"leadSponsor":529,"locationsCount":41},"100567936","effect-of-vibrotactile-stimulation-in-lateral-epicondylitis-100567936","NCT06674668","Effect of Vibrotactile Stimulation in Lateral Epicondylitis","Immediate Effect of Wearable Vibrotactile Stimulation on Pain and Sense in Patients with Lateral Epicondylitis","Inclusion Criteria:\n\n* Being between 18-65 years of age\n* Patients diagnosed with lateral epicondylitis\n\nExclusion Criteria:\n\n* Having had elbow surgery\n* Having a history of congenital or acquired orthopedic, neurological, or rheumatological conditions affecting the upper limb\n* Having received any conservative treatment for the diagnosis of lateral epicondylitis",{"count":516,"type":20},33,[23],"It is aimed to investigate the immediate effect of vibrotactile stimulation on pain, sense and functionality in patients with lateral epicondylitis.",[520,521,27],"Lateral Epicondylitis","Vibration Therapy","2024-11-04",{"date":524,"type":33},"2024-11-05",{"date":526,"type":33},"2023-06-14",{"date":528,"type":20},"2024-12",{"name":530,"class":40},"Medipol University",{"id":532,"slug":533,"hasResults":11,"nctId":534,"briefTitle":535,"officialTitle":536,"acronym":4,"eligibilityCriteria":537,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":538,"enrollmentInfo":539,"targetDuration":4,"studyType":21,"phases":541,"briefSummary":542,"conditions":543,"keywords":546,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":549,"lastUpdatePostDateStruct":550,"startDateStruct":552,"completionDateStruct":554,"leadSponsor":556,"locationsCount":41},"100558484","the-effect-of-neurophysiological-facilitation-techniques-on-health-parameters-in-early-stages-after-open-heart-surgery-100558484","NCT06551714","The Effect of Neurophysiological Facilitation Techniques on Health Parameters in Early Stages After Open Heart Surgery","The Effect of Neurophysiological Facilitation Techniques on Pulmonary Function, Respiratory Muscle Strength and Functional Capacity in The Early Stage After Open Heart Surgery","Inclusion Criteria:\n\n* Having open heart surgery for the first time,\n* Being between the ages of 18-75,\n* Being fully cooperative\n\nExclusion Criteria:\n\n* Having facial, sternum and rib fractures,\n* Having chronic renal failure,\n* Development of cerebrovascular accident,\n* Having cognitive dysfunction,\n* Development of deep vein thrombosis in the post-operative period,\n* Having neuromuscular disease,\n* Having an orthopedic disability,\n* Intubation time longer than 24 hours,\n* Staying in intensive care for more than 48 hours","75 Years",{"count":540,"type":20},32,[23],"In this study, researchers aimed to investigate effects of neurophysiological facilitation on functional capacity and respiratory parameters of patients who underwent open heart surgery.\n\nDo neurophysiological facilitation techniques improve individuals' respiratory parameters more than phase 1 cardiac rehabilitation?\n\nDo neurophysiological facilitation techniques improve individuals' functional capacity more than phase 1 cardiac rehabilitation?\n\nResearchers will apply phase 1 cardiac rehabilitation to both groups to see the effectiveness of neurophysiological facilitation techniques.",[544,545,27],"Open Heart Surgery","Cardiovascular Disease",[547,548],"Neurophysiological facilitation technique","Cardiac rehabilitation","2024-08-09",{"date":551,"type":33},"2024-08-13",{"date":553,"type":33},"2024-01-01",{"date":555,"type":20},"2024-11-01",{"name":557,"class":40},"Dogus Universitesi",{"id":559,"slug":560,"hasResults":11,"nctId":561,"briefTitle":562,"officialTitle":563,"acronym":4,"eligibilityCriteria":564,"healthyVolunteers":145,"sex":16,"minAge":415,"maxAge":4,"enrollmentInfo":565,"targetDuration":4,"studyType":21,"phases":567,"briefSummary":568,"conditions":569,"keywords":571,"overallStatus":98,"whyStopped":4,"lastUpdateSubmitDate":576,"lastUpdatePostDateStruct":577,"startDateStruct":579,"completionDateStruct":581,"leadSponsor":583,"locationsCount":4},"100547250","rehabilitation-of-patients-from-the-icu-to-the-post-hospital-phase-100547250","NCT06405529","Rehabilitation of Patients From the ICU to the Post-hospital Phase","Rehabilitation of Patients Submitted to Mechanical Ventilation, From the ICU to the Post-hospital Phase: Blinded Randomized Controlled Clinical Trial, With Economic and Multicenter Evaluation","Inclusion Criteria:\n\n* Both sexes\n* Age greater than or equal to 21 years\n* Be on invasive mechanical ventilation (IMV) for at least 48 hours\n* Sufficient cardiovascular stability for mobilization\n\n  1. Absence of bradyarrhythmia (\\\u003C 50 bpm);\n  2. Heart rate ≥ 150 bpm;\n  3. Most recent lactate measurement ≤ 4.0mmol\u002FL;\n  4. Combined adrenaline\u002Fnoradrenaline infusion rate ≤ 0.2mcg\u002FKg\u002Fmin, OR if the adrenaline\u002Fnoradrenaline infusion was increased by more than 25% in the last 6 hours;\n  5. Cardiac index ≥ 2.0L\u002Fmin\u002Fm2; when evaluated\n* Respiratory stability sufficient for mobilization f) Respiratory rate ≤ 45rpm; g) FiO2 ≤ 0.6; h) PEEP ≤ 16 cmH2O; i) No need for NO (nitric oxide), prone position, neuromuscular blocker, ECMO (extracorporeal membrane oxygenation) or HFOV (high frequency ventilation).\n\nExclusion Criteria:\n\n* Dependent for ADLs in the month prior to ICU admission;\n* Diagnosed cognitive deficit;\n* Diagnosis OR suspicion of acute primary brain disease (TBI, stroke);\n* Diagnosis OR suspected spinal cord injury OR other neuromuscular disease that may result in prolonged or permanent muscle weakness (except muscle weakness acquired in the ICU);\n* Need OR instructions to remain in bed OR not to bear weight on the lower limbs bilaterally;\n* Life expectancy of less than 180 days due to acute or chronic clinical conditions;\n* Death considered inevitable due to current clinical condition or if the patient\u002Fclinical guardian is not committed to complete active treatment (e.g. brain death);\n* Inability to communicate in Portuguese;\n* Readmission to the ICU of the same hospital service;\n* Pregnant women;\n* Patients with a permanent pacemaker.",{"count":566,"type":20},206,[23],"Introduction: Advances in knowledge have contributed to the increase in the number of patients who survive prolonged hospitalization in an Intensive Care Unit (ICU), and, among them, critically ill patients who develop acute respiratory failure and need for mechanical ventilation. These individuals have their mobility restricted to bed, and may suffer from pulmonary and systemic complications, such as ICU-Acquired Muscle Weakness, which increases the chances of resulting in reduced functional capacity or death. Early mobilization in the ICU has demonstrated benefits, but still with a low level of evidence. However, the type and intensity of exercise still need to be better defined, and previous protocols did not offer continuous monitoring from the ICU to the ward and subsequent outpatient rehabilitation for these patients, which is considered a limitation in some studies.\n\nObjective: To investigate the effects of an early and intensive hospital mobilization and post-hospital rehabilitation program on indicators of functionality, inflammation, cost-effectiveness, and mortality in critically ill patients undergoing invasive mechanical ventilation.\n\nMethods: This is a Blind Randomized Controlled Clinical Trial that will be conducted in the ICUs of the Hospital das Clinicas and the Emergency Unit of the Faculty of Medicine of Ribeirao Preto of the University of São Paulo. Patients of both sexes over 21 years of age who have been under invasive mechanical ventilation for at least 24 hours will be recruited. Patients will be randomized into the Intervention Group (IG), with 30 to 60 minutes of exercise per day, and the Control Group (CG), with 10 minutes of exercise per day, both with the same protocol and based on the ICU Mobility Scale - IMS, with continuity in the ward. After hospital discharge, participants will be allocated to the Guidance Group (GIor and GCor) and the Outpatient Rehabilitation Group (GIreab and GCreab), with functional exercise capacity as the main outcome, assessed by the six-minute walk test (6MWT). Volunteers will be monitored one, three, and six months after hospital discharge. The sample calculation was based on the results of the 6MWT , with a power of 80% for the assessments carried out at the proposing institution (n=206), and with a power of 90% for the multicenter project (n=275), considering a sample loss of 30%. The following will be evaluated: clinical parameters, severity indexes, functionality, lung function and mechanics, functional exercise capacity, mortality, inflammatory markers, energy expenditure, activities of daily living, quality of life, muscle assessment, adherence, barriers and facilitators and cost-effectiveness.",[570,27,213],"Early Mobilization",[572,27,573,574,213,575],"Mechanical ventilation","Respiratory function","Functional capacity","Cost-effectiveness","2024-05-06",{"date":578,"type":33},"2024-05-08",{"date":580,"type":20},"2024-07-01",{"date":582,"type":20},"2027-01-31",{"name":584,"class":40},"University of Sao Paulo",{"id":586,"slug":587,"hasResults":11,"nctId":588,"briefTitle":589,"officialTitle":590,"acronym":591,"eligibilityCriteria":592,"healthyVolunteers":145,"sex":16,"minAge":593,"maxAge":50,"enrollmentInfo":594,"targetDuration":4,"studyType":21,"phases":596,"briefSummary":597,"conditions":598,"keywords":4,"overallStatus":98,"whyStopped":4,"lastUpdateSubmitDate":602,"lastUpdatePostDateStruct":603,"startDateStruct":605,"completionDateStruct":607,"leadSponsor":609,"locationsCount":80},"100533032","casting-and-rehabilitation-versus-supervised-neglect-for-osteochondral-lesions-of-the-talus-in-the-pediatric-population-100533032","NCT06220539","CAsting and REhabilitation Versus Supervised Neglect for Osteochondral Lesions of the Talus in the Pediatric Population","CAsting and REhabilitation Versus Supervised Neglect for Osteochondral Lesions of the Talus in the Pediatric Population: The CARE Study, A Multicenter, Stratified, Block-Randomized Controlled Trial","CARE","Inclusion Criteria:\n\n* Symptomatic, osteochondral lesion of the talus\n* Diagnosed on Computed Tomography (CT)\n* Open physes of the distal tibia confirmed by a specialized musculoskeletal or pediatric radiologist\n* Age ≥4 and ≤18\n\nExclusion Criteria:\n\n* acute traumatic lesions\n* surgically treated OLTs\n* systemic diseases that can influence cartilage conditions (such as hemophilia)","4 Years",{"count":595,"type":20},76,[23],"Rationale: OCLs (osteochondral lesions) of the talus can be congenital or can occur after trauma or in patients with juvenile idiopathic arthritis (JIA). The main complaint of an OCL is pain during weightbearing activities. Therefore, these lesions have significant impact on the health status of patients.\n\nObjective: The aim of this study is to optimize the treatment for skeletally immature patients with an osteochondral lesion. The hypothesis is that a period of immobilization and supervised rehabilitation will lead to better clinical and radiological outcomes compared with standard care which is a ''skill-full'' neglect.\n\nStudy design: Observational comparative study\n\nStudy population: Skeletally immature children with an osteochondral lesion of the talus diagnosed on CT.\n\nIntervention: Patients in the intervention group will undergo an 8-week period of casting and walking on crutches. Afterwards, they will receive a protocolled period of rehabilitation under supervision of a physical therapist. The control group will have the standard care as treatment.\n\nMain study parameters\u002Fendpoints: the main study outcome is the difference between the two groups on the OxAFQ-C. Secondary study outcomes are radiologic changes in terms of morphology and lesion size, NRS during weight bearing and quality of life measured with a Peds-QL, EQ-5D-y and AAS.\n\nNature and extent of the burden and risks associated with participation, benefit and group relatedness: the burden that patients will have is mainly the time that they have to spent on fulfilling the questionnaires.",[599,600,601,213,27],"Cartilage Injury","Orthopedic Disorder","Skeletal Injury","2024-01-13",{"date":604,"type":33},"2024-01-24",{"date":606,"type":20},"2024-02-01",{"date":608,"type":20},"2027-07-01",{"name":610,"class":40},"Tristan Buck"]