JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY骨科与运动物理治疗杂志
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY(英文缩写 J ORTHOP SPORT PHYS),ISSN 0190-6011,eISSN 1938-1344,中文译名:骨科与运动物理治疗杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 6.276 | Q1 |
| 2022 | 6.100 | Q1 |
| 2023 | 6.000 | Q1 |
| 2024 | 5.800 | Q1 |
| 2025 | 6.900 | Q1 |
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY 最新收录文献
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1. Effectiveness of Neuromuscular Training and Training Load Management Interventions for Reducing Injury and Attrition in Tactical Recruits: A Systematic Review With Meta-Analysis.
1. 神经肌肉训练与训练负荷管理干预对减少战术新兵损伤和减员的有效性：一项系统综述与元分析PMID:日期:2026-10To estimate the effectiveness of neuromuscular training and training load management interventions for reducing injury and attrition in tactical personnel (military, law enforcement, and other first responder organizations) during recruit training. Intervention systematic review with meta-analysis. PubMed, CINAHL Plus with full text, EMBASE, CENTRAL, Web of Science, and SPORTDiscus were searched from January 1, 2000, to March 14, 2025. Studies were included if they were quasi-experimental and randomized controlled trials examining neuromuscular training interventions conducted or commencing recruit training, or with training load management interventions, on medical-attention and time-loss injuries and attrition in tactical recruits aged at least 16 years. Inverse-variance, random-effects meta-analyses provided log odds ratio (Log OR) and 95% confidence intervals (CI). Thirty-three studies (n = 49,062 participants) were included, and outcomes were of very low-certainty. Neuromuscular training interventions delivered recruit training reduced medical-attention injuries (Log OR = 0.520, 95% CI = 0.226 to 0.815), but not attrition (Log OR = 0.525, 95% CI = -0.292 to 1.342). Neuromuscular training interventions delivered commencing recruit training did not reduce medical-attention injuries (Log OR = 0.487, 95% CI = -2.216 to 3.190) but could have significantly increased attrition (Log OR = -0.982, 95% CI = -1.874 to -0.090). Training load management interventions did not reduce medical-attention injuries (Log OR = 0.286, 95% CI = -0.183 to 0.755). Neuromuscular training interventions recruit training may reduce medical-attention injury probability without increasing attrition. The lack of specificity and progressive overload for included interventions may have limited further protective effects against injury. Delivering neuromuscular training interventions commencing recruit training may increase attrition during recruit training without affecting injury probability. .
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2. Portable Dynamometry Is Reliable for Measuring Knee and Ankle Strength in Daily Practice: Results From a Systematic Review With Meta-analysis and Evidence Gap Map Using the COSMIN Methodology.
PMID:日期:2026-10To estimate the reliability and criterion validity of knee and ankle muscle strength measured using portable dynamometers. Systematic review with meta-analysis and evidence gap map. Systematic search of MEDLINE, Embase, CINAHL, SPORTDiscus, and Web of Science from inception to April 2025. We included studies that evaluated reliability or criterion validity of portable dynamometers for measuring knee extensor/flexor or ankle dorsiflexor/plantarflexor/invertor/evertor isometric strength in uninjured people or people with a lower-limb musculoskeletal condition. We performed meta-analyses for each muscle group, position, and fixation method. Methodological quality was assessed using the COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) Risk of Bias tool. Certainty of evidence was graded using a modified GRADE (Grading of Recommendations Assessment, Development and Evaluations) approach. We included 123 studies (n = 5042 participants); 113 studies were included in the meta-analysis. There was moderate- to high-certainty evidence of sufficient reliability (intraclass correlation coefficient ≥ 0.70) across most muscle groups, positions, and fixation methods. High-certainty evidence supported external fixation for assessing knee extensors/flexors and ankle plantarflexors. Evidence for criterion validity was sparse, and the certainty of evidence ranged from very low to high. There was high-certainty evidence of sufficient validity for knee extensor and flexor strength with external fixation in seated positions (r = 0.82-0.90). Portable dynamometers were sufficiently reliable for measuring isometric knee and ankle strength in clinical practice. The evidence for criterion validity was limited. Portable dynamometers should not yet be considered direct substitutes for isokinetic dynamometry. Reliability and validity estimates were consistent across uninjured and clinical populations. .
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3. Is Reduced Spinal Range of Motion a Prognostic Factor for Pain Intensity, Disability, and Global Recovery in People With Specific or Nonspecific Spinal Pain? A Systematic Review.
PMID:日期:2026-10To determine if a reduced range of motion (ROM) of the spine was a prognostic factor for pain intensity, disability, and global recovery outcomes in patients with specific or nonspecific spinal pain. Prognostic factor systematic review. PubMed, Embase, and CINAHL were searched from inception to February 10, 2026. We also performed forward and backward citation tracking. Studies of adults with spinal pain where ROM was assessed as a prognostic factor were included. Risk of bias was assessed using the Quality in Prognostic Studies (QUIPS) tool. The certainty of evidence was evaluated with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Given heterogeneity in the results, a narrative synthesis was conducted. Thirty-seven studies were included: 11 of nonspecific acute low back pain (LBP), 11 of nonspecific chronic or unspecified-duration LBP, four of nonspecific chronic neck pain, two of lumbar spinal stenosis, eight of whiplash-associated disorders (WAD), and one of cervical myelopathy. All studies were rated as high risk of bias. Across conditions and follow-ups, findings were inconsistent. Most studies of acute and chronic LBP reported no clear association between reduced ROM and outcomes. Similar inconsistencies were observed for chronic neck pain, lumbar stenosis, WAD, and cervical myelopathy. When associations were found, they were often unadjusted and based on low-quality analyses. The certainty of the evidence was consistently very low. Due to the very low certainty of evidence, it is unclear whether reduced spinal ROM independently predicts pain, disability, and/or global recovery in people with spinal pain. .
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4. Not Just Faster Horses: Telerehabilitation as a Necessary Evolution in Physical Therapy.
PMID:日期:2026-10This editorial draws an analogy between the transition from "faster horses" to automobiles and the digital transition facing musculoskeletal physical therapy. Musculoskeletal rehabilitation has long emphasized face-to-face sessions; digital solutions such as telerehabilitation have often been perceived as alternatives to conventional care. However, increasing rehabilitation demands, persistent gaps between sessions, and the need for long-term patient support highlight the importance of rethinking how physical therapists deliver care. We argue that telerehabilitation should not replace physical therapists but rather extend their role through facilitating continuous monitoring, communication, education, and patient engagement. Successful implementation requires more than simply adopting new technologies-it requires clinicians to develop new skills, adapt professional habits, and integrate digital tools while preserving therapeutic relationships and patient-centered care. Just as innovation required moving beyond faster horses, the future of musculoskeletal physical therapy may depend on embracing new models of care rather than simply iterating on traditional approaches. .
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5. Female Soccer Players at High Risk of Injury Maintained Improved Knee Abduction Load 6 Months After Neuromuscular Training Program.
PMID:日期:2026-10To estimate immediate and long-term (retention) improvements in knee abduction moment (KAM) following a neuromuscular training (NMT) program with augmented biofeedback in individuals at high and low risk for injury. Secondary analysis of a randomized controlled trial. One hundred fifty adolescent female soccer players were enrolled in a 6-week NMT program and randomized to biofeedback training groups: NMT + Hip-focus (NMT+H), NMT + Knee-focus (NMT+K), or NMT with a sham biofeedback. NMT was completed 3 times each week with augmented biofeedback delivered once per week. Standard 3-dimensional motion analysis of a drop vertical jump over artificial turf with embedded force platforms was performed at baseline (PRE), immediately following training (POST), and 6 months post training (RET). Baseline measures of KAM were used to stratify participants into low- (n = 87, 12.7 ± 2.2 years, 153.0 ± 11.4 cm, 47.2 ± 11.8 kg) and high-risk (n = 44, 14.0 ± 1.8 years, 161.6 ± 5.8 cm, 53.5 ± 9.2 kg) groups, based on a previously determined cut point. A mixed-design analysis of variance with between-group factors of risk (high, low) and training group (NMT+H, NMT+K, NMT), and a repeated within-group factor of session (PRE, POST, RET) were used for the analysis. A significant interaction was identified between risk and session ( < .001). Within training groups, the high-risk group had a significant reduction in KAM from baseline to posttest, and from baseline to 6 months (PRE: -37.5 ± 9.0 N m; POST: -25.2 ± 11.4 N m; RET: -29.4 ± 14.5 N m). There were no changes in the low-risk group (PRE: -12.2 ± 6.2 N m; POST: -12.2 ± 7.6 N m; RET: -12.9 ± 8.7 N m). Female soccer players with knee biomechanics that put them at high risk for anterior cruciate ligament injury had improved KAM following an NMT program. The changes in KAM remained at 6 months after training. .
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6. Rehabilitation of Athletes With Hamstring Strain Injury: SONAFE-Brazil Clinical Practice Guideline.
6. 运动员腘绳肌拉伤的康复：SONAFE-巴西临床实践指南PMID:日期:2026-10The (SONAFE-Brazil), the official organization representing sports physical therapists in Brazil, developed this clinical practice guideline to support clinicians and athletes in managing hamstring strain injury. The GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach was used to address the clinical question "Which interventions provided by physical therapists improve rehabilitation outcomes in athletes with hamstring strain injury?" The guideline provides an updated and targeted synthesis of evidence from randomized clinical trials, offering practical guidance to inform clinical decision making by physical therapists across diverse health care and sports settings. .
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7. CFT+ With a Subsequent Interdisciplinary Pain Management Program (IPMP) If Needed Versus IPMP Alone for Patients With Severe Disabling Chronic LBP: Pragmatic Patient-Blinded RCT With Economic Analysis.
7. 必要时后续跨学科疼痛管理计划（IPMP）的CFT+与单独IPMP治疗严重致残性慢性下背痛患者的比较：实用型患者盲法随机对照试验及经济分析PMID:日期:2026-09We aimed to determine whether, for patients with severely disabling chronic low back pain (cLBP), initiating care with cognitive functional therapy combined with psychologist support (CFT+) improved disability and pain, and was cost-effective compared with an interdisciplinary pain management program (IPMP) at 12 months. We conducted a randomized controlled trial (NCT04399772) with concealed allocation, blinded patients, and intention-to-treat analysis. One hundred thirty-three adults with severely disabling cLBP, who were referred to an interdisciplinary pain center, were randomized to CFT+ for 3 months, with optional access to IPMP thereafter, or to IPMP alone. The primary outcome was the proportion of patients who achieved a ≥8-point improvement on the Oswestry Disability Index (ODI) at 12 months. Secondary outcomes were pain intensity, pain catastrophizing, patient enablement, global impression of change, and cost-effectiveness assessed using quality-adjusted life years (QALYs) derived from the EQ-5D-3L (EuroQol 5-Dimension 3-Level Questionnaire) and health care contacts. At 12 months, ODI data were available for 46 (70%) patients in the CFT+ group and 45 (67%) in the IPMP group. A ≥8-point ODI improvement was achieved by 22% of patients who received CFT+ and 18% who received IPMP (difference, 3.9%; 95% CI: -12.4%, 20.3%; = .64). Mean ODI change did not differ between groups (difference, 0.2; 95% CI: -3.8, 4.2; = .92). There were no significant between-group differences for the secondary outcomes. Economic analysis estimated an incremental cost-effectiveness ratio of €53 075 per QALY for CFT+ versus IPMP. CFT+ was not superior to IPMP for people with severely disabling cLBP. .
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8. Tailoring Resistance Exercise for Knee Osteoarthritis: An Intervention Systematic Review With Dose-Response Meta-analysis of the Effects of Intensity and Volume.
8. 为膝关节骨关节炎量身定制抗阻运动：一项干预性系统评价及强度与运动量的剂量-反应荟萃分析PMID:日期:2026-09We aimed (1) to estimate the dose-response relationships between isotonic lower extremity resistance exercise volume and outcomes of pain, function, and strength in people with knee osteoarthritis (OA) and (2) to compare different intensities and delivery methods of isotonic resistance exercise for patients with knee OA. Systematic review with dose-response meta-analysis of randomized controlled trials (RCTs). MEDLINE (Medical Literature Analysis and Retrieval System Online)/PubMed, CENTRAL (Cochrane Central Register of Controlled Trials), Web of Science, CINAHL (Cumulative Index of Nursing and Allied Health), and EMBASE (Excerpta Medica Database) were searched from inception to January 2, 2025. RCTs evaluating isolated isotonic resistance training without other exercise interventions in people with knee OA were included. Pain, function, and muscle strength were analyzed. Risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool; certainty of evidence, using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach; and dose-response relationships, using restricted cubic spline models. Twenty RCTs were included (n = 791). Low- to very low-certainty evidence indicated that isotonic resistance training may reduce pain, improve function, and increase muscle strength in people with knee OA. Very light- to moderate-intensity isotonic exercise produced the greatest reductions in pain; moderate-intensity, the greatest improvements in function; and moderate- to vigorous-intensity, similar gains in muscle strength. Benefits were seen with home- and center-based programs; the effects were more pronounced with center-based programs. For the dose-response analyses, there was a nonlinear relationship, with greater estimated pain reductions at 6000 repetitions (mean difference [MD], -3.52; 95% confidence interval [CI]: -4.08, -2.96), peak functional improvements at 2600 repetitions of moderate intensity (MD, -16.66; 95% CI: -18.80, -14.51), and maximal strength gains at 1600 repetitions (standardized MD, 0.12; 95% CI: 0.01, 0.22). Isotonic resistance training may improve pain, function, and muscle strength in people with knee OA. Moderate-intensity exercise and specific training volumes were associated with the greatest estimated benefits, although the certainty of evidence was low to very low. .
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9. Physical Therapists Diagnosing Musculoskeletal Conditions: Don't Hide What Matters-Just Say It the Right Way.
PMID:日期:2026-09Recently, the use of nonpathoanatomical functional diagnoses has been advocated as a way of reducing patients' psychological distress and limiting the use of low-value interventions aimed at "fixing" perceived causes of pain and disability. However, we argue that not disclosing a pathoanatomical diagnosis may withhold essential information that patients need to fully understand their prognosis and treatment plan, as well as appropriate precautions and contraindications. The way clinicians communicate a pathoanatomical diagnosis can mitigate its potential drawbacks while also supporting patients in making sense of what is happening in their body. .
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10. Changes in Pain-Related Fear Predict Shoulder Disability in Rotator Cuff Tendinopathy With Resistance Exercise.
10. 疼痛相关恐惧的变化预测阻力运动引起的旋转肌袖肌腱病患者的肩部残疾PMID:日期:2026-08[中文摘要] 确定（1）疼痛相关恐惧与灾难化因素的变化轨迹，（2）按治疗满意度分组后疼痛相关恐惧与灾难化的变化，以及（3）在为期8周的抗阻运动计划中，疼痛相关恐惧轨迹与灾难化因素及肩部功能障碍之间的关系。前瞻性纵向观察研究。64名肩袖肌腱病患者完成了运动方案。在基线以及第2、4和8周时，评估Penn肩部评分（Penn）肩部功能障碍以及通过转诊与结局预测优化筛查-黄旗（OSPRO-YF）评估的疼痛相关恐惧与灾难化。患者可接受症状状态（PASS）定义第8周时对治疗的满意度。所有疼痛相关恐惧与灾难化指标在抗阻运动期间随时间发生变化（< .01），但按PASS定义的应答者和非应答者组有所不同。对于恐惧-回避信念问卷-工作分量表（FABQ-W），非应答者出现增加（0.63分），而应答者出现下降（-3.5分）（平均差，4.2分；95%置信区间[CI]：-7.6，-0.7；= .02）。对于TSK-11，非应答者的下降幅度较小（-0.1），而应答者为（-3.2分）（平均差，3.1分；95%CI：-5.9，-0.3；= .03）。肩部功能障碍减轻与较少的疼痛相关恐惧和灾难化相关（< .01），并因应答者组而异。非应答者的疼痛相关恐惧和灾难化变化与功能障碍之间无关系（>.05）；应答者总体呈负相关关系（< .04）。肩袖肌腱病患者的疼痛相关恐惧和灾难化随时间发生变化，且变化因参与者而异。第8周时不满意者的疼痛相关恐惧和灾难化水平较高，而满意者的疼痛相关恐惧和灾难化降低。较少的疼痛相关恐惧和灾难化与功能障碍减轻相关。.
[英文摘要] To determine the trajectory of (1) change in pain-related fear and catastrophizing factors, (2) changes in pain-related fear and catastrophizing by treatment satisfaction groups, and (3) the relationship between pain-related fear trajectories, and catastrophizing factors and shoulder disability during an 8-week resistance exercise program. Prospective longitudinal observational study. Sixty-four people with rotator cuff tendinopathy completed the exercise protocol. Outcomes of Penn Shoulder Score (Penn) shoulder disability and pain-related fear and catastrophizing via the Optimal Screening for Prediction of Referral and Outcome-Yellow Flag (OSPRO-YF) were assessed at baseline and at 2, 4, and 8 weeks. Patient Acceptable Symptom State (PASS) defined satisfaction with treatment at 8 weeks. All pain-related fear and catastrophizing measures changed over time during resistance exercise ( < .01) but differed by PASS-defined responder and nonresponder groups. For the Fear-Avoidance Beliefs Questionnaire-Work subscale (FABQ-W), nonresponders had an increase (0.63 pt) while responders had a decrease (-3.5 pt) (mean difference, 4.2 pt; 95% confidence interval [CI]: -7.6, -0.7; = .02). For TSK-11, nonresponders had less of a decrease (-0.1) than responders (-3.2 pt) (mean difference, 3.1 pt; 95% CI: -5.9, -0.3; = .03). Reduced shoulder disability was related to less pain-related fear and catastrophizing ( < .01), and differed by responder group. Nonresponders had no relationship between change in pain-related fear and catastrophizing and disability (>.05); responders had an overall negative relationship ( < .04). Pain-related fear and catastrophizing changed over time for individuals with rotator cuff tendinopathy, and changes varied by participant. Those who were not satisfied at 8 weeks had higher levels of pain-related fear and catastrophizing, while those who were satisfied had reduced pain-related fear and catastrophizing. Less pain-related fear and catastrophizing was related to decreased disability. .