Physiotherapy Journal Impact Factor & Information

Publisher: Chartered Society of Physiotherapy (Great Britain), Elsevier

Journal description

Physiotherapy aims to publish original research and facilitate continuing professional development for physiotherapists and other health professions worldwide. Dedicated to the advancement of physiotherapy through publication of research and scholarly work concerned with, but not limited to, its scientific basis and clinical application, education of practitioners, management of services and policy. We are pleased to receive articles reporting original scientific research, systematic or narrative reviews, educational, theoretical or debate articles, brief reports, case histories or single case studies. All papers should demonstrate methodological rigour. Physiotherapy is peer reviewed by an international panel.

Current impact factor: 1.91

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 1.911
2013 Impact Factor 2.106
2012 Impact Factor 1.57
2011 Impact Factor 1.558
2010 Impact Factor 0.641
2009 Impact Factor 0.773
2008 Impact Factor 0.561
2007 Impact Factor 0.452

Impact factor over time

Impact factor

Additional details

5-year impact 2.03
Cited half-life 9.90
Immediacy index 0.31
Eigenfactor 0.00
Article influence 0.62
Website Physiotherapy website
Other titles Physiotherapy (Online)
ISSN 1873-1465
OCLC 60630130
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details


  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Authors pre-print on any website, including arXiv and RePEC
    • Author's post-print on author's personal website immediately
    • Author's post-print on open access repository after an embargo period of between 12 months and 48 months
    • Permitted deposit due to Funding Body, Institutional and Governmental policy or mandate, may be required to comply with embargo periods of 12 months to 48 months
    • Author's post-print may be used to update arXiv and RepEC
    • Publisher's version/PDF cannot be used
    • Must link to publisher version with DOI
    • Author's post-print must be released with a Creative Commons Attribution Non-Commercial No Derivatives License
    • Publisher last reviewed on 03/06/2015
  • Classification

Publications in this journal

  • Physiotherapy 11/2015; DOI:10.1016/

  • Physiotherapy 11/2015; DOI:10.1016/

  • Physiotherapy 11/2015; DOI:10.1016/

  • Physiotherapy 10/2015; DOI:10.1016/
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    ABSTRACT: Objectives: To determine the effectiveness of Pilates and yoga group exercise interventions for individuals with chronic neck pain (CNP). Design: Quasi-randomised parallel controlled study. Setting: Community, university and private practice settings in four locations. Participants: Fifty-six individuals with CNP scoring ≥3/10 on the numeric pain rating scale for >3 months (controls n=17, Pilates n=20, yoga n=19). Interventions: Exercise participants completed 12 small-group sessions with modifications and progressions supervised by a physiotherapist. Main outcome measures: The primary outcome measure was the Neck Disability Index (NDI). Secondary outcomes were pain ratings, range of movement and postural measurements collected at baseline, 6 weeks and 12 weeks. Follow-up was performed 6 weeks after completion of the exercise classes (Week 18). Results: NDI decreased significantly in the Pilates {baseline: 11.1 [standard deviation (SD) 4.3] vs Week 12: 6.8 (SD 4.3); mean difference -4.3 (95% confidence interval -1.64 to -6.7); P<0.001} and yoga groups [baseline: 12.8 (SD 7.4) vs Week 12: 8.1 (SD 5.6); mean difference -4.7 (95% confidence interval -2.1 to -7.4); P<0.00], with no change in the control group. Pain ratings also improved significantly. Moderate-to-large effect sizes (0.7 to 1.8) and low numbers needed to treat were found. There were no differences in outcomes between the exercise groups or associated adverse effects. No improvements in range of movement or posture were found. Conclusions: Pilates and yoga group exercise interventions with appropriate modifications and supervision were safe and equally effective for decreasing disability and pain compared with the control group for individuals with mild-to-moderate CNP. Physiotherapists may consider including these approaches in a plan of care. Clinical trial registration number: NCT01999283.
    Physiotherapy 10/2015; DOI:10.1016/
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    ABSTRACT: Objectives: Postural instability is one of the most disabling features in Parkinson's disease (PD), and often leads to falls that reduce mobility and functional capacity. The objectives of this study were to analyse the limit of stability (LOS) and influence of the manipulation of visual, somatosensorial and visual-vestibular information on postural control in patients with PD and healthy subjects. Design: Cross-sectional. Setting: Movement Disorders Unit, university setting. Participants: Eighty-two subjects aged between 37 and 83 years: 41 with Parkinson's disease in the 'on' state and 41 healthy subjects with no neurological disorders. Both groups were matched in terms of sex and age. Main outcome measures: Unified Parkinson's Disease Rating Scale (UPDRS)-motor score, modified Hoehn and Yahr staging, Dynamic Gait Index (DGI) and posturography with integrated virtual reality. The parameters analysed by posturography were LOS area, area of body centre of pressure excursion and balance functional reserve in the standing position in 10 conditions (open and closed eyes, unstable surface with eyes closed, saccadic and optokinetic stimuli, and visual-vestibular interaction). Results: The mean UPDRS motor score and DGI score were 27 [standard deviation (SD) 14] and 21 (SD 3), respectively. Thirteen participants scored between 0 and 19 points, indicating major risk of falls. Posturographic assessment showed that patients with PD had significantly lower LOS area and balance functional reserve values, and greater body sway area in all posturographic conditions compared with healthy subjects. Conclusions: Patients with PD have reduced LOS area and greater postural sway compared with healthy subjects. The deterioration in postural control was significantly associated with major risk of falls.
    Physiotherapy 10/2015; DOI:10.1016/

  • Physiotherapy 10/2015; DOI:10.1016/
  • Kerry Peek · Robert Sanson-Fisher · Lisa Mackenzie · Mariko Carey ·

    Physiotherapy 10/2015; DOI:10.1016/
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    ABSTRACT: Objective: To evaluate the inter-rater and intra-rater reliability of the hand held dynamometer in measuring muscle strength in people with interstitial lung disease (ILD). Design: Test retest reliability of hand-held dynamometry for elbow flexor and knee extensor strength between two independent raters and two testing sessions. Setting: Physiotherapy department within a tertiary hospital. Participants: Thirty participants with ILD of varying aetiology were included. Twenty participants completed the inter-rater reliability protocol (10 idiopathic pulmonary fibrosis, mean (SD) age 73 (10) years, 11 male) and 21 participants completed the intra-rater reliability protocol (10 idiopathic pulmonary fibrosis, mean age 71 (10) years, 11 male). Main outcome measures: Mean muscle strength (kg). Agreement between the two raters and testing sessions was analyzed using Bland-Altman plots and reliability was estimated using intraclass correlation coefficients (ICC). Results: For elbow flexor strength there was a mean difference between raters of -0.6kg (limits of agreement (LOA) -5.6 to 4.4kg) and within raters of -0.3kg (LOA -2.8 to 2.3kg). The ICCs were 0.95 and 0.98, respectively. For knee extensor strength there was a mean difference between raters of -1.5kg (LOA -6.9 to 3.9kg) and within raters of -0.7kg (LOA -3.9 to 2.4kg). The ICCs were 0.95 and 0.97, respectively. Conclusions: Hand-held dynamometry is reliable in measuring elbow flexor and knee extensor strength in people with ILD.
    Physiotherapy 10/2015; DOI:10.1016/
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    ABSTRACT: Objective: To understand women's self-presentation experiences in the rehabilitation setting, and their attitudes and preferences toward the social and physical features of the rehabilitation environment. Design: Qualitative study. Setting: Outpatient physiotherapy clinic. Participants: Ten women (age 18 to 64) with high social physique anxiety (Social Physique Anxiety Scale score ≥25) referred for physiotherapy following acute injury. Main outcome measures: Semi-structured interviews were conducted prior to commencement of treatment, and again after a third treatment session. Results: Participants experienced extensive self-presentational concerns that were intensified due to the nature of the physiotherapy environment. The women reported that their self-presentational anxiety did not diminish over time, and was related to others' negative perceptions regarding their physical appearance and inability to perform exercises as well as expected. The presence of men or younger women in the clinic was identified as a barrier to appointment attendance, along with open concept clinic settings, which were associated with the most potential for evaluation. Mirrors and windows in the physiotherapy clinic were highlighted as anxiety provoking. The women suggested that they would feel apprehensive about advocating for themselves if they felt uncomfortable with the area in which they were receiving treatment, and instead used avoidance coping strategies (e.g., hiding behind equipment, preventing eye contact) to manage their anxiety. Conclusions: Physique-anxious women experience extensive self-presentational concerns in the rehabilitation environment, which could affect treatment adherence. Modifying the treatment setting, providing protective self-presentational strategies such as positive self-talk, and open patient-therapist communication could be implemented to help mitigate these concerns.
    Physiotherapy 10/2015; DOI:10.1016/

  • Physiotherapy 10/2015; DOI:10.1016/
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    ABSTRACT: Objectives: To investigate in non-surgically and surgically treated non-small cell lung cancer (NSCLC): (1) changes in physical activity, function, health-related quality of life (HRQoL) and symptoms after diagnosis; and (2) the association between physical activity and outcomes. Design: Prospective observational study. Setting: Three acute tertiary hospitals. Participants: Sixty-nine individuals (43 male, median [IQR] age 68 [61 to 74] years) with stage I-IV NSCLC. Main outcome measures: The primary outcome (Physical Activity Scale for the Elderly) and secondary outcome (six-minute walk test and questionnaires assessing HRQoL, function, symptoms, mood) were measured at diagnosis (pre-treatment), and eight to ten weeks post-diagnosis (post-operative and/or during chemotherapy/radiotherapy). Results: Individuals treated surgically (n=27) experienced a deterioration in physical activity levels (baseline median [IQR]=74 [51 to 135]; follow-up median [IQR]=29 [24 to 73]; median difference=45, effect size=0.3). At follow-up physical activity was inversely related to depression, pain and appetite loss (rho>0.5, p<0.05). In contrast non-surgical individuals (n=42) did not experience a change in physical activity, however did experience deterioration in function, functional capacity, global HRQoL, fatigue and dyspnoea. Physical activity levels were low in this group and at follow-up the strongest relationships with physical activity levels were global HRQoL, function, fatigue and mood (inverse, rho>0.5, p<0.05). Conclusions: Surgically treated individuals experienced a reduction in physical activity levels after diagnosis, which was not seen in the non-surgical group. Lower physical activity levels were associated with poorer outcomes, particularly in non-surgically treated individuals. Further research is required to establish the optimal intervention to improve physical activity levels in these cohorts.
    Physiotherapy 10/2015; DOI:10.1016/
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    ABSTRACT: Objectives: To establish the rationale for using a lecturer as a visiting tutor, and to identify the activities undertaken during clinical placements to support student learning and assessment in practice. Design: A secure electronic survey was used to incorporate qualitative and quantitative data collection procedures. Setting: Thirty-three higher education institution (HEI) providers of physiotherapy education in the UK, registered with the Chartered Society of Physiotherapy. Participants: UK HEI physiotherapy placement coordinators. Main outcome measures: A questionnaire was used to examine HEI perceptions. A pilot focus group consultation informed the questionnaire content. Surveys were analysed based on the proportion of responses to closed questions on an adapted Likert scale, with further thematic analysis of open questions. Results: All 25 respondents (25/33, 76%) indicated their provision of support for students and clinical educators throughout their clinical placements. 'Face-to-face' engagement during the placement visit was viewed as essential to guide the clinical educator to provide a consistent approach to learning and assessment strategies; ensuring cohesion between theoretical and clinical components of the curriculum was viewed as a core objective by visiting academic tutors. However, the emergent themes highlighted key differences between HEIs' perspectives of what this support for clinical placement learning should entail. Conclusions: The majority of HEIs endorse the use of a lecturer as a visiting tutor to inform and maintain the standard of learning and assessment within the clinical placement. However, the value of this interaction requires confirmation via other stakeholders, and exploration of other forms of non-face-to-face support processes warrant further investigation.
    Physiotherapy 10/2015; DOI:10.1016/
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    ABSTRACT: Objective: To evaluate the effects of kinesiotape, non-elastic tape, and soft brace on segmental foot kinematics during drop landing in subjects with chronic ankle instability and healthy subjects. Design: Controlled study with repeated measurements. Setting: Three-dimensional motion analysis laboratory. Participants: Twenty participants with chronic ankle instability and 20 healthy subjects. Interventions: The subjects performed drop landings with 17 retroreflective markers on the foot and lower leg in four conditions: barefoot, with kinesiotape, with non-elastic tape and with a soft brace. Main outcome measures: Ranges of motion of foot segments using a foot measurement method. Results: In participants with chronic ankle instability, midfoot movement in the frontal plane (inclination of the medial arch) was reduced significantly by non-elastic taping, but kinesiotaping and bracing had no effect. In healthy subjects, both non-elastic taping and bracing reduced that movement. In both groups, non-elastic taping and bracing reduced rearfoot excursion in inversion/eversion significantly, which indicates a stabilisation effect. No such effect was found with kinesiotaping. All three methods reduced maximum plantar flexion significantly. Conclusions: Non-elastic taping stabilised the midfoot best in patients with chronic ankle instability, while kinesiotaping did not influence foot kinematics other than to stabilise the rearfoot in the sagittal plane. Clinical trial registration number: NCT01810471.
    Physiotherapy 09/2015; DOI:10.1016/
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    ABSTRACT: Background: Low back pain (LBP) in adolescence is a predictor of adult LBP. Strategies to educate children and encourage healthy spine habits may prevent LBP. Poor adherence to health programmes can be a barrier to their success. This study addresses the potential for habitualisation of a short daily exercise programme that draws attention to factors thought to keep the spine healthy. Objectives: To describe adherence to a 9-month exercise programme, and analyse factors that may influence adherence. Design: Observational cohort study. Setting: Four primary schools in New Zealand. Outcome measures: Outcomes included self-evaluation of adherence to exercise, and self-reported incidence and severity of LBP. Participants: Children (n=469) aged 8 to 11 years. Methods: Participants were taught four simple spine movements for daily practice as part of a health programme that emphasised 'back awareness' and self-care of the spine. Strategies to encourage adherence were implemented. Data on self-reported adherence and episodes of LBP during the previous week were collected through an online survey completed on trial days 7, 21, 49, 105, 161 and 270 over a 9-month period. Results: Daily exercise adherence was 34% on day 7 and dropped to 9% by day 270. Exercise adherence of at least once per week was 84% on day 7 and 47% by day 270. Frequency of exercise was not associated with episodes of LBP [odds ratio (OR) 1.16, 95% confidence interval (CI) 0.92 to 1.47, P=0.21], previous history of LBP (OR 0.97, 95% CI 0.77 to 1.23, P=0.77), lifetime first episode of LBP (defined as the first episode of LBP in the study period for participants with no previous history of LBP) (OR 0.39, 95% CI 0.15 to 1.34, P=0.14) or severity of LBP (OR 1.59, 95% CI 0.99 to 2.52, P=0.05). Conclusion: This study applied a comprehensive set of strategies considered to be important in encouraging adherence, but was not successful in sustaining the interest of more than half of the cohort. Innovative strategies are needed to develop new exercise habits in children. Clinical trial registration number: ACTRN12611000551998.
    Physiotherapy 09/2015; DOI:10.1016/
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    ABSTRACT: Background: Evidence-based practice (EBP) is promoted to ensure quality of care. However, analysis of the skill of physiotherapists in undertaking the steps of EBP, or the impact of EBP on the work of physiotherapists is limited. Objectives: To conduct a scoping review into physiotherapists performing the steps of EBP. Data source: Literature concerning the skill of physiotherapists in EBP between 1990 and June 2013 was searched using AMED, Academic Search Complete, CINAHL, PubMed, ERIC, PEDRO and EMBASE databases. Study selection: Twenty-five studies (six qualitative, one mixed methods and 18 quantitative) were selected. Data extraction and synthesis: Quantitative and qualitative data were extracted using two appraisal tools to analyse each of the five steps of EBP. Results: Limited evidence exists to show that physiotherapists undertake the full EBP process. Despite formulating clinical questions and acquiring literature-based evidence, the drivers for conducting literature or evidence searches have not been clarified. The critical appraisal step was mainly assessed in the form of recognition of statistical terms. Only examples of guideline usage support the reflective final assessment step. Physiotherapists report using their peers and other trusted sources in preference to literature, primarily due to time but also due to divergence between the literature-based evidence and other evidence that they use and value (tacit knowledge). A positive impact of EBP on patient outcomes is lacking. Conclusions: Understanding the information needs of physiotherapists may be necessary before adoption of the EBP process. The use of professional networks may offer a better means to identify knowledge gaps and translate acquired knowledge into practice, rather than focusing on individual skills in EBP.
    Physiotherapy 09/2015; DOI:10.1016/
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    ABSTRACT: Objectives: There is an urgent need to improve the care of older people at risk of falls or who experience falls in mental health settings. The aims of this study were to evaluate the individual falls risk assessment tools adopted by National Health Service (NHS) mental health trusts in England and healthcare boards in Wales, to evaluate the comprehensiveness of these tools and to review their predictive validity. Methods: All NHS mental health trusts in England (n=56) and healthcare boards in Wales (n=6) were invited to supply their falls policies and other relevant documentation (e.g. local falls audits). In order to check the comprehensiveness of tools listed in policy documents, the risk variables of the tools adopted by the mental health trusts' policies were compared with the 2004 National Institute for Health and Care Excellence (NICE) falls prevention guidelines. A comprehensive analytical literature review was undertaken to evaluate the predictive validity of the tools used in these settings. Results: Falls policies were obtained from 46 mental health trusts. Thirty-five policies met the study inclusion criteria and were included in the analysis. The main falls assessment tools used were the St. Thomas' Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY), Falls Risk Assessment Scale for the Elderly, Morse Falls Scale (MFS) and Falls Risk Assessment Tool (FRAT). On detailed examination, a number of different versions of the FRAT were evident; validated tools had inconsistent predictive validity and none of them had been validated in mental health settings. Conclusions: Falls risk assessment is the most commonly used component of risk prevention strategies, but most policies included unvalidated tools and even well validated tool such as the STRATIFY and the MFS that are reported to have inconsistent predictive accuracy. This raises questions about operational usefulness, as none of these tools have been tested in acute mental health settings. The falls risk assessment tools from only four mental health trusts met all the recommendations of the NICE falls guidelines on multifactorial assessment for prevention of falls. The recent NICE (2013) guidance states that tools predicting risk using numeric scales should no longer be used; however, multifactorial risk assessment and interventions tailored to patient needs is recommended. Trusts will need to update their policies in response to this guidance.
    Physiotherapy 09/2015; 13. DOI:10.1016/