Physical Therapy (PHYS THER)

Publisher: American Physical Therapy Association (1921- ), American Physical Therapy Association

Journal description

Founded in 1921, Physical Therapy is the official publication of the American Physical Therapy Association (APTA) and is an international, scholarly, peer-reviewed journal. Physical Therapy serves APTA members and other health care professionals by (1) documenting basic and applied knowledge related to physical therapy, (2) providing evidence for evidence-based practice in physical therapy, and (3) publishing a variety of research that is relevant to the field, diverse opinions that are based in scholarly arguments, and scientifically credible descriptive articles such as case reports. Physical Therapy, like the profession it serves, strives to enhance the health and well-being of all members of society.

Current impact factor: 2.53

Impact Factor Rankings

2016 Impact Factor Available summer 2017
2014 / 2015 Impact Factor 2.526
2013 Impact Factor 3.245
2012 Impact Factor 2.778
2011 Impact Factor 3.113
2010 Impact Factor 2.645
2009 Impact Factor 2.082
2008 Impact Factor 2.19
2007 Impact Factor 2.152
2006 Impact Factor 1.51
2005 Impact Factor 1.672
2004 Impact Factor 1.95
2003 Impact Factor 1.592
2002 Impact Factor 1.658
2001 Impact Factor 1.145
2000 Impact Factor 1.222
1999 Impact Factor 1.164
1998 Impact Factor 1.192
1997 Impact Factor 0.833
1996 Impact Factor 1.136
1995 Impact Factor 0.798
1994 Impact Factor 0.854
1993 Impact Factor 0.617
1992 Impact Factor 0.558

Impact factor over time

Impact factor
Year

Additional details

5-year impact 3.79
Cited half-life >10.0
Immediacy index 0.58
Eigenfactor 0.01
Article influence 1.20
Website Physical Therapy website
Other titles Physical therapy
ISSN 0031-9023
OCLC 1762333
Material type Periodical, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details

American Physical Therapy Association

  • Pre-print
    • Archiving status unclear
  • Post-print
    • Archiving status unclear
  • Conditions
    • Publisher will submit a copy of final published version to PubMed Central on behalf of NIH authors
    • Within 4 weeks of publication for release after 6 months from publication
    • Will work with authors of funding agencies requiring deposit in PubMed Central within 6 months.
    • Publisher last reviewed on 28/05/2015
  • Classification
    white

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Persistent muscle atrophy in the chronically torn rotator cuff is a significant obstacle for treatment and recovery. Large atrophic changes are predictive of poor surgical and non-surgical outcomes and frequently fail to resolve even following functional restoration of loading and rehabilitation. New insights into the processes of muscle atrophy and recovery gained through studies in Developmental Biology combined with the novel tools and strategies emerging in Regenerative Medicine provides new avenues to combat the vexing problem of muscle atrophy in the rotator cuff. Moving these treatment strategies forward is likely going to involve the combination of surgery, biologic/cellular agents and physical interventions, as increasing experimental evidence points to the beneficial interaction between biologic therapies and physiologic stresses. Thus, the physical therapy profession is poised to play a significant role in defining the success of these combinatorial therapies. This perspective will provide an overview of the Developmental Biology and Regenerative Medicine strategies currently under investigation to combat muscle atrophy and how they may integrate into the current and future practice of physical therapy.
    No preview · Article · Feb 2016 · Physical Therapy
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    ABSTRACT: Background: Neck pain is a widespread complaint. People experiencing neck pain often present an altered timing in contraction of cervical muscles. This (altered) afferent information elicits the cervico-ocular reflex (COR), which stabilizes the eye in response to trunk-to-head movements. The vestibulo-ocular reflex (VOR) elicited by the vestibulum is thought to be unaffected by afferent information from the cervical spine. Objective: Measurement of COR and VOR in people with non-specific neck pain. Design: Cross-sectional design according to the STROBE statement. Methods: An infrared eye-tracking device was used to record the COR and the VOR while the participant was sitting on a rotating chair in darkness. Eye velocity was calculated by taking the derivative of the horizontal eye position. Parametric statistics were performed. Results: The mean COR gain in the control group (N= 30) was 0.26 (SD= 0.15), against 0.38 (SD= 0.16) in the non-specific neck pain group (N= 37). Analyses of covariance were performed to analyze differences in COR and VOR gains with age and gender as covariates. Analyses of covariance showed a significantly increased COR in people with neck pain (p= 0.046). The VOR between the control group with a mean VOR of 0.67 (SD= 0.17) and the non-specific neck pain group with a mean VOR of 0.66 (SD=0.22) was not significantly different (p= 0.203). Limitations: Measuring eye movements while the participant is sitting on a rotating chair in complete darkness is technically complicated. Conclusions: This study suggests that people with non-specific neck pain have an increased COR. The COR is an objective non-voluntary eye reflex and an unaltered VOR. This study shows that an increased COR is not restricted to traumatic neck pain patients.
    No preview · Article · Feb 2016 · Physical Therapy
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    ABSTRACT: Background: The Comprehensive ICF Core Set for Vocational Rehabilitation (VR) is a list of essential categories on functioning based on the International Classification of Functioning, Disability and Health (ICF), which describes a standard for interdisciplinary assessment, documentation, and communication in vocational rehabilitation (VR). Objective: To examine the content validity of the Comprehensive ICF Core Set for VR from the perspective of physical therapists (PTs). Design: A three-round e-mail survey has been performed using a Delphi method. Methods: We conveniently sampled international PTs working in VR with work experience of ≥ 2 years who were asked to identify aspects they consider as relevant when evaluating and/or treating clients in VR. Responses were linked to the ICF categories and compared with the Comprehensive ICF Core Set for VR. Results: Sixty-two PTs from all 6 WHO world-regions responded with 3,917 statements that were subsequently linked to 338 ICF categories. Fifteen (17%) of the 90 categories in the Comprehensive ICF Core Set for VR have been confirmed by the PTs in our sample. We identified twenty-two additional ICF categories that were not included in the Comprehensive ICF Core Set for VR. Limitations: VR in physical therapy is not well defined in every country hence might have resulted in small sample size and the results cannot be generalized to all PTs practicing in VR. Conclusion: The content validity of the ICF Core Set for VR is insufficient from a sole PT perspective. The results of this study could be used to define a PT specific set of ICF categories to develop and guide PT clinical practice in VR.
    No preview · Article · Feb 2016 · Physical Therapy
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    ABSTRACT: Background: A difficult birth at term (DBAT) may manifest as fetal acidosis and low Apgar scores and is often referred to as 'perinatal asphyxia', especially when infants show signs of neonatal encephalopathy (NE). In contrast to DBAT resulting in moderate to severe NE, which is associated with neurodevelopmental disorders, little is known about prognosis of less severe forms of DBAT, with or without NE. Objective: The objective of this study was to evaluate the ICF-CY activity 'mobility' and other neurodevelopmental sequelae in infants with DBAT at 6 years. Methods: The index cohort (n=62; 35 boys) consisted of consecutive term infants with DBAT based on clinical criteria in a Dutch non-academic hospital, 1999-2005. We assessed NE according to the Sarnat grading system and excluded infants with severe NE. The matched reference cohort (n=81; 49 boys) consisted of healthy term infants. Primary outcome at 6 years was limited mobility (Movement ABC≤15(th) percentile). Secondary outcomes included learning and behavioral problems and the presence of minor neurological dysfunction (MND). Results: Three children developed cerebral palsy and were excluded from analyses. Children with DBAT more often had limited mobility than children without DBAT (RR 2.44, 95%CI 1.16-5.14).The risk of limited mobility rose with increasing severity of NE (mild NE RR 3.38, 95%CI 1.40-8.16; moderate NE RR 4.00, 95%CI 1.54-10.40), and especially manual abilities were affected (RR 4.12, 95%CI 1.40-12.14). Learning problems, need for physical therapy and complex MND were more common in children with DBAT than in children without DBAT. Conclusions: Term infants who develop mild or moderate NE following DBAT are at increased risk for limited mobility at 6 years; routine monitoring of neuromotor development in these children is warranted.
    No preview · Article · Feb 2016 · Physical Therapy
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    ABSTRACT: Background: Mobility impairments are the third leading cause of disability for community-dwelling Canadians. Wheelchairs and scooters (WCSs) help compensate for these challenges. There is limited data within the last decade estimating the prevalence of WCS use in Canada. Objective: To estimate the prevalence of wheelchair and scooter use in Canada, and explore relevant demographic characteristics of wheelchair and scooter users. Design: Secondary analysis of cross-sectional national survey. Methods: The Canadian Survey on Disability (2012) collected data on wheelchair and scooter use from community-dwelling individuals aged 15 and over with a self-identified activity limitation on the National Household Survey. Prevalence estimates were calculated as weighted frequencies, with cross-tabulations to determine the number of WCS users in Canada, by province, and demographic characteristics (i.e., age, sex), and bootstrapping to estimate the variance of all point estimates. Results: There were approximately 288,800 community-dwelling WCS users aged 15 and over, representing 1.0% of the Canadian population. This included 197,560 manual wheelchair users, 42,360 powered wheelchair users, and 108,550 scooter users. WCS users were predominantly female, with a mean age of 65 years. Approximately 50,620 individuals used a combination of two WCSs. Limitations: These results are representative of individuals living in the community in Canada, and exclude individuals in residential or group based settings; estimates do not represent the true population prevalence. Conclusion: This analysis is the first in over 10 years to provide a prevalence estimate and description of WCS users in Canada. Since 2004, there has been an increase in the proportion of the population who use WCSs, likely related to an aging Canadian population. These new prevalence data have potential to inform policy, research, and clinical practice.
    No preview · Article · Feb 2016 · Physical Therapy
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    ABSTRACT: Background: The STarT Back Screening Tool (SBT) is a validated multidimensional screening measure and risk stratification tool for individuals with low back pain. Objective: To compare relationships between a modified SBT (mSBT) and clinical and psychological measures among individuals with low back, neck, shoulder, and knee pain. We hypothesized that the relationship between mSBT scores and clinical and psychological measures will be similar across the included musculoskeletal pain conditions. Design: Cross-sectional; secondary analysis METHODS: Participants with low back (n=118), neck (n=92), shoulder (n=106), or knee pain (n=111) were recruited and a mSBT was developed for use across these conditions. Separate hierarchical linear regression models were developed with clinical (health status, pain intensity, disability) and psychological (kinesiophobia, catastrophizing, fear-avoidance, anxiety, depressive symptoms, and self-efficacy) measures as dependent variables. Demographic and pain region variables were entered in the first step, mSBT scores in the second, and pain region x mSBT interactions in the last. Results: In final models, no interactions were identified suggesting dependent measure scores did not differ by pain region. The strongest contributor for all dependent variables was mSBT score (β= | . 32| - | .68 | , p<.01); higher mSBT scores were associated with lower health status and self-efficacy, and higher pain intensity, disability, kinesiophobia, catastrophizing, fear-avoidance, anxiety, and depressive symptoms (p<.01). Limitations: Generalizability restricted to physical therapy outpatients with the included pain conditions. The mSBT used in this study is not ready for clinical implementation. Conclusions: Results support feasibility of concise risk assessment across different musculoskeletal pain conditions with a single measure. Further longitudinal studies are needed to better direct clinical use of a mSBT among individuals with low back, neck, shoulder, and knee pain.
    No preview · Article · Feb 2016 · Physical Therapy

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    ABSTRACT: Background: Limited research exists on the utilization and payments of physical rehabilitation services, especially among individuals with commercial insurance. Objective: This study aimed to characterize the utilization and payments of office-based physical rehabilitation services among non-elderly individuals with commercial insurance from New York State. Design: A retrospective descriptive study with a cross-sectional design. Methods: A cohort of 1.8 million individuals in the 2012 Truven Health MarketScan® Research Database was constructed for review. A total of 109,821 unique patients who received any type of physical rehabilitation provided by physical therapists, chiropractors, and physicians in the office setting were included for analyses. Results: Physical therapists provided the largest proportion of physical rehabilitation services (54.5%), followed by chiropractors (27.5%), and physicians (18.0%). Six out of 100 individuals used physical rehabilitation services in 2012. The mean annual payments of physical rehabilitation per patient were $820 (median=$323). Women and older individuals were more likely to use rehabilitation services and have higher annual utilization and payments. For the five most common physical rehabilitation services, payment rates for chiropractors were the highest and those for physical therapists were the lowest with payment rates for physicians in between. Limitations: This study was based on commercial insurance claims data from one state. Conclusions: Findings from this study recognize that rehabilitation services are delivered by various types of health care professionals and the payment rates vary across provider specialties in New York State. Of particular interest is that while physical therapists provide the largest proportion of services their payment rates are lower than the rates for chiropractors and physicians. Future research should assess regional variations and explore inter-provider cost-effectiveness in delivering these interventions.
    No preview · Article · Dec 2015 · Physical Therapy
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    ABSTRACT: Background and purpose: Telehealth is defined as the delivery of health-related services and information via telecommunication technologies. The purposes of this manuscript are to; (1) describe the development, implementation and evaluation of a telehealth approach for meeting physical therapist supervision requirements in a skilled nursing facility (SNF) in Washington, and (2) explore clinical and human factors of physical therapist practice in a skilled nursing facility (SNF) delivered via telehealth. Case description: In 2009, Infinity Rehab conducted a pilot program to determine whether telehealth could be used to meet physical therapist supervision requirements in a skilled nursing facility. In 2011, language allowing telehealth physical therapy was approved by the Washington Board of Physical Therapy (Board). In 2014-2015 telehealth outcomes were evaluated in a 51 person sample at an Infinity Rehab SNF. Cost savings of telehealth implementation from 2011-2015 were estimated. Outcomes: The Board deemed the telehealth pilot program a success, and subsequently, established telehealth practice language for physical therapy. Both human factors and clinical outcomes were required to implement a successful telehealth practice. Clinical outcomes and user satisfaction in telehealth and non-telehealth groups were equivalent. Cost savings were identified. Discussion: Human factors, such as the need for provider education in appropriate bedside manner with telehealth session were identified. Since 2011 over 1000 telehealth physical therapy sessions were conducted at Infinity Rehab SNFs in Washington State. In the future, alternative payment models focused on valued-based clinical outcomes may facilitate wider telehealth adoption in physical therapy. Future research on efficacy and cost effectiveness is needed to promote broader adoption of telehealth physical therapy in SNFs. Conclusion: Our experience demonstrates that telehealth implementation in a skilled nursing facility for the purpose of physical therapy re-evaluation is a feasible alternative to in-person encounters.
    No preview · Article · Dec 2015 · Physical Therapy

  • No preview · Article · Dec 2015 · Physical Therapy