Letter to the Editor-in-Chief in response to JOSPT article “Shockwave Therapy for Midportion and Insertional Achilles Tendinopathy: A Nail in the coffin? A Systematic Review With Meta-analysis” by Korakakis et al. J Orthop Sports Phys Ther 2026;56(11):745-746. doi:10.2519/jospt.2026.0203
Author response to the JOSPT Letter to the Editor-in-Chief "Broad Conclusions from a Narrow Evidence Base: Comments on a Systematic Review of ESWT for Achilles Tendinopathy" J Orthop Sports Phys Ther 2026;56(11):746-747. doi:10.2519/jospt.2026.0203-R
SYNOPSIS: The American Physical Therapy Association (APTA) has sought to quantify the value of physical therapy and justify a course of treatment to third-party payers. Hip osteoarthritis (OA) is one of the most prevalent conditions treated by outpatient physical therapists, with a radiographic prevalence of 19.6% in United States adults over 55 years. This article provides information for the ICD-10 codes identified by the “Hip pain and mobility deficits—hip osteoarthritis: revision 2025: M16.1 Primary coxarthrosis, unilateral; M16.0 Primary coxarthrosis, bilateral; M16.2 Coxarthrosis resulting from dysplasia, bilateral; M16.3 Dysplastic coxarthrosis, unilateral; M16.4 Posttraumatic coxarthrosis, bilateral; M16.5 Posttraumatic coxarthrosis, unilateral; M16.7 Secondary coxarthrosis, not otherwise specified; M25.65 Stiffness in hip; and M25.55 Pain in hip. J Orthop Sports Phys Ther 2026;56(11):748-749. 10.2519/jospt.2026.0503
OBJECTIVE: The aim of this study was to assess whether first-hand experience of receiving physical therapy via telerehabilitation affected patient preferences and willingness to pay for telerehabilitation. DESIGN: This study used a discrete choice experiment nested within a randomized controlled trial. METHODS: We recruited 319 Australian adults aged 45 years or over, with chronic knee pain consistent with osteoarthritis, who had completed a clinical trial where they were randomized to receive physical therapy via telerehabilitation or in-person. Participants were presented hypothetical scenarios and asked to choose between physical therapy delivered via telerehabilitation or in-person. Each scenario presented seven attributes of consultations at varying levels. Data were analyzed using a generalized multinomial logit and latent class models. RESULTS: There were 164 participants from the in-person trial arm (80% of those randomized) and 155 from the telerehabilitation arm (82% of those randomized) who participated. Participants in the telerehabilitation arm (ie, with first-hand experience of telerehabilitation) were willing to pay AU$ 87.49 (95% confidence interval: 72.83, 102.14) more than people in the in-person arm for telerehabilitation consultations (all other attributes fixed at reference values for categorical variables and at mean values for continuous variables). Four subgroups were identified. In the telerehabilitation arm, 105 (68% of 155) participants preferred telerehabilitation, and 50 (32%) preferred in-person consultations. In the in-person arm, 63 (39% of 164) held a strong preference for in-person consultations, and 101 (61%) had a mild preference for in-person consultations. CONCLUSION: People with first-hand experience using telerehabilitation for physical therapy expressed a greater willingness to use and pay for it than people who experienced in-person care. J Orthop Sports Phys Ther 2026;56(11):735-744. Epub 23 September 2026. doi:10.2519/jospt.2026.14073
OBJECTIVE: To describe the lived experiences and health care perspectives of people with femoroacetabular impingement (FAI) syndrome to help guide patient-centered care. DESIGN: Preregistered (CRD42024581726) systematic review of qualitative studies followed the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statements. LITERATURE SEARCH: Embase, CINAHL, MEDLINE, PsycINFO, and Cochrane Library were searched from inception to June 24, 2024, using key subject and free-text terms, updated on November 8, 2024. STUDY SELECTION CRITERIA: We included English-language qualitative and mixed-methods studies that explored the experiences, beliefs, attitudes, perspectives, and/or needs of individuals aged >= 12 years with FAI syndrome. Studies with >= 5 participants were included; there were no publication date restrictions. We used the Critical Appraisal Skills Program (CASP) qualitative and mixed-methods checklist to assess methodological quality. DATA SYNTHESIS: We conducted a hybrid framework and thematic synthesis using the Common-Sense Model of Self-Regulation. Certainty of findings was assessed using the Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative Research (GRADE-CERQual) framework. RESULTS: Eight studies (4 qualitative, 4 mixed-methods) with 409 participants were included. Four key themes were identified: (1) physical and psychosocial effects of FAI syndrome and its care, (2) preference for surgery based on pathoanatomical and biomechanical beliefs, (3) unmet needs and expectations, and (4) varied perceptions of physical therapy. CONCLUSION: This review highlighted the physical and psychosocial impacts of FAI syndrome. Patient education and support may be valuable to set realistic treatment expectations and improve surgical and nonsurgical treatment outcomes.
