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Evidence-Based Physiotherapy: Prospects and Challenges

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: closed (25 February 2026) | Viewed by 2633

Special Issue Editors


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Guest Editor
Faculty of Physical Education and Health in Biala Podlaska, Jozef Pilsudski University of Physical Education in Warsaw, 21-500 Biala Podlaska, Poland
Interests: pulmonary rehabilitation; COPD; asthma; phantom phenomena; peripheral artery disease; evidence-based practice

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Guest Editor
Faculty of Physical Education and Health in Biala Podlaska, Jozef Pilsudski University of Physical Education in Warsaw, 21-500 Biala Podlaska, Poland
Interests: evidence-based practice; quality of health care; meta-research; practice guidelines; person-centered care
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Special Issue Information

Dear Colleagues,

It is now over thirty years since the term “evidence-based medicine” was coined. Soon afterwards, ideas around evidence-based physiotherapy practice, EBP, were introduced, and since then, key milestones have been achieved, such as World Physiotherapy recognizing evidence-based practice as being among the core physiotherapy competences. The movement and its principles, as well as clinical practice, have been evolving and have faced many challenges and critiques. The strength and certainty of evidence remain key to success, but so does the implementation of science and knowledge translation processes, as their methods and frameworks have emerged as key person- and system-centered approaches. Evidence-based, systematically developed clinical practice guidelines have influenced clinical practice. EBP has become a core aspect of clinical practice and research, but barriers, obstacles, and uncertainties remain, both in the implementation process and in the evidence base itself. Proposals such as evidence-informed practice and evidence-guided practice have also influenced clinical practice.

For this Special Issue, we invite authors to submit papers focusing on clinical settings and clinical practice and discussing a wide range of issues linked to evidence-based physiotherapy.

Dr. Roman Nowobilski
Dr. Maciej Płaszewski
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • evidence-based practice
  • physiotherapy
  • critique
  • certainty of evidence
  • clinical practice guidelines
  • implementa-tion
  • clinical settings
  • clinical practice
  • clinical processing

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Published Papers (2 papers)

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11 pages, 401 KB  
Article
Readiness and Implementation of Evidence-Based Practice Among Physiotherapists: A Cross-Sectional Study and Evidence-Based Practice Questionnaire Validation
by Christi Ojaste, Jarek Mäestu and Kadri Medijainen
J. Clin. Med. 2026, 15(5), 1716; https://doi.org/10.3390/jcm15051716 - 24 Feb 2026
Viewed by 758
Abstract
Background/Objectives: Evidence-based practice (EBP) is a core competence in physiotherapy, yet its implementation in routine clinical practice remains inconsistent. This study aimed to describe self-reported EBP competencies among physiotherapists and to examine factors associated with daily EBP and readiness to implement EBP. [...] Read more.
Background/Objectives: Evidence-based practice (EBP) is a core competence in physiotherapy, yet its implementation in routine clinical practice remains inconsistent. This study aimed to describe self-reported EBP competencies among physiotherapists and to examine factors associated with daily EBP and readiness to implement EBP. Methods: A cross-sectional analytic survey was conducted among 337 practicing Estonian physiotherapists (75% female) between 2022 and 2024. EBP competencies were assessed using the Estonian version of the Evidence-Based Practice Questionnaire (EBPQ-E). Two multiple linear regression models examined associations of demographic and professional characteristics and EBP competencies with (1) daily EBP and (2) readiness to implement EBP. Results: The mean total EBPQ-E score was 4.72 (SD = 0.89), with the highest scores in Attitude, followed by Knowledge/Skills, Practice, and Sharing. While physiotherapists strongly endorsed the value of EBP, critical appraisal and knowledge sharing were less frequent. Readiness to implement EBP was associated with supervisory experience, dual employment, and working with colleagues (p < 0.05), explaining 7.5% of the variance. Daily EBP was primarily explained by EBP competencies (40.8% variance), whereas 5–10 years of qualification showed a negative association. Conclusions: While professional and contextual factors support readiness for EBP, sustained implementation relies on continuous competency development and career-long support for practicing physiotherapists, shifting focus away from static background characteristics, workload, and time constraints. Full article
(This article belongs to the Special Issue Evidence-Based Physiotherapy: Prospects and Challenges)
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23 pages, 1017 KB  
Systematic Review
The Effectiveness of Photobiomodulation Therapy on Perineal Pain and Wound Healing After Episiotomy—A Systematic Review and Meta-Analysis
by Mohamed Salaheldien Alayat, Roaa A. Sroge, Fahda M. Alshiakh, Ehab Mohamed Abd El-Kafy, Ammar Fadil, Abdulaziz Awali, Moayad S. Subahi and Abdulqader Abdulrazaq Almutairi
J. Clin. Med. 2026, 15(3), 964; https://doi.org/10.3390/jcm15030964 - 25 Jan 2026
Cited by 1 | Viewed by 1394
Abstract
Objective: the aim of this systematic review and meta-analysis was to evaluate the effectiveness of photobiomodulation therapy (PBM) on perineal pain and wound healing following episiotomy. Methods: Electronic databases were searched for randomized controlled trials (RCTs) and non-RCTs investigating PBM after [...] Read more.
Objective: the aim of this systematic review and meta-analysis was to evaluate the effectiveness of photobiomodulation therapy (PBM) on perineal pain and wound healing following episiotomy. Methods: Electronic databases were searched for randomized controlled trials (RCTs) and non-RCTs investigating PBM after episiotomy. Risk of bias was assessed using RoB 2 for RCTs and ROBINS-I for non-RCTs. The certainty of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Meta-analyses were performed using random-effects models. Results: Eight studies were included in the systematic review, and six studies were included in the meta-analysis. According to RoB 2, one trial was judged at low risk of bias, two trials raised some concerns, and three trials were at high risk of bias. ROBINS-I showed the serious risk of bias of two non-RCTs. GRADE for both pain and wound-healing outcomes was rated as very low. Meta-analysis of pain showed no significant difference between PBM and control groups (SMD = 0.04; 95% CI −0.60 to 0.68; p = 0.89), with considerable heterogeneity (I2 = 91%). For wound-healing outcomes, meta-analysis showed no significant difference (MD = 0.94; 95% CI −0.69 to 2.56; p = 0.26), with substantial heterogeneity (I2 = 94%). Conclusions: PBM therapy did not demonstrate a significant benefit for reducing perineal pain or improving wound healing after episiotomy compared with control interventions. Interpretation of these findings should be made cautiously due to small study numbers, substantial heterogeneity, and the inability to perform sensitivity or subgroup analyses, highlighting the need for high-quality RCT with standardized PBM protocols before clinical recommendations can be made. Full article
(This article belongs to the Special Issue Evidence-Based Physiotherapy: Prospects and Challenges)
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