Physical activity promotion in physical therapy, exercise therapy and other movement-based therapies: a scoping review and content analysis of intervention studies and theoretical works

Matting L, Pfeifer K, Sudeck G, Jung A, Langhirt F, Geidl W (2025)


Publication Type: Journal article, Review article

Publication year: 2025

Journal

Book Volume: 22

Article Number: 72

Journal Issue: 1

DOI: 10.1186/s12966-025-01772-1

Abstract

Background: Movement-based therapists, including physical, exercise, and sport therapists, play a key role in promoting physical activity in individuals with non-communicable diseases. However, no clear consensus exists on effective intervention approaches. This scoping review examines available intervention studies and theoretical works for physical activity promotion in movement-based therapy. Methods: In accordance with Colquhoun et al.‘s framework and PRISMA-ScR guidelines, we systematically searched PubMed, Scopus, Web of Science, and PsycINFO until March 31, 2024. Eligible records described physical activity-promoting concepts including interventional studies and theoretical works applicable in movement-based therapies for individuals with non-communicable diseases. Data extraction covered assessment, therapeutic content, didactic-methodological principles, and theoretical underpinnings. Interventions were categorized based on behavior change techniques (BCTs), the behavior change wheel, and a clinical reasoning model for clients behavior change. Network analysis explored relationships between therapeutic content and didactic-methodological principles. Results: Fifty-seven records met inclusion criteria; 77% were intervention studies, and 23% were theoretical works. Most concepts originated from orthopedics/rheumatology (23%), neurology (21%), and oncology (9%), while 12% were generic concepts. Across concepts, 66 biopsychosocial assessment instruments and 60 BCTs were applied (Median BCTs per concept: 11.5, range: 4–37). Key didactic-methodological principles included tailoring/individualization (n = 47), active participation (n = 39), collaborative communication (n = 21), and patient self-responsibility and independence (n = 14). Least mentioned was facilitating positive movement experiences and enjoyment of physical activity (n = 3). Network analysis identified action planning, goal setting, and feedback as central BCTs. Conclusion: This review provides an overview of 57 physical activity promotion concepts used in movement-based therapies for individuals with non-communicable diseases. Findings reveal considerable heterogeneity, highlighting diverse strategies used by movement-based therapists to influence physical activity behavior. Trial registration: Open Science Framework (OSF), December 23, 2022 (DOI: https://doi.org/10.17605/OSF.IO/AXZSJ).

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APA:

Matting, L., Pfeifer, K., Sudeck, G., Jung, A., Langhirt, F., & Geidl, W. (2025). Physical activity promotion in physical therapy, exercise therapy and other movement-based therapies: a scoping review and content analysis of intervention studies and theoretical works. International Journal of Behavioral Nutrition and Physical Activity, 22(1). https://doi.org/10.1186/s12966-025-01772-1

MLA:

Matting, Leon, et al. "Physical activity promotion in physical therapy, exercise therapy and other movement-based therapies: a scoping review and content analysis of intervention studies and theoretical works." International Journal of Behavioral Nutrition and Physical Activity 22.1 (2025).

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