{"doi":"10.1080/09593985.2026.2635036","title":"The impact of social vulnerability on rehabilitation success: A retrospective study of outpatient orthopedic physical therapy","abstract":null,"journal":"Physiotherapy Theory and Practice","year":2026,"id":650653,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":975804,"name":"Wayne Brewer","orcid":"0000-0002-4841-5454","position":1,"is_corresponding":false},{"id":1272167,"name":"Rupal Patel","orcid":"0000-0001-5966-7983","position":2,"is_corresponding":false},{"id":1696586,"name":"Kelli Jo Brizzolara","orcid":null,"position":3,"is_corresponding":false},{"id":1696588,"name":"Gregory Marchetti","orcid":null,"position":4,"is_corresponding":false},{"id":1696584,"name":"Allison Butcher","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"The impact of social vulnerability on rehabilitation success: A retrospective study of outpatient orthopedic physical therapy","abstract":"Background Physical therapy is a cornerstone of musculoskeletal rehabilitation, yet limited research has explored how community-level factors influence outcomes in outpatient orthopedic settings. Understanding these factors is essential for addressing disparities in care and optimizing treatment effectiveness.Objective To investigate the relationship between social vulnerability and patient outcomes in outpatient physical therapy within an urban, government-funded hospital system.Methods A retrospective analysis was conducted using data from 748 patients who received outpatient physical therapy between November 2018 and May 2021 in Houston, Texas. Social vulnerability scores were assigned using residential zip codes. Outcomes were assessed using the Focus on Therapeutic Outcomes (FOTO) measure. Binary logistic regression models evaluated the predictive value of the Social Vulnerability Index (SVI) on therapy success or failure, with secondary analyses examining attendance as an additional predictor.Results Social vulnerability was a significant predictor of therapy outcomes among patients with shoulder diagnoses (OR = .182, p = .039). SVI did not significantly predict outcomes in patients with lower quarter (p = .799) or lumbar diagnoses (p = .404), or when stratified by evaluation date (Pre-COVID, p = .400; Post-COVID, p = .362). SVI was also not a significant predictor of outcomes across the overall sample (p = .525). However, higher social vulnerability was negatively correlated with the number of attended therapy visits (rs = −0.114, p = .002). Visit frequency was a strong predictor of success, with each additional visit associated with an 9% increase in the odds of therapy success (OR = 1.09, p < .001).Conclusion Social vulnerability was not associated with outpatient physical therapy outcomes in the overall sample, although an exploratory association was identified among patients with shoulder diagnoses. The inverse relationship between SVI and attendance suggests that social vulnerability may indirectly influence rehabilitation outcomes through its impact on treatment engagement. Although these findings are preliminary and limited by study design, they underscore the importance of considering social determinants of health when planning outpatient physical therapy care.","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"41731930","pmcid":null,"openalex_id":"https://openalex.org/W7131256853","authors":[],"funders":[],"total_grants":0,"fwci":0.0,"citation_percentile":0.19638926,"influential_citations":0,"citation_trend":[],"oa_status":"closed","license":null,"oa_locations":[{"url":"https://www.tandfonline.com/doi/pdf/10.1080/09593985.2026.2635036","host_type":"publisher"},{"url":"https://doi.org/10.1080/09593985.2026.2635036","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/41731930","host_type":"repository"}],"fields_of_study":["Occupational Therapy Practice and Research","Physical Activity and Health","Health disparities and outcomes"],"mesh_terms":[],"keywords":["Vulnerability (computing)","Rehabilitation","Attendance","Social vulnerability","Retrospective cohort study","Exploratory research","Outpatient clinic","Ambulatory care","Social Determinants Of Health","Social Vulnerability Index","Physical Therapy Outcomes","Outpatient Orthopedics"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-10T05:52:52.102913Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}