title: Physical activity promotion in physiotherapy practice: a systematic scoping review of a decade of literature.
abstract: BACKGROUND
  The health benefits of physical activity (PA) have been extensively documented. Globally PA levels are low with only a small proportion of the population reaching recommended levels. Insufficient PA is seen as a major public health problem with high cost to society. Physiotherapists work with people to manage long-term conditions and are well placed to deliver individual interventions to increase PA. Despite this, little is known about the evidence that exists in this field.
  
  
  METHODS
  This scoping review comprises a comprehensive search of key databases using predetermined search terms. This is supplemented with a parallel search that incorporated novel social media strands. In line with current guidance, a robust screening process took place using agreed inclusion and exclusion criteria.
  
  
  RESULTS
  31 studies met the inclusion criteria. The number of studies published annually increased over the decade. Ireland and USA yielded the largest number of publications with only 1 study from the UK. The target populations included physiotherapists and service users from a range of clinical populations. The studies were mainly quantitative and observational in design with a predominance of studies that scoped attitudes, perceptions, barriers and current practice.
  
  
  CONCLUSIONS
  This reconnaissance has shown the state of the evidence to be sparse and disparate. However, the sharp rise in published work in recent years is encouraging. The predominance of scoping studies and the clear social, economic and political drivers for change in this area highlights a need for more pragmatic, interventional studies that can inform clinical practice.
authors.affiliation: Sheffield Hallam University, Sheffield, UK.
authors.forename: Anna
authors.identifier: http://orcid.org/0000-0001-5297-8957
authors.initials: A
authors.lastname: Lowe
authors.affiliation: Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK.
authors.forename: Melanie
authors.initials: M
authors.lastname: Gee
authors.affiliation: Health and Wellbeing, Sheffield Hallam University, Sheffield, UK.
authors.forename: Sionnadh
authors.initials: S
authors.lastname: McLean
authors.affiliation: School of Health and Related Research, University of Sheffield, Sheffield, UK.|Research Institute for Primary Care & Health Sciences, Keele University, Staffordshire, UK.
authors.forename: Chris
authors.initials: C
authors.lastname: Littlewood
authors.affiliation: Health and Wellbeing, Sheffield Hallam University, Sheffield, UK.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Lindsay
authors.affiliation: Physiotherapy Department, Nottinghamshire Healthcare NHS Foundation Trust, Sheffield, UK.
authors.forename: Simon
authors.initials: S
authors.lastname: Everett
mesh_terms: D003695:Delivery of Health Care / Q000379:methods*; D015444:Exercise; D006293:Health Promotion; D006801:Humans; D064887:Observational Studies as Topic; D010353:Patient Education as Topic; D059825:Physical Therapists; D024382:Professional Role
keywords: Exercise; Health promotion; Physical activity; Physiotherapy