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2026-03-12 - 2026-06-09 Newer →

CORU regulatory expansion marks structural shift in physiotherapist scope; shockwave evidence consolidation against routine use.

90 day briefing • 2026-02-14 - 2026-05-14 (3 weeks ago) • frozen

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The quarter's most defining development is the regulatory expansion by CORU, authorising trained physiotherapists in Ireland to refer for radiological procedures effective May 2026. This structural shift in scope of practice streamlines care pathways and enhances interprofessional collaboration, though its long-term impact remains to be seen. Accompanying this, CORU updated language requirements, further standardizing practice.

In evidence-based practice, a high-quality systematic review consolidates against shockwave therapy for Achilles tendinopathy, advising against routine use—a narrative that likely hardened over the quarter, challenging prior adoption. Similarly, a masterclass on gluteal tendinopathy refuted passive treatment myths, reinforcing progressive load management as standard. Patient experience research emphasized psychosocial factors, aligning with broader trends toward holistic care.

Sports injury studies on spondylolysis in youth football and German football injury patterns added depth. An RCT on Acceptance and Commitment Therapy after spinal surgery showed opioid reduction, supporting non-pharmacological pain management. Notably absent are developments in telehealth, manual therapy trends, or international regulatory changes outside Ireland—topics that may have been prominent earlier in the quarter but are now silent.

This omission suggests a possible shift in focus or resolution of those narratives. The repeated absence of these themes across the available monthly briefs indicates a consolidation of attention on scope expansion and evidence challenges, while other areas have not escalated. Overall, the quarter demonstrates a tangible move toward regulatory advancement and evidence-based refinement, with potential implications for physiotherapy practice alignment with mission pillars of access, quality, and innovation.

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Each tier targets the nearest available window end date to this briefing.

Pillar Signal Heatmap

Pillar 7d 30d 90d Trend
Foot & Ankle Rehabilitation

1 point

Tendinopathy Management

1 point

Myofascial Release & Acupuncture

1 point

Shoulder Rehabilitation

1 point

Hip & Pelvic Girdle

1 point

General MSK & Emerging Research

1 point

Treatment Protocol Formulation

1 point

Intensity is derived from pillar keyword overlap with headline, summary, key signals, and themes for each horizon.

Trend uses last 1 entries in this 90-day timescale (rightmost point is current).

Key Signals

  • - Structural shift: CORU regulatory expansion allowing physiotherapists to refer for radiological procedures.
  • - Consolidation: Systematic review concluding shockwave therapy provides no clinically meaningful benefit for Achilles tendinopathy.
  • - Omission: No coverage of telehealth or manual therapy trends, indicating a shift in focus.
  • - Patient experience research highlighting psychosocial factors and therapeutic alliance.
  • - RCT supporting Acceptance and Commitment Therapy for opioid reduction after spinal surgery.
  • - Sports injury patterns in youth football (spondylolysis) and German professional football.
  • - Gluteal tendinopathy masterclass refuting myths, emphasizing load management.
  • - CORU language proficiency update to C1 standard.

Top Themes

coru-regulation scope-practice achilles-tendinopathy gluteal-tendinopathy patient-experience spinal-disorders opioid-reduction sports-injury evidence-based-practice shockwave-therapy

Key References

  1. CORU expands physiotherapist scope to radiology referrals; evidence challenges shockwave for Achilles tendinopathy [brief_30]

    Contains the single month's content that defines the quarter's structural shift and evidence consolidation.

  2. CORU expands physiotherapist scope to radiology referrals; evidence challenges shockwave for Achilles tendinopathy [brief_30]

    Duplicate of S1, reinforcing the reporting of CORU expansion and shockwave evidence.