Large language models in physical therapy: time to adapt and adept
Open accessAbstract
Healthcare is experiencing a transformative phase, with artificial intelligence (AI) and machine learning (ML). Physical therapists (PTs) stand on the brink of a paradigm shift in education, practice, and research. Rather than visualizing AI as a threat, it presents an opportunity to revolutionize. This paper examines how large language models (LLMs), such as ChatGPT and BioMedLM, driven by deep ML can offer human-like performance but face challenges in accuracy due to vast data in PT and rehabilitation practice. PTs can benefit by developing and training an LLM specifically for streamlining administrative tasks, connecting globally, and customizing treatments using LLMs. However, human touch and creativity remain invaluable. This paper urges PTs to engage in learning and shaping AI models by highlighting the need for ethical use and human supervision to address potential biases. Embracing AI as a contributor, and not just a user, is crucial by integrating AI, fostering collaboration for a future in which AI enriches the PT field provided data accuracy, and the challenges associated with feeding the AI model are sensitively addressed.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Potential uses of AI in physiotherapy practice include developing and training LLMs for administrative tasks, simulated patient interactions, clinical decision-making support, guideline recommendations, and tailored treatments.
“Potential uses of AI in physiotherapy practice include developing and training LLMs for administrative tasks, simulated patient interactions, clinical decision-making support, guideline recommendations, and tailored treatments [19].”
From Generative artificial intelligence in physiotherapy education: great potential amidst challenges- a qualitative interview study (2025) · cites this paper as [19]
LLMs could also be used for administrative tasks, simulated patient interactions, clinical decision-making support, guideline recommendations, and tailed treatments.
“LLMs could also be used for administrative tasks, simulated patient interactions, clinical decision-making support, guideline recommendations, and tailed treatments [19].”
From Generative artificial intelligence in physiotherapy education: great potential amidst challenges- a qualitative interview study (2025) · cites this paper as [19]
Cites
Large language models in medicine
Thirunavukarasu, A. J., Ting, D. S. J., Elangovan, K., Gutierrez, L., Tan, T. F., & Ting, D. S. W. (2023) · Nature Medicine · doi:10.1038/s41591-023-02448-8 · Cited by 3,944 · see citing works
Rajpurkar, P., Chen, E., Banerjee, O., & Topol, E. J. (2022) · Nature Medicine · doi:10.1038/s41591-021-01614-0 · Cited by 3,212 · see citing works
Gilson, A., Safranek, C. W., Huang, T., Socrates, V., Chi, L., Taylor, R. A., & Chartash, D. (2023) · JMIR Medical Education · doi:10.2196/45312 · Cited by 2,078 · see citing works
Artificial intelligence in healthcare: transforming the practice of medicine
Bajwa, J., Munir, U., Nori, A., & Williams, B. (2021) · Future Healthcare Journal · doi:10.7861/fhj.2021-0095 · Cited by 1,856 · see citing works
Dave, T., Athaluri, S. A., & Singh, S. (2023) · Frontiers in Artificial Intelligence · doi:10.3389/frai.2023.1169595 · Cited by 1,204 · see citing works
Ian Goodfellow, Yoshua Bengio, and Aaron Courville: Deep learning
Heaton, J. (2017) · Genetic Programming and Evolvable Machines · doi:10.1007/s10710-017-9314-z · Cited by 1,062 · see citing works
Artificial intelligence in medicine
Ramesh, A., Kambhampati, C., Monson, J. Q., & Drew, P. J. (2004) · Annals of The Royal College of Surgeons of England · doi:10.1308/147870804290 · Cited by 1,008 · see citing works
Can artificial intelligence help for scientific writing?
Salvagno, M., Taccone, F. S., & Gerli, A. G. (2023) · Critical Care · doi:10.1186/s13054-023-04380-2 · Cited by 827 · see citing works
Artificial intelligence in medical practice: the question to the answer?
Miller, D. D., & Brown, E. W. (2018) · The American Journal of Medicine · doi:10.1016/j.amjmed.2017.10.035 · Cited by 774 · see citing works
Johnson, D., Goodman, R., Patrinely, J., Stone, C., Zimmerman, E., Donald, R., Chang, S., Berkowitz, S., Finn, A., Jahangir, E., et al. (2023) · doi:10.21203/rs.3.rs-2566942/v1 · Cited by 598 · see citing works
The “inconvenient truth” about AI in healthcare
Panch, T., Mattie, H., & Celi, L. A. (2019) · npj Digital Medicine · doi:10.1038/s41746-019-0155-4 · Cited by 473 · see citing works
Preiksaitis, C., & Rose, C. (2023) · JMIR Medical Education · doi:10.2196/48785 · Cited by 468 · see citing works
Creation and Adoption of Large Language Models in Medicine
Shah, N. H., Entwistle, D., & Pfeffer, M. A. (2023) · JAMA · doi:10.1001/jama.2023.14217 · Cited by 435 · see citing works
Athaluri, S. A., Manthena, S. V., Kesapragada, V. S. R. K. M., Yarlagadda, V., Dave, T., & Duddumpudi, R. T. S. (2023) · Cureus · doi:10.7759/cureus.37432 · Cited by 403 · see citing works
Using AI-generated suggestions from ChatGPT to optimize clinical decision support
Liu, S., Wright, A. P., Patterson, B. L., Wanderer, J. P., Turer, R. W., Nelson, S. D., McCoy, A. B., Sittig, D. F., & Wright, A. (2023) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocad072 · Cited by 397 · see citing works
Rauch, A., Cieza, A., & Stucki, G. (2008) · PubMed · Cited by 383 · see citing works
Shahsavar, Y., & Choudhury, A. (2023) · JMIR Human Factors · doi:10.2196/47564 · Cited by 341 · see citing works
Comparing ChatGPT and GPT-4 performance in USMLE soft skill assessments
Brin, D., Sorin, V., Vaid, A., Soroush, A., Glicksberg, B. S., Charney, A. W., Nadkarni, G., & Klang, E. (2023) · Scientific Reports · doi:10.1038/s41598-023-43436-9 · Cited by 319 · see citing works
Májovský, M., Černý, M., Kasal, M., Komarc, M., & Netuka, D. (2023) · Journal of Medical Internet Research · doi:10.2196/46924 · Cited by 301 · see citing works
Ullah, E., Parwani, A., Baig, M. M., & Singh, R. (2024) · Diagnostic Pathology · doi:10.1186/s13000-024-01464-7 · Cited by 281 · see citing works
Makino, M., Yoshimoto, R., Ono, M., Itoko, T., Katsuki, T., Koseki, A., Kudo, M., Haida, K., Kuroda, J., Yanagiya, R., et al. (2019) · Scientific Reports · doi:10.1038/s41598-019-48263-5 · Cited by 250 · see citing works
Leonardi, M., Lee, H., Kostanjsek, N. F. I., Fornari, A., Raggi, A., Martinuzzi, A., Yáñez, M., Almborg, A., Fresk, M., Besstrashnova, Y., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191811321 · Cited by 236 · see citing works
The exciting potential for ChatGPT in obstetrics and gynecology
Grünebaum, A., Chervenak, J., Pollet, S. L., Katz, A., & Chervenak, F. A. (2023) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2023.03.009 · Cited by 234 · see citing works
Artificial intelligence: opportunities and implications for the health workforce
Hazarika, I. (2020) · International Health · doi:10.1093/inthealth/ihaa007 · Cited by 203 · see citing works
Rapamycin in the context of Pascal's Wager: generative pre-trained transformer perspective
Generative Pre-trained Transformer, C., & Zhavoronkov, A. (2022) · Oncoscience · doi:10.18632/oncoscience.571 · Cited by 203 · see citing works
Temsah, O., Khan, S., Chaiah, Y., Senjab, A., Alhasan, K. A., Jamal, A. A., Aljamaan, F., Malki, K. H., Halwani, R., Al‐Tawfiq, J. A., et al. (2023) · Cureus · doi:10.7759/cureus.37281 · Cited by 182 · see citing works
The Impact of Multimodal Large Language Models on Health Care’s Future
Meskó, B. (2023) · Journal of Medical Internet Research · doi:10.2196/52865 · Cited by 182 · see citing works
A Call to Address AI “Hallucinations” and How Healthcare Professionals Can Mitigate Their Risks
Hatem, R., Simmons, B., & Thornton, J. E. (2023) · Cureus · doi:10.7759/cureus.44720 · Cited by 175 · see citing works
Artificial intelligence and machine learning | applications in musculoskeletal physiotherapy
Tack, C. (2018) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2018.11.012 · Cited by 156 · see citing works
Large Language Models for Therapy Recommendations Across 3 Clinical Specialties: Comparative Study
Wilhelm, T. I., Roos, J., & Kaczmarczyk, R. (2023) · Journal of Medical Internet Research · doi:10.2196/49324 · Cited by 133 · see citing works
Artificial Intelligence in Nursing Education: Opportunities and Challenges
Glauberman, G., Ito-Fujita, A., Katz, S., & Callahan, J. (2023) · Hawai‘i Journal of Health & Social Welfare · doi:10.62547/yeis2105 · Cited by 114 · see citing works
Western Australian medical students’ attitudes towards artificial intelligence in healthcare
Stewart, J., Lu, J., Gahungu, N., Goudie, A., Fegan, P. G., Bennamoun, M., Sprivulis, P., & Dwivedi, G. (2023) · PLOS ONE · doi:10.1371/journal.pone.0290642 · Cited by 104 · see citing works
Chervenak, J., Lieman, H., Blanco-Breindel, M., & Jindal, S. (2023) · Fertility and Sterility · doi:10.1016/j.fertnstert.2023.05.151 · Cited by 87 · see citing works
Enhanced estimations of post‐stroke aphasia severity using stacked multimodal predictions
Pustina, D., Coslett, H. B., Ungar, L., Faseyitan, O. K., Medaglia, J. D., Avants, B., & Schwartz, M. F. (2017) · Human Brain Mapping · doi:10.1002/hbm.23752 · Cited by 86 · see citing works
Sim, J.-A., Huang, X., Horan, M. R., Stewart, C. M., Robison, L. L., Hudson, M. M., Baker, J. N., & Huang, I. (2023) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2023.102701 · Cited by 86 · see citing works
How can natural language processing help model informed drug development?: a review
Bhatnagar, R., Sardar, S., Beheshti, M., & Podichetty, J. T. (2022) · JAMIA Open · doi:10.1093/jamiaopen/ooac043 · Cited by 79 · see citing works
Machine<scp>learning‐based</scp>multimodal prediction of language outcomes in chronic aphasia
Kristinsson, S., Zhang, W., Rorden, C., Newman‐Norlund, R., Basilakos, A., Bonilha, L., Yourganov, G., Xiao, F., Hillis, A., & Fridriksson, J. (2021) · Human Brain Mapping · doi:10.1002/hbm.25321 · Cited by 64 · see citing works
How to replace a physiotherapist: artificial intelligence and the redistribution of expertise
Rowe, M., Nicholls, D. A., & Shaw, J. (2021) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2021.1934924 · Cited by 47 · see citing works
Adapting and evaluating a deep learning language model for clinical why-question answering
Wen, A., Elwazir, M. Y., Moon, S., & Fan, J. W. (2020) · JAMIA Open · doi:10.1093/jamiaopen/ooz072 · Cited by 32 · see citing works
Buchlak, Q. D., Esmaili, N., Bennett, C. C., & Farrokhi, F. R. (2021) · Acta neurochirurgica. Supplementum · doi:10.1007/978-3-030-85292-4_32 · Cited by 32 · see citing works
Rethinking assessment in response to generative artificial intelligence
Pearce, J., & Chiavaroli, N. (2023) · Medical Education · doi:10.1111/medu.15092 · Cited by 30 · see citing works
Stahl, C. C., Jung, S. A., Rosser, A. A., Kraut, A., Schnapp, B. H., Westergaard, M. C., Hamedani, A. G., Minter, R. M., & Greenberg, J. A. (2020) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2020.11.044 · Cited by 29 · see citing works
Use of Machine Learning in Stroke Rehabilitation: A Narrative Review
Choo, Y. J., & Chang, M. C. (2022) · Brain & Neurorehabilitation · doi:10.12786/bn.2022.15.e26 · Cited by 28 · see citing works
Voytovich, L., & Greenberg, C. (2021) · Acta neurochirurgica. Supplementum · doi:10.1007/978-3-030-85292-4_24 · Cited by 27 · see citing works
Currie, G. M. (2023) · Journal of Nuclear Medicine Technology · doi:10.2967/jnmt.123.265864 · Cited by 25 · see citing works
Drum, B., Shi, J., Peterson, B. D., et al. (2023) · Academic Medicine · doi:10.1097/acm.0000000000005352 · Cited by 22 · see citing works
Intentional Forgetting: An Emerging Field in AI and Beyond
Beierle, C., & Timm, I. J. (2018) · Künstliche Intell. · doi:10.1007/s13218-018-00574-x · Cited by 15 · see citing works
Russo, A. G., Ciarlo, A., Ponticorvo, S., Salle, F. D., Tedeschi, G., & Esposito, F. (2022) · Scientific Reports · doi:10.1038/s41598-022-21782-4 · Cited by 14 · see citing works
Chen, P., He, T.-L., Lin, S.-C., et al. (2022) · JMIR Medical Informatics · doi:10.2196/41342 · Cited by 13 · see citing works
Irvin, J., Pareek, A., Long, J., Rajpurkar, P., Eng, D. K.-M., Khandwala, N., Haug, P. J., Jephson, A. R., Conner, K. E., Gordon, B. H., et al. (2021) · Journal of Thoracic Imaging · doi:10.1097/rti.0000000000000622 · Cited by 12 · see citing works
Melvin, R. L., Broyles, M. G., Duggan, E. W., John, S., Smith, A. D., & Berkowitz, D. E. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.872675 · Cited by 8 · see citing works
Recognizing Physiotherapy Exercises using Machine Learning
Kanungo, J., Mane, D., Mahajan, P., et al. (2023) · doi:10.1109/teeccon59234.2023.10335844 · Cited by 7 · see citing works
Automated Error Detection in Physiotherapy Training
Jovanović, M., Seiffarth, J., Kutafina, E., et al. (2018) · PubMed · doi:10.18154/rwth-conv-236858 · Cited by 5 · see citing works
Automated Error Detection in Physiotherapy Training
Jovanovic, M., Seiffarth, J., Kutafina, E., & Jonas, S. (2018) · eHealth Conference · doi:10.3233/978-1-61499-858-7-164 · Cited by 5 · see citing works
Machine Learning Approach for Physiotherapy Assessment
Durve, I., Ghuge, S., Patil, S., et al. (2019) · International Conference on Advances in Computing, Communication and Control (ICAC3) · doi:10.1109/icac347590.2019.9036783 · Cited by 3 · see citing works
Artificially Intelligent Physiotherapy
Godse, S. P., Singh, S., Khule, S., et al. (2021) · International Journal of Biomedical and Clinical Engineering · doi:10.4018/ijbce.2021010106 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Lindbäck, Y., Schröder, K., Engström, T., Valeskog, K., & Sonesson, S. (2025) · BMC Medical Education · doi:10.1186/s12909-025-07106-w · Cited by 22 · see citing works
“LLMs could also be used for administrative tasks, simulated patient interactions, clinical decision-making support, guideline recommendations, and tailed treatments [19].”
- Authors
- Naqvi, W. M., Shaikh, S. Z., & Mishra, G. V.
- Affiliations
- Gulf Medical University (AE)
- Datta Meghe Institute of Higher Education and Research (IN)
- Corresponding author
- Shaikh, Summaiya Zareen
- Venue
- Frontiers in Public Health
- Publisher
- Frontiers Media SA
- Published
- 2024-05-24
- Volume
- 12
- Pages
- 1364660-1364660
- ISSN
- 2296-2565 (ISSN-L)
- PMC
- PMC11182445
- OpenAlex
- W4398780874
- Cited by
- 24
- References
- 56
- Citations by year
- 2026: 14 · 2025: 9 · 2024: 1
- FWCI
- 2.24
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Physical Sciences › Computer Science › Artificial Intelligence › Artificial Intelligence Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
- Keywords
- large language models, physiotherapy, ChatGPT, artificial intelligence in healthcare, physiotherapy education, rehabilitation practice, administrative automation, personalized treatment, algorithmic bias, ethical use of AI, human oversight of AI, human-AI collaboration
- MeSH terms
- Machine Learning, Artificial Intelligence, Humans, Physical Therapy Modalities, Physical Therapists
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review