Physiotherapy Research International最新文献

{"title":"Epidemiological Trends and Global Burden of Cervical Cancer: Insights From the 2021 Global Burden of Disease Study.","authors":"Liping Zhu, Chengyu Zhou, Yao Tong, Yanhua Zhou, Yuting Xu, Jiaojiao Liu, Xuhong Li","doi":"10.1002/pri.70362","DOIUrl":"https://doi.org/10.1002/pri.70362","url":null,"abstract":"<p><strong>Background and purpose: </strong>Cervical cancer remains a major global health burden, with substantial geographic and sociodemographic inequalities. Although age-standardized rates have declined in many settings, changes in absolute burden, temporal turning points, demographic drivers, development-related national disparities, and non-fatal burden require further characterization. To assess global cervical cancer burden from 1990 to 2021 using GBD 2021 data, with particular emphasis on temporal changes, demographic decomposition, SDI-related national disparities, and non-fatal burden.</p><p><strong>Methods: </strong>Annual cervical cancer estimates among females were obtained from GBD 2021 for 1990-2021. Incidence, deaths, DALYs, prevalence, and YLDs were examined globally, across five SDI groups, 21 GBD regions, and 204 countries and territories. Joinpoint regression was used to identify temporal changes in ASIR, ASMR, and ASDR. Changes in absolute burden were decomposed into population growth, population ageing, and epidemiological change. National observed-to-expected (O/E) ratios were estimated from spline-modeled relationships between SDI and age-standardized rates.</p><p><strong>Results: </strong>Globally, incident cases, deaths, and DALYs increased by 63.0%, 40.3%, and 33.6%, respectively, whereas ASIR, ASMR, and ASDR declined by 15.5%, 32.0%, and 31.4%. Joinpoint analysis identified periods of plateau and rebound within the overall declining trends. Population growth was the largest contributor to increasing absolute burden, while epidemiological change partly offset mortality and DALY increases. SDI was inversely associated with ASIR, ASMR, and ASDR in 2021, but substantial national O/E variation persisted. Prevalent cases increased by 80.9% and YLDs by 76.3%, despite little change in age-standardized prevalence and a modest decline in the age-standardized YLD rate.</p><p><strong>Discussion: </strong>Despite declining age-standardized mortality and DALY rates, the absolute and non-fatal burden of cervical cancer continues to increase, largely under demographic pressure. Uneven temporal and national patterns highlight the need to complement prevention and treatment efforts with greater attention to survivorship and long-term functional health.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70362"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Evaluation of the Parental Education in Physiotherapy Scale: A Brief Measure of Family-Centered Educational Practices in Pediatric Physiotherapy.","authors":"Manuel Pacheco-Molero, Mónica Gutiérrez-Ortega, Catalina Morales-Murillo, Irene León-Estrada","doi":"10.1002/pri.70366","DOIUrl":"10.1002/pri.70366","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the psychometric properties of the Parental Education in Physiotherapy (PEP) scale, designed to assess the extent to which pediatric physiotherapists implement family-centered educational practices and caregiver education strategies for families of children under 6 years of age.</p><p><strong>Methods: </strong>This is an instrumental cross-sectional study based on a digital survey targeting physiotherapists in Spain. A sequential cross-validation procedure was applied by randomly dividing the total sample (N = 310) to two equivalent subsamples (n = 155/155). The final 8-item set was selected in Subsample 1 based exclusively on the EFA results and theoretical considerations, before the CFA results were examined. The prespecified 8-item, 3-factor structure was subsequently evaluated through CFA in Subsample 2. The CFA was estimated using diagonally weighted least squares (DWLS). Convergent validity evidence was examined using average variance extracted (AVE), and discriminant validity evidence was examined using inter-factor correlations, while associations with the use of technological devices for motor tracking were analyzed as an exploratory external comparison. Internal consistency was estimated using reliability coefficients appropriate for ordinal data.</p><p><strong>Results: </strong>A total of 310 physiotherapists participated (mean age = 36.4 years; 87.4% women). The final 8-item, 3-factor model (Collaboration, Capacity-Building, and Reflection) showed excellent fit (CFI = 1.000, RMSEA = 0.011, SRMR = 0.031), AVE values above 0.50 in all three factors (0.587-0.771), and latent factor correlations below 0.85 (0.40-0.64). Internal consistency was adequate for the three subscale scores. Reliability coefficients for the total composite score were also reported descriptively, although a global factor was not evaluated.</p><p><strong>Conclusion: </strong>The PEP is a brief measure with promising initial psychometric properties for describing and reflecting on family-centered educational practices and caregiver education in pediatric physiotherapy. Its three-dimensional structure and digital format may facilitate professional reflection, training, and quality- improvement initiatives within family-centered care models.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70366"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perme Mobility Scale Is Associated With Morbidity and Mortality in Patients Undergoing Lung Transplant: 1-Year Follow-Up.","authors":"Soraia Genebra Ibrahim, Graciele Sbruzzi, Gilberto Friedman","doi":"10.1002/pri.70355","DOIUrl":"https://doi.org/10.1002/pri.70355","url":null,"abstract":"<p><strong>Introduction: </strong>Lung transplantation (LTx) is an effective treatment for patients with advanced chronic lung disease who are unresponsive to other therapies. Functional capacity is increasingly recognized as an important prognostic indicator in transplant candidates and recipients.</p><p><strong>Objective: </strong>To assess functional status using the Perme Mobility Scale in patients undergoing LTx, and to examine its association with mechanical ventilation (MV) duration, ICU and hospital length of stay, and mortality over a 1-year follow-up.</p><p><strong>Methods: </strong>We conducted a retrospective observational cohort study of patients admitted to the ICU at Dom Vicente Scherer Hospital, Porto Alegre, following lung transplantation between January 2018 and December 2019. Perme Mobility Scale scores were recorded at ICU admission and hospital discharge. Data on MV duration, ICU and hospital length of stay, readmissions, and mortality were collected from medical records and follow-up calls.</p><p><strong>Results: </strong>Sixty-seven patients were included (median age 57 years; 52.2% female). Higher Perme scores were significantly associated with shorter MV duration, shorter ICU and shorter hospital stay. Specifically, the total Perme score at hospital discharge was negatively correlated with mechanical ventilation duration (r = -0.408; p = 0.001) and ICU length of stay (r = -0.314; p = 0.01). Additionally, mechanical ventilation duration categories were significantly associated with 1-year mortality (p = 0.005), with the highest mortality observed in patients requiring mechanical ventilation for > 48 hours.</p><p><strong>Conclusion: </strong>Improved functional status as measured by the Perme Mobility Scale was associated with better clinical outcomes in lung transplant recipients. The Perme Mobility Scale represents a potentially useful prognostic marker that warrants further validation in prospective multicenter studies before being established as a tool for prognostic risk stratification.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70355"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Clinical Comparison of Scapular Stabilization With and Without Added Kinetic-Chain Exercises on Pain, Scapular Kinematics, and Upper-Extremity Function in Overhead Athletes With Subacromial Pain Syndrome: A Randomized Controlled Trial.","authors":"Seyede Sayeh Moosavi Chavoshi, Kazem Malmir, Khadijah Otadi, Azadeh Shadmehr, Khosro Khademi Kalantari","doi":"10.1002/pri.70346","DOIUrl":"10.1002/pri.70346","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background and purpose: &lt;/strong&gt;Scapular stabilization exercises are commonly used in the rehabilitation of athletes with subacromial pain syndrome (SAPS) and scapular dyskinesis. Whether supplementing scapular stabilization with kinetic-chain exercises provides greater short-term benefits remains uncertain. This study compared the short-term effects of a scapular stabilization program alone with those of the same program supplemented with additional kinetic-chain exercises.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Twenty-four overhead athletes with SAPS and scapular dyskinesis were randomly assigned to a scapular stabilization group (n = 12) or a kinetic-chain-supplemented group (n = 12). Both groups performed the same standardized scapular stabilization program; the latter also performed additional trunk, lower-extremity, balance, and multisegment exercises, resulting in a greater overall exercise stimulus. Outcomes were assessed before and after 4 weeks. The prespecified primary outcome was scapular upward rotation at 90° shoulder elevation. Between-group differences were analyzed using two-way mixed repeated-measures ANOVA, with the group × time interaction as the principal test, and reported with 95% confidence intervals. Holm-Bonferroni adjustment and baseline-adjusted ANCOVA were conducted as sensitivity analyses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;For the prespecified primary outcome, scapular upward rotation at 90°, the group × time interaction was not statistically significant (p = 0.052; ηp&lt;sup&gt;2&lt;/sup&gt; = 0.161), with a between-group difference in change of -4.38° (95% CI, -8.80° to 0.03°). After Holm-Bonferroni adjustment for the 15 group × time comparisons, the primary outcome remained nonsignificant (adjusted p = 0.723). The baseline-adjusted ANCOVA also showed no statistically significant between-group difference (-3.51°, 95% CI, -7.33° to 0.31°; p = 0.070); however, the significant group × baseline interaction (p = 0.002) indicated that the homogeneity-of-regression-slopes assumption was not met. An unadjusted significant group × time interaction was observed for scapular upward rotation at 45° (p = 0.028), but this finding did not remain significant after Holm-Bonferroni adjustment (adjusted p = 0.426). No other group × time interaction remained statistically significant after adjustment for multiple comparisons.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Both rehabilitation programs were associated with short-term improvements in patient-reported outcomes. However, adding kinetic-chain exercises did not result in a clear additional short-term benefit compared with scapular stabilization alone. Because the kinetic-chain group also completed more exercises overall, the specific contribution of the kinetic-chain component cannot be determined. Given the small sample size and uncertainty surrounding the primary outcome, smaller but potentially meaningful differences between the programs cannot be excluded.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70346"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Different Cortical Targets of Transcranial Magnetic Stimulation on Freezing of Gait in Parkinsonism: A Systematic Review.","authors":"Magdy Adel, Rawda Zayed, Aya Mohamed, Nada Abdelnaby, Nada Hatim, Yasmin Abdelhamed, Eman Abdelwahab, Nada Araby, Mariam Hany, Doaa Abdelhaleem, Aliaa Elabd","doi":"10.1002/pri.70360","DOIUrl":"https://doi.org/10.1002/pri.70360","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background and purpose: &lt;/strong&gt;Freezing of gait (FOG) is a disabling and episodic gait disturbance in patients with Parkinson's, with varying responses to noninvasive brain stimulation. Transcranial magnetic stimulation (TMS) has been explored as a therapeutic option; however, the optimal cortical target for reducing FOG remains unclear. This systematic review synthesizes and critically evaluates the available evidence regarding the effects of TMS applied to different cortical targets on FOG-related outcomes, with emphasis on the indirect nature of comparisons between targets.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A systematic search was conducted in four electronic databases (PubMed, Cochrane Library, Web of Science, and Scopus) from inception to December 2025, followed by an updated search conducted through July 21, 2026. Randomized and crossover randomized controlled trials investigating the effects of TMS on FOG in parkinsonism were included. Studies have used TMS with a variety of protocols to target different cortical regions. They evaluated FOG-related outcomes by using validated questionnaires or objective tasks. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool. Because of heterogeneity in stimulation protocols and outcome measures, a narrative synthesis was performed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The updated search identified additional records; however, no new eligible studies were identified after screening. Therefore, ten studies met the inclusion criteria. Favorable FOG-related findings were reported in some studies targeting the primary motor cortex, including reductions in Freezing of Gait Questionnaire scores and improvements in gait performance, with effects persisting for several weeks in some studies. Findings regarding stimulation of the supplementary motor area were variable, ranging from reported reductions in FOG-related outcomes to limited effects and, in one study, worsening of gait performance. Evidence regarding other targets, including the cerebellum and premotor cortex, was limited and did not demonstrate consistent improvements in FOG-related outcomes. Overall, the included studies reported predominantly mild and transient adverse effects associated with TMS. However, because comparisons between cortical targets were indirect and the included studies demonstrated substantial clinical and methodological heterogeneity, the available evidence does not permit identification of an optimal cortical target for improving FOG.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;The available randomized evidence suggests that TMS may influence FOG-related outcomes; however, the effects cannot be reliably attributed to the cortical target alone. Because no direct head-to-head comparisons between cortical targets were available and the included studies were small and clinically and methodologically heterogeneous, the current evidence is insufficient to identify an optimal or preferred cortical target. Future adequately ","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70360"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149229032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational Background, Clinical Practices, and Perspectives of Physiotherapists on Scoliosis-Specific Exercises in Turkey: A Cross-Sectional Survey.","authors":"Ecenur Atli, Ozden Ozyemisci Taskiran","doi":"10.1002/pri.70361","DOIUrl":"https://doi.org/10.1002/pri.70361","url":null,"abstract":"<p><strong>Background and purpose: </strong>The present study aimed to investigate the experiences and perspectives of physiotherapists trained in scoliosis-specific exercises (SSE) regarding their training processes and clinical practices.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey was conducted to examine the educational background, clinical practices, and professional perspectives of physiotherapists trained in SSE. The survey consisted of 30 items organized into four main sections: demographics, educational background, clinical practices, and professional perspectives. Physiotherapists who had completed formal training in at least one SSE school recognized by SOSORT, had at least one year of clinical experience in SSE and had treated 30 or more patients with scoliosis annually were included in the study.</p><p><strong>Results: </strong>The median age of 39 physiotherapists (36 women, 3 men) was 30 years (IQR = 28-33). The median duration of general clinical experience was 7.4 years, while the median duration of SSE experience was 3.4 years. ISST (International Schroth Three Dimensional Scoliosis Therapy) (87.2%) and SEAS (Scientific Exercise Approach to Scoliosis) (48.7%) were the most common training methods, and more than half (51%) had completed training in at least two SSE schools. Among all physiotherapists, 87% perceived themselves as competent in delivering SSE, 54% disagreed that certified training was sufficient to instruct 3D scoliosis exercises to patients with AIS, and 79% agreed that an observership program was necessary following certified training. Sixty-four percent of participants perceived SSE as complex for adolescents. Physiotherapists who perceived themselves as competent had longer SSE clinical experience (p = 0.046). However, no statistically significant association was found between self-perceived competence and perceived SSE complexity in adolescents (p = 0.636). Physiotherapists who did not perceive SSE as complex for adolescents had longer SSE clinical experience (p = 0.007).</p><p><strong>Discussion: </strong>This study reflects the perspectives of physiotherapists in Turkey who have received SSE training and offers unique insights into their professional experiences. The majority of physiotherapists reported self-perceived competence in delivering SSE; however, more than half perceived SSE as complex for adolescents.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70361"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percutaneous Electrolysis for the Management of Musculoskeletal Disorders. A Systematic Review With Meta-Analysis.","authors":"Tereza Novaková, Román Robles-Pérez, Milan Martinek, Andoni Carrasco-Uribarren, Helena Vomáčková, Luis Ceballos-Laita","doi":"10.1002/pri.70352","DOIUrl":"10.1002/pri.70352","url":null,"abstract":"<p><strong>Background and purpose: </strong>To evaluate the effectiveness of percutaneous electrolysis (PNE), alone or combined with therapeutic exercise (TE), on pain intensity and function in patients with tendinopathy or myofascial pain syndrome.</p><p><strong>Methods: </strong>A systematic review with meta-analysis was conducted following PRISMA guidelines and registered in PROSPERO (CRD420251238941). Searches were performed in PubMed, Web of Science, and PEDro from inception to November 2025, in accordance with the PRISMA guidelines. Randomized controlled trials comparing PNE with sham, control, or dry needling (DN) interventions were included. Pain intensity and function were analyzed using random-effect meta-analyses, and the certainty of evidence was assessed using GRADE.</p><p><strong>Results/findings: </strong>Thirteen trials were included in the qualitative synthesis and twelve in the meta-analysis. In tendinopathies, very low-certainty evidence indicated that adding PNE to TE was not superior to sham plus TE or TE alone for pain or function at short-, medium-, or long-term follow-up. Low-certainty evidence showed that PNE combined with TE resulted in greater short- and medium-term pain reduction compared with DN plus TE without functional superiority. In myofascial pain syndrome, low to very low-certainty evidence demonstrated no significant differences between PNE and DN for pain or function at any follow-up.</p><p><strong>Implications for physiotherapy practice: </strong>Current evidence does not support the superiority of PNE over sham or control interventions when added to therapeutic exercise. PNE may provide short- to medium-term pain benefits compared with DN in tendinopathy but not in myofascial pain syndrome. Further high-quality trials are required to clarify its clinical role.</p><p><strong>Trail registration: </strong>The protocol of this study was registered in PROSPERO (PROSPERO registration: CRD420251238941).</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70352"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of C3/C4 Manual Decompression on Scapular Posterior Tilt, Lower Trapezius Muscle Activity, and Strength in Individuals With Lower Trapezius Weakness.","authors":"Kyung-Hee Jung, Oh-Yun Kwon, Woochol Joseph Choi, One-Bin Lim, Il-Young Moon, Chung-Hwi Yi","doi":"10.1002/pri.70365","DOIUrl":"https://doi.org/10.1002/pri.70365","url":null,"abstract":"<p><strong>Background and purpose: </strong>Lower trapezius (LT) weakness-induced anterior scapular tilt is a key mechanism of shoulder dysfunction. Although the primary motor innervation of the trapezius originates from the spinal accessory nerve, cervical nerve branches (C3/C4) contribute sensory and accessory motor fibers, leading to hypotheses that C3/C4 segmental sensitivity may be associated with altered LT performance. We aimed to investigate the immediate effects of C3/C4 manual decompression on scapular posterior tilt (SPT) kinematics, LT activity, and maximal isometric strength.</p><p><strong>Methods: </strong>Twenty-seven participants with functional LT weakness and C3/C4 tenderness were enrolled in this single-group pretest-posttest study. Active SPT was quantified as acromial vertical displacement during prone scapular posterior tilting. Neuromuscular control was assessed by the vertical drop in arm height during a 10-s prone arm lifting task. LT activity (% MVIC) and maximal strength (kg) were assessed using surface electromyography and a KEMA sensor. A 5-min C3/C4 manual decompression was administered. Data were analyzed using a paired t-test.</p><p><strong>Results: </strong>After the intervention, active SPT increased by 10.49% (p = 0.004, d = 0.60). Vertical drop distance decreased by 50.82% (p < 0.001, d = 2.12). LT muscle activity improved by 20.61% (p < 0.001, d = 1.17). LT maximal isometric strength increased by 24.29% (p < 0.001, d = 1.65).</p><p><strong>Discussion: </strong>C3/C4 manual decompression was followed by immediate, short-term improvements in scapular control, LT muscle activity, and isometric strength in individuals with functional LT weakness. These findings provide a preliminary rationale for further investigation of this cervical intervention as an adjunctive strategy pending confirmation in controlled trials. However, given the uncontrolled study design, these results reflect overall immediate post-intervention responses and cannot confirm specific neurophysiological mechanisms or nerve-root decompression. Randomized controlled trials incorporating sham comparisons are required.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70365"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory Physiotherapy Techniques in Neonatal Intensive Care Units: A Scoping Review.","authors":"Nilson Willamy Bastos de Souza Júnior, Ana Tereza do Nascimento Sales Figueiredo Fernandes, Karolinne Souza Monteiro, Adynna Tévina de Castro Silva, Adriele de Morais Nunes, Josiane Marques Felcar, Silvana Alves Pereira","doi":"10.1002/pri.70304","DOIUrl":"10.1002/pri.70304","url":null,"abstract":"<p><strong>Background and purpose: </strong>Certain physiological characteristics increase the susceptibility of newborns, particularly preterm infants, to pulmonary collapse. In addition, newborns are prone to the accumulation of airway secretions, which, even in small volumes, can compromise respiratory function. Consequently, breathing therapy plays a crucial role in promoting airway clearance and supporting effective ventilation in this population. This scoping review aimed to map the breathing therapy methods used for newborns admitted to intensive care units and also to identify the clinical outcomes assessed in the studies.</p><p><strong>Methods: </strong>We conducted a scoping review of all clinical studies involving hospitalized newborns of both sexes aged 0-28 days who received conventional or nonconventional respiratory physiotherapy. Exclusion criteria were studies on animals, reviews, protocols, or studies that were unavailable or incomplete. Outcomes analyzed included respiratory distress, cardiorespiratory parameters, thoracoabdominal synchrony, pain, and lung volumes and capacities.</p><p><strong>Results: </strong>The search yielded 1261 articles. Twelve studies were included for data extraction and synthesis. The main respiratory techniques studied were vibration, percussion, postural drainage, increased expiratory flow, lung squeezing (pulmonary hyperinflation using a manual resuscitator), and muscle synergy techniques.</p><p><strong>Discussion: </strong>The included studies reported short-term changes in cardiorespiratory parameters following the interventions, while no consistent evidence of increased pain was observed. However, the available evidence is heterogeneous and predominantly derived from single-session interventions, highlighting the need for well-designed and adequately powered studies to further evaluate the efficacy and safety of these interventions in this population.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70304"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Cultural Adaptation and Validation of the Yoruba Version of the Barriers to Being Active Quiz in Adults With Type 2 Diabetes.","authors":"Olufemi O Oyewole, Olufemi S Bolarinde, Ayotunde O Ale, Michael O Ogunlana, Thavanesi Gurayah, Adesola C Odole","doi":"10.1002/pri.70359","DOIUrl":"https://doi.org/10.1002/pri.70359","url":null,"abstract":"<p><strong>Background and purpose: </strong>A third of Nigerians with type 2 diabetes mellitus (T2DM) are physically inactive. Assessing barriers to physical activity (PA) using a culturally sensitive tool is essential for developing strategies to improve PA. Culturally adapted assessment of barriers to PA may contribute to individualised exercise prescription, behavioural interventions, and culturally responsive rehabilitation. The ease of scoring and fewer items than other tools make the Barriers to Being Active Quiz (BBAQ) preferable. This study translated and culturally adapted the BBAQ into Yoruba and validated it among Yoruba-speaking adults with T2DM.</p><p><strong>Methods: </strong>The validation study involved translating, culturally adapting, and psychometrically evaluating the BBAQ into Yoruba. Participants completed the short form of the International Physical Activity Questionnaire (IPAQ-SF) and the BBAQ-Y twice to assess construct validity, internal consistency, and test-retest reliability.</p><p><strong>Results: </strong>The mean age of the 189 participants was 62.06 ± 10.49 years, and the median (IQR) duration of diabetes was 84 (36-144) months. The structural validity of the BBAQ-Y was acceptable after three error modifications. Fit indices were acceptable (CFI = 0.90, TLI = 0.90, RMSEA = 0.07). Convergent validity was partially supported, as a significant inverse correlation was found between the Yoruba IPAQ-SF and the BBAQ-Y (r = -0.216, p = 0.003). Discriminant validity was established, as individuals with low physical activity reported higher barriers than those with moderate or high physical activity (p = 0.001). Cronbach's alpha was excellent (α = 0.893), and test-retest reliability was moderate (ICC = 0.623), whereas the domain ICCs ranged from 0.295 to 0.533. The measurement error indicators of SEM and SDC were 9.01 and 24.97, respectively.</p><p><strong>Discussion: </strong>The BBAQ-Y possesses adequate construct validity and internal consistency, with moderate test-retest reliability and more modest domain-level reliability and convergent validity, comparable to those of existing versions.</p>","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":"31 4","pages":"e70359"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}