Physiotherapy Theory and Practice最新文献

{"title":"Associations of adiposity with functional performance, postural awareness, and body awareness in women.","authors":"Mine Pekesen-Kurtca, Dilek Aydilek Özdaş, Cansu Ayvaz Kırkaya, Deniz Çakir, Sümeyye Zehra Güler, Nilay Çömük Balcı","doi":"10.1080/09593985.2026.2758891","DOIUrl":"https://doi.org/10.1080/09593985.2026.2758891","url":null,"abstract":"<p><strong>Background: </strong>Obesity is associated with functional limitations and altered postural and movement-related outcomes, but its relationships with postural awareness and generalized body awareness remain unclear.</p><p><strong>Objective: </strong>To compare postural habits, postural awareness, body awareness, psychological status, and functional performance across BMI categories in women and to examine the independent associations of BMI and waist circumference with these outcomes.</p><p><strong>Methods: </strong>Eighty women were classified as normal weight, overweight, obesity class I, or obesity class II-III (<i>n</i> = 20/group). Postural habits and awareness were assessed using the Postural Habits and Awareness Scale, body awareness using the Body Awareness Questionnaire, and psychological status using the Hospital Anxiety and Depression Scale. Functional performance was assessed with the Timed Up and Go and Five Times Sit-to-Stand tests and summarized as a Functional Performance Index. Multivariable regression models for BMI and waist circumference were adjusted for age, physical activity, and educational level.</p><p><strong>Results: </strong>Postural habits (<i>p</i> = .027), postural awareness (<i>p</i> = .018), and functional performance (<i>p</i> < .001) differed significantly across BMI groups, whereas body awareness, anxiety, and depression did not (all <i>p</i> > .05). Functional performance showed the largest between-group effect (η² = 0.422), with normal-weight and overweight women performing better than women with obesity class I and class II-III (all adjusted <i>p</i> < .001); in adjusted analyses, BMI (B = 0.049, 95% CI: 0.027-0.071, <i>p</i> < .001) and waist circumference (B = 0.019, 95% CI: 0.010-0.028, <i>p</i> < .001) were independently associated with poorer functional performance, but neither was associated with postural habits, postural awareness, or body awareness.</p><p><strong>Conclusion: </strong>Postural habits, postural awareness, and functional performance differed across BMI categories, but after covariate adjustment, BMI and waist circumference were independently associated only with functional performance. Functional performance may therefore be more consistently related to obesity-related anthropometric characteristics than awareness-related outcomes.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov (NCT07500389).</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2026-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149344200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"External validation of Berg Balance Scale cutoff values for walking among patients with stroke: a retrospective multicenter study.","authors":"Shuntaro Tamura, Yoichi Kaizu, Sota Kobayashi, Hirofumi Ogihara, Tatsuya Igarashi, Hiroyuki Saito, Shota Saito, Yuta Tani, Satoshi Hasegawa, Kazuhiro Miyata","doi":"10.1080/09593985.2026.2755410","DOIUrl":"https://doi.org/10.1080/09593985.2026.2755410","url":null,"abstract":"<p><strong>Purpose: </strong>To externally evaluate previously reported Berg Balance Scale (BBS) cutoff values related to walking independence and walking speed in patients with stroke.</p><p><strong>Materials and methods: </strong>In this multicenter cross-sectional study, we investigated 349 patients with stroke.We classified study participants as above or below each published BBS cutoff and evaluated each cutoff against two outcomes: independent walking (Functional Ambulation Categories [FAC] ≥4) and community walking speed (comfortable walking speed [CWS] ≥0.8 m/s). Cutoffs developed for comparable target conditions were evaluated as external-validation analyses, whereas cutoffs developed using different walking definitions were evaluated in exploratory cross-outcome analyses. We classified participants as above or below each prespecified BBS cutoff and calculated sensitivity, specificity, positive likelihood ratio (LR+), and negative likelihood ratio (LR-) for each cutoff. A cutoff was considered useful when the LR+ was > 5.0 and the LR- was < 0.2.</p><p><strong>Results: </strong>For independent walking (FAC ≥ 4), the 48-point cutoff was the only FAC-derived cutoff that met both prespecified LR benchmarks; the 46- and 49-point cutoffs met only one benchmark each. For community walking (CWS ≥ 0.8 m/s), none of the gait-speed-based cutoffs met both LR benchmarks.</p><p><strong>Conclusions: </strong>In an independent stroke cohort, the 48-point BBS cutoff showed potentially useful discriminative performance for identifying FAC ≥ 4. No gait-speed-based BBS cutoff met both prespecified LR benchmarks for CWS ≥ 0.8 m/s.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2026-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149335692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurological and functional recovery despite persistent skull defect after decompressive hemicraniectomy: a case report.","authors":"Koki Iwata, Syunta Takami, Kozue Onishi, Atsuo Saito, Ryoichi Furuta, Takeshi Sasaki, Kazuhiro Sugawara","doi":"10.1080/09593985.2026.2757203","DOIUrl":"https://doi.org/10.1080/09593985.2026.2757203","url":null,"abstract":"<p><strong>Background: </strong>Decompressive hemicraniectomy is a life-saving procedure for malignant cerebral infarction with severe edema. Although cranioplasty is performed to enhance neurological recovery, longitudinal descriptions of recovery with a persistent skull defect remain scarce. In such patients, syndrome of the trephined (SoT) may impact neurological function during upright activity. We present a patient who showed neurological and functional improvement beyond 6 months after stroke onset despite a persistent skull defect following bone flap removal due to infection.</p><p><strong>Objective: </strong>To describe longitudinal neurological and functional progression beyond 6 months after stroke onset in a patient with a persistent skull defect after decompressive hemicraniectomy.</p><p><strong>Case description: </strong>A 60-year-old man with right internal carotid artery occlusion underwent decompressive hemicraniectomy with extensive internal decompression. Cranioplasty performed on hospital day 40 was complicated by infection, necessitating removal of the bone flap.</p><p><strong>Intervention: </strong>Intensive inpatient rehabilitation included postural control training, transfer practice, activities of daily living training, and cognitive-perceptual interventions, with monitoring.</p><p><strong>Outcomes: </strong>Beyond 6 months after stroke onset, consciousness, cognition, and mobility improved. No reproducible posture-dependent neurological worsening suggestive of clinically manifest SoT was observed during upright activity. From admission to the inpatient rehabilitation unit to discharge, the Glasgow Coma Scale score improved from 12 to 14, the Hasegawa's Dementia Scale-Revised score from 13 to 23, the Behavioral Inattention Test score from 20 to 72, and the Scale for Contraversive Pushing score from 2.5 in sitting and 3 in standing to 0.25 in both positions. At discharge, wheelchair transfers and toileting required minimal assistance.</p><p><strong>Conclusion: </strong>Neurological and functional improvements were observed beyond 6 months after stroke onset, despite extensive cortical resection and a persistent skull defect. Although the contributions of biological recovery and rehabilitation could not be distinguished, this case illustrates adaptation of rehabilitation goals and priorities in response to evolving clinical and functional barriers.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2026-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149326292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of noxious thermal stimulation on lower-limb motor function in chronic stroke: a randomized controlled trial with 1-month follow-up.","authors":"Shih-Fen Hsiao, Yi-Jing Huang, Yu-Teng Ke, Sing-Kai Lo, Chia-Hsin Chen, Jau-Hong Lin","doi":"10.1080/09593985.2026.2647788","DOIUrl":"10.1080/09593985.2026.2647788","url":null,"abstract":"<p><strong>Background: </strong>Thermal stimulation (TS) is a practicable, inexpensive, and convenient treatment method in stroke rehabilitation. Previous studies have already confirmed that alternate noxious TS can enhance cortical excitability in patients who had a stroke, thereby improving the motor function of the affected limbs. However, it remains unclear whether continuous noxious TS (either hot-only or cold-only) or alternative noxious TS produces comparable therapeutic effects in chronic stroke, and whether such effects will persist up to one month after the immediate post-intervention phase.</p><p><strong>Purpose: </strong>To quantify the immediate and short-term effects of noxious cold only, noxious heat only, and alternate noxious TS on the motor function of the lower extremity (LE) in patients with chronic stroke.</p><p><strong>Methods: </strong>Thirty-seven patients with first-ever stroke after six months participated in this prospective, assessor-blind, randomized controlled trial. Participants were randomly assigned to one of three groups for three-week TS intervention, while maintaining their regular stroke rehabilitation. The alternate group underwent both noxious heat and cold TS (heat-pain46-47°C/cold-pain 2-3°C), the noxious heat group underwent heat-pain TS, and the noxious cold group underwent cold-pain TS. The LE subscale of the Fugl-Meyer assessment, Timed Up and Go (TUG) test, Barthel index, and Hmax/Mmax ratio were measured at pre-intervention, post-intervention, and 1-month follow-ups. Data were analyzed using linear mixed-effects models under the intention-to-treat principle.</p><p><strong>Results: </strong>The Group by Time interaction was significant only for the TUG (<i>p</i> = .041, η_p² = 0.16). Significant within-group improvements in TUG performance were observed in both the alternate TS (<i>p</i> = .004, η_p² = 0.44) and noxious-cold TS groups (<i>p</i> = .003, η_p² = 0.49). Post-hoc simple-effect analysis showed that the noxious-cold group demonstrated significantly shorter TUG times at both post-intervention and follow-up compared with baseline (<i>p</i> = .036 and <0.001, respectively). In contrast, pairwise comparisons in the alternate TS group were not statistically significant after correction (<i>p</i> > .05). No significant changes were found in the FMA-LE, BI, or Hmax/Mmax (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>Combining noxious-cold or alternate noxious TS interventions with regular rehabilitation may lead to better LE mobility in patients with chronic stroke.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT04306120.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1395-1406"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-intensity interval training versus moderate-intensity continuous training for COPD: a systematics review and meta-analysis.","authors":"Irem Suzen, Aynur Demirel","doi":"10.1080/09593985.2026.2654806","DOIUrl":"10.1080/09593985.2026.2654806","url":null,"abstract":"<p><strong>Background: </strong>Chronic Obstructive Pulmonary Disease(COPD) leads to reduced exercise capacity, lung function, and muscle dysfunction, highlighting the need for effective rehabilitation. Exercise is a key component of COPD management.</p><p><strong>Purpose: </strong>This study aims to compare the effectiveness of high-intensity interval training (HIIT) and Moderate-Intensity Continuous Training (MICT) on functional capacity, pulmonary function, and muscle performance in individuals with COPD.</p><p><strong>Methods: </strong>Eight electronic databases were systematically searched from inception to August 2025. Data extraction and quality assessment were independently performed by two reviewers. Methodological quality was assessed using the PEDro scale and the JBI Critical Appraisal Checklist. The risk of bias was evaluated using the Cochrane Collaboration's Tool and the ROBINS-I tool.</p><p><strong>Results: </strong>Twelve studies with 401 participants were included. Seven of the included studies involved patients with GOLD stage III (severe COPD), and five involved patients with GOLD stage II (moderate COPD). HIIT did not demonstrate a statistically significant superiority over MICT in improving lung function parameters (<i>p</i> > .05). The combined mean difference for FEV₁ was 6.84 (95% CI: -1.59 to 15.28; <i>p</i> = .11) and the mean difference for FEV₁/FVC was 1.15 (95% CI: -8.98 to 11.28; <i>p</i> = .82). In terms of functional capacity, MICT showed superiority for VO₂peak (MD =  -41.79 mL/min, 95% CI [-74.77, -8.81], <i>p</i> = .01; I² = 39%, <i>p</i> = .12), while HIIT significantly improved 6MWT performance (MD = 14.63 m, 95% CI [1.00, 28.25], <i>p</i> = .04; I² = 33%, <i>p</i> = .22); no significant difference was observed for 12MWT (MD =  -55.00 m, 95% CI [-147.40, 37.40], <i>p</i> = .24). In terms of muscle function, HIIT provided greater benefits than MICT, including improvements in respiratory pressure, quadriceps endurance, handgrip strength, and muscle fiber composition.</p><p><strong>Conclusion: </strong>HIIT is superior to MICT in improving selected functional capacity outcomes and muscle function in COPD patients, and shows comparable effects to MICT in other functional measures. HIIT is a viable alternative training method; further research is needed to determine optimal protocols to maximize its benefits.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1481-1498"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How physiotherapists personalize airway clearance in children with primary ciliary dyskinesia.","authors":"Lynne Schofield, Sally J Singh, Susanne Shanks, Jim M Wild, Daniel Hind","doi":"10.1080/09593985.2026.2654032","DOIUrl":"10.1080/09593985.2026.2654032","url":null,"abstract":"<p><strong>Introduction: </strong>Current literature recommends the personalization of airway clearance technique (ACT) regimens for people with chronic suppurative lung diseases, such as primary ciliary dyskinesia (PCD). However, how physiotherapists navigate cues including the individual's physical and psychosocial presentation, the properties of the ACT regimen and their response to the ACT regimen, remains unknown.</p><p><strong>Objective: </strong>This study aimed to understand how physiotherapists make decisions in relation to personalizing airway clearance regimens for children and young people with PCD.</p><p><strong>Methods: </strong>Critical decision method (CDM) interviews were used to explore expert physiotherapists' decision-making during an ACT personalization incident. Six physiotherapists with ≥5 years PCD experience, from four specialist centers were interviewed; one-to-one virtual interviews were conducted (duration 55-100 min). Data were analyzed using the CDM derived recognition-primed decision model and an ACT personalization model.</p><p><strong>Results: </strong>Our interviews (<i>n</i> = 6) showed all physiotherapists initially found the situation to be familiar, but in most cases the initial expectancies of the physiotherapist were violated. Participants described uncertainty in personalization of ACT regimens. An iterative process was used to manage the uncertainty and make any modifications to ensure the regimen would likely work prior to implementation. This suggests a need for objective tools to support clinical decision-making. Physical characteristics (age, disease severity, pulmonary and non-pulmonary factors, medications), psychosocial factors (lifestyle, adherence, ability to engage) and treatment-related factors (regimen burden, patient's preference) were commonly considered during personalization. The ACT type, procedures and dosage were personalized for each individual. All physiotherapists undertook mental or physical simulations of their proposed actions and in most cases, this led to regimen modifications.</p><p><strong>Conclusion: </strong>ACT personalization is a complex, iterative process in which uncertainty can arise. With limited tools to assess the effects of ACT regimens, it remains unknown if uncertainty would be reduced, or personalization changed with the provision of more sensitive outcome data.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1499-1510"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the McKenzie-based exercises in improving pain, disability, and cervical range of motion in patients with chronic non-specific neck pain: A systematic review with meta-analysis.","authors":"Héctor García-López, Álvaro Morales-Quintana, Esteban Obrero-Gaitán, Raúl Romero-Del Rey, Irene Cortés-Pérez","doi":"10.1080/09593985.2026.2650405","DOIUrl":"10.1080/09593985.2026.2650405","url":null,"abstract":"<p><strong>Background: </strong>The McKenzie Method is widely used in managing spinal pain; however, its effectiveness in chronic nonspecific neck pain (CNNP) remains uncertain.</p><p><strong>Objective: </strong>To assess the effectiveness of the McKenzie Method compared to placebo, usual care, or other interventions in reducing pain, disability, and improving the cervical range of motion (CROM) in patients with CNNP.</p><p><strong>Methods: </strong>A systematic review with meta-analysis was conducted in PubMed Medline, Scopus, Web of Science, CINAHL Complete, CENTRAL and PEDro up to July 2025. Randomized controlled trials including adults with CNNP treated with the McKenzie Method were analyzed. Random-effects meta-analyses calculated standardized mean difference (SMD) with 95% confidence intervals (95% CI). Heterogeneity (I²), sensitivityanalyses, publication bias, and certainty of evidence (GRADE) were assessed.</p><p><strong>Results: </strong>Eight studies (389 participants) were included. Low-quality evidence showed a large effect favoring the McKenzie Method for pain reduction (SMD =-0.57; 95% CI: -1.1 to -0.04; <i>p</i> = .034; I² = 31.5%) and disability (SMD =-0.43; 95% CI: -0.90 to -0.01; <i>p</i> = .047; I² = 19.5%). Publication bias was detected for disability, with trim-and-fill suggesting the true effect may be larger. Significant improvements in active CROM were observed for extension, flexion, and rotation, whereas no significant improvement was found for lateral flexion. No evidence of publication bias or sensitivity effects was found for these outcomes.</p><p><strong>Conclusion: </strong>In adults with CNNP, interventions described as the McKenzie Method were associated with small improvements in pain, disability, and cervical flexion, extension, and rotation, with no clear effect on lateral flexion. Effects are short-term and of low certainty. Evidence for medium or long-term outcomes has not been reported based on studies retained in this review.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1466-1480"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of physical activity counseling and PILATES exercises in women with prediabetes and type 2 diabetes: a randomized controlled trial.","authors":"Merve Şuay Uçgul, Ela Tarakcı, Gamze Kus, Nimet Bilge Shalaby","doi":"10.1080/09593985.2026.2654807","DOIUrl":"10.1080/09593985.2026.2654807","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) has a protective effect on impaired glucose and pilates effectively supports patients with high plasma glucose levels.</p><p><strong>Objective: </strong>This study aimed to evaluate the effects of ACSM (American College of Sports Medicine) person-centered PA counseling using the 5A model (Assess, Advise, Agree, Assist, And Arrange), combined with Pilates exercises, on metabolic control variables in patients with prediabetes (PD) and type 2 diabetes (T2D).</p><p><strong>Methods: </strong>Ninety women with T2D and PD were randomly assigned to three groups: Group 1 (Pilates + PA counseling), Group 2 (PA counseling), and Group 3 (standard treatment). Both intervention groups also received standard treatment. Primary outcomes were metabolic measures (blood glucose and lipid parameters). Secondary outcomes included body composition (body fat %, visceral fat, muscle mass) and physical performance (functional capacity, PA level, balance). Measurements were taken at baseline and after 12 weeks.</p><p><strong>Results: </strong>No significant between-group differences were found in metabolic or body composition outcomes. However, Group 1 showed higher PA levels (<i>p</i> = .002, η2 = 0.13) and step counts (<i>p</i> = .003, η2 = 0.12) compared with the control group. Both intervention groups improved functional capacity (<i>p</i> = .001, η2 = 0.15) and balance (<i>p</i> < .001, η2 = 0.26). In T2D participants, functional capacity improved in Group 1 and 2 (both <i>p</i> < .001, η2 = 0.25). In PD participants, steps counts increased in Group 1 (<i>p</i> = .003, η2 = 0.24) compared with Group 3, while PA levels and balance scores (<i>p</i> < .001, both, η2 = 0.31, η2 = 0.43, respectively) improved in Groups 1 and 2. The remaining parameters showed no differences (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>Physical activity counseling using the 5A model plus Pilates exercises may improve functional capacity, PA level, number of steps, and balance. In Type 2 diabetes, PA counseling alone may prevent declines in functional capacity. In PD, PA counseling improves PA levels and balance, and adding Pilates may further boost daily steps.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1451-1465"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/09593985.2026.2654332","DOIUrl":"10.1080/09593985.2026.2654332","url":null,"abstract":"","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1511"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate effects of conventional and burst tens combined with cryotherapy in chronic non-specific low back pain: a randomized controlled trial.","authors":"Rafael Limeira Cavalcanti, Liane Brito Macedo, Vinicius Dantas da Silva, Karinna Sonálya Aires da Costa, Lidiane Cristina Correia Bulhões, Sâmara Raquel Alves Gomes, Jamilson Simões Brasileiro","doi":"10.1080/09593985.2026.2652415","DOIUrl":"10.1080/09593985.2026.2652415","url":null,"abstract":"<p><strong>Background: </strong>Chronic nonspecific low back pain (CNLBP) is a recurrent problem. The association between Transcutaneous Electrical Nerve Stimulation (TENS) and cryotherapy appears as an option in the treatment of painful symptoms caused by this dysfunction. Objective: To investigate the immediate effects of TENS, alone or combined with cryotherapy, on pain in individuals with CNLBP.</p><p><strong>Methods: </strong>120 individuals with CNLBP were randomized into six groups: placebo TENS (PT), burst TENS (BT: 100 Hz modulated at 4 Hz, 200 μs), conventional TENS (CT: 100 Hz, 100 μs), cryotherapy alone (Cryo), cryotherapy plus conventional TENS (CryoCT), and cryotherapy plus burst TENS (CryoBT). Participants received a single 25-minute intervention followed by 25 minutes of rest. Pain intensity was measured using the Numerical Pain Rating Scale (NPRS), and pressure pain threshold (PPT) was assessed by algometry over the lumbar paravertebral muscles. Assessments were performed at baseline, immediately post-intervention, and after 25 minutes.</p><p><strong>Results: </strong>Both CryoCT and CryoBT significantly reduced pain intensity immediately post-intervention compared to the other groups (<i>p</i> = .009 to <i>p</i> = .047 and d = 0.61 to d = 1.05). However, only CryoBT maintained lower pain intensity after 25 minutes (<i>p</i> = .005 to <i>p</i> = .049 and d = 0.74 to d = 1.33). This group also demonstrated greater increases in PPT immediately and 25 minutes after the intervention compared to most other groups (<i>p</i> < .001 to <i>p</i> = .049 and d = 0.54 to d = 0.87).</p><p><strong>Conclusion: </strong>A single session of burst TENS combined with cryotherapy produced greater immediate and short-term improvements in pain intensity than isolated techniques or conventional TENS combinations. Although statistical PPT improvements were observed, they lacked clinical meaningfulness. These findings suggest that, by integrating both modalities within a single protocol, CryoBT remains a promising, time-optimizing, and practical analgesic strategy for individuals with CNLBP.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1418-1427"},"PeriodicalIF":1.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}