Physiotherapy Theory and Practice最新文献

{"title":"Validity and reliability of the Spanish movement ability measure: an item response theory approach.","authors":"Natalia Hernández-Segura, Arrate Pinto-Carral, Diane D Allen, Alba Marcos-Delgado, Tania Fernández Villa, Antonio J Molina","doi":"10.1080/09593985.2025.2566155","DOIUrl":"https://doi.org/10.1080/09593985.2025.2566155","url":null,"abstract":"<p><strong>Background: </strong>Assessment of movement capacity is fundamental in the field of physiotherapy to understand patient progress and the effectiveness of therapeutic interventions. The Movement Ability Measure (MAM) instrument is a self-reported questionnaire designed to assess self-perceived movement capacity.</p><p><strong>Objective: </strong>To validate a Spanish version of the MAM instrument.</p><p><strong>Methods: </strong>A two-part study was designed, based on guidelines for the cultural adaptation of patient-reported outcome measures: a phase for adaptation, involving 15 participants, and a phase for psychometric property analysis using Item Response Theory. The second phase included 205 subjects (49.9 ± 16.2 years, and 60.5% women). Structural validity was examined through the partial credit model. Reliability was estimated using the coefficient of reliability separation, test information function, and test-retest reliability (intraclass correlation coefficient) at one week. The association with the Physical Functioning Subscale was assessed using Spearman correlation coefficients. Movement capacity across different groups was compared using Wilcoxon - Mann - Whitney and Kruskal - Wallis tests.</p><p><strong>Results: </strong>The Spanish version of the MAM instrument showed good fit indices, especially in the multidimensional model. The correlation with the Physical Functioning Subscale was 0.79 (<i>p</i> < .001), and the coefficient of reliability separation was 0.98. The intraclass correlation coefficient was 0.94 (95% CI 0.89-0.97). When analyzing differences between groups based on age, reported mobility issues, presence of chronic illness, and origin group, statistically significant differences were found according to prior hypotheses (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>The Spanish version of the MAM instrument is both reliable and valid for evaluating movement ability.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214130","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":"Investigating the effects of mechanical traction and high intensity laser therapy on pain, muscle activity, and functional balance in knee osteoarthritis.","authors":"Pardis Norouzi, Roya Ravanbod, Giti Torkaman","doi":"10.1080/09593985.2025.2566935","DOIUrl":"https://doi.org/10.1080/09593985.2025.2566935","url":null,"abstract":"<p><strong>Background: </strong>Mechanical traction (MT) is a noninvasive approach to unload the joint in knee osteoarthritis (KOA), however,its effects on co-contraction index (CCI) and balance remain unclear.</p><p><strong>Purpose: </strong>To investigate whether combining MT with high intensity laser therapy (HILT) yields greater improvements in subjective and objective outcomes among patients with KOA compared to HILT alone.</p><p><strong>Methods: </strong>Thirty-eight patients with KOA were randomly assigned to MT+HILT (<i>n</i> = 19) or HILT (<i>n</i> = 19) groups and received 10 treatment sessions over 2 weeks. Outcomes included pain (VAS), function (WOMAC), active knee flexion range of motion (AROM), CCI, and balance during curve tracking (CT) and sit-to-stand (STS) tasks. A two-way mixed-model ANOVA was used to assess the effects of treatment and time (pre - post).</p><p><strong>Results: </strong>The MT+HILT showed significantly greater improvements than HILT in VAS (<i>p</i> < .001, η_p² = 0.27), WOMAC (<i>p</i> < .001, η_p² = 0.37), and AROM (<i>p</i> < .001, η_p² = 0.12). During CT, MT+HILT significantly reduced anteroposterior and mediolateral mean absolute errors (<i>p</i> = .00 and 0.03, η_p² = 0.10 and 0.15), and standard deviations of absolute errors (<i>p</i> = .02 and 0.04, η_p² = 0.82 and 0.15). Center of pressure area also decreased significantly in anteroposterior and mediolateral directions (<i>p</i> = .03 and 0.01; η_p² = 0.66 and 0.23).</p><p><strong>Conclusion: </strong>These findings suggest that the combined application of MT+HILT may serve as an effective conservative strategy to improve pain management, functional capacity, AROM, and balance, potentially contributing to a reduced risk of falls in individuals with KOA.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214076","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":"Icelandic physiotherapists' perceptions of contextual factors as triggers of nocebo effects: a mixed methods survey.","authors":"Abigail Grover Snook, Ingvi S Waage, Solveig A Arnadottir, Sigrun V Bjornsdottir, Giacomo Rossettini, Marco Testa","doi":"10.1080/09593985.2025.2490047","DOIUrl":"10.1080/09593985.2025.2490047","url":null,"abstract":"<p><strong>Introduction: </strong>Contextual factors surrounding physiotherapy treatment can trigger nocebo effects, resulting in negative outcomes despite evidence-based treatment.</p><p><strong>Purpose: </strong>This study explored Icelandic physiotherapists' awareness, perception, and prevention of contextual factors that may trigger nocebo effects.</p><p><strong>Methods: </strong>This was a cross-sectional, convergent mixed-methods study utilizing an online survey. Quantitative data was collected by translating and adapting a previously developed survey and analyzed using descriptive and non-parametric statistics. Qualitative data from open-ended questions were transformed and analyzed using a contextual factor framework.</p><p><strong>Results: </strong>For the quantitative analysis, 206 responses were included. Seventy percent of Icelandic physiotherapists reported \"seldom\" or \"rarely\" encountering nocebo effects. The highest-rated perceived causes, based on the percent answering \"very much\" or \"much,\" were inappropriate touch (89%), lack of trust between physiotherapist and patient (85%), use of negative language by the physiotherapist (83%), patient's prior negative experiences (80%), physiotherapist's negative attitude (78%), patient's negative expectations (77%), and negative non-verbal communication (74%). The most endorsed strategy for preventing nocebo effects was to teach and train patients in coping skills. Eighty-eight percent agreed that nocebo effects should be part of the physiotherapy curriculum. Qualitative descriptions of nocebo effects by 81 physiotherapists showed little self-reflection, with a tendency to attribute nocebo effects primarily to the patient's mind-set.</p><p><strong>Conclusion: </strong>Comparisons to other surveys showed similarities that may be universal among physiotherapists alongside notable differences. Physiotherapists frequently attributed nocebo effects to the patient's mind-set but may need to consider a broader range of contextual factors to reduce nocebo effects more effectively.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2030-2042"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055177","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":"The 1-minute sit-to-stand test in children with cystic fibrosis: cardiorespiratory responses and correlations with aerobic fitness, nutritional status, pulmonary function, and quadriceps strength.","authors":"Bruna Dos Santos Costa, Denise Lautenschleger Fischer, Fabiana Ávila Lourenço de Lima, Mariana Severo da Costa, Fernanda Maria Vendrusculo, Márcio Vinícius Fagundes Donadio","doi":"10.1080/09593985.2025.2494114","DOIUrl":"10.1080/09593985.2025.2494114","url":null,"abstract":"<p><strong>Objective: </strong>To characterize physiological responses to a 1-minute sit-to-stand test (STS) and assess correlations with cardiopulmonary exercise test (CPET) variables, nutritional status, pulmonary function, and quadriceps muscle strength in cystic fibrosis (CF) patients.</p><p><strong>Methods: </strong>Subjects aged 6-18 years with a genetic diagnosis of CF were enrolled in this cross-sectional study. After collecting demographic, anthropometric, and clinical data the following tests were performed: pulmonary function (spirometry), aerobic fitness (CPET), STS, and isometric quadriceps muscle strength (hand-held dynamometry). Data collection was performed on the same day.</p><p><strong>Results: </strong>The study sample comprised 17 children (9.8 ± 1.6 years) and adolescents (13.7 ± 1.5 years) with a mean forced expiratory volume in one second (FEV₁) of  - 0.80 ± 1.61 (z-score). In the CPET, peak exercise oxygen consumption (VO₂peak) was 35.1 ± 4.2 mL.kg^-1.min^-1, while in the STS mean number of repetitions was 32.5 ± 6.2 and total work (repetitions × body mass) was 1326.9 ± 379.6. At peak exercise, CPET elicited higher heart rate (<i>p</i> = .001) and subjective sensation of dyspnea (<i>p</i> = .001) compared to STS, though no significant differences were observed in peripheral oxygen saturation. Moderate and significant correlations were identified between total workload (CPET) and repetitions adjusted for body weight (<i>r</i> = 0.684; <i>p</i> = .002) and between STS repetitions and muscle strength corrected for body weight (<i>r</i> = 0.531; <i>p</i> = .034). No significant correlations were found with nutritional status (BMI), pulmonary function (FEV₁), or other aerobic fitness variables (VO₂ at ventilatory threshold or VO₂peak).</p><p><strong>Conclusion: </strong>In children and adolescents with CF, compared to CPET, the STS test elicits a submaximal cardiorespiratory response that is mostly dependent on quadriceps muscle strength.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2067-2074"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057793","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 impact of whole-body vibration on backward walking in individuals with Parkinson disease.","authors":"A H Boddy, K Barta, M B Flores, K E Sawyer, L A Perry, A H Campbell","doi":"10.1080/09593985.2025.2506545","DOIUrl":"10.1080/09593985.2025.2506545","url":null,"abstract":"<p><strong>Background: </strong>Parkinson Disease (PD) is a progressive neurological disorder that can affect gait and balance. For individuals with PD, difficulty with posterior movement patterns often increases their risk of falls. This often further reduces their mobility due to fear of falling.</p><p><strong>Purpose: </strong>Determine the immediate impact of performing partial squats using whole-body vibration (WBV) versus level surface on backward walking velocity in individuals with PD.</p><p><strong>Methods: </strong>Twenty-six individuals with PD (Hoehn & Yahr I-IV, median age = 68.3, 13 females) participated in one session of squats on either WBV or level ground. Participants completed the 3-Meter Backward Walk Test (3MBWT) prior to and immediately following the intervention. Thirteen participants performed partial (\"mini\") squats using WBV on a Galileo® S35 vibration platform in five 60-s sessions with a 1 min seated rest break in between sessions for a total of 10 min. The control group completed the same sequence on level ground without WBV. Results from the two-way mixed ANOVA indicated that the main effect of time was significant, with both control and intervention groups improving 3MBWT scores (<i>F</i>(1,24) = 4.388, <i>p</i> < .001). However, there was no statistically significant interaction between the intervention and time (<i>F</i>(1,24) < 0.001, <i>p</i> = .983) or the main effect of group (<i>F</i>(1,24) = 0.691, <i>p</i> = .414). Both the control and intervention groups yielded small effect sizes <i>d</i> = 0.26 (9.5% change) and <i>d</i> = 0.28 (10.8% change), respectively.</p><p><strong>Conclusion: </strong>In individuals with PD, performing partial squats led to small improvements in backwards walking velocity, but WBV did not provide additional benefits.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2167-2172"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102501","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":"Safety of strength training with blood flow restriction in patients with hemophilic arthropathy; a randomized pilot study.","authors":"Mar Villalón-González, Raúl Pérez-Llanes, José-Antonio López-Pina, Rubén Cuesta-Barriuso, Elena Donoso-Úbeda","doi":"10.1080/09593985.2025.2497964","DOIUrl":"10.1080/09593985.2025.2497964","url":null,"abstract":"<p><strong>Introduction: </strong>Hemophilic arthropathy is characterized by chronic pain, decreased joint range and periarticular muscle atrophy. In the absence of suitable prophylactic treatment, these sequelae cause severe disability from early ages. The aim of this study was to evaluate the safety of applying blood flow restriction in patients with hemophilia and to observe changes in pain intensity, range of motion and muscle strength.</p><p><strong>Methods: </strong>A randomized, single-blind pilot study. Twenty-three patients were recruited and randomized to the two study groups: experimental (training with blood flow restriction) and control (no intervention). The intervention, which lasted for 3 weeks with two weekly sessions, included strengthening exercises of the quadriceps muscle and the plantiflexor and dorsiflexor muscles. The study variables were: safety (number of bleeds), pain intensity (Visual Analog Scale), range of motion (goniometry) and muscle strength (dynamometry).</p><p><strong>Results: </strong>None of the patients with hemophilia who received the intervention developed muscle or joint bleeds during the study phase. There were statistically significant intergroup differences (<i>p</i> < .001) in the intensity of knee pain (F = 17.97; ŋ²_p = 0.29) and ankle pain (F = 24.84; ŋ²_p = 0.36), and quadriceps muscle strength (F = 23.49; ŋ²_p = 0.34).</p><p><strong>Conclusions: </strong>Strength training with blood flow restriction is safe and does not cause joint or muscle bleeding in hemophilia patients in this group. Low-load and flow-restriction exercises can improve the intensity of joint pain and periarticular muscle strength in patients with bilateral hemophilic knee and ankle arthropathy.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2118-2129"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053964","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 two mobilization with movement techniques to the talocrural joint in individuals with dorsiflexion limitation: clinician vs self-applied.","authors":"M Yusuf Demirkan, M Ayhan Oral, Gamze Cobanoglu, Nevin A Guzel","doi":"10.1080/09593985.2025.2496776","DOIUrl":"10.1080/09593985.2025.2496776","url":null,"abstract":"<p><strong>Introduction: </strong>Dorsiflexion (DF) range of motion (ROM) limitation is a risk factor for many injuries. Many interventions are applied to individuals with DF limitation to increase DF-ROM.</p><p><strong>Purpose: </strong>To investigate the effects of single-session Clinician and Self-applied Mobilization with Movement (C-MWM and S-MWM) methods on DF-ROM, balance, and jump.</p><p><strong>Methods: </strong>The Weight Bearing Lunge Test was used to assess DF-ROM. Individuals with DF-ROM below 45° were defined as having DF limitation. Forty-eight individuals were randomly assigned to C-MWM, S-MWM, and control groups. Balance was assessed with Y-Balance Test (YBT), and jumping was evaluated by a single-leg countermovement jump test. Clinicians mobilized participants in the C-MWM group, while those in the S-MWM group were mobilized with the help of a non-elastic belt. Those in the control group performed only lunge movements.</p><p><strong>Results: </strong>An increase in DF-ROM was observed in the C-MWM (d = 0.66, <i>p</i> = .001) and S-MWM groups (d = 0.53, <i>p</i> = .001). In YBT, anterior (C-MWM: d = 0.53, <i>p</i> = .001; S-MWM: d = 0.47, <i>p</i> = .028), posteromedial (C-MWM: d = 0.44, <i>p</i> = .023; S-MWM: d = 0.40, <i>p</i> = .011), and composite scores (C-MWM: d = 0.65, <i>p</i> = .004; S-MWM: d = 0.32, <i>p</i> = .013) improved in C-MWM and S-MWM groups. There was no significant difference in the posterolateral direction in all groups (<i>p</i> > .05). In the control group, there was a change only in composite score (d = 0.38, <i>p</i> = .016). There was no change in a jump in three groups (<i>p</i> > .05). When the gains obtained in groups were compared, it was observed that the gains in all parameters were similar (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>When it is desired to increase DF-ROM and improve balance in individuals with DF limitation, the clinician or self can apply MWM to the talocrural joint.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2100-2111"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021635","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":"Screening for depression misses people with suicidal ideation in patients with persistent musculoskeletal pain attending private physiotherapy.","authors":"Davy Vancampfort, Tine Van Damme, Wim Dankaerts, Dieter Van Assche, Brendon Stubbs, Ryan L McGrath","doi":"10.1080/09593985.2025.2490036","DOIUrl":"10.1080/09593985.2025.2490036","url":null,"abstract":"<p><strong>Background: </strong>Patients with persistent musculoskeletal pain face an increased risk of suicidal ideation, yet suicide risk is not routinely assessed in physiotherapy. Many primary care professionals use a two-stage screening approach, assessing depression first and only asking about suicide if depressive symptoms are present.</p><p><strong>Objective: </strong>This study examines the appropriateness of this approach in private musculoskeletal physiotherapy practicein Belgium and whether physiotherapists' observations of patients' distress align with patient self-reports.</p><p><strong>Methods: </strong>Four-hundred fifty patients completed thePatient Health Questionnaire-9 (PHQ-9), which includes the PHQ-2 and a suicide ideation item, while 84 physiotherapists completed an observer-report PHQ-2. Cross-tabulation and logistic regression compared observer ratings with patient-reported distress.</p><p><strong>Results: </strong>Mean scores on the observer-report and self-report PHQ-2 were similar (1.6 ± 1.6 vs. 1.6 ± 1.5, <i>p</i> = .79)and moderately correlated (<i>r</i> = 0.50, <i>p</i> < .001). Among patients reporting suicidal ideation (16.4%; <i>n</i> = 74), 41.9% (<i>n</i> = 31) scored below the PHQ-2 cutoff of 3, and 52.7% (<i>n</i> = 31) scored below on the observer-report version. A self-report PHQ-2 score of 3 or above was more strongly associated with suicidal ideation (odds ratio[OR] = 6.76; 95%CI = 3.96-11.53) than an observer-report PHQ-2 score of 3 or above (OR = 3.72; 95%CI = 2.21-6.28), though the latter had higher classification accuracy (83.6% vs. 76.2%). Physiotherapists were more likely to recommend professional support for patients with suicidal ideation (50.0% vs. 34.6%, <i>p</i> = .012), but coping advice did not differ by suicide risk.</p><p><strong>Conclusion: </strong>Many patients with suicidal ideation did not meet the PHQ-2 depression threshold, highlighting the limitations of a two-stage screening approach in physiotherapy. Based on these findings, this approach is not recommended.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2021-2029"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054898","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":"Effect of electrical stimulation in conjunction with mirror therapy and massage to decrease synkinesis in a patient with chronic Ramsay Hunt Syndrome: a case report.","authors":"Suzanne McCrum","doi":"10.1080/09593985.2025.2501061","DOIUrl":"10.1080/09593985.2025.2501061","url":null,"abstract":"<p><strong>Background: </strong>Ramsay Hunt Syndrome (RHS) is a late complication of chickenpox often associated with facial paralysis and synkinesis. Treatments for acute-onset facial paralysis or synkinesis from any cause may include physical therapy (PT) that focuses on electromyography (EMG) biofeedback, stretching, and heat. Less research has focused on treating synkinesis resulting from RHS.</p><p><strong>Objective: </strong>The purpose of this case report was to assess the effectiveness of adding neuromuscular electrical stimulation (NMES) to more well-studied PT treatments, such as mirror therapy and massage, for decreasing synkinesis in chronic RHS.</p><p><strong>Case description: </strong>The patient was a 62-year-old female with RHS. One year after diagnosis, she began PT to decrease synkinesis with the use of NMES, exercise, and massage. The synkinesis protocol was performed during twice-weekly clinic appointments lasting four weeks, and the patient performed the protocol at home twice daily.</p><p><strong>Outcomes: </strong>Assessment of facial appearance and function utilized the Sunnybrook Facial Grading System (SFGS) and Synkinesis Assessment Questionnaire (SAQ). SFGS score improved from 64/100 to 89/100. SAQ score improved from 25/45 to 11/45. Both demonstrated decreased synkinesis during smiling and lip puckering.</p><p><strong>Conclusion: </strong>After four weeks the patient showed improved symmetry and decreased unintended right eye movements during mouth movements, assessed by objective and subjective measures. Long-term studies would add to the body of knowledge for treating facial abnormalities.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2220-2227"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057817","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":"Efficacy of complex decongestive therapy in a patient with deep venous insufficiency: A case report.","authors":"Ana Martín Jiménez, Héctor Menéndez Alegre, Elena Sánchez Jiménez, M Del Rosario Ferreira Sánchez, Celia García Macías, Beatriz María Bermejo Gil","doi":"10.1080/09593985.2025.2487188","DOIUrl":"10.1080/09593985.2025.2487188","url":null,"abstract":"<p><strong>Background: </strong>Deep venous insufficiency (DVI) affects 30% of individuals with superficial venous insufficiency (SVI). It is caused by valvular incompetence or obstruction, leading to venous hypertension. While conservative treatment is compression therapy, there is evidence supporting the efficacy of complex decongestive therapy (CDT), although it has not been studied in patients with DVI without ulcerations.</p><p><strong>Objective: </strong>We present a program for the evaluation and treatment of CDT in patients with DVI.</p><p><strong>Case description: </strong>The patient was a 49-year-old woman with bilateral DVI classified as C3 according to the Clinical-Etiological-Anatomical-Pathophysiological (CEAP) classification. She experienced pain, heaviness, mild edema, decreased quality of life (QoL), and retrograde reflux > 0.5 seconds in the deep venous system of both extremities (femoral, common femoral, and popliteal veins). The patient was evaluated using ultrasound, impedance measurement, circumferential measurements, and the Venous Clinical Severity Score (VCSS) and Chronic Venous InsufficiencyQualityofLifeQuestionnaire (CIVIQ-20). She underwent CDT (manual lymphatic drainage, pressotherapy, and bandaging) twice a week for 4 weeks, with follow-up assessments conducted after treatment and at 6 weeks.</p><p><strong>Outcomes: </strong>The patient reported a decrease in pain and heaviness (VCSS), along with an increase in QoL (CIVIQ-20) (60.8% T1, 67.1% T2), flow velocity in the deep veins, and decreased reflux. While there was no improvement in edema, the fat mass in the extremities was reduced.</p><p><strong>Conclusion: </strong>CDT was effective in improving severity and symptoms in this patient with DVI. Randomized controlled studies are necessary to further demonstrate the efficacy of this treatment in patients with DVI.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"2211-2219"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774631","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}