Brazilian Journal of Physical Therapy最新文献

Efficacy of whole-body vibration training in the management of patients with COPD: a systematic review and meta-analysis. 全身振动训练在慢性阻塞性肺病患者管理中的疗效：系统回顾和荟萃分析。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-22 DOI: 10.1016/j.bjpt.2026.101674

Cinthia J Oliveira, Iura Gonzalez N Alves

{"title":"Efficacy of whole-body vibration training in the management of patients with COPD: a systematic review and meta-analysis.","authors":"Cinthia J Oliveira, Iura Gonzalez N Alves","doi":"10.1016/j.bjpt.2026.101674","DOIUrl":"https://doi.org/10.1016/j.bjpt.2026.101674","url":null,"abstract":"<p><strong>Background: </strong>Chronic obstructive pulmonary disease (COPD) often presents with skeletal muscle dysfunction, which worsens prognosis. Whole-body vibration training (WBVT) has been proposed as an adjunct to pulmonary rehabilitation, but evidence of its clinical efficacy remains inconsistent.</p><p><strong>Objective: </strong>To evaluate the effects of WBVT on functional capacity, muscle strength, pulmonary function, and quality of life in individuals with COPD.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted following PRISMA guidelines and registered in PROSPERO. Only randomized controlled trials were included. Outcomes assessed included 6-minute walk distance (6MWD), five-repetition sit-to-stand test (5STS), pulmonary function, and quality of life.</p><p><strong>Results: </strong>Fifteen RCTs met the inclusion criteria. WBVT significantly improved functional capacity measured by the 6MWD (MD = 34.35 m; 95% CI: 13.67,55.04; GRADE: very low). Subgroup analysis revealed a clinically meaningful improvement compared with usual care (MD = 75.97 m; 95% CI: 58.65,93.30), but not when compared with active exercise interventions. For the 5STS, a clinically relevant gain was observed versus usual care (MD = -5.95 seconds; 95% CI: -10.76, -1.14), with no significant difference compared to conventional exercise. No statistically significant effects were found for FEV₁ or quality of life. Most trials presented high risk of bias, and evidence certainty ranged from low to very low.</p><p><strong>Conclusion: </strong>WBVT may offer benefits in walking distance and sit-to-stand performance only when compared with no rehabilitation exposure, a scenario that is unrealistic in contemporary clinical practice given the strong evidence supporting structured exercise-based pulmonary rehabilitation for COPD management.</p>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"31 1","pages":"101674"},"PeriodicalIF":3.6,"publicationDate":"2026-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation and prognostic value of the five-repetition sit-to-stand test in patients with severe exacerbation of COPD. 慢性阻塞性肺病严重加重患者5次重复坐立试验的验证及预后价值

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-21 DOI: 10.1016/j.bjpt.2026.101675

Naiara Tais Leonardi, Kirsten Quadflieg, Ana Machado, Marc Daenen, David Ruttens, Martijn A Spruit, Renata Gonçalves Mendes, Chris Burtin

{"title":"Validation and prognostic value of the five-repetition sit-to-stand test in patients with severe exacerbation of COPD.","authors":"Naiara Tais Leonardi, Kirsten Quadflieg, Ana Machado, Marc Daenen, David Ruttens, Martijn A Spruit, Renata Gonçalves Mendes, Chris Burtin","doi":"10.1016/j.bjpt.2026.101675","DOIUrl":"https://doi.org/10.1016/j.bjpt.2026.101675","url":null,"abstract":"<p><strong>Background: </strong>A severe exacerbation of COPD (ECOPD) may negatively impact patients' functioning; however, there is a lack of validated, simple, and low-cost tools to assess physical function in this setting. Thus, the aims of this study were to explore the construct validity of the five-repetition sit-to-stand (5STS) test for assessing muscle strength and exercise tolerance, and to investigate its prognostic value in predicting exacerbation-related readmission risk in patients with severe ECOPD.</p><p><strong>Methods: </strong>This was a prospective observational study. Fifty-eight patients hospitalized with a severe ECOPD were included. At hospital discharge, the 5STS, quadriceps force, six-minute walk test (6MWT), COPD Assessment Test (CAT), and modified Medical Research Council scale were assessed. Exacerbation-related readmissions within six months were collected. Statistical analyses included correlation analysis, receiver operating characteristic (ROC) curve, and Kaplan-Meier survival analysis.</p><p><strong>Results: </strong>58 patients (mean age of 69 ± 8 years, 45% male, FEV<sub>1</sub> 41 ± 16% predicted) were included. Within six months, 31% were readmitted. The 5STS showed a significant negative correlation with quadriceps force (r = -0.487) and 6MWT (r = -0.415). The ROC curve analysis demonstrated an AUC of 0.720 (95% CI: 0.588-0.853), with a cut-off of ≥13 seconds identifying patients at higher risk of exacerbation-related readmission. Patients with 5STS <13s had a higher probability of remaining hospitalization-free (86.7%) compared to those with 5STS ≥13s (50%).</p><p><strong>Conclusion: </strong>The 5STS is correlated with muscle strength and exercise tolerance and has acceptable prognostic value for predicting exacerbation-related admission within six months in patients with severe ECOPD.</p>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"31 1","pages":"101675"},"PeriodicalIF":3.6,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to Editor, "The effects of core stabilizing exercise in postpartum women with lumbopelvic pain: A systematic review with meta-analysis". 致编辑的信，“核心稳定运动对产后腰盆腔疼痛妇女的影响：荟萃分析的系统回顾”。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-21 DOI: 10.1016/j.bjpt.2026.101643

Yashasvi Parmar, Sunita Sharma

引用次数: 0

Letter to the editor about the article: "Hypopressive exercises for diastasis recti and pelvic floor symptoms in postpartum women: A randomized trial". 致编辑关于文章的信：“产后妇女直肠转移和盆底症状的低血压运动：一项随机试验”。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-21 DOI: 10.1016/j.bjpt.2026.101667

Alexandre Delgado, Alberto Ferreira Bona

引用次数: 0

Reply to the letter to the editor about the article: “Hypopressive exercises for diastasis recti and pelvic floor symptoms in postpartum women: A randomized trial” 回复给编辑的关于文章“产后妇女直肠转移和盆底症状的低血压运动：一项随机试验”的信。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-01 Epub Date: 2026-10-05 DOI: 10.1016/j.bjpt.2026.101668

Sara Emmanuela Moreira, Angélica Lemos Debs, Elder Henrique de Oliveira, Milena Clicia Naves da Silva, Rogério de Melo Costa Pinto, Vanessa Santos Pereira-Baldon

引用次数: 0

Reply to the Letter to the editor (2): "Total work equalization: a mathematical strategy for the comparison of different exercises in clinical trials" 回复编辑(2)：“总工作量均衡：临床试验中不同练习比较的数学策略”。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-01 Epub Date: 2026-10-05 DOI: 10.1016/j.bjpt.2026.101670

André Pontes-Silva, André Luiz Lopes

引用次数: 0

Infant motor profile (IMP): translation and concurrent validity for Brazilian infants 婴儿运动特征（IMP）：巴西婴儿的翻译和并发效度。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-01 Epub Date: 2026-09-30 DOI: 10.1016/j.bjpt.2026.101648

Luiza Ribeiro Machado, Carolina Fioroni Ribeiro da Silva, Stefani Raquel Sales Fritsch, José Leonardo da Silva Mello, Eloisa Tudella

{"title":"Infant motor profile (IMP): translation and concurrent validity for Brazilian infants","authors":"Luiza Ribeiro Machado, Carolina Fioroni Ribeiro da Silva, Stefani Raquel Sales Fritsch, José Leonardo da Silva Mello, Eloisa Tudella","doi":"10.1016/j.bjpt.2026.101648","DOIUrl":"10.1016/j.bjpt.2026.101648","url":null,"abstract":"<div><h3>Background</h3><div>The Infant Motor Profile (IMP) evaluates gross and fine motor behavior in infants aged 3–18 months. It offers broad applicability, accessibility, and reliable measurement properties.</div></div><div><h3>Objective</h3><div>To translate the IMP from British English into Brazilian Portuguese and examine the concurrent validity with the Alberta Infant Motor Scale (AIMS).</div></div><div><h3>Methods</h3><div>Followed a five-stage translation protocol (1) authorization, (2) translation, (3) back-translation, (4) final version review, and (5) evaluation. Concurrent validity was assessed in a cross-sectional sample of 120 infants at 4, 6, 10, and 12 months. Spearman's (rho) was applied (5% significance).</div></div><div><h3>Results</h3><div>The translation was completed and approved by one of the IMP's original authors. Weak correlation was observed between the IMP symmetry domain and AIMS total score (rho=0.245, R²=0.06, p-value=0.0069). Moderate correlations emerged between IMP variation (rho=0.525, R²=0.275, p-value=7.64e-10), adaptability (rho=0.571, R²=0.326, p-value=1.89e-06) and fluency (rho=0.622, R²=0.387, p-value=3.36e-14) domains and the AIMS total score. Strong correlations between the performance domain (rho=0.935, R²=0.873, p-value<2e-16) and IMP total score (rho=0.894, R²=0.793, p-value<2e-16) with the AIMS total score.</div></div><div><h3>Conclusion</h3><div>The Infant Motor Profile was successfully translated into Brazilian Portuguese and presented concurrent validity with AIMS. This research enables the widespread application of an easy, affordable, and validated instrument to assess and early detect infant neurodevelopmental delays or changes in the first months of life. Therefore, Brazilian infants can promptly be referred to appropriate physical therapy interventions.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 6","pages":"Article 101648"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Total work cannot be the only form of training load equalization 总工作量不可能是训练负荷均衡的唯一形式。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-01 Epub Date: 2026-10-05 DOI: 10.1016/j.bjpt.2026.101671

Matheus Peixoto Dantas, Aluiso André Dantas de Sousa, Escarllet Alves de Tillesse, Tatiana Lira Marinho, Leônidas de Oliveira Neto

引用次数: 0

Letter to the editor for the article: Total work equalization: a mathematical strategy for the comparison of different exercises in clinical trials 给文章编辑的信：总工作量均衡：临床试验中不同练习比较的数学策略。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-01 Epub Date: 2026-10-05 DOI: 10.1016/j.bjpt.2026.101669

Bernardo N. Ide, Guilherme G. De Agostine, André L.D. Gurjão, Amanda P. Silvatti

引用次数: 0

Reply to the letter to the Editor (1): "Total work equalization: a mathematical strategy for the comparison of different exercises in clinical trials" 回复编辑(1)：“总工作量均衡：临床试验中不同练习比较的数学策略”。

IF 3.6 3区医学

Brazilian Journal of Physical Therapy Pub Date : 2026-10-01 Epub Date: 2026-10-05 DOI: 10.1016/j.bjpt.2026.101672

André Pontes-Silva, André Luiz Lopes

引用次数: 0