Brazilian Journal of Physical Therapy最新文献

{"title":"ANTICIPATORY SYNERGY ADJUSTMENTS: A NARRATIVE REVIEW OF STUDIES USING THE UNCONTROLLED MANIFOLD APPROACH IN INDIVIDUALS WITH NEUROLOGICAL DYSFUNCTIONS","authors":"Alice Brochado Campolina ,&nbsp;Valéria Andrade Pinto ,&nbsp;Daniela Virgínia Vaz","doi":"10.1016/j.bjpt.2024.100604","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100604","url":null,"abstract":"<div><h3>Background</h3><p>According to the Uncontrolled Manifold (UCM) approach, motor synergies allow motor flexibility while ensuring stable task performance. The stronger the motor synergies, the greater performance stabilization. Thus, just before the start of a new motor task, the synergies need to be attenuated to facilitate the initiation or change of movement. This reduction in synergy during the preparation for movement initiation is called Anticipatory Synergy Adjustments (ASAs). In individuals with neurological deficits, changes in the timing or magnitude of ASAs can result in reduced movement agility or greater difficulty initiating a new task. Additionally, altered ASAs can serve as preclinical markers of neurological dysfunctions such as Parkinson's disease or multiple sclerosis.</p></div><div><h3>Objectives</h3><p>The aim of this study was to characterize the behavior of ASAs in populations with neurological dysfunctions and analyze their clinical implications.</p></div><div><h3>Methods</h3><p>A narrative review of studies that used the UCM approach to quantify ASAs in individuals with neurological dysfunctions was conducted.</p></div><div><h3>Results</h3><p>The review resulted in the inclusion of 9 exploratory studies. The study samples consisted of individuals with Parkinson's disease (PD), olivopontocerebellar atrophy (OA), stroke, multiple sclerosis (MS), and cerebral palsy (CP). The motor tasks analyzed in the studies were divided into manual tasks and standing postural control tasks. In individuals with PD, MS, and OA, delayed and smaller magnitude of ASAs were observed when compared to healthy individuals. In individuals with CP and stroke, ASAs in manual tasks differed from healthy individuals in small magnitudes.</p></div><div><h3>Conclusion</h3><p>In general, the observed changes in ASAs in the study lead to reduced agility during task execution and greater difficulty initiating new movements.</p></div><div><h3>Implications</h3><p>The use of the UCM method and the analysis of ASAs appears to be sensitive for the early detection of some neurological conditions and tracking disease progression and intervention effects, especially in individuals with subcortical disorders. However, using UCM to evaluate patients in the clinical context is still challenging. Its application requires specific technology and knowledge, which limits its use to the search environment. It would be interesting if future studies investigated the relationship between the behavior of ASAs and performance in commonly used functional instruments/questionnaires in clinical practice so that the understanding and application of the UCM method in the clinical context can be optimized.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100604"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180700","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}

{"title":"TELEREHABILITATION VERSUS A DIGITAL BOOKLET FOR PATIENTS WITH CHRONIC NON-SPECIFIC NECK PAIN: STUDY PROTOCOL OF A RANDOMIZED CONTROLLED TRIAL","authors":"Juliene Corrêa Barbosa ,&nbsp;Bruna Vale da Luz ,&nbsp;Breno Felipe Portal da Silva ,&nbsp;Maurício Oliveira Magalhães","doi":"10.1016/j.bjpt.2024.100667","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100667","url":null,"abstract":"<div><h3>Background</h3><p>Neck pain is a common disabling condition that directly affects the performance of daily life activities and participation in professional, social and sports activities, being one of the main causes of functional disability in the world. Telerehabilitation-based treatments have demonstrated their importance due to their ease of use, low cost, and tendency to improve clinical outcomes. However, in the current scientific evidence, there is a lack of studies that exemplify telerehabilitation protocols in individuals with chronic non-specific neck pain.</p></div><div><h3>Objectives</h3><p>The study was to verify the effect of a telerehabilitation protocol versus an online self-care booklet in individuals with non-specific chronic neck pain.</p></div><div><h3>Methods</h3><p>This is a blinded, randomized, controlled clinical trial that compares a telerehabilitation program for neck pain with a control group that will receive an online self-care booklet. Seventy patients will be recruited. Assessments and measures will perform before treatment, after 6 weeks and at 3 months after randomization. For this purpose, assessments and follow-ups will be carried out completely remotely, through online platforms (Google Meet, smartphone messages, email) and telephone calls. The primary outcome will be functional disability measured by the Neck Disability Index questionnaire consisting of 10 items. Secondary outcomes will be pain intensity measured using the numeric rating scale, perceived global effect measured using the perceived global exertion scale, patient self-efficacy using the Pain Self Efficacy Questionnaire, quality of life using the SF-12, and kinesiophobia through the Scale of Kinesiophobia. This clinical trial was approved by the Research Ethics Committee (no. 5.458.454) and was registered in the Brazilian Registry of Clinical Trials (no. RBR-10h7khvk).</p></div><div><h3>Results</h3><p>No results so far.</p></div><div><h3>Conclusion</h3><p>This study will examine whether the telerehabilitation treatment approach is superior to the self-care booklet in patients with chronic neck pain, functional disability, pain intensity, perceived global effect, patient self-efficacy, quality of life and kinesiophobia.</p></div><div><h3>Implications</h3><p>The study will impact clinical practice because telerehabilitation is a treatment option that aims to promote improvements in the functional disability and pain intensity of individuals with nonspecific chronic neck pain. This form of treatment appears as an alternative to ease the logistical and organizational conditions promoted by face-to-face care.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100667"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179652","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}

{"title":"OVERVIEW OF THE ECONOMIC BURDEN OF MUSCULOSKELETAL PAIN IN CHILDREN AND ADOLESCENTS: A SYSTEMATIC REVIEW WITH META-ANALYSIS","authors":"Caique de Melo do Espírito Santo ,&nbsp;Verônica Souza Santos ,&nbsp;Steven J. Kamper ,&nbsp;Christopher M. Williams ,&nbsp;Gisela Cristiane Miyamoto ,&nbsp;Tiê Parma Yamato","doi":"10.1016/j.bjpt.2024.100670","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100670","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Some studies suggest a high economic burden among children and adolescents with musculoskeletal pain. However, there is no summary in the literature to understand the scenario of the economic burden of musculoskeletal pain in this population.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;This study aimed to synthesize the economic burden of musculoskeletal pain in children and adolescents.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;We conducted electronic searches on MEDLINE, EMBASE, CINAHL, EconLit, NHS-EED, and HTA databases from inception to July/2022. We included cost-of-illness studies that estimated healthcare, patient/family, lost productivity, and/or societal costs in children and adolescents (up to 24 years old) with musculoskeletal pain. The primary outcome was cost, and the results were grouped by the same cost categories (i.e., healthcare, patient/family, lost productivity, societal), conditions, time horizon, and cost range for musculoskeletal pain. All costs were inflated to the same reference year (2021) and converted to American Dollars ($). The risk of bias the included studies was assessed using a checklist based on the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;We included 45 cost-of-illness studies (n=665,623). Thirty-eight studies (84.4%) were conducted in high-income countries, six (13.3%) in upper-middle-income countries, and one (2.2%) in lower-middle-income countries. Regarding the risk of bias assessment, 75.5% (n=34 studies) clearly presented the unit costs, and 69% (n=31 studies) presented the expenditure data transparently. In contrast, more than half of the studies did not include productivity costs or sensitivity analysis. The annual healthcare costs ranged from $143 to $41,379 per child/adolescent (n=22 studies). The annual patient/family costs ranged from $287 to $27,972 per child/adolescent (n=9 studies). The annual lost productivity costs ranged from $124 to $4,671 per child/adolescent (n=7 studies). The annual societal costs ranged from $1,095 to $69,351 per child/adolescent (n=9 studies). Children and adolescents with juvenile idiopathic arthritis and musculoskeletal pain had higher annual incremental healthcare costs than children and adolescents without these conditions (mean difference: $3,800, 95% confidence interval [CI]: 50 to 7,550; mean difference: $740, 95% CI: 470 to 1,010, respectively).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;The annual economic burden of musculoskeletal pain per child and adolescent ranged from $124 to $69,351.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;p&gt;This systematic review summarizes the evidence of the economic burden of musculoskeletal pain in children and adolescents. The results of this study showed that the musculoskeletal pain in children and adolescents seems to represent an important part of the economic burden in children's health. However, our estimates span a large range for all cost categories, maki","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100670"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179655","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}

{"title":"EFFICACY OF PHARMACOLOGICAL AND NON-PHARMACOLOGICAL THERAPIES ON PAIN AND DISABILITY IN PLANTAR FASCIITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"Bianca Martins Lourenço ,&nbsp;Mariana Gabrich Moraes Campos ,&nbsp;Laísa Braga Maia ,&nbsp;Brenda Katrovyevysky Costa Castro ,&nbsp;Renato Guilherme Trede ,&nbsp;Vinicius Cunha Oliveira","doi":"10.1016/j.bjpt.2024.100656","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100656","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Plantar fasciitis (PF) is one of the most common musculoskeletal conditions of the foot. Estimates of lifetime prevalence are up to 34.7% of the general population. Most of the time, PF is self-limited, but the time for complete resolution of symptoms can take up to a year, impairing the quality of life of patients. Non-pharmacological therapies are the first-choice management option for PF, such as biomechanical support, stretching, and extracorporeal shock wave therapy [ESWT]. In addition, other pharmacologic options are commonly prescribed (e.g., nonsteroidal anti-inflammatory drugs [NSAIDs], botulinum toxin, platelet-rich plasma injections, corticosteroid injections). However, there is no consensus on the decision-making process because they are limited in scope and methodology. Current evidence also needs to be updated with the aim of providing reliable evidence for the management of PF, taking into account that some new types of pharmacological and non-pharmacological therapies are being investigated (e.g., orthoses, shoes).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;To investigate the effects of pharmacological and non-pharmacological therapies on pain and disability in PF.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Systematic review of randomized controlled trials (RCTs). Data sources: AMED, MEDLINE, PEDro, COCHRANE, SPORTDISCUSS, CINAHL, EMBASE, and PsycINFO without language or date restrictions until February 3&lt;sup&gt;rd&lt;/sup&gt;, 2023. RCTs that evaluated the efficacy of any pharmacological and non-pharmacological therapies in comparison with control (placebo, sham, waiting list, or no intervention) on pain intensity and disability in people with PF were the eligibility criteria. Two reviewers independently screened eligible studies, extracted data, assessed the methodological quality of included studies, and assessed certainty of evidence using the Recommendations, Assessment, Development, and Reviews (GRADE) grading framework.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Seventeen different therapies investigated in 28 studies were included in the quantitative analysis. Moderate certainty evidence showed short-term effects of custom orthoses on pain intensity when compared with control (MD, -12.0 [95% CI: -17.1 to -7.0) and that orthoses did not reduce long-term pain intensity (MD, -5.9 [95% CI: -21.2 to 9.5]). Low-certainty evidence showed short-term effects in favor of taping (MD, -21.3 [95% CI: -38.6 to 4.0]) on pain intensity. For disability, low-certainty evidence showed that high-quality studies are needed.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;The results of this meta-analysis should be evaluated by clinicians, stakeholders, and researchers, taking into account that most investigated interventions currently have low or very low certainty. Our findings expose the need to develop new larger studies with high methodological quality. Clinical&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;p&gt;Current evidence supports customized orthoses and taping on s","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100656"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179691","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}

{"title":"INCREASED MORTALITY RISK DUE TO THE COMBINATION OF DEPRESSION AND 25(OH)D DEFICIENCY IN ENGLISH OLDER ADULTS","authors":"Bruna Daniel Rabelo ,&nbsp;Ione Jayce Ceola Schneider","doi":"10.1016/j.bjpt.2024.100662","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100662","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Depression is one of the most disabling diseases. It affects approximately 5.7% of older adults. In parallel, there is a high prevalence of vitamin D deficiency in this population, and it advantages the development of depressive symptoms. There are few studies about the influence of the association of depression and vitamin D deficiency on mortality.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To investigate whether the combination of depression and vitamin D deficiency increases the mortality risk in older adults.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;It is a cohort study with data from wave 6 (2012-3) of the English Longitudinal Study of Ageing, a population-based study with adults aged 50 years and over, living in England. Depression was measured by the Center for Epidemiologic Studies – Depression (CES-D-8) with a cut-off point of ≥4 symptoms, and deficiency of vitamin D (&lt;25 nmol/L) was estimated by the blood levels of 25-hydroxyvitamin D [25(OH)D]. Thus, four groups were formed: depression/25(OH)D deficiency, no depression/no 25(OH)D deficiency, depression/without 25(OH)D deficiency, and no depression/with 25(OH)D deficiency. Follow-up time was the interval between the wave 6 interview and the last contact (wave 7 or wave 8) or death, and the maximum was 60 months. Stata 14.0 was used to perform Kaplan-Meier curves and Cox regression. The adjustments were by age group, sex, wealth, physical exercise, smoking, alcohol consumption, body mass index, basic and instrumental activities of daily living, and chronic and circulatory diseases.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Of the 5,050 participants, 22.5% had depression, and 15.1% had 25(OH)D deficiency. When combining the outcomes, 4.85% had depression/25(OH)D deficiency and 67.2% had no depression/25(OH)D deficiency. The combination depression/25(OH)D deficiency was more prevalent in women, lower wealth quintile, sedentary, smokers, obese, with difficulties in activities of daily living, and with chronic and circulatory diseases. At the end of the follow-up, the survival rate was 19.1% (95%CI:3.3–44.8) in those with depression/25(OH)D deficiency and 50.4% (95%CI:36.0–63.1) in the opposite group. In the adjusted analysis, the risk of death was 78% (95%CI:1.17–2.70) higher in the depression/25(OH)D deficiency group compared to the no depression/without 25(OH)D deficiency group. The other groups (depression/no 25(OH)D deficiency, no depression/ with 25(OH)D deficiency) had no significantly increased risk of death. Sensitivity analysis confirms the importance of grouping because depression alone is a risk factor for mortality (HR:1.33; 95%CI:1.02–1.73), while 25(OH)D deficiency alone is not (HR:1.26; 95%CI:0.95–1.68).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;The grouping of depression and 25(OH)D deficiency is an independent mortality risk in older adults. The maintenance of adequate levels of 25(OH)D in this population is a challenge because there is a reduction in its metabolism in the","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100662"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179697","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}

{"title":"CLINICAL-EPIDEMIOLOGICAL PROFILE OF HOSPITALIZED CHILDREN IN PEDIATRIC INTENSIVE CARE UNIT WITH PHYSIOTHERAPY","authors":"Ana Cristina de Medeiros Garcia Maciel ,&nbsp;Mariana Beatriz de Souza Santos Fonseca Ginane ,&nbsp;Anderson Santana de Morais ,&nbsp;Vitória Jéssica Teixeira Dantas Brito ,&nbsp;Ruth Batista Bezerra Fagundes ,&nbsp;Jessica Fernandes de Medeiros","doi":"10.1016/j.bjpt.2024.100617","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100617","url":null,"abstract":"<div><h3>Background</h3><p>The Pediatric Intensive Care Unit of philanthropic public hospitals belonging to the Unified Health System serves children with the most varied pathologies, clinical and surgical, being a reference for many services in the metropolitan region. Technological advances in health and the improvement of public policies in the prevention, control, and fight against child injuries gradually contribute to reducing infant mortality rates.</p></div><div><h3>Objectives</h3><p>To identify the epidemiological profile and clinical evolution of children and adolescents hospitalized in the Pediatric Intensive Care Unit of a reference hospital in Natal/RN in physiotherapeutic follow-up.</p></div><div><h3>Methods</h3><p>Descriptive and retrospective study carried out at the Pediatric Intensive Care Unit of the Hospital Infantil Varela Santiago (reference in Neurosurgical and Oncological care), Natal/RN, through quantitative analysis of data from medical records of children between 0 and 15 years old in physiotherapeutic follow-up in the first quarter of 2023 (January to March). Age, sex, evolution to discharge/death, length of hospital stays, need for mechanical ventilation, and duration of mechanical ventilation were obtained by descriptive and retrospective analysis of medical records, with categorical variables expressed in absolute frequencies and percentages and continuous variables, presented as averages and standard deviation.</p></div><div><h3>Results</h3><p>Sixty-three (63) children were admitted to Physiotherapy, 34 boys (53.96%) with a mean age of 3.77±4.29 years. The length of stay in the ICU was 14.3 ± 22.8 days; 21 children (33.33%) required invasive mechanical ventilation, with a mean IMV time of 14.8±17.3 days. As an outcome, 15 children (23.80%) were transferred to other services or discharged straight home, 39 (61.90%) were discharged to the ward, 6 (9.52%) died, and 3 (4.76%) remained hospitalized.</p></div><div><h3>Conclusion</h3><p>We observed a predominance of male children in this Intensive Care Unit, with an average age of 3.7 years. The length of stay can be correlated with the complexity of the Unit in question (neurosurgical and oncology children), with a mortality rate below 10%.</p></div><div><h3>Implications</h3><p>Knowledge of the profile of this Unit implies improvement in care, optimization of treatment, reduction of expenses, and length of stay during hospitalization.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100617"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179776","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}

{"title":"CAN MUSCLE POWER TRAINING AID THE BIOMECHANICAL AND PHYSIOLOGICAL ADAPTATIONS IN ENDURANCE RUNNERS?","authors":"Danilo Fonseca Leonel ,&nbsp;Jonatas Ferreira Silva Santos ,&nbsp;Alysson Afonso Nadalin Enes ,&nbsp;Gustavo Oneda ,&nbsp;Walter Luiz Arcanjo Júnior ,&nbsp;Fernando Joaquim Gripp Lopes","doi":"10.1016/j.bjpt.2024.100694","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100694","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;The performance of long-distance runners is predicted by the interaction between physical variables, and plyometric and endurance training can change the interaction between these variables. In this way, it becomes necessary to investigate these promoted adaptations and how their transfer to performance occurs.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;The study aimed to verify the combined effect of plyometric and endurance training on performance variables in long-distance runners.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;The sample consisted of 23 male runners between 18 and 50 years old, athletes of 10km races and divided into two experimental groups: combined training (CT; Plyometric + endurance training; n = 11) and isolated training (ET; endurance training only; n = 12). The volunteers were submitted to two moments of evaluation, performed before and after the experimental protocol, consisting of anthropometric evaluations, muscle power, running economy, biomechanical test, maximum progressive test, and 10-km performance. For the experimental protocol, the volunteers were divided into pairs into the ET or CT groups according to the result obtained in the 10-kilometer test performed before the start of training. At the end of the experimental protocol (8 weeks), the athletes were reassessed, and the tests used were the same as those used in the initial assessment.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;In muscle power tests, a significant increase in jumps (CMJ and SJ) was reported at the end of training, regardless of the evaluated group. In the biomechanical variables, an increase in contact time with the ground and vertical oscillation was found, in addition to a decrease in stride frequency and leg stiffness at the end of the training protocol, in both analyzed groups. Regarding the physiological variables, an increase in running economy, respiratory compensation points and peak velocity on treadmill was found, but VO&lt;sub&gt;2&lt;/sub&gt;max remained stable after the experimental protocol. Finally, the final performance in the 10km did not show a significant effect, but the race strategy (initial phase) and peak velocity increased in both groups.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;CT (endurance + plyometrics) elicited similar changes in muscle power, biomechanical, physiological and performance variables, when compared to runners who performed ET.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;p&gt;Even with the lowest volume of running in the CT group, the effects were similar to the group that only performed ET, a relevant finding when considering that a high volume of running training can lead to injuries due to stress or repetition. Based on our findings, it is recommended to include neuromuscular training in weekly training routines, with the insertion of activities aimed at improving contact with the ground, technical efficiency and energy use of the muscle stretching-shortening cycle. It is also suggested that the neuromuscular training load is","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100694"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179970","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}

{"title":"WORK ABILITY PREDICTS OCCUPATIONAL HEALTH-RELATED ABSENTEEISM IN PROFESSIONAL DRIVERS: A 1-YEAR LONGITUDINAL STUDY","authors":"Cynthia Mara Zilli Casagrande ,&nbsp;Arthur de Sá Ferreira","doi":"10.1016/j.bjpt.2024.100690","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100690","url":null,"abstract":"<div><h3>Background</h3><p>Work ability (WA) is considered the result of the interaction of personal, social, and other factors related to the work environment. To what extent WA can predict absenteeism at work due to occupational health in professional drivers remains poorly investigated.</p></div><div><h3>Objectives</h3><p>To analyze the association between work ability and occupational health-related absenteeism at work in professional drivers.</p></div><div><h3>Methods</h3><p>From 2020 to 2021, 449 professional drivers were assessed for sociodemographic information, lifestyle (Baecke questionnaire, Work Stress Scale), and work ability (Work Ability Index, WAI) in Curitiba, Paraná (Brazil). Follow-up assessments were conducted at 6 and 12 months by telephone to answer 3 questions that aimed at information about professional performance, situations of occupational absenteeism, and accidents at work.</p></div><div><h3>Results</h3><p>After 12 months of the initial interview, 270/449 drivers (60%) remained as research participants and the others did not remain active in the profession (n=29/449, 7%) or did not respond to telephone contact (n= 53/449, 12%). WAI was inversely associated (β=-0.119 CI 95% -0.233 to -0.006, P=0.039) with general absenteeism at 12 months, explaining better WAI variability and showing a better fit of the latter model (AIC=137, R²= 0.028, P=0.074 vs. R² = 0.050, AIC = 92, P=0.039). Separating the reasons for absenteeism between occupational health and accidents at work, we concluded that WAI was inversely associated with absenteeism due to occupational health at 6 months ((β=-0.096 CI95% -0.187 to -0.006, P=0.037) and accidents at work at 12 months (β=-0.189 95% CI -0.331 to -0.047, P=0.009).</p></div><div><h3>Conclusion</h3><p>Work ability can predict 1-year absenteeism due to occupational health in professional drivers.</p></div><div><h3>Implications</h3><p>Absenteeism due to occupational health can be detected using current work ability information in professional drivers. Further studies are required to test whether ergonomic interventions can promote occupational health and decrease absenteeism in this population.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100690"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179984","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}

{"title":"POST-COVID-19 SEQUELAE AND THE ASSOCIATION OF INSPIRATORY MUSCLE TRAINING IN A CARDIOPULMONARY REHABILITATION PROGRAM: A CASE REPORT","authors":"Bruna Eduarda Christen ,&nbsp;Lucas Lemonie Zunino ,&nbsp;Josie Budag Matsuda ,&nbsp;Luis Otávio Matsuda ,&nbsp;Ana Inês Gonzáles","doi":"10.1016/j.bjpt.2024.100622","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100622","url":null,"abstract":"<div><h3>Background</h3><p>Post-COVID-19 symptoms are persistent, and their sequelae include fatigue, dyspnea, and decreased functional capacity. In this context, cardiopulmonary rehabilitation can improve the symptoms, functional capacity, and quality of life of these patients.</p></div><div><h3>Objective</h3><p>This paper reports the case of a woman with COVID-19 sequelae presenting frequent symptoms such as dyspnea and fatigue.</p></div><div><h3>Methods/Case Description</h3><p>Patient I.S, 56 years old, presenting dyspnea and post Sars-Cov-2 fatigue, scheduled for a cardiac rehabilitation program. The pre- and post-intervention assessment was based on the: Post-COVID-19 Functional Status Scale (PCFS), 1-minute Sit and Stand Test (SST1), 2-minute Stationary Gait Test (2MWT), Test of 6-minute walk (6MWT) and Manovacuometry. The progressive recovery program had the duration of 8 weeks, 2 times per week, based on: 1) Aerobic exercises on a treadmill; 2) respiratory kinesiotherapy; 3) Inspiratory Muscle Training with POWERbreathe® equipment, with progressive load; 4) Circuits and Stretches. The first session started with aerobic exercise for 15 minutes, at 5 km/h, without incline, in continuous use of POWERbreathe®in 2 cmH2O and respiratory kinesiotherapy exercises. The patient had a 100% adherence to the program. Sessions were based on 20 minutes of aerobic exercise at 5 km/h and rib cage stretching exercises with continuous POWERbreathe® at 4 cmH2O.</p></div><div><h3>Results</h3><p>The results obtained were: PCFS Grade 0 pre- and post-intervention, SST1 (24 repetitions vs 29 repetitions), 2MWT (87 lifts/Borg Final 3 vs 130 lifts/Borg Final 3), 6MWT (561 vs 630m) and Manovacuometer (-80cmH2O / +100cmH2O vs -100cmH2O/+120cmH2O).</p></div><div><h3>Conclusions</h3><p>A cardiopulmonary rehabilitation program, associated with inspiratory muscle training and respiratory kinesiotherapy, for 8 weeks, was able to promote improvement in respiratory muscle strength and functional capacity after COVID-19.</p></div><div><h3>Implications</h3><p>A functional rehabilitation program for patients with post-COVID associated with inspiratory muscle training promotes care and respect for the singularities of each case, allowing an early return to activities of daily living.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100622"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180660","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}

{"title":"PHYSICAL THERAPY EXERCISE IN EARLY AND LATE POST-OPERATIVE PERIOD OF TOTAL KNEE ARTHROPLASTY: SYSTEMATIC REVIEW WITH META-ANALYSIS","authors":"Alany Gabrielli Leite ,&nbsp;Beatriz Batista Vicente ,&nbsp;Allysiê Priscilla de Souza Cavina ,&nbsp;Alessandra Madia Mantovani ,&nbsp;Cristina Elena Prado Teles Fregonesi","doi":"10.1016/j.bjpt.2024.100601","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100601","url":null,"abstract":"<div><h3>Background</h3><p>Objective: To analyze the effects of exercise-based rehabilitation on the functionality of individuals with Total Knee Arthroplasty (TKA) in the early and late postoperative period.</p></div><div><h3>Methods</h3><p>Systematic review of which studies were selected through six databases (Pubmed, PEDro, LILACS, EMBASE, CINAHL, and Cochrane Library) from January 2010 to August 2020. Only randomized clinical trials of primary unilateral TKA in the early or late postoperative period were included. All meta-analyses were conducted using Review Manager – RevMane software described as standardized mean differences with 95% confidence intervals (CI). Outcome data, including the final mean, standard deviation, and sample size values, were extracted by two reviewers. The data extraction process was performed using a standardized form and disagreements were resolved by a more experienced third author. PROSPERO Register: CRD42020200375.</p></div><div><h3>Results</h3><p>Five studies were chosen for full-text review. The main findings of this study demonstrated that physical therapy exercise, when compared to the other conditions, was effective only for the timed up and go test (three studies, n=225; MD=-1.38, 95% CI [-2.35, -0.41]; p=0.005; I²=56%). No significant differences were observed for the other analyses.</p></div><div><h3>Conclusion</h3><p>The findings of the present study demonstrate that physical therapy based on exercises, when started mainly in the early postoperative period of TKA is better than the comparison conditions in knee functionality.</p></div><div><h3>Implications</h3><p>The present review shows the clinical applicability of physiotherapeutic exercises started early after TKA, which can improve the functional conditions of patients.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100601"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180668","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}