Brazilian Journal of Physical Therapy最新文献

{"title":"Influence of patient-centered prenatal education on the birth experience: A qualitative study","authors":"Júlia Cortes Cavalcante ,&nbsp;Maria Teresa Pace do Amaral ,&nbsp;Thamires Hellen de Souza Santos ,&nbsp;Maura Lorena Ovídio Santos ,&nbsp;Fabiane Ribeiro Ferreira ,&nbsp;Elyonara Mello Figueiredo ,&nbsp;Mariana Maia de Oliveira Sunemi","doi":"10.1016/j.bjpt.2026.101603","DOIUrl":"10.1016/j.bjpt.2026.101603","url":null,"abstract":"<div><h3>Background</h3><div>Childbirth is a complex, subjective phenomenon, the significance of which is influenced by sociocultural and individual factors. Anxieties surrounding childbirth, often stemming from gaps in knowledge about the physiological process, can negatively affect maternal expectations. Prenatal health education has been proposed as a key intervention to mitigate these anxieties by enhancing self-efficacy, promoting patient autonomy, and encouraging active participation.</div></div><div><h3>Objective</h3><div>This study aimed to investigate women's perceptions of their labor and childbirth experience following participation in a patient-centered prenatal education program, the 'Oficina do Parto'.</div></div><div><h3>Methods</h3><div>This qualitative study used thematic analysis. Participants included nine women and their companions who attended the 'Oficina do Parto' program. Data were collected through semi-structured interviews conducted during the postpartum period.</div></div><div><h3>Results</h3><div>The analysis yielded two main themes: 1) the perceived impact of the educational program on labor and delivery experiences; and 2) the role and influence of the companion's participation during childbirth. Participants reported that the program effectively increased their knowledge, which contributed to a more positive childbirth experience and a greater appreciation for the companion's role.</div></div><div><h3>Conclusion</h3><div>The 'Oficina do Parto' program successfully enhanced women's knowledge, fostering positive perceptions of childbirth and the involvement of companions. The alignment between the educational content and the practices of the attending obstetric team, together with the women's prior childbirth knowledge, emerged as factors that positively influenced the overall childbirth experience.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 4","pages":"Article 101603"},"PeriodicalIF":3.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279682","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":"Multidimensional machine learning approach for classifying patients with neck pain based on movement control test","authors":"Ziva Majcen Rosker ,&nbsp;Jernej Rosker","doi":"10.1016/j.bjpt.2026.101606","DOIUrl":"10.1016/j.bjpt.2026.101606","url":null,"abstract":"<div><h3>Background</h3><div>Patients with neck pain (NP) commonly display impairments in cervical movement control. Improvements in technology used to assess movement control allow extraction of various parameters that could enable more precise classification, but this has not yet been investigated.</div></div><div><h3>Objective</h3><div>This study aimed to assess validity (classification performance of different machine learning models) of different parameters and difficulty levels of the Butterfly cervical movement control test.</div></div><div><h3>Methods</h3><div>Sixty-five patients with NP and fifty asymptomatic controls performed the Butterfly test. Random forest, support vector machines and logistic regression classification methods were used to build models based on individual or multiple parameters across different difficulty levels. The area under the curve (AUC), classification accuracy, F1 score, precision, recall, specificity, information gain and Gini index were reported.</div></div><div><h3>Results</h3><div>Models using amplitude accuracy, time-on-target or undershoot achieved the highest classification performance. However, models combining directional accuracy or all parameters of the Butterfly test at all difficulty levels yielded the most balanced probability of classification.</div></div><div><h3>Conclusion</h3><div>Results of our study suggest that either directional accuracy or all parameters of the Butterfly test (calculated for all difficulty levels) should be used for classifying patients with NP to provide the most clinically valid tool.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 4","pages":"Article 101606"},"PeriodicalIF":3.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340892","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":"Physiotherapy management of Long-COVID: an evidence-based approach","authors":"Jack Reeves ,&nbsp;Enya Daynes ,&nbsp;Tania Janaudis-Ferreira ,&nbsp;Kriti Agarwal ,&nbsp;Lissa Spencer ,&nbsp;Ling-Ling Tsai ,&nbsp;Jennifer A Alison","doi":"10.1016/j.bjpt.2026.101609","DOIUrl":"10.1016/j.bjpt.2026.101609","url":null,"abstract":"<div><h3>Background</h3><div>Long-COVID is a heterogenous, episodic, and multisystemic condition which can result following infection with a novel pathogen, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Whilst a precise pathophysiological cause is unknown, several mechanisms are hypothesised, each with plausible scientific rationale. Most people experiencing persistent symptoms following COVID-19 infection recover, yet some experience severe and debilitating illness for years after infection. Strategies to manage the sequelae of Long-COVID can improve the lives of sufferers.</div></div><div><h3>Objective</h3><div>To describe the physiotherapy management of Long-COVID based on current evidence.</div></div><div><h3>Content</h3><div>Those with ‘invisible illness’ (illness without outwardly visible signs), such as Long-COVID, often report stigmatisation and scepticism from healthcare systems. Validation of the experience of those with Long-COVID is therefore crucial to ensure patient-centred care. Thorough patient assessment is required to provide tailored management approaches given the diversity of Long-COVID presentations. Red flags that may contraindicate certain rehabilitation approaches (particularly exercise-based interventions) or that warrant further investigation should be considered. Assessments of fatigue, post-exertional malaise, respiratory symptoms, neurocognitive symptoms (i.e., brain fog), physical function, and orthostatic intolerance are strongly recommended. Management strategies may involve pacing and energy conservation techniques, pulmonary rehabilitation, inspiratory muscle training, dysfunctional breathing retraining, lifestyle and dietary strategies to manage orthostatic intolerance, and return-to-work planning.</div></div><div><h3>Conclusion</h3><div>Physiotherapists are well positioned to deliver individualised, patient-centred, and validating care based on best available evidence.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 4","pages":"Article 101609"},"PeriodicalIF":3.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284310","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":"Priorities challenges and opportunities of physical therapists who work with people that experience persistent pain","authors":"David S Kennedy,&nbsp;Tania Gardner,&nbsp;Sophie Shephard,&nbsp;Ian W Skinner","doi":"10.1016/j.bjpt.2026.101607","DOIUrl":"10.1016/j.bjpt.2026.101607","url":null,"abstract":"<div><h3>Background</h3><div>Persistent pain is a complex condition that places substantial demands on physical therapists and healthcare systems. Understanding how clinicians experience and navigate these complexities is essential for improving care.</div></div><div><h3>Objective</h3><div>To investigate the challenges, priorities, and opportunities from the perspective physical therapists who work with people experiencing persistent pain.</div></div><div><h3>Methods</h3><div>We conducted focus groups with physical therapists working in pain management settings. Participants responded to four open-ended discussion questions in written and verbal formats. Data were analyzed using systematic text condensation to identify themes.</div></div><div><h3>Results</h3><div>Sixty-six physical therapists across eight focus groups participated. An overarching theme of \"complexity of pain\" emerged, reflecting its influence across all aspects of care. Eleven interrelated subthemes were identified: clinical skills and education; funding models; professional networking and referral pathways; health professional awareness of evidence-based pain management; community awareness of evidence-based pain management; access to care; physical therapy advocacy and leadership; patient engagement and expectations; clinical time; clinician and patient emotional wellbeing; and clinical and social complexity.</div></div><div><h3>Conclusion</h3><div>From the perspectives of Australian physical therapists, the complexities of managing persistent pain are deeply interrelated and extend across the healthcare system. These challenges are not attributable to pain complexity alone but reflect systemic issues spanning education, funding, access, and advocacy. Addressing these challenges requires coordinated action at individual, organizational, and societal levels.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 4","pages":"Article 101607"},"PeriodicalIF":3.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is outcome observed in performance of clinical tests associated with patient-reported outcome measures after patellofemoral pain treatment? Secondary analysis of data from a randomized clinical trial","authors":"Eliane de Morais Machado,&nbsp;Mark Matthews,&nbsp;Michael Skovdal Rathleff,&nbsp;Fábio Viadanna Serrão,&nbsp;Bill Vicenzino","doi":"10.1016/j.bjpt.2026.101593","DOIUrl":"10.1016/j.bjpt.2026.101593","url":null,"abstract":"<div><h3>Background</h3><div>Clinical functional tests for patellofemoral pain (PFP), such as step-up, step-down and squat, are commonly used in clinic practice, although the extent to which changes in these tests reflect changes in patient-reported outcome measures (PROMs) remains unclear.</div></div><div><h3>Objective</h3><div>Investigate how changes in step-up, step-down, and squat tests are associated with changes in PROMs in individuals with PFP.</div></div><div><h3>Methods</h3><div>This secondary analysis used data from a randomized controlled trial (<em>N</em> = 218) comparing 12-week outcomes following either foot orthoses or 4-week hip exercise program. The number of pain-free repetitions in the functional tests of step-up, step-down and squat was assessed. PROMs included the Kujala, the Knee Injury and Osteoarthritis Outcome Scale (KOOS) subscales (Symptoms, Pain, Activities of Daily Living, Sporting and Recreation and Quality of Life (QoL), and the Global Rating of Change (GROC). Associations between change scores (differences between follow-up and baseline) in pain-free repetitions in the clinical functional tests and PROMs were analyzed using multivariate regression and binary logistic regression for dichotomized GROC (<em>p</em> &lt; 0.05).</div></div><div><h3>Results</h3><div>Data was available for 157 participants. There was a positive association between change scores in functional tests and PROMs, with explained variances ranging from 11 to 30%. The step-up test was weakly to moderately associated with KOOS Symptoms, Pain, QoL and Sport/Recreation. Step-down was associated with Kujala and KOOS Sport/Recreation. The squat test was not associated with any PROM.</div></div><div><h3>Conclusions</h3><div>Improvement in step-up test is associated with better PROMs. Clinicians might use the step-up test to monitor progress in individuals with PFP.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 4","pages":"Article 101593"},"PeriodicalIF":3.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive function and gait speed in older adults: Findings from the ELSI-Brazil study","authors":"Danielle Soares Rocha Vieira,&nbsp;Laís Coan Fontanela,&nbsp;Vanessa Pereira Corrêa Rampinelli,&nbsp;Nathália Tamara Stedile,&nbsp;Cesar de Oliveira,&nbsp;Ione Jayce Ceola Schneider","doi":"10.1016/j.bjpt.2026.101619","DOIUrl":"10.1016/j.bjpt.2026.101619","url":null,"abstract":"<div><h3>Background</h3><div>Although cognitive impairment is associated with adverse outcomes, evidence on its relationship with gait speed across specific cognitive domains remains limited, particularly in middle-income countries.</div></div><div><h3>Objective</h3><div>To investigate the association between global and domain-specific cognitive function and gait speed in Brazilian older adults.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 6940 participants from the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Gait speed was assessed with standardized z-scores and classified as “normal” or “slower”. Global cognitive function and specific domains (immediate and delayed memory, verbal fluency, and temporal orientation) were similarly standardized and categorized as “normal” or “impaired”. Associations between cognition and gait speed were estimated using crude and adjusted Poisson regression models. Interaction analyses with sociodemographic, behavioral, and health-related variables were performed.</div></div><div><h3>Results</h3><div>Participants were mostly female (52.8%) aged 50–59 years (51.0%). Slower gait speed was observed in 10.1% (95% CI: 8.3, 12.1), while impaired global cognition occurred in 12.5% (95% CI: 11.1, 14.0). In the adjusted models, global cognitive impairment was associated with a higher prevalence of slower gait speed (PR: 1.63; 95% CI: 1.30, 2.04). Verbal fluency (PR: 1.80; 95% CI: 1.45, 2.24) and delayed memory (PR: 1.46; 95% CI: 1.16, 1.83) showed the strongest domain-specific associations. Educational level moderated this relationship, with higher education attenuating the association between cognitive impairment and gait speed.</div></div><div><h3>Conclusion</h3><div>Global and domain-specific cognitive impairments, particularly in executive function and memory, were associated with slower gait speed. Education moderated this relationship, underscoring the role of cognitive and social factors in mobility outcomes among Brazilian older adults.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 4","pages":"Article 101619"},"PeriodicalIF":3.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266732","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":"An independent validation of a clinical prediction rule for the diagnosis of cervical radiculopathy with radicular pain","authors":"Francis Grondin ,&nbsp;Chad Cook ,&nbsp;Toby Hall ,&nbsp;Olivier Maillard ,&nbsp;Yannick Perdrix ,&nbsp;Sebastien Freppel","doi":"10.1016/j.bjpt.2026.101581","DOIUrl":"10.1016/j.bjpt.2026.101581","url":null,"abstract":"<div><h3>Background</h3><div>A clinical prediction rule (CPR) for cervical radiculopathy (CR), published in 2003, is widely used in practice and recommended in clinical practice guidelines. To date, this CPR has not been independently validated.</div></div><div><h3>Objective</h3><div>To perform an independent broad validation of the 2003 CPR using magnetic resonance imaging (MRI) as reference standard, and to investigate whether an alternative test cluster has stronger diagnostic utility for identifying CR with radicular pain</div></div><div><h3>Methods</h3><div>This prospective diagnostic accuracy study was conducted following the updated STARD 2015 guidelines. Eighty-five individuals (27 with CR) were included from 109 consecutive patients. The diagnosis of CR was based on cervical spine MRI findings consistent with the patient’s clinical features, symptoms, and neurological examination, interpreted by a neurosurgeon. Twelve clinical tests were performed by the same examiner blinded to diagnosis.</div></div><div><h3>Results</h3><div>Validation of the 2003 CPR (cervical distraction, Spurling’s test, upper limb neurodynamic test (ULNT) 1, and cervical rotation &lt;60°) produced diagnostic values comparable to the original study. Our independent cluster based on backwards stepwise regression identified three variables: (1) modified (passive) shoulder abduction test, (2) Spurling’s arm pain test, and (3) ≥2 of 4 ULNTs positive. With this new cluster, having all three tests positive provided an infinite LR+ and a 100 % post-test probability, identifying 37.0 % of CR with radicular pain cases compared to 17.9 % in the original 2003 cluster (4/4 positive tests).</div></div><div><h3>Conclusion</h3><div>This study findings corroborate the original 2003 CPR and identified a new cluster that had stronger diagnostic utility for CR with radicular pain.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 3","pages":"Article 101581"},"PeriodicalIF":3.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802269","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":"Comparing the effects of different physical therapy modalities with physical exercise in improving the walking function of patients with peripheral vascular disease: A Network Meta-analysis","authors":"Guan-Cheng Zhu ,&nbsp;Jun-Hui Ong ,&nbsp;Ching-Hsia Hung","doi":"10.1016/j.bjpt.2025.101562","DOIUrl":"10.1016/j.bjpt.2025.101562","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral vascular disease (PVD) causes significant pain and disability in patients. Current conservative treatment for PVD is often limited to physical exercise. However, several recent studies have investigated the effects of physical therapy modalities in patients with PVD.</div></div><div><h3>Objective</h3><div>This systematic review and network meta-analysis (NMA) aimed to compare the effects of different physical therapy modalities and physical exercise in improving the walking function of patients with PVD.</div></div><div><h3>Methods</h3><div>This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline, NMA extension. We searched six databases for relevant randomized clinical trials (RCTs) published between 2013–2023. The risk of bias was assessed using the Cochrane risk-of-bias tool for randomized trials version 2 (RoB2). MetaInsight and R were used to conduct the NMA.</div></div><div><h3>Results</h3><div>We analyzed 21 studies in the NMA. The results showed that shockwave therapy (SMD = 1.41, 95 %CI (0.58, 2.24)) and vacuum therapy (SMD = 0.72, 95 %CI (0.16, 1.29)) were effective independently in improving the walking function of patients with PVD. Combined hydrotherapy and exercise programs also performed better than exercise-only programs (SMD = 0.74, 95 %CI (0.38, 1.09)). While electrotherapy yielded a significant effect when performed independently (SMD = 1.43, 95 %CI (0.53, 2.33)), but was not effective when combined with exercise.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that shockwave and vacuum therapy can be used as a treatment for patients with PVD who have difficulties participating in physical exercise. Hydrotherapy could assist patients participating in physical exercise programs to achieve better outcomes.</div><div>This study was registered in the PROSPERO database CRD42023461442.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 2","pages":"Article 101562"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145794886","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":"Analysis of SARC-F and SARCCalF accuracy in assessing sarcopenia risk on older adults with cardiovascular diseases admitted to a referral hospital: A cross-sectional study","authors":"Luciana de Lima Sousa ,&nbsp;Paloma Boni de Lima ,&nbsp;Thais Ribas Konrad Ribeiro ,&nbsp;Mariana de Grande dos Santos ,&nbsp;Patrícia Azevedo Garcia","doi":"10.1016/j.bjpt.2025.101567","DOIUrl":"10.1016/j.bjpt.2025.101567","url":null,"abstract":"<div><h3>Introduction</h3><div>Sarcopenia, characterized by the progressive loss of muscle mass and function, is exacerbated in older adults with cardiovascular diseases. In hospitalized older adults, quick and practical questionnaires such as the SARC-F and SARC<img>CalF are important for early risk screening and help guide effective interventions.</div></div><div><h3>Objective</h3><div>To identify the prevalence of sarcopenia and sarcopenia risk, and to assess the diagnostic accuracy of the SARC-F and SARC<img>CalF questionnaires in screening for probable and confirmed sarcopenia.</div></div><div><h3>Methods</h3><div>Cross-sectional study with older adults admitted to the emergency department of a public hospital for cardiovascular diseases between January and September 2023. Sarcopenia was assessed based on muscle strength (handgrip dynamometry), muscle mass (calf circumference), and physical performance (gait speed). The risk of sarcopenia was estimated using the SARC-F and SARC<img>CalF questionnaires. Statistical analyses included Mann-Whitney U tests and ROC curves.</div></div><div><h3>Results</h3><div>In a sample of 160 participants, the prevalence of sarcopenia was 21.3%. The SARC<img>CalF identified 42.5 % of older adults at risk and the SARC-F 32.5 %. The SARC<img>CalF demonstrated greater accuracy in identifying confirmed sarcopenia (AUC=0.85 [95%CI: 0.79, 0.91]) and low muscle strength (AUC=0.71 [95%CI: 0.62, 0.79]) when compared to the SARC-F.</div></div><div><h3>Conclusion</h3><div>The prevalence of sarcopenia was lower than expected in the study population. The SARC<img>CalF was better able to identify older adults at risk of sarcopenia and demonstrated greater diagnostic accuracy than the SARC-F in detecting probable and confirmed sarcopenia, standing out as a more effective screening tool for this population.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 2","pages":"Article 101567"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145841608","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":"Measurement properties of the Premature i=Infant Pain Profile-Revised applied at the bedside by physical therapists in the NICU","authors":"Amanda dos Santos Erhardt ,&nbsp;Mariana Bueno ,&nbsp;Taís Beppler Martins ,&nbsp;Natalia Alves Menegol ,&nbsp;Dayane Montemezzo ,&nbsp;Luciana Sayuri Sanada","doi":"10.1016/j.bjpt.2026.101576","DOIUrl":"10.1016/j.bjpt.2026.101576","url":null,"abstract":"<div><h3>Background</h3><div>It is essential to accurately assess distress and pain in neonatal intensive care unit (NICU); however, few instruments have had their measurement properties tested for the Brazilian population.</div></div><div><h3>Objective</h3><div>To analyze the intra- and inter-examiner reliability, internal consistency, and responsiveness of the Brazilian Portuguese version of the Premature Infant Pain Profile-Revised (PIPP-R) scale in Brazilian neonates.</div></div><div><h3>Methods</h3><div>This is a methodological study conducted in the NICU. Neonates with a gestational age of 24–42 weeks who were not under the effect of muscle block or analgesia at the time of evaluation were included. Inter-examiner reliability was assessed at bedside by two trained evaluators who independently assessed the neonates at bedside and in real time using the PIPP-R. Procedures were filmed and used for intra-examiner reliability assessment after 10–14 days. The Intraclass Correlation Coefficient (ICC) was used to determine intra- and inter-examiner reliability. Responsiveness was assessed by comparing the total scores before and after painful procedures using a paired <em>t</em>-test, followed by an effect size analysis.</div></div><div><h3>Results</h3><div>A total of 119 assessments were performed on 15 neonates. The PIPP-R demonstrated excellent intra- and inter-examiner reliability (ICC &gt; 0.9), and successfully detected changes after an acute painful procedure (<em>p</em> = 0.003; effect size = 0.8).</div></div><div><h3>Conclusion</h3><div>Excellent intra- and inter-examiner reliability, and sensitivity to changes over time were observed by using the PIPP-R at bedside, indicating that this is a suitable instrument for clinical use.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 2","pages":"Article 101576"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078298","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}