Brazilian Journal of Physical Therapy最新文献

{"title":"Acute predictors of self-rated health in individuals with stroke at 3 and 12 months after hospital discharge","authors":"Camila Lima Gervásio Mendes ,&nbsp;Kênia Kiefer Parreiras de Menezes ,&nbsp;Nathália Aparecida Gravito Rodrigues ,&nbsp;Janaine Cunha Polese ,&nbsp;Iza de Faria-Fortini ,&nbsp;Christina Danielli Coelho de Morais Faria","doi":"10.1016/j.bjpt.2024.101087","DOIUrl":"10.1016/j.bjpt.2024.101087","url":null,"abstract":"<div><h3>Background</h3><p>Self-rated health (SRH) is the perception of an individual regarding their health and an indicator of health status. Identifying predictors of SRH allows the selection of evidence-based interventions that mitigate factors leading to poor SRH and the identification of individuals at risk of worse SRH.</p></div><div><h3>Objective</h3><p>To determine the acute predictors of general and time-comparative SRH of individuals with stroke at 3 and 12 months after hospital discharge, considering personal, physical, and mental functions.</p></div><div><h3>Methods</h3><p>A prospective study was developed to assess general and time-comparative SRH at 3 and 12 months after hospital discharge according to 2 questions (“In general, how would you say your health is?” and “Compared to a year ago, how would you rate your general health now?”). Potential acute predictors analyzed were personal (age, sex, comorbidities, socioeconomic status, and family arrangement), physical (stroke severity, motor impairment, and independence for basic activities of daily living [ADLs]), and mental (cognitive) functions.</p></div><div><h3>Results</h3><p>Age (adjusted odds ratio [aOR]=2.10) and independence in basic ADLs (aOR=0.29) were significant predictors of SRH at 3 months; at 12 months, no significant predictor was found. Motor impairment (aOR=3.90) was a significant predictor of time-comparative SRH at 3 months; at 12 months, sex (aOR=0.36) and independence in basic ADLs (aOR=0.32) were significant predictors.</p></div><div><h3>Conclusions</h3><p>At 3 months, individuals with stroke who were ≥65 years old and dependent on basic ADLs were more likely to have worse general SRH, while those with higher motor impairments were more likely to have worse time-comparative SRH. At 12 months, women and individuals dependent on basic ADLs were more likely to have worse time-comparative SRH.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472003","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":"Effects of technological running shoes versus barefoot running on the intrinsic foot muscles, ankle mobility, and dynamic control: a novel cross-sectional research","authors":"María García-Arrabé,&nbsp;Iván Batuecas-Sánchez,&nbsp;Silvia de Vidania,&nbsp;María Bravo-Aguilar,&nbsp;Beatriz Ruiz-Ruiz,&nbsp;Carlos Romero-Morales","doi":"10.1016/j.bjpt.2024.101092","DOIUrl":"10.1016/j.bjpt.2024.101092","url":null,"abstract":"<div><h3>Background</h3><p>Technological running shoes have become increasingly popular, leading to improvements in performance. However, their long-term effects on foot musculature and joint mobility have not been thoroughly studied.</p></div><div><h3>Objective</h3><p>To compare the activation of the intrinsic foot muscles between runners wearing technological footwear and barefoot runners. Secondary objectives included assessing ankle dorsiflexion (DF) range of motion (ROM) and dynamic postural control in both groups.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted involving 22 technological footwear runners and 22 barefoot runners. Ultrasonography was used to measure the thickness of the plantar fascia (PF) and the quadratus plantae (QP), abductor digiti minimus (ADM), abductor hallucis (AH), and flexor hallucis longus (FHL) muscles. Ankle mobility and dynamic postural control were also recorded.</p></div><div><h3>Results</h3><p>Ultrasonography measurements showed statistically significant differences for PF thickness (mean difference [MD]: -0.10 cm; 95% CI: -0.13, -0.05 cm), QP cross-sectional area (CSA) (MD: -0.45 cm²; 95% CI: -0.77, -0.12 cm²), ADM CSA (MD: -0.49 cm²; 95% CI: -0.70, -0.17 cm²), and FHL thickness (MD: 0.82 cm; 95% CI: 0.53, 1.09 cm), with all measurements being lower in the group wearing technological footwear compared to the barefoot runners. Ankle DF ROM was also significantly greater for the barefoot runners (MD: -5.1°; 95% CI: -8.6, -1.7°).</p></div><div><h3>Conclusions</h3><p>These findings suggest potential implications for the foot musculature and ankle mobility in runners using technological footwear.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524005021/pdfft?md5=524e75da90010c0c2a7dc4d74e838dca&pid=1-s2.0-S1413355524005021-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401892","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":"Isolated bladder training or in combination with other therapies to improve overactive bladder symptoms: a systematic review and meta-analysis of randomized controlled trials","authors":"","doi":"10.1016/j.bjpt.2024.101102","DOIUrl":"10.1016/j.bjpt.2024.101102","url":null,"abstract":"<div><h3>Background</h3><p>Bladder training (BT), the maintenance of a scheduled voiding regime at gradually adjusted intervals, is a common treatment for overactive bladder (OAB).</p></div><div><h3>Objectives</h3><p>To assess the effects of isolated BT and/or in combination with other therapies on OAB symptoms.</p></div><div><h3>Methods</h3><p>A systematic review of eight databases was conducted. After screening titles and abstracts, full texts were retrieved. Cochrane RoB 2 and the GRADE approach were used.</p></div><div><h3>Results</h3><p>Fourteen RCTs were included: they studied isolated BT (<em>n</em> = 11), BT plus drug treatment (DT; <em>n</em> = 5), BT plus intravaginal electrical stimulation (IVES; <em>n</em> = 2), BT plus biofeedback and IVES (<em>n</em> = 1), BT plus pelvic floor muscle training and behavioral therapy (<em>n</em> = 2), BT plus percutaneous tibial nerve stimulation, and BT plus transcutaneous tibial nerve stimulation (<em>n</em> = 1). In a meta-analysis of short-term follow-up data, BT plus IVES resulted in greater improvement in nocturia (mean difference [MD]: 0.89, 95% CI: 0.5, 1.20), urinary incontinence (UI; MD: 1.93, 95% CI: 1.32, 2.55), and quality of life (QoL; MD: 4.87, 95% CI: 2.24, 7.50) than isolated BT, while DT and BT improved UI (MD: 0.58, 95% CI: 0.23, 0.92) more than isolated BT.</p></div><div><h3>Conclusion</h3><p>In the short term, BT plus IVES improves the OAB symptoms of nocturia and UI while improving QoL. The limited number of RCTs and heterogeneity among them provide a low level of evidence, making the effect of BT on OAB inconclusive, which suggests that new RCTs should be performed.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898667","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":"Functional capacity using sit-to-stand tests in people with chronic obstructive pulmonary disease and its relationship with disease severity–a cross-sectional study with matched controls","authors":"Ana Machado ,&nbsp;Cíntia Dias ,&nbsp;Patrícia Rebelo ,&nbsp;Sara Souto-Miranda ,&nbsp;Maria Aurora Mendes ,&nbsp;Diva Ferreira ,&nbsp;Vitória Martins ,&nbsp;Paula Simão ,&nbsp;Chris Burtin ,&nbsp;Alda Marques","doi":"10.1016/j.bjpt.2024.101090","DOIUrl":"10.1016/j.bjpt.2024.101090","url":null,"abstract":"<div><h3>Background</h3><p>Functional capacity impairment is a crucial consequence of chronic obstructive pulmonary disease (COPD). Although it can be identified with simple tests, such as the sit-to-stand tests, its prevalence, relation with disease severity, and the characteristics of people presenting this impairment remain unknown.</p></div><div><h3>Objective</h3><p>To explore the functional capacity of people with COPD.</p></div><div><h3>Methods</h3><p>A cross-sectional study with people with COPD and age-/sex-matched healthy controls was conducted. Functional capacity was assessed with the 5-repetitions (5-STS) and the 1-minute (1-minSTS) sit-to-stand tests. People with COPD were grouped according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classifications. Comparisons between people with COPD and healthy controls, and among GOLD groups were established. Associations between symptoms, muscle strength, quality of life, and measures of functional capacity were explored.</p></div><div><h3>Results</h3><p>302 people with COPD [79% male; mean (SD) 68 (10) years old] and 304 healthy controls [75% male; 66 (9) years old] were included. 23% of people with COPD presented impairment in the 5-STS and 33% in the 1-minSTS. People with COPD from all GOLD classifications presented significantly lower functional capacity than healthy controls (5-STS: COPD median [1st quartile; 3rd quartile] 8.4 [6.7; 10.6] versus healthy 7.4 [6.2; 9.3] s; 1-minSTS: COPD 27 [21; 35] vs healthy 35 [29; 43] reps). Correlations with symptoms, muscle strength, and quality of life were mostly weak (5-STS: r_s [-0.34; 0.33]; 1-minSTS: r_s [-0.47; 0.40]).</p></div><div><h3>Conclusion</h3><p>People with COPD have decreased functional capacity independently of their GOLD classifications. The prevalence of functional impairment is 23–33%. Because impaired functional capacity is a treatable trait not accurately reflected by other outcomes, comprehensive assessment and management is needed.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524005008/pdfft?md5=e89f16d06e325c8d99433aefb3cff34d&pid=1-s2.0-S1413355524005008-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395431","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":"Participation and environment measure - children and youth: PEM-CY Brazil measurements properties","authors":"","doi":"10.1016/j.bjpt.2024.101103","DOIUrl":"10.1016/j.bjpt.2024.101103","url":null,"abstract":"<div><h3>Background</h3><p>Participation of children with disabilities is an indicator of social inclusion, health, and well-being, and its evaluation needs to be included in the clinical practice of rehabilitation professionals.</p></div><div><h3>Objectives</h3><p>To investigate the measurement properties of the Participation and Environment Measure - Children and Youth Brazilian version (PEM-CY Brazil).</p></div><div><h3>Methods</h3><p>We used the PEM-CY to evaluate participation and environment of children with and without disabilities in the home, school, and community settings. Based on COSMIN guidelines, we analyzed two measurement properties: internal consistency for all domains using Cronbach's alpha; and construct (known-groups) validity, i.e., the degree to which instrument scores identify differences between groups. T-tests, Mann-Whitney, or Chi-square tests compared children with and without disabilities.</p></div><div><h3>Results</h3><p>101 Brazilian children (mean age=9.31 years) with (<em>n</em> = 62) and without (<em>n</em> = 39) disabilities were included. Internal consistency ranged from appropriate (0.70) to excellent (0.95) for all domains in all settings, except for Resources in the environment of the home setting (0.53). Regarding construct validity, PEM-CY participation scores were significantly different between groups in most domains. Children with disabilities were significantly less involved and participated in a smaller number of activities in all settings, in comparison to those without disabilities. The PEM-CY scores in all settings of the environment were significantly higher in the group of children without disabilities.</p></div><div><h3>Conclusion</h3><p>Preliminary support was provided for the internal consistency and construct (known-groups) validity of the PEM-CY Brazil to measure participation and the environment in the Brazilian context. The PEM-CY can therefore be used by rehabilitation professionals in Brazil.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853912","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":"Evaluation of maladaptive beliefs in patients with migraine: measurement properties for three versions (TSK-11, TSK-13, and TSK-17) of the Tampa Scale for Kinesiophobia","authors":"","doi":"10.1016/j.bjpt.2024.101093","DOIUrl":"10.1016/j.bjpt.2024.101093","url":null,"abstract":"<div><h3>Background</h3><p>The Tampa Scale for Kinesiophobia (TSK) is one of the most frequently employed instruments for assessing maladaptive beliefs about pain, injury, and movement in patients with chronic musculoskeletal pain. However, the measurement properties of this tool have so far not been tested for individuals with migraine.</p></div><div><h3>Objective</h3><p>To evaluate the structural, construct, and criterion validity, and the internal consistency for three versions (TSK-11, TSK-13, and TSK-17) of the TSK for patients with migraine.</p></div><div><h3>Methods</h3><p>A total of 113 individuals aged between 18 and 55 years old with migraine diagnosis were included. All participants completed the TSK with 17 items, the Fear-Avoidance Beliefs Questionnaire, the Headache Impact Test, and the Pain Catastrophizing Scale questionnaires. Confirmatory factor analysis was used to assess the structural validity of the TSK, and Cronbach's α was used to assess internal consistency. For construct and criterion validity, the Spearman's correlation was calculated.</p></div><div><h3>Results</h3><p>The TSK structure with one factor and the 17, 13, or 11 items versions were suitable, with suitable values in all fit indices related to structural validity. The three versions showed acceptable internal consistency (α = 0.75). All TSK versions showed moderate positive correlation with the other questionnaires (rho range= 0.31–0.63), confirming most of the predefined hypothesis for the construct validity. Also, the criterion validity of the 13-item and 11-item versions was confirmed (rho=0.95 and rho=0.94, respectively).</p></div><div><h3>Conclusion</h3><p>All versions of the TSK demonstrated good measurement properties in the assessment of maladaptive beliefs about pain, injury, and movement in individuals with migraine.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753159","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":"Reliability and construct validity of the Craniocervical Flexion Test in patients with migraine","authors":"Amanda Rodrigues ,&nbsp;Gabriela Ferreira Carvalho ,&nbsp;Lidiane Lima Florencio ,&nbsp;Jaqueline Martins ,&nbsp;Carina Ferreira Pinheiro-Araújo ,&nbsp;Milena Dietrich Deitos Rosa ,&nbsp;Fabíola Dach ,&nbsp;Débora Bevilaqua-Grossi","doi":"10.1016/j.bjpt.2024.101085","DOIUrl":"10.1016/j.bjpt.2024.101085","url":null,"abstract":"<div><h3>Background</h3><p>Migraine may be accompanied by several cervical musculoskeletal dysfunctions, for example an altered performance on the Craniocervical Flexion Test (CCFT). However, CCFT measurement properties are still unclear in patients with migraine.</p></div><div><h3>Objectives</h3><p>To determine intra- and inter-examiner reliability, construct validity, standard measurement error (SEM), and minimal detectable change (MDC) of the CCFT in patients with migraine.</p></div><div><h3>Methods</h3><p>Women diagnosed with migraine were considered eligible for this study. Participants were assessed by two examiners for the inter-examiner reliability, and with 7–10 days interval for the intra-examiner reliability. Construct validity was assessed considering headache and neck pain frequency and intensity, and self-reported questionnaires, including the Headache Impact Test – 6 items (HIT-6), the 12-item Allodynia Symptom Checklist/Brazil (ASC-12), and the Neck Disability Index (NDI). In addition, participants performed cervical endurance and maximal voluntary isometric contraction of the cervical flexors.</p></div><div><h3>Results</h3><p>A total of 103 women with migraine were recruited. The intra-examiner reliability was rated as good (ICC= 0.81, 95% CI: 0.73, 0.87), while the inter-examiner reliability was rated as moderate (ICC= 0.55, 95% CI: 0.40, 0.67). The intra and inter-examiner SEM were 1.31 and 1.36 mmHg respectively, and MDC were 3.63 and 3.77 mmHg. The HIT-6 and the cervical endurance flexion test were associated with the CCFT in a multiple linear regression model (<em>p</em> = 0.004, <em>R</em> = 0.35).</p></div><div><h3>Conclusion</h3><p>The CCFT presents adequate intra- and inter-examiner reliability. Better performance on the CCFT test was associated with better HIT-6 scores and greater cervical endurance time, which was not influenced by the presence of neck pain.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395833","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":"Does Transcranial Direct Current Stimulation reduce central and peripheral muscle fatigue in recreational runners? A triple-blind, sham-controlled, randomized, crossover clinical study","authors":"Laura Uehara ,&nbsp;Daniel Boari Coelho ,&nbsp;Abrahão Fontes Baptista ,&nbsp;Lucas Santana ,&nbsp;Rafael Jardim Duarte Moreira ,&nbsp;Yossi Zana ,&nbsp;Luciana Malosá ,&nbsp;Taiane Lima ,&nbsp;Gabriela Valentim ,&nbsp;Alejandra Cardenas-Rojas ,&nbsp;Felipe Fregni ,&nbsp;João Carlos Ferrari Corrêa ,&nbsp;Fernanda Ishida Corrêa","doi":"10.1016/j.bjpt.2024.101088","DOIUrl":"10.1016/j.bjpt.2024.101088","url":null,"abstract":"<div><h3>Background</h3><p>Runners seek health benefits and performance improvement. However, fatigue might be considered a limiting factor. Transcranial Direct Current Stimulation (tDCS) has been investigated to improve performance and reduce fatigue in athletes. While some studies showing that tDCS may improve a variety of physical measures, other studies failed to show any benefit.</p></div><div><h3>Objective</h3><p>To evaluate the acute effects of tDCS on central and peripheral fatigue compared to a sham intervention in recreational runners.</p></div><div><h3>Methods</h3><p>This is a triple-blind, controlled, crossover study of 30 recreational runners who were randomized to receive one of the two interventions, anodal or sham tDCS, after the fatigue protocol. The interventions were applied to the quadriceps muscle hotspot for 20 min. Peak torque, motor-evoked potential, and perceived exertion rate were assessed before and after the interventions, and blood lactate level was assessed before, during, and after the interventions. A generalized estimated equation was used to analyze the peak torque, motor-evoked potential, and blood lactate data, and the Wilcoxon test was used for perceived exertion rate data.</p></div><div><h3>Results</h3><p>Our findings showed no difference between anodal tDCS and sham tDCS on peak torque, motor-evoked potential, blood lactate, and perceived exertion rate.</p></div><div><h3>Conclusion</h3><p>The tDCS protocol was not effective in improving performance and reducing fatigue compared to a sham control intervention.</p></div><div><h3>Brazilian Clinical Trials Registry</h3><p>RBR-8zpnxz.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471916","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":"Embedded motivational interviewing combined with a smartphone application to increase physical activity in people with sub-acute low back pain: a cluster randomised controlled trial","authors":"Jason Holden ,&nbsp;Paul O'Halloran ,&nbsp;Megan Davidson ,&nbsp;Jeff Breckon ,&nbsp;Wenny Rahayu ,&nbsp;Melissa Monfries ,&nbsp;Nicholas F. Taylor","doi":"10.1016/j.bjpt.2024.101091","DOIUrl":"10.1016/j.bjpt.2024.101091","url":null,"abstract":"<div><h3>Background</h3><p>Moderately vigorous physical activity (PA) may be beneficial for people with sub-acute low back pain (LBP), but may initially be painful for patients and challenging for physical therapists to facilitate.</p></div><div><h3>Objectives</h3><p>This study investigated motivational interviewing (MI) delivered by physical therapists and a smartphone app for increasing PA in people with LBP.</p></div><div><h3>Methods</h3><p>A mixed methods cluster randomised controlled trial involving 46 adults with LBP in Melbourne, Australia. Participants attended weekly 30-min physical therapy consultations for 6 weeks. Experimental group physical therapists were taught to embed MI into consultations and patients were provided with a self-directed app. The primary outcome was accelerometer-derived moderately vigorous PA. Secondary outcomes were LBP disability (Oswestry Disability Index), functional capacity (Patient Specific Functional Scale), and self-efficacy (Pain Self-Efficacy Questionnaire). Between-group differences were analysed by ANCOVA post-intervention.</p></div><div><h3>Results</h3><p>There was no statistically significant difference between the experimental group and control group for PA. Between-group differences in LBP disability (MD= 19.4 units, 95% CI: 8.5, 30.3), functional capacity (primary MD= −4.1 units, 95% CI: −6.9, −1.3; average MD= −3.1, 95% CI: −4.9, −1.2) and self-efficacy (MD −11.3 units, 95%CI −20.2, −2.5) favoured the control group with small to moderate effect sizes. There were low levels of overall engagement with the app.</p></div><div><h3>Conclusion</h3><p>The embedded MI intervention was no more beneficial than physical therapy alone for PA and was associated with poorer LBP disability, function, and self-efficacy. The effectiveness of embedding MI and a smartphone app into usual care for LBP was not supported.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S141335552400501X/pdfft?md5=d8f2a682794c7cd9c5c685f9ed5b43b1&pid=1-s2.0-S141335552400501X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404418","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":"Exercise therapy and physical activity in the paradigm shift from a tissue- and disease-based pain management approach towards multimodal lifestyle interventions for chronic pain","authors":"","doi":"10.1016/j.bjpt.2024.101101","DOIUrl":"10.1016/j.bjpt.2024.101101","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847826","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}