Brazilian Journal of Physical Therapy最新文献

{"title":"Reliability of the McKenzie Method of Mechanical Diagnosis and Therapy in the examination of spinal pain, including the OTHER classifications","authors":"Hans van Helvoirt ,&nbsp;Henk Tempelman ,&nbsp;Puck van der Vet ,&nbsp;Frank van der Vet ,&nbsp;Job van Helvoirt ,&nbsp;Richard Rosedale ,&nbsp;Adri Apeldoorn","doi":"10.1016/j.bjpt.2024.101154","DOIUrl":"10.1016/j.bjpt.2024.101154","url":null,"abstract":"<div><h3>Background</h3><div>The McKenzie Method of Mechanical Diagnosis and Therapy (MDT) is used worldwide to classify and manage musculoskeletal (MSK) problems. The assessment includes a detailed patient history and a specific physical examination. Research has investigated the reliability of the MDT spinal classification system (Derangement syndrome, Dysfunction syndrome, Postural syndrome, and OTHER), however no study has assessed the reliability of the 10 classifications grouped together as OTHER.</div></div><div><h3>Objective</h3><div>To investigate the inter-rater reliability of MDT trained clinicians when utilising the full breadth of the MDT system for patients with spinal pain.</div></div><div><h3>Methods</h3><div>Six experienced MDT clinicians each submitted potentially eligible MDT assessment forms of 30 consecutive patients. A MSK physician and a faculty of the McKenzie Institute checked the 180 forms for eligibility and completeness, where a provisional MDT classification was blinded. Apart from their own assessment forms, the six MDT clinicians each classified 150 forms. Each patient could be classified into 1 of 13 diagnostic classifications (Derangement syndrome, Dysfunction syndrome, Postural syndrome, and 10 classifications grouped as OTHER). Reliability was determined using Fleiss’ Kappa (k).</div></div><div><h3>Results</h3><div>The reliability among six MDT clinicians classifying 150 patient assessment forms was almost perfect (Fleiss’ κ = 0.82 [95% CI 0.80, 0.85]).</div></div><div><h3>Conclusions</h3><div>Among experienced MDT clinicians, the reliability in classifying patient assessment forms of patients with spinal pain is almost perfect when the full breadth of the MDT system is used. Future research should investigate the reliability of the full breadth of the MDT system among clinicians with lower levels of training.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101154"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824759","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":"High-intensity interval training versus moderate-intensity continuous training on exercise capacity and health-related quality of life in patients with coronary artery disease: An updated systematic review and meta-analysis","authors":"Mansueto Gomes-Neto ,&nbsp;Andre Rodrigues Durães ,&nbsp;Lino Sérgio Rocha Conceição ,&nbsp;Cassio Magalhães Silva ,&nbsp;Bruno Prata Martinez ,&nbsp;Vitor Oliveira Carvalho","doi":"10.1016/j.bjpt.2024.101137","DOIUrl":"10.1016/j.bjpt.2024.101137","url":null,"abstract":"<div><h3>Background</h3><div>Despite the well-known positive effects of exercise in patients with coronary artery disease, the best exercise training protocol is still under discussion.</div></div><div><h3>Objective</h3><div>We performed a systematic review and a meta-analysis to investigate the effects of high-intensity interval training (HIIT) versus moderate-intensity continuous training (MICT) on exercise capacity and health-related quality of life (HRQoL) in patients with coronary artery disease.</div></div><div><h3>Methods</h3><div>We searched MEDLINE/PubMed, the Cochrane Library EMBASE, and the PEDro database for randomized controlled trials that evaluated the effects of HIIT versus MICT. Mean difference and 95 % confidence intervals (CI) were calculated.</div></div><div><h3>Results</h3><div>27 studies, with 1454 patients, met the eligibility criteria. Twenty-four studies with 1259 patients assessed peak oxygen consumption (VO₂peak) as an outcome. The HIIT group showed an increase of VO₂peak (MD = 2.11 mL/kg/min; 95 % CI: 1.14, 3.07; I² = 78 %; <em>N</em> = 1259) compared with the MICT group. Six studies with 316 patients assessed HRQoL as outcome. No differences in physical, emotional, and social domains of HRQoL were found between the HIIT and MICT groups. In the subgroup analysis of 10 studies with isocaloric exercise training, the HIIT and MICT groups showed similar VO₂peak (MD = 0.72 mL/kg/min; 95 % CI:0.03, 1.48; I² = 44 %; <em>N</em> = 453).</div></div><div><h3>Conclusions</h3><div>Our meta-analysis showed low-quality evidence that HIIT training was more effective than MICT for improving VO₂peak but not HRQoL in patients with coronary artery disease. However, when the analysis was limited to isocaloric protocols no difference between HIIT and MICT was found for VO₂peak.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101137"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792369","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 therapist-delivered motivational interviewing and health-related behaviour change: A systematic review and meta-analysis","authors":"Elizabeth Wintle ,&nbsp;Nicholas F Taylor ,&nbsp;Katherine Harding ,&nbsp;Paul O'Halloran ,&nbsp;Casey L Peiris","doi":"10.1016/j.bjpt.2024.101168","DOIUrl":"10.1016/j.bjpt.2024.101168","url":null,"abstract":"<div><h3>Background</h3><div>Motivational interviewing (MI) promotes health-related behaviour change and improves patient health outcomes, but the effect of physical therapist-delivered MI is unclear.</div></div><div><h3>Objective</h3><div>To evaluate the effect of physical therapist-delivered MI on health-related behaviour change in adults attending physical therapy or rehabilitation.</div></div><div><h3>Methods</h3><div>CINAHL, Medline, PubMed, PEDro, Embase, and Cochrane databases were searched in August 2023. Randomised controlled trials evaluating physical therapist-delivered MI and health-related behaviour change were included. Internal validity was evaluated using the PEDro scale. GRADE approach was used for each meta-analysis.</div></div><div><h3>Results</h3><div>Ten publications from nine randomised controlled trials involving 909 participants were included. Physical therapist-delivered MI likely increased physical activity slightly (SMD 0.21, 95 % CI -0.05, 0.47) when compared to minimal intervention; however the evidence is very uncertain in relation to self-efficacy (SMD 0.51, 95 % CI -0.35, 1.38) and health-related quality of life (SMD 0.73, 95 % CI -0.64, 2.11). When physical therapist-delivered MI was combined with and compared to rehabilitation, there were no additional effects on physical activity (SMD 0.02, 95 % CI -0.37, 0.41), health-related quality of life (SMD 0.18, 95 % CI -0.27, 0.63), or endurance (SMD 0.15, 95 % CI -0.21, 0.52) and a likely small effect on self-efficacy (SMD 0.23, 95 % CI -0.1, 0.55).</div></div><div><h3>Conclusion</h3><div>Physical therapist-delivered MI is likely to produce a small improvement in physical activity, but only in the absence of other comprehensive rehabilitation. The most beneficial application of MI may be for patients who are not receiving rehabilitation or who have low levels of motivation and self-efficacy.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101168"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916134","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":"Low back pain prevalence, capacity, and performance according to sociodemographic variables, population-based study in Chile","authors":"Marina Carvalho Arruda Barreto ,&nbsp;Fabianna Resende Jesus-Moraleida ,&nbsp;Valeria Campos ,&nbsp;Ricardo Cartes-Velásquez ,&nbsp;Shamyr Sulyvan Castro","doi":"10.1016/j.bjpt.2024.101151","DOIUrl":"10.1016/j.bjpt.2024.101151","url":null,"abstract":"<div><h3>Background</h3><div>Low back pain (LBP) is one of the main causes of disability and need for rehabilitation services. It is necessary to have a better understanding about the association of sociodemographic factors with the disability related to individuals with LBP.</div></div><div><h3>Objective</h3><div>Assess the prevalence of LBP and its association with capacity, performance, and sociodemographic variables in Chilean population.</div></div><div><h3>Methods</h3><div>Cross-sectional study was performed with data from the population survey from Chile, 2015. People over 17 years old were selected for the analysis (n = 12,265 people). The variables chosen were: presence of LBP, place of living in Chile, sex, age, marital status, education, income, work status, and type of home. Capacity and performance levels were assessed by the Model Disability Survey. The population characteristics, performance, and capacity values were presented through means or frequencies. A generalized linear model with logarithmic linkage and gamma distribution was employed to assess the associations between the explanatory variables and the outcomes, considering the distribution of the variables, while adjusting for all study variables.</div></div><div><h3>Results</h3><div>22 % of the population reported having LBP. People with LBP had worse levels of capacity and performance. Being female, older age, having worse education level, and worse health classification, were factors associated with worse capacity and performance in those with LBP. Conversely, being employed in the last week was correlated with improved capacity in this group.</div></div><div><h3>Conclusion</h3><div>Individuals with LBP demonstrated poorer capacity and performance outcomes, with sociodemographic variables influencing their functioning.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101151"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786767","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":"Association between white matter integrity and lower limb motor impairment after stroke: A systematic review","authors":"Renata Loureiro-Chaves ,&nbsp;Elissa Embrechts ,&nbsp;Amber van Hinsberg ,&nbsp;Jonas Schröder ,&nbsp;Cathy M. Stinear ,&nbsp;Laetitia Yperzeele ,&nbsp;Wim Saeys ,&nbsp;Steven Truijen","doi":"10.1016/j.bjpt.2024.101153","DOIUrl":"10.1016/j.bjpt.2024.101153","url":null,"abstract":"<div><h3>Background</h3><div>There is no clear consensus on the anatomical substrates required for recovery from lower limb (LL) impairment after stroke. Knowledge of biomarkers, such as white matter integrity (WMI), could fill this knowledge gap.</div></div><div><h3>Objectives</h3><div>To analyze the associations between WMI of the corticospinal tract (CST) and corticoreticulospinal pathway (CRP) and LL motor impairment after stroke, in terms of synergistic control and muscle strength. It also explores whether any associations depend on time post-stroke.</div></div><div><h3>Methods</h3><div>In April 2023, PubMed, Web of Science, and Scopus databases were systematically searched for studies associating WMI of the CST and CRP and LL motor impairment after stroke. Risk of bias was assessed using the Newcastle–Ottawa Quality Assessment Scales.</div></div><div><h3>Results</h3><div>Nineteen studies were included, 15 about the association between CST and motor impairment, and 4 concerning CST and CRP. Associations were consistently found between higher WMI of the CST and greater muscle strength, but not with synergistic control. There were no clear associations between WMI of the CRP and muscle strength, and associations could not be analyzed for synergistic control. The results could not determine whether the associations are time dependent.</div></div><div><h3>Conclusions</h3><div>The results of this review supported using WMI of the CST to understand LL muscle strength after stroke. However, the same cannot be said for LL synergistic control due to the small number of studies. There was no clear evidence of an association between WMI of the CRP and LL muscle strength or synergistic control due to mixed results or a lack of studies.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101153"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781671","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":"Acute effect of aerobic and resistance exercise on glycemia in individuals with type 2 diabetes: Systematic review and meta-analysis","authors":"Josiane Aparecida de Almeida ,&nbsp;Ana Paula Delgado Bomtempo Batalha ,&nbsp;Carolina Vargas de Oliveira Santos ,&nbsp;Tamiris Schaeffer Fontoura ,&nbsp;Mateus Camaroti Laterza ,&nbsp;Lilian Pinto da Silva","doi":"10.1016/j.bjpt.2024.101146","DOIUrl":"10.1016/j.bjpt.2024.101146","url":null,"abstract":"<div><h3>Background</h3><div>Type 2 diabetes (T2D) is the most prevalent in the world population, and exercise is one of the main non-pharmacological interventions to treat this health condition.</div></div><div><h3>Objective</h3><div>To evaluate the effect of a single session of aerobic exercise (AE) and/or resistance exercise (RE) on post-exercise glycemia in individuals with T2D.</div></div><div><h3>Methods</h3><div>A literature search was conducted in CINAHL, Cochrane Library, EMBASE, Google Scholar, LILACS, MEDLINE/Ovid, SciELO, SPORTDiscus, and Web of Science up to May 2024, randomized and non-randomized clinical trials were included. The risk of bias and the certainty of evidence were assessed using the Cochrane \"Risk of Bias\" and GRADE tools, respectively.</div></div><div><h3>Results</h3><div>Initially, 7210 studies were identified, 26 were included in the systematic review, and 13 in the meta-analysis. A single session of continuous AE (CAE), interval AE (IAE), or RE promoted a significant reduction in glycemia in the first minute after exercise (-1.48 mmol/L [95 % CI:-1.73, -1.23]; -2.66 mmol/L [95 % CI:-3.48, -1.84]; -1.18 mmol/L [95 % CI:-2.15, -0.21], respectively), compared to the control session. This reduction persisted for up to 10 min after the CAE session (-1.61 mmol/L [95 % CI:-2.21, -1.01]) and up to 30 min after the IAE session (-1.11 mmol/L [95 % CI:-1.88, -0.35]). The risk of bias was assessed as uncertain, and the quality of the evidence was moderate.</div></div><div><h3>Conclusion</h3><div>CAE and IAE reduces glycemia for a period of up to 10 or 30 min after its completion, respectively, while a single session of RE reduces glycemia only in the first-minute post-exercise in individuals with T2D.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101146"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774160","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":"Is self-reported symptom duration in individuals with patellofemoral pain an accurate measure? An observational longitudinal study","authors":"Ronaldo Valdir Briani ,&nbsp;Ana Flávia Botta Balotari ,&nbsp;Marina Cabral Waiteman ,&nbsp;Fernando Henrique Magalhães ,&nbsp;David M. Bazett-Jones ,&nbsp;Fábio Mícolis de Azevedo","doi":"10.1016/j.bjpt.2024.101167","DOIUrl":"10.1016/j.bjpt.2024.101167","url":null,"abstract":"<div><h3>Background</h3><div>Although self-reported symptom duration of individuals with patellofemoral pain (PFP) is usually assessed for clinical and research purposes, its accuracy has never been investigated.</div></div><div><h3>Objectives</h3><div>We followed up individuals with PFP over 15 months to determine the agreement between self-reported symptom duration and calculated symptom duration.</div></div><div><h3>Methods</h3><div>Self-reported symptom duration of 39 participants was assessed at baseline and re-assessed at follow-up. Calculated follow-up symptom duration was determined by the summation of baseline self-reported symptom duration with the known follow-up duration. The symptom duration difference was determined by the subtraction of the calculated follow-up symptom duration and the self-reported follow-up symptom.</div></div><div><h3>Results</h3><div>We identified a symptom duration difference of 20.1 months (95 % confidence interval: 11.2, 29.1 months), with greater differences in individuals with longer symptom duration (r² = 0.12).</div></div><div><h3>Conclusion</h3><div>Our findings suggest that the accuracy of self-reported symptom duration measures in individuals with PFP is questionable and techniques should be used to improve it.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101167"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916131","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":"Epigenetics as the molecular substrate of multimodal lifestyle approaches for patients with persistent pain","authors":"Andrea Polli ,&nbsp;Jo Nijs ,&nbsp;Bernard Thienpont","doi":"10.1016/j.bjpt.2024.101170","DOIUrl":"10.1016/j.bjpt.2024.101170","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101170"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916128","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":"Walking biomechanics in women with patellofemoral osteoarthritis differ compared to men with and women without patellofemoral osteoarthritis","authors":"Matthew G King ,&nbsp;David C Ackland ,&nbsp;Harvi F Hart ,&nbsp;Anthony G Schache ,&nbsp;Prasanna Sritharan ,&nbsp;Marcus G Pandy ,&nbsp;Kay M Crossley","doi":"10.1016/j.bjpt.2024.101132","DOIUrl":"10.1016/j.bjpt.2024.101132","url":null,"abstract":"<div><h3>Background</h3><div>Differences in walking biomechanics between women and men with patellofemoral joint (PF) osteoarthritis (OA) may contribute to the development or progression of persistent symptoms in people with PFJ OA.</div></div><div><h3>Objective</h3><div>Evaluate how walking biomechanics of women with PF OA differ from: (i) men with PFJ OA; and (ii) women without PF OA. Second, explore the relationship between knee-related symptoms/function and walking biomechanics in individuals with PF OA, and whether these are modified by sex.</div></div><div><h3>Methods</h3><div>Sixty-seven individuals with PF OA (43 women) and 14 women without PF OA were included. Biomechanics data were recorded during walking. Patient-reported symptoms and function were obtained using the Knee injury and Osteoarthritis Outcome Score. Differences in continuous biomechanical data were assessed using statistical parametric mapping, with discrete data and relationships evaluated using linear models.</div></div><div><h3>Results</h3><div>Women with PF OA walked with a greater hip adduction angle throughout stance (<em>t</em> &gt; 2.757) and lower impulses for the hip flexion, knee flexion, and ankle dorsiflexion moments (adjusted mean differences [95 % CI]:3.3 × 10^–2 [-4.9 × 10^–2, -1.6 × 10^–2], -2.9 × 10^–2 [-5.3 × 10^–2, -0.4 × 10^–2], -5.1 × 10^–2 [-8.2 × 10^–2, -2.0 × 10^–2] Nms/kg, respectively) compared to men with PF OA. Compared to their asymptomatic peers, women with PF OA displayed a 5° offset towards greater hip flexion. Higher knee adduction moment impulse correlated with worse KOOS-ADL scores in men, not women.</div></div><div><h3>Conclusion</h3><div>Observed biomechanical differences were small in nature with moderate to weak relationship observed with the KOOS. Findings were not limited to the knee, indicating that women with PF OA display unique biomechanical features across the kinetic-chain.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 6","pages":"Article 101132"},"PeriodicalIF":3.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548570","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":"Diagnostic accuracy of the flexion-rotation test and cut-off value in acute whiplash-associated disorders: A secondary analysis of a cross-sectional study1","authors":"Ernesto Anarte-Lazo ,&nbsp;Cleofas Rodriguez-Blanco ,&nbsp;Carlos Bernal-Utrera","doi":"10.1016/j.bjpt.2024.101134","DOIUrl":"10.1016/j.bjpt.2024.101134","url":null,"abstract":"<div><h3>Background</h3><div>Headache is common in people with whiplash-associated disorders (WAD). Upper-cervical structures may be involved in the presence of headache, and the flexion-rotation test (FRT) has been widely studied to assess cervicogenic headaches.</div></div><div><h3>Objectives</h3><div>To evaluate the diagnostic accuracy of the FRT for the presence of headache in people with WAD, and its cut-off value.</div></div><div><h3>Methods</h3><div>In this secondary analysis from a previously published study 47 people with WAD were consecutively recruited, 28 with and 19 without headache. FRT was assessed by a single blinded evaluator, with production of headache during the test as the reference standard. Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios were assessed through cross-tabulation. The cut-off value was calculated based on the Youden's Index. The positivity of the test was defined based on: a) range of motion (ROM) &lt;32°; and ROM &lt;32° combined with headache provocation.</div></div><div><h3>Results</h3><div>Differences between groups were significant for both most and least restricted sides of FRT in terms of ROM (<em>p</em> &lt; 0.001). For the most restricted side, moderate sensitivity and specificity was found (82.1 % [95 %CI = 68.4 %, 95.8 %] and 63.2 % [95 %CI = 40.8 %, 85.6 %], respectively) when only ROM was considered. When headache provocation was included, sensitivity and specificity were 78.6 % (95 %CI = 63.1 %, 93.7 %) and 68.4 % (95 %CI = 47.5 %, 88.5 %), respectively. A cut-off value of 31.5° was found.</div></div><div><h3>Conclusion</h3><div>Moderate diagnostic accuracy through both ways of assessing the FRT was found for this test to detect the presence of whiplash-associated headache from upper cervical origin. The FRT may be considered positive if ROM is less than 31.5°.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 6","pages":"Article 101134"},"PeriodicalIF":3.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592164","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}