Brazilian Journal of Physical Therapy最新文献

{"title":"Physical disability is associated with increased odds for hospitalization in older adults: analysis from NHANES 2009-2018.","authors":"Guilherme Porto, Saulo Gil, Eduardo Ferriolli, Bruno Gualano, Hamilton Roschel","doi":"10.1016/j.bjpt.2025.101254","DOIUrl":"10.1016/j.bjpt.2025.101254","url":null,"abstract":"<p><strong>Background: </strong>Physical disability significantly impacts health outcomes and is linked to higher mortality in older adults. However, research on its association with hospitalization rates remains limited.</p><p><strong>Objective: </strong>To assess whether physical disability is a predictive measure of hospitalization (yes/no) in older individuals. Additionally, we tested whether physical disability predicts the frequency of hospitalizations (≤ 3 or >3).</p><p><strong>Methods: </strong>This is a cross-sectional analysis of a dataset from the National Health and Nutrition Examination Survey (NHANES). We analyzed data from 2009-2018 from participants older than 65 years. Hospitalization status was determined using the Hospital Utilization and Access to Care questionnaire. Physical disability was assessed (yes/no) with the 4-item physical functioning questionnaire during an in-home interview to assess the participant's level of physical disability. The questionnaire asked about difficulty in walking from room to room (on the same level), standing up from an armless chair, eating, and dressing. Multivariable logistic regression model adjusted for age, sex, race/ethnicity, number of medications, number of comorbidities, and poverty index was used.</p><p><strong>Results: </strong>A total of 4346 participants met our inclusion criteria. The adjusted logistic regression model revealed that older adults with physical disability have greater odds to be hospitalized than those without physical disability (adjusted odds ratio [OR]: 2.13; 95% confidence interval [CI]: 1.74, 2.62). Secondary analysis also showed that older people with physical disability have greater odds to have 4 or more hospitalizations in one year in comparison with older adults who do not show physical disability (adjusted OR: 5.81; 95% CI: 2.40, 14.05).</p><p><strong>Conclusion: </strong>The results reveal that physical disability is strongly associated with higher odds of hospitalization among older individuals. These data reinforce the importance of health policies and programs to prevent physical disability in this population.</p>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 6","pages":"101254"},"PeriodicalIF":3.2,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818046","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":"Prevalence of non-communicable diseases, multimorbidity, and their impact on activity limitations among adults with chronic back pain: a national population-based study in a middle-income country","authors":"Érica de Matos Reis Ferreira ,&nbsp;Ítalo Ribeiro Lemes ,&nbsp;Edmar Geraldo Ribeiro ,&nbsp;Deborah Carvalho Malta ,&nbsp;Christopher G. Maher ,&nbsp;James H. McAuley ,&nbsp;Matthew D. Jones ,&nbsp;Luiz Hespanhol ,&nbsp;Rafael Zambelli Pinto","doi":"10.1016/j.bjpt.2025.101241","DOIUrl":"10.1016/j.bjpt.2025.101241","url":null,"abstract":"<div><h3>Background</h3><div>Patients with chronic back pain who also have comorbidities are more likely to report severe symptoms and receive inappropriate care. It is still unclear which types of comorbidity are associated with more disabling symptoms.</div></div><div><h3>Objective</h3><div>To compare the prevalence of chronic non-communicable disease between adults with and without chronic back pain, estimate the prevalence of multimorbidity in adults with chronic back pain, and identify comorbidities that are associated with activity limitations.</div></div><div><h3>Methods</h3><div>Data from adults who participated in the 2019 National Health Survey were used to collect information about chronic non-communicable diseases, chronic back pain, and activity limitations. Multimorbidity was defined as the presence of one or more comorbidities in addition to chronic back pain. Difference in proportion and ordinal logistic regression were used in the analyses.</div></div><div><h3>Results</h3><div>Of the total sample size (<em>n</em> = 87,678), 21.6 % (<em>n</em> = 18,930) reported having chronic back pain. The prevalence rates of all non-communicable conditions were higher in people with chronic back pain compared to those without chronic back pain. Multimorbidity was reported by 62.1 % (95 %CI: 61.1, 63.6) of the adults with chronic back pain. The odds of a participant with comorbidities reporting a worse activity limitation level were 2.1 (95 %CI:1.9, 2.4) for arthritis or rheumatism, 1.6 (95 %CI: 1.4, 1.8) for depression, and 1.5 (95 %CI: 1.3, 1.6) for cardiovascular disease compared to participants without this specific comorbidity.</div></div><div><h3>Conclusion</h3><div>Non-communicable diseases and multimorbidity were prevalent in adults with chronic back pain. Cardiovascular disease, arthritis or rheumatism, and depression, were associated with higher activity limitations due to back pain.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101241"},"PeriodicalIF":3.2,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770721","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 aerobic, resistance, and combined exercises on ventilatory function and quality of life in men with chronic post-COVID pulmonary fibrosis: A randomized controlled trial","authors":"Saher Lotfy Elgayar ,&nbsp;Lamees M. Bakkar ,&nbsp;Mohamed Gamil Omar ,&nbsp;Saad Mohamed Elgendy ,&nbsp;Mohammed Youssef Elhamrawy","doi":"10.1016/j.bjpt.2025.101247","DOIUrl":"10.1016/j.bjpt.2025.101247","url":null,"abstract":"<div><h3>Background</h3><div>Different exercises have gained much interest for managing post-COVID-19 pulmonary fibrosis (PC19-PF).</div></div><div><h3>Objective</h3><div>To compare the impacts of aerobic, resistance, and combined exercises on ventilatory function, lung fibrosis, exercise capacity, and quality of life (QoL) in men with chronic PC19-PF.</div></div><div><h3>Methods</h3><div>Eighty males with chronic PC19-PF aged 40–60 were randomly assigned to four groups: aerobic exercise (AE), resistance exercise (RE), AE/RE, and a control group. Outcomes included forced vital capacity (FVC), diffusing capacity of the lungs for carbon monoxide (DLCO), fibrosis grade by computed tomography, exercise capacity using the estimated maximal oxygen consumption (VO₂max), dyspnea using the Medical Research Council (MRC) dyspnea scale, and QoL using the 12-item Short Form Health Survey (SF-12).</div></div><div><h3>Results</h3><div>For all outcome measures, significant group by time interactions were noted (<em>p</em> &lt; 0.05). The AE and AE/RE groups demonstrated significant improvements in all outcomes compared to controls (<em>p</em> &lt; 0.05), with no notable differences between the two groups, except for the estimated VO₂max, in favor of AE (<em>p</em> = 0.04). Compared to controls, RE significantly improved the estimated VO₂max, dyspnea (MRC scale), and QoL (<em>p</em> &lt; 0.05) with no effects on FVC, DLCO, or fibrosis grade (<em>p</em> &gt; 0.05). In addition, compared to RE, both AE and AE/RE significantly improved all outcomes (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>In men with chronic PC19-PF, both AE and AE/RE could similarly improve ventilatory function, lung fibrosis, dyspnea, and QoL, with AE improving exercise capacity most.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101247"},"PeriodicalIF":3.2,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738952","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":"The relationship between lower limb alignment and physical fitness in children aged 10–12: A sex-specific analysis using the ALPHA-fitness test battery","authors":"Carlos Lahoz ,&nbsp;Jorge Pérez-Rey ,&nbsp;David González ,&nbsp;José Gallart ,&nbsp;Javier Bayod ,&nbsp;María José Luesma","doi":"10.1016/j.bjpt.2025.101242","DOIUrl":"10.1016/j.bjpt.2025.101242","url":null,"abstract":"<div><h3>Background</h3><div>Physical fitness predicts health outcomes during childhood and later life. While the influence of obesity on physical fitness is well established, the impact of lower limb alignment (such as knee alignment, foot posture, and plantar footprint) on physical fitness has been less explored.</div></div><div><h3>Objective</h3><div>To evaluate the relationship between lower limb alignment, body mass index (BMI), and physical fitness in children aged 10–12 with a sex-specific analysis.</div></div><div><h3>Methods</h3><div>Fifty-nine children (33 girls, 26 boys) participated in this cross-sectional study. Knee alignment (genu valgum, normal), foot posture (using FPI-6), and plantar footprint (classified by the Hernández-Corvo method) were measured. BMI was calculated to classify children into underweight, normal weight, overweight, and obese. Physical fitness was assessed using the ALPHA-Fitness Test Battery, measuring cardiorespiratory fitness, muscular strength, and speed/agility. Multiple linear regression models were developed to analyse the associations between variables.</div></div><div><h3>Results</h3><div>Sex and BMI were significant predictors of muscular and cardiorespiratory fitness, with boys presenting better muscular and cardiorespiratory fitness. Larger BMI was associated with poorer muscular fitness (<em>p</em> = 0.003). Knee alignment in the frontal plane was not a predictive factor in physical fitness. Pronated foot was a weak predictor of lesser muscular fitness (<em>p</em> = 0.041). Plantar footprint did not significantly predict physical fitness.</div></div><div><h3>Conclusions</h3><div>Sex and BMI were the main determinants of physical fitness. Despite some musculoskeletal factors having some influence, their relationship with physical fitness is not as direct as sex and BMI. Clinical practice should prioritise weight control in the interventions for physical fitness in children, considering sex differences.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101242"},"PeriodicalIF":3.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613822","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":"The content of diagnostic information has an immediate effect on pain with loading in people with midportion Achilles tendinopathy: a randomized clinical experiment","authors":"Nigel J Travers ,&nbsp;Mervyn J Travers ,&nbsp;William Gibson ,&nbsp;James R Debenham ,&nbsp;Dana A Hince ,&nbsp;Benedict M Wand","doi":"10.1016/j.bjpt.2025.101244","DOIUrl":"10.1016/j.bjpt.2025.101244","url":null,"abstract":"<div><h3>Background</h3><div>Contemporary models of pain suggest the beliefs an individual holds regarding the cause of pain may influence pain intensity. Direct evidence supporting this idea is lacking in clinical populations.</div></div><div><h3>Objective</h3><div>Investigate if the content of diagnostic information about the cause of pain influences pain and function in people with Achilles tendinopathy.</div></div><div><h3>Methods</h3><div>Fifty recreational runners with Achilles tendinopathy participated in this randomised clinical experiment. Participants in the experimental group received an explanation of tendon pain that highlighted changes in muscle function as the primary problem, without reference to tendon pathology. Participants in the control group received an explanation of tendon pain that prioritised tendon pathology. The primary outcome measure was maximal pain intensity during a standardised hopping task measured on a 0–100 visual analogue scale. Secondary outcomes were lower limb stiffness while hopping and time in seconds for pain to ease upon completion of the hopping task.</div></div><div><h3>Results</h3><div>Pain intensity was lower in the experimental group post intervention (mean difference = 12.3 mm; 95 % CI: 3.2, 21.5). Lower limb stiffness was higher in the experimental group (mean difference = −1546 Nm⁻¹; 95 % CI: −3296, 204) and time-to-ease was near identical (mean difference = 0 s; 95 % CI: −11, 11).</div></div><div><h3>Conclusion</h3><div>The content of diagnostic information influenced pain intensity with loading in people with Achilles tendinopathy. The effect on lower limb stiffness was uncertain and there appears to be no effect on time-to-ease.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101244"},"PeriodicalIF":3.1,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605470","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":"Effectiveness of an app-delivered, self-management exercise program in public safety workers with chronic low back pain: a randomized controlled trial","authors":"Eduardo Frio Marins ,&nbsp;Tiago Thompsen Primo ,&nbsp;Breno Berny Vasconcelos ,&nbsp;Mauricio Tatsch Ximenes Carvalho ,&nbsp;Lorena de Lima Oppelt ,&nbsp;Victor Hugo Guesser Pinheiro ,&nbsp;Fabrício Gonzales Scaglioni ,&nbsp;Dirceu Antonio Maraschin Junior ,&nbsp;Valdinar de Araújo Rocha Junior ,&nbsp;Eduardo Lucia Caputo ,&nbsp;Fabricio Boscolo Del Vecchio ,&nbsp;Cristine Lima Alberton","doi":"10.1016/j.bjpt.2025.101232","DOIUrl":"10.1016/j.bjpt.2025.101232","url":null,"abstract":"<div><h3>Background</h3><div>Public safety workers (PSW), such as police officers and firefighters, face a high prevalence of chronic low back pain (LBP). Effective and accessible interventions are essential to improve their health and job performance.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of a m-health-based core stability exercise self-management program combined with health education compared to m-health-based health education alone in PSW with chronic LBP.</div></div><div><h3>Methods</h3><div>Forty-seven PSW with chronic LBP were randomly assigned to receive a smartphone app-based self-managed exercise program (twice a week) plus health education (INT; <em>n</em> = 23) or health education alone (CON; <em>n</em> = 24) for eight weeks. Primary outcomes were pain intensity and disability at 8 weeks. PSW were assessed preintervention and 8 and 16 weeks after the randomization.</div></div><div><h3>Results</h3><div>Those in the INT group had a greater reduction in pain intensity (MD = -1.54; 95 %CI -2.95, -0.13) and disability (MD = -3.23; 95 %CI -5.51, -0.95) than those in the CON group at 8 weeks. Quality of life, self-efficacy, and anxiety improved for those in the INT group compared to those in the CON group at eight weeks. The treatment effects remained for disability, quality of life, and anxiety in the follow-up period of 16 weeks. No between-group differences were found for depression, stress, sleep quality, or neuromuscular outcomes.</div></div><div><h3>Conclusion</h3><div>A m-health-based core stability exercise self-management program combined with health education was more effective in reducing pain intensity, disability, and anxiety, as well as improving quality of life and self-efficacy, compared to m-health-based health education alone in PSW with chronic LBP.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101232"},"PeriodicalIF":3.1,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605483","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 aquatic exercises in woman who have undergone surgery after breast cancer: a systematic review with meta-analysis","authors":"Carla T. Silva ,&nbsp;Claudia K. Silva ,&nbsp;Juliano Casonatto ,&nbsp;Aline C. Carrasco ,&nbsp;Joseph G. McVeigh ,&nbsp;Jefferson R. Cardoso","doi":"10.1016/j.bjpt.2025.101230","DOIUrl":"10.1016/j.bjpt.2025.101230","url":null,"abstract":"<div><h3>Background</h3><div>Breast cancer (BC) is the most common cancer among women, with an incidence of 310,720 new cases for the year 2024. In addition to survival, quality of life has become an important outcome measure in BC clinical investigations.</div></div><div><h3>Objective</h3><div>To evaluate the effects of aquatic exercises (AE) on quality of life (QoL), lymphedema, pain, fatigue, and range of motion in breast cancer survivors compared to land exercise and a control group.</div></div><div><h3>Design</h3><div>Systematic review. Ten databases were searched from inception until February 2024. Risk of bias and certainty of evidence were assessed using the Risk of Bias 2 tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Pooled effects were calculated using standardized mean difference (SMD) and 95 % confidence interval (CI).</div></div><div><h3>Results</h3><div>A total of 1873 studies were identified, 10 were included in the review and four were included in a meta-analyses. Only 30 % (<em>n</em> = 3) of the studies were classified as having a low risk of bias. The effect of AE on the emotional subdomains of the QoL was superior to usual care (SMD=0.58; 95 % CI: 0.1, 0.9; <em>I²</em>=0 %) but the certainty of evidence was rated as very low. When AE was compared with land exercise, no significant differences were found for pain (SMD=1.1; 95 % CI: 1.5, 3.7; <em>I²</em>=97 %) with the certainty of evidence graded as low.</div></div><div><h3>Conclusions</h3><div>Although further studies of high methodological quality are needed to provide more robust conclusions, AE may improve QoL outcome and emotional subdomain compared to usual care, but the evidence is very uncertain.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101230"},"PeriodicalIF":3.1,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571955","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":"Rehabilitation management of the chronic pain-hypertension synergy: Proposal of an evidence-informed framework","authors":"Renzo Mendoza ,&nbsp;Craig Hensley ,&nbsp;Jennifer Ryan ,&nbsp;Todd Davenport","doi":"10.1016/j.bjpt.2025.101229","DOIUrl":"10.1016/j.bjpt.2025.101229","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain and hypertension (HTN) have a significant societal impact worldwide. Both lead to consumption of substantial healthcare resources and dollars. The pathophysiology of chronic pain and HTN are each complex and multifactorial. Chronic pain has been associated with an increased risk of comorbid HTN. There are numerous common factors related to the development, progression, and prognosis of patients with chronic pain and HTN. Though the cardiovascular and pain regulatory systems are structurally and functionally intertwined, the exact physiological interactions between chronic pain and HTN are less understood. Many systems, including the central and autonomic nervous systems, play a role in the development and interaction of these two complex conditions. In collaboration with other healthcare providers, physical therapists play a critical role in managing those with chronic pain and HTN.</div></div><div><h3>Objectives</h3><div>This masterclass aims to develop physical therapists’ knowledge and understanding regarding 1) the epidemiological and physiological relationship between chronic pain and HTN, and 2) screening, examination, and management of the patient with chronic pain and HTN, including appropriate referral.</div></div><div><h3>Discussion</h3><div>Improving understanding of the relationship between chronic pain and HTN should assist clinicians in appropriate management strategies for such patients. Physical therapy should be an essential component in the management of patients with chronic pain and HTN. By collaboratively addressing both health conditions, there is a window of opportunity to play a role in mitigating the burden of these conditions and promoting a healthier society.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101229"},"PeriodicalIF":3.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195864","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":"Factors related to motor outcomes in adolescents and adults with cerebral palsy: A systematic review","authors":"Rayane Félix Lôbo Monteiro ,&nbsp;Camila Araújo Santos Santana ,&nbsp;Paula Silva de Carvalho Chagas ,&nbsp;Ana Carolina de Campos","doi":"10.1016/j.bjpt.2025.101225","DOIUrl":"10.1016/j.bjpt.2025.101225","url":null,"abstract":"<div><h3>Background</h3><div>Although the brain injury caused by cerebral palsy (CP) is not progressive, there is often a worsening of physical conditions during the transition to adolescence and adulthood. The aim of this systematic review was to summarize factors related to decline in motor function in adolescents and adults with CP.</div></div><div><h3>Methods</h3><div>This review was registered in PROSPERO (CRD42022311783). Studies met the following criteria: participants diagnosed with CP, ages 10 to 59 years; scientific studies with any methodological design and emphasis on motor function, reporting quantitative analysis of the effect of age on motor function or factors relevant that declined or improved motor capacity; published in English; any publication year, in electronic databases: Pubmed/Medline, Scopus, Cinahl. Data selection and extraction used the Covidence software. Factors related to motor outcomes that were statistically significant in at least one study and present in more than one study were reported. The outcomes were grouped within major categories (gross motor function, neuromusculoskeletal functions, and gait) for summary.</div></div><div><h3>Results</h3><div>23 studies met the inclusion criteria. Relevant factors for changes in gross motor function (n = 16 studies) were: pain, neuromusculoskeletal aspects, altered gait parameters, Gross Motor Function Classification System (GMFCS) level, age, and history of surgery; for gait (n = 11): mobility performance, altered gait parameters, age, GMFCS level, pain and neuromusculoskeletal aspects; and for neuromusculoskeletal functions (n = 4): altered gait parameters, neuromusculoskeletal aspects, age, pain, and GMFCS level.</div></div><div><h3>Conclusion</h3><div>Age, GMFCS level, and presence of pain stood out as significant for motor decline across categories. Monitoring these factors is relevant for planning interventions and transition programs.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101225"},"PeriodicalIF":3.1,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185157","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":"Immersive virtual reality versus cervical mobilization: The effects on joint position sense and pain for chronic neck pain - a randomized controlled trial","authors":"Hatice Cetin ,&nbsp;Selenay Aydogdu ,&nbsp;Birol Onal ,&nbsp;Esra Dulger ,&nbsp;Sevil Bilgin ,&nbsp;Halil Kamil Oge ,&nbsp;Nezire Kose","doi":"10.1016/j.bjpt.2025.101228","DOIUrl":"10.1016/j.bjpt.2025.101228","url":null,"abstract":"<div><h3>Background</h3><div>Joint position sense (JPS) deficits and pain are among symptoms observed in patients with chronic neck pain (CNP).</div></div><div><h3>Objective</h3><div>To examine the effects of immersive virtual reality (VR) and cervical mobilization (CM) on JPS and pain in patients with CNP.</div></div><div><h3>Methods</h3><div>This randomized controlled study included 45 patients with CNP, aged 18 to 65. Patients were divided into three groups: VR+traditional exercise, CM+traditional exercise, and traditional exercise alone. The primary outcomes were JPS and pain. The secondary outcomes were balance, functional disability, global perceived effect, and quality of life. Balance outcomes included baropodometric outcomes, 10-meter walking test, four-square step test, and single leg stance test. All patients completed 10 treatment sessions, with outcomes measured before and after the intervention.</div></div><div><h3>Results</h3><div>There were no statistically significant additional effects of VR or CM on improving JPS or pain relief when added to traditional exercises (<em>p</em> &gt; 0.05). The changes in all balance outcomes, functional disability, and global perceived effect were also similar for the three groups (<em>p</em> &gt; 0.05). The combination of CM or VR and traditional exercises resulted in greater improvement in social function quality of life compared to traditional exercises alone (MD = 21.15, 95 % CI: 9.46, 32.85, Cohen’s <em>d</em> = 1.52).</div></div><div><h3>Conclusion</h3><div>The addition of VR or CM to traditional exercises offers no additional benefits for JPS, pain, balance, and function, for individuals with CNP.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 5","pages":"Article 101228"},"PeriodicalIF":3.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138989","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}