Brazilian Journal of Physical Therapy最新文献

{"title":"What is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment?","authors":"","doi":"10.1016/j.bjpt.2024.101104","DOIUrl":"10.1016/j.bjpt.2024.101104","url":null,"abstract":"<div><h3>Background</h3><p>Handgrip strength (HGS) testing is a highly recommended method for screening for sarcopenia in older adults. However, there is no consensus on the optimal protocol and number of trials for screening sarcopenia in older adults with cognitive impairment.</p></div><div><h3>Objective</h3><p>To investigate the use of the first trial (FT), the mean of three trials (MT), and the highest value (HT) from three trials of the HGS test to screen for sarcopenia in older adults with cognitive impairment. Additionally, to analyze the consistency, agreement, and measurement error in the diagnosis of muscle weakness.</p></div><div><h3>Methods</h3><p>176 older adults with cognitive impairment were evaluated. The HGS test was repeated three times. Analyses were performed using the Friedman repeated measures test with Wilcoxon post-hoc, intraclass correlation coefficient (ICC), Standard Error of Measurement (SEM), Minimal Detectable Change (MDC95), and Kappa index tests.</p></div><div><h3>Results</h3><p>There was no significant difference between the first trial (FT) and the mean of three trials (MT) (<em>d</em> = 0.17 [95 % CI: −0.08, 0.42]), but both differed significantly from the highest value (HT) (<em>p</em> &lt; 0.001). The ICC indicated a reliability of 0.97 (95 % CI: 0.95, 0.98) across all participants, while the kappa index demonstrated over 80 % agreement. The SEM for the first measure of HGS ranged from 0.59 to 2.12 kgf. The MDC₉₅ ranged from 1.64 to 5.87 kgf.</p></div><div><h3>Conclusion</h3><p>For HGS testing, there was excellent consistency between the FM and MT. All three testing methods demonstrated excellent agreement in diagnosing muscle weakness. The measurement errors confirm that FT can be reliably used to monitor changes during rehabilitation.</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":"141989372","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":"Democratizing access to physical therapy to address the challenge of chronic pain","authors":"Rodrigo Núñez-Cortés ,&nbsp;Enrique Lluch ,&nbsp;Carlos Cruz-Montecinos","doi":"10.1016/j.bjpt.2024.101084","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.101084","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141308453","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":"What are participant beliefs regarding physical therapy led treatment? A qualitative study of people living with femoroacetabular impingement syndrome","authors":"Emily Bell ,&nbsp;Andrea Mosler ,&nbsp;Christian Barton ,&nbsp;Denise Jones ,&nbsp;Joshua Heerey ,&nbsp;Richard Johnston ,&nbsp;Sally Coburn ,&nbsp;Joanne Kemp","doi":"10.1016/j.bjpt.2024.101077","DOIUrl":"10.1016/j.bjpt.2024.101077","url":null,"abstract":"<div><h3>Background</h3><p>Physical therapist-led treatment programs are recommended for patients with femoroacetabular impingement (FAI) syndrome. Views of people with FAI syndrome regarding such interventions are currently unknown, including perceptions of potential barriers and facilitators to participation and adherence to exercise programs.</p></div><div><h3>Objectives</h3><p>To explore participant perceptions of physical therapist-led programs for FAI syndrome, including barriers and facilitators for accessing physical therapy, and adhering to a rehabilitation program.</p></div><div><h3>Methods</h3><p>Our qualitative study used semi-structured interviews to explore the perceptions of patients with FAI syndrome undertaking physical therapy-led treatment, where treatment was ceased due to Coronavirus Disease 2019 (COVID-19). The interview topic guide was informed by the Theoretical Domain Framework. Interviews were transcribed verbatim and data categories were developed using inductive thematic analysis. Themes were discussed between researchers until consensus was reached.</p></div><div><h3>Results</h3><p>Fourteen participants (mean age: 30 years) with a range of physical activity backgrounds undertook interviews. We identified four key themes, 1) Patients believed their hip pain was caused by structural damage worsened through exercise; 2) Barriers and facilitators on the feasibility of physical therapist-led programs; 3) Participants held beliefs regarding the importance of adjunct treatments to exercise; and 4) Impact of FAI syndrome on physical activity participation.</p></div><div><h3>Conclusion</h3><p>People with FAI syndrome believe they have structural damage which leads to their hip pain and are often afraid to exercise due to fear of causing more damage to their hip. Our findings suggest that people with FAI syndrome want clear education about exercise, imaging, and expectations of cost and duration of treatment.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S141335552400488X/pdfft?md5=451c8bf4008cfd0ca4a370af012a28eb&pid=1-s2.0-S141335552400488X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140570","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":"Corrigendum to Prevalence of disabling musculoskeletal pain in children and adolescents in Brazil: Across-sectional study [Brazilian Journal of Physical Therapy 28 (2024) 100593]","authors":"Bruna Alves Hatakeyama ,&nbsp;Bárbara Isabel Aparecida Camargo ,&nbsp;Verônica Souza Santos ,&nbsp;Mariana Nascimento Leite ,&nbsp;Caique de Melo do Espirito Santo ,&nbsp;Tuyra Francisca Castro e Silva ,&nbsp;Fabianna Resende de Jesus-Moraleida ,&nbsp;Steven J Kamper ,&nbsp;Chris G Maher ,&nbsp;Leonardo Oliveira Pena Costa ,&nbsp;Tiê P Yamato","doi":"10.1016/j.bjpt.2024.101076","DOIUrl":"10.1016/j.bjpt.2024.101076","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524004878/pdfft?md5=11ed212fcff7f56d652a3144735d4850&pid=1-s2.0-S1413355524004878-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049378","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":"DiTA: helping you search for evidence of diagnostic test accuracy in physical therapy","authors":"Mark A. Kaizik ,&nbsp;Mark J. Hancock ,&nbsp;Robert D. Herbert","doi":"10.1016/j.bjpt.2024.101082","DOIUrl":"10.1016/j.bjpt.2024.101082","url":null,"abstract":"<div><h3>Background</h3><p>Physical therapists use diagnostic tests in a variety of settings. Choosing the best diagnostic test to apply in a particular situation can be difficult. The choice of diagnostic test should be informed, at least in part, by evidence of test accuracy. Finding evidence of diagnostic test accuracy has, until recently, been challenging. Ideally, there would exist a database that comprehensively indexes evidence on diagnostic tests relevant to physical therapy practice, is free to access, and is easy to use.</p></div><div><h3>Objective</h3><p>This Masterclass will describe the DiTA (<em>Di</em>agnostic <em>T</em>est <em>A</em>ccuracy) database (dita.org.au) including its development and search interface, and provide advice on how to search and retrieve records.</p></div><div><h3>Discussion</h3><p>DiTA indexes more than 2400 primary studies and systematic reviews of diagnostic test accuracy relevant to physical therapy practice. Users can search DiTA using text fields and dropdown lists to find evidence of diagnostic test accuracy. The database is freely accessible on the internet. Since its launch, DiTA has been accessed from almost every country in the world, the largest number of searches having been conducted from Brazil.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524004933/pdfft?md5=6d7fbe7928107068e036d632129b4986&pid=1-s2.0-S1413355524004933-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138205","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":"The SPORTS Participation Framework: illuminating the pathway for people with disability to enter into, participate in, and excel at sport","authors":"Georgina Leigh Clutterbuck ,&nbsp;Ricardo Rodrigues de Sousa Junior ,&nbsp;Hércules Ribeiro Leite ,&nbsp;Leanne Marie Johnston","doi":"10.1016/j.bjpt.2024.101081","DOIUrl":"10.1016/j.bjpt.2024.101081","url":null,"abstract":"<div><h3>Background</h3><p>Sports participation for people with disabilities exists at the intersection of health, sport, and education sectors. However, no common framework and language exist to describe the stages of sports participation.</p></div><div><h3>Objective</h3><p>To present the background to the SPORTS Participation Framework, and how it can be used to illuminate the path that people with disability may travel to enter into, participate in, and enjoy and excel at all levels of sport.</p></div><div><h3>Method</h3><p>The SPORTS Participation Framework includes six stages drawn from mainstream sports pathways and models used to classify barriers to sports participation for people with disabilities: (S) Screening, goal setting and individual preparation, (P) Practitioner led, peer-group sports interventions, (O) Organised junior entry-point sports programs, (R) Recreational sport (non-competitive), (T) Team competition (school/club representation), and (S) State, National, and International competition.</p></div><div><h3>Results</h3><p>For each stage, this paper describes the content of sports activities, the context in which they are performed, key stakeholders, barriers to participation, available evidence, and case studies.</p></div><div><h3>Conclusions</h3><p>The SPORTS Participation Framework presents a structure to navigate the stages of introducing and promoting lifelong sports participation for people with disabilities. It scaffolds clear communication, governance, and policy across health, sport, and education sectors, and supports clinicians and researchers to address barriers to participation at each stage to improve individual and population-wide participation in sport for people with disabilities.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524004921/pdfft?md5=a2fe19d2f867970f4ed91a9120d6b229&pid=1-s2.0-S1413355524004921-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141141543","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":"Reporting of confidence intervals, achievement of intended sample size, and adjustment for multiple primary outcomes in randomised trials of physical therapy interventions: an analysis of 100 representatively sampled trials","authors":"David Fernández Hernando ,&nbsp;Mark Elkins ,&nbsp;Ana Paula Coelho Figueira Freire","doi":"10.1016/j.bjpt.2024.101079","DOIUrl":"10.1016/j.bjpt.2024.101079","url":null,"abstract":"<div><h3>Background</h3><p>The physical therapy profession has made efforts to increase the use of confidence intervals due to the valuable information they provide for clinical decision-making. Confidence intervals indicate the precision of the results and describe the strength and direction of a treatment effect measure.</p></div><div><h3>Objectives</h3><p>To determine the prevalence of reporting of confidence intervals, achievement of intended sample size, and adjustment for multiple primary outcomes in randomised trials of physical therapy interventions.</p></div><div><h3>Methods</h3><p>We randomly selected 100 trials published in 2021 and indexed on the Physiotherapy Evidence Database. Two independent reviewers extracted the number of participants, any sample size calculation, and any adjustments for multiple primary outcomes. We extracted whether at least one between-group comparison was reported with a 95 % confidence interval and whether any confidence intervals were interpreted.</p></div><div><h3>Results</h3><p>The prevalence of use of confidence intervals was 47 % (95 % CI 38, 57). Only 6 % of trials (95 % CI: 3, 12) both reported and interpreted a confidence interval. Among the 100 trials, 59 (95 % CI: 49, 68) calculated and achieved the required sample size. Among the 100 trials, 19 % (95 % CI: 13, 28) had a problem with unadjusted multiplicity on the primary outcomes.</p></div><div><h3>Conclusions</h3><p>Around half of trials of physical therapy interventions published in 2021 reported confidence intervals around between-group differences. This represents an increase of 5 % from five years earlier. Very few trials interpreted the confidence intervals. Most trials reported a sample size calculation, and among these most achieved that sample size. There is still a need to increase the use of adjustment for multiple comparisons.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139345","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":"Advancing women's pelvic floor muscle function diagnosis: the EFSMAP examination and its reliability evaluation","authors":"Fernanda Saltiel ,&nbsp;Ana Paula Gonçalves Miranda-Gazzola ,&nbsp;Gabriella Ferreira Vieira ,&nbsp;Elyonara Mello Figueiredo","doi":"10.1016/j.bjpt.2024.101067","DOIUrl":"10.1016/j.bjpt.2024.101067","url":null,"abstract":"<div><h3>Background</h3><p>The accurate diagnosis of pelvic floor muscle impairments is essential. The plethora of terms and the lack of evidence to support widely used pelvic floor muscle function (PFMF) measurements hinder diagnostic labels.</p></div><div><h3>Objective</h3><p>To structure an examination of PFMF using visual observation and digital palpation and terms consistent with the ICF terminology, and to test its intra and interrater reliability/agreement.</p></div><div><h3>Methods</h3><p>A panel of 9 physical therapists applied Delphi method to structure the PFMF exam under ICF terminology and to verify its measurements reproducibility. For reliability and agreement, a convenience sample of women aged 51.2 ± 14.7 years had the sensitivity to pressure, pain, muscle tone, involuntary movement reaction, control of voluntary movement (contraction/relaxation), coordination, strength, and endurance examined by two raters, in the same day for interrater (<em>n</em> = 40), and one week apart, for intrarater reliability (<em>n</em> = 25). Percent agreement, linear weighted kappa, intraclass correlation coefficient, and Bland-Altman's limits of agreement were calculated (alpha = 0.05).</p></div><div><h3>Results</h3><p>Four round Delphi discussion structured the PFMF exam, named EFSMAP (<em>Exame das Funções Sensoriais e Motoras do Assoalho Pélvico/Examination of Pelvic Floor Sensory and Motor Functions</em>), set a list of concepts and instructions targeted at reproducibility and established PFMF diagnostic labels. Reliability, except for pain and tone, were moderate to excellent (Kw= 0.67–1.0 and ICC=0.48–0.82). Agreement was substantial for most PFMF features (0.64–1.00), except pain.</p></div><div><h3>Conclusions</h3><p>The EFSMAP was successfully developed as a valid and reliable exam to be used in research and clinical practice; it provides labels for the diagnosis of pelvic floor muscle impairments. It might be easily adopted worldwide as it uses ICF terminology.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141046506","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":"Brazilian classification of physical therapy diagnosis","authors":"Bruno Prata Martinez ,&nbsp;Roberto Mattar Cepeda ,&nbsp;Fernando Mauro Muniz Ferreira ,&nbsp;Francimar Ferrari Ramos ,&nbsp;Flavia Massa Cipriani ,&nbsp;Sibele de Andrade Melo Knaut ,&nbsp;Elaine Caldeira de Oliveira Guirro ,&nbsp;Cristine Homsi Jorge","doi":"10.1016/j.bjpt.2024.101066","DOIUrl":"10.1016/j.bjpt.2024.101066","url":null,"abstract":"<div><h3>Background</h3><p>The Brazilian Classification of Physical Therapy Diagnosis, developed by the Federal Council of Physiotherapy and Occupational Therapy (COFFITO), has the constitutional objectives of standardizing ethical, scientific and social aspects of the Physical Therapy profession.</p></div><div><h3>Objective</h3><p>To describe the work process, rationale and proposal for standardization of a physical therapy diagnosis classification system in Brazil.</p></div><div><h3>Methods</h3><p>A working group was created to propose a standardized classification for the description and codification of physical therapy diagnoses. Some terminologies common to the International Classification of Functioning (ICF) were used to make the nomenclature of diagnoses compatible with the outcomes inherent in the field of physical therapy.</p></div><div><h3>Results</h3><p>The Brazilian Classification of Physical Therapy Diagnosis project culminated in a physical therapy diagnosis model consisting of terms grouped by organic systems and identifying codes. In addition, an application was developed to allow professionals to use the standardized diagnostic classification in an online system.</p></div><div><h3>Conclusion</h3><p>The diagnostic classification system is expected to advance the Physical Therapy profession allowing the identification of structural and/or functional alterations in a simplified and standardised manner. From a physical therapy perspective, this classification may help to consolidate the autonomy of the Brazilian physical therapists by establishing a clearer pathway between the diagnosis and interventions.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141041290","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":"Artificial intelligence and Machine Learning approaches in sports: Concepts, applications, challenges, and future perspectives","authors":"Felipe J.J. Reis ,&nbsp;Rafael Krasic Alaiti ,&nbsp;Caio Sain Vallio ,&nbsp;Luiz Hespanhol","doi":"10.1016/j.bjpt.2024.101083","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.101083","url":null,"abstract":"<div><h3>Background</h3><p>The development and application of Artificial Intelligence (AI) and Machine Learning (ML) in healthcare have gained attention as a promising and powerful resource to change the landscape of healthcare. The potential of these technologies for injury prediction, performance analysis, personalized training, and treatment comes with challenges related to the complexity of sports dynamics and the multidimensional aspects of athletic performance.</p></div><div><h3>Objectives</h3><p>We aimed to present the current state of AI and ML applications in sports science, specifically in the areas of injury prediction, performance enhancement, and rehabilitation. We also examine the challenges of incorporating AI and ML into sports and suggest directions for future research.</p></div><div><h3>Method</h3><p>We conducted a comprehensive literature review, focusing on publications related to AI and ML applications in sports. This review encompassed studies on injury prediction, performance analysis, and personalized training, emphasizing the AI and ML models applied in sports.</p></div><div><h3>Results</h3><p>The findings highlight significant advancements in injury prediction accuracy, performance analysis precision, and the customization of training programs through AI and ML. However, future studies need to address challenges such as ethical considerations, data quality, interpretability of ML models, and the integration of complex data.</p></div><div><h3>Conclusion</h3><p>AI and ML may be useful for the prevention, detection, diagnosis, and treatment of health conditions. In this Masterclass paper, we introduce AI and ML concepts, outline recent breakthroughs in AI technologies and their applications, identify the challenges for further progress of AI systems, and discuss ethical issues, clinical and research opportunities, and future perspectives.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141250416","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}