Brazilian Journal of Physical Therapy最新文献

{"title":"“I feel more confident”: a mixed methods evaluation of the influence of Good Life with osteoarthritis Denmark (GLA:D®) on physical activity participation, capability, barriers, and facilitators in people with knee osteoarthritis","authors":"Emily C. Bell ,&nbsp;Paul O'Halloran ,&nbsp;Marcella F. Pazzinatto ,&nbsp;Jason A. Wallis ,&nbsp;Kay M. Crossley ,&nbsp;Joanne L. Kemp ,&nbsp;Zuzana Perraton ,&nbsp;Christian J. Barton","doi":"10.1016/j.bjpt.2024.101113","DOIUrl":"10.1016/j.bjpt.2024.101113","url":null,"abstract":"<div><h3>Background</h3><p>A mixed methods study which aimed to evaluate the influence of Good Life with osteoArthritis Denmark (GLA:D®) on physical activity participation, including perceived capability, barriers, and facilitators in people with knee osteoarthritis.</p></div><div><h3>Objective</h3><p>Quantify changes in physical activity participation at 3- and 12-months for people with knee osteoarthritis who participated in an education and exercise-therapy program (GLA:D®).</p></div><div><h3>Methods</h3><p>A mixed-methods study involving 44 participants with knee osteoarthritis who completed GLA:D®. Guided by the Theoretical Domains Framework, 19 were interviewed, with transcripts analysed using reflexive thematic analysis. University of California Los Angeles physical activity scores were dichotomised as ‘more’ (≥7) or ‘less’ active (≤6), and compared between baseline and 3- and 12-months using McNemar's test. Motivation and confidence to exercise (0–10 scale); fear of knee joint damage with exercise (yes/no); and Knee Osteoarthritis Outcome Scores (KOOS) were evaluated.</p></div><div><h3>Results</h3><p>Four overarching themes were identified: prior to GLA:D® 1) fear of knee joint damage, and scarcity of exercise and physical activity information prior to GLA:D®; and following GLA:D® 2) varied exercise-therapy and physical activity participation; 3) facilitators including reduced fear of knee damage, increased confidence, routine, strategies, and support; and 4) ongoing barriers including persistent knee pain, comorbidities, cost, and lack of opportunity and motivation. There was no difference in the proportion of ‘more’ active participants between baseline (41%) and at 3-months (37%, <em>p</em> = 0.774) or 12-months (35%, <em>p</em> = 0.375). The proportion with fear of damage reduced from baseline (50%) to 3-months (5%) and 12-months (21%). Self-reported motivation (9.1/10) and confidence (9.1/10) to exercise at 3-months were high, and all KOOS subscales improved from baseline to 3-months (effect sizes = 0.41–0.58) and 12-months (effect sizes = 0.29–0.66).</p></div><div><h3>Conclusion</h3><p>Varied and often inadequate physical activity participation following GLA:D® indicates more targeted interventions to address ongoing barriers may be required.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 5","pages":"Article 101113"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524005239/pdfft?md5=0520082e9e4aa55e0ce910aadbaabc9c&pid=1-s2.0-S1413355524005239-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242338","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":"Replacing sedentary time or light physical activity with moderate physical activity is associated with a lower prevalence of back pain: a cross-sectional study using isotemporal analysis","authors":"Crystian B.S. Oliveira ,&nbsp;Tatiana M Damato ,&nbsp;William R. Tebar ,&nbsp;Guilherme H.D. Grande ,&nbsp;Rubens V.C. Vidal ,&nbsp;Gerson Ferrari ,&nbsp;Bruna T.C. Saraiva ,&nbsp;Diego G.D. Christofaro","doi":"10.1016/j.bjpt.2024.101123","DOIUrl":"10.1016/j.bjpt.2024.101123","url":null,"abstract":"<div><h3>Background</h3><div>Evidence shows that lack of physical activity and sedentary time are associated with higher prevalence of low back pain (LBP).</div></div><div><h3>Objective</h3><div>To investigate the association between replacing sedentary time and light physical activity with a higher physical activity level with the prevalence of LBP.</div></div><div><h3>Methods</h3><div>Two hundred and sixty-six individuals from a city in southeastern Brazil were recruited to this cross-sectional study. Sedentary behavior and physical activity level were evaluated using an ActiGraph GT3X tri-axial accelerometer during 7 days. The prevalence of LBP was assessed using the Nordic questionnaire. Isotemporal substitution using logistic regression analyses were performed to investigate the association between replacing an activity with another in the prevalence of LBP.</div></div><div><h3>Results</h3><div>Replacing time spent in sedentary behavior with moderate physical activity slightly reduced the prevalence of LBP (odds ratio [OR]= 0.97; 95% CI: 0.95, 0.98). In addition, replacing time spent in light physical activity with moderate physical activity also slightly reduced the prevalence of LBP (OR= 0.97; 95% CI: 0.95, 0.98). There was no association for replacing sedentary time and light or moderate physical activity with vigorous physical activity on the prevalence of LBP.</div></div><div><h3>Conclusions</h3><div>The results suggest a small protective effect for LBP when replacing time in sedentary activities or light physical activity with moderate physical activity.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 5","pages":"Article 101123"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407106","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":"Pelvic floor muscle training for urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy: a systematic review with meta-analyses","authors":"Néville Ferreira Fachini de Oliveira,&nbsp;Cintia Helena Santuzzi,&nbsp;Thayara Viana da Conceição,&nbsp;Júlia Martins Vasconcellos Freitas,&nbsp;Fernanda Mayrink Gonçalves Liberato,&nbsp;Lucas Rodrigues Nascimento","doi":"10.1016/j.bjpt.2024.101122","DOIUrl":"10.1016/j.bjpt.2024.101122","url":null,"abstract":"<div><h3>Background</h3><div>After hysterectomy, women could experience pelvic floor dysfunction and negative impact on quality of life, which could be improved by pelvic floor muscle training.</div></div><div><h3>Objective</h3><div>To investigate effects of pelvic floor muscle training on urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy.</div></div><div><h3>Methods</h3><div>Systematic review with meta-analyses of randomized controlled trials. Trials with pelvic floor muscle training in women after hysterectomy were included. The outcomes measures were urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life. Quality of evidence was assessed by adopting the GRADE approach.</div></div><div><h3>Results</h3><div>Six trials, involving 776 participants, were included. The mean PEDro score of trials was 5.5. Moderate-quality evidence suggested that pelvic floor muscle training improves sexual function by 5 points (95% CI: 4, 6) on the Female Sexual Function Index, compared with no intervention. It might affect strength (SMD 0.5; 95% CI: −0.4, 1.3), quality of life (SMD 0.5 points out of 108, 95% CI: −0.1, 0.9), urinary symptoms (RD −0.02; 95% CI: −0.06, 0.1); however, the estimates were too imprecise. In addition, it produces no or negligible effects on vaginal prolapse (RD 0; 95% CI: −0.1, 0.1). Long-term effects remain uncertain.</div></div><div><h3>Conclusion</h3><div>This systematic review provides moderate-quality evidence that pelvic floor muscle training is effective for improving women's sexual function after hysterectomy, in comparison with no intervention. Benefits on urinary symptoms, pelvic floor muscle strength, quality of life, and vaginal prolapse remains unclear. Also, the effects beyond the intervention period remains uncertain.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 5","pages":"Article 101122"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479079","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":"Muscle mechanical properties of pelvic floor and paravertebral muscles in women with and without urge urinary incontinence: a case-control study","authors":"María Teresa Garzón-Alfaro ,&nbsp;Inés Cruz-Medel ,&nbsp;Sandra Alcaraz-Clariana ,&nbsp;Lourdes García-Luque ,&nbsp;Cristina Carmona-Pérez ,&nbsp;Juan Luis Garrido-Castro ,&nbsp;Francisco Alburquerque-Sendín ,&nbsp;Daiana Priscila Rodrigues-de-Souza","doi":"10.1016/j.bjpt.2024.101114","DOIUrl":"10.1016/j.bjpt.2024.101114","url":null,"abstract":"<div><h3>Background</h3><p>Muscle mechanical properties (MMPs) are relevant in the pathophysiology of lumbopelvic disorders. However, they have not been described in the pelvic floor muscles (PFM) and lumbar paravertebral muscles (LPM) of women with urge urinary incontinence (UUI).</p></div><div><h3>Objective</h3><p>To identify differences between MMPs of PFM and LPM in patients with UUI and healthy controls. Secondarily also aimed to observe the relationship between sociodemographic and clinical variables with the PFM and LPM MMPs.</p></div><div><h3>Methods</h3><p>The participants of this case-control study comprised 34 women with UUI (UUI group) and 34 continent women (control group). Sociodemographic variables were obtained together with data on the clinical status of the pelvic floor. The MMPs, i.e., frequency (tone), stiffness, decrement (inverse of elasticity), and viscoelastic properties (VP), such as relaxation time and creep, of PFM and LPM were assessed with a hand-held tonometer. Between-group differences and intra-group correlations were identified.</p></div><div><h3>Results</h3><p>The UUI group presented higher frequency and stiffness, as well as lower relaxation time in PFM, whereas the LPM had lower tone and stiffness, and higher VP, compared to the control group (<em>p</em> &lt; 0.05). The UUI group showed a pattern of moderate correlations (|0.403|&lt;r&lt;|0.600|) among all MMPs of PFM and tone, stiffness, and VP of LPM, which did not appear in the control group.</p></div><div><h3>Conclusion</h3><p>The presence of UUI may influence MMPs at PFM and LPM levels, increasing the tone and stiffness of PFM, whereas these properties are reduced in LPM. These findings emphasize the clinical interest of the lumbopelvic determination of MMPs, obtained through externally applied hand-held instruments, in the pathophysiology of UUI.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 5","pages":"Article 101114"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524005240/pdfft?md5=7ba58fb3b7129c37980efe8976630d3a&pid=1-s2.0-S1413355524005240-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142161901","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":"Determinants of cardiorespiratory fitness measured by cardiopulmonary exercise testing in COVID-19 survivors: a systematic review with meta-analysis and meta‑regression","authors":"Mansueto Gomes-Neto ,&nbsp;Katna de Oliveira Almeida ,&nbsp;Helena França Correia ,&nbsp;Juliana Costa Santos ,&nbsp;Vinicius Afonso Gomes ,&nbsp;Juliane Penalva Costa Serra ,&nbsp;André Rodrigues Durães ,&nbsp;Vitor Oliveira Carvalho","doi":"10.1016/j.bjpt.2024.101089","DOIUrl":"10.1016/j.bjpt.2024.101089","url":null,"abstract":"<div><h3>Background</h3><p>The relationship between cardiorespiratory fitness and its possible determinants in post-COVID-19 survivors has not been systematically assessed.</p></div><div><h3>Objectives</h3><p>To identify and summarize studies comparing cardiorespiratory fitness measured by cardiopulmonary exercise testing in COVID-19 survivors versus non-COVID-19 controls, as well as to determine the influence of potential moderating factors.</p></div><div><h3>Methods</h3><p>We conducted a systematic search of MEDLINE/PubMed, Cochrane Library, EMBASE, Google Scholar, and SciELO since their inceptions until June 2022. Mean differences (MD), standard mean differences (SMD), and 95% confidence intervals (CI) were calculated. Subgroup and meta-regression analyses were used to evaluate potential moderating factors.</p></div><div><h3>Results</h3><p>48 studies (3372 participants, mean age 42 years, and with a mean testing time of 4 months post-COVID-19) were included, comprising a total of 1823 COVID-19 survivors and 1549 non-COVID-19 controls. After data pooling, VO₂ peak (SMD=1.0 95% CI: 0.5, 1.5; 17 studies; <em>N</em> = 1273) was impaired in COVID-19 survivors. In 15 studies that reported VO₂ peak values in ml/min/kg, non-COVID-19 controls had higher peak VO₂ values than COVID-19 survivors (MD=6.2, 95% CI: 3.5, 8.8; <em>N</em> = 905; I²=84%). In addition, VO₂ peak was associated with age, time post-COVID-19, disease severity, presence of dyspnea, and reduced exercise capacity.</p></div><div><h3>Conclusion</h3><p>This systematic review provides evidence that cardiorespiratory fitness may be impaired in COVID-19 survivors, especially for those with severe disease, presence of dyspnea, and reduced exercise capacity. Furthermore, the degree of reduction of VO₂ peak is inversely associated with age and time post-COVID.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101089"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472004","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":"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":"A.K. Rocha ,&nbsp;S. Monteiro ,&nbsp;I. Campos ,&nbsp;M. Volpato ,&nbsp;D. Verleun ,&nbsp;L. Valim ,&nbsp;C. Riccetto ,&nbsp;S. Botelho","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":"28 4","pages":"Article 101102"},"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":"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":"28 4","pages":"Article 101092"},"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":"Patients' perspectives on planned interventions tested in the Otago MASTER feasibility trial: an implementation-based process evaluation study","authors":"Daniel Cury Ribeiro ,&nbsp;Amanda Wilkinson ,&nbsp;Vander Gava ,&nbsp;Sarah E. Lamb ,&nbsp;J. Haxby Abbott","doi":"10.1016/j.bjpt.2024.101086","DOIUrl":"10.1016/j.bjpt.2024.101086","url":null,"abstract":"<div><h3>Background</h3><p>Patients are key stakeholders of clinical research, and their perspectives are relevant for researchers when planning and conducting clinical trials. Numerous aspects of trial process can influence participants’ experiences. Their experiences within a trial can impact retention rates. Poor treatment adherence may bias treatment effect estimates. One way to improve recruitment and adherence is to design trials that are aligned with patients’ needs and preferences. This study reports a process evaluation of the Otago MASTER feasibility trial.</p></div><div><h3>Objectives</h3><p>Our aims were to investigate the patients’ perceptions of the trial interventions through individual interviews.</p></div><div><h3>Methods</h3><p>Twenty-five participants were recruited for the feasibility trial and were allocated to two groups: tailored or standardised exercise. Sixteen participants agreed to take part in individual semi-structured interviews. Interviews were transcribed verbatim, and all interviews were analysed thematically using an iterative approach.</p></div><div><h3>Results</h3><p>Our key findings suggest participants: (1) took part in the study to access healthcare services and contribute to research; (2) valued interventions received; (3) reported certain barriers and facilitators to participate in the trial; and (4) highlighted areas for improvement when designing the full trial.</p></div><div><h3>Conclusion</h3><p>Participants volunteered to access healthcare and to contribute to research. Participants valued the personalised care, perceived that their engagement within the trial improved their self-management and self-efficacy behaviour, valued the time spent with clinicians, and the empathetic environment and education received. Facilitators and barriers will require careful consideration in the future as the barriers may impact reliability and validity of future trial results.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101086"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524004969/pdfft?md5=46893870cfc50fdae40d580ce47a14e7&pid=1-s2.0-S1413355524004969-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408442","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":"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":"28 4","pages":"Article 101087"},"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":"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":"28 4","pages":"Article 101090"},"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}