Brazilian Journal of Physical Therapy最新文献

{"title":"Conclusiveness of Cochrane systematic reviews is low but accumulating across time in physical therapy: A meta-research study","authors":"Ana Paula Coelho Figueira Freire ,&nbsp;Kailei J. Eustis ,&nbsp;Ítalo Ribeiro Lemes ,&nbsp;Bruno Tirotti Saragiotto ,&nbsp;Gordon Smilanich ,&nbsp;Mark Elkins ,&nbsp;Rafael Zambelli Pinto","doi":"10.1016/j.bjpt.2025.101190","DOIUrl":"10.1016/j.bjpt.2025.101190","url":null,"abstract":"<div><h3>Background</h3><div>Conclusiveness of a systematic review is the ability to reach a definitive conclusion about the effectiveness of one treatment compared to another. The large proportion of systematic reviews that do not reach a definitive conclusion might discourage clinicians from engaging with and interpreting systematic reviews.</div></div><div><h3>Objectives</h3><div>To determine the percentage of conclusive Cochrane reviews in physical therapy and to investigate whether this percentage has increased over time.</div></div><div><h3>Methods</h3><div>In this meta-research study, we performed a systematic search of the Physiotherapy Evidence Database (PEDro) for Cochrane reviews. We extracted a random sample of 200 published systematic reviews, with 50 reviews from each of the periods: 2001 to 2005, 2006 to 2010, 2011 to 2015, and 2016 to 2020. Two independent assessors extracted information. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) data for the primary outcomes was used to assess conclusiveness. Reviews were considered conclusive when at least one primary outcome provided high certainty of evidence.</div></div><div><h3>Results</h3><div>Outcomes with very low certainty of evidence represented 21 % of outcomes and increased from 14 % in 2001–2005 to 34 % in 2016–2020. Outcomes with low certainty of evidence comprised 55 % of outcomes and remained consistent over time. Moderate- and high-certainty outcomes remained consistent, composing 22 % and 2 % of outcomes, respectively. The proportion of outcomes with high certainty of evidence never exceeded 4 % per period. The percentage of conclusive reviews remained unchanged and consisted of 3 % of reviews in the sample; however, because the total number of reviews is increasing, there has been an accumulation in the number of conclusive reviews across the 20-year period.</div></div><div><h3>Conclusions</h3><div>The percentage of Cochrane reviews deemed conclusive remains small, although conclusive reviews are accumulating over time.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101190"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520226","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 Portuguese version of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I: Cross-cultural adaptation, criterion validity, and reliability","authors":"Taísi Antunes da Cunha ,&nbsp;Per Alstergren ,&nbsp;Francisco José Pereira Júnior ,&nbsp;Daniela Aparecida de Godoi Gonçalves ,&nbsp;Thaís Cristina Chaves ,&nbsp;Daniela Aparecida Biasotto-Gonzalez","doi":"10.1016/j.bjpt.2025.101187","DOIUrl":"10.1016/j.bjpt.2025.101187","url":null,"abstract":"<div><h3>Background</h3><div>The Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) is a biaxial instrument used worldwide for TMD assessment.</div></div><div><h3>Objective</h3><div>To translate, cross-culturally adapt, and assess the criterion validity and reliability of the Brazilian Portuguese version of the DC/TMD Axis I.</div></div><div><h3>Methods</h3><div>The translation and cross-cultural adaptation of Axis I into Brazilian Portuguese followed the recommendations of the International Network for Orofacial Pain and Related Disorders Methodology. For the formal assessment, 117 Brazilians with TMD completed the translated version of the TMD Pain Screener, the Symptom Questionnaire, and the Numeric Pain Rating Scale for orofacial pain intensity assessment. Subsequently, a standardized clinical examination was performed. Fifty-one participants were examined by two raters for interrater reliability, and 53 participated on a second assessment day for intrarater reliability analyses. TMD Pain Screener criterion validity was assessed through sensitivity, specificity, and ROC curve. Kappa and intraclass correlation coefficient (ICC) were used to analyze reliability for categorical and continuous data, respectively.</div></div><div><h3>Results</h3><div>The translated version achieved language equivalency. High accuracy was found for the Brazilian Portuguese version of the TMD Pain Screener short form (AUC = 0.95) compared to the long form, as well as high intrarater reliability (ICC 0.88). Moderate to almost perfect reliability was found for painful TMD diagnoses and disc displacement with reduction.</div></div><div><h3>Conclusions</h3><div>The Brazilian Portuguese version of the DC/TMD Axis I is valid and reliable for screening painful TMD and for painful DC/TMD diagnoses.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101187"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143576895","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 contextual factors and vulvovaginal symptoms in Brazilian women: A cross-sectional study","authors":"Clara Maria de Araujo Silva ,&nbsp;Tatiana de Oliveira Sato ,&nbsp;Vanessa Patrícia Soares de Sousa ,&nbsp;Natália Duarte Pereira ,&nbsp;Daiana Priscila Rodrigues-de-Souza ,&nbsp;Ana Carolina Sartorato Beleza","doi":"10.1016/j.bjpt.2025.101184","DOIUrl":"10.1016/j.bjpt.2025.101184","url":null,"abstract":"<div><h3>Background</h3><div>The International Classification of Functioning, Disability and Health widens the understanding of the individual by considering contextual factors for health. Regarding the health of women, vulvovaginal symptoms (e.g., itching, burning, pain, irritation, dryness, and vaginal odor) need consideration.</div></div><div><h3>Objective</h3><div>To verify the prevalence of vulvovaginal symptoms, their association with contextual factors, and evaluate their impact on the emotional well-being, quality of life, and sexual function of Brazilian women.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted from October 2021 to August 2022 using Brazilian women aged 18 or older. Health and sociodemographic data were collected, and the women were divided into two groups according to the Vulvovaginal Symptoms Questionnaire: with and without vulvovaginal symptoms. The association between contextual factors and vulvovaginal symptoms was verified using logistic regression.</div></div><div><h3>Results</h3><div>The study included 313 women (34 ± 11.5 years), physically active (71 %), non-smokers (9 %), and employed (72 %). Of those, 227 (72.5 %) presented vulvovaginal symptoms. Low educational level and no pregnancy were associated with vulvovaginal symptoms. The most prevalent symptoms were vaginal discharge (63.4 %) and itching (54.6 %).</div></div><div><h3>Conclusion</h3><div>The results indicated that vulvovaginal symptoms are prevalent in Brazilian women. Thus, developing effective care and disseminating knowledge about vulvovaginal symptoms, causes, and treatment, are important to improve health care in Brazilian women.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101184"},"PeriodicalIF":3.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508264","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":"Considerations when designing, analyzing, and reporting reliability studies","authors":"Paul Stratford,&nbsp;Gregory F. Spadoni,&nbsp;Ayse Kuspinar,&nbsp;Luciana Macedo","doi":"10.1016/j.bjpt.2025.101193","DOIUrl":"10.1016/j.bjpt.2025.101193","url":null,"abstract":"<div><h3>Background</h3><div>Reliability studies have a long history in the physical therapy literature and their sophistication has evolved over the decades. Often, however, there has been incomplete reporting or a lack of coherence among study purpose, design, choice of analysis, sample size justification, and reporting of results. Two possible explanations for this oversight are a vaguely written purpose statement and statistical software that does not provide all essential information.</div></div><div><h3>Objective</h3><div>The goal of this masterclass is to provide considerations and resources to assist investigators structure a coherent reliability study design and subsequent presentation of results.</div></div><div><h3>Discussion</h3><div>This masterclass highlights the importance of framing a study purpose that clearly distinguishes between a hypothesis testing and parameter estimation study and appropriately labelling the study design. It also stresses the importance of stating whether the raters are the only ones of interest or whether they are intended to represent a larger group of raters, applying a sample size calculation consistent with the study purpose, and reporting results that align with the study purpose and design.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101193"},"PeriodicalIF":3.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511801","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":"Normative values for calf muscle strength-endurance in the general population assessed with the Calf Raise Application: A large international cross-sectional study","authors":"Tjerk SO Sleeswijk Visser ,&nbsp;Seth O’ Neill ,&nbsp;Kim Hébert-Losier ,&nbsp;Denise Eygendaal ,&nbsp;Robert-Jan de Vos","doi":"10.1016/j.bjpt.2025.101188","DOIUrl":"10.1016/j.bjpt.2025.101188","url":null,"abstract":"<div><h3>Background</h3><div>Calf muscle strength-endurance can be reliably assessed with the Heel Rise Endurance Test (HRET), but normative values are lacking.</div></div><div><h3>Objectives</h3><div>To establish normative values for calf muscle strength-endurance, adjusted for personal characteristics.</div></div><div><h3>Methods</h3><div>500 individuals without current/previous symptoms of Achilles tendinopathy or recent lower limb immobilization were included. Primary outcome measures were the number of repetitions, total work (J), total vertical displacement (cm), and peak height (cm) upon the single-leg HRET, assessed using the validated Calf Raise Application. A multiple quantile regression model was developed, incorporating covariates (personal characteristics) which significantly impacted HRET metrics. Median (50.0th percentile) and 95 % reference intervals (2.5th-97.5th percentiles) were derived.</div></div><div><h3>Results</h3><div>55 % of the participants were female and 88 % participated in physical activities. Median (dominant/non-dominant leg) number of repetitions was 25/24, total work was 1374/1325 J, vertical displacement was 192/186 cm, and peak height was 9.3/9.6 cm. There was no significant difference between the dominant and non-dominant leg for any HRET metric. Lower physical activity levels, female sex, and higher body mass index (BMI) were associated with lower HRET metrics.</div></div><div><h3>Conclusions</h3><div>Normative calf muscle strength-endurance metrics (number of repetitions, total work, total displacement, and peak height) were developed. Personal characteristics influence HRET outcomes, with female sex, higher BMI, and lower physical activity levels being associated with lower HRET metrics. An openly accessible calculator for estimating normative HRET metrics was developed to help healthcare providers monitor personalized recovery trajectories and provide well-informed rehabilitation guidance. Documenting HRET metrics beyond repetition count may aid in assessing impairment severity and evaluating calf muscle function.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 3","pages":"Article 101188"},"PeriodicalIF":3.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509420","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":"More is not always better-association between hip range of motion and symptom severity in patients with femoroacetabular impingement syndrome: A cross-sectional study","authors":"Diogo A. Gomes ,&nbsp;Joshua Heerey ,&nbsp;Mark Scholes ,&nbsp;Andrea Mosler ,&nbsp;Denise Jones ,&nbsp;Sally Coburn ,&nbsp;Richard Johnston ,&nbsp;Rintje Agricola ,&nbsp;Michael Girdwood ,&nbsp;Marcella Ferraz Pazzinatto ,&nbsp;Joanne Kemp","doi":"10.1016/j.bjpt.2025.101189","DOIUrl":"10.1016/j.bjpt.2025.101189","url":null,"abstract":"<div><h3>Background</h3><div>Restricted hip range of motion (ROM) is a common finding in patients with femoroacetabular impingement (FAI) syndrome. However, the association between hip ROM and symptom severity in these individuals is unclear.</div></div><div><h3>Objective</h3><div>Explore associations between symptom severity and hip flexion and rotation ROM in patients with FAI syndrome and determine if ROM measures can discriminate those with worse symptoms.</div></div><div><h3>Methods</h3><div>Data from 150 participants with FAI syndrome were analysed. A digital inclinometer was used to measure hip flexion, internal rotation, and external rotation ROM. Symptom severity was quantified using the symptoms subscale of the international Hip Outcome Tool questionnaire (iHOT-Symptoms). Multivariable fractional polynomial analyses explored associations between hip ROM measures and symptom severity. Receiver operator characteristic curves explored the ability of ROM measurements to discriminate participants with different symptomatic states.</div></div><div><h3>Results</h3><div>Smaller hip flexion ROM values were associated with worse iHOT-Symptoms scores (<em>p</em> &lt; 0.01; R²=0.242); with the polynomial concave association attenuated at approximately 120° of hip flexion ROM. Hip internal rotation was weakly associated with iHOT-Symptoms score (<em>p</em> = 0.01; R²=0.033). Hip external rotation ROM was not associated with iHOT-Symptoms score (<em>p</em> = 0.06). A hip flexion value of 107° best discriminated mild to moderate and severe symptom states (sensitivity 92%, specificity 52%).</div></div><div><h3>Conclusion</h3><div>Less hip flexion ROM was associated with worse symptoms in patients with FAI syndrome. Patients with hip flexion ROM ≥ 107° had a 15-fold decrease in the likelihood of having severe symptoms. Hip rotation ROM measures do not have a clinically meaningful association with symptom severity.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101189"},"PeriodicalIF":3.1,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437474","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":"Psychological, disability, and somatosensory characteristics across different risk levels in individuals with low back pain: A cross-sectional study","authors":"Hester L. den Bandt ,&nbsp;Kelly Ickmans ,&nbsp;Ronald Buyl ,&nbsp;Lynn Leemans ,&nbsp;Jo Nijs ,&nbsp;Lennard Voogt","doi":"10.1016/j.bjpt.2025.101185","DOIUrl":"10.1016/j.bjpt.2025.101185","url":null,"abstract":"<div><h3>Background</h3><div>Current low back pain (LBP) treatment might be improved by tailoring treatments to subgroup characteristics. The Start Back screening Tool (SBT) and Central Sensitization Inventory (CSI) classify people with LBP into subgroups. It is currently unknown whether linear trends exist regarding somatosensory changes, psychological characteristics, and physical disability across severity levels of the SBT and CSI in patients with LBP.</div></div><div><h3>Objective</h3><div>To investigate whether linear trends in psychological variables (kinesiophobia, pain catastrophizing), disability, and somatosensory characteristics exist in a sample of people with acute and chronic LBP in primary care across severity levels based on the SBT and CSI.</div></div><div><h3>Methods</h3><div>Participants with LBP were recruited in primary care. Demographic, psychological, and disability data were obtained. A comprehensive Quantitative Sensory Testing (QST) protocol was followed. Linear contrast analysis was conducted.</div></div><div><h3>Results</h3><div>Kinesiophobia and pain catastrophizing show significant positive linear trends across the subgroups based on the SBT (<em>p</em> &lt; 0.001) and CSI (<em>p</em> &lt; 0.001 to <em>p</em> = 0.01). Heat pain threshold at the lower leg (<em>p</em> = 0.005) and pressure pain threshold at the lumbar region and lower leg (<em>p</em> = 0.02 and <em>p</em> = 0.04, respectively) show significant negative linear trends within the SBT. Negative linear trends in sensory changes exist within CSI for all pressure pain thresholds and a positive linear trend was seen in δ conditioned pain modulation at the thumb (<em>p</em> = 0.03).</div></div><div><h3>Conclusion</h3><div>Kinesiophobia, pain catastrophizing, disability, and pain intensity are positively related with the severity levels based on the SBT and CSI in our participants. Results of somatosensory changes were sometimes related to the severity levels.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101185"},"PeriodicalIF":3.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387350","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 experiences of physical therapists delivering a very low energy diet and exercise intervention for weight loss in people with knee osteoarthritis: A qualitative study","authors":"Kim Allison ,&nbsp;Rachel K Nelligan ,&nbsp;Belinda Lawford ,&nbsp;Sarah E Jones ,&nbsp;Rana S Hinman ,&nbsp;Jesse Pardo ,&nbsp;Jonathan G Quicke ,&nbsp;Priya Sumithran ,&nbsp;Jodie Prendergast ,&nbsp;Elena S George ,&nbsp;Melanie A Holden ,&nbsp;Nadine E Foster ,&nbsp;Kim L Bennell","doi":"10.1016/j.bjpt.2025.101172","DOIUrl":"10.1016/j.bjpt.2025.101172","url":null,"abstract":"<div><h3>Background</h3><div>Exercise and weight loss are core treatments for knee osteoarthritis (OA). While physical therapists are considered well placed to engage in weight management alongside exercise (not replacing dietician care), evidence surrounding physical therapist-delivered weight loss interventions is sparse.</div></div><div><h3>Objective</h3><div>To understand the experiences and perceptions of physical therapists delivering a very low energy diet (VLED) and exercise intervention to people with knee OA and overweight or obesity in a randomized controlled trial (RCT).</div></div><div><h3>Methods</h3><div>Qualitative interview study involving six physical therapists (mean age 34 years, median experience 3.5 years) who completed 20 hours of training and delivered a six-month diet+exercise intervention via telehealth to people with knee OA and overweight or obesity in the POWER RCT. Physical therapists participated in semi-structured individual telephone interviews on completion of RCT involvement. Data were audio-recorded, transcribed, and independently thematically analysed by two researchers.</div></div><div><h3>Results</h3><div>Three themes emerged. Physical therapists felt that delivering a weight loss intervention alongside exercise <em>enabled holistic OA management.</em> Enacting this role within a supportive research environment was considered unique and physical therapists felt the <em>training and resources facilitated care</em>. They felt that, with training, <em>weight loss may be within scope of physical therapy practice</em> for some patients with less complex needs although required alternate models of care including extended consult times, medical or dietician oversight and acknowledging physical therapist supervised weight loss would not be appropriate for all patients.</div></div><div><h3>Conclusion</h3><div>Findings provide preliminary insight into potential barriers and facilitators to, and acceptability of, physical therapists delivering a VLED and exercise intervention for weight loss in people with knee OA and overweight or obesity.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101172"},"PeriodicalIF":3.1,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350437","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":"“If by exercising I can conceive; I would like to exercise”. Exploring knowledge, perception, and practices about exercise among women with infertility: A qualitative study","authors":"Gundimi Shashwathi ,&nbsp;Bhamini Krishna Rao ,&nbsp;Ajay Bailey ,&nbsp;Pratap Kumar ,&nbsp;Preetha Ramachandra","doi":"10.1016/j.bjpt.2025.101186","DOIUrl":"10.1016/j.bjpt.2025.101186","url":null,"abstract":"<div><h3>Background</h3><div>Infertility is a rising global issue and when compared to men, women face greater stigma and consequences of infertility in developing countries. Women are prescribed exercises as a part of lifestyle intervention programs prior to artificial reproductive techniques (ART) to lose weight, to improve their chances of conception. However, adherence to exercise programs has been observed to be poor and the reasons for this remain less explored.</div></div><div><h3>Objective</h3><div>To explore the perceptions and practices about performing exercises among women with infertility.</div></div><div><h3>Methods</h3><div>A qualitative explorative study was conducted based on the interpretive framework. Face-to-face semi-structured in-depth interviews were conducted with 20 women diagnosed with primary or secondary infertility. Data were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>A total of 20 women, mean age 30.9 ± 4.8 years, body mass index 22.4 ± 1.9 kg/m², participated in the study. Four main themes were constructed: (1) knowledge about the causes of infertility - obesity and lifestyle changes; (2) modifications made in physical activity for conception - performing household chores, not exercising during menstruation, and reducing physical activity during or before Assisted Reproductive Techniques (ART); (3) perceptions towards health and fitness - lack of health problems, being strong and happy; (4) exercise and conception - perceived benefits of exercises, source of knowledge about exercises, preferred type of exercises, willingness to exercise, facilitators and barriers to exercise.</div></div><div><h3>Conclusion</h3><div>Knowledge about the causes of infertility, individual perception of health and fitness, the preferred mode of exercise, and barriers and facilitators to perform exercise are key aspects to be considered before planning an exercise intervention for women with infertility.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101186"},"PeriodicalIF":3.1,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143308056","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":"A Brazilian Association of Women´s Health Physical Therapy (ABRAFISM) guideline on the terminology of pelvic floor muscle function and assessment","authors":"Patricia Driusso ,&nbsp;Cristine Homsi Jorge ,&nbsp;Ana Jéssica dos Santos Sousa ,&nbsp;Daniela Fantin Carro ,&nbsp;Leticia Maciel de Freitas ,&nbsp;Simone Botelho ,&nbsp;Luiz Gustavo Oliveira Brito ,&nbsp;Maria Augusta Tezelli Bortolini ,&nbsp;Jorge Milhem Haddad ,&nbsp;Maria Palharini Volpato ,&nbsp;Cássio Riccetto ,&nbsp;Ana Carolina Rodarti Pitangui ,&nbsp;Néville Ferreira Facchini de Oliveira ,&nbsp;Elizabeth Alves Ferreira","doi":"10.1016/j.bjpt.2025.101173","DOIUrl":"10.1016/j.bjpt.2025.101173","url":null,"abstract":"<div><h3>Background</h3><div>There has been many efforts and updates over the years to develop a consensus for English terminology related to the pelvic floor (PF). There is a similar need to standardize physical therapy related PF terminology in Brazil.</div></div><div><h3>Objective</h3><div>To propose a guideline in Brazilian Portuguese language on the terminology related to the female PF function and assessment.</div></div><div><h3>Methods</h3><div>The Brazilian Association of Physical Therapy in Women's Health (ABRAFISM) established a working group (Steering committee) responsible for conducting a systematic review on PF terminology, propose definitions in Portuguese, and manage the developmental stages. A systematic review of international consensus was conducted and the terms related to the PF were identified, listed, and defined in Portuguese. A Delphi method was used to reach a consensus on the definitions by querying a panel of expert professionals with clinical and research experience in the PF field. This panel included 19 physical therapists from all Brazilian regions and two physicians. The Delphi process included the following steps: evaluation of proposed terms by the panel of experts; review of suggestions made by the panel of experts, modification of terms based on those suggestions, and a new round of evaluation of the modified terms until reaching an 80 % agreement.</div></div><div><h3>Results</h3><div>Two rounds were necessary for terms related to anatomy and signs/symptoms of the PF, while a 90 % consensus for terms related to assessment of the PF muscles was achieved in the first round.</div></div><div><h3>Conclusion</h3><div>A final Brazilian-Portuguese guideline with consensus terminology on anatomy, symptoms, signs, and terms related to assessment of PF muscles was developed.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101173"},"PeriodicalIF":3.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103576","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}