Brazilian Journal of Physical Therapy最新文献

{"title":"Reliability and construct validity of the Craniocervical Flexion Test in patients with migraine","authors":"Amanda Rodrigues ,&nbsp;Gabriela Ferreira Carvalho ,&nbsp;Lidiane Lima Florencio ,&nbsp;Jaqueline Martins ,&nbsp;Carina Ferreira Pinheiro-Araújo ,&nbsp;Milena Dietrich Deitos Rosa ,&nbsp;Fabíola Dach ,&nbsp;Débora Bevilaqua-Grossi","doi":"10.1016/j.bjpt.2024.101085","DOIUrl":"10.1016/j.bjpt.2024.101085","url":null,"abstract":"<div><h3>Background</h3><p>Migraine may be accompanied by several cervical musculoskeletal dysfunctions, for example an altered performance on the Craniocervical Flexion Test (CCFT). However, CCFT measurement properties are still unclear in patients with migraine.</p></div><div><h3>Objectives</h3><p>To determine intra- and inter-examiner reliability, construct validity, standard measurement error (SEM), and minimal detectable change (MDC) of the CCFT in patients with migraine.</p></div><div><h3>Methods</h3><p>Women diagnosed with migraine were considered eligible for this study. Participants were assessed by two examiners for the inter-examiner reliability, and with 7–10 days interval for the intra-examiner reliability. Construct validity was assessed considering headache and neck pain frequency and intensity, and self-reported questionnaires, including the Headache Impact Test – 6 items (HIT-6), the 12-item Allodynia Symptom Checklist/Brazil (ASC-12), and the Neck Disability Index (NDI). In addition, participants performed cervical endurance and maximal voluntary isometric contraction of the cervical flexors.</p></div><div><h3>Results</h3><p>A total of 103 women with migraine were recruited. The intra-examiner reliability was rated as good (ICC= 0.81, 95% CI: 0.73, 0.87), while the inter-examiner reliability was rated as moderate (ICC= 0.55, 95% CI: 0.40, 0.67). The intra and inter-examiner SEM were 1.31 and 1.36 mmHg respectively, and MDC were 3.63 and 3.77 mmHg. The HIT-6 and the cervical endurance flexion test were associated with the CCFT in a multiple linear regression model (<em>p</em> = 0.004, <em>R</em> = 0.35).</p></div><div><h3>Conclusion</h3><p>The CCFT presents adequate intra- and inter-examiner reliability. Better performance on the CCFT test was associated with better HIT-6 scores and greater cervical endurance time, which was not influenced by the presence of neck pain.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101085"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395833","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":"Embedded motivational interviewing combined with a smartphone application to increase physical activity in people with sub-acute low back pain: a cluster randomised controlled trial","authors":"Jason Holden ,&nbsp;Paul O'Halloran ,&nbsp;Megan Davidson ,&nbsp;Jeff Breckon ,&nbsp;Wenny Rahayu ,&nbsp;Melissa Monfries ,&nbsp;Nicholas F. Taylor","doi":"10.1016/j.bjpt.2024.101091","DOIUrl":"10.1016/j.bjpt.2024.101091","url":null,"abstract":"<div><h3>Background</h3><p>Moderately vigorous physical activity (PA) may be beneficial for people with sub-acute low back pain (LBP), but may initially be painful for patients and challenging for physical therapists to facilitate.</p></div><div><h3>Objectives</h3><p>This study investigated motivational interviewing (MI) delivered by physical therapists and a smartphone app for increasing PA in people with LBP.</p></div><div><h3>Methods</h3><p>A mixed methods cluster randomised controlled trial involving 46 adults with LBP in Melbourne, Australia. Participants attended weekly 30-min physical therapy consultations for 6 weeks. Experimental group physical therapists were taught to embed MI into consultations and patients were provided with a self-directed app. The primary outcome was accelerometer-derived moderately vigorous PA. Secondary outcomes were LBP disability (Oswestry Disability Index), functional capacity (Patient Specific Functional Scale), and self-efficacy (Pain Self-Efficacy Questionnaire). Between-group differences were analysed by ANCOVA post-intervention.</p></div><div><h3>Results</h3><p>There was no statistically significant difference between the experimental group and control group for PA. Between-group differences in LBP disability (MD= 19.4 units, 95% CI: 8.5, 30.3), functional capacity (primary MD= −4.1 units, 95% CI: −6.9, −1.3; average MD= −3.1, 95% CI: −4.9, −1.2) and self-efficacy (MD −11.3 units, 95%CI −20.2, −2.5) favoured the control group with small to moderate effect sizes. There were low levels of overall engagement with the app.</p></div><div><h3>Conclusion</h3><p>The embedded MI intervention was no more beneficial than physical therapy alone for PA and was associated with poorer LBP disability, function, and self-efficacy. The effectiveness of embedding MI and a smartphone app into usual care for LBP was not supported.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101091"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S141335552400501X/pdfft?md5=d8f2a682794c7cd9c5c685f9ed5b43b1&pid=1-s2.0-S141335552400501X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141404418","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":"Does Transcranial Direct Current Stimulation reduce central and peripheral muscle fatigue in recreational runners? A triple-blind, sham-controlled, randomized, crossover clinical study","authors":"Laura Uehara ,&nbsp;Daniel Boari Coelho ,&nbsp;Abrahão Fontes Baptista ,&nbsp;Lucas Santana ,&nbsp;Rafael Jardim Duarte Moreira ,&nbsp;Yossi Zana ,&nbsp;Luciana Malosá ,&nbsp;Taiane Lima ,&nbsp;Gabriela Valentim ,&nbsp;Alejandra Cardenas-Rojas ,&nbsp;Felipe Fregni ,&nbsp;João Carlos Ferrari Corrêa ,&nbsp;Fernanda Ishida Corrêa","doi":"10.1016/j.bjpt.2024.101088","DOIUrl":"10.1016/j.bjpt.2024.101088","url":null,"abstract":"<div><h3>Background</h3><p>Runners seek health benefits and performance improvement. However, fatigue might be considered a limiting factor. Transcranial Direct Current Stimulation (tDCS) has been investigated to improve performance and reduce fatigue in athletes. While some studies showing that tDCS may improve a variety of physical measures, other studies failed to show any benefit.</p></div><div><h3>Objective</h3><p>To evaluate the acute effects of tDCS on central and peripheral fatigue compared to a sham intervention in recreational runners.</p></div><div><h3>Methods</h3><p>This is a triple-blind, controlled, crossover study of 30 recreational runners who were randomized to receive one of the two interventions, anodal or sham tDCS, after the fatigue protocol. The interventions were applied to the quadriceps muscle hotspot for 20 min. Peak torque, motor-evoked potential, and perceived exertion rate were assessed before and after the interventions, and blood lactate level was assessed before, during, and after the interventions. A generalized estimated equation was used to analyze the peak torque, motor-evoked potential, and blood lactate data, and the Wilcoxon test was used for perceived exertion rate data.</p></div><div><h3>Results</h3><p>Our findings showed no difference between anodal tDCS and sham tDCS on peak torque, motor-evoked potential, blood lactate, and perceived exertion rate.</p></div><div><h3>Conclusion</h3><p>The tDCS protocol was not effective in improving performance and reducing fatigue compared to a sham control intervention.</p></div><div><h3>Brazilian Clinical Trials Registry</h3><p>RBR-8zpnxz.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101088"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471916","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":"Exercise therapy and physical activity in the paradigm shift from a tissue- and disease-based pain management approach towards multimodal lifestyle interventions for chronic pain","authors":"Jo Nijs ,&nbsp;Kenza Mostaqim ,&nbsp;Rob Oostendorp","doi":"10.1016/j.bjpt.2024.101101","DOIUrl":"10.1016/j.bjpt.2024.101101","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101101"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847826","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 is the most appropriate handgrip strength testing protocol for sarcopenia screening in older adults with cognitive impairment?","authors":"Patrícia Azevedo Garcia ,&nbsp;Raphaela Xavier Sampaio ,&nbsp;Júlia Araújo de Moura ,&nbsp;Phylipi Figuêiredo de Souza ,&nbsp;Ludmille Bezerra da Costa ,&nbsp;Felipe Augusto dos Santos Mendes","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":"28 4","pages":"Article 101104"},"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":"28 3","pages":"Article 101084"},"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":"28 3","pages":"Article 101077"},"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":"28 3","pages":"Article 101076"},"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":"28 3","pages":"Article 101082"},"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":"28 3","pages":"Article 101081"},"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}