Brazilian Journal of Physical Therapy最新文献

{"title":"PHYSICAL THERAPY ASSESSMENT AND INTERVENTION IN MOTORCYCLE ACCIDENTS IN PRIMARY CARE: A NARRATIVE REVIEW","authors":"Ana Patricia Gomes Clementino , Melquisedek Monteiro de Oliveira , Eliane Araújo de Oliveira","doi":"10.1016/j.bjpt.2024.100626","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100626","url":null,"abstract":"<div><h3>Background</h3><p>Traffic accidents are an important problem for public health, due to their great impact on morbidity and mortality, with a predominance of motorcycle accidents. Brazil is ranked 5th among the countries with the highest number of traffic deaths and is also the second leading cause of death among all deaths from external causes. Motorcyclists are 14 times more susceptible to death. In view of the vulnerability of risk factors, it is important to consider the types of injuries and body areas most frequently affected due to motorcycle accidents, observing the magnitude of the trauma, such as traumatic brain injury (TBI) and spinal cord injury (TRM); fractures in the upper and lower limbs; various injuries, dislocations, sprains and abrasions, contusions, sprains/dislocations, and cuts/lacerations. The evaluation and treatment of the grievance directed to Primary Health Care in the rehabilitation of the patient with musculoskeletal and neurological impairment resulting from these accidents, lacks a physiotherapeutic evaluation with instruments that can contribute to the process of assessment and physiotherapeutic intervention. In the evaluation, anamnesis, physical examination, using measurement instruments for pain assessment, evaluation of attitudes and behavior and driving style, and the type and severity of injuries and possibility of survival of motorcyclists involved in traffic accidents are performed.</p></div><div><h3>Objectives</h3><p>The objective of this study was to conduct a Narrative Review on traffic accidents and to investigate the type of physical therapy evaluation with its respective intervention in Primary Care.</p></div><div><h3>Methods</h3><p>To this end, a literature review was conducted in the Scielo, Lilacs, and PUBMED databases, including combining terms and keywords using the Boolean operators OR and AND, with the following descriptors: Traffic Accidents, Physical Therapy, Primary Care.</p></div><div><h3>Results</h3><p>The results found showed a certain vulnerability in the rehabilitation of patients with musculoskeletal and neurological impairment resulting from these accidents, lacking an accurate physiotherapeutic evaluation, with validated instruments that can contribute to the process of evaluation and physiotherapeutic intervention.</p></div><div><h3>Conclusion</h3><p>The physiotherapist has been dedicating his attention, almost exclusively, to the prevention, cure, and rehabilitation of polytraumatized and/or sequelae patients, whose mission is to develop actions aimed at health maintenance or, in the last case, to the prevention of sequelae, and not only to rehabilitation, and in the scope of injury prevention and health promotion.</p></div><div><h3>Implications</h3><p>This study allows us to present suggestions for possible future research paths. Some of these suggestions are related to new studies on changes in conceptions, highlighting the importance of conducting Health Education action","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100626"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180678","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":"PAIN NEUROSCIENCE EDUCATION IN NECK PAIN MANAGEMENT: A SYSTEMATIC REVIEW","authors":"Alícia Correa Brant , Simone Amaral Farias , Antonio Igor de Castro Alves , Priscylla Ruany Mendes Pestana , Rebato Guilherme Trede Filho","doi":"10.1016/j.bjpt.2024.100605","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100605","url":null,"abstract":"<div><h3>Background</h3><p>Neck pain is a worldwide public health problem, highly prevalent, and varies significantly between countries. It is one of the leading causes of disability in the world. It is estimated that half of the world's population will experience an episode of neck pain. On the other hand, compared to other conditions, the number of treatments dedicated to the management of neck pain is relatively low. In comparison with traditional biomechanical models, Pain Neuroscience Education (PNE) is a recent approach, providing the patient with a better understanding of pain and the sensation experienced by him. Considering the heterogeneous nature of each individual and its multidimensionality, it is necessary to use the PNE in a heterogeneous way based on the patient.</p></div><div><h3>Objectives</h3><p>The purpose of this study was to explore the effectiveness of PNE as a treatment approach for people suffering from chronic neck pain.</p></div><div><h3>Methods</h3><p>This is a systematic review prospectively registered in PROSPERO (CRD42021283000), following the PRISMA checklist and Cochrane recommendations. Titles and abstracts were screened by independent reviewers, the inclusion criteria were published in the English language, investigating the effects of PNE on neck pain in adult subjects. The third reviewer will resolve discrepancies between reviewers The analysis of the methodological quality of the eligible studies was performed using the PEDro quality scale. Data were analyzed and extracted using the PICO strategy. For data analysis, the GRADE system was considered. Outcome measures were described in a narrative form.</p></div><div><h3>Results</h3><p>2670 studies were identified; 54 were considered potentially relevant and 10 of these were read in full. Finally, five articles met the inclusion criteria. The included studies analyzed the effect of PNE on 516 participants, of which 350 (67.82%) were female and 166 (32.17%) were male. The mean age of patients ranged between 18 and 65 years. The content of the educational sessions included approaches on peripheral sensitization, central sensitization, biopsychosocial factors related to pain, catastrophic thoughts, understanding and accepting pain, coping with pain, catastrophic factors, emotional response to pain, anxiety, fear of harm, concerns/ fear of pain, goal setting, nociceptive inhibition and facilitation, participation in social contexts, pain neurophysiology, general nervous system physiology, coping strategies, stress management, and progressive return to activities. The five studies included in this review addressed the effectiveness of PNE by addressing pain-related issues. The methodological quality ranged from 6 (moderate quality) to 10 (high quality), with an average score of 7.4. The duration of the educational sessions ranged from 30 to 90 minutes, some held in groups and others individually.</p></div><div><h3>Conclusion</h3><p>The results of this review show tha","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100605"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180680","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":"AUTOMATIC ROTATIONAL THERAPY IN MECHANICALLY VENTILATED INDIVIDUALS AND LONG STAY IN AN INTENSIVE CARE UNIT: SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"Anna Luísa Araújo Brito ,&nbsp;Amanda Caroline de Andrade Ferreira ,&nbsp;Jakson Henrique Silva ,&nbsp;Juliana Fernandes de Souza Barbosa ,&nbsp;Shirley Lima Campos","doi":"10.1016/j.bjpt.2024.100641","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100641","url":null,"abstract":"<div><h3>Background</h3><p>Invasive ventilatory support and prolonged immobility in bed are predictive factors for the development of respiratory and musculoskeletal complications in critically ill patients, favoring increased length of hospital stay, morbidity and mortality, and costs associated with long hospital stays.</p></div><div><h3>Objectives</h3><p>To evaluate the impact of automatic rotational therapy on length of stay in the intensive care unit (ICU) in mechanically ventilated patients.</p></div><div><h3>Methods</h3><p>Systematic review conducted from December to January 2023 with randomized clinical trials, following criteria reported in PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) registered in PROSPERO (CRD42022384258). The search strategy was built based on health sciences descriptors (DeCS), Medical Subject Headings (MeSH), keywords and synonyms most found in the literature. The search was carried out in seven databases: MEDLINE/PubMed, EMBASE, Scopus, Science Direct, Cochrane Library, CINAHL, and Web of Science. The eligibility criteria involved studies that evaluated automatic rotational therapy compared with changing the manual decubitus position during the length of stay in the ICU in individuals of both genders aged 18 years or older using invasive mechanical ventilation for a period. greater than 24 hours. There was no restriction on language or year of publication. The risk of bias was assessed using the Cochrane collaboration tool.</p></div><div><h3>Results</h3><p>118 articles were identified, after excluding duplicates and reading in full, 9 were eligible, involving 679 participants. The number of individuals evaluated per article ranged from 27 to 124 in the control and intervention groups. For meta-analysis, four studies were included, totaling 323 participants. The standardized mean (SMD) difference was -0.03 days (95% CI -0.40, 0.35, p=0.90) between automatic rotational therapy and conventional recumbency, with no significant difference between groups with high evidence of overall heterogeneity (χ2 8.26, p= 0.04, I2 = 64%).</p></div><div><h3>Conclusion</h3><p>Automatic rotational therapy did not have a significant impact on the length of stay in the ICU in mechanically ventilated critical patients. Therefore, it is not possible to make definitive recommendations on this therapy, reinforcing the need for new randomized clinical trials to better answer the research question.</p></div><div><h3>Implications</h3><p>The development of this systematic review and meta-analysis enabled the expansion of knowledge about the possible benefits of automatic rotational therapy in critically ill patients, for future contributions to the scientific community and, due to the high heterogeneity between studies, it is shown as a field to be explored in future studies.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100641"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180690","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":"DEFINITIONS AND ASSESSMENTS OF PAIN WITH IMPACT IN CHILDREN AND ADOLESCENTS: A SCOPING REVIEW","authors":"Bruna Alves Hatakeyama ,&nbsp;Mariana Nascimento Leite ,&nbsp;G. Lorimer Moseley ,&nbsp;Christopher M Williams ,&nbsp;Steven J Kamper ,&nbsp;Tiê P Yamato","doi":"10.1016/j.bjpt.2024.100659","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100659","url":null,"abstract":"<div><h3>Background</h3><p>There is growing recognition that a substantial proportion of children and adolescents are challenged by pain. However, there are inconsistencies as to how pain is defined. There is no consensus on what constitutes pain with sufficient impact to warrant concern for a child or adolescent.</p></div><div><h3>Objectives</h3><p>The aim of this scoping review is to provide an overview of the descriptors used to define pain with impact on children and adolescents.</p></div><div><h3>Methods</h3><p>We considered studies on pain in children and adolescents of school age (6 to 19 years). The definitions of pain with impact in children and adolescents were descriptively reported. To analyze the structure of the pain definitions, we grouped the definitions according to the impact of pain and based on 4 main domains: (1) presence of physical complaint, (2) impact of physical complaint, (3) temporal characteristic of the physical complaint, and (4) association with secondary disorders.</p></div><div><h3>Results</h3><p>Searches identified a total of 52,731 records and based on our inclusion criteria, 436 articles were included in this scoping review. Of these, 352 studies proposed to assess pain as a primary outcome but did not provide information on how pain was defined. In these studies, the most reported painful condition was “chronic pain,” with symptoms over 3 months, and the most used measurement instrument was the Numerical Rating Scale (NRS). Eighty-four studies assessed the impact of pain and provided a definition. For the description of 'symptoms', the most used terms were “pain” or “discomfort”, but few studies mentioned “impact”, the most used terms being “not being able to participate in daily activities” and “functional disability”. The most used assessment instrument was the Numerical Rating Scale (NRS).</p></div><div><h3>Conclusion</h3><p>Most studies did not propose a detailed definition and there is no standardization of the terms used even to search for the same concept. The lack of consensus on a definition of pain with impact in children and adolescents makes it difficult to compare the findings.</p></div><div><h3>Implications</h3><p>Although many studies include in their primary data the investigation of pain with impact, there is a lack of descriptions regarding the 'impact' of the condition in children and adolescents. Although the most used tools for assessing pain with impact have been the Numerical Rating Scale (NRS) and the Visual Analog Scale (VAS), these tools are quantitative and may not capture the complexity of the pain or its potential impact on the patient's life.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100659"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179694","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":"ASSESSMENT OF EXERCISE CAPACITY IN INDIVIDUALS HOSPITALIZED FOR COVID-19: COMPARISON BETWEEN 30 DAYS AND 12 MONTHS AFTER HOSPITAL DISCHARGE","authors":"Ana Carolina Vaz dos Santos ,&nbsp;Daiane Roberta Viana ,&nbsp;Lívia Maria Petilli Zopelari ,&nbsp;Marielle Cristina Luciano ,&nbsp;Maria Gabriela Colucci ,&nbsp;Valéria Amorim Pires Di Lorenzo","doi":"10.1016/j.bjpt.2024.100615","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100615","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;The 6-Minute Step Test (6MST) has been used to evaluate exercise capacity and physiological responses during the test in different populations, to assess physical performance for the activity of stepping up and down a step, as well as check for possible symptoms that the individual may present during the test. The use of 6MST to evaluate the exercise capacity of individuals who were hospitalized for COVID-19 can identify the persistence of symptoms and exercise intolerance.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To compare the exercise capacity and physiological responses of individuals hospitalized for COVID-19 using the 6MST, at 30 days and 12 months after hospital discharge.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;A longitudinal study was conducted with individuals hospitalized for COVID-19 and evaluated at two-time points: 30 days after hospital discharge and 12 months after hospital discharge. The 6MST was applied with monitoring of vital signs (blood pressure - BP, heart rate - HR, and peripheral oxygen saturation - SpO2) and recording of perceived pain/fatigue in the lower limbs and respiratory fatigue. At the end of the test, the number of steps executed was recorded to establish the individual's exercise capacity and to identify the percentage of the number of steps achieved according to predicted values for sex, age, height, and weight.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Twenty-three individuals were evaluated, and a significant difference was found in the 6MST performance (p≤0.05), with a higher number of steps recorded in the evaluation after 12 months of hospital discharge in 82.6% of individuals. Regarding vital signs, there was a statistically significant difference (p≤0.05) in SpO2 at the peak of the 6MST, with better saturation in the evaluation performed after 12 months of hospital discharge. There was a moderate positive correlation (R=0.420, p≤0.046) between a worse 6MST performance (evaluated by the number of steps) in individuals who required intensive care. There was no statistically significant difference (p≤0.05) in HR and SpO2 at the peak of the test and in the first minute of recovery.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;The exercise capacity verified by the 6MST performance in individuals who were hospitalized and received intensive care due to COVID-19 is significantly lower in the first days after hospital discharge, compared to a period of 12 months after discharge. The 6MST performance was better after 12 months of hospital discharge, indicating improvement in exercise tolerance in 82.6% of individuals. The mean SpO2 measured at the peak of the 6MST was lower in the evaluation at 30 days compared to the assessment at 12 months after hospital discharge. It may be related to lower exercise capacity in individuals affected by COVID-19.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;p&gt;It is necessary to monitor these individuals affected by COVID-19, and when indicated, they should be included in a pulmonary rehabi","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100615"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179773","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":"INFRARED THERMOGRAPHY FOR EVALUATION OF TENDING INJURIES: AN INTEGRATIVE REVIEW","authors":"Beatriz Rozendo da Silva ,&nbsp;José Jamacy de Almeida Ferreira ,&nbsp;Eliane Araújo de Oliveira","doi":"10.1016/j.bjpt.2024.100650","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100650","url":null,"abstract":"<div><h3>Background</h3><p>Tendon dysfunctions are classified into overuse tears, injuries, and inflammatory conditions such as tendinopathies. Infrared thermography (IT) is a diagnostic technique that has been used to evaluate these disorders.</p></div><div><h3>Objective</h3><p>Identify how IT can be useful in tracking normal and/or abnormal thermal profiles in tendinopathies.</p></div><div><h3>Methods</h3><p>An integrative bibliographic review was carried out in the PUBMED, PEDro and CENTRAL databases, from 03/24/2022 to 04/05/2022, including the combination of terms and keywords using the Boolean operators OR and AND, with the following descriptors: Tendinopathy; Tendinitis; Tendinitis; Tendon injury; Tendon injuries; Risk of tendon injury; Risks of tendon injuries; Tendinosis; Tenosynovitis; Tendon overload; Paratendinitis; Paratendinitis; Peritendonitis; peritendinitis; Impact; impacts; Loom; Tears; Infrared thermography; Thermography; Thermographic change; Thermal imaging; Thermal Imaging; Infrared imaging; Infrared imaging; Temperature mapping; Temperature mapping; Infrared thermal imaging; Skin temperature; Grouped thermographic changes. Inclusion criteria: The search was carried out in English, without time restrictions, and articles with results and discussion: journals in all languages, clinical trial-type studies, precision and observational type of case study, case-control, cohort and cross-sectional studies, with a population of both sexes, and which used thermography as a screening method for tendon injuries. Exclusion criteria: Articles that did not present all the results used in the study.</p></div><div><h3>Results</h3><p>1,279 studies were selected, and after reading the titles and abstracts, those that did not meet the criteria and duplicates were excluded, leaving 16 articles included. Of these, seven were selected to compose the results. In general, it was analyzed that IT is an excellent tool with potential for evaluation, diagnosis, monitoring, and prevention purposes, as it is possible to track asymmetries, inflammation, training effects, performance improvement and prevention of tendon injuries.</p></div><div><h3>Conclusion</h3><p>According to the literature review carried out, it was observed that IT is suitable for analyzing tendon tissues, taking into account different research strategies. However, it is important that new accuracy studies, such as randomized clinical trials, are developed since current studies do not yet have a consensual level of scientific evidence.</p></div><div><h3>Implications</h3><p>The IT used in this context of assessing tendon injuries becomes useful so that the physiotherapist has an assessment tool with excellent predictive power, so that his practice is safer and more supported.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100650"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECTIVENESS OF CONSERVATIVE THERAPY ON PAIN, DISABILITY AND QUALITY OF LIFE FOR LOW BACK PAIN IN PREGNANCY: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS","authors":"Laísa B Maia ,&nbsp;Letícia G Amarante ,&nbsp;Débora FM Vitorino ,&nbsp;Rodrigo O Mascarenhas ,&nbsp;Ana Cristina R Lacerda ,&nbsp;Bianca M Lourenço ,&nbsp;Vinícius C Oliveira","doi":"10.1016/j.bjpt.2024.100654","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100654","url":null,"abstract":"<div><h3>Background</h3><p>The efficacy of conservative therapy for low back pain in pregnancy (PLBP) is unclear.</p></div><div><h3>Objective</h3><p>To investigate the efficacy of conservative therapy on pain, disability, and quality of life in PLBP.</p></div><div><h3>Methods</h3><p>The search strategy was conducted on six databases up to August 24, 2020, without date or language restrictions. Minimal intervention (i.e., placebo, sham, waiting list, or no intervention) was the comparator of interest. Selection of randomized controlled trials, data extraction and methodological quality assessment of included trials were conducted independently by two reviewers. The PEDro scale (0-10) was used to assess methodological quality. Effect sizes for specific therapies were pooled when possible, using random-effects models. The quality of the evidence was assessed using the Grading of Recommendations Assessment (GRADE) approach.</p></div><div><h3>Results</h3><p>Ten included trials provide uncertain evidence (low to very low quality) about the effects of auriculotherapy, education, exercise, exercise plus education, oil treatment, and osteopathy in pain, disability, and quality of life at short- and long-term. At short-term, mean differences (MDs) and 95% confidence intervals (CI) on a 0-10 points pain intensity scale were: for oil treatment, 2.8 points (2.6, 3.1) (n = one trial, 114 participants); for auriculotherapy, 1.6 points (1.2, 2.0) (n = one trial, 112 participants); for exercise, 2.2 points (-1.8, 6.2) (n = three trials, 297 participants).</p></div><div><h3>Conclusion</h3><p>There is an urgent need for larger, high-quality trials investigating the effects of conservative therapy on pain, disability, and quality of life in this population.</p></div><div><h3>Implications</h3><p>Our systematic review shows that the evidence is very uncertain about the effect of conservative therapy (e.g., oil treatment, auriculotherapy, and exercise) on pain, disability, and quality of life in the short- and long term.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100654"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179881","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":"CARACTERIZATION OF MANUAL PREFERENCE IN CORPUS CALLOSUM DYSGENESIS","authors":"Danielle Agostinho ,&nbsp;Myriam Monteiro ,&nbsp;Bruna Barreto ,&nbsp;Fabio dos Anjos ,&nbsp;Fernanda Tovar-Moll","doi":"10.1016/j.bjpt.2024.100691","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100691","url":null,"abstract":"<div><h3>Background</h3><p>Corpus callosum dysgenesis (CCD) is a neurodevelopmental malformation characterized by the total or partial absence or hypoplasia of the corpus callosum (CC); the structure responsible for connecting both cerebral hemispheres. CCD is associated with cognitive, social, visual, auditory, motor, somatosensory and language alterations. Considering that CC seems to play an important role in the establishment of cerebral asymmetries, whether DCC patients have an indeterminate or strong handedness is an open question we addressed here.</p></div><div><h3>Objectives</h3><p>This study aimed at investigating the influence of CCD on manual preference.</p></div><div><h3>Methods</h3><p>An observational study with nine DCC patients were recruited from the Instituto D'Or de Pesquisa e Ensino (Rio de Janeiro, Brazil). The Edinburgh Handedness Inventory was used to assess manual preference. The inventory has 10 items: writing, drawing, throwing, scissors, toothbrush, knife, spoom, broom, match and open a box. The laterality quotient (LQ) was applied as follows: LQ = [(R-L) / (R+L) X 100], ranging from -100 (strong left-handedness) to +100 (strong right-handedness). The statistical analysis involves data description by means of number (%) of occurrences or mean (±standard deviation).</p></div><div><h3>Results</h3><p>Regarding the clinical characteristics of the sample, two types of CCD were identified: Total Agenesis (N = 6, 66.3%) and CC Hypoplasia (N = 3, 33%). Furthermore, the results showed that the type of CDD was isolated (Total Agenesis: N = 4, 44.4%; CC Hypoplasia: N = 2, 22.2%) or associated with other nervous system conditions (Total Agenesis: N = 1, 11.1%; CC Hypoplasia: N = 1, 11.1%). For manual preference, all subjects obtained the maximum score of the assessment instrument (strong left-handedness: N = 3, 33.3%; strong right-handedness: N = 6, 66.6%).</p></div><div><h3>Conclusion</h3><p>These results indicate that patients have a strong manual preference, regardless of the type of CDD and associations with nervous system conditions.</p></div><div><h3>Implications</h3><p>These findings can advance knowledge in the clinical condition of CCD and, consequently, influence the treatment and further research.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100691"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FACTORS RELATED TO THE RISK OF ABNORMAL GENERAL MOVEMENTS IN PRETERM INFANTS IN A NEONATAL INTENSIVE CARE UNIT: DEVELOPMENT OF A MULTI-CRITERIA INDEX","authors":"Ana Flávia de Souza Pascoal ,&nbsp;Karoline Tury de Mendonça ,&nbsp;Rosane Luzia de Souza Morais ,&nbsp;Bernat Viñola Prat ,&nbsp;Fernanda de Córdoba Lanza ,&nbsp;Ana Cristina Resende Camargos","doi":"10.1016/j.bjpt.2024.100619","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100619","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;The General Movements Assessment (GMA) is one of the most important tools for early diagnosis of neurodevelopmental disorders. It is a reliable, quick, and non-invasive assessment of spontaneous movements in newborns, ideal for use in the Neonatal Intensive Care Unit (NICU). Previous studies have identified a strong influence of postnatal clinical factors on the classification of general movements using the GMA in the NICU. However, this literature is still scarce in developing countries, limiting the use of the tool and, consequently, the early diagnosis and the monitoring of developmental changes.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To develop a multicriteria index with the main clinical factors related to the occurrence of abnormal classification of general movements during the NICU stay; To verify the contribution of the index to explain the percentage of abnormal classifications of general movements and to identify babies at risk for developmental changes.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;This is an exploratory cross-sectional study, with data from a prospective longitudinal study. Preterm newborns (PTNB) with less than 37 weeks of gestational age were included, according to admission to the NICU. Their spontaneous movements were classified as normal or abnormal through the GMA by 2 trained and certified evaluators. The babies' clinical variables were recorded on a data sheet. Data analysis was performed using the Multicriteria Decision Support, a method that allows the development of an index to identify risk factors related to the abnormal classification of the general movements of newborns.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Fifty-two PTNB were evaluated, of which 30 (57.7%) were male, with a mean gestational age of 31.63 (±2.38) and mean birth weight of 1560.13 (±412.86). The mean total hospitalization time of the babies was 32.84 days, with the mean use of mechanical ventilation for 2.05 days; 45 (86.5%) used non-invasive ventilatory support and/or oxygen therapy. Grade I-II peri-intraventricular hemorrhage was identified in 24 (44.8%) babies and grade III in just two (3.8%); 4 (7.7%) PTNB had patent ductus arteriosus and 7 (13.5%) had postnatal infection. As for socioeconomic level, 44 (84.6%) families had an average income of less than 2 minimum wages. The multicriteria index was calculated from the equation: Multicriteria Index child i = Evaluation criterion 1 child i weight criterion 1 + .... + Evaluation criterion n child i weight criterion n. A significant positive linear association was found between the multicriteria index and the abnormal trajectories of general movements (R2=0.27; β=0.51; p&lt;0.0001).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;The developed multicriteria index was able to identify PTNB with a higher risk of developmental changes, given its positive relationship with the percentage of abnormal general movements.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;p&gt;The results of the present study reinforce ","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100619"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"THE RELATIONSHIP OF FUNCTION, FLEXIBILITY, AND RIGIDITY OF THE HIP AND PERFORMANCE IN THE MODIFIED STAR EXCURSION BALANCE TEST","authors":"Ana Luiza Oliveira ,&nbsp;Isadora Gomes A. Mariano ,&nbsp;Gabriela Guimarães C. Aguiar ,&nbsp;Ana Caroline S. Ferreira ,&nbsp;Laís Emanuelle M. Alves ,&nbsp;Luciana D. Mendonça","doi":"10.1016/j.bjpt.2024.100625","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100625","url":null,"abstract":"<div><h3>Background</h3><p>The Modified Star Excursion Balance Test (mSEBT) was developed as a dynamic postural control test, has been shown to be predictive of lower limb injuries and is consolidated as a valid and reliable measure. However, the relationship between hip variables and mSEBT performance has not been fully elucidated. Deficits in muscle function, flexibility, and range of motion (ROM) of passive medial rotation (MR) of the hip can compromise the performance of mSEBTs.</p></div><div><h3>Objectives</h3><p>To verify whether function, flexibility and passive ROM of hip MR predict mSEBT performance in athletes and practitioners of physical activity.</p></div><div><h3>Methods</h3><p>The database of the Physiotherapy Assessment Tool (PHAST) application was used to analyze the records of 125 patients. The relationship of the variables was verified, using multiple linear regression: function of hip extensors, gluteus medius and maximus, the flexibility of iliopsoas, rectus femoris and hamstrings, as well as passive ROM of medial rotation MR hip of the dominant limb with recordings of anterior, posteromedial, and lateral reach distance, as well as mSEBT composite score.</p></div><div><h3>Results</h3><p>The results revealed a statistically significant model for hip extensor function predicting mSEBT performance in 6% for the composite score (F = 8.07; R = 0.24; R²= 0.062; p = 0.005), in 7% for the posterolateral reach distance (F = 9.18; R = 0.26; R²= 0.070; p = 0.003), by 7% for the posteromedial reach (F = 9.12; R = 0. 26; R²= 0.069; p = 0.003). The association of hip extensor function with gluteus medius function predicted mSEBT performance by 13% for posteromedial reach distance (F = 9.40; R = 0.36; R²= 0.13; p = 0.000). No other associations of hip variables were observed.</p></div><div><h3>Conclusion</h3><p>Hip extensor function has a statistically significant, but weak, association with mSEBT composite score performance and posterolateral and medial reaching distances. The hip extensor and gluteus medius functions had the highest percentage of prediction, still low, of mSEBT performance for the posteromedial reach.</p></div><div><h3>Implications</h3><p>These findings provide useful information for clinical practice on the contribution of hip musculature functions to mSEBT performance, injury prediction/prevention, and dynamic postural control in athletes and practitioners of physical activities.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100625"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180663","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}