Brazilian Journal of Physical Therapy最新文献

{"title":"RELATIONSHIP BETWEEN CAPABILITY AND PERFORMANCE IN CHILDREN AND ADOLESCENTS WITH CEREBRAL PALSY IN THE FEDERAL DISTRICT","authors":"Amanda Larissa Oliveira Lima ,&nbsp;Nadine Oliveira Cabral ,&nbsp;Thamiris da Silva dos Santos ,&nbsp;Ranny Keatlyn de Oliveira ,&nbsp;Kênnea Martins Almeida ,&nbsp;Aline Martins de Toledo","doi":"10.1016/j.bjpt.2024.100610","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100610","url":null,"abstract":"<div><h3>Background</h3><p>The child with Cerebral Palsy (CP) presents different ways of locomotion which are influenced by the environment and can act as a facilitator or a barrier. According to the International Classification of Functioning, Disability, and Health (ICF), capacity refers to abilities in a controlled situation and environment and indicates the maximum level of functionality for a given moment, with minimal influence of environmental factors. On the other hand, performance refers to the execution of activities in everyday environments, such as home, school, and community, considering the environment in which the child is inserted. The difference between capacity and performance expresses the impacts of the controlled environment and the customary environment, allowing guidance on what can be modified in the environment to improve performance.</p></div><div><h3>Objectives</h3><p>To verify the relationship between ability and mobility performance in three different environments in children and adolescents with Cerebral Palsy in the Federal District and surroundings.</p></div><div><h3>Methods</h3><p>This is a Cross-sectional study. Thirty-eight children, from age 4 to 17 years old (±7.4 years), diagnosed with CP at all five levels of the Gross Motor Function Classification System (GMFCS) were included. Mobility capacity was verified using the Gross Motor Function Measure test score, version 66 (GMFM-66). Performance was evaluated using the Function Mobility Scale (FMS), in the home, school, and community environments, in 8 levels: 6- independent on all surfaces; 5- independent on ground surfaces; 4- uses canes, 3- crutches; 2- walker; 1- wheelchair; N- does not complete the distances; C - crawls. The sample characteristics were analyzed using descriptive statistics. Spearman (r) correlation was performed between GMFM-66 scores and FMS levels in the three environments (home, school, and community). The strengths of the correlations were determined as follows: r=0.00-0.19 very weak correlation, r=0.20-0.39 weak correlation, r=0.40-0.59 moderate correlation, r=0 .60-0.79 strong correlation, r=0.80-1.00 very strong correlation.</p></div><div><h3>Results</h3><p>38 children with CP participated, 62% male, 76.5% with bilateral impairment, 26.3% GMFCS V, 15.8% GMFCS IV, 10.5% GMFCS III, 26.3 GMFCS II and 21.1% GMFCS I and 84.2% SUS users (Unified Health System). A strong correlation was found between ability and mobility performance at home (R = 0.726; p &lt;0.001), school (R = 0.726; p&lt; 0.001) and community (R = 0.680; p&lt;0.001) environments.</p></div><div><h3>Conclusion</h3><p>Results of mobility, ability, and performance are strongly correlated in children and adolescents with cerebral palsy aged 4 to 17 years.</p></div><div><h3>Implications</h3><p>This study demonstrates that children are performing mobility at home, at school, and in the community according to what they are able to accomplish.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100610"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180685","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":"BLADDER TRAINING IN THE IMPROVEMENT OF OVERACTIVE BLADDER SYMPTOMS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS","authors":"Anna Karoline Lopes Rocha ,&nbsp;Liana Barbaresco Gomide ,&nbsp;Silvia Elizate Monteiro ,&nbsp;Ingrid Campos ,&nbsp;Cássio Riccetto ,&nbsp;Simone Botelho","doi":"10.1016/j.bjpt.2024.100640","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100640","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Bladder training (BT) is characterized by a programmed voiding regimen with gradually adjusted voiding intervals and is commonly used in the conservative treatment of individuals with overactive bladder (OAB).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To investigate and update the literature on the effectiveness of BT treatment alone and/or combined with other therapeutic strategies that can promote improvement in OAB symptoms and quality of life and report adverse events.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;The systematic review was performed in eight databases, including PubMed, PEDro, SciELO, LILACS, Cochrane Library, Web of Science, EMBASE and CINAHL. After selecting the titles, abstracts and full texts retrieved. To assess the risk of bias of the studies, the Cochrane RoB 2 tool and the GRADE system were used to determine all the evidence of the studies analyzed. The protocol of this study is available in the PROSPERO systematic review protocol registry database with the registration number (PROSPERO CRD42022301522).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;The search generated a total of fourteen randomized controlled trials (RCTs) included in the review. The total participants were 2,319 (men and women) from 9 countries. The minimum age of the sample was 18 and the maximum age was 80 years. RCTs featured BT isolated (n=12), BT + intravaginal electrical stimulation (IVES) (n=2), BT + DT (drug treatment) (n=5), DT (n=7), BT + Biofeedback (BF) + IVES (n=1), PFMT + BF (n=1), BT + PFMT + behavioral education/therapy (n=2), BT + PTNS (percutaneous tibial nerve stimulation) or BT + TTNS (transcutaneous tibial nerve stimulation) (n=1). To the meta-analyses BT combined with IVES in the short-term follow-up period promoted improvement in nocturia (DM: 0.89, 95% CI: 0.59-1.20), urinary incontinence (DM: 1.93, 95% CI:1.32-2.55) and quality of life (DM: 4.87, 95% CI: 2.24-7.50). Three RCTs were considered with a \"High\" risk of bias, nine studies with \"Some concerns,\" and two with a \"Low\" risk. In the GRADE system, the RCTs showed very low, of evidence to the GRADE system.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;BT combined with IVES showed favorable results for treating OAB in the short-term follow-up period. Thus, the use usingined with IVES is recommended for treating individuals with OAB.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;p&gt;For individuals with OAB treated with BT + IVES there is a report of reduced episodes of nocturia, urinary incontinence and improved quality of life in the short-term follow-up period. The methodological quality of the studies was the best possible for the moment; aspects of the currently available RCTs were analyzed to update the current literature. Most of the data in this review comes from moderate-sized RCTs of very low to moderate methodological quality, verified by GRADE, in addition to heterogeneous risk of bias across RCTs. The findings corroborate the recommendations of the societies guiding conservative treatmen","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100640"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180689","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 NINTENDO WII® TRAINING AND ECCENTRIC EXERCISES ON TREMOR IN PATIENTS WITH PARKINSON'S DISEASE: PRELIMINARY RESULTS","authors":"André Fidelis ,&nbsp;Ellen Cristine Ferreira da Silva ,&nbsp;Bruna Thais Martins da Silva ,&nbsp;Isaque de Pinho Lima ,&nbsp;Josevan Cerqueira Leal ,&nbsp;Felipe Augusto dos Santos Mendes","doi":"10.1016/j.bjpt.2024.100633","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100633","url":null,"abstract":"<div><h3>Background</h3><p>Parkinson's disease (PD) is a neurodegenerative disease, chronic and progressive, that produces signs such as tremors at rest, alteration in the functionality of upper limbs (MMSS), and cognitive decline, which impact the performance of activities of daily life. Eccentric exercises have been shown to reduce tremors in people with PD. Nintendo Wii exergames have been used in the rehabilitation of people with PD, promoting improvement in gait, balance, and cognition.</p></div><div><h3>Objectives</h3><p>To evaluate the effects of training using Nintendo Wii games in combination with exercises in the upper limb on tremors, upper limb functionality, and the cognition of patients with Parkinson's Disease (PD), compared to training exclusively composed of eccentric upper limb exercises.</p></div><div><h3>Methods</h3><p>This is a randomized, controlled, blinded clinical trial with a sample of 30 people with PD randomly allocated into two groups: Nintendo Wii group combined with eccentric exercises (n=15), who will do 20 minutes of eccentric exercises and 25 minutes of training with Nintendo Wii, and Exclusive eccentric exercises group (n=15), which will do only eccentric exercises for 45 minutes. Both groups will be trained for 8 consecutive weeks, twice a week, totaling 16 sessions. The groups will be evaluated before training, within 7 and 30 days after the end of training.</p></div><div><h3>Results</h3><p>It was verified in both groups: increase in handgrip strength tends; tremor reduction; improvement of the functional performance of the upper limbs; and improvement in cognitive performance.</p></div><div><h3>Implications</h3><p>The results of this study may contribute to a better understanding of the effectiveness of treatments focused on reducing tremor in patients diagnosed with Parkinson's disease.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100633"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180703","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":"NEUROMUSCULAR FUNCTION IN PEOPLE WITH CHRONIC KIDNEY DISEASE ON HEMODIALYSIS INITIATION","authors":"Clara Narcisa Silva Almeida ,&nbsp;Beatriz da Costa Ferreira ,&nbsp;Saul Rassy Carneiro ,&nbsp;Laura Maria Tomazi Neves","doi":"10.1016/j.bjpt.2024.100685","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100685","url":null,"abstract":"<div><h3>Background</h3><p>The progression of chronic kidney disease (CKD) to its most advanced stage, which usually requires hemodialysis, causes metabolic changes that can impact the neuromuscular system of this population. The difficulty of early detection of CKD often leads to late nephrological referral and initiation of hemodialysis on an emergency basis.</p></div><div><h3>Objectives</h3><p>To assess neuromuscular function in people with CKD starting hemodialysis.</p></div><div><h3>Methods</h3><p>Cross-sectional study, evaluating the neuromuscular function in people with CKD admitted to an urgent and emergency hospital who started hemodialysis on an emergency basis (CKD group) compared to people without kidney disease (control group). Measures of neuromuscular excitability (chronaxie obtained in the stimulus electrodiagnostic test), peripheral muscle strength (peak strength focused on lower limb isometric dynamometry) and functional capacity (number of repetitions in the 1-minute sit-to-stand test) were used. To compare the results between the groups, Student's t test was used for variables with normal distribution and the Mann-Whitney test for variables with non-normal distribution, adopting a rejection index of the null hypothesis ≤ 0.05.</p></div><div><h3>Results</h3><p>Twenty-eight participants, 14 without kidney disease (42 ± 12 years, 5 males and 9 females) and 14 in the CKD group (53 ± 18 years, 9 males and 5 females) were evaluated. The CKD group, compared to controls without kidney disease, showed impairment in neuromuscular excitability (vastus lateralis chronaxie: 654 ± 230 vs 415 ± 190 μs, p = 0.008; tibialis anterior chronaxie: 600 [500 - 1000] vs 400 [300 - 400] μs, p = 0.001), peripheral muscle strength in all muscles assessed (knee extensors: 12. 3 ± 4.6 vs 23.5 ± 9 kgf; knee flexors: 11.3 ± 3.2 vs 17.8 ± 4.3 kgf; dorsiflexors: 8.7 ± 2.8 vs 16.7 ± 4.3 kgf; and plantar flexors: 11.2 ± 2.5 vs 16.6 ± 4.4 kgf, all p &lt; 0.001) and in functional capacity (13.8 ± 4.9 vs 36.7 ± 9.1 repetitions, p &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>People with advanced CKD who started hemodialysis on an emergency basis have impaired neuromuscular function, considering neuromuscular excitability, lower limb isometric muscle strength and functional capacity.</p></div><div><h3>Implications</h3><p>These findings may guide screening and monitoring strategies for neuromuscular deficiencies and rehabilitation planning.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100685"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180708","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":"PHYSICAL ACTIVITY OF GYNECOLOGICAL CANCER SURVIVORS IN THE FIRST AND FOURTH QUARTER AFTER HIGH DOSE RATE BRACHYTHERAPY","authors":"Cristiane Kilian ,&nbsp;Mirella Dias ,&nbsp;Suellen Roussenq ,&nbsp;Adriana Coutinho de Azevedo Guimaraes ,&nbsp;Soraia Cristina Tonon da Luz ,&nbsp;Gesilani Júlia da Silva Honório","doi":"10.1016/j.bjpt.2024.100688","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100688","url":null,"abstract":"<div><h3>Background</h3><p>Gynecological cancers develop in the female reproductive system and include cancer of the cervix, uterus, ovaries, fallopian tubes, vulva, and vagina. High dose rate brachytherapy (BATD) is often used in the treatment of gynecological malignancies, however, it can induce serious side effects of late onset, such as changes in the bowel, urinary tract/bladder and vagina. The practice of physical activity (PA) has positive results on the side effects of gynecological cancer and its treatment.</p></div><div><h3>Objectives</h3><p>To compare the level of PA in women who survived gynecological cancer in the first and fourth trimester after BATD at a reference oncology institution in southern Brazil.</p></div><div><h3>Methods</h3><p>Retrospective and longitudinal study based on electronic medical records of women with gynecological cancer treated at the physiotherapy outpatient clinic of the Oncological Research Center (CEPON) in Santa Catarina. The short version of the Physical Activity Questionnaire (IPAQ) was used to assess the level of PA. The collected information was stored in a spreadsheet in Microsoft the IBM SPSS program, version 20.0, was used for statistical analysis. Variables were analyzed descriptively using simple frequency and percentages (categorical variables) and measures of position and dispersion (numerical variables). The Kolmogorov-Smirnov test was performed to verify the normality of the data. To compare the variables related to PA according to the IPAQ (PA time - minutes per day; weekly frequency; sitting time) between the first trimester after radiotherapy and the fourth trimester, the Wilcoxon test was used, with the significance level adopted as 5%.</p></div><div><h3>Results</h3><p>34 participants were included with a mean age of 53.4 ± 13.5 years. Most were classified as insufficiently active in both the first (55.9%) and fourth (64.7%) trimester after BATD. In addition, an increase in sedentary behavior was identified, with greater relevance in the fourth quarter, so that the average sitting time on a weekday was 147.4±102.4 minutes per day (min/day) in the first quarter to 211.8±125.7 min/day in the fourth quarter (p= 0.007); as well as the average sitting time on a weekend day, increased from 151±103.5 min/day on the first day to 228.5±133.3 min/day (p=0.002).</p></div><div><h3>Conclusion</h3><p>It was possible to notice that the majority of gynecological cancer survivors do not reach the PA recommendations in the first and fourth trimester after BATD. It was also found that women have sedentary behavior after treatment, especially in the fourth trimester after BATD, spending more time sitting compared to the first quarter.</p></div><div><h3>Implications</h3><p>The study demonstrates the importance of encouraging the practice of physical activity among survivors of gynecological cancer, especially in cancer treatment centers.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100688"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180710","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":"EFFECT OF ISOMETRIC AND ISOTONIC EXERCISE ON SHOULDER PAIN, FUNCTION AND STRENGTH IN INDIVIDUALS WITH ROTATOR CUFF TENDINOPATHY","authors":"Bianca Rodrigues da Silva Barros ,&nbsp;Denise Dal'ava ,&nbsp;Débora Pereira Pinheiro ,&nbsp;Israel do Nascimento Oliveira ,&nbsp;Rodrigo Scattone da Silva ,&nbsp;Catarina de Oliveira Sousa","doi":"10.1016/j.bjpt.2024.100657","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100657","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Rotator cuff tendinopathy (RC) is a common disorder of the shoulder complex, affecting approximately 24% of the Brazilian population over 20 years of age. One of the treatment strategies is conservative, including the use of therapeutic exercise. Most studies that evaluated the effect of exercise on this public have used isotonic exercises (which involve concentric and eccentric phases of muscle contraction), and few studies have demonstrated the effect of isometric exercise on individuals with RC tendinopathy. It is known that exercise, in general, has an analgesic effect described as exercise-induced analgesia. It has also been demonstrated that isometric exercise has the effect of decreasing pain summation. In addition, individuals with patellar tendinopathy showed a decrease in pain level immediately after using isometric exercise compared to isotonic exercise.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To compare the immediate and 6-week effects of isometric and isotonic exercise training on shoulder pain, function, and strength in individuals with RC tendinopathy.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;This is a randomized clinical trial. 30 individuals with RC tendinopathy were included, randomly distributed in the isometric (IM = 14) and isotonic (IT = 16) groups and evaluated for pain during arm elevation using the numeric pain rating scale, function using the Penn Shoulder Score questionnaire and isometric strength through manual dynamometry. After the initial evaluation (EV1) individuals performed the first exercise session, then they were reassessed immediately after the intervention (EV2) and after 6 weeks of treatment (EV3). Individuals performed stretching and strengthening of the scapular musculature, in addition to specific exercise for the RC, being isometric or isotonic depending on the randomization, twice a week for 6 weeks. RC strengthening included shoulder flexion, external and internal rotation exercises with load reassessment and progression. Comparison between groups and the 3 assessments was performed using a linear mixed model using SPSS 22.0 software.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;There was interaction between group and assessment for shoulder flexion strength (F = 5.31, p&lt;0.05) and external rotation (F = 5.82, p&lt;0.05). The IM showed a higher mean for flexion strength in EV3 compared to EV2 and greater rotation strength in EV3 compared to EV2 and EV1, in addition to being greater than the IT in EV3. Pain decreased and there was an improvement in function in EV3 in both groups (p&gt;0.05).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;Isometric exercise was not superior to isotonic for pain and function variables, but it was superior in terms of increasing shoulder elevation and external rotation strength.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;p&gt;In individuals with RC tendinopathy, the choice of exercise modality will not influence the improvement of pain or function, thus choosing the most tolerable one fo","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100657"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179692","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":"PHYSIOTHERAPY APPLIED TO PATIENTS IN THE VARIOUS STAGES OF PARKINSON'S DISEASE - WITHOUT IDENTIFICATION","authors":"Cynthia de Jesus Rogofski ,&nbsp;Aline Torinelli ,&nbsp;Josie Budag Matsuda ,&nbsp;Ana Inês Gonzáles","doi":"10.1016/j.bjpt.2024.100689","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100689","url":null,"abstract":"<div><h3>Background</h3><p>Cellular senescence is an irreversible state of cell cycle arrest, thus being characterized by decreased cell proliferation and increased nucleus area, often acting as a tumor suppressor program. Photobiomodulation (PBM) has been used in several conditions to increase the mitochondrial response, promoting nuclear changes and cell proliferation. However, the effects of PBM on cells are still unclear.</p></div><div><h3>Objectives</h3><p>To verify the efficacy of photobiomodulation on cell senescence processes.</p></div><div><h3>Methods</h3><p>We utilized A172 glioblastoma cells transduced with H2B-mCherry by lentivirus to nuclear tagging. Treatment was done with GaAIAs Laser (850nm). Cells were divided by intensity into the following groups: C= Control, L1= 1J/cm², L2= 2.2J/cm², L3= 3J/cm², L9= 9J/cm², L15= 15J/cm², L21= 21J/cm², nuclear evaluation was performed at experimental times (0h, 24h, 48h and 72h). For data analysis, two-way ANOVA with the Tukey post hoc test was used. Differences were significant when p&lt;0.05.</p></div><div><h3>Results</h3><p>PBM on intensities of 1J/cm², 2.2J/cm², 3J/cm², 9J/cm² e 15J/cm² showed a lower increase at the nuclear size when compared with time 0h and 72h in the control group. All intensities (1, 2.2, 3, 9, 15, and 21 J/cm²) promoted cellular proliferation after 72 hours, while 15J/cm² presented an accentuated increase compared to groups L1, L2.2, and L3.</p></div><div><h3>Conclusion</h3><p>PBM enhanced cellular proliferation while causing a reduced nuclear increase in glioblastoma cells.</p></div><div><h3>Implications</h3><p>In this study, we found that the laser decreased the cellular senescence state from the evaluation of the morphological parameters, thus increasing cell proliferation and decreasing the nuclear area; therefore, it is an important therapeutic tool against the cellular aging process.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100689"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179983","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 TREATMENT OF NON-ALCOHOLIC FATTY LIVER DISEASE THROUGH PHYSIOTHERAPY REHABILITATION","authors":"Daniele Gorski Medeiros ,&nbsp;Luis Fernando Ferreira ,&nbsp;Luis Henrique Telles da Rosa","doi":"10.1016/j.bjpt.2024.100692","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100692","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;One focus of non-alcoholic fatty liver disease (NAFLD) treatment is physical exercise. Resistance training (ET) has become a viable option for initial physical activity for patients with NAFLD, due to the low cardiorespiratory fitness and sedentary lifestyle found in most of these patients. The physiotherapist, on the other hand, has the competence to rehabilitate individuals who have intercurrent functional kinetic disorders in organs and systems of the human body, generated by genetic alterations, trauma and acquired diseases. Considering that the association between NAFLD and physiotherapeutic rehabilitation is in constant development, clear definitions and more research are needed to help improve the understanding of the subject. Therefore, considering the growing number of individuals affected by NAFLD and the need to provide practical data to help prevent and control this pathology, it was important to carry out a systematic review on the subject, since this could lead to interventions additional and potential therapies in the management of individuals diagnosed with NAFLD.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;To analyze the effect of physiotherapeutic rehabilitation, through resistance training on the clinical markers of individuals diagnosed with NAFLD.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;It is a Systematic Review study with Randomized Clinical Trials (RCTs), formatted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Statement (PRISMA Statement) and registered in PROSPERO27 Nº CRD4202236638. Searches were carried out in Medline (accessed by PubMed), Lilacs, Embase, Cochrane, and Scielo databases, in addition to manual searches, from January/2011 to December/2022. Studies with individuals who were not diagnosed with NAFLD through imaging or biopsy were excluded. The ROB 2.0(30) tool was used to assess the risk of bias in the eligible studies. A summary guide without meta-analysis (SWiM) was applied for data analysis and outcomes.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;A total of six studies were included, totaling 232 adult participants diagnosed with NAFLD. Hepatic fat (GH) showed a significant reduction (p ≤ 0.05) when comparing the beginning and end of the intervention, in the groups that were only submitted to resistance training. Already, the resistance training groups associated with dietary intervention, showed a reduction in GH (11.8%) between the beginning and end of the intervention, as well as a relative reduction of 212.6% (95% CI) of GH, in the same period. The groups that used the resistance training protocol showed improvement in insulin sensitivity and insulin resistance (IR) in the comparison between the initial and final period of the intervention.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;The resistance training protocol can play an important role in physical therapy rehabilitation in individuals with NAFLD, as it reduces liver fat and improves insulin sensitivity and res","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100692"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179986","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":"CO-DESIGN OF AN INTERVENTION TO INCREASE LEISURE PARTICIPATION FOR ADOLESCENTS WITH CEREBRAL PALSY GMFCS LEVELS IV AND V","authors":"Caline Cristine de Araújo Ferreira Jesus ,&nbsp;Ângela Cristina Dornelas da Silva ,&nbsp;Beatriz Helena Brugnaro ,&nbsp;Sandreane Maria dos Santos Moura ,&nbsp;Karolinne Souza Monteiro ,&nbsp;Egmar Longo","doi":"10.1016/j.bjpt.2024.100671","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100671","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Adolescents with cerebral palsy (CP) experience restrictions in leisure activities participation, which can impact their socialization, self-determination, and quality of life. Patient and Public Involvement (PPI) is a crucial strategy for successful interventions where the target audience participates in the research stages. Strategies such as co-design, where healthcare professionals, patients, and families collaboratively discuss preferences, priorities, and necessary ingredients, can be crucial for intervention success.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To co-design an intervention aimed at improving leisure activities participation of adolescents with CP in partnership with adolescents, families, and rehabilitation professionals.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;The study was based on Participatory Action Research and was conducted through remote discussion groups with 5 adolescents aged 12-17 years with CP, 3 classified as level IV and 2 as level V on the Gross Motor Function Classification System, their families, 3 physiotherapists, and 2 occupational therapists. The Brazilian version of the Involvement Matrix (IM) was used to manage the participants' involvement in co-designing the intervention. The IM allows research participants to know different involvement roles in the research (Listener, Co-thinker, Advisor, Partner, and Decision-maker). The Participation and Environment Measure for Children and Youth (PEM-CY), community section, was used to assess the adolescents' participation profile.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;The preparation phase included 6 group meetings. In the first meeting, the IM was presented, and participants chose their roles for the study. Three chose the role of Decision-maker (1 professional, 1 adolescent with CP, and 1 mother), and 12 chose the role of Partner (4 professionals, 4 adolescents, and 4 mothers). Partners contributed suggestions, while decision-makers planned the participation groups. The second and third meetings included adolescents/families and rehabilitation professionals separately, where the concept of participation was discussed. The results of the PEM-CY were discussed in the fourth and fifth meetings. The last meeting of this phase included all participants, who discussed barriers and facilitators of participation and identified the necessary ingredients for the intervention. In this meeting, a model of intervention to increase the participation of adolescents with disabilities was presented as a strategy to facilitate the co-construction of the intervention proposal. The Co-design phase included three meetings with all participants; in the first two, co-construction of the intervention was conducted, and in the last, the co-constructed intervention was presented, and the intervention proposal was validated by all participants.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;This study presents an innovative proposal that uses PPI for co-designing an intervention aimed at ","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100671"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180031","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":"ELECTROMYOGRAPHIC PROFILE OF THE WRIST AND ELBOW FLEXORS DURING PNF MOTOR IRRADIATION","authors":"Carlos Henrique R Horsczaruk ,&nbsp;José Vicente P Martins ,&nbsp;Claudia Vargas ,&nbsp;Laura A.S Oliveira ,&nbsp;Thiago C Lemos","doi":"10.1016/j.bjpt.2024.100677","DOIUrl":"https://doi.org/10.1016/j.bjpt.2024.100677","url":null,"abstract":"<div><h3>Background</h3><p>Proprioceptive Neuromuscular Facilitation (PNF) is a concept that has been applied to treating numerous disabling disorders. Among the basic PNF procedures, there is motor irradiation, in which resistance is applied to a body segment to generate muscle activation in another segment and thus obtain improvement in muscle strength. The generated muscular activation can be analyzed in several ways, one of them being Electromyography (EMG). Electromyographic analysis has suggested that target muscles of irradiation demonstrate electromyographic activity during irradiation in healthy individuals and in those with neurological disorders. Despite this, the neuromuscular activation profile (amplitude and temporality) resulting from the different stimuli and positions used in PNF has not yet been investigated.</p></div><div><h3>Objectives</h3><p>To analyze the neuromuscular activation profile of upper limb muscles in healthy individuals during the application of different PNF irradiation protocols.</p></div><div><h3>Methods</h3><p>This is a cross-sectional study in which 32 healthy individuals of both sexes, aged between 18 and 45 years. After signing the consent form, the handedness of a subject in activities of daily living, level of physical activity, and sociodemographic characteristics will be identified. First, the EMG signals of the upper limb muscles (biceps brachii, brachioradialis, flexor carpi radialis, and triceps) will be collected during a maximum voluntary contraction (3 repetitions held for 3s with an interval of 30s between contractions). Then, the EMG signal of these muscles of the non-preferential limb will be collected, during 4 PNF irradiation techniques in a randomized order for each participant. Each irradiation will be applied 3 times, maintaining the contraction for 5s, with a 10s interval between them. After each irradiation will be checked the perceived exertion.</p></div><div><h3>Results</h3><p>The study is in the data collection phase.</p></div><div><h3>Conclusion</h3><p>It is expected through this study to verify if the applied irradiation techniques activate the musculatures described anecdotally in the clinical literature.</p></div><div><h3>Implications</h3><p>The study can generate an understanding of motor irradiation and the use of the technique to improve the strength of a body segment.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 ","pages":"Article 100677"},"PeriodicalIF":3.4,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140180091","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}