{"title":"Can walking improve forward head posture? A narrative review.","authors":"Chin Chin Ch'ng, Yen Li Lim","doi":"10.1016/j.jbmt.2025.07.018","DOIUrl":"10.1016/j.jbmt.2025.07.018","url":null,"abstract":"<p><strong>Background: </strong>Forward head posture (FHP) is a common postural deviation that has become increasingly prevalent with the widespread use of smartphones and computers. While corrective exercises targeting neck, scapular, and cervical proprioceptive function are well-established, the potential role of walking-based interventions remain underexplored.</p><p><strong>Research question: </strong>Can walking - a simple, low-impact, and accessible activity - serve as an effective intervention for correcting FHP?</p><p><strong>Methods: </strong>A literature search was conducted across multiple electronic databases for studies published up to January 2025 that examined the effects of walking-based exercises on FHP. Additional articles were identified by screening the reference lists of relevant studies and reviews.</p><p><strong>Results: </strong>Seven studies were evaluated. Findings suggest that backward walking may improve cervical posture and balance by enhancing proprioceptive and vestibular input. Preliminary findings also indicate that backward walking with front-loaded weight and walking on inclined or declined surfaces may further benefit postural alignment, although these results are based on limited data and require further validation.</p><p><strong>Significance: </strong>This narrative review highlights that walking-based interventions, particularly backward walking and its modifications, may serve as simple, low-barrier adjuncts to conventional therapeutic strategies for FHP. These interventions are easily integrated into daily routines and may contribute to scalable, sustainable solutions for posture correction. Further high-quality research is needed to establish optimal exercise protocols, assess long-term efficacy, and explore applicability in diverse populations.</p>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"815-819"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamal Hadib Abdulridha, Mustafa Jaber Maseer, Juan Nicolás Cuenca-Zaldivar, Alejandra Aguilar-Latorre, Estela Calatayud, Isabel Gómez-Soria
{"title":"Comparative effectiveness of rehabilitation protocols for hamstring injuries: A systematic review and meta-analysis.","authors":"Kamal Hadib Abdulridha, Mustafa Jaber Maseer, Juan Nicolás Cuenca-Zaldivar, Alejandra Aguilar-Latorre, Estela Calatayud, Isabel Gómez-Soria","doi":"10.1016/j.jbmt.2025.06.030","DOIUrl":"10.1016/j.jbmt.2025.06.030","url":null,"abstract":"<p><strong>Background: </strong>Hamstring strains are prevalent in sports involving high-speed movements and high recurrence-rates (12 %-31 %). Effective rehabilitation is crucial as muscle strains occur from excessive stretching, affecting hamstring's function and leading to prolonged recovery and reinjury risks.</p><p><strong>Aim: </strong>This study aims to compare the effectiveness of various rehabilitation protocols for hamstring injury recovery in healthy individuals. The protocols evaluated include eccentric training (such as Nordic hamstring exercises), stretching, strength training (C-protocol), L-protocol (eccentric loading), cryotherapy, and the FUNBALL program. The focus is on assessing their impact on recovery time, injury recurrence, and functional outcomes, with the goal of informing clinical rehabilitation strategies for optimal recovery.</p><p><strong>Methods: </strong>A systematic search was conducted across database i.e. PubMed, Cochrane, Scopus, and Embase, including nine randomized controlled trials meeting inclusion criteria. PICO question addressed how different rehabilitation protocols compared in terms of recovery outcomes including injury incidence, severity and return-to-play. Data extraction sheet was made using standardized form and Cochrane risk-of-bias, a ROB2 tool, was used for quality assessment. Statistical analysis was performed using RevMan to calculate pooled effect sizes and assess heterogeneity.</p><p><strong>Results: </strong>This systematic review and meta-analysis evaluated various rehabilitation protocols for hamstring injury recovery. The L-protocol (eccentric exercises) significantly reduced reinjury rates (Mean Difference = -1.95, 95 % CI [-1.81, -0.29]) and accelerated return to play (Mean Difference = -4.39, 95 % CI [-5.67, -3.11]) compared to the C-protocol. The FUNBALL program improved maximal eccentric force (Mean Difference = -13.25, 95 % CI [-25.31, -1.19]) and knee flexor strength (Mean Difference = -8.01, 95 % CI [-10.90, -5.11]). Pain-free rehabilitation (stretching and eccentric training) outperformed cryotherapy in reducing injury duration and recurrence (Mean Difference = 8.38, 95 % CI [-11.56, -5.20]).</p><p><strong>Conclusion: </strong>This systematic review and meta-analysis demonstrates that eccentric exercise protocols, particularly lengthening exercises (L-protocol), are highly effective in reducing reinjury rates and accelerating return-to-play timelines for hamstring rehabilitation. The FUNBALL program showed strength improvements, while pain-free rehabilitation strategies outperformed cryotherapy. Limitations include a small sample size, male predominance, protocol heterogeneity, and exclusion of non-English studies. Future research should address gender differences and explore the role of coordination in rehabilitation.</p>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"820-832"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Augusto Boening, Larissa Tavares Aguiar, Janayna Avance, Lucas R Nascimento
{"title":"The 6-min step test elicits higher physiological responses than the 6-min walk test in people with stroke: A cross-sectional study.","authors":"Augusto Boening, Larissa Tavares Aguiar, Janayna Avance, Lucas R Nascimento","doi":"10.1016/j.jbmt.2025.07.013","DOIUrl":"10.1016/j.jbmt.2025.07.013","url":null,"abstract":"<p><strong>Objective: </strong>To investigate if the 6-min step test elicits the same or higher physiological responses and its adverse events in comparison with the 6-min walk test after stroke.</p><p><strong>Methods: </strong>A cross-sectional, exploratory study was performed. The 6-min step test and the 6-min walk test were performed by individuals with chronic stroke. Physiological parameters (i.e., systolic and diastolic blood pressure, dyspnea, leg fatigue, heart rate and peripheral oxygen saturation) and adverse events were examined.</p><p><strong>Results: </strong>Fifty-seven individuals who have had a stroke (33 men), with a mean age of 58 years (SD 14) were included. The 6-min step test elicited higher levels of dyspnea (MD 1 point out of 10; 95 % CI 0.5 to 2) and leg fatigue (MD 2 points out of 10; 95 % CI 1 to 2) immediately after tests. In addition, heart rate was progressively higher (7-15 bpm) during the 6-min step test than the 6-min walk test. Immediately after the tests, heart rate was still higher for the 6-min step test (MD 17 bpm; 95 % CI 11 to 22). Two adverse events were reported during the 6-min step test.</p><p><strong>Conclusion: </strong>In conclusion, the 6-min step test demands more from the cardiovascular and musculoskeletal systems, as higher levels of heart rate, dyspnea and leg fatigue were achieved in comparison with the 6-min walk test after stroke.</p>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"802-807"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexis Michalak, André Gillibert, Marine Garyga, Jean-Michel Brismée, Timothée Gillot
{"title":"Immediate effect of neurodynamic mobilization on knee extension angle in slump position and half-seated position and in passive and active settings: a cross-over trial.","authors":"Alexis Michalak, André Gillibert, Marine Garyga, Jean-Michel Brismée, Timothée Gillot","doi":"10.1016/j.jbmt.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.jbmt.2025.07.010","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the immediate physiological effect of sliding neurodynamic mobilization on passive knee extension angle in slump position versus half-seated position and active setting versus passive setting.</p><p><strong>Design: </strong>Prospective, cross-over trial in healthy subjects.</p><p><strong>Methods: </strong>Three tests were performed: Passive Knee Extension in slump position (PKE-Slump), Passive Knee Extension in supine position (PKE-Supine) and Finger-to-Floor Distance (FFD). The primary outcome was the difference in knee extension angle between slump position (intervention) and half-seated position (control). The secondary outcome was the difference in knee extension angle between active setting and passive setting. Outcomes were compared by paired t tests.</p><p><strong>Results: </strong>Fifty-eight healthy subjects (32 women) with a mean ± SD age of 21.6 ± 2.9 years, were included. For PKE-Slump, the mean ± SD angle was 156.4° ± 11.8 in half-seated position and 158.7° ± 13.0 in slump position, with a mean difference of +2.31° (95 %CI: -0.24 to +4.86, p = 0.08). For PKE-Supine, the mean ± SD angle was 143.0° ± 15.4 in half-seated position and 146.2° ± 15.2 in slump position, with a mean difference of +3.22° (95 % CI: -0.29 to +6.16, p = 0.03). For FFD, the mean + SD value was 0.63 ± 13.18 cm in half-seated position and -0.40 ± 11.48 cm in slump position, with a mean difference of -1.03 cm (95 % CI: -2.15 to +0.10, p = 0.07). No significant difference was found between active and passive setting.</p><p><strong>Conclusion: </strong>An immediate effect of neurodynamic sliding mobilization was observed on knee extension angle in half-seated position and in slump position. No significant difference of knee extension angle was shown between the two positions or between the two settings. Both active and passive neural mobilisation appeared to achieve similar clinical results.</p>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"833-840"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lamprini Zygouna , Dimitrios Lytras , Konstantinos Kasimis , Ioanna P. Chatziprodromidou , Thomas Apostolou , Paris Iakovidis
{"title":"Comparison of the effectiveness of home-based video-supported McKenzie versus Pilates exercise programs in patients with chronic non-specific low back pain: a randomized controlled trial","authors":"Lamprini Zygouna , Dimitrios Lytras , Konstantinos Kasimis , Ioanna P. Chatziprodromidou , Thomas Apostolou , Paris Iakovidis","doi":"10.1016/j.jbmt.2025.09.044","DOIUrl":"10.1016/j.jbmt.2025.09.044","url":null,"abstract":"<div><h3>Background</h3><div>Chronic non-specific low back pain (NSLBP) is a prevalent condition with significant socio-economic implications. The McKenzie and Pilates exercise methods are widely used physiotherapy interventions; however, comparative studies evaluating their effectiveness, particularly in home-based, video-supported formats, remain limited.</div></div><div><h3>Objectives</h3><div>This randomized controlled trial compared the short-term effects of video-supported McKenzie and Pilates exercises on pain, disability, pressure pain threshold, and lumbar mobility in adults with chronic NSLBP.</div></div><div><h3>Methods</h3><div>Thirty-two participants with chronic NSLBP were randomly assigned to either a McKenzie (n = 16) or a Pilates (n = 16) exercise group. Both interventions were performed at home using instructional videos for three weeks. Outcome measures were assessed pre- and post-intervention and included the Visual Analog Scale (VAS) for pain intensity, the Roland-Morris Disability Questionnaire (RMDQ) for functional disability, pressure pain threshold (PPT) measured with algometry, and lumbar flexibility assessed with the Fingertip-to-Floor (FTF) test. The McKenzie group performed daily sessions (7 times/week), while the Pilates group exercised three times per week.</div></div><div><h3>Results</h3><div>Pain intensity (VAS) decreased by 28.0 mm in the McKenzie group and 25.6 mm in the Pilates group, with 62.5 % and 56.3 % of participants exceeding the MCID of 20 mm. Disability (RMDQ) improved by 3.4 and 2.8 points, respectively, but neither group surpassed the 3.5-point MCID. Pressure pain threshold increased bilaterally (right: +13.2 vs. +11.7 N/cm<sup>2</sup>; left: +9.9 vs. +6.6 N/cm<sup>2</sup>), exceeding the MDC (6–9 N/cm<sup>2</sup>) in most cases. Lumbar flexibility (FTF) improved by 5.3 cm and 6.8 cm, respectively, with 56.3 % and 75.0 % exceeding the MDC. No significant between-group differences or adverse events were observed.</div></div><div><h3>Conclusion</h3><div>Both interventions improved outcomes over 3 weeks in individuals with chronic NSLBP. Larger trials with longer follow-up are warranted to confirm these results and guide implementation.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 598-605"},"PeriodicalIF":1.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validity of functional movement tests in predicting the Trendelenburg gait pattern during running: A cross-sectional study","authors":"Farideh Babakhani, Mohamadreza Hatefi","doi":"10.1016/j.jbmt.2025.09.040","DOIUrl":"10.1016/j.jbmt.2025.09.040","url":null,"abstract":"<div><h3>Introduction</h3><div>Dropping the pelvic of the swinging leg or Trendelenburg sign during running is known as a biomechanical risk factor for lower extremity non-contact injuries. Numerous performance tests have been introduced to identify individuals who exhibit the Trendelenburg sign, including the single-leg squat (SLSQ), pelvic drop (PD), and single-leg stand (SLS) However, it is still unclear whether these tests are relevant for predicting the Trendelenburg sign during running.</div></div><div><h3>Method</h3><div>twelve males with Trendelenburg sign during running (age, 26.49 ± 4.46 years, weight, 78.15 ± 8.66 kg, height, 178.09 ± 6.76 cm) voluntarily participated in this research. The correlation between dropped pelvic and frontal plane projection angle (FPPA) during running was investigated with SLSQ, PD, and SLS functional tests.</div></div><div><h3>Results</h3><div>There was a significant relationship between dropped pelvic during running and the SLSQ test (p = 0.043, r = 0.570 [-0.91 to 0.840]). However, there was no statistical significance between SLS and PD tests and the Trendelenburg sign during running (p ≥ 0.05).</div></div><div><h3>Conclusion</h3><div>The findings suggest that the SLSQ test can be used as a simple and practical screening tool to identify individuals at risk of Trendelenburg gait during running, which may assist in injury prevention programs. Notably, the authors argue that the lack of correlation between other tasks is due to differences in the physical demands of the movements, which should be taken into account when selecting the appropriate test to assess movement performance.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 606-610"},"PeriodicalIF":1.4,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiang Luo , Xiaohui Leng , Jing Jiang , Kun Yang , Rui Ma
{"title":"The relationship between transversus abdominis and rehabilitation exercises for diastasis recti abdominis: A scoping review","authors":"Xiang Luo , Xiaohui Leng , Jing Jiang , Kun Yang , Rui Ma","doi":"10.1016/j.jbmt.2025.09.035","DOIUrl":"10.1016/j.jbmt.2025.09.035","url":null,"abstract":"<div><h3>Background</h3><div>Physiotherapy is the primary management approach for diastasis recti abdominis (DRA). Most published research has focused on intervention types, exercise effects, and their evaluation, with relatively little work on how to design exercise programmes that are grounded in biomechanical mechanisms. One reason for this gap may be that changes in trunk mechanics associated with pregnancy have been overlooked. This scoping review explores the biomechanical basis for rehabilitation exercises for DRA, with a particular focus on the transversus abdominis (TrA).</div></div><div><h3>Methods</h3><div>We searched PubMed, EMBASE, Web of Science, and CNKI for English- and Chinese-language publications up to February 2025. Search terms included “diastasis recti abdominis,” “abdominal muscles,” “biomechanics,” “linea alba,” “physical therapy/physiotherapy,” “transversus abdominis,” AND “trunk stabilization,” combined with Boolean operators. All human studies relevant to the biomechanical mechanisms of DRA rehabilitation were eligible, regardless of study design.</div></div><div><h3>Results</h3><div>During contraction, the TrA thickens, shortens, and slides laterally, decreasing abdominal cavity volume and increasing intra-abdominal pressure, thereby enhancing trunk stability. Forces generated by the TrA are transmitted via the transversus aponeurosis and the dorsal rectus sheath to the linea alba, increasing linea alba tension. The posterior layer of the linea alba and the dorsal rectus sheath are dominated by transverse fibres, which exhibit high transverse stress and low compliance. Altered trunk biomechanics and linea alba deformation are characteristic features of DRA.</div></div><div><h3>Conclusion</h3><div>TrA contraction improves trunk stability and augments linea alba tension. Accordingly, exercises that preferentially activate and strengthen the TrA represent a logical, mechanism-based treatment for DRA rehabilitation.</div></div><div><h3>License</h3><div><span><span>Creative Commons License</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 619-626"},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Babina Rani , Abhijit Paul , Sandeep Negi , Denis Causevic , Mandeep S. Dhillon
{"title":"Association of the sagittal cervico-thoracic clinical posture with radiological thoracic inlet alignment in chronic neck pain subjects","authors":"Babina Rani , Abhijit Paul , Sandeep Negi , Denis Causevic , Mandeep S. Dhillon","doi":"10.1016/j.jbmt.2025.09.039","DOIUrl":"10.1016/j.jbmt.2025.09.039","url":null,"abstract":"<div><h3>Objectives</h3><div>The presence of altered sagittal cervical balance and faulty posture has been observed in individuals with neck pain. However, there is a lack of literature investigating the relationship between radiological thoracic inlet alignment and clinical sagittal cervico-thoracic posture. This cross-sectional study aims to investigate these clinico-radiological associations, analyze their correlation with pain variables, and explore the diagnostic significance of thoracic inlet parameters for chronic neck pain (CNP).</div></div><div><h3>Methods</h3><div>88 subjects (N = 44 each in CNP and Control group) were recruited. T1 Slope (T1S), Thoracic inlet angle (TIA), Neck tilt (NT) were assessed on lateral cervical radiograph, and Craniovertebral angle (CVA), High thoracic angle (HTA), Sagittal head angle (SHA) were photographically analysed. Pain was quantified in terms of intensity and functional disability. Craniocervical flexion test (CCFT) assessed the deep neck flexors (DNF) performance.</div></div><div><h3>Results</h3><div>After normality check, between-group comparisons utilized Unpaired <em>t</em>-test or Mann-Whitney <em>U</em> test. CNP group had lower T1S, and higher TIA, NT. The TIA had significant correlation with CVA and HTA (r<sub>s</sub> = −0.32, −0.30 respectively) in asymptomatic group, but not in CNP subjects. Patients with severe pain/disability had weaker DNF. Symptomatic group showed age-related declines in SHA, CVA and CCFT. Logistic regression revealed T1S (<26.36°) and NT (>47.41°) had diagnostic significance for CNP.</div></div><div><h3>Conclusion</h3><div>Neck pain corresponded with distinct postural, radiological, and clinical alterations compared to controls. Thoracic inlet parameters (primarily TIA) influenced cervicothoracic posture in asymptomatic individuals, but pain disrupted these associations, highlighting the complex interplay between alignment, posture, and symptomatology.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 611-618"},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diego Ailton Prudêncio , Vanessa Tereza Gularte , Priscila Cibils da Rosa Lima, Rodrigo Okubo
{"title":"Immediate effects of cupping therapy on pain, flexibility and temperature of the lumbar spine: a randomized controlled clinical trial","authors":"Diego Ailton Prudêncio , Vanessa Tereza Gularte , Priscila Cibils da Rosa Lima, Rodrigo Okubo","doi":"10.1016/j.jbmt.2025.09.034","DOIUrl":"10.1016/j.jbmt.2025.09.034","url":null,"abstract":"<div><h3>Introduction</h3><div>Fascia is a viscoelastic tissue that adapts to mechanical stress. Cupping therapy uses negative pressure to stimulate blood flow, relieve edema, accelerate healing, and improvement of pain. The study aimed to evaluate the immediate effects of a suction cup on the pressure pain threshold, temperature, and range of motion of the lumbar spine.</div></div><div><h3>Methods</h3><div>This randomized, blinded clinical trial included 40 healthy individuals. The volunteers were randomized into two groups, suction cups with stationary and sliding suction and placebo, all with durations of 4 min. The variables evaluated were the pressure pain threshold, lumbar spine movement range and lumbar region temperature.</div></div><div><h3>Results</h3><div>In the analysis of the pre and postintervention data between the groups, the placebo group improved right anterior tibial – pressure pain threshold (p = 0,009) and flexibility (p = 0,004) but did not present a difference in relation to the local pressure pain threshold or temperature. The intervention group presented the greatest effect on flexibility and temperature according to the paired <em>t</em>-test (p < 0,001). A strong correlation was observed between the right anterior tibial – pressure pain threshold and the pressure pain threshold (r = 0,768).</div></div><div><h3>Conclusion</h3><div>Cupping therapy leads to an increase in local temperature, an increase in the lumbar spine's range of motion and a decrease in the pain threshold at local pressure immediately after a single session, although these effects were not significantly greater than placebo.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 576-582"},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A systematic review and meta-analysis of randomized controlled trials on the effect of various therapeutic interventions on sacroiliac joint dysfunction","authors":"Pinky Jangra , Jaspreet Kaur , Manoj Malik , Monika Rani","doi":"10.1016/j.jbmt.2025.09.019","DOIUrl":"10.1016/j.jbmt.2025.09.019","url":null,"abstract":"<div><h3>Background and objective</h3><div>Sacroiliac joint dysfunction is the most common condition associated with low back pain which leads to pain and disability. Therefore, the aim of this study was to perform a systematic review and meta-analysis on efficacy of physical therapy interventions in sacroiliac joint dysfunction.</div></div><div><h3>Methodology</h3><div>Randomized controlled trials on sacroiliac joint dysfunction, using physiotherapy as an intervention were evaluated for changes in pain and disability. Three different towere searched to find out the relevant studies using Advanced search strategy. The methodological quality of the studies was assessed by PEDro scale and Cochrane risk of bias tool. For meta-analysis, mean and standard deviation value were extracted from each study and analyzed as a random effect model on four interventions that are muscle energy technique, mobilization, exercises, and taping. Review manager 5.3 software was used.</div></div><div><h3>Result</h3><div>The result of the study showed a statistically significant improvement of muscle energy technique on pain (−1.88, p = 0.009) and mobilization on pain (−0.90, p = 0.003), exercise on pain (−1.13, p = 0.004), and exercise on disability (−5.37, p < 0.001). However, there was non-significant result of taping on pain and muscle energy technique, mobilization and taping on disability.</div></div><div><h3>Conclusion</h3><div>It can be concluded that physiotherapy interventions are effective in managing the pain, and restoring the functional disability of the patients suffering from sacroiliac joint dysfunction. MET and Exercises were found to be more effective in reducing pain than Mobilization in treating sacroiliac joint dysfunction and only Exercises are effective in improving the disability in SIJD. Therefore a combined approach may be more beneficial.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 627-638"},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}