JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

{"title":"Ultrasound-guided fascial hydrorelease for persistent posterior thigh pain after lumbar disc herniation surgery: A case report of perineural fascial gliding dysfunction","authors":"Kousuke Shiwaku,&nbsp;Hidenori Otsubo,&nbsp;Shutaro Fujimoto,&nbsp;Noriyuki Iesato,&nbsp;Shuto Hamada,&nbsp;Rikiya Itagaki,&nbsp;Gakuto Nakao,&nbsp;Hiroyuki Takashima,&nbsp;Daisuke Suzuki,&nbsp;Tomoaki Kamiya,&nbsp;Makoto Emori,&nbsp;Carla Stecco,&nbsp;Atsushi Teramoto","doi":"10.1016/j.jbmt.2026.10.013","DOIUrl":"10.1016/j.jbmt.2026.10.013","url":null,"abstract":"<div><div>Lower-extremity symptoms associated with lumbar disc herniation (LDH) often improve after relief of nerve root compression. In the acute phase, nerve root irritation may result in limited hamstring extensibility, generally interpreted as a protective response to avoid neural tension. In young patients with LDH, this finding, together with restricted trunk flexion and gait abnormality, has been described as tight hamstring syndrome, which usually resolves after nerve root decompression and rehabilitation.</div><div>However, some patients continue to experience localized posterior thigh pain and restricted extensibility even after decompression of the nerve root, and the underlying pathology remains unclear.</div><div>We report a 15-year-old male baseball player who underwent endoscopic discectomy for L5/S1 LDH. Postoperatively, radiating pain improved but localized posterior thigh pain and limited straight leg raise (SLR) persisted. Neurological examination was unremarkable. Tenderness was identified along the posterior femoral cutaneous nerve, and ultrasonography demonstrated focal fascial thickening of the peri-APF (loose connective tissue around the aponeurotic fascia [APF]). Ultrasound-guided hydrorelease (HR) targeting the peri-APF was performed twice, approximately 1 month apart, alongside ongoing rehabilitation. The first HR produced an immediate increase in SLR angle, and symptoms subsequently improved stepwise.</div><div>This case suggests that a subset of persistent pain after LDH surgery may involve peripheral fascial gliding dysfunction. HR may have diagnostic and therapeutic relevance in such cases, although its immediate effect cannot be fully separated from that of the local anesthetic in the injectate. In addition, this pathology may be consistent with the recently proposed concept of perineural fascial pain.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"48 ","pages":"Pages 1902-1906"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149199234","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":"Effects of muscle conditioning and spatial awareness on elbow joint position sense","authors":"Wootaek Lim","doi":"10.1016/j.jbmt.2026.09.027","DOIUrl":"10.1016/j.jbmt.2026.09.027","url":null,"abstract":"<div><h3>Background</h3><div>Previous studies replicating predetermined target angles for assessing joint position sense (JPS) do not accurately reflect natural movement patterns. Additionally, many studies have overlooked anatomical factors such as natural humeral flexion observed at rest, which may influence the accuracy of JPS measurements.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate elbow JPS by analyzing the effects of (1) muscle conditioning (extension vs. flexion conditioning), (2) spatial awareness (pre- and post-full elbow range of motion (ROM) experience), and (3) modified ROM accounting for natural humeral flexion.</div></div><div><h3>Methods</h3><div>The experiment was divided into two phases: before and after the full elbow ROM experience. In each phase, participants estimated 50% of their total ROM, starting from either full extension or full flexion. JPS was assessed using constant error (CE) and absolute error (AE).</div></div><div><h3>Results</h3><div>Muscle conditioning significantly affected JPS, with both flexion and extension conditioning resulting in an overestimation. Notably, overestimation was more pronounced during extension conditioning. In contrast, spatial awareness had no significant effect. When the modified ROM was applied, the CE and AE were adjusted to a range that was more consistent with the typical physiological values.</div></div><div><h3>Conclusion</h3><div>Joint position error varies depending on muscle conditioning, while short-term full ROM experience alone was insufficient to produce significant changes. In addition, adjusting for natural humeral flexion helped align error values with physiological norms. Taken together, these findings contribute to a more precise understanding of proprioceptive control at the elbow joint and support the need for refined methods in single-joint JPS evaluation.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"48 ","pages":"Pages 1709-1714"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153796","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":"Vibration foam rolling enhances ankle dorsiflexion and dynamic balance recovery following delayed onset muscle soreness: A randomized controlled split-body design","authors":"Ismail Gonen,&nbsp;Ozgun Uysal,&nbsp;Cigdem Demir,&nbsp;Ahmet Ozgur Atay MD,&nbsp;Gulcan Harput","doi":"10.1016/j.jbmt.2026.10.010","DOIUrl":"10.1016/j.jbmt.2026.10.010","url":null,"abstract":"<div><h3>Background</h3><div>Delayed Onset Muscle Soreness (DOMS) affects athletic performance by decreasing force production capacities, increasing soreness, pain, stiffness, and swelling, and altering joint biomechanics and kinesthetic sense. These changes of DOMS are also related to the decreased range of motion, force production, and balance. The literature suggests two effective ways to treat DOMS: vibration therapy and foam rolling.</div></div><div><h3>Aims</h3><div>To compare the acute effects of vibrating (VFR) and non-vibrating foam rolling (NVFR) on pain, ankle dorsiflexion range of motion, dynamic balance, muscle strength, and muscle viscoelastic properties following DOMS.</div></div><div><h3>Methods</h3><div>Thirty physically active adults participated in the study. DOMS was induced bilaterally using a standardized eccentric heel-rise protocol. Each participant received VFR on one limb and NVFR on the contralateral limb in a randomized manner.</div><div>Pain intensity was assessed using the Visual Analog Scale, ankle dorsiflexion range of motion using the weight-bearing lunge test, dynamic balance using the Y-Balance Test, muscle strength, and muscle viscoelastic properties using Myoton measurements. Assessments were performed at baseline, 48 h post-exercise, and immediately after intervention.</div></div><div><h3>Results</h3><div>Both VFR and NVFR significantly improved pain, ROM, muscle strength, dynamic balance, and muscle stiffness following DOMS (p &lt; 0.001). A significant condition×time interaction was observed for ankle dorsiflexion ROM (p &lt; 0.001) and anterior reach distance in the Y-Balance Test (p = 0.012), favoring VFR. No between-condition differences were found for pain or muscle strength.</div></div><div><h3>Conclusions</h3><div>Both foam rolling modalities are effective for short-term recovery from DOMS. However, vibration foam rolling provides additional benefits in improving ankle dorsiflexion ROM and anterior dynamic balance.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"48 ","pages":"Pages 1915-1923"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149199238","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":"Trunk and lower-limb musculoskeletal function in individuals with chronic low back pain: A cross-sectional study","authors":"Fernanda Silveira Santos Ferreira,&nbsp;Nicolly Suenny de Souza Mangrich,&nbsp;Gabriele Selhorst,&nbsp;Nicole Tafarello,&nbsp;Felipe Vieira França,&nbsp;Ana Carolina Brandt de Macedo","doi":"10.1016/j.jbmt.2026.09.007","DOIUrl":"10.1016/j.jbmt.2026.09.007","url":null,"abstract":"<div><div>Low back pain (LBP) is a public health challenge that encompasses biological, psychological, and social factors. Changes in mobility, flexibility of the posterior chain and lower limbs, as well as the endurance of trunk muscles, are important factors to be studied in understanding LBP. This study aimed to evaluate the musculoskeletal function of the trunk and lower limbs in individuals with chronic low back pain (CLBP) and investigate its relationship with sex and age. Design: Cross-sectional study. Setting: University-based laboratory. Participants: Male and female participants aged between 18 and 80 years were analyzed. Outcome Measures: Pain, functional disability, lumbar range of motion (ROM), trunk and lower limb flexibility (TLF), hamstring flexibility (HF), lumbar flexion mobility (LFM), spinal mobility (SM), abdominal endurance (AE), and lower-limb functional performance were assessed.</div></div><div><h3>Results</h3><div>A total of 318 individuals were evaluated, including 129 men and 189 women, with a mean age of 36.58 ± 15.53 years. Decreased TLF, SM, and lower-limb functional performance were observed in both sexes, regardless of age. Women showed greater trunk rotation and lateral flexion ROM and hamstring flexibility than men (p &lt; 0.05), but lower AE and lower-limb functional performance (p &lt; 0.05). The correlation between musculoskeletal tests and pain intensity was weak.</div></div><div><h3>Conclusion</h3><div>Individuals with CLBP presented reduced flexibility, thoracolumbar mobility, abdominal endurance, and lower-limb functional performance, with relatively small differences between men and women.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"48 ","pages":"Pages 1745-1754"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postural control alterations after severe COVID-19 in older adults using smartphone-based assessment of trunk responses to mechanical perturbations","authors":"Manuela Brito Duarte,&nbsp;Aymee Lobato Brito,&nbsp;Gizele Cristina da Silva Almeida,&nbsp;Jéssica Cristina Santos de Assis,&nbsp;Nathalya Ingrid Cardoso Do Nascimento,&nbsp;Gustavo Marques Rocha,&nbsp;Givago Silva Souza,&nbsp;Bianca Callegari","doi":"10.1016/j.jbmt.2026.10.004","DOIUrl":"10.1016/j.jbmt.2026.10.004","url":null,"abstract":"<div><h3>Background</h3><div>Older adults recovering from severe COVID-19 may present persistent postural control impairments that increase fall risk, yet anticipatory and compensatory responses to external perturbations remain poorly understood.</div></div><div><h3>Objective</h3><div>To investigate postural adjustments during predictable trunk perturbations in older adults with a history of severe COVID-19 and examine agreement between smartphone-derived measurements and a three-dimensional motion capture system.</div></div><div><h3>Methods</h3><div>Twenty-seven older adults were allocated to a Healthy Group (HG, n = 18) and a Post-COVID Severe Group (PCG, n = 9). Predictable anteroposterior trunk perturbations were delivered by a pendulum, with simultaneous L5 acceleration recordings using motion capture (120 Hz) and a smartphone accelerometer (50 Hz). Outcomes included APA_onset, APA_amplitude, CPA_range and CPA_restabtime. Group comparisons were corrected using the Benjamini-Hochberg false discovery rate (FDR). Instrument agreement was assessed using Spearman's coefficient, intraclass correlation coefficient (ICC), and Bland-Altman analysis. Effect sizes (Hedges' g) are reported with 95% confidence intervals (CIs).</div></div><div><h3>Results</h3><div>The PCG showed earlier APA_onset and longer CPA_restabtime than the HG. No significant differences were found for APA_amplitude or CPA_range, although the 95% CIs of the corresponding effect sizes were wide, precluding firm conclusions about the absence of group differences. Smartphone and motion capture measurements showed moderate-to-strong correlations, whereas ICC values were lower, particularly in the PCG. The significant between-group difference in CPA_restabtime was detected only by the kinematic reference system. Findings should be interpreted considering the modest sample size, particularly in the PCG.</div></div><div><h3>Conclusion</h3><div>Older adults recovering from severe COVID-19 exhibit altered postural responses. Smartphone inertial sensors showed acceptable agreement for some variables but should be used cautiously in post-COVID assessment.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"48 ","pages":"Pages 1883-1892"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149199232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Test-retest reliability of MyotonPRO parameters in healthy muscles at rest: A profile-based analysis","authors":"Flávia Alves de Carvalho,&nbsp;Fernanda Pegorin Diniz,&nbsp;Lucas Antonio Buara Arminio,&nbsp;Isaque Machado da Silva,&nbsp;Carlos Marcelo Pastre","doi":"10.1016/j.jbmt.2026.09.025","DOIUrl":"10.1016/j.jbmt.2026.09.025","url":null,"abstract":"<div><h3>Background</h3><div>Reliable myotonometric reference values are needed for different muscles and populations to improve the interpretation of these parameters.</div></div><div><h3>Methods</h3><div>Eighty healthy male and female adults were assessed twice within 48 h using the MyotonPRO on the dominant middle deltoid (MD), rectus femoris (RF), tibialis anterior (TA), and soleus (SO). Muscle tone, stiffness, elasticity, relaxation time, and creep were analyzed. Reliability was assessed using intraclass correlation coefficients (ICC 3,1) and minimal detectable change (MDC).</div></div><div><h3>Results</h3><div>Tone, stiffness, and relaxation time showed good reliability in the MD (ICC = 0.84, 0.81, 0.77) and RF (ICC = 0.70, 0.67, 0.78). TA and SO showed poor-to-moderate reliability for tone (ICC = 0.49 and 0.30), stiffness (ICC = 0.43 and 0.13), and relaxation time (ICC = 0.59 and 0.26). Elasticity and creep had limited reliability across all muscles. In women, muscle tone and elasticity were lower, and relaxation time higher, while in men creep was lower.</div></div><div><h3>Conclusions</h3><div>The MyotonPRO is reliable for assessing tone, stiffness, and relaxation time in the MD and RF. Its use in other muscles or parameters should be approached with caution. Sex differences should be considered in interpretation.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"48 ","pages":"Pages 1739-1744"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149153797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posture and mental health: Functional and psychological differences in college students with and without forward head posture","authors":"Samuel T. Lauman,&nbsp;Meredith Decker,&nbsp;Mark Ricard,&nbsp;David I. Anderson,&nbsp;Debi Iba,&nbsp;Cynthia Trowbridge","doi":"10.1016/j.jbmt.2026.10.007","DOIUrl":"10.1016/j.jbmt.2026.10.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine differences in psychological patient-rated outcomes (PROs) between college-aged students with forward head posture (W-FHP) and those without (WO-FHP), and to explore the potential bidirectional association between posture and psychological well-being.</div></div><div><h3>Design</h3><div>Cross-sectional observational study.</div></div><div><h3>Methods</h3><div>A total of 112 college-aged participants were categorized into W-FHP (n = 56; craniovertebral angle ≤ 50°) and WO-FHP (n = 56). All participants completed validated PROs, including the Neck Disability Index (NDI), Generalized Anxiety Disorder Scale (GAD-7), Dispositional Positive Emotion Scale (DPES), and PROMIS-29 domains. Between-group comparisons were conducted using independent samples tests and linear regression models controlling for body mass index (BMI). Forward and reverse logistic regressions were used to assess whether posture predicted psychological outcomes and vice versa.</div></div><div><h3>Results</h3><div>Participants W-FHP reported significantly higher scores on the NDI, and PROMIS domains of Anxiety, Fatigue, Sleep Disturbance, and Pain Intensity compared to those without FHP. These differences remained significant after adjusting for BMI. Logistic regression revealed that posture predicted elevated anxiety risk (OR = 3.69), while reverse models showed that each unit increase in anxiety T-score was associated with increased odds of FHP classification (OR = 1.10), suggesting a reciprocal relationship.</div></div><div><h3>Conclusion</h3><div>College students W-FHP demonstrated worse psychological outcomes than those WO-FHP. These findings support embodied cognition theories and suggest that posture may serve as a low-cost, modifiable biomarker for subclinical psychological distress. Incorporating postural assessment into holistic health strategies may offer a novel, non-pharmacological approach to support mental well-being in student populations.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"48 ","pages":"Pages 1908-1914"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149199239","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":"Comparative effects of cognitive training with whole-body vibration vs. traditional physiotherapy on balance and plantar sensation in diabetic neuropathy","authors":"Maryam Niajalili ,&nbsp;Soheila Sadeghi ,&nbsp;Alireza Akbarzadeh Baghban ,&nbsp;Khosro Khademi Kalantari ,&nbsp;Sedigheh Sadat Naimi","doi":"10.1016/j.jbmt.2025.10.042","DOIUrl":"10.1016/j.jbmt.2025.10.042","url":null,"abstract":"<div><h3>Background</h3><div>Physical inactivity and the global prevalence of diabetes increase disability related to diabetic neuropathy. Physiotherapy techniques—such as infrared radiation, laser therapy, ultrasound, electrical stimulation, electromagnetic waves, whole-body vibration, and therapeutic exercises—are widely used to manage symptoms. Cognitive exercises activating the frontal and prefrontal lobes also help address cognitive decline and depressive symptoms. Motor and cognitive training improve balance and functional performance, but the combined effect of whole-body vibration and cognitive exercises on neuropathic symptoms remains unclear.</div></div><div><h3>Materials and methods</h3><div>This randomized controlled trial involved 42 diabetic patients aged 40–75 years with moderate peripheral neuropathy. Participants were randomly assigned to three groups: (1) Control receiving routine physiotherapy; (2) Treatment Group 1 performing balance exercises with transcutaneous electrical nerve stimulation (TENS); and (3) Treatment Group 2 receiving whole-body vibration (WBV) combined with cognitive exercises. Interventions were performed over ten sessions in four weeks. Functional balance and plantar tactile sensation were evaluated using the Timed Up and Go (TUG), Functional Reach Test (FRT), and 5.07 monofilament tests. Data were analyzed using repeated-measures ANOVA with Bonferroni post-hoc tests (p &lt; 0.05).</div></div><div><h3>Results</h3><div>All groups showed significant improvement (P &lt; 0.001), with the greatest gains in Group 2, followed by Group 1.</div></div><div><h3>Conclusion</h3><div>Combining WBV and cognitive exercises yields superior benefits in enhancing plantar sensation and balance in diabetic patients with neuropathy.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 1-9"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435659","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":"Effects of strength training on morphological changes of lipodystrophy in people living with HIV: A quasi-experimental non-randomized controlled trial","authors":"Wlaldemir Roberto dos Santos ,&nbsp;Walmir Romário dos Santos ,&nbsp;Pedro Pinheiro Paes ,&nbsp;Klaudia Emanuela Ramos Tenório ,&nbsp;Talita Morais Fernandes ,&nbsp;Ana Paula Morais Fernandes","doi":"10.1016/j.jbmt.2025.12.026","DOIUrl":"10.1016/j.jbmt.2025.12.026","url":null,"abstract":"<div><h3>Background</h3><div>Lipodystrophy syndrome in people living with HIV (PLHIV) is an adverse effect of antiretroviral therapy (ART), characterized by morphological changes that contribute to the social stigma associated with the disease.</div></div><div><h3>Purpose</h3><div>The aim of the study was to investigate the effects of a strength training intervention on the morphological changes associated with lipodystrophy in PLHIV.</div></div><div><h3>Methods</h3><div>This quasi-experimental, non-randomized controlled trial was conducted over 12 weeks with 40 PLHIV (70 % male), divided into Training (TG) and Control (CG) groups (20 each). Participants were HIV-positive, had lipodystrophy, were on ART, over 18 years old, and inactive for at least three months. The TG completed 12 weeks of strength training (36 sessions), assessed by DXA and anthropometry, while the CG was evaluated on the same variables before and after the period. Comparative statistical analyses were performed.</div></div><div><h3>Results</h3><div>Strength training significantly reduced fat mass in the upper limbs (−4.5 %; p = 0.049) and lower limbs (−8.6 %; p = 0.036), and abdominal circumference (−0.7 %; p = 0.039). Total lean mass increased by 4.6 % (p = 0.007), with significant increases in the upper limbs (+5.7 %; p = 0.001) and trunk (+4.9 %; p = 0.006). Participants with less ART exposure showed greater increases in lean mass in the upper limbs (+5.2 %; p = 0.002) and trunk (5.6 %; p = 0.008). No significant changes were observed in the CG.</div></div><div><h3>Conclusion</h3><div>Strength training improved body composition in PLHIV with lipodystrophy, especially those with less ART exposure. Further studies are needed to assess early interventions.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 611-619"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839728","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":"Periodization of physical exercise in the rehabilitation of a professional soccer player following anterior cruciate ligament reconstruction: A case report","authors":"Sebastián Rodríguez ,&nbsp;Catalina León-Prieto","doi":"10.1016/j.jbmt.2025.12.006","DOIUrl":"10.1016/j.jbmt.2025.12.006","url":null,"abstract":"<div><h3>Objective</h3><div>To present the rehabilitation management of a professional soccer player following anterior cruciate ligament (ACL) reconstruction with a bone–patellar tendon–bone autograft, emphasizing an exercise periodization approach.</div></div><div><h3>Methods</h3><div>A 24-year-old professional soccer player (180 cm, 78 kg) sustained a right ACL rupture during an abrupt change of direction, experiencing an audible pop, severe pain, and instability. MRI confirmed the diagnosis. Arthroscopic ACL reconstruction was performed using a bone–patellar tendon–bone autograft, secured with interference screws. A structured, accelerated rehabilitation program was implemented, prioritizing joint stability, strength, and neuromuscular control.</div></div><div><h3>Results</h3><div>The rehabilitation followed a periodized model with six macrocycles and 30 microcycles across five phases. Each macrocycle established specific objectives, precautions, interventions, progression criteria, and assessment tests. This structured approach facilitated a systematic recovery, enhancing joint function, muscle strength, dynamic stability, and neuromuscular control. The athlete met all progression criteria and successfully transitioned to soccer-specific training.</div></div><div><h3>Conclusion</h3><div>Periodized rehabilitation optimized recovery, ensuring a safe and progressive return to competition. Macrocycle-based structuring facilitated workload management, minimized re-injury risk, and maximized performance. This approach underscores the importance of periodization in sports rehabilitation, providing a replicable model for high-performance athletes.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 600-610"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839729","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}