JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

{"title":"Comparable regional hypertrophy of the knee extensor muscles in response to resistance training with machines versus free weights: a randomized within-subject approach","authors":"Magellan T. Amanuma ,&nbsp;Pedro Luiz T. Ikeda ,&nbsp;Mariana T. Sakamoto ,&nbsp;Julio Cesar Justino ,&nbsp;Nicollas Silva Abreu ,&nbsp;Maria Vitória de Sena Silva ,&nbsp;Vitor de Salles Painelli Ph.D.","doi":"10.1016/j.jbmt.2025.09.027","DOIUrl":"10.1016/j.jbmt.2025.09.027","url":null,"abstract":"<div><h3>Background</h3><div>Muscle hypertrophy response to resistance training (RT) with machines and free weights is widely debated in the literature. Understanding which form of exercise is superior for muscle hypertrophy has therapeutic and ergogenic repercussions.</div></div><div><h3>Objectives</h3><div>Therefore, we compared muscle hypertrophy response between RT performed with free weights (FW) vs. machines (MACH).</div></div><div><h3>Design</h3><div>Randomized within-subject design.</div></div><div><h3>Methods</h3><div>Eight young, healthy, untrained women (age: 22 ± 5 years; 62.0 ± 8.7 kg; 1.71 ± 0.05 m; BMI: 21.4 ± 3.3 kg m²) had each of their legs submitted to RT with FW or MACH. RT included exercises targeting the knee extensor muscles (FW: lunge; MACH: inclined leg press), 3 days·week⁻¹, for 9 weeks. Muscle hypertrophy was determined pre- and post-RT through ultrasound to assess MT of the vastus lateralis (VL) and rectus femoris (RF) at their proximal (50 %) and distal (70 %) portions. The Mixed Model was conducted for data analysis, with significance set at p ≤ 0.05.</div></div><div><h3>Results</h3><div>No between-group differences were identified for any of the muscles and portions before RT (all comparisons, p &gt; 0.05). MT increases were detected for both FW and MACH in RF50 % (respectively, +10.7 %, p = 0.027; and +8.9 %, p = 0.051), RF70 % (respectively, +24.8 %, p = 0.019; and +27.3 %, p = 0.017), VL50 % (respectively, +13.3 %, p = 0.011; and +12.1 %, p = 0.031) and VL70 % (respectively, +12.7 %, p = 0.046; and +15.7 %, p = 0.016), indicating that RT-induced muscle hypertrophy occurred across all muscles and portions. However, Group × Time interaction was not identified for RF50 % (p = 0.816), RF70 % (p = 0.588), VL50 % (p = 0.679) or VL70 % (p = 0.635) MT values.</div></div><div><h3>Conclusions</h3><div>FW and MACH were comparably effective to induce muscle hypertrophy in previously untrained women.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 562-568"},"PeriodicalIF":1.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157752","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":"Does anterior cruciate ligament deficiency affect patellar orientation? A cross-sectional observational study","authors":"Gopisankar Balaji ,&nbsp;M. Prabhu ,&nbsp;Mohanakrishnan Jagadevan ,&nbsp;Thangamani Ramalingam","doi":"10.1016/j.jbmt.2025.09.024","DOIUrl":"10.1016/j.jbmt.2025.09.024","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Anterior cruciate ligament (ACL) injury causes significant changes in the arthro-kinematics of the knee joint, affecting the patella-femoral joint (PFJ) and PFJ pain. This study aimed to observe changes in the orientation of the patella relative to the trochlear groove of the femur and to assess the incidence of PFJ pain following ACL injury.</div></div><div><h3>Methods</h3><div>This <strong>C</strong>ross-sectional observational study included 58 individuals aged 18 to 50 with ACL deficiency who had been injured for more than three months. Clinical and radiological parameters of the patella-femoral joint (PFJ) were recorded, with the uninjured limb as the control. Data was collected and analyzed using SPSS software.</div></div><div><h3>Results</h3><div>PFJ pain was present in 25 (43 %) participants. The radiographic measurements (CD index, congruence angle, and patellar tilt) on the ACL deficient side showed no significant difference compared to their asymptomatic side. The mean difference in the CD index of the unloaded and loaded knee was 0.02 and 0.03, respectively. The congruence angle measurement in the ACL deficient knee was −2.27 ± 10.34, while the normal side was −4.44 ± 7.66. The lateral patellar angle measurement in the ACL deficient knee was 14.62 ± 4.77, while the normal side was 14.87 ± 5.06°.</div></div><div><h3>Conclusion</h3><div>Based on radiographic measurements, this study observed that ACL deficiency does not alter the patellar orientation but can result in PFJ pain.</div></div><div><h3>Level of evidence</h3><div>Level IV.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 524-528"},"PeriodicalIF":1.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117517","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":"Association between body fat indices and pain perception: Implications for self-reported pain and pressure pain threshold in people with knee osteoarthritis","authors":"Natália Aparecida Casonato,&nbsp;Filipe Estevão Sette,&nbsp;Marialice Gyaraki da Silva,&nbsp;Paula João Francisco Venturini,&nbsp;Jessica Bianca Aily,&nbsp;Stela Marcia Mattiello","doi":"10.1016/j.jbmt.2025.09.018","DOIUrl":"10.1016/j.jbmt.2025.09.018","url":null,"abstract":"<div><h3>Background</h3><div>Pain is the main disabling symptom in knee osteoarthritis (KOA). People with KOA are often overweight or obese, conditions associated with pain. However, the relationship between body fat indices and pain perception needs to be assessed using more accurate equipment, thereby establishing objective measures for its results.</div></div><div><h3>Objectives</h3><div>This study investigated the association between body fat indices and pain perception in people with KOA.</div></div><div><h3>Methods</h3><div>Eighty adults with KOA (58 ± 9 years, 60 % women) participated. Body fat indices were measured using Dual-Energy X-ray Absorptiometry (DEXA), and pain was assessed through pressure pain threshold (PPT) at local and remote sites. Self-reported pain was measured using the Numeric Pain Rating Scale (NPRS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Multiple linear regression models, adjusted for age and sex, were used to analyze these associations.</div></div><div><h3>Results</h3><div>Higher body fat percentage (% body fat) was associated with lower PPTs (β = 1.7; 95 % CI: 1.2–4.8) and higher WOMAC scores (β = 0.3; 95 % CI: 1.1–2.7); fat mass index (FMI) showed similar trends. Visceral adipose tissue (VAT) was only significantly associated with NPRS (β = 45.4; 95 % CI: 13.4–77.5).</div></div><div><h3>Conclusion</h3><div>Body fat mass is a key factor in pain perception in people with KOA. These findings underscore the importance of detailed body fat assessments in this population, which aid in developing more precise and personalized therapeutic interventions for managing chronic pain.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 555-561"},"PeriodicalIF":1.4,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157847","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 neuromuscular exercise and dance therapy on physical performance and kinesiophobia in GERIATRICS: A randomized controlled study","authors":"Ozum Cetinkaya ,&nbsp;Ozgur Nalbant ,&nbsp;Meric Odemis ,&nbsp;Hatice Gulsoy","doi":"10.1016/j.jbmt.2025.09.009","DOIUrl":"10.1016/j.jbmt.2025.09.009","url":null,"abstract":"<div><h3>Background</h3><div>Neuromuscular exercise is a comprehensive training approach encompassing functional movements, proprioceptive training, and perturbation exercises aimed at enhancing balance, muscle activation, and joint stability. Dance therapy, defined as the intentional and rhythmic movement of the body to music, serves as a physical and mental modality for promoting well-being.</div></div><div><h3>Objective</h3><div>This study aimed to compare the effects of a physiotherapy-based neuromuscular exercise program and dance therapy on physical performance and kinesiophobia in geriatrics.</div></div><div><h3>Methods</h3><div>Fifty-two participants were randomly assigned to either a neuromuscular exercise group (NE; n = 25) or a dance therapy group (DT; n = 27). Both interventions lasted 12 weeks. Assessments included the Berg Balance Scale (BBS) for functional balance, the Tinetti Balance and Gait Assessment (TBG) for balance and gait, the 30-Second Sit-to-Stand Test (30SSTS) for lower extremity strength and function, the Falls Efficacy Scale-International (FES-I) for fear of falling, Manual Muscle Testing for muscle strength, goniometric measurements for range of motion (ROM), and the Tampa Scale for Kinesiophobia (TSK).</div></div><div><h3>Results</h3><div>Functional balance improved significantly only in the DT group. (BBS, p &lt; 0.05). Both groups showed significant within-group improvements in balance (TBG), lower limb function (30SSTS), and proximal muscle strength (MMT) (p &lt; 0.05). Between-group analysis showed significantly higher baseline 30SSTS scores in the NE group (p &lt; 0.05), and no significant differences were observed in fear of falling, ROM, or kinesiophobia.</div></div><div><h3>Conclusion</h3><div>Neuromuscular exercise and dance therapy are both safe and effective interventions for improving balance, lower extremity function and proximal muscle strength in geriatrics. Their incorporation into rehabilitation programs may support active aging.</div></div><div><h3>Trial registration</h3><div>ClinicalTrials.gov Identifier: NCT06395779.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 545-554"},"PeriodicalIF":1.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157846","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":"Relaxation training for vasomotor symptoms and body awareness in menopausal and postmenopausal women","authors":"Gizem Sahin ,&nbsp;Nihan Ozunlu Pekyavas ,&nbsp;Aydan Aytar","doi":"10.1016/j.jbmt.2025.09.021","DOIUrl":"10.1016/j.jbmt.2025.09.021","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of our study was to examine the effects of relaxation training on vasomotor symptoms and body awareness in menopausal and postmenopausal periods.</div></div><div><h3>Method</h3><div>48 volunteered women (24 menopausal and 24 postmenopausal, aged 50–65 years) were included in our study. Participants were given a 30-min relaxation training via online platform, 3 days a week for 6 weeks. Participants were evaluated with Menopausal Symptoms Rating Scale (MSRS), Pittsburg Sleep Quality Index (PSQI), Body Awareness Questionnaire and Body Perception Scale before and after the training.</div></div><div><h3>Results</h3><div>A statistically significant difference was found between the relaxation training before and after training on vasomotor symptoms, body awareness and body perception in menopausal and postmenopausal periods (all p &lt; 0.01). There was a significant difference between before and after training (p &lt; 0.01) in sleep quality, while there was no significant difference between before and after training in the postmenopausal period (p = 0.070).</div></div><div><h3>Discussion</h3><div>Decreasing vasomotor symptoms, increasing body awareness and body image is beneficial for women to adapt to the menopausal process more easily and to manage the process more comfortably. Relaxation training might have positive effects on this process.</div></div><div><h3>Conclusion</h3><div>Our results showed that positive effects may be achieved with relaxation training in menopausal and postmenopausal periods.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 502-507"},"PeriodicalIF":1.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104327","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":"Myofascial continuity: Review of anatomical and functional evidence","authors":"Leonid Kalichman","doi":"10.1016/j.jbmt.2025.09.020","DOIUrl":"10.1016/j.jbmt.2025.09.020","url":null,"abstract":"<div><h3>Background</h3><div>Myofascial continuity, the structural and functional linkage of muscles via fascial networks, is pivotal for musculoskeletal mechanics, sensory feedback, and clinical practice.</div></div><div><h3>Objective</h3><div>This review assesses anatomical and functional evidence for myofascial chains, evaluating their structural validity, biomechanical role in force transmission, sensory integration, and therapeutic applications in physiotherapy and manual therapy.</div></div><div><h3>Methods</h3><div>A narrative review synthesizes systematic reviews of cadaveric dissections, in vivo biomechanical studies, and primary research. Studies were selected for methodological rigor, relevance to myofascial continuity, and contributions to force transmission models.</div></div><div><h3>Results</h3><div>Anatomical evidence strongly supports the Superficial Back Line, Back Functional Line, and Front Functional Line, with moderate evidence for the Spiral and Lateral Lines. The Superficial Front Line lacks validation. The ArthroMyoFascial complex demonstrates joint-level fascial integration, and the neck-eye myofascial continuum suggests links to oculomotor control. In vivo studies partially confirm epimuscular myofascial force transmission (EMFT), with in vitro data indicating fascia transmits up to 30 % of mechanical forces, though human evidence is limited. Fascia's contractile myofibroblasts and innervation contribute to tension regulation, proprioception, and pain modulation.</div></div><div><h3>Conclusion</h3><div>Myofascial continuity is anatomically robust, with emerging functional significance via EMFT and sensory mechanisms. Clinical applications include targeted rehabilitation, manual therapy, and pain management, leveraging fascial and joint-level interactions. Further research using advanced imaging, controlled biomechanical trials, and standardized methods is needed to refine force transmission models and validate myofascial chains.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 569-575"},"PeriodicalIF":1.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157753","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":"What is the most suitable medicine ball mass for assessing maximal upper-extremity power in the seated single-arm horizontal push test?","authors":"Matthieu Degot ,&nbsp;Isabelle Rogowski ,&nbsp;Alexandre Dingome ,&nbsp;Pierre Samozino ,&nbsp;Baptiste Morel ,&nbsp;Yoann Blache","doi":"10.1016/j.jbmt.2025.09.023","DOIUrl":"10.1016/j.jbmt.2025.09.023","url":null,"abstract":"<div><h3>Introduction</h3><div>Different medicine ball (MB) masses are used for the unilateral MB push to indirectly determine upper-extremity power. This study aimed to identify the most suitable MB mass for assessing maximal upper-extremity power through the seated single-arm horizontal push test (SSAHPT).</div></div><div><h3>Methods</h3><div>Thirty-four athletes performed the SSAHPT with three different MB masses (1 kg, 3 kg, and 5 kg) and the unilateral ballistic bench press test. For each limb, the SSAHPT distance was determined, and the maximal power (Pmax) and force-velocity profile (SFv) were extracted from the unilateral bench press test.</div></div><div><h3>Results</h3><div>For the 1-kg and 3-kg MB, SSAHPT performance variation was explained by the variations of Pmax and Dominance (R² = 0.82–0.86), with the effect of Pmax about 5.5 times greater than the effect of Dominance. For the 5-kg MB mass, SSAHPT performance variation was explained by the variations of Pmax, Dominance, and SFv (R² = 0.85). The effect of Pmax was 5.3 and 1.6 times greater than the effect of Dominance and SFv, respectively.</div></div><div><h3>Conclusion</h3><div>To limit the involvement of the athlete's force-velocity profile in SSAHPT performance with a 5-kg MB mass, it is advisable to use either a 1-kg or 3-kg MB mass when SSAHPT is employed to reflect maximal upper-extremity power.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 438-444"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104316","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":"Effect of baduanjin exercise on salivary inflammatory and oxidative markers in the elderly with metabolic syndrome and periodontal disease: a randomized trial","authors":"Ali Mohamed Ali Ismail ,&nbsp;Amina Mohamed El-Moatasem ,&nbsp;Alaa Mohamed El-Moatasem","doi":"10.1016/j.jbmt.2025.09.017","DOIUrl":"10.1016/j.jbmt.2025.09.017","url":null,"abstract":"<div><h3>Background</h3><div>Qigong exercises – including Baduanjin training (BT)- are complementary exercises usually practiced in patients with chronic diseases to improve their quality of life.</div></div><div><h3>Objectives</h3><div>This clinical trial performed on older sufferers with metabolic syndrome (MS) and chronic periodontal disease (PD) aimed to investigate the effect of Baduanjin training on elders' periodontal health, salivary proinflammatory indicators, and salivary anti-oxidative markers.</div></div><div><h3>Methods</h3><div>Fifty elderly (27 men and 23 women) with MS and chronic PD participated in this trial. Patients' ages ranged from 65 to 78 years old. Older patients were randomly and equally assigned to Baduanjin training group (BTG) or non-trained waitlist control group. BTG received 60-min BT sessions five times weekly. The primary outcome of this trial was periodontal disease index. Secondary outcomes of this BT trial were interleukin 1-beta, interleukin-6, total antioxidant status, superoxide dismutase, and the simplified oral hygiene index (SOHI).</div></div><div><h3>Results</h3><div>All screened parameters of the control group did not significantly change (<em>p</em> &gt; 0.05). All screened parameters (except SOHI) of BTG significantly improved (<em>p</em> &lt; 0.05) after 6-month BT.</div></div><div><h3>Conclusion</h3><div>BT could improve periodontal health by enhancing PD-associated salivary proinflammatory markers and oxidative stress in elderly with MS and PD.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 536-544"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157848","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":"Risk factors at birth, in childhood and adolescence for the onset of musculoskeletal chronic pain in adulthood: a scoping review","authors":"Michele Margelli ,&nbsp;Alice Gianelli ,&nbsp;Lucia Borghi ,&nbsp;Federico Zanchetta ,&nbsp;Stefano Salvioli ,&nbsp;Filippo Maselli","doi":"10.1016/j.jbmt.2025.09.015","DOIUrl":"10.1016/j.jbmt.2025.09.015","url":null,"abstract":"<div><h3>Objectives</h3><div>Chronic pain is a common healthcare issue among adults. It is not only correlated with structural impairments; it is also strongly influenced by psychological and social factors. This study aimed to identify risk factors for the onset of musculoskeletal chronic pain in adulthood during the periods of birth, childhood and adolescence.</div></div><div><h3>Methods</h3><div>In order to investigate the literature on our topic of interest in detail, we decided to undertake a scoping review. We searched MEDLINE (PubMed), Cochrane CENTRAL, Scopus, CINAHL, Embase and PEDro. We also searched the bibliographies of relevant studies and reviews, as well as Google Scholar.</div></div><div><h3>Results</h3><div>A total of 169 studies were included in the analysis. Of these, 139 were conducted in Europe and the USA between January 2016 and June 2023. The female sample was larger, with 49265 patients. A total of 171 different risk factors and their definitions were identified. The most frequently reported risk factors were sexual abuse (104 cases), physical abuse (91 cases) and childhood trauma (59 cases). Other cited risk factors included family factors, psychological abuse, morbidity during childhood and socio-economic background.</div></div><div><h3>Discussion</h3><div>The aim of this study was to identify the risk factors present in early life that contribute to the development of chronic musculoskeletal pain in adulthood. Despite the various factors described, many studies agree that exposure to multiple risk factors, particularly adverse childhood experiences, increases the likelihood of developing chronic pain in adulthood more than exposure to a single factor.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 445-457"},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104400","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":"Effectiveness of fascial manipulation® versus eccentric training with static stretching on patellar tendinopathy – A randomized clinical trial","authors":"Rajasekar Sannasi MPT, PhD ,&nbsp;K.V.N. Dinesh Dr. ,&nbsp;Parth H. Patel MPT ,&nbsp;Sharath Chandra Badikala MPT ,&nbsp;Karthik Uchilla Dr. ,&nbsp;Mohak Girish Adav MPT ,&nbsp;Carla Stecco Dr.","doi":"10.1016/j.jbmt.2025.09.014","DOIUrl":"10.1016/j.jbmt.2025.09.014","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effectiveness of Fascial Manipulation® (FM) and eccentric training (ET) with static stretching in patellar tendinopathy.</div></div><div><h3>Methods</h3><div>This randomized clinical trial was conducted at an outpatient physiotherapy department. A total of 88 patients with patellar tendinopathy were recruited and randomly allocated to either a 4-week ET program with static stretching or a once-weekly FM treatment for 4 weeks. The primary outcome measure was the Victorian Institute of Sport Assessment-Patella Kannada (VISA-P-K) questionnaire. Secondary outcomes included the Numerical Pain Rating Scale (NPRS), Pressure Pain Threshold (PPT), patellar tendon thickness assessed using colour Doppler ultrasonography, and a 6-point Likert scale to measure patient satisfaction. Paired and independent t-tests, along with repeated measures ANOVA, were used to analyse differences within and between groups. Post hoc analysis was applied to minimize familywise error.</div></div><div><h3>Results</h3><div>Of the 88 subjects, 86 completed the study follow-up. The mean scores for VISA-P, NPRS, and PPT showed significant improvement (p &lt; .001) in both groups at 4 weeks, 3 months, 6 months, and 1-year follow-up. The thickness of the hypoechoic area in the patellar tendon was reduced at 4 weeks in both groups. On the 6-point Likert scale, 80 % of patients in the FM group and 39 % in the ET group reported complete recovery. Both groups demonstrated a significant Effect Size Index (ESI) across all outcome measures at 4 weeks.</div></div><div><h3>Conclusion</h3><div>While both Fascial Manipulation® and Eccentric Training with stretching led to similar improvements, Fascial Manipulation® appears to be superior in terms of the number of treatment sessions required and patient satisfaction.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 483-492"},"PeriodicalIF":1.4,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104401","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}