JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

{"title":"Intensive versus usual rehabilitation programs in stable chronic obstructive pulmonary disease (COPD) patients","authors":"Hala M. Abd Elsabour Sabah ,&nbsp;Rehab M. Mohammed ,&nbsp;Samia Mohamed Rashad","doi":"10.1016/j.jbmt.2025.10.055","DOIUrl":"10.1016/j.jbmt.2025.10.055","url":null,"abstract":"<div><h3>Background</h3><div>Pulmonary rehabilitation (PR) is a comprehensive, patient-customized, multifaceted, non-pharmacological, pivotal intervention designed to enhance the quality of life in patients with chronic obstructive pulmonary disease (COPD). Comorbidities and financial costs pose an important hindrance to long-term adherence to PR programs, and the optimal duration and intensity of a PR program are controversial.</div><div>So, we conducted this study to assess the effect of 3-week PR program on COPD patients, and to compare the effectiveness of an intensive program with two sessions per day, to a usual program with one session per day.</div></div><div><h3>Methods</h3><div>A prospective interventional study enrolling 50 clinically stable COPD patients randomized into two groups. A three-week PR program was designed for both groups. Group I received one session/day while Group II received two sessions/day. Oxygen saturation(SPO2) modified Medical Research Councill(mMRC) dyspnea grade, COPD Assessment Test (CAT) score, Barthel scale, and 6-min walking test(6MWT) were all assessed at baseline and the end of the program.</div></div><div><h3>Results</h3><div>Fifty COPD patients, with a mean age of 60.06 ± 6.3 years. After three weeks of PR either with one or two sessions per day, both groups showed significant improvement in the dyspnea score, CAT score, Barthel score, SPO2, and 6minute walking distance (6MWD) (p-value˂0.05). Also, on comparing the resulting parameters between the two groups showed a non-significant difference.</div></div><div><h3>Conclusion</h3><div>A three-week pulmonary rehabilitation with usual program is effective and comparable to an intensive program in increasing exercise capacity, improving dyspnea, and health-related quality of life in stable COPD Patients.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 109-116"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145521008","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 hydrotherapy on gait control in older adults with neurological conditions: A systematic review","authors":"Zélia Rodrigues ,&nbsp;Patrícia Pires ,&nbsp;Sónia Pires ,&nbsp;Sara Gonçalves ,&nbsp;Telma Pires","doi":"10.1016/j.jbmt.2025.10.032","DOIUrl":"10.1016/j.jbmt.2025.10.032","url":null,"abstract":"<div><h3>Background</h3><div>Hydrotherapy is the external use of water for therapeutic purposes, using the physical, physiological, and kinesiological effects of immersing the body in a pool to aid rehabilitation or prevent functional alterations.</div></div><div><h3>Objective</h3><div>This systematic review aims to assess hydrotherapy's effects on gait control in older adults with neurological conditions.</div></div><div><h3>Methods</h3><div>Computerised search in Scopus, PubMed, Web of Science, B-on, PEDro, and Cochrane databases, using the combination of keywords: Thermal water, Gait control, hydrotherapy, and Aquatic therapy for older adults. Methodological quality was analysed using the Physiotherapy Evidence Database (PEDro) scale. The selection criteria included randomised clinical trials in neurological cases in older adults with altered gait and balance.</div></div><div><h3>Results</h3><div>A comprehensive search was conducted in Scopus, PubMed, Web of Science, B-on, PEDro, and Cochrane databases. Randomised controlled trials involving older adults (≥65 years) with neurological disorders affecting gait and balance were included. Methodological quality was assessed using the PEDro scale.</div></div><div><h3>Conclusion</h3><div>Hydrotherapy appears safe and more effective than conventional physiotherapy for improving gait control, balance, and mobility in older adults with neurological impairments. Its buoyancy and resistance effects facilitate motor re-education and confidence in movement. Integrating aquatic therapy into neurorehabilitation programs may enhance outcomes and quality of life, although long-term follow-up studies are still needed.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 66-73"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145521011","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":"Comparison of the effects of combined ankle and lumbopelvic manipulation versus ankle manipulation on static and dynamic balance in patients with chronic ankle instability","authors":"Afsaneh Bahadori ,&nbsp;Narges Meftahi ,&nbsp;Katayoon Rezaei ,&nbsp;Ayda Karami","doi":"10.1016/j.jbmt.2025.10.041","DOIUrl":"10.1016/j.jbmt.2025.10.041","url":null,"abstract":"","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 123-133"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145521071","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":"Changes in forearm muscle stiffness in relation to grip strength","authors":"Ryota Oshima ,&nbsp;Daisuke Shimao","doi":"10.1016/j.jbmt.2025.12.007","DOIUrl":"10.1016/j.jbmt.2025.12.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Grip strength plays a critical role in sports involving the upper extremities, prompting extensive research in this area. This study investigated the forearm muscles, which are considered to be closely associated with grip strength, with the aim of quantitatively evaluating how individual muscles are influenced by variations in grip strength by using shear wave speed measurements.</div></div><div><h3>Methods</h3><div>Grip strength was measured using a grip strength dynamometer, and muscle stiffness was evaluated using shear wave elastography to determine shear wave speed. Forearm muscle shear wave speed measurements were performed on nine adult men at two grip strength levels: 0 kg and 5 kg.</div></div><div><h3>Results</h3><div>The flexor digitorum superficialis (0 kg: 2.61 ± 0.24 m/s; 5 kg: 5.46 ± 1.51 m/s; P = 0.001; d = 2.631), flexor carpi ulnaris (0 kg: 3.11 ± 0.40 m/s; 5 kg: 3.75 ± 0.29 m/s; P = 0.005; d = 1.824), and flexor digitorum profundus (0 kg: 2.30 ± 0.14 m/s; 5 kg: 6.50 ± 0.75 m/s; P = 0.000; d = 7.819) all showed significant increases in shear wave speed at 5 kg than at 0 kg. Quantitative analysis of the forearm muscles revealed that the flexor digitorum superficialis, flexor carpi ulnaris, and flexor digitorum profundus significantly contribute to grip strength.</div></div><div><h3>Conclusions</h3><div>These findings indicate that training these specific muscles could be beneficial not only for athletes but also for older adults engaged in upper limb sports and physical activities.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 456-459"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736878","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 12-week functional training on soccer fitness among boys aged 10–11 years","authors":"Xinyu Zhao ,&nbsp;Yang Hong ,&nbsp;Zihao Cai,&nbsp;Chang Liu,&nbsp;Yibo Jia,&nbsp;Tao Liu","doi":"10.1016/j.jbmt.2025.11.027","DOIUrl":"10.1016/j.jbmt.2025.11.027","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to test the efficacy of functional training in improving soccer fitness among boys aged 10–11 years.</div></div><div><h3>Methods</h3><div>Functional movement screening (FMS) and soccer fitness tests were conducted on 36 boys aged 10–11 years. The participants were randomly allocated to the control group (CG, n = 18) or experimental group (EG, n = 18). The CG was trained following a regular soccer training program, and the EG completed functional training during the warm-up and relaxation periods of the regular soccer training.</div></div><div><h3>Results</h3><div>After training, the FMS score of the EG increased from 16.94 ± 2.61 to 19.38 ± 1.06 (P &lt; 0.01, ES = 1.19), while the CG remained unchanged (17.22 ± 2.39, P &gt; 0.05, ES = 0.11). Both groups demonstrated significant improvements in multiple fitness indicators, including ball-dribbling shuttle run (CG: P &lt; 0.001, ES = 0.17; EG: P &lt; 0.001, ES = 0.88), dribbling around the poles (CG: P &lt; 0.001, ES = 0.32; EG: P &lt; 0.001, ES = 1.01), standing long jump (CG: P &lt; 0.001, ES = 0.11; EG: P &lt; 0.001, ES = 0.45), T-drill (CG: P &lt; 0.001, ES = 0.34; EG: P &lt; 0.001, ES = 2.28), and 400-m run (CG: P &lt; 0.05, ES = 0.80; EG: P &lt; 0.001, ES = 1.02). However, a significant improvement in target-oriented passing and receiving was observed only in the EG (P &lt; 0.01, ES = 0.48). Inter-group comparisons showed that the EG performed significantly better than the CG in dribbling around the poles (P &lt; 0.05, ES = 1.01), standing long jump (P &lt; 0.05, ES = 0.45), and T-drill (P &lt; 0.001, ES = 2.28). However, no significant differences were observed between the two groups in ball-dribbling shuttle run (P &gt; 0.05, ES = 0.88), target-oriented passing and receiving (P &gt; 0.05, ES = 0.48), or 400-m run (P &gt; 0.05, ES = 1.02).</div></div><div><h3>Conclusions</h3><div>The functional training program significantly enhanced FMS scores, mobility, and explosiveness, EG improved in the 400-m run performance and target accuracy, but no inter-group difference was observed, suggesting that additional sport-specific technical and endurance components are required to achieve more comprehensive performance gains.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 460-470"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736877","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":"The relationship between video game addiction, neck disability and upper extremity functional limitations in adolescents’ students","authors":"Amr Almaz Abdel-aziem ,&nbsp;Ahad Zid Alharthi ,&nbsp;Manar Abdullah AlOtaibi ,&nbsp;Miad Mutlaq Althaqafi ,&nbsp;Norah Ali AlOsaimi ,&nbsp;Taef Wail Altowirqi ,&nbsp;Wasan Mahmoud Aldina","doi":"10.1016/j.jbmt.2025.12.013","DOIUrl":"10.1016/j.jbmt.2025.12.013","url":null,"abstract":"<div><h3>Background</h3><div>Video gaming is a popular leisure activity among adolescents who are in danger of musculoskeletal disorders. So, the current study evaluated the video game addiction (GA) risk factors and investigated its relationship with neck disability and upper limb functional limitations among adolescents.</div></div><div><h3>Methods</h3><div>A cross-sectional study of 414 adolescents was conducted via a survey in Taif city, Saudi Arabia. The validated Arabic versions of the GA scale, neck disability index and upper limb functional limitations index were used to detect GA, evaluate neck disability and assess functional dysfunctions of upper extremities, respectively. The descriptive statistics and Chi-square test were used to analyze data. Logistic regression analysis was performed to identify the predictors of video GA.</div></div><div><h3>Results</h3><div>The prevalence of addicted gamers was 14.50 % (males: 13.54 %, and females: 15.32 %). The middle and secondary schools addicted students’ prevalence was 23.85 % and 11.15 % respectively. Students in middle schools were more likely to be addicted gamers 2.29 times more than secondary school students (p = 0.014). Of the addicted gamers, 53.33 % had neck disabilities and 15.00 % had upper limb functional limitations. Neck disability and upper limb functional limitations were not associated with GA (p = 0.654, 0.475 respectively).</div></div><div><h3>Conclusion</h3><div>The prevalence of GA was 14.50 % among adolescents. The middle schools are more predictive to GA than secondary schools. GA was not a predictor for neck disability or upper limb dysfunctions. To prevent GA, early diagnosis, controlling the accessibility of video games and promoting physical activity are essential to limit its disorders and related risks.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 404-412"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736876","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":"Optimizing cycling performance: A bibliographic analysis of EMG-based muscle research","authors":"Aparna Gupta ,&nbsp;Sheetal Kalra ,&nbsp;Puneeta Ajmera ,&nbsp;Sohrab Ahmad Khan","doi":"10.1016/j.jbmt.2025.10.027","DOIUrl":"10.1016/j.jbmt.2025.10.027","url":null,"abstract":"<div><h3>Background</h3><div>Literature is replete with respect to bibliometric analysis of EMG in cyclists. From 1980 to 2024 only 164 studies were found to showcase the intricate relationship between muscle activation patterns and cycling performance. Cyclists are constantly working on their muscles, knowing how much is the improvement in strength and in which muscles is relevant for their daily regimen of practice.</div></div><div><h3>Methods</h3><div>We retrieved studies on EMG analysis on cyclists from Scopus database from 1980 to 2024 and then used Vos Viewer to perform a bibliometric analysis and attain knowledge mapping including publication outputs, journals, authors, countries, keywords, citations and collaborative relationships.</div></div><div><h3>Results</h3><div>In total, 164 documents were published from 1980 to 2024. During this period the number of publications increased continuously. Journal of electromyography and kinesiology is the most productive and frequently co-cited journal. Interestingly, a high proportion of research appeared in top-tier (Q1) journals, often published by Elsevier. The most productive country in this field is the United States of America. Among the leading authors, Francois Hug was the most productive and influential author with 7 publications and 631 citations. The most common keywords were cycling (130), human (139), electromyography (113), adult (113), humans (109), bicycling (103), male (102), skeletal muscle (76), controlled study (62), muscle contraction (59), physiology (57), oxygen consumption (45), biomechanics (43).</div></div><div><h3>Conclusion</h3><div>This bibliometric analysis gives a systematic and comprehensive overview of electromyography analysis studies in cyclists from 1980 to 2024. USA, Francois Hug and Journal of electromyography and kinesiology being the most popular country, author and journal in this field respectively. Emerging muscle techniques for activation, strengthening and pain relief are the hotspots for future research in this field.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 22-28"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435662","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":"The association between physical activity and assisted care use among Chinese older adults","authors":"Yueyue You ,&nbsp;Yujian Zhang","doi":"10.1016/j.jbmt.2025.10.048","DOIUrl":"10.1016/j.jbmt.2025.10.048","url":null,"abstract":"<div><h3>Background</h3><div>This study investigated the association between physical activity (PA) and informal assisted care use and the number of days of informal assisted care use in older Chinese adults.</div></div><div><h3>Methods</h3><div>Data were drawn from 4 waves (2011, 2013, 2015, and 2018) of the China Health and Retirement Longitudinal Study. In total, 2603 participants (≥60 years) at the baseline participated at least once in the follow-up examinations. PA was measured by a modified version of the International Physical Activity Questionnaire. Informal assisted care use and the number of days of informal assisted care use was measured by a self-reported questionnaire. The generalized estimated equation logistic regression was used to model the associations between PA and informal assisted care use and the number of days of informal assisted care use.</div></div><div><h3>Results</h3><div>From baseline to wave 4, 46.4 %, 51.3 %, 52.6 % and 59.0 % of participants had insufficient PA (i.e. not meeting WHO recommendations for PA), and the percentage of participants who used informal assisted care was 15.3 %, 25.8 %, 31.5 % and 35.5 %, respectively. The results showed that participants who had insufficient PA had higher odds of informal assisted care use (OR: 1.60; 95 % CI: 1.28, 1.99) and more days of informal assisted care use (≥30 days: OR: 2.19; 95 % CI: 1.64, 2.93) than those who had sufficient PA.</div></div><div><h3>Conclusions</h3><div>Insufficient PA is associated with more informal assisted care use and more days of informal assisted care use. More studies are needed to understand the impact of physical activity on informal assisted care demands among older adults.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 10-16"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145435660","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":"Trends in the use of Baduanjin for improving sleep quality: a visual analysis","authors":"Junpu Wu,&nbsp;Xinyan Chen,&nbsp;Yue Chen,&nbsp;Xiang Li,&nbsp;Huaichi Zhang,&nbsp;Yinan Fan,&nbsp;Xiangyu Ma,&nbsp;Xin Jin","doi":"10.1016/j.jbmt.2025.10.045","DOIUrl":"10.1016/j.jbmt.2025.10.045","url":null,"abstract":"<div><div>This systematic review synthesizes evidence from Chinese and international studies on Baduanjin——a traditional mind-body practice——and its effects on sleep quality. Employing Citespace software, we mapped research trends, hotspots, and emerging trajectories within this literature. After screening thousands of records, 517 studies met the inclusion criteria for analysis. Publication output exhibits a dramatic upward trajectory, beginning with sparse activity before 2013, accelerating post-2013, spiking sharply after 2018, and peaking in 2023. China dominated as the primary research hub, driven by institutions specializing in traditional Chinese medicine which also formed robust collaborative networks. Key themes identified through keyword co-occurrence analysis include associations between Baduanjin, mental health, emotional states, combined interventions (e.g., with resistance training), and underlyling physiological mechanisms related to improved sleep. These findings offer crucial insights for researchers and funders guiding future investigations in this expanding field.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 181-191"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571436","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":"From hands-on to family-on: Task-Shifting manual therapy techniques in post-stroke neuroplasticity - A retrospective comparative analysis of the Cogni-Famille protocol","authors":"Ibrahim Npochinto Moumeni PT, MSc, MSc, MSc, MSc, PhD, Osteopath DO ,&nbsp;Njikam Moumeni Abdel-Nasser ,&nbsp;Tchuidjio Ketchogué Bristher Horlister ,&nbsp;Michael Temgoua ,&nbsp;Yakouba Njankouo Mapoure","doi":"10.1016/j.jbmt.2025.10.052","DOIUrl":"10.1016/j.jbmt.2025.10.052","url":null,"abstract":"<div><h3>Background</h3><div>Manual therapy techniques have demonstrated efficacy in post-stroke rehabilitation through neuroplastic mechanisms, yet accessibility remains limited by specialist availability. Family-centered task-shifting approaches may democratize manual therapy delivery while amplifying therapeutic intensity.</div></div><div><h3>Objective</h3><div>Objective: To evaluate the effectiveness of structured family training in manual therapy techniques for post-stroke recovery through the innovative Cogni-Famille protocol, with primary outcome measured by Montreal Cognitive Assessment (MoCA) score changes and functional independence (Barthel Index).</div></div><div><h3>Methods</h3><div>Retrospective comparative cohort study analyzing 13 post-stroke patients receiving family-delivered manual therapy training (25-h structured program, March 2024–June 2025) versus 13 historical controls receiving conventional therapy (December 2022–January 2024).</div></div><div><h3>Results</h3><div>Significant improvements in MoCA scores (+5.8 ± 2.1 vs +2.1 ± 1.3 points, p &lt; 0.001, effect size 2.1), functional independence (85 % vs 46 %, p = 0.02), Zarit caregiver burden reduction (−18.3 ± 4.7 vs −6.2 ± 3.1, p &lt; 0.001), and Modified Ashworth Scale spasticity improvement (−2.1 ± 0.8 vs −0.7 ± 0.6, p &lt; 0.001). Task-shifting model achieved 94 % family certification rate with zero serious adverse events. Cost reduction of 68 % (742€ vs 2310€, p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Structured family training in manual therapy techniques achieves superior outcomes through neuroplastic amplification via intensive, culturally-adapted delivery. This model offers scalable solutions for global stroke rehabilitation while maintaining safety and therapeutic effectiveness.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 168-180"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571438","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}