JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

{"title":"Self-management education programs (SMEPs) for adults with coexisting overweight or obesity and knee osteoarthritis: A systematic review","authors":"Duha Batayneh ,&nbsp;Mohd Razif Shahril ,&nbsp;Sumaiyah Mat ,&nbsp;Deepashini Harithasan ,&nbsp;Alia A. Alghwiri ,&nbsp;Devinder Kaur Ajit Singh","doi":"10.1016/j.jbmt.2025.09.001","DOIUrl":"10.1016/j.jbmt.2025.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>This review aimed to synthesize the content and delivery of SMEPs and explore outcomes improvement (pain, knee function, weight loss, and quality of life) in adults with overweight/obesity and KOA across RCTs, non-RCTs, and cohorts.</div></div><div><h3>Methods</h3><div>A systematic search of multiple databases and grey literature (Google Scholar) was conducted using combinations of terms (‘self-management education program,’ ‘knee osteoarthritis,’ ‘obesity,’ ‘overweight’) with Boolean operators and MeSH terms. Eligible studies included adults with overweight/obesity and KOA, evaluating SMEPs via RCTs, non-RCTs, or prospective cohorts with self-reported or performance outcomes. Two reviewers independently screened the studies, with a third reviewer resolving any conflicts. Methodological quality was assessed using MQCAT. Results were synthesized narratively using thematic analysis.</div></div><div><h3>Results</h3><div>Sixteen studies met the inclusion criteria with moderate to high MQCAT scores (10–13/14). SMEPs commonly included symptom management, exercise, weight-management, pacing, and additional strategies such as communication skills and joint protection. Most were group-based (n = 14), delivered in mixed formats (n = 11) by healthcare professionals, &lt;8 weeks in duration (n = 7). The majority were facility-based (n = 9) and conducted primarily in the U.S. SMEPs improved multiple outcomes, particularly pain.</div></div><div><h3>Conclusion</h3><div>This review provides novel insights into SMEPs’ content and delivery for adults with overweight/obesity and KOA, a group not previously examined. Findings support tailored, multidisciplinary programs integrating exercise, weight-management, and psychosocial support, which clinicians can implement through coordinated care and policymakers may scale within community services. However, few studies targeted this group. Future SMEPs require stratified RCTs, standardized outcomes, and cost-effectiveness evaluations.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 269-285"},"PeriodicalIF":1.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145003978","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":"Impact of strength training on physical function, biomechanical variables, and pain management in older adults with knee osteoarthritis: a randomized controlled trial","authors":"Felipe Marrese Bersotti ,&nbsp;Reniery Pereira da Silva ,&nbsp;Márcia Barbanera ,&nbsp;Klaus Magno Becker ,&nbsp;Márcio Fagundes Goethel ,&nbsp;Ulysses Fernandes Ervilha","doi":"10.1016/j.jbmt.2025.08.018","DOIUrl":"10.1016/j.jbmt.2025.08.018","url":null,"abstract":"<div><h3>Background/Objectives</h3><div>This study investigated the effects of a 12-session, 4-week strength training protocol on pain, stiffness, and function in individuals with knee osteoarthritis (OA). <strong>Methods</strong>: The interventions included low-load (20 % 1RM) and high-load (70 % 1RM) exercises, targeting different muscle groups. Participants were divided into three groups: low-load knee-only (K20), high-load knee-only (K0), and high-load knee and hip (HK70). Outcomes were assessed using isokinetic dynamometry, the WOMAC index, and the Timed Up and Go (TUG) test, with comparisons made pre- and post-intervention.</div></div><div><h3>Results</h3><div>All groups experienced significant pain reduction and improved WOMAC scores for pain and function, and were maintained for up to 12 months. The HK70 group showed significant strength improvements in knee flexion and extension across all velocities, while the K70 group demonstrated similar gains at lower speeds. The K20 group achieved limited strength improvements, mainly in knee extension at slower speeds, and was the only group to show reduced stiffness. No significant differences were observed in the TUG test, likely due to participants' initial mobility levels.</div></div><div><h3>Conclusions</h3><div>Short-term strength training effectively reduces pain and enhances function in knee OA patients. Both low- and high-load exercises offer benefits, with high-load protocols boosting strength and low-load exercises reducing stiffness. These findings highlight the importance of personalized strength training in <span>OA</span> management to promote pain relief, strength maintenance, and functional improvement.</div></div><div><h3>Implications</h3><div>These findings support the use of strength training at different intensities to tailor interventions for symptom relief and functional improvement in individuals with knee osteoarthritis.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 229-237"},"PeriodicalIF":1.4,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925542","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":"Immediate effects of Uddiyana bandha on blood pressure and heart rate variability in healthy individuals – a randomized crossover study","authors":"S Ranjit Nataesh ,&nbsp;T. Akshayamini ,&nbsp;A. Ragasudha ,&nbsp;N. Mangaiarkarasi ,&nbsp;A. Mooventhan","doi":"10.1016/j.jbmt.2025.08.022","DOIUrl":"10.1016/j.jbmt.2025.08.022","url":null,"abstract":"<div><h3>Introduction</h3><div>Lifestyle disorders are associated with autonomic dysfunction. Though Yogic practices have been shown to regulate autonomic balance, there is a lack of studies explaining the physiological effects of bandhas. Hence, the objective of the study was to find the effect of Uddiyana bandha on autonomic and cardiac functions using HRV and blood pressure in healthy individuals.</div></div><div><h3>Materials and methods</h3><div>Thirty healthy students were randomized into two groups (crossover study design adopted). Each group was asked to perform both Uddiyana bandha and control sessions (vice versa) in two different days. In the study session subjects were asked to perform Uddiyana bandha, whereas in the control session subjects were asked to sit in normal breathing for 10 min. Assessments were taken pre, during, immediately after and after 10 min of intervention.</div></div><div><h3>Results</h3><div>In between session analysis, there was a significant increase in SDNN, RMSSD, LF and LF/HF ratio and significant decrease in HF during the practice of Uddiyana bandha. In study session analysis, there was a significant increase in RRI, RMSSD and PNN50 and a decrease in heart rate between baseline and follow up. In the control session there was a significant decrease in HR during recovery period. There was a significant increase in the diastolic blood pressure immediately after the bandha which reverts back to normal after 10 min.</div></div><div><h3>Conclusion</h3><div>Results suggest a co-activation of both sympathetic and parasympathetic activity during practice of Uddiyana bandha making it difficult to arrive at a conclusion. There was a parasympathetic dominance in the recovery period (10 min after the bandha practice).</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 262-268"},"PeriodicalIF":1.4,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931975","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 dry needling with physical modalities for myofascial trigger point of patients with neck pain: A systematic review and meta-analysis","authors":"Yongjia Chen ,&nbsp;Yannan Sun ,&nbsp;Shaolong Ai ,&nbsp;Qian Wang","doi":"10.1016/j.jbmt.2025.08.015","DOIUrl":"10.1016/j.jbmt.2025.08.015","url":null,"abstract":"<div><h3>Objective</h3><div>Myofascial pain syndrome (MPS) is a chronic musculoskeletal condition characterized by activation of myofascial trigger points (MTrPs). This systematic review compared the effects of dry needling (DN) and physical modalities on pain and function in patients with MPS.</div></div><div><h3>Methods</h3><div>PubMed, Embase, Scopus, and Cochrane Library were searched for randomized controlled trials (RCTs) up to September 2023 comparing DN with physical modalities for MTrPs-induced neck pain. Risk of bias was assessed using the Cochrane tool, and meta-analyses were performed with a random-effects model. Outcomes included visual analog scale (VAS), pressure pain threshold (PPT), and neck disability index (NDI), expressed as pooled mean difference (MD) with 95 % confidence intervals (CI). Evidence quality was graded using the GRADE approach.</div></div><div><h3>Results</h3><div>Eight RCTs met inclusion criteria. All studies showed high risk of bias due to lack of participant blinding, resulting in moderate-to-low GRADE ratings. DN and physical modalities showed no statistically or clinically significant differences in pain (VAS: MD = −0.13 cm, 95 % CI: 0.35 to 0.09, <em>P</em> = 0.24), PPT (MD = 0.04 kgf, 95 % CI: 0.08 to 0.16, <em>P</em> = 0.48), or function (NDI: MD = 0.00, 95 % CI: 0.61 to 0.60, <em>P</em> = 0.99). Heterogeneity was low, and no treatment-related adverse events were reported.</div></div><div><h3>Conclusions</h3><div>DN and physical modalities appear similarly effective for MPS, but high-quality RCTs are needed to strengthen the evidence.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 493-501"},"PeriodicalIF":1.4,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104531","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":"Corrigendum to “Effect of crossed-hands myofascial induction on thoracolumbar fascia stiffness, thickness, and alignment” [J. Bodyw. Mov. Ther. (2025) 338–343/ 43]","authors":"María Alejandra Sánchez-Vera ,&nbsp;Daniel Felipe Serrano Diaz ,&nbsp;Jhann Kamill Canty Casallas ,&nbsp;Paula Andrea Bonilla Rodríguez ,&nbsp;Robert Schleip ,&nbsp;Margareth Lorena Alfonso-Mora","doi":"10.1016/j.jbmt.2025.07.004","DOIUrl":"10.1016/j.jbmt.2025.07.004","url":null,"abstract":"","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"44 ","pages":"Page 841"},"PeriodicalIF":1.4,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144917049","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":"Translation, cross-cultural adaptation, and discriminant validation of the rate of perceived stability scale for Brazilian Portuguese","authors":"Silênio Souza Reis ,&nbsp;Polliana Batista dos Santos ,&nbsp;Tiago Henrique Souza Nobre ,&nbsp;Laryssa de Freitas Rezendes ,&nbsp;Giovana Lobo Castilho ,&nbsp;Estevão Couto Vinhal ,&nbsp;Natalia Duarte Pereira ,&nbsp;Deborah D. Espy ,&nbsp;Lucielma Barbosa Matias ,&nbsp;Rodrigo de Jesus Pio ,&nbsp;Jean Alex Matos Ribeiro","doi":"10.1016/j.jbmt.2025.08.017","DOIUrl":"10.1016/j.jbmt.2025.08.017","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to translate, cross-culturally adapt, and evaluate the discriminant validity of the Rate of Perceived Stability (RPS) scale in Brazilian Portuguese (RPS-Br).</div></div><div><h3>Methods</h3><div>This methodological cross-sectional study followed a six-stage process for translating and cross-cultural adapting the RPS scale: translation, synthesis, back translation, expert review, pretesting, and submission to the original scale's author. Content validity was measured using the Content Validity Index (CVI). Discriminant validity was assessed by correlating the RPS-Br with objective and subjective measures of physical exertion during balance exercises on different surfaces. Statistical analyses included Spearman's correlation coefficient (r_s), ANOVA, and Friedman tests.</div></div><div><h3>Results</h3><div>The RPS-Br scale showed acceptable content validity (CVI ≥0.80). Discriminant validity was supported by correlations below the threshold of 0.30 between the RPS-Br scores and the percentages of heart rate reserve (r_s = 0.069, <em>p</em> = 0.025), maximum heart rate (r_s = 0.146, <em>p</em> &lt; 0.01), and the rating of perceived exertion (r_s = 0.257, <em>p</em> &lt; 0.01). Perceived stability differed significantly across surfaces, confirming the scale's sensitivity to balance challenges.</div></div><div><h3>Conclusion</h3><div>The RPS-Br scale demonstrates strong content and discriminant validity, making it a valuable tool for assessing perceived stability during balance exercises in Brazil. Further studies are needed to explore its reliability and validate it in clinical populations with specific health conditions.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 244-249"},"PeriodicalIF":1.4,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931977","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":"Case report: L3 Entrapped vertebra syndrome as a rare cause of low back pain in a semi-professional female soccer player","authors":"Sebastián Rodríguez ,&nbsp;Nathaly Andrea Mayorga-Pardo ,&nbsp;Catalina León-Prieto","doi":"10.1016/j.jbmt.2025.08.029","DOIUrl":"10.1016/j.jbmt.2025.08.029","url":null,"abstract":"<div><div>Entrapped Vertebra Syndrome is a newly described, scarcely documented condition characterized by segmental restriction, facet dysfunction and neuromuscular involvement. We present the case of a 26-year-old semi-professional soccer player with chronic and disabling low back pain, exacerbated by sports activity. The clinical evaluation showed a positive lumbar extension test, unilateral pain at L3-L4 and alterations in core activation. Magnetic resonance imaging revealed anterior displacement of L3 without spondylolisthesis, facet hypertrophy, synovitis at L3-L4, thickening of the ligamentum flavum and edema in the L3 nerve root. Differential diagnosis was established with spondylolisthesis, disc protrusion and femoral nerve entrapment. A rehabilitation program based on central stability and motor control was implemented, achieving functional recovery without recurrence of pain. This case highlights the relevance of an accurate diagnostic approach and the role of therapeutic exercise periodization in the treatment of complex lumbar pathologies in athletes.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 250-254"},"PeriodicalIF":1.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931978","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 sodium bicarbonate and carbohydrate intake after 14-h fasting on anaerobic performance and muscular endurance: A randomized placebo-controlled trial","authors":"Somaieh Hatami,&nbsp;Maryam Ebrahimi,&nbsp;Abuzar Jorbonian","doi":"10.1016/j.jbmt.2025.08.025","DOIUrl":"10.1016/j.jbmt.2025.08.025","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to evaluate the effects of 14-h fasting on anaerobic performance and muscular endurance in active men, considering the role of pre-exercise sodium bicarbonate (NaHCO₃) and carbohydrate (CHO) intake.</div></div><div><h3>Methods</h3><div>Fourteen trained men (22.36 ± 1.28 years; BMI: 23.37 ± 2.00 kg/m²; body fat: 13.09 ± 5.10 %) participated in a crossover design study. They underwent five testing sessions, separated by a one-week washout period: a baseline trial in the fed state, followed by four trials after 14 h of fasting with either CHO, NaHCO₃, or a placebo (sodium chloride) ingestion. The anaerobic performance was estimated using the Running-Based Anaerobic Sprint Test (RAST), and muscular endurance was tested through leg and bench press repetitions to failure.</div></div><div><h3>Results</h3><div>14-h fasting enhanced anaerobic performance by 10 % (P &lt; 0.05) and muscular endurance by 24 % (P &lt; 0.01) compared to the fed state. NaHCO₃ supplementation increased anaerobic power by 21 % (P &lt; 0.01) and reduced fatigue by 37 % (P &lt; 0.05), whereas CHO intake had a minor effect on anaerobic performance but improved endurance. There was no significant difference in Rate of Perceived Exertion (RPE) across conditions. NaHCO₃ caused mild gastrointestinal discomfort.</div></div><div><h3>Conclusion</h3><div>A 14-h overnight fast may enhance anaerobic performance and muscular endurance in trained males. NaHCO₃ supplementation further enhances power output while reducing fatigue; However, we should consider gastrointestinal discomfort when implementing this strategy.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 255-261"},"PeriodicalIF":1.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931979","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":"Impact of yoga and naturopathy in a patient with unilateral Meniere's disease associated with pangastritis: A case report","authors":"M. Divya ,&nbsp;S. Abinaya ,&nbsp;M. Alkousar Taz ,&nbsp;N. Manavalan ,&nbsp;L. Nivethitha ,&nbsp;A. Mooventhan","doi":"10.1016/j.jbmt.2025.08.032","DOIUrl":"10.1016/j.jbmt.2025.08.032","url":null,"abstract":"<div><h3>Background</h3><div>Meniere's disease is a chronic inner ear disorder characterized by endolymphatic hydrops, episodic vertigo, tinnitus, fluctuating hearing loss, and auditory fullness. It is associated with a range of risk factors and comorbid conditions, including stress and gastrointestinal symptoms. Yoga and naturopathy are effective in treating psychosomatic diseases. The objective of the study was to find the efficacy of yoga and naturopathy in the management various inflammatory conditions and improving quality of life.</div></div><div><h3>Case description</h3><div>A 43-year-old female came to our in patient department with a history of pangastritis with gastrointestinal bleeding and associated with Meniere's disease. Her symptoms included tinnitus, vertigo, and nausea, which had persisted for years. She had been on allopathic medications but experienced a relapse of tinnitus and other symptoms. The patient underwent a 10-day residential program incorporating yoga therapy, hydrotherapy, mud therapy, acupuncture, auriculotherapy, and a raw plant-based diet.</div></div><div><h3>Results</h3><div>Electrogastrography (EGG), Perceived Stress Scale (PSS), Patient Health Questionnaire-9 (PHQ-9), Short Form Health Survey-12 (SF-12), Tinnitus Handicap Inventory (THI), and Tinnitus Reaction Questionnaire (TRQ) were assessed before and after the intervention. Result showed an increase in EGG gastric slow waves post 10-day residential intervention and an increase in physical health component of SF-12 and a reduction in PSS, PHQ-9, THI, and TRQ scores after 2 month follow up post residential intervention.</div></div><div><h3>Conclusion</h3><div>Yoga and naturopathy was effective in improving gastric motility and quality of life and in reducing stress, depression and tinnitus symptom severity in a patient with pangastritis associated with unilateral Menieres disease.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 225-228"},"PeriodicalIF":1.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925540","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":"Evaluating the test-retest reliability of knee extensor muscle strength measurement in older adults with nintendo wii balance board: A comparison of single, maximum, and averaged trials","authors":"Noppharath Sangkarit,&nbsp;Weerasak Tapanya,&nbsp;Puttipong Poncumhak,&nbsp;Patchareeya Amput,&nbsp;Saisunee Konsanit","doi":"10.1016/j.jbmt.2025.08.024","DOIUrl":"10.1016/j.jbmt.2025.08.024","url":null,"abstract":"<div><h3>Background</h3><div>Accurate assessment of lower limb muscle strength is essential for fall risk screening and rehabilitation in older adults. The Nintendo Wii Balance Board (NWBB), a portable and low-cost tool, has potential in clinical assessment, yet its reliability for knee extensor strength remains underexplored.</div></div><div><h3>Objective</h3><div>To evaluate the test–retest reliability of the NWBB in measuring knee extensor strength using single, maximum, and averaged trial strategies in older adults.</div></div><div><h3>Methods</h3><div>Thirty older adults (n = 30; 15 males and 15 females; mean age 65.2 ± 4.1 years) completed two NWBB assessments, one week apart. Each session involved three maximal isometric contractions of the knee extensors. Reliability indices were calculated using ICC_3,1, standard error of measurement (SEM), and minimum detectable change (MDC₉₅) across three trial strategies: single trial, maximum of three trials, and average of three trials. Bland–Altman plots evaluated agreement.</div></div><div><h3>Results</h3><div>No significant differences were observed between test days (p &gt; 0.05), confirming temporal stability. Single trials showed moderate reliability (ICC_3,1 = 0.786–0.823) and high MDC95 % (&gt;25 %). Averaged trials showed the highest reliability (ICC_3,1 = 0.984), lowest SEM (3.21 kg), and MDC95 % (7.11 %). Subgroup analysis showed excellent reliability across genders, with MDC95 % as low as 2.67 % in females.</div></div><div><h3>Conclusion</h3><div>NWBB provides excellent reliability when using averaged trials, supporting its use in assessing knee extensor strength in older adults. Averaging trials enhances sensitivity and reduces error, making it suitable for clinical and research use.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"Pages 206-214"},"PeriodicalIF":1.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922563","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}