Pub Date : 2025-02-05DOI: 10.1016/j.bjpt.2025.101173
Patricia Driusso , Cristine Homsi Jorge , Ana Jéssica dos Santos Sousa , Daniela Fantin Carro , Leticia Maciel de Freitas , Simone Botelho , Luiz Gustavo Oliveira Brito , Maria Augusta Tezelli Bortolini , Jorge Milhem Haddad , Maria Palharini Volpato , Cássio Riccetto , Ana Carolina Rodarti Pitangui , Néville Ferreira Facchini de Oliveira , Elizabeth Alves Ferreira
Background
There has been many efforts and updates over the years to develop a consensus for English terminology related to the pelvic floor (PF). There is a similar need to standardize physical therapy related PF terminology in Brazil.
Objective
To propose a guideline in Brazilian Portuguese language on the terminology related to the female PF function and assessment.
Methods
The Brazilian Association of Physical Therapy in Women's Health (ABRAFISM) established a working group (Steering committee) responsible for conducting a systematic review on PF terminology, propose definitions in Portuguese, and manage the developmental stages. A systematic review of international consensus was conducted and the terms related to the PF were identified, listed, and defined in Portuguese. A Delphi method was used to reach a consensus on the definitions by querying a panel of expert professionals with clinical and research experience in the PF field. This panel included 19 physical therapists from all Brazilian regions and two physicians. The Delphi process included the following steps: evaluation of proposed terms by the panel of experts; review of suggestions made by the panel of experts, modification of terms based on those suggestions, and a new round of evaluation of the modified terms until reaching an 80 % agreement.
Results
Two rounds were necessary for terms related to anatomy and signs/symptoms of the PF, while a 90 % consensus for terms related to assessment of the PF muscles was achieved in the first round.
Conclusion
A final Brazilian-Portuguese guideline with consensus terminology on anatomy, symptoms, signs, and terms related to assessment of PF muscles was developed.
{"title":"A Brazilian Association of Women´s Health Physical Therapy (ABRAFISM) guideline on the terminology of pelvic floor muscle function and assessment","authors":"Patricia Driusso , Cristine Homsi Jorge , Ana Jéssica dos Santos Sousa , Daniela Fantin Carro , Leticia Maciel de Freitas , Simone Botelho , Luiz Gustavo Oliveira Brito , Maria Augusta Tezelli Bortolini , Jorge Milhem Haddad , Maria Palharini Volpato , Cássio Riccetto , Ana Carolina Rodarti Pitangui , Néville Ferreira Facchini de Oliveira , Elizabeth Alves Ferreira","doi":"10.1016/j.bjpt.2025.101173","DOIUrl":"10.1016/j.bjpt.2025.101173","url":null,"abstract":"<div><h3>Background</h3><div>There has been many efforts and updates over the years to develop a consensus for English terminology related to the pelvic floor (PF). There is a similar need to standardize physical therapy related PF terminology in Brazil.</div></div><div><h3>Objective</h3><div>To propose a guideline in Brazilian Portuguese language on the terminology related to the female PF function and assessment.</div></div><div><h3>Methods</h3><div>The Brazilian Association of Physical Therapy in Women's Health (ABRAFISM) established a working group (Steering committee) responsible for conducting a systematic review on PF terminology, propose definitions in Portuguese, and manage the developmental stages. A systematic review of international consensus was conducted and the terms related to the PF were identified, listed, and defined in Portuguese. A Delphi method was used to reach a consensus on the definitions by querying a panel of expert professionals with clinical and research experience in the PF field. This panel included 19 physical therapists from all Brazilian regions and two physicians. The Delphi process included the following steps: evaluation of proposed terms by the panel of experts; review of suggestions made by the panel of experts, modification of terms based on those suggestions, and a new round of evaluation of the modified terms until reaching an 80 % agreement.</div></div><div><h3>Results</h3><div>Two rounds were necessary for terms related to anatomy and signs/symptoms of the PF, while a 90 % consensus for terms related to assessment of the PF muscles was achieved in the first round.</div></div><div><h3>Conclusion</h3><div>A final Brazilian-Portuguese guideline with consensus terminology on anatomy, symptoms, signs, and terms related to assessment of PF muscles was developed.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101173"},"PeriodicalIF":3.1,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-04DOI: 10.1016/j.bjpt.2025.101175
Isis Resende Ramos , Iura Gonzalez Nogueira Alves , Mansueto Gomes Neto , Bruno Prata Martinez
{"title":"Reply to letter to editor for article: ‘‘Development, reliability, and validity of the mobility assessment scale in hospitalized patients (HMob).’’","authors":"Isis Resende Ramos , Iura Gonzalez Nogueira Alves , Mansueto Gomes Neto , Bruno Prata Martinez","doi":"10.1016/j.bjpt.2025.101175","DOIUrl":"10.1016/j.bjpt.2025.101175","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101175"},"PeriodicalIF":3.1,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-31DOI: 10.1016/j.bjpt.2025.101176
Federico Montero-Cuadrado , Laura Barrero-Santiago , Manuel Santos-Bermejo
Background
Chronic pain represents a global health challenge demanding a transition from traditional biomedical to patient-centered biopsychosocial models. This masterclass explores active coping strategies for effective chronic pain management within healthcare systems. It describes the Unit of Active Coping Strategies for Chronic Pain (UAAD – Unidad de Afrontamiento Activo para el Dolor) in Primary Care in Valladolid, Spain, as a successful example of implementing a biopsychosocial care model for treating chronic pain.
Objective
To provide tools that allow the application of active coping strategies in the treatment of patients with chronic pain and how to implement the UAAD units in other healthcare systems.
Methods
This masterclass describes the UAAD's innovative approach, starting with its comprehensive and personalized methodology. This includes a referral system, a thorough assessment encompassing biological, psychological, and social factors, and a functional categorization system. These elements guide personalized treatment plans delivered through group and individual programs grounded in therapeutic exercise and pain science education. Four key pillars are highlighted: clinical care, teaching, resource management, research and dissemination.
Conclusion
Embracing this model empowers healthcare providers to address the growing burden of chronic pain. It also enables patients to take an active role in their recovery and self-management.
{"title":"Pain revolution in the public health system: Active coping strategies for chronic pain unit","authors":"Federico Montero-Cuadrado , Laura Barrero-Santiago , Manuel Santos-Bermejo","doi":"10.1016/j.bjpt.2025.101176","DOIUrl":"10.1016/j.bjpt.2025.101176","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain represents a global health challenge demanding a transition from traditional biomedical to patient-centered biopsychosocial models. This masterclass explores active coping strategies for effective chronic pain management within healthcare systems. It describes the Unit of Active Coping Strategies for Chronic Pain (UAAD – <em>Unidad de Afrontamiento Activo para el Dolor</em>) in Primary Care in Valladolid, Spain, as a successful example of implementing a biopsychosocial care model for treating chronic pain.</div></div><div><h3>Objective</h3><div>To provide tools that allow the application of active coping strategies in the treatment of patients with chronic pain and how to implement the UAAD units in other healthcare systems.</div></div><div><h3>Methods</h3><div>This masterclass describes the UAAD's innovative approach, starting with its comprehensive and personalized methodology. This includes a referral system, a thorough assessment encompassing biological, psychological, and social factors, and a functional categorization system. These elements guide personalized treatment plans delivered through group and individual programs grounded in therapeutic exercise and pain science education. Four key pillars are highlighted: clinical care, teaching, resource management, research and dissemination.</div></div><div><h3>Conclusion</h3><div>Embracing this model empowers healthcare providers to address the growing burden of chronic pain. It also enables patients to take an active role in their recovery and self-management.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101176"},"PeriodicalIF":3.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-30DOI: 10.1016/j.bjpt.2025.101174
Paola Andrea Chavarro-Ortiz , Víctor Hugo Arboleda-Campo , Esther Cecilia Wilches-Luna
{"title":"Letter to the editor about the article “Development, reliability, and validity of the mobility assessment scale in hospitalized patients (HMob)”","authors":"Paola Andrea Chavarro-Ortiz , Víctor Hugo Arboleda-Campo , Esther Cecilia Wilches-Luna","doi":"10.1016/j.bjpt.2025.101174","DOIUrl":"10.1016/j.bjpt.2025.101174","url":null,"abstract":"","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101174"},"PeriodicalIF":3.1,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-23DOI: 10.1016/j.bjpt.2024.101169
Alexandre Delgado , Andrea Lemos , Geyson Marinho , Renato S. Melo , Filipe Pinheiro , Melania Amorim
Background
Physical therapy assistance during labor may provide physical and emotional support to the expectant mother. Through specific techniques, physical therapists may help alleviate pain, improve mobility, and facilitate a safer and more comfortable delivery.
Objective
To perform a systematic review of the literature to assess the potential benefits and risks of physical therapy assistance during labor.
Methods
A search was conducted in the MEDLINE/PubMed, LILACS, PEDro, EMBASE, CINAHL, CENTRAL, Web of Science, and SCOPUS databases, with no restrictions on dates or language. The terms "Physical therapy assistance" and "Labor" were used. Randomized and quasi-randomized clinical trials comparing a group receiving physical therapy assistance during labor with a control group receiving standard care were included. The Cochrane tool (RoB 2.0) was used to assess the Risk of Bias, and the certainty of evidence was evaluated using the GRADE system. Quantitative analysis was performed through meta-analyses.
Results
Twelve studies involving 984 pregnant women were included. There was an increase frequency of vaginal deliveries (RR: 1.10, 95% CI 1.04, 1.17; 9 studies; I2, 2%; T2, 0.00; p = 0.42) and a reduction in cesarean sections (RR: 0.52, 95% CI 0.35, 0.76; 9 studies; I2, 0%; T2, 0.00; p = 0.65) for the physical therapy group, findings based on high-certainty evidence. There was also a reduction in the duration of the first stage of labor (MD: -99.01 min, 95% CI -153.35, -44.66; 7 studies; I2, 88%; T2, 4546.40; p = 0.00001), duration of the second stage (MD: – 11.29 min, 95% CI -18.94, -3.64; 6 studies; I2, 53%; T2, 45.01; p = 0.06) and frequence of perineal lacerations (RR: 0.49, 95% CI 0.25, 0.96; 4 studies; I2, 0%; T2, 0.00; p = 0.70) for the intervention group, findings based on moderate-certainty evidence. There was also a reduction in pain by 1.46 points on the Visual Analog Scale (MD: -1.46, 95% CI -2.52, -0.41; 7 studies; I2, 100%; T2, 1.90; p < 0.00001), findings based on low-certainty evidence, a decrease in analgesic use (RR: 0.90, 95% CI 0.83, 0.99; 2 studies; I2, 0%; T2, 0.00; p = 0.44), and maternal anxiety by 7.65 points on the State-Trait Anxiety Inventory (MD: -7.65, 95% CI -11.27, -4.03; 2 studies; I2, 88%; T2, 5.99; p = 0.005) for the intervention group. There was no difference in the other maternal and fetal outcomes.
Conclusion
Physical therapy assistance during labor provides a number of benefits to the mother.
{"title":"Physical therapy assistance in labor: A systematic review and meta-analysis","authors":"Alexandre Delgado , Andrea Lemos , Geyson Marinho , Renato S. Melo , Filipe Pinheiro , Melania Amorim","doi":"10.1016/j.bjpt.2024.101169","DOIUrl":"10.1016/j.bjpt.2024.101169","url":null,"abstract":"<div><h3>Background</h3><div>Physical therapy assistance during labor may provide physical and emotional support to the expectant mother. Through specific techniques, physical therapists may help alleviate pain, improve mobility, and facilitate a safer and more comfortable delivery.</div></div><div><h3>Objective</h3><div>To perform a systematic review of the literature to assess the potential benefits and risks of physical therapy assistance during labor.</div></div><div><h3>Methods</h3><div>A search was conducted in the MEDLINE/PubMed, LILACS, PEDro, EMBASE, CINAHL, CENTRAL, Web of Science, and SCOPUS databases, with no restrictions on dates or language. The terms \"Physical therapy assistance\" and \"Labor\" were used. Randomized and quasi-randomized clinical trials comparing a group receiving physical therapy assistance during labor with a control group receiving standard care were included. The Cochrane tool (RoB 2.0) was used to assess the Risk of Bias, and the certainty of evidence was evaluated using the GRADE system. Quantitative analysis was performed through meta-analyses.</div></div><div><h3>Results</h3><div>Twelve studies involving 984 pregnant women were included. There was an increase frequency of vaginal deliveries (RR: 1.10, 95% CI 1.04, 1.17; 9 studies; I<sup>2</sup>, 2%; T<sup>2</sup>, 0.00; <em>p</em> = 0.42) and a reduction in cesarean sections (RR: 0.52, 95% CI 0.35, 0.76; 9 studies; I<sup>2</sup>, 0%; T<sup>2</sup>, 0.00; <em>p</em> = 0.65) for the physical therapy group, findings based on high-certainty evidence. There was also a reduction in the duration of the first stage of labor (MD: -99.01 min, 95% CI -153.35, -44.66; 7 studies; I<sup>2</sup>, 88%; T<sup>2</sup>, 4546.40; <em>p</em> = 0.00001), duration of the second stage (MD: – 11.29 min, 95% CI -18.94, -3.64; 6 studies; I<sup>2</sup>, 53%; T<sup>2</sup>, 45.01; <em>p</em> = 0.06) and frequence of perineal lacerations (RR: 0.49, 95% CI 0.25, 0.96; 4 studies; I<sup>2</sup>, 0%; T<sup>2</sup>, 0.00; <em>p</em> = 0.70) for the intervention group, findings based on moderate-certainty evidence. There was also a reduction in pain by 1.46 points on the Visual Analog Scale (MD: -1.46, 95% CI -2.52, -0.41; 7 studies; I<sup>2</sup>, 100%; T<sup>2</sup>, 1.90; <em>p</em> < 0.00001), findings based on low-certainty evidence, a decrease in analgesic use (RR: 0.90, 95% CI 0.83, 0.99; 2 studies; I<sup>2</sup>, 0%; T<sup>2</sup>, 0.00; <em>p</em> = 0.44), and maternal anxiety by 7.65 points on the State-Trait Anxiety Inventory (MD: -7.65, 95% CI -11.27, -4.03; 2 studies; I<sup>2</sup>, 88%; T<sup>2</sup>, 5.99; <em>p</em> = 0.005) for the intervention group. There was no difference in the other maternal and fetal outcomes.</div></div><div><h3>Conclusion</h3><div>Physical therapy assistance during labor provides a number of benefits to the mother.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101169"},"PeriodicalIF":3.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-23DOI: 10.1016/j.bjpt.2024.101165
Matthieu Guémann , Kevin Arribart
Background
Mirror therapy shows promise in the treatment of phantom limb pain but lacks robust evidence.
Objectives
To address this gap, we conducted a scoping review aiming to comprehensively explore the landscape of mirror therapy practice, gather details about the session content, and offer recommendations for future research.
Method
We searched seven databases for published work from 1995 to May 2023. Two independent reviewers selected, assessed, and extracted data from eligible articles. Articles, regardless of study design, were considered eligible if they investigated mirror therapy as an intervention for phantom limb pain.
Results
A total of 44 articles were included, comprising 16 randomized control trials, 14 prospective cohort studies, 15 case reports, and 3 protocols. These studies collectively involved 942 patients, with male patients representing 70 % of the participants. Lower limb amputation, primarily attributed to trauma, accounted for 88 % of the included patients. Pain intensity was predominantly assessed by a visual analog scale (61 %). However, there was a notable absence of detailed descriptions regarding mirror therapy sessions, particularly concerning the number of exercises, duration per exercise, and repetitions. Typically, sessions lasted 15 min each, conducted once daily. The exercises primarily focused on motor exercises targeting the distal part of the limb.
Conclusion
The practice of mirror therapy was characterized by poor description, showed significant heterogeneity, and a lack of standardized protocols, which contributes to an overall low level of evidence. Addressing these gaps in practice description and standardization is crucial for improving reproducibility and strengthening the evidence base for the prescription of mirror therapy.
{"title":"Examining heterogeneity and reporting of mirror therapy intervention for phantom limb pain: A scoping review","authors":"Matthieu Guémann , Kevin Arribart","doi":"10.1016/j.bjpt.2024.101165","DOIUrl":"10.1016/j.bjpt.2024.101165","url":null,"abstract":"<div><h3>Background</h3><div>Mirror therapy shows promise in the treatment of phantom limb pain but lacks robust evidence.</div></div><div><h3>Objectives</h3><div>To address this gap, we conducted a scoping review aiming to comprehensively explore the landscape of mirror therapy practice, gather details about the session content, and offer recommendations for future research.</div></div><div><h3>Method</h3><div>We searched seven databases for published work from 1995 to May 2023. Two independent reviewers selected, assessed, and extracted data from eligible articles. Articles, regardless of study design, were considered eligible if they investigated mirror therapy as an intervention for phantom limb pain.</div></div><div><h3>Results</h3><div>A total of 44 articles were included, comprising 16 randomized control trials, 14 prospective cohort studies, 15 case reports, and 3 protocols. These studies collectively involved 942 patients, with male patients representing 70 % of the participants. Lower limb amputation, primarily attributed to trauma, accounted for 88 % of the included patients. Pain intensity was predominantly assessed by a visual analog scale (61 %). However, there was a notable absence of detailed descriptions regarding mirror therapy sessions, particularly concerning the number of exercises, duration per exercise, and repetitions. Typically, sessions lasted 15 min each, conducted once daily. The exercises primarily focused on motor exercises targeting the distal part of the limb.</div></div><div><h3>Conclusion</h3><div>The practice of mirror therapy was characterized by poor description, showed significant heterogeneity, and a lack of standardized protocols, which contributes to an overall low level of evidence. Addressing these gaps in practice description and standardization is crucial for improving reproducibility and strengthening the evidence base for the prescription of mirror therapy.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 2","pages":"Article 101165"},"PeriodicalIF":3.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.bjpt.2024.101143
Daniela Cristina Carvalho de Abreu , Melise Jacon Peres-Ueno , Jaqueline Mello Porto
Background
Muscle status plays an important role in the achievement of good physical performance. However, which muscle group and muscle parameters are associated with different physical tasks is not well defined.
Objective
To determine the association between trunk and lower limb muscles and physical performance in community-dwelling older women.
Methods
118 older women, underwent an evaluation of physical performance, i.e., gait speed, Timed Up and Go (TUG), 5-times stand-to-sit (5TSST), forward and lateral step, and tandem gait, as well as a muscle performance evaluation with an isokinetic dynamometer to obtain the peak torque (PT), rate of torque development (RTD), and torque steadiness (TS) of the trunk, hip, knee, and ankle.
Results
There were associations between physical performance and muscle variables. However, each physical task was associated with different muscle parameters. Gait speed is the motor task that requires the least muscle strength (i.e., PT), whereas 5TSST, forward and lateral steps require PT, RTD, and TS of different muscle groups. Lower limb muscles RTD also plays a role in TUG and gait speed performance. The ability to control a submaximal torque is mainly required for forward and lateral stepping tasks. The PT of trunk muscles is also important for better performance of clinical tests.
Conclusion
This conceptual framework may be a guide for the understanding of the association between physical performance and trunk and lower limb muscle functional parameters in older women and may help future longitudinal research to confirm causality and assist physical therapists in decision-making.
{"title":"Conceptual framework for the associations between trunk and lower limb muscle parameters and physical performance in community-dwelling older women","authors":"Daniela Cristina Carvalho de Abreu , Melise Jacon Peres-Ueno , Jaqueline Mello Porto","doi":"10.1016/j.bjpt.2024.101143","DOIUrl":"10.1016/j.bjpt.2024.101143","url":null,"abstract":"<div><h3>Background</h3><div>Muscle status plays an important role in the achievement of good physical performance. However, which muscle group and muscle parameters are associated with different physical tasks is not well defined.</div></div><div><h3>Objective</h3><div>To determine the association between trunk and lower limb muscles and physical performance in community-dwelling older women.</div></div><div><h3>Methods</h3><div>118 older women, underwent an evaluation of physical performance, i.e., gait speed, Timed Up and Go (TUG), 5-times stand-to-sit (5TSST), forward and lateral step, and tandem gait, as well as a muscle performance evaluation with an isokinetic dynamometer to obtain the peak torque (PT), rate of torque development (RTD), and torque steadiness (TS) of the trunk, hip, knee, and ankle.</div></div><div><h3>Results</h3><div>There were associations between physical performance and muscle variables. However, each physical task was associated with different muscle parameters. Gait speed is the motor task that requires the least muscle strength (i.e., PT), whereas 5TSST, forward and lateral steps require PT, RTD, and TS of different muscle groups. Lower limb muscles RTD also plays a role in TUG and gait speed performance. The ability to control a submaximal torque is mainly required for forward and lateral stepping tasks. The PT of trunk muscles is also important for better performance of clinical tests.</div></div><div><h3>Conclusion</h3><div>This conceptual framework may be a guide for the understanding of the association between physical performance and trunk and lower limb muscle functional parameters in older women and may help future longitudinal research to confirm causality and assist physical therapists in decision-making.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101143"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.bjpt.2024.101155
Carla Coutinho da Silva , Rodrigo Cappato de Araújo , Danielly Alves Amorim , Ana Eliza Rios de Araújo Mathias , Ana Carolina Rodarti Pitangui
Background
The Prolapse and Incontinence Knowledge Quiz (PIKQ) was developed to assess women's knowledge of pelvic organ prolapse (POP) and urinary incontinence (UI).
Objective
To perform the translation, cross-cultural adaptation, and measurement properties of the PIKQ for Brazilian women with UI (PIKQ-Br).
Methods
The measurement properties were tested for validity (content and face, structural, and hypotheses testing) and reliability (internal consistency, test-retest, and measurement error) in 130 women with UI from Recife, Brazil. Hypotheses testing for construct validity was assessed by Spearman's correlation coefficients. The standard error of measurement and the smallest detectable change were used to determine the measurement error. The structural validity was examined using a confirmatory factor analysis. Test-retest reliability and internal consistency were determined using the intraclass correlation coefficient (ICC) and Cronbach's alpha.
Results
The structural validity was analyzed with a single factor and 12 questions, revealing the goodness-of-fit was inappropriate (TLI=0.60; RMSEA=0.07). The two factors and 10-question version presented adequate values and factor loading (>0.30), except questions 1, 7, and 8 in PIKQ-POP. Positive and moderate correlations for hypotheses testing were observed for PIKQ-UI-10 (rho=0.439). Positive and weak correlations were observed for PIKQ-POP-10 (rho=0.278). Cronbach's alpha coefficients for PIKQ-UI-10 were 0.718 and 0.710 for PIKQ-POP-10. Both scales showed excellent reliability (ICC>0.93). The PIKQ-UI-10 and PIKQ-POP-10 had SEM values of 0.24 and 0.31 and SDC of 0.66 and 0.85, respectively.
Conclusions
The PIKQ-Br with 10 questions and two-factor presented adequate measurement properties, and can be a useful instrument to assess women's knowledge about UI and POP.
{"title":"Translation, cross-cultural adaptation, and measurement properties of the prolapse and incontinence knowledge quiz (PIKQ-Br) for Brazilian women with urinary incontinence","authors":"Carla Coutinho da Silva , Rodrigo Cappato de Araújo , Danielly Alves Amorim , Ana Eliza Rios de Araújo Mathias , Ana Carolina Rodarti Pitangui","doi":"10.1016/j.bjpt.2024.101155","DOIUrl":"10.1016/j.bjpt.2024.101155","url":null,"abstract":"<div><h3>Background</h3><div>The Prolapse and Incontinence Knowledge Quiz (PIKQ) was developed to assess women's knowledge of pelvic organ prolapse (POP) and urinary incontinence (UI).</div></div><div><h3>Objective</h3><div>To perform the translation, cross-cultural adaptation, and measurement properties of the PIKQ for Brazilian women with UI (PIKQ-Br).</div></div><div><h3>Methods</h3><div>The measurement properties were tested for validity (content and face, structural, and hypotheses testing) and reliability (internal consistency, test-retest, and measurement error) in 130 women with UI from Recife, Brazil. Hypotheses testing for construct validity was assessed by Spearman's correlation coefficients. The standard error of measurement and the smallest detectable change were used to determine the measurement error. The structural validity was examined using a confirmatory factor analysis. Test-retest reliability and internal consistency were determined using the intraclass correlation coefficient (ICC) and Cronbach's alpha.</div></div><div><h3>Results</h3><div>The structural validity was analyzed with a single factor and 12 questions, revealing the goodness-of-fit was inappropriate (TLI=0.60; RMSEA=0.07). The two factors and 10-question version presented adequate values and factor loading (>0.30), except questions 1, 7, and 8 in PIKQ-POP. Positive and moderate correlations for hypotheses testing were observed for PIKQ-UI-10 (rho=0.439). Positive and weak correlations were observed for PIKQ-POP-10 (rho=0.278). Cronbach's alpha coefficients for PIKQ-UI-10 were 0.718 and 0.710 for PIKQ-POP-10. Both scales showed excellent reliability (ICC>0.93). The PIKQ-UI-10 and PIKQ-POP-10 had SEM values of 0.24 and 0.31 and SDC of 0.66 and 0.85, respectively.</div></div><div><h3>Conclusions</h3><div>The PIKQ-Br with 10 questions and two-factor presented adequate measurement properties, and can be a useful instrument to assess women's knowledge about UI and POP.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101155"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.bjpt.2024.101152
Ana Amélia Moraes Antunes , Graciandre Almeida Neves , Bianca Pantuzza Santana Rojas , Daniela Virgínia Vaz
Background
Participation is considered a central outcome of rehabilitation and needs to be appropriately assessed from a perspective that values individual values and preferences. The Brazilian version of the Impact on Participation and Autonomy (IPA-Br4) is the only adequate instrument to assess participation from a subjective perspective in Brazil.
Objective
To investigate the test-retest reliability and internal structure (structural validity and internal consistency) of the digital version of IPA-Br4 for individuals with physical disabilities.
Methods
Test-retest reliability was assessed with Intraclass Correlation Coefficients (ICC), structural validity with Confirmatory Factor Analysis (CFA), and internal consistency with Cronbach α.
Results
Thirty (43.25 ± 10.6 years old, 63.3% female) and 130 (47.51 ± 15.73 years old, 58.5% male) individuals participated in the test-retest reliability and structural validity assessments, respectively. ICCs for each domain were: Autonomy indoors = 0.84; Family role = 0.87; Social life and relationships = 0.87; Autonomy outdoors = 0.84. The CFA model for four factors showed appropriate fit with factor loadings indicating that all items loaded onto their respective factors, with magnitudes > 0.30 (p < 0.05). All Cronbach α values (internal consistency) were above 0.82.
Conclusion
The digital version of IPA-Br4 has adequate test-retest reliability and internal structure to be used with adults with physical disabilities.
{"title":"Test-retest reliability and internal structure of the Brazilian version of the impact on participation and autonomy (IPA-Br4) for individuals with physical disabilities","authors":"Ana Amélia Moraes Antunes , Graciandre Almeida Neves , Bianca Pantuzza Santana Rojas , Daniela Virgínia Vaz","doi":"10.1016/j.bjpt.2024.101152","DOIUrl":"10.1016/j.bjpt.2024.101152","url":null,"abstract":"<div><h3>Background</h3><div>Participation is considered a central outcome of rehabilitation and needs to be appropriately assessed from a perspective that values individual values and preferences. The Brazilian version of the Impact on Participation and Autonomy (IPA-Br4) is the only adequate instrument to assess participation from a subjective perspective in Brazil.</div></div><div><h3>Objective</h3><div>To investigate the test-retest reliability and internal structure (structural validity and internal consistency) of the digital version of IPA-Br4 for individuals with physical disabilities.</div></div><div><h3>Methods</h3><div>Test-retest reliability was assessed with Intraclass Correlation Coefficients (ICC), structural validity with Confirmatory Factor Analysis (CFA), and internal consistency with Cronbach α.</div></div><div><h3>Results</h3><div>Thirty (43.25 ± 10.6 years old, 63.3% female) and 130 (47.51 ± 15.73 years old, 58.5% male) individuals participated in the test-retest reliability and structural validity assessments, respectively. ICCs for each domain were: Autonomy indoors = 0.84; Family role = 0.87; Social life and relationships = 0.87; Autonomy outdoors = 0.84. The CFA model for four factors showed appropriate fit with factor loadings indicating that all items loaded onto their respective factors, with magnitudes > 0.30 (<em>p</em> < 0.05). All Cronbach α values (internal consistency) were above 0.82.</div></div><div><h3>Conclusion</h3><div>The digital version of IPA-Br4 has adequate test-retest reliability and internal structure to be used with adults with physical disabilities.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101152"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01DOI: 10.1016/j.bjpt.2024.101166
Andrés Pierobon , Will Taylor , Richelle Caya , Federico Villalba , Santiago Soliño , Pablo Oscar Policastro , Richard Siegert , Ben Darlow
Background
Physical function assessment is key for the management of knee musculoskeletal conditions. There are a wide variety of self-reported outcome measures (SROMs) and performance-based outcome measures (PBOMs) to assess physical function of individuals with knee conditions. However, the content of these measures has not been explored.
Objective
To explore the range and frequency of physical functions assessed by lower limb PBOMs and SROMs for people with knee osteoarthritis (OA), anterior cruciate ligament (ACL) injuries, and patellofemoral pain (PFP).
Methods
A scoping review was conducted. We included development or measurement properties studies of knee functional outcome measures for populations with knee OA, ACL injuries, and PFP. We extracted the physical functions assessed in each measure. Each identified physical function was linked to a code from the International Classification of Functioning, Disability and Health (ICF) framework.
Results
4146 articles were screened. A total of 143 articles were included. The median number of physical functions assessed was nine for SROMs and one for PBOMs. The three most assessed physical functions were climbing stairs, walking short distances, and standing up from sitting. Climbing stairs was the most assessed physical function in measures for knee OA and PFP populations, whereas jumping was in measures for the ACL-injured population.
Conclusion
SROMs assess a broader range of physical functions, whereas PBOMs focus on discrete activities. ACL and PFP measures evaluated more challenging physical functions than knee OA measures. Current physical function outcome measures are not well suited to assess performance in knee OA populations with mild or diverse levels of impairment.
{"title":"Physical functions assessed by lower limb performance-based and self-reported outcome measures for knee musculoskeletal conditions: A scoping review","authors":"Andrés Pierobon , Will Taylor , Richelle Caya , Federico Villalba , Santiago Soliño , Pablo Oscar Policastro , Richard Siegert , Ben Darlow","doi":"10.1016/j.bjpt.2024.101166","DOIUrl":"10.1016/j.bjpt.2024.101166","url":null,"abstract":"<div><h3>Background</h3><div>Physical function assessment is key for the management of knee musculoskeletal conditions. There are a wide variety of self-reported outcome measures (SROMs) and performance-based outcome measures (PBOMs) to assess physical function of individuals with knee conditions. However, the content of these measures has not been explored.</div></div><div><h3>Objective</h3><div>To explore the range and frequency of physical functions assessed by lower limb PBOMs and SROMs for people with knee osteoarthritis (OA), anterior cruciate ligament (ACL) injuries, and patellofemoral pain (PFP).</div></div><div><h3>Methods</h3><div>A scoping review was conducted. We included development or measurement properties studies of knee functional outcome measures for populations with knee OA, ACL injuries, and PFP. We extracted the physical functions assessed in each measure. Each identified physical function was linked to a code from the International Classification of Functioning, Disability and Health (ICF) framework.</div></div><div><h3>Results</h3><div>4146 articles were screened. A total of 143 articles were included. The median number of physical functions assessed was nine for SROMs and one for PBOMs. The three most assessed physical functions were climbing stairs, walking short distances, and standing up from sitting. Climbing stairs was the most assessed physical function in measures for knee OA and PFP populations, whereas jumping was in measures for the ACL-injured population.</div></div><div><h3>Conclusion</h3><div>SROMs assess a broader range of physical functions, whereas PBOMs focus on discrete activities. ACL and PFP measures evaluated more challenging physical functions than knee OA measures. Current physical function outcome measures are not well suited to assess performance in knee OA populations with mild or diverse levels of impairment.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 1","pages":"Article 101166"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11698925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}