Pub Date : 2025-11-01Epub Date: 2025-10-30DOI: 10.1016/j.bjpt.2025.101269
Marcela Pinto Venâncio Lourenço Da Silva, Lucas Silva de Lima, Ursula Damiana Pereira Vasques da Silva, Jéssica Gabriela Messias Oliveira, Paulo Victor Leandro da Silva Pinto, Iasmim Maria Pereira Pinto Fonseca, Carolina Alves Osório Da Silva Chagas, Agnaldo José Lopes
<div><h3>Background</h3><div>The burden of functional impairment after tuberculosis (TB) treatment is a global health issue, now referred to as post-tuberculosis lung disease (PTLD). These patients often suffer not only from persistent respiratory symptoms but also from exercise intolerance as a result of the pulmonary sequelae.</div></div><div><h3>Objectives</h3><div>To evaluate the correlations of peak oxygen uptake (VO<sub>2</sub>peak) with lung mechanics, radiographic abnormalities, and quality of life (QoL) in adults with post-tuberculosis lung disease (PTLD).</div></div><div><h3>Methods</h3><div>This is a cross-sectional study in which 60 adults with PTLD underwent a cardiopulmonary exercise test (CPET) using a small sample of the expired volume through a miniaturized chamber. Additionally, the following assessments were performed: pulmonary function through spirometry and impulse oscillometry (IOS), chest X-ray (CXR), and QoL using the WHOQOL-BREF.</div></div><div><h3>Results</h3><div>Of the participants included in the study, 34 (56.7%) were women. The mean age was 55.1 ± 14.1 years, while the median time since the end of TB treatment was 24 months (range, 20–27 months). A history of smoking was reported by 29 (48.3%) participants, with a median smoking load of 25 (9–39) pack-years. While 46 (76.7%) participants had an mMRC score of 0–1, only 14 (23.3%) had an mMRC score of 2–4. Regarding QoL as assessed by the WHOQOL-BREF questionnaire, the worst-performing domains were physical and environment. The mean peak oxygen uptake (VO<sub>2</sub>peak) was 16.1 ± 6.8 ml/kg/min. There were positive correlations between VO<sub>2</sub>peak and several parameters, including height (rs = 0.343, P = 0.007), physical–WHOQOL-BREF (rs = 0.275, P = 0.033), and forced vital capacity (FVC, rs = 0.603, P < 0.0001). There were negative correlations between VO<sub>2</sub>peak and several parameters, including age (rs = -0.452, P = 0.0002), heterogeneity of resistance between 5-20 Hz (rs = -0.466, P = 0.0001), frequency response (Fres, rs = -0.675, P < 0.0001), and reactance-area (rs = -0.647, P < 0.0001). In IOS, patients with small airway disease had a lower VO<sub>2</sub>peak. Regarding CXR, only pulmonary cavitation and nodular opacities were associated with a lower VO<sub>2</sub>peak. In multivariate analysis, FVC, age, male sex, and Fres explained 65.2% of the variability in VO<sub>2</sub>peak.</div></div><div><h3>Conclusion</h3><div>Patients with PTLD present low VO<sub>2</sub>peak. There is a relationship between VO<sub>2</sub>peak and lung mechanics. In these patients, IOS is able to detect more pulmonary mechanical alterations than spirometry, including those reflecting small airway disease (SAD). There is a relationship between VO<sub>2</sub>peak and radiographic abnormalities, particularly pulmonary cavitation and nodular opacities. However, the relationship between VO<sub>2</sub>peak and QoL is virtually nonexistent. Thus, the use of both C
{"title":"POST-TUBERCULOSIS LUNG DISEASE: ASSOCIATIONS BETWEEN EXERCISE OXYGEN CONSUMPTION, LUNG FUNCTION AND IMAGE FINDINGS","authors":"Marcela Pinto Venâncio Lourenço Da Silva, Lucas Silva de Lima, Ursula Damiana Pereira Vasques da Silva, Jéssica Gabriela Messias Oliveira, Paulo Victor Leandro da Silva Pinto, Iasmim Maria Pereira Pinto Fonseca, Carolina Alves Osório Da Silva Chagas, Agnaldo José Lopes","doi":"10.1016/j.bjpt.2025.101269","DOIUrl":"10.1016/j.bjpt.2025.101269","url":null,"abstract":"<div><h3>Background</h3><div>The burden of functional impairment after tuberculosis (TB) treatment is a global health issue, now referred to as post-tuberculosis lung disease (PTLD). These patients often suffer not only from persistent respiratory symptoms but also from exercise intolerance as a result of the pulmonary sequelae.</div></div><div><h3>Objectives</h3><div>To evaluate the correlations of peak oxygen uptake (VO<sub>2</sub>peak) with lung mechanics, radiographic abnormalities, and quality of life (QoL) in adults with post-tuberculosis lung disease (PTLD).</div></div><div><h3>Methods</h3><div>This is a cross-sectional study in which 60 adults with PTLD underwent a cardiopulmonary exercise test (CPET) using a small sample of the expired volume through a miniaturized chamber. Additionally, the following assessments were performed: pulmonary function through spirometry and impulse oscillometry (IOS), chest X-ray (CXR), and QoL using the WHOQOL-BREF.</div></div><div><h3>Results</h3><div>Of the participants included in the study, 34 (56.7%) were women. The mean age was 55.1 ± 14.1 years, while the median time since the end of TB treatment was 24 months (range, 20–27 months). A history of smoking was reported by 29 (48.3%) participants, with a median smoking load of 25 (9–39) pack-years. While 46 (76.7%) participants had an mMRC score of 0–1, only 14 (23.3%) had an mMRC score of 2–4. Regarding QoL as assessed by the WHOQOL-BREF questionnaire, the worst-performing domains were physical and environment. The mean peak oxygen uptake (VO<sub>2</sub>peak) was 16.1 ± 6.8 ml/kg/min. There were positive correlations between VO<sub>2</sub>peak and several parameters, including height (rs = 0.343, P = 0.007), physical–WHOQOL-BREF (rs = 0.275, P = 0.033), and forced vital capacity (FVC, rs = 0.603, P < 0.0001). There were negative correlations between VO<sub>2</sub>peak and several parameters, including age (rs = -0.452, P = 0.0002), heterogeneity of resistance between 5-20 Hz (rs = -0.466, P = 0.0001), frequency response (Fres, rs = -0.675, P < 0.0001), and reactance-area (rs = -0.647, P < 0.0001). In IOS, patients with small airway disease had a lower VO<sub>2</sub>peak. Regarding CXR, only pulmonary cavitation and nodular opacities were associated with a lower VO<sub>2</sub>peak. In multivariate analysis, FVC, age, male sex, and Fres explained 65.2% of the variability in VO<sub>2</sub>peak.</div></div><div><h3>Conclusion</h3><div>Patients with PTLD present low VO<sub>2</sub>peak. There is a relationship between VO<sub>2</sub>peak and lung mechanics. In these patients, IOS is able to detect more pulmonary mechanical alterations than spirometry, including those reflecting small airway disease (SAD). There is a relationship between VO<sub>2</sub>peak and radiographic abnormalities, particularly pulmonary cavitation and nodular opacities. However, the relationship between VO<sub>2</sub>peak and QoL is virtually nonexistent. Thus, the use of both C","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101269"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398157","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 : 2025-11-01Epub Date: 2025-10-30DOI: 10.1016/j.bjpt.2025.101352
Antonio Beira de Andrade Junior, Elena Marie Peixoto Ruthes de Andrade, Guilherme Rodrigues de Souza, Agnaldo José Lopes
Background
In martial arts, heart rate variability (HRV) measurements can be used to assess injury risk and susceptibility to fatigue. In Muay Thai, the frequency speed of kick test (FSKT) is used to measure kick speed, which may be influenced by autonomic modulation.
Objectives
We aimed to evaluate the correlations between FSKT, HRV, and body composition measures in amateur Muay Thai fighters.
Methods
This is a cross-sectional study with 37 Muay Thai fighters. They underwent FSKT-10 and multiple FSKT to measure the kick fatigue index (KFI). In addition, body composition was assessed using bioimpedance analysis and HRV using a heart rate monitor before and during the FSKT-10s. Inferential analysis consisted of the following methods: (1) the variation between the two moments (before and during the FSKT) was evaluated using the Wilcoxon signed rank test, and (2) correlations between the FSKT-10s or KFI derived from the FSKT-mult and all other variables were evaluated using Spearman's coefficient.
Results
The mean age was 27.9 ± 7.7 years, and all participants were male. Based on body mass index (BMI), 15 (44%) were eutrophic, 12 (35%) were overweight and 7 (21%) were obese. The median number of kicks in the FSKT-10 and the KFI were 20 (17–26) and 20 (14–29) %, respectively. When comparing the values before and during the FSKT-10s, there was a decrease in the percentage of interval differences of consecutive successive NN intervals greater than 50 ms (pNN50), approximate entropy, and parasympathetic nervous system (PNS) index, with an increase in the sympathetic nervous system (SNS) index. The number of kicks assessed in the FSKT-10s correlated positively with fat-free mass (FFM) and low frequency range (LF). The KFI correlated negatively with the FFM and PNS index, and positively with the LF and SNS index.
Conclusion
When amateur Muay Thai fighters perform the FSKT-10s, there is an acute effect on autonomic modulation with increased sympathetic activation, vagal withdrawal, and decreased system complexity. There are relationships between FFM and sympathetic activation with performance and susceptibility to fatigue.
Implications
The ability to generate force in the lower limbs with the least amount of fatigue is critical to the success of many sporting events, including amateur Muay Thai fights. In this sense, we used the FSKT-10s technique and its multiple version, as they are among the most used techniques during an official competition. Thus, the results of this study can be used by coaches as guidelines for developing strength and conditioning programs for their Muay Thai athletes in preparation for martial arts competitions.
{"title":"ASSOCIATIONS BETWEEN PERFORMANCE IN THE FREQUENCY SPEED KICK TEST, HEART RATE VARIABILITY, AND BODY COMPOSITION IN AMATEUR MUAY THAI FIGHTERS","authors":"Antonio Beira de Andrade Junior, Elena Marie Peixoto Ruthes de Andrade, Guilherme Rodrigues de Souza, Agnaldo José Lopes","doi":"10.1016/j.bjpt.2025.101352","DOIUrl":"10.1016/j.bjpt.2025.101352","url":null,"abstract":"<div><h3>Background</h3><div>In martial arts, heart rate variability (HRV) measurements can be used to assess injury risk and susceptibility to fatigue. In Muay Thai, the frequency speed of kick test (FSKT) is used to measure kick speed, which may be influenced by autonomic modulation.</div></div><div><h3>Objectives</h3><div>We aimed to evaluate the correlations between FSKT, HRV, and body composition measures in amateur Muay Thai fighters.</div></div><div><h3>Methods</h3><div>This is a cross-sectional study with 37 Muay Thai fighters. They underwent FSKT-10 and multiple FSKT to measure the kick fatigue index (KFI). In addition, body composition was assessed using bioimpedance analysis and HRV using a heart rate monitor before and during the FSKT-10s. Inferential analysis consisted of the following methods: (1) the variation between the two moments (before and during the FSKT) was evaluated using the Wilcoxon signed rank test, and (2) correlations between the FSKT-10s or KFI derived from the FSKT-mult and all other variables were evaluated using Spearman's coefficient.</div></div><div><h3>Results</h3><div>The mean age was 27.9 ± 7.7 years, and all participants were male. Based on body mass index (BMI), 15 (44%) were eutrophic, 12 (35%) were overweight and 7 (21%) were obese. The median number of kicks in the FSKT-10 and the KFI were 20 (17–26) and 20 (14–29) %, respectively. When comparing the values before and during the FSKT-10s, there was a decrease in the percentage of interval differences of consecutive successive NN intervals greater than 50 ms (pNN50), approximate entropy, and parasympathetic nervous system (PNS) index, with an increase in the sympathetic nervous system (SNS) index. The number of kicks assessed in the FSKT-10s correlated positively with fat-free mass (FFM) and low frequency range (LF). The KFI correlated negatively with the FFM and PNS index, and positively with the LF and SNS index.</div></div><div><h3>Conclusion</h3><div>When amateur Muay Thai fighters perform the FSKT-10s, there is an acute effect on autonomic modulation with increased sympathetic activation, vagal withdrawal, and decreased system complexity. There are relationships between FFM and sympathetic activation with performance and susceptibility to fatigue.</div></div><div><h3>Implications</h3><div>The ability to generate force in the lower limbs with the least amount of fatigue is critical to the success of many sporting events, including amateur Muay Thai fights. In this sense, we used the FSKT-10s technique and its multiple version, as they are among the most used techniques during an official competition. Thus, the results of this study can be used by coaches as guidelines for developing strength and conditioning programs for their Muay Thai athletes in preparation for martial arts competitions.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101352"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398326","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 : 2025-11-01Epub Date: 2025-10-30DOI: 10.1016/j.bjpt.2025.101333
Laura Bortolozzo Leitão, Anna Julia Chaves Baldissera, Ana Paula Pinto de Araújo, Mateus Bruschi, Bruna Letícia Weingartner, Carolina Holz Nonnenmacher, Alessandro Haupenthal
<div><h3>Background</h3><div>Sedentary behavior is highly prevalent worldwide and is associated with a wide range of chronic diseases and premature mortality. It can be identified through self-reporting by individuals or specific physical activity questionnaires, such as the International Physical Activity Questionnaire - Short Form (IPAQ-SF). Although it is a validated instrument, your results depend on the accurate reporting of activities performed in the past week, which may be a confounding factor at the time of application.</div></div><div><h3>Objectives</h3><div>To analyze the agreement between self-reported sedentary behavior and the IPAQ-SF in healthy adult men and women.</div></div><div><h3>Methods</h3><div>This is a cross-sectional observational study comprising 204 healthy individuals aged between 18 and 59 years. Initially, all participants were asked about their self-perception of physical activity level, classifying themselves as sedentary or physically active. Subsequently, they completed the International Physical Activity Questionnaire - Short Form (IPAQ-SF), in which they reported the intensity, duration, and frequency of physical activities performed in the last week. Based on the IPAQ-SF responses, individuals were categorized into five groups: (1) very active, (2) active, (3) irregularly active A, (4) irregularly active B, and (5) sedentary. Cohen's Kappa coefficient was used to quantify the level of agreement between self-reporting and IPAQ-SF classifications. The analysis was stratified by sex, and the significance level was set at p < 0.05.</div></div><div><h3>Results</h3><div>A total of 204 volunteers participated in the study, of whom 56% were women (35.4 ± 12.5 years, 67.5 ± 13.0 kg, and 1.63 ± 0.06 m) and 44% were men (33.1 ± 12.0 years, 82.3 ± 14.8 kg, and 1.77 ± 0.07 m). Based on self-perception, 31% of men and 43% of women considered themselves sedentary. However, only 7.14% of men and 10.2% of women were classified as sedentary by the IPAQ-SF, indicating low agreement between the methods. Among men who self-identified as sedentary, 21.42% were classified as irregularly active B, 14.28% as irregularly active A, 35.71% as active, and 7.14% as very active according to the IPAQ-SF. Among women, 28.57% were classified as irregularly active B, 16.32% as irregularly active A, 28.57% as active, and 16.32% as very active.</div></div><div><h3>Conclusion</h3><div>There is low agreement between self-reported sedentary behavior and the classification obtained through the International Physical Activity Questionnaire - Short Form (IPAQ-SF) in healthy adults.</div></div><div><h3>Implications</h3><div>Many individuals who considered themselves sedentary were classified by the questionnaire as physically active at different levels, indicating a discrepancy between subjective perception and objective criteria for assessing physical activity. These differences may be related to individual interpretations of the concept of sedentar
{"title":"PHYSICAL ACTIVITY LEVEL AMONG HEALTHY ADULT WOMEN AND MEN: AGREEMENT BETWEEN SELF-PERCEPTION AND IPAQ-SF","authors":"Laura Bortolozzo Leitão, Anna Julia Chaves Baldissera, Ana Paula Pinto de Araújo, Mateus Bruschi, Bruna Letícia Weingartner, Carolina Holz Nonnenmacher, Alessandro Haupenthal","doi":"10.1016/j.bjpt.2025.101333","DOIUrl":"10.1016/j.bjpt.2025.101333","url":null,"abstract":"<div><h3>Background</h3><div>Sedentary behavior is highly prevalent worldwide and is associated with a wide range of chronic diseases and premature mortality. It can be identified through self-reporting by individuals or specific physical activity questionnaires, such as the International Physical Activity Questionnaire - Short Form (IPAQ-SF). Although it is a validated instrument, your results depend on the accurate reporting of activities performed in the past week, which may be a confounding factor at the time of application.</div></div><div><h3>Objectives</h3><div>To analyze the agreement between self-reported sedentary behavior and the IPAQ-SF in healthy adult men and women.</div></div><div><h3>Methods</h3><div>This is a cross-sectional observational study comprising 204 healthy individuals aged between 18 and 59 years. Initially, all participants were asked about their self-perception of physical activity level, classifying themselves as sedentary or physically active. Subsequently, they completed the International Physical Activity Questionnaire - Short Form (IPAQ-SF), in which they reported the intensity, duration, and frequency of physical activities performed in the last week. Based on the IPAQ-SF responses, individuals were categorized into five groups: (1) very active, (2) active, (3) irregularly active A, (4) irregularly active B, and (5) sedentary. Cohen's Kappa coefficient was used to quantify the level of agreement between self-reporting and IPAQ-SF classifications. The analysis was stratified by sex, and the significance level was set at p < 0.05.</div></div><div><h3>Results</h3><div>A total of 204 volunteers participated in the study, of whom 56% were women (35.4 ± 12.5 years, 67.5 ± 13.0 kg, and 1.63 ± 0.06 m) and 44% were men (33.1 ± 12.0 years, 82.3 ± 14.8 kg, and 1.77 ± 0.07 m). Based on self-perception, 31% of men and 43% of women considered themselves sedentary. However, only 7.14% of men and 10.2% of women were classified as sedentary by the IPAQ-SF, indicating low agreement between the methods. Among men who self-identified as sedentary, 21.42% were classified as irregularly active B, 14.28% as irregularly active A, 35.71% as active, and 7.14% as very active according to the IPAQ-SF. Among women, 28.57% were classified as irregularly active B, 16.32% as irregularly active A, 28.57% as active, and 16.32% as very active.</div></div><div><h3>Conclusion</h3><div>There is low agreement between self-reported sedentary behavior and the classification obtained through the International Physical Activity Questionnaire - Short Form (IPAQ-SF) in healthy adults.</div></div><div><h3>Implications</h3><div>Many individuals who considered themselves sedentary were classified by the questionnaire as physically active at different levels, indicating a discrepancy between subjective perception and objective criteria for assessing physical activity. These differences may be related to individual interpretations of the concept of sedentar","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101333"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398481","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 : 2025-11-01Epub Date: 2025-10-30DOI: 10.1016/j.bjpt.2025.101297
Juliana Rodrigues da Silva, Julio Henrique Policarpo, Mônica Soares de Oliveira, Tiago Moraes De Macedo, Lilian Maria Melo da Silva, Kaique Ferreira Alves, Diego de Sousa Dantas, Patricia Erika M Marinho
Background
Respiratory muscle weakness has been shown to be frequent in patients undergoing hemodialysis. In this context, inspiratory muscle training (IMT) emerges as an alternative to improve the respiratory condition of these patients.
Objectives
To evaluate the effect of IMT on dyspnea and lung capacity in dialysis patients. The effect on respiratory muscle strength was evaluated as a secondary outcome, as well as the dialysis efficacy index (Kt/V).
Methods
A systematic review of randomized controlled trials (RCTs) which evaluated the effects of IMT in dialysis patients on the outcomes of dyspnea, lung capacity, respiratory muscle strength and dialysis effectiveness index (Kt/V) was conducted. Searches were completed in February 2025 in the Medline/PubMed, Cochrane Library, LILACS, CINAHL, PEDro, Web of Science, Embase and Google Scholar databases. The search strategy consisted of the following Keywords “Renal Institution, Chronic”, “Dialyses, Renal”, “Breathing Exercises”, “Dyspnea” and “Respiratory Function Tests” in different combinations. Studies with adult participants (> 18 years) with CKD on hemodialysis were included. The intervention was evaluating inspiratory muscle training with linear load. Study quality was assessed using the Cochrane RoB2 tool.
Results
Six studies were analyzed (n = 210). One study showed an improvement in dyspnea [4.17±0.58; 95%CI (0.0073-0.884); p = 0.022], and the meta-analyses found a mean difference of 0.34 L/min [95%CI (0.08–0.61); p = 0.010] in forced vital capacity (FVC) and 25.15 cmH2O [95%CI (17.05–33.24); p < 0.001] in maximum inspiratory pressure (MIP) in the IMT groups. There was no difference in Kt/V. Only one study showed a low risk of bias.
Conclusion
IMT in patients with CKD on HD improved dyspnea, FVC and MIP. Considering the low quality of the studies, new RCTs with greater methodological rigor are needed.
Implications
Understanding the effects of IMT on patients receiving hemodialysis leads to more effective interventions for common respiratory symptoms in these individuals.
{"title":"EFFECTS OF INSPIRATORY MUSCLE TRAINING ON DYSPNEA AND LUNG CAPACITY IN HEMODIALYSIS PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"Juliana Rodrigues da Silva, Julio Henrique Policarpo, Mônica Soares de Oliveira, Tiago Moraes De Macedo, Lilian Maria Melo da Silva, Kaique Ferreira Alves, Diego de Sousa Dantas, Patricia Erika M Marinho","doi":"10.1016/j.bjpt.2025.101297","DOIUrl":"10.1016/j.bjpt.2025.101297","url":null,"abstract":"<div><h3>Background</h3><div>Respiratory muscle weakness has been shown to be frequent in patients undergoing hemodialysis. In this context, inspiratory muscle training (IMT) emerges as an alternative to improve the respiratory condition of these patients.</div></div><div><h3>Objectives</h3><div>To evaluate the effect of IMT on dyspnea and lung capacity in dialysis patients. The effect on respiratory muscle strength was evaluated as a secondary outcome, as well as the dialysis efficacy index (Kt/V).</div></div><div><h3>Methods</h3><div>A systematic review of randomized controlled trials (RCTs) which evaluated the effects of IMT in dialysis patients on the outcomes of dyspnea, lung capacity, respiratory muscle strength and dialysis effectiveness index (Kt/V) was conducted. Searches were completed in February 2025 in the Medline/PubMed, Cochrane Library, LILACS, CINAHL, PEDro, Web of Science, Embase and Google Scholar databases. The search strategy consisted of the following Keywords “Renal Institution, Chronic”, “Dialyses, Renal”, “Breathing Exercises”, “Dyspnea” and “Respiratory Function Tests” in different combinations. Studies with adult participants (> 18 years) with CKD on hemodialysis were included. The intervention was evaluating inspiratory muscle training with linear load. Study quality was assessed using the Cochrane RoB2 tool.</div></div><div><h3>Results</h3><div>Six studies were analyzed (n = 210). One study showed an improvement in dyspnea [4.17±0.58; 95%CI (0.0073-0.884); p = 0.022], and the meta-analyses found a mean difference of 0.34 L/min [95%CI (0.08–0.61); p = 0.010] in forced vital capacity (FVC) and 25.15 cmH2O [95%CI (17.05–33.24); p < 0.001] in maximum inspiratory pressure (MIP) in the IMT groups. There was no difference in Kt/V. Only one study showed a low risk of bias.</div></div><div><h3>Conclusion</h3><div>IMT in patients with CKD on HD improved dyspnea, FVC and MIP. Considering the low quality of the studies, new RCTs with greater methodological rigor are needed.</div></div><div><h3>Implications</h3><div>Understanding the effects of IMT on patients receiving hemodialysis leads to more effective interventions for common respiratory symptoms in these individuals.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101297"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398523","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}
Children with biological risk for motor delay are those born with certain adversities (e.g., prematurity, low birth weight, perinatal complications, etc.) and may experience limitations in daily activities. Despite existing evidence, knowledge about the developmental trajectory of functional skills in real-life contexts during the first two years of life is still limited.
Objectives
To verify the development trajectory of functional skills (mobility, daily activities and social-cognitive) of children with biological risk at 12 and 24 months of age.
Methods
This was a prospective, observational multicenter study. Eighteen infants with biological risk and their families participated in the study (mean gestational age: 37.55 weeks- SD 3.12 weeks; birth weight: 3.01 kg- SD 0.905g; stay in NICU: 8.55 days; 61.11% received oxygen therapy, and 27.77% required cardiopulmonary resuscitation). Functional abilities were assessed using the Pediatric Evaluation of Disability Inventory - Computer Adaptive Test (PEDI-CAT) - speed version. The normative score (scores between 30 and 70 are within the expected range for age) and the continuous score (individual functional progress) for each domain were used. The paired t-test was applied to compare the children at 12 and 24 months, considering a significance level of 5%.
Results
The children exhibited an average normative score above 50 for all skills. At 24 months, children had higher continuous and normative scores for daily activities than at 12 months (p = 0.024 and p < 0.001, respectively), and higher continuous scores at 24 months in mobility (p < 0.001) and social-cognitive domain (p < 0.001).
Conclusion
The children evaluated showed functional progress in mobility, daily activities and social-cognitive. Furthermore, these children did not show motor delay in these activities.
Implications
Understanding the trajectory of functional skills in a real-life context enables the monitoring of adaptive behaviors and the identification of potential delays in important domains of functioning. Additionally, this knowledge can be useful for providing support to families.
{"title":"TRAJECTORY OF FUNCTIONAL SKILLS IN CHILDREN BORN WITH BIOLOGICAL RISK IN THE FIRST 2 YEARS OF LIFE: PROSPECTIVE STUDY","authors":"Raissa Wanderley Ferraz de Abreu, Camila Resende Gâmbaro Lima, Maura Nogueira Cobra, Nelci Adriana Cicuto Ferreira Rocha","doi":"10.1016/j.bjpt.2025.101358","DOIUrl":"10.1016/j.bjpt.2025.101358","url":null,"abstract":"<div><h3>Background</h3><div>Children with biological risk for motor delay are those born with certain adversities (e.g., prematurity, low birth weight, perinatal complications, etc.) and may experience limitations in daily activities. Despite existing evidence, knowledge about the developmental trajectory of functional skills in real-life contexts during the first two years of life is still limited.</div></div><div><h3>Objectives</h3><div>To verify the development trajectory of functional skills (mobility, daily activities and social-cognitive) of children with biological risk at 12 and 24 months of age.</div></div><div><h3>Methods</h3><div>This was a prospective, observational multicenter study. Eighteen infants with biological risk and their families participated in the study (mean gestational age: 37.55 weeks- SD 3.12 weeks; birth weight: 3.01 kg- SD 0.905g; stay in NICU: 8.55 days; 61.11% received oxygen therapy, and 27.77% required cardiopulmonary resuscitation). Functional abilities were assessed using the Pediatric Evaluation of Disability Inventory - Computer Adaptive Test (PEDI-CAT) - speed version. The normative score (scores between 30 and 70 are within the expected range for age) and the continuous score (individual functional progress) for each domain were used. The paired t-test was applied to compare the children at 12 and 24 months, considering a significance level of 5%.</div></div><div><h3>Results</h3><div>The children exhibited an average normative score above 50 for all skills. At 24 months, children had higher continuous and normative scores for daily activities than at 12 months (p = 0.024 and p < 0.001, respectively), and higher continuous scores at 24 months in mobility (p < 0.001) and social-cognitive domain (p < 0.001).</div></div><div><h3>Conclusion</h3><div>The children evaluated showed functional progress in mobility, daily activities and social-cognitive. Furthermore, these children did not show motor delay in these activities.</div></div><div><h3>Implications</h3><div>Understanding the trajectory of functional skills in a real-life context enables the monitoring of adaptive behaviors and the identification of potential delays in important domains of functioning. Additionally, this knowledge can be useful for providing support to families.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101358"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398529","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 : 2025-11-01Epub Date: 2025-08-21DOI: 10.1016/j.bjpt.2025.101261
Rubén Fernández-Matías , Jorge Ballesteros-Frutos , Pablo Gallardo-Zamora , Néstor Requejo-Salinas , Iván Caballero-Pozo , Paula Ludewig , Enrique Lluch-Girbés
Background
Traditionally, great importance has been placed on abnormal scapula kinematics in the approach to treatment of patients with rotator cuff related shoulder pain (RCRSP).
Objective
To review the literature regarding the variability of scapular position and movement in individuals with and without RCRSP.
Methods
A systematic search was performed on 18th April 2024 on nine databases. Studies evaluating scapular kinematics during arm elevation in healthy individuals and those with RCRSP were included, with a focus on 3D non-surface tracking systems.
Results
Twenty studies were included. In asymptomatic individuals, the estimated scapular position at rest was 1.00° to 11.58° of upward rotation (UR), 4.82° to 11.24° of anterior tilt, and 26.84° to 39.05° of internal rotation. During arm elevation, the scapula moves from the very beginning (no setting phase) towards UR (final position, 47.88° to 61.00° at 150° of elevation) and posterior tilt (final position, 10.78° to 11.96° at 150° of elevation), and there is a trend towards external rotation. The estimated scapulohumeral rhythm for humerothoracic elevation and scapular UR ranged from 2.86:1 to 3.13:1. There was very low certainty of evidence for differences in individuals with RCRSP in scapula resting position for UR (mean difference, -6.11°; 95 % CI: -7.36°, -4.86°), and internal rotation (mean difference, 4.21°; 95 % CI: 0.68°, 7.74°), that were below the width of the 95 % prediction intervals.
Conclusion
This meta-analysis has debunked the myth of the setting phase and the constant 3:1 scapulohumeral rhythm. There is great variability in scapular kinematics, making it difficult to detect abnormal patterns.
{"title":"Scapular kinematics variability in individuals with and without rotator cuff-related shoulder pain: A systematic review with multilevel meta-regression","authors":"Rubén Fernández-Matías , Jorge Ballesteros-Frutos , Pablo Gallardo-Zamora , Néstor Requejo-Salinas , Iván Caballero-Pozo , Paula Ludewig , Enrique Lluch-Girbés","doi":"10.1016/j.bjpt.2025.101261","DOIUrl":"10.1016/j.bjpt.2025.101261","url":null,"abstract":"<div><h3>Background</h3><div>Traditionally, great importance has been placed on abnormal scapula kinematics in the approach to treatment of patients with rotator cuff related shoulder pain (RCRSP).</div></div><div><h3>Objective</h3><div>To review the literature regarding the variability of scapular position and movement in individuals with and without RCRSP.</div></div><div><h3>Methods</h3><div>A systematic search was performed on 18<sup>th</sup> April 2024 on nine databases. Studies evaluating scapular kinematics during arm elevation in healthy individuals and those with RCRSP were included, with a focus on 3D non-surface tracking systems.</div></div><div><h3>Results</h3><div>Twenty studies were included. In asymptomatic individuals, the estimated scapular position at rest was 1.00° to 11.58° of upward rotation (UR), 4.82° to 11.24° of anterior tilt, and 26.84° to 39.05° of internal rotation. During arm elevation, the scapula moves from the very beginning (no setting phase) towards UR (final position, 47.88° to 61.00° at 150° of elevation) and posterior tilt (final position, 10.78° to 11.96° at 150° of elevation), and there is a trend towards external rotation. The estimated scapulohumeral rhythm for humerothoracic elevation and scapular UR ranged from 2.86:1 to 3.13:1. There was very low certainty of evidence for differences in individuals with RCRSP in scapula resting position for UR (mean difference, -6.11°; 95 % CI: -7.36°, -4.86°), and internal rotation (mean difference, 4.21°; 95 % CI: 0.68°, 7.74°), that were below the width of the 95 % prediction intervals.</div></div><div><h3>Conclusion</h3><div>This meta-analysis has debunked the myth of the setting phase and the constant 3:1 scapulohumeral rhythm. There is great variability in scapular kinematics, making it difficult to detect abnormal patterns.</div></div><div><h3>Prospero registration number</h3><div>CRD42021259479</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 6","pages":"Article 101261"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144886368","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 : 2025-11-01Epub Date: 2025-10-30DOI: 10.1016/j.bjpt.2025.101324
Juliana da Silva Alves, Jamile Dias Teixeira, Renan Lima Monteiro, Juliana Falcão Padilha, Areolino Pena Matos, Grazielly Marques Nascimento Silva, Ryan Barros Cabral Bahia
<div><h3>Background</h3><div>Urinary Incontinence (UI) is the most prevalent pelvic floor dysfunction. High-impact sports, such as running, increase in intra-abdominal pressure, which can lead to UI. The prevalence of UI among female runners ranges from 19.6% to 44%. Despite its health benefits, UI may negatively impact on running performance. In northern Brazil, particularly in Amapá, there is a lack of epidemiological data on UI in female runners. This underscores the need for further research to assess risk factors, population characteristics, and the impact on runners' Quality of Life (QoL), ultimately guiding prevention and treatment strategies.</div></div><div><h3>Objectives</h3><div>This study aims to identify UI prevalence in female runners, analyzing sociodemographic, anthropometric and urogynecological profiles, and UI subtypes: Stress Urinary Incontinence (SUI), Urgency Urinary Incontinence (UUI), and Mixed Urinary Incontinence (MUI). Additionally, we sought to identify risk factors for UI (age, number of pregnancies, obesity, among others). This analysis aims to establish correlations between running, UI and QoL.</div></div><div><h3>Methods</h3><div>This observational, cross-sectional study followed CHERRIES guidelines. Conducted online in Brazil (2024–2025), it included female runners aged 18–59 who had been running for = 6 months, = 2 times/week. Exclusion criteria included pregnancy, postpartum < 12 months, recent pelvic surgery, and neurological diseases. Data collection was conducted via Google Forms, with participants recruited through social media and running groups. Validated questionnaires (ICIQ-SF, QUID-Br, and 3IQ-Br) were used. Statistical analysis was performed using SPSS and Poisson regression (p < 0.05, CI 95%).</div></div><div><h3>Results</h3><div>From January 2024 to March 2025, 72 women from the metropolitan region of Amapá were contacted. Of these, 7 (13.20%) reported UI. The mean age was 34.38 years (± 13.21), mean weight was 67.71 kg (± 9.39), and mean BMI was 25.65 kg/m² (± 2.83). A total of 57.12% were white. UI episodes in the last three months were reported by 85.71%, with a weekly frequency of once or less (42.86%) and only a small amount of urine loss (85.71%). The most prevalent type was MUI (71.42%), followed by SUI (28.57%). No cases of UUI were reported. UI was not a limiting factor for running. Regarding QoL, 42.86% reported a mild impact, 28.57% moderate, and 14.29% severe.</div></div><div><h3>Conclusion</h3><div>This study found a low prevalence of UI among female runners, with a predominance of MUI, contrary to the literature which suggests that SUI is the most common in high-impact athletes. UI did not cause limitations in sports practice and had a mild to moderate impact on QoL. Future research should explore associated factors and expand the sample to other regions of Brazil to develop preventive and therapeutic strategies.</div></div><div><h3>Implication</h3><div>This study contributes to t
{"title":"PREVALENCE AND ASSOCIATED FACTORS OF URINARY INCONTINENCE IN BRAZILIAN FEMALE RUNNERS: PRELIMINARY RESULTS FROM THE STATE OF AMAPÁ, AMAZON","authors":"Juliana da Silva Alves, Jamile Dias Teixeira, Renan Lima Monteiro, Juliana Falcão Padilha, Areolino Pena Matos, Grazielly Marques Nascimento Silva, Ryan Barros Cabral Bahia","doi":"10.1016/j.bjpt.2025.101324","DOIUrl":"10.1016/j.bjpt.2025.101324","url":null,"abstract":"<div><h3>Background</h3><div>Urinary Incontinence (UI) is the most prevalent pelvic floor dysfunction. High-impact sports, such as running, increase in intra-abdominal pressure, which can lead to UI. The prevalence of UI among female runners ranges from 19.6% to 44%. Despite its health benefits, UI may negatively impact on running performance. In northern Brazil, particularly in Amapá, there is a lack of epidemiological data on UI in female runners. This underscores the need for further research to assess risk factors, population characteristics, and the impact on runners' Quality of Life (QoL), ultimately guiding prevention and treatment strategies.</div></div><div><h3>Objectives</h3><div>This study aims to identify UI prevalence in female runners, analyzing sociodemographic, anthropometric and urogynecological profiles, and UI subtypes: Stress Urinary Incontinence (SUI), Urgency Urinary Incontinence (UUI), and Mixed Urinary Incontinence (MUI). Additionally, we sought to identify risk factors for UI (age, number of pregnancies, obesity, among others). This analysis aims to establish correlations between running, UI and QoL.</div></div><div><h3>Methods</h3><div>This observational, cross-sectional study followed CHERRIES guidelines. Conducted online in Brazil (2024–2025), it included female runners aged 18–59 who had been running for = 6 months, = 2 times/week. Exclusion criteria included pregnancy, postpartum < 12 months, recent pelvic surgery, and neurological diseases. Data collection was conducted via Google Forms, with participants recruited through social media and running groups. Validated questionnaires (ICIQ-SF, QUID-Br, and 3IQ-Br) were used. Statistical analysis was performed using SPSS and Poisson regression (p < 0.05, CI 95%).</div></div><div><h3>Results</h3><div>From January 2024 to March 2025, 72 women from the metropolitan region of Amapá were contacted. Of these, 7 (13.20%) reported UI. The mean age was 34.38 years (± 13.21), mean weight was 67.71 kg (± 9.39), and mean BMI was 25.65 kg/m² (± 2.83). A total of 57.12% were white. UI episodes in the last three months were reported by 85.71%, with a weekly frequency of once or less (42.86%) and only a small amount of urine loss (85.71%). The most prevalent type was MUI (71.42%), followed by SUI (28.57%). No cases of UUI were reported. UI was not a limiting factor for running. Regarding QoL, 42.86% reported a mild impact, 28.57% moderate, and 14.29% severe.</div></div><div><h3>Conclusion</h3><div>This study found a low prevalence of UI among female runners, with a predominance of MUI, contrary to the literature which suggests that SUI is the most common in high-impact athletes. UI did not cause limitations in sports practice and had a mild to moderate impact on QoL. Future research should explore associated factors and expand the sample to other regions of Brazil to develop preventive and therapeutic strategies.</div></div><div><h3>Implication</h3><div>This study contributes to t","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101324"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398081","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 : 2025-11-01Epub Date: 2025-10-30DOI: 10.1016/j.bjpt.2025.101289
Lorrane Ferreira Soares , Izabella Lorena Batista Porto , Gabriela Matoso Melgaço , Daiane Roberta Viana , Livia Maria Petilli Zopelari , Renato Fleury Cardoso , Valéria Amorim Pires Di Lorenzo , Vanessa Pereira de Lima
<div><h3>Background</h3><div>Interstitial Lung Disease (ILD) is a set of pathologies that result in fibrosis, impaired gas exchange, and functional limitations. Individuals with ILD have a reduced level of physical activity due to dyspnea and fatigue. Evaluating the Human Activity Profile (HAP) is essential for understanding the impact of the disease on functionality and physical activity levels and thus guiding better physiotherapeutic interventions.</div></div><div><h3>Objectives</h3><div>To evaluate functional capacity and physical activity levels in individuals with ILD using HAP questionnaire.</div></div><div><h3>Methods</h3><div>This is a preliminary cross-sectional multicenter study, part of a larger project approved by the research ethics committee conducted with volunteers diagnosed with ILD. After collecting anthropometric data, the participants were assessed using the HAP, the 6 Minute Walk Test (6MWT) according to the standards of the American Thoracic Society (ATS), and the measurement of muscle strength using the Jamar hydraulic dynamometer. The HAP was analyzed using a questionnaire made up of 94 components which analyzed the level of physical activity and functionality, based on the variables Maximum Activity Score (MAS) and Adjusted Activity Score (AAS). The MAS corresponds to the numbering of the activity with the highest oxygen demand that the individual “still does,” reflecting the highest level of metabolic effort achieved. The AAS represents the average levels of metabolic equivalents (METs) spent on a typical day, allowing an estimate of daily energy consumption based on the activities performed. Participants were classified as inactive (score < 53), moderately active (53-74), or active (> 74).</div></div><div><h3>Results</h3><div>The sample consisted of 13 volunteers, 7 (53.8%) of whom were male, with an average age of 55.82 ± 13.84 years, 5 (38.5%) were overweight, and 7 (53.8%) were self-declared as brown. The majority, 7 (53.8%), had finished high school. In addition, post-COVID fibrosis was the most prevalent condition found in 4 (30.8%) volunteers. In the HAP, 9 (69.2%) were classified as “inactive” and only 4 (30.8%) as “moderately active”. The average distance covered in the 6MWT was 394m, suggesting a reduction in functional capacity since reference values for healthy individuals generally exceed 500m. The mean of muscle strength was 34.38 KgF, which is above the predicted value for patients with Chronic Obstructive Pulmonary Disease (COPD), which is approximately 28.0 KgF, suggesting that the participants maintain a reasonable level of peripheral muscle strength.</div></div><div><h3>Conclusion</h3><div>Individuals with ILD exhibit reduced physical activity levels and impaired functional capacity, despite preserved muscle strength. These findings highlight the need for interventions to mitigate functional decline.</div></div><div><h3>Implications</h3><div>The results underscore the importance of pulmonary reh
{"title":"HUMAN ACTIVITY PROFILE IN PEOPLE WITH INTERSTITIAL LUNG DISEASE: PRELIMINARY ANALYSIS","authors":"Lorrane Ferreira Soares , Izabella Lorena Batista Porto , Gabriela Matoso Melgaço , Daiane Roberta Viana , Livia Maria Petilli Zopelari , Renato Fleury Cardoso , Valéria Amorim Pires Di Lorenzo , Vanessa Pereira de Lima","doi":"10.1016/j.bjpt.2025.101289","DOIUrl":"10.1016/j.bjpt.2025.101289","url":null,"abstract":"<div><h3>Background</h3><div>Interstitial Lung Disease (ILD) is a set of pathologies that result in fibrosis, impaired gas exchange, and functional limitations. Individuals with ILD have a reduced level of physical activity due to dyspnea and fatigue. Evaluating the Human Activity Profile (HAP) is essential for understanding the impact of the disease on functionality and physical activity levels and thus guiding better physiotherapeutic interventions.</div></div><div><h3>Objectives</h3><div>To evaluate functional capacity and physical activity levels in individuals with ILD using HAP questionnaire.</div></div><div><h3>Methods</h3><div>This is a preliminary cross-sectional multicenter study, part of a larger project approved by the research ethics committee conducted with volunteers diagnosed with ILD. After collecting anthropometric data, the participants were assessed using the HAP, the 6 Minute Walk Test (6MWT) according to the standards of the American Thoracic Society (ATS), and the measurement of muscle strength using the Jamar hydraulic dynamometer. The HAP was analyzed using a questionnaire made up of 94 components which analyzed the level of physical activity and functionality, based on the variables Maximum Activity Score (MAS) and Adjusted Activity Score (AAS). The MAS corresponds to the numbering of the activity with the highest oxygen demand that the individual “still does,” reflecting the highest level of metabolic effort achieved. The AAS represents the average levels of metabolic equivalents (METs) spent on a typical day, allowing an estimate of daily energy consumption based on the activities performed. Participants were classified as inactive (score < 53), moderately active (53-74), or active (> 74).</div></div><div><h3>Results</h3><div>The sample consisted of 13 volunteers, 7 (53.8%) of whom were male, with an average age of 55.82 ± 13.84 years, 5 (38.5%) were overweight, and 7 (53.8%) were self-declared as brown. The majority, 7 (53.8%), had finished high school. In addition, post-COVID fibrosis was the most prevalent condition found in 4 (30.8%) volunteers. In the HAP, 9 (69.2%) were classified as “inactive” and only 4 (30.8%) as “moderately active”. The average distance covered in the 6MWT was 394m, suggesting a reduction in functional capacity since reference values for healthy individuals generally exceed 500m. The mean of muscle strength was 34.38 KgF, which is above the predicted value for patients with Chronic Obstructive Pulmonary Disease (COPD), which is approximately 28.0 KgF, suggesting that the participants maintain a reasonable level of peripheral muscle strength.</div></div><div><h3>Conclusion</h3><div>Individuals with ILD exhibit reduced physical activity levels and impaired functional capacity, despite preserved muscle strength. These findings highlight the need for interventions to mitigate functional decline.</div></div><div><h3>Implications</h3><div>The results underscore the importance of pulmonary reh","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101289"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398084","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 : 2025-11-01Epub Date: 2025-10-30DOI: 10.1016/j.bjpt.2025.101283
Klebson Da Silva Almeida , Daniel da Costa Torres , Ian Setubal Reis Chaves , Jonas Do Carmo Paschoalin , Bráulio Nascimento Lima , Gisela Cristiane Miyamoto , Luciana Dias Chiavegato
<div><h3>Background</h3><div>Musculoskeletal disorders are common in hemodialysis (HD) patients. The duration and frequency of HD procedures contribute to immobility and a sedentary lifestyle, which, combined with changes in the disease itself, affect frailty and fatigue. These changes can be reversed through the adoption of intradialytic exercise programs.</div></div><div><h3>Objectives</h3><div>To investigate the effectiveness of resistance compared to aerobic exercise during the intradialytic period on peripheral muscle strength, walking speed, frailty, and fatigue in patients with chronic kidney disease.</div></div><div><h3>Methods</h3><div>In this randomized controlled trial, 32 patients were randomly allocated into two groups: Resistance exercise group (Group A), that included 8 exercises using elastic bands, dumbbells, and a Swiss ball, with 2 sets of 8 to 12 repetitions, an interval of 2 to 3 minutes between sets, and an intensity of 6 on the modified OMNI scale; and Aerobic exercise group (Group B), which consisted of 20 minutes of exercise on a cycle ergometer at an intensity between 5 and 7 on the modified Borg scale. All intervention protocols were performed during the first 90 minutes of hemodialysis, with the patient seated in a reclined chair. Peripheral muscle strength was assessed using the Sahean handgrip dynamometer and the 30-second sit-to-stand test; gait speed and frailty were assessed using the Fried Phenotype Model, and fatigue was evaluated using the Multidimensional Fatigue Inventory (MFI-20). The assessment of data normality was performed through visual inspection of histograms. The linear mixed model was used for intra and intergroup analyses. The level of statistical significance was set at 5%.</div></div><div><h3>Results</h3><div>Group A performed an average of 31.4 (±3.4) effective exercise sessions and Group B performed an average of 32.5 (±3.5) effective exercise sessions. There was no significant differences, between groups, in the results of 30-second sit-to-stand test (Group A, pre: 10.1 ± 2.0 and post: 14.9 ±4.2; Group B, pre: 10 ± 2.3 and post: 16.2 ± 2.7), handgrip strength test (HST) (Group A - pre: 25.7 ± 8.7 kgf and post: 28.1 ± 9.7kgf; Group B - pre: 29.1 ± 9.4kgf and post: 29.6 ±8.70kgf), and gait speed test (Group A - pre: 1.00 ± 0.20 m/s and post: 1.3 ± 0.3 m/s; Group B - pre: 1.1 ± 0.1 m/s and post: 1.5 ± 0.2 m/s). There was a decrease in the number of frail patients in both groups (18.8%), but no significant differences were observed between groups for the total fatigue score (Group A - pre: 55.9 ± 6.2 and post: 55.6 ± 7.9; Group B - pre: 58.9 ± 6.6 and post: 56.6 ± 8.8).</div></div><div><h3>Conclusion</h3><div>No significant differences were observed between intradialytic exercise interventions in terms of peripheral muscle strength, walking speed, frailty, and fatigue. It is suggested that further studies can be conducted on the subject, in addition to the inclusion of variables such as pain, whic
背景：肌肉骨骼疾病在血液透析（HD）患者中很常见。HD手术的持续时间和频率导致行动不便和久坐不动的生活方式，再加上疾病本身的变化，会影响虚弱和疲劳。这些变化可以通过采用分析内运动项目来逆转。目的探讨与有氧运动相比，抗阻运动对慢性肾病患者透析期外周肌力、步行速度、虚弱和疲劳的影响。方法随机对照试验将32例患者随机分为两组：阻力运动组（A组），采用弹力带、哑铃和瑞士球进行8项运动，每组重复8 ~ 12次，每组间隔2 ~ 3分钟，改良OMNI量表强度为6；有氧运动组（B组），在自行车计力器上进行20分钟的运动，强度在改良博格量表的5到7之间。所有干预方案均在血液透析的前90分钟进行，患者坐在躺椅上。采用Sahean握力计和30秒坐立测试评估外周肌力；使用Fried表型模型评估步态速度和虚弱程度，使用多维疲劳量表（MFI-20）评估疲劳程度。通过直方图的目视检查来评估数据的正态性。采用线性混合模型进行组内和组间分析。统计学显著性水平设为5%。结果A组平均进行31.4（±3.4）次有效运动，B组平均进行32.5（±3.5）次有效运动。组之间没有显著差异,在30秒sit-to-stand测试的结果(A组,前:10.1±2.0和post: 14.9±4.2;B组,pre: 10±2.3和post: 16.2±2.7),手柄强度试验(HST) (A组- pre: 25.7±8.7 kgf和post: 28.1±9.7 kgf; B组- pre: 29.1±9.4 kgf和post: 29.6±8.70 kgf),和步态速度测试(A组- pre: 1.00±0.20 m / s,职位:1.3±0.3 m / s; B组- pre: 1.1±0.1 m / s,职位:1.5±0.2 m / s)。两组虚弱患者数量均减少（18.8%），但总疲劳评分差异无统计学意义（a组-术前：55.9±6.2，术后：55.6±7.9；B组-术前：58.9±6.6，术后：56.6±8.8）。结论两组运动干预在外周肌力、步行速度、虚弱度和疲劳度方面无显著差异。我们建议，除了纳入疼痛等变量外，还可以对该主题进行进一步的研究，这些变量可能会影响本文研究结果的结果。无论在血液透析期间进行何种类型的运动，慢性肾脏疾病患者对肌肉力量、步行速度、虚弱和疲劳都有积极的影响。
{"title":"COMPARISON OF RESISTANCE VERSUS AEROBIC EXERCISE DURING HEMODIALYSIS IN CHRONIC RENAL PATIENTS: A RANDOMIZED CONTROLLED TRIAL","authors":"Klebson Da Silva Almeida , Daniel da Costa Torres , Ian Setubal Reis Chaves , Jonas Do Carmo Paschoalin , Bráulio Nascimento Lima , Gisela Cristiane Miyamoto , Luciana Dias Chiavegato","doi":"10.1016/j.bjpt.2025.101283","DOIUrl":"10.1016/j.bjpt.2025.101283","url":null,"abstract":"<div><h3>Background</h3><div>Musculoskeletal disorders are common in hemodialysis (HD) patients. The duration and frequency of HD procedures contribute to immobility and a sedentary lifestyle, which, combined with changes in the disease itself, affect frailty and fatigue. These changes can be reversed through the adoption of intradialytic exercise programs.</div></div><div><h3>Objectives</h3><div>To investigate the effectiveness of resistance compared to aerobic exercise during the intradialytic period on peripheral muscle strength, walking speed, frailty, and fatigue in patients with chronic kidney disease.</div></div><div><h3>Methods</h3><div>In this randomized controlled trial, 32 patients were randomly allocated into two groups: Resistance exercise group (Group A), that included 8 exercises using elastic bands, dumbbells, and a Swiss ball, with 2 sets of 8 to 12 repetitions, an interval of 2 to 3 minutes between sets, and an intensity of 6 on the modified OMNI scale; and Aerobic exercise group (Group B), which consisted of 20 minutes of exercise on a cycle ergometer at an intensity between 5 and 7 on the modified Borg scale. All intervention protocols were performed during the first 90 minutes of hemodialysis, with the patient seated in a reclined chair. Peripheral muscle strength was assessed using the Sahean handgrip dynamometer and the 30-second sit-to-stand test; gait speed and frailty were assessed using the Fried Phenotype Model, and fatigue was evaluated using the Multidimensional Fatigue Inventory (MFI-20). The assessment of data normality was performed through visual inspection of histograms. The linear mixed model was used for intra and intergroup analyses. The level of statistical significance was set at 5%.</div></div><div><h3>Results</h3><div>Group A performed an average of 31.4 (±3.4) effective exercise sessions and Group B performed an average of 32.5 (±3.5) effective exercise sessions. There was no significant differences, between groups, in the results of 30-second sit-to-stand test (Group A, pre: 10.1 ± 2.0 and post: 14.9 ±4.2; Group B, pre: 10 ± 2.3 and post: 16.2 ± 2.7), handgrip strength test (HST) (Group A - pre: 25.7 ± 8.7 kgf and post: 28.1 ± 9.7kgf; Group B - pre: 29.1 ± 9.4kgf and post: 29.6 ±8.70kgf), and gait speed test (Group A - pre: 1.00 ± 0.20 m/s and post: 1.3 ± 0.3 m/s; Group B - pre: 1.1 ± 0.1 m/s and post: 1.5 ± 0.2 m/s). There was a decrease in the number of frail patients in both groups (18.8%), but no significant differences were observed between groups for the total fatigue score (Group A - pre: 55.9 ± 6.2 and post: 55.6 ± 7.9; Group B - pre: 58.9 ± 6.6 and post: 56.6 ± 8.8).</div></div><div><h3>Conclusion</h3><div>No significant differences were observed between intradialytic exercise interventions in terms of peripheral muscle strength, walking speed, frailty, and fatigue. It is suggested that further studies can be conducted on the subject, in addition to the inclusion of variables such as pain, whic","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101283"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398134","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 : 2025-11-01Epub Date: 2025-10-30DOI: 10.1016/j.bjpt.2025.101270
Thaís Ferreira de Andrade Lima , Fátima De Sousa Paiva Duarte , Jéssica Gabriela Messias Oliveira , Mel Portugal Cabral Santos , Paulo Victor Leandro da Silva Pinto , Yasmin Oliveira de Freitas , Yves Raphael de Souza , Agnaldo José Lopes
<div><h3>Background</h3><div>Chronic obstructive pulmonary disease (COPD) is recognized as one of the most relevant conditions worldwide, due to its high morbidity and mortality. Patients classified by GOLD as groups B and E are strongly encouraged to participate in pulmonary rehabilitation (PR) programs. Dance has been shown to be equally or, at times, more effective as a rehabilitation strategy when compared to other types of physical activity.</div></div><div><h3>Objectives</h3><div>To compare the effect of conventional rehabilitation and the effect of conventional rehabilitation added to dance in patients with COPD.</div></div><div><h3>Methods</h3><div>This is a conventional randomized controlled clinical trial to be carried out at the Pulmonary Rehabilitation Laboratory at Veiga de Almeida University (UVA). Patients diagnosed with COPD, of both sexes, will be evaluated. Eligible participants will complete quality of life questionnaires – 36-item Short Form (SF-36), the COPD Assessment Test (CAT) and the Hospital Anxiety and Depression Scale (HADS). Additionally, patients will undergo pulmonary function tests, including spirometry, in addition to the six-minute walk test (6MWT), the handgrip test and the one maximum repetition test (1RM test). Finally, participants will be randomly divided into two groups: one group will perform conventional PR twice a week and the other group will perform conventional PR once a week and dance rehabilitation on another day of the same week for a total duration of 12 weeks. The evaluation tests will be repeated at the end of the intervention.</div></div><div><h3>Results</h3><div>It is expected that after the 12 weeks of intervention, G2 participants will have obtained greater and better results in relation to exercise capacity, QoL and peripheral muscle strength when compared to G1.</div></div><div><h3>Conclusion</h3><div>We believe that intervention using dance in conjunction with conventional PR may demonstrate improved benefits in exercise capacity and consequent improvement in QoL, by increasing the performance of resistance exercises, promoting a longer period of aerobic exercise compared to the level of anaerobic exercise, together with the use of strength exercises.</div></div><div><h3>Implications</h3><div>COPD is a multifactorial and systemic disease that can cause several conditions, such as dyspnea and decreased exercise capacity, culminating in a reduction in the QoL of patients. Among the indicated treatments, PR is highly valued due to its cost-effectiveness. Currently, there are few studies in literature on the use of dance as PR. The availability found indicates dance as an effective rehabilitation strategy for patients with COPD. Thus, by comparing groups of PR and PR plus dance, it is possible to find a way to enhance the effects of PR in patients with COPD, promote an improvement in QoL, and eventually maintain high adherence rates to PR. Consequently, it is assumed that there will be a decr
慢性阻塞性肺疾病（COPD）由于其高发病率和死亡率，被认为是世界范围内最相关的疾病之一。被GOLD分类为B组和E组的患者被强烈鼓励参加肺康复（PR）计划。与其他类型的体育活动相比，舞蹈作为一种康复策略已经被证明是同样有效的，有时甚至更有效。目的比较常规康复与常规康复结合舞蹈治疗慢性阻塞性肺病的疗效。方法：在Veiga de Almeida大学（UVA）肺康复实验室进行常规随机对照临床试验。诊断为慢性阻塞性肺病的患者，无论男女，都将接受评估。符合条件的参与者将完成生活质量问卷-36项简短表格（SF-36）， COPD评估测试（CAT）和医院焦虑和抑郁量表（HADS）。此外，患者将接受肺功能测试，包括肺活量测定，以及6分钟步行测试（6MWT）、握力测试和一次最大重复测试（1RM测试）。最后将参与者随机分为两组，一组每周进行两次常规PR，另一组每周进行一次常规PR，并在同一周的另一天进行舞蹈康复，共持续12周。评估测试将在干预结束时重复进行。结果预期经过12周的干预，G2参与者在运动能力、生活质量和外周肌力方面比G1获得更大更好的结果。结论：我们认为，通过增加阻力运动的表现，促进比无氧运动水平更长的有氧运动时间，再加上力量运动的使用，舞蹈与传统PR相结合的干预可能会提高运动能力，从而改善生活质量。scopd是一种多因素的全身性疾病，可导致多种情况，如呼吸困难和运动能力下降，最终导致患者生活质量下降。在适应症治疗中，PR因其成本效益而受到高度重视。目前，文献中关于舞蹈作为PR的研究较少，可得性表明舞蹈是COPD患者有效的康复策略。因此，通过比较PR组和PR +舞蹈组，有可能找到一种方法来增强COPD患者PR的效果，促进生活质量的改善，并最终保持较高的PR依从率。因此，我们假设会减少放弃PR计划，从而改善COPD患者的症状和运动能力。
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