Brazilian Journal of Physical Therapy最新文献

{"title":"Independent risk factors associated with a history of exercise associated muscle cramps (EAMC) among 21460 cycling race entrants (SAFER XXXVI): a descriptive cross-sectional study","authors":"Carey Pohl ,&nbsp;Martin Schwellnus ,&nbsp;Nicola Sewry ,&nbsp;Pieter Boer ,&nbsp;Esme Jordaan ,&nbsp;Carel Viljoen","doi":"10.1016/j.bjpt.2025.101559","DOIUrl":"10.1016/j.bjpt.2025.101559","url":null,"abstract":"<div><h3>Background</h3><div>There is limited research on cyclists with a history of exercise associated muscle cramps (hEAMC) defined as muscle cramping (painful, spontaneous, sustained spasm of a muscle) during or after cycling.</div></div><div><h3>Objective</h3><div>To determine the epidemiology, clinical characteristics, and risk factors associated with hEAMC in cyclists taking part in a mass participation cycling event.</div></div><div><h3>Methods</h3><div>21,460 race entrants from the 2016 Cape Town Cycle Tour completed an online questionnaire, which is based on the guidelines for recreational exercise participation from the European Association of Cardiovascular Prevention and Rehabilitation [EACPR]. The main outcome measures were: the lifetime prevalence hEAMC (%; 95% confidence intervals), independent risk factors (adjusted for age and sex) associated with hEAMC (history of chronic disease, history of allergies, history of chronic medication use, history of medication use before and during race, history of cycling injuries, and cycling training/racing variables). Poisson regression was used to calculate the prevalence (%) of the variables of interest, with 95% confidence intervals.</div></div><div><h3>Results</h3><div>The retrospective lifetime prevalence of hEAMC was 30.51%. EAMC in cyclists affects mainly the quadriceps muscles and occurs in the 4th quarter during a race. Novel independent risk factors associated with an increased risk of hEAMC in cyclists were: increased number of years participating as a recreational cyclist (PR=1.03 per 5 years increase; p&lt;0.0001), a higher chronic disease composite score (PR=1.36 times increased risk for every 2 additional chronic diseases; p&lt;0.0001), a history of any allergies (PR=1.18; p&lt;0.0001), medication use before or during event (PR=1.41; p&lt;0.0001) a history of an acute (PR=1.30; p&lt;0.0001) and gradual onset injury (PR=1.29; p&lt;0.0001).</div></div><div><h3>Conclusion</h3><div>Our study identified novel independent risk factors associated with a hEAMC. These results, in combination with other known risk factors, could assist future targeted prevention programmes and the management of EAMC in recreational cyclists.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 2","pages":"Article 101559"},"PeriodicalIF":3.2,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145765697","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}

{"title":"Blockade of opioid receptors prevents the effect of exercise on neuropathic pain in mice, promoting immunoregulation in the brainstem and prefrontal cortex","authors":"Fernanda Belle ,&nbsp;Elisa Mitkus Flores Lins ,&nbsp;Josiel Mileno Mack ,&nbsp;Francielly Suzaine da Silva ,&nbsp;Ludmilla Solange Gelain ,&nbsp;Verônica Vargas Horewicz ,&nbsp;Guilherme de Azevedo Traebert ,&nbsp;Alexandre Carlos Buffon ,&nbsp;Deborah de Camargo Hizume-Kunzler ,&nbsp;Daniel Fernandes Martins ,&nbsp;Franciane Bobinski","doi":"10.1016/j.bjpt.2025.101561","DOIUrl":"10.1016/j.bjpt.2025.101561","url":null,"abstract":"<div><h3>Background</h3><div>Physical exercise is widely recognized for reducing neuropathic pain. However, the interaction between the immune and opioidergic systems in supraspinal structures is still not fully understood.</div></div><div><h3>Objective</h3><div>To evaluate the impact of opioid receptor blockade on the effects of low-intensity exercise on the sensory, cognitive, and emotional aspects of neuropathic pain after sciatic nerve injury.</div></div><div><h3>Methods</h3><div>Male Swiss mice (2 months old) were submitted to sciatic nerve crush and divided into sedentary or exercised groups. The exercised groups performed treadmill running for two weeks, with or without naloxone pre-treatment to block opioid receptors. Sensory responses were assessed using the von Frey test, while cognitive and emotional-like behaviors were evaluated through the Mechanical Conflict-Avoidance System (MCAS) and open field test, respectively. Cytokine levels (IL-4, IL-10) and brain-derived neurotrophic factor (BDNF) were quantified in the brainstem and prefrontal cortex by ELISA.</div></div><div><h3>Results</h3><div>Exercise reduced mechanical hypersensitivity and improved performance in cognitive and exploratory tasks. These effects were prevented by naloxone administration. Exercise also increased IL-4, IL-10, and BDNF levels in supraspinal regions, while naloxone reversed these changes, indicating the involvement of μ-opioid receptors in exercise-induced immunomodulation.</div></div><div><h3>Conclusion</h3><div>Low-intensity exercise promotes analgesia and neuroimmune regulation in neuropathic pain through supraspinal μ-opioid receptor activation. The blockade of these receptors abolishes the beneficial effects of exercise, reinforcing the interaction between opioidergic and immune systems in pain modulation.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 2","pages":"Article 101561"},"PeriodicalIF":3.2,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145765698","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}

{"title":"Type of health locus of control predicting pain, function, and global perceived effect in patients with chronic low back pain receiving active versus passive interventions: an observational study","authors":"Ivan de Araujo Barros ,&nbsp;Arthur de Sá Ferreira ,&nbsp;Thaís de Souza Horsth ,&nbsp;Thamires de Jesus Holmes ,&nbsp;Anna Amalheiro dos Santos ,&nbsp;Luciana Crepaldi Lunkes","doi":"10.1016/j.bjpt.2025.101560","DOIUrl":"10.1016/j.bjpt.2025.101560","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic nonspecific low back pain (CNLBP) is the leading cause of disability worldwide. The health locus of control (HLC) refers to the individual's perception of control over their health, which can be internal (personal control), external (control attributed to others), or chance (determined by luck, fate, or chance).</div></div><div><h3>Objective</h3><div>To investigate whether the HLC predicts pain, functional ability, and global perceived effect in patients with CNLBP treated with active versus passive interventions.</div></div><div><h3>Methods</h3><div>Longitudinal observational study following two different treatments groups delivered by physical therapists: active group (exercise-based intervention) and passive group (manual therapy-based intervention). The HLC was assessed with the Multidimensional Health Locus of Control Scale (MHLCS), pain with the Pain Numerical Rating Scale (PNRS), functional ability with the Patient-Specific Functional Scale (PSFS), and global perceived effect by the Global Perceived Effect Scale (GPES). The relationship between the types of HLC at baseline and after the intervention was analyzed by the Chi-square test, and the prediction of outcomes by linear regression (<em>p</em> &lt; 0.05).</div></div><div><h3>Results</h3><div>Fifty-eight individuals participated, with a mean age of 51.2 (5.6) years. There was no impact of baseline HLC on pain, functional ability, or global perceived effect (<em>p</em> &gt; 0.05), and there were no significant changes in HLC at the endpoint of observation (<em>p</em> = 0.75).</div></div><div><h3>Conclusion</h3><div>HLC was not a predictor for the evaluated outcomes, with no significant changes between baseline and the endpoint of observation.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 2","pages":"Article 101560"},"PeriodicalIF":3.2,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145765696","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}

{"title":"Foot-specific exercise intervention for forefoot deformity in individuals with type 2 diabetes and peripheral neuropathy: A randomized controlled clinical trial with 3-year follow-up","authors":"JA Zellers ,&nbsp;K Steger-May ,&nbsp;PK Commean ,&nbsp;H-J Jeong ,&nbsp;EM Bullard ,&nbsp;MJ Mueller ,&nbsp;MK Hastings","doi":"10.1016/j.bjpt.2025.101563","DOIUrl":"10.1016/j.bjpt.2025.101563","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes with peripheral neuropathy can lead to metatarsophalangeal joint (MTPJ) deformity. The purpose of this study was to estimate the effect of a foot-specific intervention on MTPJ deformity. Secondary aims were determining MTPJ deformity progression over 3 years and predictors of MTPJ deformity progression.</div></div><div><h3>Methods</h3><div>Sixty people with type 2 diabetes and peripheral neuropathy were recruited for this randomized controlled clinical trial. Participants were assessed at baseline, 6 months (post-intervention), 1.5 years, and 3 years. A 6-month, foot-specific intervention in the experimental group was compared to a shoulder intervention in the control group. The primary outcome was change in 2nd MTPJ angle assessed with computed tomography (CT).</div></div><div><h3>Results</h3><div>There was no effect of intervention on 2nd MTPJ angle (main effect of group <em>p</em> = 0.56, main effect of visit <em>p</em> = 0.56, group*visit interaction <em>p</em> = 0.79). In combined experimental and control groups, 26 % and 9 % of participants met the cutoff threshold for MTPJ angle progression at 1.5 and 3 years, respectively. Change in 2nd metatarsal bone mineral density from baseline to 3 years predicted 2nd MTPJ angle progression at 3 years (Rescaled R² = 0.22, <em>p</em> = 0.01).</div></div><div><h3>Conclusion</h3><div>The study intervention was unable to yield a detectible improvement in 2nd MTPJ angle. The intervention may not have been of sufficient intensity to induce positive changes or there may be limited capacity for the neuropathic foot to respond to traditional modes of exercise. While useful in improving other outcomes, exercise-based intervention may not be an effective method of reducing or delaying forefoot deformity progression.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 1","pages":"Article 101563"},"PeriodicalIF":3.2,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783522","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}

{"title":"Assessing postural control deficits with the Balance Evaluation Systems test for children, second edition in children with Developmental Coordination Disorder","authors":"Maja Van Grinderbeek ,&nbsp;Katrijn Klingels ,&nbsp;Mieke Goetschalckx ,&nbsp;Charlotte Johnson ,&nbsp;Silke Velghe ,&nbsp;Ann Hallemans ,&nbsp;Evi Verbecque","doi":"10.1016/j.bjpt.2025.101558","DOIUrl":"10.1016/j.bjpt.2025.101558","url":null,"abstract":"<div><h3>Background</h3><div>Postural control deficits are highly prevalent in children with Developmental Coordination Disorder (DCD). We developed an extended, age-specific version of the Balance Evaluation Systems test for children (Kids-BESTest-2; age 5–12) that allows for the identification of specific deficient postural control systems by assessing corresponding postural control test domains.</div></div><div><h3>Objective</h3><div>To assess the clinical value of the Kids-BESTest-2 in identifying postural control deficits in children with Developmental Coordination Disorder (DCD) by evaluating its construct and predictive validity.</div></div><div><h3>Methods</h3><div>We included 89 typically developing (TD) children and 66 children with DCD (age 5–12). Construct validity was established by: 1) exploring differences in Kids-BESTest-2 scores between the known groups (DCD/TD) using the Mann-Whitney U test, 2) determining internal relationships and relationships with child-specific factors with the Spearman rank correlations. Predictive validity was investigated with binary logistic regression analysis.</div></div><div><h3>Results</h3><div>TD children outperformed (p&lt;0.001) their DCD peers on the Kids-BESTest-2. The Kids-BESTest-2 correlates moderately (ρ=0.69–0.78, p&lt;0.001) to strongly (ρ=0.79–0.88, p&lt;0.001) with domain scores. The Kids-BESTest-2 total score significantly correlates with the MABC-2 total score (ρ= 0.62, p&lt;0.001), the MABC-2 balance score (ρ=0.64, p&lt;0.001), and age (ρ=0.40, p&lt;0.001). Age and MABC-2 total and balance scores predict a Kids-BESTest-2 total score &lt; 80%, with a 92.0% sensitivity, 92.9% specificity.</div></div><div><h3>Conclusions</h3><div>The Kids-BESTest-2 is a valid tool to identify and specify postural control deficits in children with DCD. Clinicians can decide to administer the Kids-BEST-test-2 by using age and MABC-2 total and balance scores to predict performance.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 1","pages":"Article 101558"},"PeriodicalIF":3.2,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783495","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}

{"title":"Assessing postural balance for predicting falls in individuals with Chronic obstructive pulmonary disease: A prospective cohort study","authors":"Bárbara Aparecida Teodoro Alcantara Verri ,&nbsp;Caroline Maschio de Censo ,&nbsp;Juliana de Melo Batista dos Santos ,&nbsp;Rafaella Fagundes Xavier ,&nbsp;João Marcos Salge ,&nbsp;Regina Maria Carvalho-Pinto ,&nbsp;Celso Ricardo Fernandes Carvalho","doi":"10.1016/j.bjpt.2025.101557","DOIUrl":"10.1016/j.bjpt.2025.101557","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with severe Chronic Obstructive Pulmonary Disease (COPD) have a higher risk of falls while performing physical activities; however, assessments to distinguish who falls are lacking.</div></div><div><h3>Objective</h3><div>To assess postural balance under challenging conditions to discriminate individuals who experience a fall.</div></div><div><h3>Methods</h3><div>Patients with moderate to very severe COPD were recruited and performed postural balance assessment. The centre of pressure (COP) was measured using a force platform under different conditions: at rest, post-effort, semi-tandem, and semi-tandem+post-effort. Individuals received a fall diary and were monitored during six months by phone calls. After the follow-up period, patients who experienced a fall were included in the Falls Group (FG) and those who did not were included in the Non-Falls Group (NFG). Receiver operating characteristic (ROC) curves were constructed, and the area under the curve (AUCs) was calculated to assess the predictive value of postural strategies.</div></div><div><h3>Results</h3><div>Individuals with COPD (<em>n</em> = 61); FG (<em>n</em> = 26) and NFG (<em>n</em> = 35) were included. Compared with NFG, FG presented greater path length (42.5 [34.1, 54.7] vs. 34.1 [29.2, 42.5]cm) and COP-AP (2.60 [2.10, 3.50] vs. 2.10 [1.70, 2.60]cm) in post-effort position. In the semi-tandem position, FG presented greater COP-ML than NFG (3.00 [2.50, 4.00] vs. 2.50 [2.20, 3.00]cm). FG also presented a greater path length (82.1 [67.4, 136.9] vs. 67.4 [56.3, 82.1]cm), COP-ML (3.70 [2.90, 5.50] vs. 2.90 [2.10, 3.70]cm), and COP-AP (3.80 [3.10, 5.00] vs. 3.10 [2.10, 3.80]cm) than NFG did in semi-tandem post-effort position. In total, 100 falls were reported, most of which occurred inside the patient's home (65 %) and while individuals were walking (48 %).</div></div><div><h3>Conclusion</h3><div>Assessing postural balance in challenging positions can discriminate between individuals with severe COPD who experience a fall.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 1","pages":"Article 101557"},"PeriodicalIF":3.2,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758235","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}

{"title":"Effectiveness of exercise interventions to improve motor coordination and manual dexterity of deaf children: A systematic review and meta-analysis of randomized controlled trials","authors":"Renato S. Melo ,&nbsp;Ilana Santos de Oliveira ,&nbsp;Cleysiane de Araújo Oliveira ,&nbsp;Alexandre Delgado ,&nbsp;Karla Mônica Ferraz ,&nbsp;Rosalie Barreto Belian","doi":"10.1016/j.bjpt.2025.101556","DOIUrl":"10.1016/j.bjpt.2025.101556","url":null,"abstract":"<div><h3>Background</h3><div>Vestibular disorders are frequent findings in children with sensorineural hearing loss (SNHL), impairing the sensory regulation of postural control, and the spatiotemporal relationship, and triggering disturbances in balance, motor coordination, and gross and fine motor skills in these children.</div></div><div><h3>Objective</h3><div>To assess the certainty of evidence from randomized controlled trials (RCTs) that used exercise interventions to improve motor coordination and manual dexterity of children and/or adolescents with SNHL.</div></div><div><h3>Methods</h3><div>This systematic review searched for articles on the topic in 10 electronic databases: MEDLINE/Pubmed, SCOPUS, EMBASE, Web of Science, CINAHL, LILACS, CENTRAL (Cochrane Central Register of Controlled Trials), PEDro, SciELO and the Google Scholar. There was no restriction on publication time or languages for the selection of articles, and the last search took place on March 1, 2025. RCTs were included, with children and/or adolescents, diagnosed with bilateral SNHL in the age group between 6–19 years old, without physical, cognitive, and/or neurological problems, except vestibular dysfunction, and who used exercise interventions to improve motor coordination and manual dexterity. Three independent reviewers performed the extraction of trials, data, assessment of risk of bias, and certainty of evidence. The presence of risk of bias in RCTs was assessed using the Cochrane risk of bias (RoB) tool and the certainty of the evidence using the GRADE approach.</div></div><div><h3>Results</h3><div>Eleven RCTs were included in this review with a total of 475 volunteers. Five RCTs were included in the meta-analyses. One of the meta-analyses showed that practicing 18 weeks of exercise improved the general motor coefficient score of the Körperkoordinationstest für Kinder test by 9.08 more in children with SNHL, compared to those who did not exercise: (9.08 [CI:5.78, 12.3], I² = 63 %), based on low certainty evidence. Another meta-analysis observed that practicing exercise for 7 weeks improved the balance of children with SNHL by 6.69 more in the balance subtest of the Bruininks-Oseretsky test of Motor Proficiency, compared to children who did not exercise: (6.69 [CI:4.10, 9.28], I² = 0 %), based on very low certainty evidence.</div></div><div><h3>Conclusion</h3><div>Exercise interventions were effective in improving motor coordination and manual dexterity of children with SNHL. However, these findings are not consistent, as they are based on evidence of low or very low certainty. Due to the limitations and biases present in the RCTs analyzed, it is suggested that new RCTs on the topic be performed with greater methodological rigor, to encourage and guide clinical practice on the topic, based on high-certainty evidence.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 1","pages":"Article 101556"},"PeriodicalIF":3.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579112","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}

{"title":"Effects of behavioral treatment and pelvic floor muscle training on overactive bladder syndrome: a randomized control trial","authors":"Mayanni Magda Pereira Matias,&nbsp;Fátima Faní Fitz,&nbsp;Márcia Maria Gimenez,&nbsp;Letícia de Azevedo Ferreira,&nbsp;Maria Augusta Tezelli Bortolini,&nbsp;Rodrigo de Aquino Castro","doi":"10.1016/j.bjpt.2025.101541","DOIUrl":"10.1016/j.bjpt.2025.101541","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate and compare the effects of behavioral treatment (BT) combined with pelvic floor muscle training (PFMT) versus BT and PFMT provided in isolation in women with overactive bladder syndrome (OAB).</div></div><div><h3>Methods</h3><div>Prospective, randomised, and controlled clinical trial with concealed allocation including 110 women with OAB were randomized into three groups: BT+PFMT, BT, and PFMT. The intervention <strong>c</strong>onsisted of 3-month program: BT+PFMT group received an educational program with lifestyle modifications, urgency suppression techniques, bladder training, and motivation strategies, combined with PFMT; BT and PFMT groups carried out the isolated interventions described above. The primary outcome was OAB cure defined by OAB-V8 questionnaire score &lt;8 and the absence of episodes of urgency urinary incontinence in the voiding diary. Secondary outcomes were urinary symptoms, pelvic floor muscle (PFM) function, outpatient and home adherence to the exercise sets, and subjective cure.</div></div><div><h3>Results</h3><div>Higher objective cure was observed in the BT+PFMT group compared with isolated PFMT and BT in both per protocol and intention-to-treat analyses. In the per protocol analysis, women receiving BT+PFMT were 5.5 times more likely to achieve objective cure than PFMT (OR 5.5; 95% CI 1.6–18.7) and 4.1 times more likely than BT (OR 4.1; 95% CI 1.3–12.8). For the intention-to-treat analysis considering losses as uncured, BT+PFMT remained more effective than PFMT alone (OR 3.4; 95% CI 1.2–9.5). All groups improved PFM function (power, endurance, fast contractions, p &lt; 0.001 for all), however PFMT and PFMT+BT had better PFM function compared to BT group (p &lt; 0.001 for all).</div></div><div><h3>Conclusions</h3><div>The combination of BT with PFMT were more effective than isolated therapies in the management of female OAB.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"30 1","pages":"Article 101541"},"PeriodicalIF":3.2,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145466147","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}

{"title":"ANALYZING DISABILITY IN PATIENTS WITH INTERSTITIAL LUNG DISEASES THROUGH THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY, AND HEALTH FRAMEWORK","authors":"Wallace Pereira Silva,&nbsp;Giovanna Camargo Mello,&nbsp;Patricia Lira,&nbsp;Ivan Peres Costa,&nbsp;Tatiana Abade,&nbsp;Grasiani Breggue Pires,&nbsp;Soraia Silva,&nbsp;Luciana Maria Malosa Sampaio","doi":"10.1016/j.bjpt.2025.101292","DOIUrl":"10.1016/j.bjpt.2025.101292","url":null,"abstract":"<div><h3>Background</h3><div>Interstitial lung diseases (ILDs) lead to activity limitations and participation restrictions, often resulting in disability. Disability should be assessed using the biopsychosocial model of the International Classification of Functioning, Disability, and Health (ICF), as recommended by the WHO.</div></div><div><h3>Objective</h3><div>To correlate the ICF domains to explore how bodily functions are associated with activity limitations and participation restrictions in patients with ILD.</div></div><div><h3>Methods</h3><div>A cross-sectional observational study involving patients with ILD, diagnosed according to the guidelines of the American Thoracic Society (ATS) and the European Respiratory Society (ERS), who had a stable clinical condition for at least three months. Pulmonary function was assessed using spirometry and respiratory muscle strength; activity was measured through the Incremental Shuttle Walk Test (ISWT) and the Six-Minute Walk Test (6MWT); and participation was evaluated using the Saint George's Respiratory Questionnaire (SGRQ).</div></div><div><h3>Results</h3><div>Of the 25 patients, the majority were men aged over 60 years, and it was observed a positive and moderate correlation (r = 0.45; p &lt; 0.05) was found between activity and pulmonary function. However, the 6MWT showed a negative and moderate correlation with dyspnea (r = -0.52; p = 0.007). The participation component (SGRQ) did not show a significant association with the other components.</div></div><div><h3>Conclusion</h3><div>A significant relationship was found between the activity component and body functions, whereas participation was not linked to these components. This suggests that restrictions in participation are multifactorial, necessitating a comprehensive approach that goes beyond the traditional biomedical model and includes contextual factors.</div></div><div><h3>Implications</h3><div>These findings emphasize the need for a biopsychosocial approach in rehabilitation, addressing not only physical function but also social and environmental barriers. Personalized interventions incorporating psychological and social support are essential to effectively enhance participation and patient outcomes.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101292"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398044","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}

{"title":"IMPACTS OF A PILATES, ZUMBA AND THORACOABDOMINAL REBALANCING PROTOCOL ON THE CARDIORESPIRATORY CONDITIONS OF WOMEN WITH BREAST CANCER: PILOT STUDY","authors":"Mariana Clepf Sandrini,&nbsp;Rafaela de Oliveira Martins,&nbsp;Lara da Costa Moreira,&nbsp;Andrew Kenny Araújo dos Santos,&nbsp;Sophia Braga dos Santos,&nbsp;Lívia De Cássia Braz Silveira,&nbsp;Ligia de Souza Marino,&nbsp;Juliana Bassalobre Carvalho Borges","doi":"10.1016/j.bjpt.2025.101319","DOIUrl":"10.1016/j.bjpt.2025.101319","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Breast cancer represents a relevant health problem both in Brazil and globally, bringing several adverse effects due to treatments, which may include surgeries and/or complementary therapies. Among these consequences, cardiorespiratory changes stand out and require special attention. Therefore, it is essential to develop rehabilitation strategies that promote adherence and effectiveness, through the implementation of a specific and detailed protocol for this population, which includes a combined global training of Mat Pilates, Zumba and Thoracoabdominal Rebalancing with the aim of improving the patients' cardiorespiratory condition.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To evaluate the impacts of an exercise protocol consisting of Mat Pilates, Zumba and Thoracoabdominal Rebalancing on the cardiorespiratory conditions of women undergoing breast cancer treatment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Controlled and randomized clinical trial, carried out with women after surgery and undergoing breast cancer treatment, randomized to the intervention group (IG = 8) that received the Zumba, Mat Pilates and Thoracoabdominal Rebalancing protocol and the control group (CG = 8) that did not receive the protocol. The protocol was carried out in 10 sessions, 2 per week on alternate days. Protocol consisting of monitoring initial and final signs (heart rate, diastolic and systolic blood pressure), reeducation of respiratory biomechanics using the Thoracoabdominal Rebalancing Method, 10 minutes of Zumba and 10 minutes of Mat Pilates. Before and after the protocol period, general and clinical characteristics, the physical activity questionnaire (IPAQ) and cardiorespiratory conditions were evaluated considering respiratory muscle strength (maximum inspiratory and expiratory pressures), peripheral muscle strength (handgrip test) and functional capacity using the sit-to-stand test. The variables were analyzed using specific intra (Wilcoxon) and intergroup (Mann-Whitney) statistical tests.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The IG was 43.2 ± 7.2 years old and the CG was 59.3 ± 5.5 years old. 75% of the IG and 25% of the CG practiced physical activity. In the intragroup analysis, the IG showed a significant improvement in sit-to-stand test (p = 0.048), while the CG showed a significant worsening in maximum inspiratory pressure (p = 0.039) and in handgrip of the dominant hand (p = 0.030). In the intergroup analysis, there was a significant difference in systolic blood pressure (p = 0.019), with the CG having higher values ??and in the handgrip of the dominant hand (p = 0.048), with the IG having higher values. This indicates that the protocol has the potential to improve or maintain the variables analyzed in the study, since in participants who did not follow the protocol, a reduction in these variables was observed over time.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The treatment protocol had a positive impact on the cardiorespiratory ","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101319"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398076","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}