Brazilian Journal of Physical Therapy最新文献

{"title":"EXERCISE INTERVENTIONS FOR GAIT IN OLDER ADULTS WITH OSTEOPOROSIS: A NARRATIVE REVIEW","authors":"Sophia Natsumi Yamawaki Dohara, Paula Maria Borges de Salles, Eduardo Penna","doi":"10.1016/j.bjpt.2025.101314","DOIUrl":"10.1016/j.bjpt.2025.101314","url":null,"abstract":"<div><h3>Background</h3><div>Older adults with osteoporosis may exhibit impaired gait due to structural and biomechanical changes and, in addition to age-related changes, such as reduced muscle mass and strength, balance impairments and reduced motor control and cognitive function, they are more susceptible to falls and fractures. Therefore, interventions focused on gait in this population are important for maintaining functional independence and quality of life.</div></div><div><h3>Objectives</h3><div>To organize scientific literature from the last 10 years on exercises designed to improve gait parameters in older adults with osteoporosis.</div></div><div><h3>Methods</h3><div>The Health Sciences Descriptors (DeCS/MeSH) used to search for articles were “osteoporosis”, “exercise”, “gait” and “aged” in the Cochrane Library and PubMed databases as well as in the Web of Science database via the CAPES Portal. Articles published in the last 10 years in English that studied the effects of exercise on gait in older adults with osteoporosis were included. After reviewing the titles and abstracts, review articles, meta-analyses, case reports, pilot studies, cross-sectional studies, duplicate articles, restricted access articles and those not directly responding to the objectives of this review were excluded.</div></div><div><h3>Results</h3><div>After the articles search and application of inclusion and exclusion criteria, 4 articles were analyzed for this review. It is important to emphasize that 2 articles provided follow-up data from the other 2 original studies included in this review, presenting the long-term effects of the interventions performed. One of the interventions consisted of balance training associated with resistance training for 12 weeks, with sessions twice a week. The other intervention involved dual-task and multi-task balance training with and without the addition of walking for at least 30 minutes, also for 12 weeks, three sessions per week. It is noteworthy that most of the study sample consisted of elderly women with osteoporosis. Balance training associated with resistance training did not provide significant effects in the gait speed of older women with osteoporosis immediately after the intervention or three months after the intervention when compared with the control group. However, balance training with dual-task and multi-task exercises, with and without the addition of walking, promoted improvements in the preferred walking speed and fast walking speed of elderly individuals in the short term, with the benefits remaining for six months after the intervention.</div></div><div><h3>Conclusion</h3><div>Balance training is an intervention of interest for studying the improvement of the gait of older adults with osteoporosis, especially when combined with multi-task training involving cognitive and/or motor demands. Further research is suggested to analyze gait as the primary outcome of interventions with different exercise modalit","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101314"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398148","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":"THE VIVIFRAIL PROGRAM AS A TOOL TO COMBAT FRAILTY SYNDROME: A RANDOMIZED CLINICAL TRIAL WITH INSTITUTIONALIZED ELDERLY PEOPLE","authors":"Rafael Rodrigues Dall´Olmo,&nbsp;Murilo Santos de Carvalho,&nbsp;Alissa Rosa De Castro,&nbsp;Ana Luísa Ávila Pinheiro,&nbsp;Carolina Duarte,&nbsp;Mauro Antônio Félix,&nbsp;Luis Fernando Ferreira,&nbsp;Luis Henrique Telles da Rosa","doi":"10.1016/j.bjpt.2025.101311","DOIUrl":"10.1016/j.bjpt.2025.101311","url":null,"abstract":"<div><h3>Background</h3><div>Aging is associated with a decline in functional capacity, which impacts the performance of activities of daily living (ADLs) that depend on factors such as strength, speed, endurance, coordination, flexibility, and balance. The decline in these factors increases frailty, leading to greater functional dependence in older adults. Institutionalized older adults, compared to community-dwelling older adults, are more vulnerable to frailty syndrome due to reduced participation in daily activities, sedentary behavior, and social isolation.</div></div><div><h3>Objectives</h3><div>To evaluate the effectiveness of the Vivifrail program in combating frailty syndrome in institutionalized older adults by analyzing the program's effects on improving balance and muscle function in this population.</div></div><div><h3>Methods</h3><div>The study is a randomized clinical trial conducted over a three-month period with two weekly sessions in long-term care facilities (LTCF). A total of 30 female volunteers over the age of 60 participated, forming two groups: the Vivifrail Group (VG), which underwent multicomponent training, and the Control Group (CG), which received usual care. The training followed the Vivifrail model, adjusted according to the participants' initial functional capacity, categorizing them as \"frail,\" \"pre-frail,\" or \"independent.\" Participants were assessed before starting the intervention and four weeks after its completion.</div></div><div><h3>Results</h3><div>Thirty older women were included in the study, with a mean age of 86 years. There were no statistically significant differences between the groups at the pre-intervention stage. However, post-intervention analysis revealed statistically significant differences in frailty levels, with lower frailty scores in the intervention group. Notably, the intervention group showed an improvement of nearly two points in the SPPB assessment, an increase of approximately 5 kg/f in handgrip strength, and a reduction of nearly 5 seconds in the time required to complete the five-times sit-to-stand test.</div></div><div><h3>Conclusion</h3><div>In this sample, the Vivifrail program proved effective as a strategy for combating and preventing frailty syndrome, according to Fried's Frailty Phenotype.</div></div><div><h3>Implications</h3><div>The results suggest that the Vivifrail program can be implemented to reduce frailty and the risk of falls. Furthermore, its adoption in LTCFs may promote greater independence and quality of life for this population.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101311"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398184","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":"FEASIBILITY AND REPRODUCIBILITY OF THE UNSUPPORTED UPPER LIMB EXERCISE TEST AND SIX-MINUTE PEG BOARD RING TEST FOR CHILDREN AND ADOLESCENTS","authors":"Marina Rodrigues,&nbsp;Brenda Vilas Boas Gomes,&nbsp;Ednaldo D'Angelis,&nbsp;Vanessa Pereira de Lima,&nbsp;Raquel Annoni,&nbsp;Fernanda Lanza","doi":"10.1016/j.bjpt.2025.101267","DOIUrl":"10.1016/j.bjpt.2025.101267","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Activities involving the upper limbs are part of daily life in home, work, or leisure environments. However, children and adolescents with chronic lung disease, in certain situations, may experience limitations in the use of their upper limbs (UL), such as reduced strength and endurance of the UL. UL. Much is known about the Unsupported Upper Limb Exercise Test (UULEX) and Six-Minute Peg Board Ring Test (6MBRT) in adult individuals, but there is no description in the literature regarding the use of UULEX and 6MBRT in the pediatric population.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To evaluate the feasibility and reproducibility of two field clinical tests for upper limbs (Unsupported Upper Limb Exercise Test - UULEX and Six-Minute Pegboard Ring Test - 6PBRT) in children and adolescents.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Feasibility study. Fifteen healthy volunteers aged 6 to 17 years were included. Spirometry was performed, followed by randomization of three tests: Cardiopulmonary Exercise Test (CPET) or UULEX or 6PBRT. The CPET was performed on an upper limb ergometer with a load increment protocol every minute. For UULEX, the volunteer sits in front of a panel and raises their arms while holding bars of different weights (0.25 kg to 2.0 kg) at different heights; outcome: execution time. For 6PBRT, the volunteer sits in front of a panel with four pins (two upper and two lower) and moves rings from the lower pins to the upper ones (and vice versa) for six consecutive minutes; outcome: number of rings moved. For all tests, maximum oxygen consumption (VO&lt;sub&gt;2&lt;/sub&gt;peak) and peak ventilation per minute (VEpeak) were also evaluated as outcomes. The UULEX and 6PBRT were performed twice each (test and retest), with a 30-minute interval between each. For feasibility, less than 15% of volunteers could reach the ceiling effect and/or floor effect.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Volunteers were 11 years (9-15 years), and normal pulmonary function (FVC, FEV1, FEV1/FVC &gt; 80% predicted). The UULEX time in the test and retest was 9.5 min [8.0 - 12.0 min] vs. 9.4 min [8.2 - 12.0 min], respectively; and the number of rings in the 6PBRT was 299 [258 - 373] vs. 340 [244 - 387], respectively, p &gt; 0.05. The CPET showed higher VO&lt;sub&gt;2&lt;/sub&gt;peak 22.8 (19.4 – 26) mL/kg compared to UULEX at 11.8 (10.2 - 13.6) mL/kg and to 6PBRT 11.6 (9 – 12) mL/kg, p = 0.001. The VEpeak was higher at CPET 31.5 (22.9 - 33.9) L/min compared to UULEX 19.7 (15.6 - 23.1) L/min) and to 6PBRT 14.4 (12.2 - 19.3) L/min), p = 0.001 The ICC for the test and retest of UULEX was 0.93 (0.78 - 0.97) p &lt; 0.001, and for 6PBRT was 0.97 (0.91 - 0.99) p &lt; 0.001. Two volunteers (13%) achieving celling effect at UULEX, and no floor effect for any field test.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The UULEX and 6PBRT are feasible and reproducible field tests for upper limbs in children and adolescents, have lower metabolic demand compared to CPET. It provi","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101267"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398192","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":"PARENTS AND CHILDREN IN FRONT OF SCREENS: IS THERE A RELATIONSHIP BETWEEN THEIR USAGE TIMES?","authors":"Lucas Barbosa da Costa,&nbsp;Mylena Francielle Ribeiro Lima,&nbsp;Evelyn Daynnara Miranda Corrêa,&nbsp;Regina Alves de Oliveira,&nbsp;Juliana Nunes Santos,&nbsp;Rosane Morais","doi":"10.1016/j.bjpt.2025.101360","DOIUrl":"10.1016/j.bjpt.2025.101360","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The use of digital media devices has become increasingly common among preschool children, establishing itself as a new habit during a critical phase of child development. Studies suggest that parents' behaviors regarding the use of these devices can influence their children's practices. Therefore, understanding this emerging behavioral reality is crucial for the effective implementation of interventions and public policies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;This research aimed to investigate whether there is a relationship between parents' daily screen time and the daily screen time of preschool children attending public daycare centers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This is a cross-sectional, observational, quantitative study, which is part of a randomized clinical trial approved by the Research Ethics Committee, focusing on the influence of media on child development. Data were collected using a questionnaire developed by the authors regarding media use at home, with questions answered by the mother, father, or guardian. The questionnaire covered topics such as time and mode of use, devices used, the age at which the child first encountered each device, and biological and socioeconomic aspects. Children aged 24 to 42 months from two Municipal Early Childhood Education Centers, whose parents signed the Free and Informed Consent Form, were included. For statistical analysis purposes, the Spearman correlation test was applied to investigate the relationship between the variables and, subsequently, a simple linear regression analysis was performed to assess the influence of parents' screen time on children's screen time.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The sample consisted of 70 children and their respective parents/guardians, with a mean age of 33 months and no gender predominance. All children had exposure to media devices, spending an average of 160 minutes per day in front of screens. Regarding the guardians, more than 90% of the questionnaires were completed by mothers, who spent an average of 350 minutes per day using screens. A moderate correlation was found between children's screen time and parents' screen time (p &lt; 0.00; rs = 0.37). Maternal screen time accounted for 12.4% of the variation in children's screen time (R² = 0.124), indicating that parents' screen time influences children's screen use behaviors at home.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Parents' media use habits, particularly those of mothers, can directly influence the daily screen time of preschool children. Further research is suggested to explore other contextual factors that may influence children's screen time and their developmental consequences.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;div&gt;This study underscores the importance of educational programs that train families on how parental screen use habits can affect children's screen time. It also emphasizes the effects of excessive screen time and encourages healthy ","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101360"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398236","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":"ANALYSIS OF KNOWN-GROUP VALIDITY OF THE UPPER QUARTER Y BALANCE TEST FOR ASSESSING SWIMMING ATHLETES WITH SHOULDER PAIN","authors":"Gabriel Alves Dos Santos,&nbsp;Danyelle Leite Furtado de Araújo,&nbsp;Matheus Lemos Dos Santos,&nbsp;Marlison Douglas Nascimento Silva,&nbsp;Bruna Gabriella Nascimento Bezerra,&nbsp;Mayara Ribeiro da Silva,&nbsp;Valéria Mayaly Alves de Oliveira,&nbsp;Danilo Harudy Kamonseki","doi":"10.1016/j.bjpt.2025.101335","DOIUrl":"10.1016/j.bjpt.2025.101335","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Upper extremity physical performance tests are widely used to assess the functional status of athletes, analyzing skills related to demands, including muscle strength, power, and agility. The Upper Quarter Y Balance Test (UQYBT) is commonly used for assessment of upper limb physical performance of the athletes. However, the information on the validity of the UQYBT in known groups of swimming athletes with and without shoulder pain is scarce. Therefore, further studies are needed to investigate the known group validity of the UQYBT in this population.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To evaluate the known group validity of the UQYBT in swimmers with and without pain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This is a cross-sectional study. This study was approved by Ethics Research Committee. Swimmers of both sexes, aged between 12 and 60 years, with at least one year of competitive swimming experience and a training regimen of at least twice a week, were included. The UQYBT was analyzed in its medial, superolateral, and inferolateral directions. The supporting hand was positioned at the center of the marking of the three lines, and the individual was asked to move the free limb as far as possible. The swimmers reached three times each direction and the mean and normalized by upper limb length were considered for analysis. To assess known-group validity, the scores of UQYBT were compared between athletes with shoulder pain and asymptomatic. The groups were chosen based on the assumption that shoulder pain would significantly affect physical performance measured by UQYBT, resulting in lower scores for athletes with shoulder pain. The Kolmogorov-Smirnov test was used to assess the distribution of the data. To compare the groups with and without pain, an independent samples t-test was conducted. Data analysis was performed using the Statistical Package for the Social Sciences, version 23.0 (SPSS Inc, Chicago, IL).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 51 athletes participated in the study. The asymptomatic group presented significant greater score than the shoulder pain group in the medial direction of the UQYBT (mean difference [MD]: 8,1, 95% CI: -14,22, -2,01 p = 0.013). For the superolateral and inferolateral directions, the asymptomatic group did not show a statistically significant difference compared to the shoulder pain group (MD = 5,43, 95% CI: -11,03, 0,15 p = 0.056) for superolateral directions and (MD = 0,70, 95% CI: -8,30, 6,89, p = 0.85) for inferolateral direction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The findings indicated that performance in the medial direction of the UQYBT can identify differences between individuals with and without pain, however, for the superolateral and inferolateral directions did not show significant results to differentiate the groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;div&gt;The findings of this study suggest that performance in the medial direction of the UQYBT ","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101335"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398465","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":"SLEEP QUALITY IN SWIMMERS WITH AND WITHOUT SHOULDER PAIN: A CROSS-SECTIONAL ANALYSIS","authors":"Raquel Lins de Sousa Lima,&nbsp;Gabriel Alves Dos Santos,&nbsp;Sávio Douglas Ferreira Santana,&nbsp;Bruna Gabriella Nascimento Bezerra,&nbsp;Mayara Ribeiro Da Silva,&nbsp;Marlison Douglas Nascimento Silva,&nbsp;Valéria Mayaly Alves de Oliveira,&nbsp;Danilo Harudy Kamonseki","doi":"10.1016/j.bjpt.2025.101326","DOIUrl":"10.1016/j.bjpt.2025.101326","url":null,"abstract":"<div><h3>Background</h3><div>Musculoskeletal injuries are common in high-performance overhead athletes. Current studies indicated that injuries can be influenced by various factors, including psychological, biological, and social aspects. Sleep quality is an essential factor for the physical and mental health of athletes and can be influenced by several variables, such as anxiety, stress, and nutrition. Poor sleep quality may increase the risk of injury. Therefore, clinicians should assess sleep quality using validated instruments, such as the Pittsburgh Sleep Quality Index (PSQI). Nevertheless, it is still unclear the role of sleep quality in the shoulder pain of swimmers, due to the lack of studies directly evaluating the relationship between these factors. Our study hypothesizes that athletes with shoulder pain will present poorer sleep quality, compared to those without shoulder pain.</div></div><div><h3>Objectives</h3><div>To compare sleep quality between swimmers with and without shoulder pain.</div></div><div><h3>Methods</h3><div>This is a cross-sectional observational study, which was approved by the Ethics Research Committee. We included competitive swimmers with or without musculoskeletal shoulder pain, of both sexes, aged between 12 and 60 years, with at least one year of competitive experience and a training regimen of at least twice a week. Sleep quality was assessed using the PSQI, which consists of 19 items across seven domains, as well as five additional questions for the bed partner. Statistical analysis was performed using the Statistical Package for the Social Sciences (SPSS), version 23.0. Data normality was assessed using the Shapiro-Wilk test. Between groups- comparisons for normally distributed data were conducted using Student’s t-test, while the Mann-Whitney U test was used for non-normally distributed data. Effect size (Cohen’s d) was calculated for between-group differences.</div></div><div><h3>Results</h3><div>A total of 49 competitive swimmers were included in the study, with a mean age of 30,82 ± 14,34, 7,18 ± 6,41 years of sports practice, and 22 (44,9%) were women. The mean and standard deviation of the PSQI score for each group were as follows: Shoulder pain group: 6.30 ± 0.43 and no shoulder pain group: 5.90 ± 0.45. Results from comparison analysis indicated no statistically significant difference between the groups (p = 0.53; Mean difference (95% CI): 0.40 (-0.90 ± 1.71); Effect size (Cohen’s d) = 0.90).</div></div><div><h3>Conclusion</h3><div>The results indicate no statistically significant difference in sleep quality between athletes with and without shoulder pain.</div></div><div><h3>Implications</h3><div>The results of this study suggest that sleep quality is not different between swimmers with and without shoulder pain. However, different findings may be found using other measurement instruments for assessing sleep quality.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101326"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398520","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":"PROFILE OF PARA ATHLETES AND CHARACTERIZATION OF SPORTS INJURIES DURING THE 2023 PARALYMPIC SCHOOL GAMES","authors":"Ernandes José de Souza Neto,&nbsp;Ana Flávia Medeiros Ribeiro,&nbsp;Renato de Souza Melo,&nbsp;Caroline de Cássia Batista de Souza,&nbsp;Eleide Rosane Borba Lira,&nbsp;Vinícius José Guimarães do Carmo,&nbsp;Maria das Graças Rodrigues de Araujo,&nbsp;Ana Paula De Lima Ferreira","doi":"10.1016/j.bjpt.2025.101327","DOIUrl":"10.1016/j.bjpt.2025.101327","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Injuries during the physiological growth phase can not only compromise the development of sports skills, but also impair the physical development expected for their age group. Adaptive mechanisms to training are the main determinants of the prevalence and location of injuries, traumas and musculoskeletal complaints. Despite advances in research on the performance and health of para-athletes, there is still a significant gap in knowledge about the epidemiology of sports injuries in young para-athletes, leaving aside the particularities of the young population, which has distinct physical and psychological characteristics, which makes it difficult to create preventive protocols and appropriate treatment strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Identify and characterize the profile of para-athletes participating in the competition and analyze the occurrence of sports injuries in para-athletes during the 2023 School Paralympics.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This is an observational, descriptive and analytical study designed according to the recommendations of the STROBE protocol (Strengthening the Reporting of Observational Studies in Epidemiology). The study was developed during the national stage of the 2023 edition of the Brazilian School Paralympics. The inclusion criteria were students of both sexes with physical, visual and intellectual disabilities, aged between 11 and 18 years, regularly enrolled in the school they were representing and attending elementary, high school or special education in public or private schools. The participating para-athletes were recruited at the Brazilian Paralympic Training Center at two different times: on competition days during the moments preceding their events (first stage) and at the end of the para-athletes' participation in the championship (second stage). Two questionnaires were used as data collection instruments: the general data questionnaire for participants, applied in the first stage, and the Oslo Sports Trauma Research Center - Questionnaire on Health Problems (OSTRC-BR), applied in the second stage. All questionnaires were applied in person, in an individual interview and during the sporting event.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The sample consisted of 640 para-athletes, 253 (60.5%) female and 387 (60.5%) male, with a mean age of 14.06 years. 41 (14.9%) of the participants reported injuries/illnesses, and the team with the highest percentage of injured members was from the state of Tocantins (14.8%). Most of the injured athletes had intellectual disabilities (41.46%), practiced athletics (56.9%) and were in the final years of elementary school (21.95%), with a mean age of 14.56 years, and the majority were male (56.86%).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;A significant difference was observed in the occurrence of injuries between young people who had been practicing sports for more than 2 years and those who were just beginning their sport","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101327"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398521","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":"ACUTE EFFECTS OF MANUAL MYOFASCIAL RELEASE ALONE OR IN COMBINATION WITH INSTRUMENT OR PERCUSSION DEVICE ON DELAYED ONSET MUSCLE SORENESS","authors":"Julia de Almeida Santos,&nbsp;Ana Julya Santana Miranda,&nbsp;Alef Douglas Oliveira Alves,&nbsp;Valdeci Carlos Dionísio,&nbsp;Wanessa Silva De Oliveira,&nbsp;Ana Paula Magalhães Resende","doi":"10.1016/j.bjpt.2025.101343","DOIUrl":"10.1016/j.bjpt.2025.101343","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Amateur athletes frequently experience delayed-onset muscle soreness (DOMS), impacting training and daily activities. Myofascial release, a massage technique for DOMS management, can be performed manually or with instruments. Recently, percussion devices, such as massage guns, have gained popularity. While several studies have examined foam rollers for self-myofascial release, no research has compared physiotherapist-administered manual myofascial release with instrument-assisted or percussion-based techniques for DOMS treatment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the effects of a single session of manual myofascial release alone or combined with instrument-assisted soft tissue mobilization or a percussion device massager on DOMS in amateur athletes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Randomized controlled trial. Amateur athletes were classified as \"very active\" according to the International Physical Activity Questionnaire (IPAQ), and pain reporting associated with exercise practice was included. Exclusion criteria included athletes with pain due to a previously diagnosed musculoskeletal injury and those unable to read and understand the questionnaire. Athletes were randomized into one of three groups: Manual Myofascial Release (MMR), Manual + Instrument-Assisted Soft Tissue Mobilization (MMR+IASTM), or Manual + Percussion Device Massager (MMR+PDM). An assistant researcher conducted the randomization process. Assessments were carried out by a trained evaluator blinded to group allocation. Initially, participants identified the muscle group experiencing pain. The evaluator then palpated the affected muscle group and asked the athlete to quantify their pain using the Visual Analog Scale (VAS) from 0 to 10. Following this assessment, a trained physiotherapist administered the assigned intervention. Each session lasted 40 minutes. The session was evenly divided for interventions combining manual therapy with another approach, with 20 minutes allocated to manual therapy and 20 minutes to the instrument/device intervention. Immediately after the session, the same evaluator reassessed pain levels using the VAS. Twenty-four hours later, the research team contacted participants, instructing them to palpate the painful area and self-report their pain score on the VAS. To assess normality, the Shapiro-Wilk test was applied. For group comparisons, repeated measures ANOVA and one-way ANOVA were used.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 159 athletes completed the protocol: 73 in the MMR group, 47 in the MMR+IASTM group, and 39 in the MMR+PDM group. There was a loss of 24-hour follow-up data in the last two groups due to non-responsiveness to the 24-hour evaluation. No significant differences were found between the three groups in baseline VAS scores: 4.63 for MMR, 4.79 for MMR+IASTM, and 5.59 for MMR+PDM (p = 0.099). Immediately after the intervention, VAS scores were 2.30 for MMR, 2.34 for MMR+IASTM,","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101343"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398527","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":"ADAPTATION, FEASIBILITY AND REPRODUCIBILITY OF THE MODIFIED SHUTTLE TEST FOR PEOPLE WITH DEAFNESS","authors":"Taynara da Silva Ribeiro,&nbsp;Rafaela Gonçalves de Mattos,&nbsp;Carla Malaguti","doi":"10.1016/j.bjpt.2025.101293","DOIUrl":"10.1016/j.bjpt.2025.101293","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Hearing loss may be associated with lower levels of physical activity, fragmentation of active time, and greater difficulties in performing activities of daily living. However, there are no records of validated exercise tests for the physical assessment of people with deafness, which are crucial for prescribing interventions and monitoring physiological and functional responses. Among these, the Cardiopulmonary Exercise Test (CPET) stands out as the gold standard for assessing physical fitness and limiting symptoms. However, CPET requires expensive equipment, highly trained personnel, and standard laboratory conditions, which limits its wide availability to the general population. On the other hand, the Modified Shuttle Test (MST) is a progressive, standardized, incremental test that is simple to perform in non-laboratory conditions. However, the MST uses auditory stimuli to guide participants, making it unfeasible for people with severe hearing loss or deafness.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The central objective of this study was to develop an adaptation of the MST guided by visual cues. Secondarily, we intend to test the validity and agreement of the visual TSM.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This is a cross-sectional study, divided into two phases. Phase I includes the development of resources for adapting the TSM, using visual guidance to replace the audible commands of the conventional test. LED (Light Emitting Diode) RGB (Red Green Blue) light signals were used, positioned above each cone, located at the ends of the path. In this phase, the test will be tested on healthy individuals and its agreement, determined by paired t-test, analysis of the intraclass correlation coefficient (ICC) and 95% confidence intervals (CI) and Spearman's correlation coefficient. In Phase II, the feasibility and reproducibility of the adapted TSM in deaf individuals will be tested.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;An agreement analysis of partial data from Phase I was performed using the ICC (intraclass correlation coefficient) between the auditory SST and the visual SST in hearing individuals, considering the peak HR (n = 8) 170,7 ± 15.8 vs 169,4 ± 11,0bpm (p &gt; 0,05) and the distance covered in the tests (n = 10) 999,0 ± 44,3 vs 987,0 ± 53,1 meters (p &gt; 0,05), respectively. The partial results demonstrate an agreement between the tests for HR with ICC = 0,81 (95% CI = 0,39–0,93) and for distance covered ICC = 0.85 (95% CI = 0,46–0,96). The correlation between the HRpeak of the tests was r = 0,68, and between the distances it was r = 0,76 (p &lt; 0,05 for both).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The adapted TSM has good agreement and validity when compared to the conventional TSM.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications&lt;/h3&gt;&lt;div&gt;The results of this study can promote inclusion and accessibility of people with deafness for the assessment of functional capacity, contributing to a more equitable approach in the ","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101293"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398046","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":"IMPACT OF A 2024 GUIDELINE-BASED PROGRAM ON CERVICAL RANGE OF MOTION IN INFANTS WITH CONGENITAL MUSCULAR TORTICOLLIS: A PILOT STUDY","authors":"Ana Luiza De Oliveira Souza,&nbsp;Henrique Mendonça Passos de Faria,&nbsp;Ana Carolina Cazita Soares Silva,&nbsp;Maria Flávia Silva Campell,&nbsp;Millene Cézar Nunes,&nbsp;Maiza Eduarda De Sousa Moreira,&nbsp;Rejane Vale Gonçalves","doi":"10.1016/j.bjpt.2025.101363","DOIUrl":"10.1016/j.bjpt.2025.101363","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Congenital muscular torticollis (CMT) is a condition characterized by the shortening of the sternocleidomastoid muscle, leading to restricted cervical motion, postural asymmetry, and potential motor development delays. The 2024 Clinical Practice Guideline for CMT highlights the importance of early intervention, including passive stretching, active motor stimulation, postural training, and caregiver education. However, there is a need for structured studies assessing the impact of a combined home and supervised intervention program on active and passive cervical range of motion (ROM).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To evaluate the feasibility and preliminary effectiveness of a structured physical therapy intervention aimed at improving active and passive cervical lateral flexion ROM in infants with CMT, following the recommendations from the 2024 CMT Clinical Practice Guideline.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A single-group prospective experimental pilot study with repeated measures. Participants: Eight infants aged 3 to 4 months diagnosed with CMT, presenting with restricted passive and/or active cervical lateral flexion. Parental consent was obtained for participation in a home-based program combined with weekly supervised physical therapy sessions. The intervention consisted of five components: (1) Passive stretching: Low-intensity, sustained stretches of the sternocleidomastoid (SCM) muscle. (2) Active range of motion training: Stimuli for head-righting responses during exercises in various postures. (3) Symmetry-based activities: Encouragement of midline head alignment and equal use of both sides of the body during play. (4) Environmental modifications: Positioning strategies for sleep, feeding, and other activities in the home setting. (5) Caregiver education and adherence monitoring: Weekly supervised sessions (60 minutes) to assess progress, reinforce techniques, and implement an individualized home program for each child based on the criteria of the 2024 Clinical Practice Guideline. Outcome Measures: Passive cervical ROM (lateral flexion) was measured using an arthrodial protractor, while active cervical ROM was assessed through visual/photographic tracking and the Muscle Function Scale (MFS).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The intervention period ranged from 3 to 4 months, with a follow-up evaluation conducted 3 months after its completion. All four children who initially presented with more than 5° of asymmetry in passive ROM showed improvement in the final assessment, reducing asymmetry to less than 5°. Similarly, among the five children with more than 5° of asymmetry in active ROM, three (60%) demonstrated improvement, achieving a final asymmetry of less than 5°.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;A structured physical therapy intervention effectively improved active and passive cervical lateral flexion ROM in infants with CMT. All infants with passive ROM asymmetry showed improve","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"29 ","pages":"Article 101363"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398188","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}