Brazilian Journal of Physical Therapy最新文献_第5页

Pelvic floor muscle training for urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy: a systematic review with meta-analyses 针对子宫切除术后泌尿系统症状、阴道脱垂、性功能、盆底肌肉力量和生活质量的盆底肌肉训练：荟萃分析系统综述。

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-09-01 DOI: 10.1016/j.bjpt.2024.101122

Néville Ferreira Fachini de Oliveira, Cintia Helena Santuzzi, Thayara Viana da Conceição, Júlia Martins Vasconcellos Freitas, Fernanda Mayrink Gonçalves Liberato, Lucas Rodrigues Nascimento

Background

After hysterectomy, women could experience pelvic floor dysfunction and negative impact on quality of life, which could be improved by pelvic floor muscle training.

Objective

To investigate effects of pelvic floor muscle training on urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy.

Methods

Systematic review with meta-analyses of randomized controlled trials. Trials with pelvic floor muscle training in women after hysterectomy were included. The outcomes measures were urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life. Quality of evidence was assessed by adopting the GRADE approach.

Results

Six trials, involving 776 participants, were included. The mean PEDro score of trials was 5.5. Moderate-quality evidence suggested that pelvic floor muscle training improves sexual function by 5 points (95% CI: 4, 6) on the Female Sexual Function Index, compared with no intervention. It might affect strength (SMD 0.5; 95% CI: −0.4, 1.3), quality of life (SMD 0.5 points out of 108, 95% CI: −0.1, 0.9), urinary symptoms (RD −0.02; 95% CI: −0.06, 0.1); however, the estimates were too imprecise. In addition, it produces no or negligible effects on vaginal prolapse (RD 0; 95% CI: −0.1, 0.1). Long-term effects remain uncertain.

Conclusion

This systematic review provides moderate-quality evidence that pelvic floor muscle training is effective for improving women's sexual function after hysterectomy, in comparison with no intervention. Benefits on urinary symptoms, pelvic floor muscle strength, quality of life, and vaginal prolapse remains unclear. Also, the effects beyond the intervention period remains uncertain.

背景：子宫切除术后，妇女可能会出现盆底功能障碍，并对生活质量产生负面影响：子宫切除术后，妇女可能会出现盆底功能障碍，并对生活质量产生负面影响，而盆底肌肉训练可以改善这些问题：研究盆底肌肉训练对子宫切除术后排尿症状、阴道脱垂、性功能、盆底肌肉力量和生活质量的影响：方法：对随机对照试验进行系统回顾和荟萃分析。方法：对随机对照试验进行系统回顾和荟萃分析，纳入对子宫切除术后妇女进行盆底肌肉训练的试验。结果测量指标包括泌尿系统症状、阴道脱垂、性功能、盆底肌肉力量和生活质量。采用 GRADE 方法对证据质量进行了评估：结果：共纳入六项试验，涉及 776 名参与者。试验的平均 PEDro 得分为 5.5 分。中度质量的证据表明，与不采取干预措施相比，盆底肌肉训练可在女性性功能指数（Female Sexual Function Index）上将性功能提高 5 分（95% CI：4, 6）。它可能会影响力量（SMD 0.5；95% CI：-0.4，1.3）、生活质量（SMD 108 分中的 0.5 分，95% CI：-0.1，0.9）、泌尿系统症状（RD -0.02；95% CI：-0.06，0.1）；然而，估计值过于不精确。此外，它对阴道脱垂没有影响或影响微乎其微（RD 0；95% CI：-0.1，0.1）。长期效果仍不确定：本系统综述提供了中等质量的证据，证明盆底肌肉训练可有效改善子宫切除术后妇女的性功能，而不采取任何干预措施。但对泌尿系统症状、盆底肌肉力量、生活质量和阴道脱垂的益处仍不明确。此外，干预期结束后的效果仍不确定。

{"title":"Pelvic floor muscle training for urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy: a systematic review with meta-analyses","authors":"Néville Ferreira Fachini de Oliveira, Cintia Helena Santuzzi, Thayara Viana da Conceição, Júlia Martins Vasconcellos Freitas, Fernanda Mayrink Gonçalves Liberato, Lucas Rodrigues Nascimento","doi":"10.1016/j.bjpt.2024.101122","DOIUrl":"10.1016/j.bjpt.2024.101122","url":null,"abstract":"<div><h3>Background</h3><div>After hysterectomy, women could experience pelvic floor dysfunction and negative impact on quality of life, which could be improved by pelvic floor muscle training.</div></div><div><h3>Objective</h3><div>To investigate effects of pelvic floor muscle training on urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy.</div></div><div><h3>Methods</h3><div>Systematic review with meta-analyses of randomized controlled trials. Trials with pelvic floor muscle training in women after hysterectomy were included. The outcomes measures were urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life. Quality of evidence was assessed by adopting the GRADE approach.</div></div><div><h3>Results</h3><div>Six trials, involving 776 participants, were included. The mean PEDro score of trials was 5.5. Moderate-quality evidence suggested that pelvic floor muscle training improves sexual function by 5 points (95% CI: 4, 6) on the Female Sexual Function Index, compared with no intervention. It might affect strength (SMD 0.5; 95% CI: −0.4, 1.3), quality of life (SMD 0.5 points out of 108, 95% CI: −0.1, 0.9), urinary symptoms (RD −0.02; 95% CI: −0.06, 0.1); however, the estimates were too imprecise. In addition, it produces no or negligible effects on vaginal prolapse (RD 0; 95% CI: −0.1, 0.1). Long-term effects remain uncertain.</div></div><div><h3>Conclusion</h3><div>This systematic review provides moderate-quality evidence that pelvic floor muscle training is effective for improving women's sexual function after hysterectomy, in comparison with no intervention. Benefits on urinary symptoms, pelvic floor muscle strength, quality of life, and vaginal prolapse remains unclear. Also, the effects beyond the intervention period remains uncertain.</div></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 5","pages":"Article 101122"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479079","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}

引用次数: 0

Muscle mechanical properties of pelvic floor and paravertebral muscles in women with and without urge urinary incontinence: a case-control study 有急迫性尿失禁和无急迫性尿失禁妇女盆底肌和椎旁肌的肌肉机械特性：病例对照研究

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-09-01 DOI: 10.1016/j.bjpt.2024.101114

María Teresa Garzón-Alfaro , Inés Cruz-Medel , Sandra Alcaraz-Clariana , Lourdes García-Luque , Cristina Carmona-Pérez , Juan Luis Garrido-Castro , Francisco Alburquerque-Sendín , Daiana Priscila Rodrigues-de-Souza

Background

Muscle mechanical properties (MMPs) are relevant in the pathophysiology of lumbopelvic disorders. However, they have not been described in the pelvic floor muscles (PFM) and lumbar paravertebral muscles (LPM) of women with urge urinary incontinence (UUI).

Objective

To identify differences between MMPs of PFM and LPM in patients with UUI and healthy controls. Secondarily also aimed to observe the relationship between sociodemographic and clinical variables with the PFM and LPM MMPs.

Methods

The participants of this case-control study comprised 34 women with UUI (UUI group) and 34 continent women (control group). Sociodemographic variables were obtained together with data on the clinical status of the pelvic floor. The MMPs, i.e., frequency (tone), stiffness, decrement (inverse of elasticity), and viscoelastic properties (VP), such as relaxation time and creep, of PFM and LPM were assessed with a hand-held tonometer. Between-group differences and intra-group correlations were identified.

Results

The UUI group presented higher frequency and stiffness, as well as lower relaxation time in PFM, whereas the LPM had lower tone and stiffness, and higher VP, compared to the control group (p < 0.05). The UUI group showed a pattern of moderate correlations (|0.403|<r<|0.600|) among all MMPs of PFM and tone, stiffness, and VP of LPM, which did not appear in the control group.

Conclusion

The presence of UUI may influence MMPs at PFM and LPM levels, increasing the tone and stiffness of PFM, whereas these properties are reduced in LPM. These findings emphasize the clinical interest of the lumbopelvic determination of MMPs, obtained through externally applied hand-held instruments, in the pathophysiology of UUI.

背景肌肉机械特性（MMPs）与腰椎骨盆疾病的病理生理学相关。目的确定急迫性尿失禁（UUI）患者和健康对照组的盆底肌（PFM）和腰椎旁肌（LPM）的肌肉机械特性之间的差异。其次，还旨在观察社会人口学和临床变量与 PFM 和 LPM MMPs 之间的关系。方法这项病例对照研究的参与者包括 34 名尿失禁女性（尿失禁组）和 34 名无尿失禁女性（对照组）。研究人员收集了社会人口学变量和盆底临床状况数据。使用手持式声压计评估了盆底肌肉和盆底肌张力指数（MMPs），即频率（声调）、硬度、递减（弹性的倒数）和粘弹性（VP），如松弛时间和蠕变。结果与对照组相比，UUI 组的频率和硬度较高，PFM 的松弛时间较短，而 LPM 的张力和硬度较低，VP 较高（p <0.05）。UUI 组显示 PFM 的所有 MMPs 与 LPM 的张力、僵硬度和 VP 之间存在中度相关性（|0.403|<r<|0.600|），而对照组则没有。这些发现强调了通过外部手持仪器测定腰椎 MMPs 在 UUI 病理生理学中的临床意义。

{"title":"Muscle mechanical properties of pelvic floor and paravertebral muscles in women with and without urge urinary incontinence: a case-control study","authors":"María Teresa Garzón-Alfaro , Inés Cruz-Medel , Sandra Alcaraz-Clariana , Lourdes García-Luque , Cristina Carmona-Pérez , Juan Luis Garrido-Castro , Francisco Alburquerque-Sendín , Daiana Priscila Rodrigues-de-Souza","doi":"10.1016/j.bjpt.2024.101114","DOIUrl":"10.1016/j.bjpt.2024.101114","url":null,"abstract":"<div><h3>Background</h3><p>Muscle mechanical properties (MMPs) are relevant in the pathophysiology of lumbopelvic disorders. However, they have not been described in the pelvic floor muscles (PFM) and lumbar paravertebral muscles (LPM) of women with urge urinary incontinence (UUI).</p></div><div><h3>Objective</h3><p>To identify differences between MMPs of PFM and LPM in patients with UUI and healthy controls. Secondarily also aimed to observe the relationship between sociodemographic and clinical variables with the PFM and LPM MMPs.</p></div><div><h3>Methods</h3><p>The participants of this case-control study comprised 34 women with UUI (UUI group) and 34 continent women (control group). Sociodemographic variables were obtained together with data on the clinical status of the pelvic floor. The MMPs, i.e., frequency (tone), stiffness, decrement (inverse of elasticity), and viscoelastic properties (VP), such as relaxation time and creep, of PFM and LPM were assessed with a hand-held tonometer. Between-group differences and intra-group correlations were identified.</p></div><div><h3>Results</h3><p>The UUI group presented higher frequency and stiffness, as well as lower relaxation time in PFM, whereas the LPM had lower tone and stiffness, and higher VP, compared to the control group (<em>p</em> < 0.05). The UUI group showed a pattern of moderate correlations (|0.403|<r<|0.600|) among all MMPs of PFM and tone, stiffness, and VP of LPM, which did not appear in the control group.</p></div><div><h3>Conclusion</h3><p>The presence of UUI may influence MMPs at PFM and LPM levels, increasing the tone and stiffness of PFM, whereas these properties are reduced in LPM. These findings emphasize the clinical interest of the lumbopelvic determination of MMPs, obtained through externally applied hand-held instruments, in the pathophysiology of UUI.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 5","pages":"Article 101114"},"PeriodicalIF":3.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524005240/pdfft?md5=7ba58fb3b7129c37980efe8976630d3a&pid=1-s2.0-S1413355524005240-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142161901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of cardiorespiratory fitness measured by cardiopulmonary exercise testing in COVID-19 survivors: a systematic review with meta-analysis and meta‑regression 通过心肺运动测试测量 COVID-19 幸存者心肺功能的决定因素：通过荟萃分析和荟萃回归进行的系统综述。

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101089

Mansueto Gomes-Neto , Katna de Oliveira Almeida , Helena França Correia , Juliana Costa Santos , Vinicius Afonso Gomes , Juliane Penalva Costa Serra , André Rodrigues Durães , Vitor Oliveira Carvalho

Background

The relationship between cardiorespiratory fitness and its possible determinants in post-COVID-19 survivors has not been systematically assessed.

Objectives

To identify and summarize studies comparing cardiorespiratory fitness measured by cardiopulmonary exercise testing in COVID-19 survivors versus non-COVID-19 controls, as well as to determine the influence of potential moderating factors.

Methods

We conducted a systematic search of MEDLINE/PubMed, Cochrane Library, EMBASE, Google Scholar, and SciELO since their inceptions until June 2022. Mean differences (MD), standard mean differences (SMD), and 95% confidence intervals (CI) were calculated. Subgroup and meta-regression analyses were used to evaluate potential moderating factors.

Results

48 studies (3372 participants, mean age 42 years, and with a mean testing time of 4 months post-COVID-19) were included, comprising a total of 1823 COVID-19 survivors and 1549 non-COVID-19 controls. After data pooling, VO₂ peak (SMD=1.0 95% CI: 0.5, 1.5; 17 studies; N = 1273) was impaired in COVID-19 survivors. In 15 studies that reported VO₂ peak values in ml/min/kg, non-COVID-19 controls had higher peak VO₂ values than COVID-19 survivors (MD=6.2, 95% CI: 3.5, 8.8; N = 905; I²=84%). In addition, VO₂ peak was associated with age, time post-COVID-19, disease severity, presence of dyspnea, and reduced exercise capacity.

Conclusion

This systematic review provides evidence that cardiorespiratory fitness may be impaired in COVID-19 survivors, especially for those with severe disease, presence of dyspnea, and reduced exercise capacity. Furthermore, the degree of reduction of VO₂ peak is inversely associated with age and time post-COVID.

背景：COVID-19 后幸存者的心肺功能及其可能的决定因素之间的关系尚未得到系统评估：COVID-19后幸存者的心肺功能与其可能的决定因素之间的关系尚未得到系统评估：识别并总结比较 COVID-19 存活者与非 COVID-19 对照者通过心肺运动测试测量的心肺功能的研究，并确定潜在调节因素的影响：我们对 MEDLINE/PubMed、Cochrane Library、EMBASE、Google Scholar 和 SciELO 等文献进行了系统检索。计算了平均差（MD）、标准平均差（SMD）和 95% 置信区间（CI）。采用分组和元回归分析评估潜在的调节因素：共纳入 48 项研究（3372 名参与者，平均年龄 42 岁，平均测试时间为 COVID-19 后 4 个月），其中包括 1823 名 COVID-19 幸存者和 1549 名非 COVID-19 对照者。数据汇总后，COVID-19 存活者的 VO2 峰值受损（SMD=1.0 95% CI：0.5, 1.5；17 项研究；N = 1273）。在以毫升/分钟/千克为单位报告 VO2 峰值的 15 项研究中，非 COVID-19 对照组的 VO2 峰值高于 COVID-19 幸存者（MD=6.2，95% CI：3.5，8.8；N=905；I2=84%）。此外，VO2峰值与年龄、COVID-19后时间、疾病严重程度、是否存在呼吸困难以及运动能力下降有关：本系统综述提供的证据表明，COVID-19幸存者的心肺功能可能会受损，尤其是那些病情严重、存在呼吸困难和运动能力下降的幸存者。此外，VO2 峰值的降低程度与年龄和 COVID 后的时间成反比。

{"title":"Determinants of cardiorespiratory fitness measured by cardiopulmonary exercise testing in COVID-19 survivors: a systematic review with meta-analysis and meta‑regression","authors":"Mansueto Gomes-Neto , Katna de Oliveira Almeida , Helena França Correia , Juliana Costa Santos , Vinicius Afonso Gomes , Juliane Penalva Costa Serra , André Rodrigues Durães , Vitor Oliveira Carvalho","doi":"10.1016/j.bjpt.2024.101089","DOIUrl":"10.1016/j.bjpt.2024.101089","url":null,"abstract":"<div><h3>Background</h3><p>The relationship between cardiorespiratory fitness and its possible determinants in post-COVID-19 survivors has not been systematically assessed.</p></div><div><h3>Objectives</h3><p>To identify and summarize studies comparing cardiorespiratory fitness measured by cardiopulmonary exercise testing in COVID-19 survivors versus non-COVID-19 controls, as well as to determine the influence of potential moderating factors.</p></div><div><h3>Methods</h3><p>We conducted a systematic search of MEDLINE/PubMed, Cochrane Library, EMBASE, Google Scholar, and SciELO since their inceptions until June 2022. Mean differences (MD), standard mean differences (SMD), and 95% confidence intervals (CI) were calculated. Subgroup and meta-regression analyses were used to evaluate potential moderating factors.</p></div><div><h3>Results</h3><p>48 studies (3372 participants, mean age 42 years, and with a mean testing time of 4 months post-COVID-19) were included, comprising a total of 1823 COVID-19 survivors and 1549 non-COVID-19 controls. After data pooling, VO<sub>2</sub> peak (SMD=1.0 95% CI: 0.5, 1.5; 17 studies; <em>N</em> = 1273) was impaired in COVID-19 survivors. In 15 studies that reported VO<sub>2</sub> peak values in ml/min/kg, non-COVID-19 controls had higher peak VO<sub>2</sub> values than COVID-19 survivors (MD=6.2, 95% CI: 3.5, 8.8; <em>N</em> = 905; I<sup>2</sup>=84%). In addition, VO<sub>2</sub> peak was associated with age, time post-COVID-19, disease severity, presence of dyspnea, and reduced exercise capacity.</p></div><div><h3>Conclusion</h3><p>This systematic review provides evidence that cardiorespiratory fitness may be impaired in COVID-19 survivors, especially for those with severe disease, presence of dyspnea, and reduced exercise capacity. Furthermore, the degree of reduction of VO<sub>2</sub> peak is inversely associated with age and time post-COVID.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101089"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472004","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}

引用次数: 0

Isolated bladder training or in combination with other therapies to improve overactive bladder symptoms: a systematic review and meta-analysis of randomized controlled trials 单独膀胱训练或结合其他疗法改善膀胱过度活动症状：随机对照试验的系统回顾和荟萃分析。

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101102

A.K. Rocha , S. Monteiro , I. Campos , M. Volpato , D. Verleun , L. Valim , C. Riccetto , S. Botelho

Background

Bladder training (BT), the maintenance of a scheduled voiding regime at gradually adjusted intervals, is a common treatment for overactive bladder (OAB).

Objectives

To assess the effects of isolated BT and/or in combination with other therapies on OAB symptoms.

Methods

A systematic review of eight databases was conducted. After screening titles and abstracts, full texts were retrieved. Cochrane RoB 2 and the GRADE approach were used.

Results

Fourteen RCTs were included: they studied isolated BT (n = 11), BT plus drug treatment (DT; n = 5), BT plus intravaginal electrical stimulation (IVES; n = 2), BT plus biofeedback and IVES (n = 1), BT plus pelvic floor muscle training and behavioral therapy (n = 2), BT plus percutaneous tibial nerve stimulation, and BT plus transcutaneous tibial nerve stimulation (n = 1). In a meta-analysis of short-term follow-up data, BT plus IVES resulted in greater improvement in nocturia (mean difference [MD]: 0.89, 95% CI: 0.5, 1.20), urinary incontinence (UI; MD: 1.93, 95% CI: 1.32, 2.55), and quality of life (QoL; MD: 4.87, 95% CI: 2.24, 7.50) than isolated BT, while DT and BT improved UI (MD: 0.58, 95% CI: 0.23, 0.92) more than isolated BT.

Conclusion

In the short term, BT plus IVES improves the OAB symptoms of nocturia and UI while improving QoL. The limited number of RCTs and heterogeneity among them provide a low level of evidence, making the effect of BT on OAB inconclusive, which suggests that new RCTs should be performed.

背景：膀胱训练（BT）是一种常见的治疗膀胱过度活动症（OAB）的方法，它是指在逐渐调整的时间间隔内维持有计划的排尿制度：目的：评估单独的膀胱训练和/或结合其他疗法对膀胱过度活动症症状的影响：方法：对八个数据库进行了系统回顾。筛选标题和摘要后，检索全文。采用 Cochrane RoB 2 和 GRADE 方法：结果：共纳入了 14 项 RCT：研究了孤立 BT（n = 11）、BT 加药物治疗（DT；n = 5）、BT 加阴道内电刺激（IVES；n = 2）、BT 加生物反馈和 IVES（n = 1）、BT 加盆底肌肉训练和行为疗法（n = 2）、BT 加经皮胫束神经刺激和 BT 加经皮胫束神经刺激（n = 1）。在对短期随访数据进行的荟萃分析中，BT 加 IVES 对夜尿（平均差 [MD]：0.89，95% CI：0.5，1.20）、尿失禁（UI；MD：1.93，95% CI：1.32，2.55）和生活质量（QoL；MD：4.87，95% CI：2.24，7.50），而 DT 和 BT 对尿失禁（MD：0.58，95% CI：0.23，0.92）的改善程度高于单独的 BT：结论：在短期内，BT 加 IVES 可改善夜尿和尿失禁等 OAB 症状，同时提高生活质量。由于研究性临床试验的数量有限且存在异质性，因此证据水平较低，BT 对 OAB 的影响尚无定论，建议进行新的研究性临床试验。

{"title":"Isolated bladder training or in combination with other therapies to improve overactive bladder symptoms: a systematic review and meta-analysis of randomized controlled trials","authors":"A.K. Rocha , S. Monteiro , I. Campos , M. Volpato , D. Verleun , L. Valim , C. Riccetto , S. Botelho","doi":"10.1016/j.bjpt.2024.101102","DOIUrl":"10.1016/j.bjpt.2024.101102","url":null,"abstract":"<div><h3>Background</h3><p>Bladder training (BT), the maintenance of a scheduled voiding regime at gradually adjusted intervals, is a common treatment for overactive bladder (OAB).</p></div><div><h3>Objectives</h3><p>To assess the effects of isolated BT and/or in combination with other therapies on OAB symptoms.</p></div><div><h3>Methods</h3><p>A systematic review of eight databases was conducted. After screening titles and abstracts, full texts were retrieved. Cochrane RoB 2 and the GRADE approach were used.</p></div><div><h3>Results</h3><p>Fourteen RCTs were included: they studied isolated BT (<em>n</em> = 11), BT plus drug treatment (DT; <em>n</em> = 5), BT plus intravaginal electrical stimulation (IVES; <em>n</em> = 2), BT plus biofeedback and IVES (<em>n</em> = 1), BT plus pelvic floor muscle training and behavioral therapy (<em>n</em> = 2), BT plus percutaneous tibial nerve stimulation, and BT plus transcutaneous tibial nerve stimulation (<em>n</em> = 1). In a meta-analysis of short-term follow-up data, BT plus IVES resulted in greater improvement in nocturia (mean difference [MD]: 0.89, 95% CI: 0.5, 1.20), urinary incontinence (UI; MD: 1.93, 95% CI: 1.32, 2.55), and quality of life (QoL; MD: 4.87, 95% CI: 2.24, 7.50) than isolated BT, while DT and BT improved UI (MD: 0.58, 95% CI: 0.23, 0.92) more than isolated BT.</p></div><div><h3>Conclusion</h3><p>In the short term, BT plus IVES improves the OAB symptoms of nocturia and UI while improving QoL. The limited number of RCTs and heterogeneity among them provide a low level of evidence, making the effect of BT on OAB inconclusive, which suggests that new RCTs should be performed.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101102"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898667","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}

引用次数: 0

Effects of technological running shoes versus barefoot running on the intrinsic foot muscles, ankle mobility, and dynamic control: a novel cross-sectional research 科技跑鞋与赤足跑对足部内在肌肉、踝关节活动度和动态控制的影响：一项新颖的横断面研究

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101092

María García-Arrabé, Iván Batuecas-Sánchez, Silvia de Vidania, María Bravo-Aguilar, Beatriz Ruiz-Ruiz, Carlos Romero-Morales

Background

Technological running shoes have become increasingly popular, leading to improvements in performance. However, their long-term effects on foot musculature and joint mobility have not been thoroughly studied.

Objective

To compare the activation of the intrinsic foot muscles between runners wearing technological footwear and barefoot runners. Secondary objectives included assessing ankle dorsiflexion (DF) range of motion (ROM) and dynamic postural control in both groups.

Methods

A cross-sectional study was conducted involving 22 technological footwear runners and 22 barefoot runners. Ultrasonography was used to measure the thickness of the plantar fascia (PF) and the quadratus plantae (QP), abductor digiti minimus (ADM), abductor hallucis (AH), and flexor hallucis longus (FHL) muscles. Ankle mobility and dynamic postural control were also recorded.

Results

Ultrasonography measurements showed statistically significant differences for PF thickness (mean difference [MD]: -0.10 cm; 95% CI: -0.13, -0.05 cm), QP cross-sectional area (CSA) (MD: -0.45 cm²; 95% CI: -0.77, -0.12 cm²), ADM CSA (MD: -0.49 cm²; 95% CI: -0.70, -0.17 cm²), and FHL thickness (MD: 0.82 cm; 95% CI: 0.53, 1.09 cm), with all measurements being lower in the group wearing technological footwear compared to the barefoot runners. Ankle DF ROM was also significantly greater for the barefoot runners (MD: -5.1°; 95% CI: -8.6, -1.7°).

Conclusions

These findings suggest potential implications for the foot musculature and ankle mobility in runners using technological footwear.

背景科技跑鞋越来越受欢迎，从而提高了运动表现。目的比较穿着科技跑鞋的跑步者和赤足跑步者足部内在肌肉的激活情况。次要目标包括评估两组运动员的踝关节外翻（DF）活动范围（ROM）和动态姿势控制能力。方法进行了一项横断面研究，涉及 22 名穿科技鞋跑步者和 22 名赤足跑步者。采用超声波技术测量足底筋膜（PF）和足四头肌（QP）、拇外展肌（ADM）、拇外展肌（AH）和拇长屈肌（FHL）的厚度。结果超声波测量显示，PF 厚度（平均差 [MD]：-0.10 厘米；95% CI：-0.13，-0.05 厘米）、QP 横截面面积（CSA）（MD：-0.45 cm2；95% CI：-0.77，-0.12 cm2）、ADM CSA（MD：-0.49 cm2；95% CI：-0.70，-0.17 cm2）和 FHL 厚度（MD：0.82 cm；95% CI：0.53，1.09 cm），与赤足跑步者相比，穿科技鞋组的所有测量值均较低。赤足跑步者的踝关节 DF ROM 也明显更大（MD：-5.1°；95% CI：-8.6，-1.7°）。

{"title":"Effects of technological running shoes versus barefoot running on the intrinsic foot muscles, ankle mobility, and dynamic control: a novel cross-sectional research","authors":"María García-Arrabé, Iván Batuecas-Sánchez, Silvia de Vidania, María Bravo-Aguilar, Beatriz Ruiz-Ruiz, Carlos Romero-Morales","doi":"10.1016/j.bjpt.2024.101092","DOIUrl":"10.1016/j.bjpt.2024.101092","url":null,"abstract":"<div><h3>Background</h3><p>Technological running shoes have become increasingly popular, leading to improvements in performance. However, their long-term effects on foot musculature and joint mobility have not been thoroughly studied.</p></div><div><h3>Objective</h3><p>To compare the activation of the intrinsic foot muscles between runners wearing technological footwear and barefoot runners. Secondary objectives included assessing ankle dorsiflexion (DF) range of motion (ROM) and dynamic postural control in both groups.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted involving 22 technological footwear runners and 22 barefoot runners. Ultrasonography was used to measure the thickness of the plantar fascia (PF) and the quadratus plantae (QP), abductor digiti minimus (ADM), abductor hallucis (AH), and flexor hallucis longus (FHL) muscles. Ankle mobility and dynamic postural control were also recorded.</p></div><div><h3>Results</h3><p>Ultrasonography measurements showed statistically significant differences for PF thickness (mean difference [MD]: -0.10 cm; 95% CI: -0.13, -0.05 cm), QP cross-sectional area (CSA) (MD: -0.45 cm<sup>2</sup>; 95% CI: -0.77, -0.12 cm<sup>2</sup>), ADM CSA (MD: -0.49 cm<sup>2</sup>; 95% CI: -0.70, -0.17 cm<sup>2</sup>), and FHL thickness (MD: 0.82 cm; 95% CI: 0.53, 1.09 cm), with all measurements being lower in the group wearing technological footwear compared to the barefoot runners. Ankle DF ROM was also significantly greater for the barefoot runners (MD: -5.1°; 95% CI: -8.6, -1.7°).</p></div><div><h3>Conclusions</h3><p>These findings suggest potential implications for the foot musculature and ankle mobility in runners using technological footwear.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101092"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524005021/pdfft?md5=524e75da90010c0c2a7dc4d74e838dca&pid=1-s2.0-S1413355524005021-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patients' perspectives on planned interventions tested in the Otago MASTER feasibility trial: an implementation-based process evaluation study 患者对奥塔哥 MASTER 可行性试验中测试的计划干预措施的看法：基于实施过程的评估研究

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101086

Daniel Cury Ribeiro , Amanda Wilkinson , Vander Gava , Sarah E. Lamb , J. Haxby Abbott

Background

Patients are key stakeholders of clinical research, and their perspectives are relevant for researchers when planning and conducting clinical trials. Numerous aspects of trial process can influence participants’ experiences. Their experiences within a trial can impact retention rates. Poor treatment adherence may bias treatment effect estimates. One way to improve recruitment and adherence is to design trials that are aligned with patients’ needs and preferences. This study reports a process evaluation of the Otago MASTER feasibility trial.

Objectives

Our aims were to investigate the patients’ perceptions of the trial interventions through individual interviews.

Methods

Twenty-five participants were recruited for the feasibility trial and were allocated to two groups: tailored or standardised exercise. Sixteen participants agreed to take part in individual semi-structured interviews. Interviews were transcribed verbatim, and all interviews were analysed thematically using an iterative approach.

Results

Our key findings suggest participants: (1) took part in the study to access healthcare services and contribute to research; (2) valued interventions received; (3) reported certain barriers and facilitators to participate in the trial; and (4) highlighted areas for improvement when designing the full trial.

Conclusion

Participants volunteered to access healthcare and to contribute to research. Participants valued the personalised care, perceived that their engagement within the trial improved their self-management and self-efficacy behaviour, valued the time spent with clinicians, and the empathetic environment and education received. Facilitators and barriers will require careful consideration in the future as the barriers may impact reliability and validity of future trial results.

背景患者是临床研究的主要利益相关者，他们的观点与研究人员规划和开展临床试验息息相关。试验过程的许多方面都会影响参与者的体验。他们在试验中的经历会影响保留率。治疗依从性差可能会使治疗效果估计出现偏差。改进招募和坚持治疗的方法之一是设计符合患者需求和偏好的试验。本研究报告了对奥塔哥 MASTER 可行性试验的过程评估。我们的目的是通过个人访谈调查患者对试验干预措施的看法。方法为可行性试验招募了 25 名参与者，并将他们分配到两组：定制或标准化运动。16名参与者同意参加个人半结构化访谈。访谈内容逐字记录，并采用迭代法对所有访谈内容进行专题分析。结果我们的主要发现表明，参与者：（1）参与研究是为了获得医疗保健服务并为研究做出贡献；（2）重视所接受的干预；（3）报告了参与试验的某些障碍和促进因素；以及（4）强调了设计全面试验时需要改进的方面。参与者重视个性化护理，认为参与试验改善了他们的自我管理和自我效能行为，重视与临床医生共处的时间，以及感同身受的环境和接受的教育。今后需要仔细考虑促进因素和障碍，因为这些障碍可能会影响未来试验结果的可靠性和有效性。

{"title":"Patients' perspectives on planned interventions tested in the Otago MASTER feasibility trial: an implementation-based process evaluation study","authors":"Daniel Cury Ribeiro , Amanda Wilkinson , Vander Gava , Sarah E. Lamb , J. Haxby Abbott","doi":"10.1016/j.bjpt.2024.101086","DOIUrl":"10.1016/j.bjpt.2024.101086","url":null,"abstract":"<div><h3>Background</h3><p>Patients are key stakeholders of clinical research, and their perspectives are relevant for researchers when planning and conducting clinical trials. Numerous aspects of trial process can influence participants’ experiences. Their experiences within a trial can impact retention rates. Poor treatment adherence may bias treatment effect estimates. One way to improve recruitment and adherence is to design trials that are aligned with patients’ needs and preferences. This study reports a process evaluation of the Otago MASTER feasibility trial.</p></div><div><h3>Objectives</h3><p>Our aims were to investigate the patients’ perceptions of the trial interventions through individual interviews.</p></div><div><h3>Methods</h3><p>Twenty-five participants were recruited for the feasibility trial and were allocated to two groups: tailored or standardised exercise. Sixteen participants agreed to take part in individual semi-structured interviews. Interviews were transcribed verbatim, and all interviews were analysed thematically using an iterative approach.</p></div><div><h3>Results</h3><p>Our key findings suggest participants: (1) took part in the study to access healthcare services and contribute to research; (2) valued interventions received; (3) reported certain barriers and facilitators to participate in the trial; and (4) highlighted areas for improvement when designing the full trial.</p></div><div><h3>Conclusion</h3><p>Participants volunteered to access healthcare and to contribute to research. Participants valued the personalised care, perceived that their engagement within the trial improved their self-management and self-efficacy behaviour, valued the time spent with clinicians, and the empathetic environment and education received. Facilitators and barriers will require careful consideration in the future as the barriers may impact reliability and validity of future trial results.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101086"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524004969/pdfft?md5=46893870cfc50fdae40d580ce47a14e7&pid=1-s2.0-S1413355524004969-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute predictors of self-rated health in individuals with stroke at 3 and 12 months after hospital discharge 中风患者出院后 3 个月和 12 个月自评健康状况的急性期预测因素。

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101087

Camila Lima Gervásio Mendes , Kênia Kiefer Parreiras de Menezes , Nathália Aparecida Gravito Rodrigues , Janaine Cunha Polese , Iza de Faria-Fortini , Christina Danielli Coelho de Morais Faria

Background

Self-rated health (SRH) is the perception of an individual regarding their health and an indicator of health status. Identifying predictors of SRH allows the selection of evidence-based interventions that mitigate factors leading to poor SRH and the identification of individuals at risk of worse SRH.

Objective

To determine the acute predictors of general and time-comparative SRH of individuals with stroke at 3 and 12 months after hospital discharge, considering personal, physical, and mental functions.

Methods

A prospective study was developed to assess general and time-comparative SRH at 3 and 12 months after hospital discharge according to 2 questions (“In general, how would you say your health is?” and “Compared to a year ago, how would you rate your general health now?”). Potential acute predictors analyzed were personal (age, sex, comorbidities, socioeconomic status, and family arrangement), physical (stroke severity, motor impairment, and independence for basic activities of daily living [ADLs]), and mental (cognitive) functions.

Results

Age (adjusted odds ratio [aOR]=2.10) and independence in basic ADLs (aOR=0.29) were significant predictors of SRH at 3 months; at 12 months, no significant predictor was found. Motor impairment (aOR=3.90) was a significant predictor of time-comparative SRH at 3 months; at 12 months, sex (aOR=0.36) and independence in basic ADLs (aOR=0.32) were significant predictors.

Conclusions

At 3 months, individuals with stroke who were ≥65 years old and dependent on basic ADLs were more likely to have worse general SRH, while those with higher motor impairments were more likely to have worse time-comparative SRH. At 12 months, women and individuals dependent on basic ADLs were more likely to have worse time-comparative SRH.

背景：自评健康（SRH）是个人对自身健康的感知，也是健康状况的一个指标。确定 SRH 的预测因素有助于选择循证干预措施，减轻导致 SRH 差异的因素，并确定 SRH 有恶化风险的个体：确定脑卒中患者出院后 3 个月和 12 个月时一般 SRH 的急性期预测因素和时间比较 SRH，同时考虑个人、身体和精神功能：方法：我们开展了一项前瞻性研究，根据两个问题（"总体而言，您认为您的健康状况如何？"和 "与一年前相比，您认为您现在的总体健康状况如何？"）评估出院后 3 个月和 12 个月的总体 SRH 和时间比较 SRH。分析的潜在急性期预测因素包括个人（年龄、性别、合并症、社会经济地位和家庭安排）、身体（中风严重程度、运动障碍和基本日常生活活动[ADLs]的独立性）和精神（认知）功能：在 3 个月时，年龄（调整后比值比 [aOR]= 2.10）和基本日常活动独立性（aOR=0.29）是 SRH 的重要预测因素；在 12 个月时，没有发现显著的预测因素。在 3 个月时，运动障碍（aOR=3.90）是时间比较 SRH 的重要预测因素；在 12 个月时，性别（aOR=0.36）和基本日常活动独立性（aOR=0.32）是重要预测因素：结论：3 个月时，年龄≥65 岁且依赖基本 ADL 的脑卒中患者一般 SRH 更差，而运动障碍程度较高的患者时间比较 SRH 更差。在12个月时，女性和依赖基本ADL的人更有可能具有较差的时间比较SRH。

{"title":"Acute predictors of self-rated health in individuals with stroke at 3 and 12 months after hospital discharge","authors":"Camila Lima Gervásio Mendes , Kênia Kiefer Parreiras de Menezes , Nathália Aparecida Gravito Rodrigues , Janaine Cunha Polese , Iza de Faria-Fortini , Christina Danielli Coelho de Morais Faria","doi":"10.1016/j.bjpt.2024.101087","DOIUrl":"10.1016/j.bjpt.2024.101087","url":null,"abstract":"<div><h3>Background</h3><p>Self-rated health (SRH) is the perception of an individual regarding their health and an indicator of health status. Identifying predictors of SRH allows the selection of evidence-based interventions that mitigate factors leading to poor SRH and the identification of individuals at risk of worse SRH.</p></div><div><h3>Objective</h3><p>To determine the acute predictors of general and time-comparative SRH of individuals with stroke at 3 and 12 months after hospital discharge, considering personal, physical, and mental functions.</p></div><div><h3>Methods</h3><p>A prospective study was developed to assess general and time-comparative SRH at 3 and 12 months after hospital discharge according to 2 questions (“In general, how would you say your health is?” and “Compared to a year ago, how would you rate your general health now?”). Potential acute predictors analyzed were personal (age, sex, comorbidities, socioeconomic status, and family arrangement), physical (stroke severity, motor impairment, and independence for basic activities of daily living [ADLs]), and mental (cognitive) functions.</p></div><div><h3>Results</h3><p>Age (adjusted odds ratio [aOR]=2.10) and independence in basic ADLs (aOR=0.29) were significant predictors of SRH at 3 months; at 12 months, no significant predictor was found. Motor impairment (aOR=3.90) was a significant predictor of time-comparative SRH at 3 months; at 12 months, sex (aOR=0.36) and independence in basic ADLs (aOR=0.32) were significant predictors.</p></div><div><h3>Conclusions</h3><p>At 3 months, individuals with stroke who were ≥65 years old and dependent on basic ADLs were more likely to have worse general SRH, while those with higher motor impairments were more likely to have worse time-comparative SRH. At 12 months, women and individuals dependent on basic ADLs were more likely to have worse time-comparative SRH.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101087"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472003","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}

引用次数: 0

Functional capacity using sit-to-stand tests in people with chronic obstructive pulmonary disease and its relationship with disease severity–a cross-sectional study with matched controls 慢性阻塞性肺病患者的坐立测试功能及其与疾病严重程度的关系--与匹配对照组的横断面研究

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101090

Ana Machado , Cíntia Dias , Patrícia Rebelo , Sara Souto-Miranda , Maria Aurora Mendes , Diva Ferreira , Vitória Martins , Paula Simão , Chris Burtin , Alda Marques

Background

Functional capacity impairment is a crucial consequence of chronic obstructive pulmonary disease (COPD). Although it can be identified with simple tests, such as the sit-to-stand tests, its prevalence, relation with disease severity, and the characteristics of people presenting this impairment remain unknown.

Objective

To explore the functional capacity of people with COPD.

Methods

A cross-sectional study with people with COPD and age-/sex-matched healthy controls was conducted. Functional capacity was assessed with the 5-repetitions (5-STS) and the 1-minute (1-minSTS) sit-to-stand tests. People with COPD were grouped according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classifications. Comparisons between people with COPD and healthy controls, and among GOLD groups were established. Associations between symptoms, muscle strength, quality of life, and measures of functional capacity were explored.

Results

302 people with COPD [79% male; mean (SD) 68 (10) years old] and 304 healthy controls [75% male; 66 (9) years old] were included. 23% of people with COPD presented impairment in the 5-STS and 33% in the 1-minSTS. People with COPD from all GOLD classifications presented significantly lower functional capacity than healthy controls (5-STS: COPD median [1st quartile; 3rd quartile] 8.4 [6.7; 10.6] versus healthy 7.4 [6.2; 9.3] s; 1-minSTS: COPD 27 [21; 35] vs healthy 35 [29; 43] reps). Correlations with symptoms, muscle strength, and quality of life were mostly weak (5-STS: r_s [-0.34; 0.33]; 1-minSTS: r_s [-0.47; 0.40]).

Conclusion

People with COPD have decreased functional capacity independently of their GOLD classifications. The prevalence of functional impairment is 23–33%. Because impaired functional capacity is a treatable trait not accurately reflected by other outcomes, comprehensive assessment and management is needed.

背景功能障碍是慢性阻塞性肺病（COPD）的一个重要后果。方法对慢性阻塞性肺疾病患者和年龄/性别匹配的健康对照者进行了一项横断面研究。功能能力通过5次重复（5-STS）和1分钟（1-min-STS）坐立测试进行评估。慢性阻塞性肺病患者按照全球慢性阻塞性肺病倡议（GOLD）的分类进行分组。在慢性阻塞性肺病患者和健康对照组之间以及 GOLD 各组之间进行了比较。结果 302 名慢性阻塞性肺病患者（79% 为男性；平均（标清）68（10）岁）和 304 名健康对照者（75% 为男性；66（9）岁）被纳入研究。23%的慢性阻塞性肺病患者在 5-STS 和 33% 的 1-minSTS 中出现障碍。所有 GOLD 分级的慢性阻塞性肺病患者的功能能力均明显低于健康对照组（5-STS：慢性阻塞性肺病中位数[第 1 个四分位数]；1-minSTS：慢性阻塞性肺病中位数[第 1 个四分位数]）：5-STS：慢性阻塞性肺病中位数 [第一四分位数；第三四分位数] 8.4 [6.7; 10.6]秒，而健康对照组为 7.4 [6.2; 9.3]秒；1-minSTS：慢性阻塞性肺病 27 [21; 35]秒，而健康对照组为 7.4 [6.2; 9.3]秒：COPD 27 [21; 35] vs Health 35 [29; 43] reps）。与症状、肌力和生活质量的相关性大多较弱（5-STS：rs [-0.34; 0.33]；1-minSTS：rs [-0.47; 0.40]）。功能障碍的发病率为 23-33%。由于功能受损是一种可治疗的特征，无法通过其他结果准确反映出来，因此需要进行全面的评估和管理。

{"title":"Functional capacity using sit-to-stand tests in people with chronic obstructive pulmonary disease and its relationship with disease severity–a cross-sectional study with matched controls","authors":"Ana Machado , Cíntia Dias , Patrícia Rebelo , Sara Souto-Miranda , Maria Aurora Mendes , Diva Ferreira , Vitória Martins , Paula Simão , Chris Burtin , Alda Marques","doi":"10.1016/j.bjpt.2024.101090","DOIUrl":"10.1016/j.bjpt.2024.101090","url":null,"abstract":"<div><h3>Background</h3><p>Functional capacity impairment is a crucial consequence of chronic obstructive pulmonary disease (COPD). Although it can be identified with simple tests, such as the sit-to-stand tests, its prevalence, relation with disease severity, and the characteristics of people presenting this impairment remain unknown.</p></div><div><h3>Objective</h3><p>To explore the functional capacity of people with COPD.</p></div><div><h3>Methods</h3><p>A cross-sectional study with people with COPD and age-/sex-matched healthy controls was conducted. Functional capacity was assessed with the 5-repetitions (5-STS) and the 1-minute (1-minSTS) sit-to-stand tests. People with COPD were grouped according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classifications. Comparisons between people with COPD and healthy controls, and among GOLD groups were established. Associations between symptoms, muscle strength, quality of life, and measures of functional capacity were explored.</p></div><div><h3>Results</h3><p>302 people with COPD [79% male; mean (SD) 68 (10) years old] and 304 healthy controls [75% male; 66 (9) years old] were included. 23% of people with COPD presented impairment in the 5-STS and 33% in the 1-minSTS. People with COPD from all GOLD classifications presented significantly lower functional capacity than healthy controls (5-STS: COPD median [1st quartile; 3rd quartile] 8.4 [6.7; 10.6] versus healthy 7.4 [6.2; 9.3] s; 1-minSTS: COPD 27 [21; 35] vs healthy 35 [29; 43] reps). Correlations with symptoms, muscle strength, and quality of life were mostly weak (5-STS: r<sub>s</sub> [-0.34; 0.33]; 1-minSTS: r<sub>s</sub> [-0.47; 0.40]).</p></div><div><h3>Conclusion</h3><p>People with COPD have decreased functional capacity independently of their GOLD classifications. The prevalence of functional impairment is 23–33%. Because impaired functional capacity is a treatable trait not accurately reflected by other outcomes, comprehensive assessment and management is needed.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101090"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1413355524005008/pdfft?md5=e89f16d06e325c8d99433aefb3cff34d&pid=1-s2.0-S1413355524005008-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Participation and environment measure - children and youth: PEM-CY Brazil measurements properties 参与和环境测量--儿童和青年：PEM-CY 巴西测量属性

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101103

Kennea Martins Almeida Ayupe , Élida Rayanne Viana Pinheiro Galvão , Ana Paula Martins Cazeiro , Dana Anaby , Rachel Teplicky , Priscila Bianchi Lopes , Thais Massetti , Alyne Kalyane Câmara de Oliveira , Ana Carolina de Campos , Egmar Longo

Background

Participation of children with disabilities is an indicator of social inclusion, health, and well-being, and its evaluation needs to be included in the clinical practice of rehabilitation professionals.

Objectives

To investigate the measurement properties of the Participation and Environment Measure - Children and Youth Brazilian version (PEM-CY Brazil).

Methods

We used the PEM-CY to evaluate participation and environment of children with and without disabilities in the home, school, and community settings. Based on COSMIN guidelines, we analyzed two measurement properties: internal consistency for all domains using Cronbach's alpha; and construct (known-groups) validity, i.e., the degree to which instrument scores identify differences between groups. T-tests, Mann-Whitney, or Chi-square tests compared children with and without disabilities.

Results

101 Brazilian children (mean age=9.31 years) with (n = 62) and without (n = 39) disabilities were included. Internal consistency ranged from appropriate (0.70) to excellent (0.95) for all domains in all settings, except for Resources in the environment of the home setting (0.53). Regarding construct validity, PEM-CY participation scores were significantly different between groups in most domains. Children with disabilities were significantly less involved and participated in a smaller number of activities in all settings, in comparison to those without disabilities. The PEM-CY scores in all settings of the environment were significantly higher in the group of children without disabilities.

Conclusion

Preliminary support was provided for the internal consistency and construct (known-groups) validity of the PEM-CY Brazil to measure participation and the environment in the Brazilian context. The PEM-CY can therefore be used by rehabilitation professionals in Brazil.

背景残疾儿童的参与是社会包容、健康和幸福的一个指标，其评估需要纳入康复专业人员的临床实践中。方法我们使用 PEM-CY 评估残疾儿童和非残疾儿童在家庭、学校和社区环境中的参与和环境。根据 COSMIN 的指导原则，我们分析了两个测量属性：使用 Cronbach's alpha 分析所有领域的内部一致性；以及建构（已知组）有效性，即工具得分识别组间差异的程度。结果101 名巴西儿童（平均年龄为 9.31 岁）中有残疾（62 人）和无残疾（39 人）。除家庭环境中的资源（0.53）外，所有环境中所有领域的内部一致性从适当（0.70）到优秀（0.95）不等。在建构效度方面，PEM-CY 在大多数领域的参与度得分在组间存在显著差异。与非残疾儿童相比，残疾儿童在所有环境中的参与度明显较低，参与的活动数量也较少。PEM-CY在所有环境中的得分都明显高于非残疾儿童组。结论初步证明了巴西PEM-CY用于测量巴西儿童参与和环境的内部一致性和建构（已知组）有效性。因此，巴西的康复专业人员可以使用 PEM-CY。

{"title":"Participation and environment measure - children and youth: PEM-CY Brazil measurements properties","authors":"Kennea Martins Almeida Ayupe , Élida Rayanne Viana Pinheiro Galvão , Ana Paula Martins Cazeiro , Dana Anaby , Rachel Teplicky , Priscila Bianchi Lopes , Thais Massetti , Alyne Kalyane Câmara de Oliveira , Ana Carolina de Campos , Egmar Longo","doi":"10.1016/j.bjpt.2024.101103","DOIUrl":"10.1016/j.bjpt.2024.101103","url":null,"abstract":"<div><h3>Background</h3><p>Participation of children with disabilities is an indicator of social inclusion, health, and well-being, and its evaluation needs to be included in the clinical practice of rehabilitation professionals.</p></div><div><h3>Objectives</h3><p>To investigate the measurement properties of the Participation and Environment Measure - Children and Youth Brazilian version (PEM-CY Brazil).</p></div><div><h3>Methods</h3><p>We used the PEM-CY to evaluate participation and environment of children with and without disabilities in the home, school, and community settings. Based on COSMIN guidelines, we analyzed two measurement properties: internal consistency for all domains using Cronbach's alpha; and construct (known-groups) validity, i.e., the degree to which instrument scores identify differences between groups. T-tests, Mann-Whitney, or Chi-square tests compared children with and without disabilities.</p></div><div><h3>Results</h3><p>101 Brazilian children (mean age=9.31 years) with (<em>n</em> = 62) and without (<em>n</em> = 39) disabilities were included. Internal consistency ranged from appropriate (0.70) to excellent (0.95) for all domains in all settings, except for Resources in the environment of the home setting (0.53). Regarding construct validity, PEM-CY participation scores were significantly different between groups in most domains. Children with disabilities were significantly less involved and participated in a smaller number of activities in all settings, in comparison to those without disabilities. The PEM-CY scores in all settings of the environment were significantly higher in the group of children without disabilities.</p></div><div><h3>Conclusion</h3><p>Preliminary support was provided for the internal consistency and construct (known-groups) validity of the PEM-CY Brazil to measure participation and the environment in the Brazilian context. The PEM-CY can therefore be used by rehabilitation professionals in Brazil.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101103"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853912","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}

引用次数: 0

Evaluation of maladaptive beliefs in patients with migraine: measurement properties for three versions (TSK-11, TSK-13, and TSK-17) of the Tampa Scale for Kinesiophobia 评估偏头痛患者的适应不良信念：坦帕运动恐惧症量表三个版本（TSK-11、TSK-13 和 TSK-17）的测量特性。

IF 3.1 3区医学 Q1 ORTHOPEDICS

Brazilian Journal of Physical Therapy

Pub Date : 2024-07-01 DOI: 10.1016/j.bjpt.2024.101093

Gabriella de Almeida Tolentino , Lidiane Lima Florencio , Carina Ferreira Pinheiro-Araújo , Jaqueline Martins , Thais Cristina Chaves , Adrila de Cassia Cabral Norato , Fabíola Dach , Débora Bevilaqua-Grossi

Background

The Tampa Scale for Kinesiophobia (TSK) is one of the most frequently employed instruments for assessing maladaptive beliefs about pain, injury, and movement in patients with chronic musculoskeletal pain. However, the measurement properties of this tool have so far not been tested for individuals with migraine.

Objective

To evaluate the structural, construct, and criterion validity, and the internal consistency for three versions (TSK-11, TSK-13, and TSK-17) of the TSK for patients with migraine.

Methods

A total of 113 individuals aged between 18 and 55 years old with migraine diagnosis were included. All participants completed the TSK with 17 items, the Fear-Avoidance Beliefs Questionnaire, the Headache Impact Test, and the Pain Catastrophizing Scale questionnaires. Confirmatory factor analysis was used to assess the structural validity of the TSK, and Cronbach's α was used to assess internal consistency. For construct and criterion validity, the Spearman's correlation was calculated.

Results

The TSK structure with one factor and the 17, 13, or 11 items versions were suitable, with suitable values in all fit indices related to structural validity. The three versions showed acceptable internal consistency (α = 0.75). All TSK versions showed moderate positive correlation with the other questionnaires (rho range= 0.31–0.63), confirming most of the predefined hypothesis for the construct validity. Also, the criterion validity of the 13-item and 11-item versions was confirmed (rho=0.95 and rho=0.94, respectively).

Conclusion

All versions of the TSK demonstrated good measurement properties in the assessment of maladaptive beliefs about pain, injury, and movement in individuals with migraine.

背景：坦帕运动恐惧量表（TSK）是评估慢性肌肉骨骼疼痛患者对疼痛、伤害和运动的不良信念的最常用工具之一。然而，迄今为止，该工具的测量特性尚未针对偏头痛患者进行过测试：评估偏头痛患者TSK三个版本（TSK-11、TSK-13和TSK-17）的结构效度、构造效度、标准效度和内部一致性：共纳入了113名年龄在18至55岁之间的偏头痛患者。所有参与者都填写了包含17个项目的TSK、恐惧-逃避信念问卷、头痛影响测试和疼痛灾难化量表问卷。确认性因子分析用于评估 TSK 的结构效度，Cronbach's α 用于评估内部一致性。在构造和标准效度方面，计算了斯皮尔曼相关性：结果：包含一个因子的 TSK 结构以及 17、13 或 11 个项目的版本都是合适的，所有与结构效度相关的拟合指数都有合适的值。三个版本显示出可接受的内部一致性（α = 0.75）。所有 TSK 版本都与其他问卷呈中度正相关（rho 范围= 0.31-0.63），证实了大部分关于结构效度的预设假设。此外，13 项和 11 项版本的标准效度也得到了证实（rho=0.95 和 rho=0.94）：所有版本的TSK在评估偏头痛患者对疼痛、伤害和运动的不良信念方面都表现出良好的测量特性。

{"title":"Evaluation of maladaptive beliefs in patients with migraine: measurement properties for three versions (TSK-11, TSK-13, and TSK-17) of the Tampa Scale for Kinesiophobia","authors":"Gabriella de Almeida Tolentino , Lidiane Lima Florencio , Carina Ferreira Pinheiro-Araújo , Jaqueline Martins , Thais Cristina Chaves , Adrila de Cassia Cabral Norato , Fabíola Dach , Débora Bevilaqua-Grossi","doi":"10.1016/j.bjpt.2024.101093","DOIUrl":"10.1016/j.bjpt.2024.101093","url":null,"abstract":"<div><h3>Background</h3><p>The Tampa Scale for Kinesiophobia (TSK) is one of the most frequently employed instruments for assessing maladaptive beliefs about pain, injury, and movement in patients with chronic musculoskeletal pain. However, the measurement properties of this tool have so far not been tested for individuals with migraine.</p></div><div><h3>Objective</h3><p>To evaluate the structural, construct, and criterion validity, and the internal consistency for three versions (TSK-11, TSK-13, and TSK-17) of the TSK for patients with migraine.</p></div><div><h3>Methods</h3><p>A total of 113 individuals aged between 18 and 55 years old with migraine diagnosis were included. All participants completed the TSK with 17 items, the Fear-Avoidance Beliefs Questionnaire, the Headache Impact Test, and the Pain Catastrophizing Scale questionnaires. Confirmatory factor analysis was used to assess the structural validity of the TSK, and Cronbach's α was used to assess internal consistency. For construct and criterion validity, the Spearman's correlation was calculated.</p></div><div><h3>Results</h3><p>The TSK structure with one factor and the 17, 13, or 11 items versions were suitable, with suitable values in all fit indices related to structural validity. The three versions showed acceptable internal consistency (α = 0.75). All TSK versions showed moderate positive correlation with the other questionnaires (rho range= 0.31–0.63), confirming most of the predefined hypothesis for the construct validity. Also, the criterion validity of the 13-item and 11-item versions was confirmed (rho=0.95 and rho=0.94, respectively).</p></div><div><h3>Conclusion</h3><p>All versions of the TSK demonstrated good measurement properties in the assessment of maladaptive beliefs about pain, injury, and movement in individuals with migraine.</p></div>","PeriodicalId":49621,"journal":{"name":"Brazilian Journal of Physical Therapy","volume":"28 4","pages":"Article 101093"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753159","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}

引用次数: 0