JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

Sleep in athletes: knowledge, beliefs and clinical practice among Brazilian sports physical therapists 运动员的睡眠：巴西运动理疗师的知识、信念和临床实践

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-19 DOI: 10.1016/j.jbmt.2025.04.022

Gabriel Mendes , Samuel Silva , Rafael Zambelli Pinto , Cecília Ferreira Aquino , Isadora Grade , Gerônimo José Bouzas Sanchis , Natália Torres Ituassú , Marco Túlio de Mello , Andressa Silva

Context

Previous expert consensus states that sports professionals should assess athletes’ sleep and Brazilian physical therapists (PTs) are now allowed to provide sleep care. However, basic knowledge and adequate beliefs about sleep-related concepts are required from Brazilian sports PTs. The aim of this study was to 1) describe the knowledge and beliefs of Brazilian sports PTs about sleep; 2) investigate how they assess sleep; and 3) investigate factors that may be associated with sleep knowledge, beliefs, and assessment.

Design

Cross-sectional survey.

Methods

We recruited PTs who were active members of the Brazilian Board of Sports Physical Therapy Specialists. We collected data on their professional trajectories, knowledge and beliefs about sleep-related concepts, and how they assess sleep in athletes. We performed descriptive analyses and ran logistic regression models.

Results

120 sports PTs were included. Most were male (68.0 %) and had an average of 13.7 ± 6.8 years of experience as a PT. Most reported knowing about sleep hygiene (78.3 %), jet lag (85.0 %), and chronotype (51.7 %). Nearly half had inadequate sleep beliefs (43.3 %), and reported never having received education about sleep (42.5 %). Most reported using non-validated tools to assess athletes’ sleep (59.2 %), and only 23.3 % reported assessing sleep throughout the entire sports season. Having a graduate-level degree was associated with knowing about sleep hygiene (OR: 3.0; 95 % CI: 1.1, 8.4) and chronotype (OR: 2.6; 95 % CI: 1.1, 5.7).

Conclusions

Our findings can guide future implementation strategies to improve professional education. We recommend the incorporation of sleep-related concepts into physical therapy training to improve care for athletes.

背景之前的专家共识指出，体育专业人员应评估运动员的睡眠情况，巴西的理疗师（PT）现在可以提供睡眠护理。然而，巴西的体育运动理疗师需要对睡眠相关概念有基本的了解和足够的信念。本研究旨在：1）描述巴西运动理疗师对睡眠的认识和信念；2）调查他们如何评估睡眠；3）调查可能与睡眠知识、信念和评估相关的因素。我们收集了关于他们的职业轨迹、睡眠相关概念的知识和信念以及如何评估运动员睡眠的数据。我们进行了描述性分析，并运行了逻辑回归模型。大部分为男性（68.0%），平均从业年限为 13.7 ± 6.8 年。大多数人表示了解睡眠卫生（78.3%）、时差（85.0%）和慢性型（51.7%）。近一半的人认为自己睡眠不足（43.3%），并称从未接受过睡眠教育（42.5%）。大多数人称使用未经验证的工具来评估运动员的睡眠（59.2%），只有 23.3% 的人称在整个运动赛季中都对睡眠进行评估。拥有研究生学位与了解睡眠卫生（OR：3.0；95 % CI：1.1，8.4）和时间型（OR：2.6；95 % CI：1.1，5.7）有关。我们建议将睡眠相关概念纳入物理治疗培训，以改善对运动员的护理。

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引用次数: 0

The immediate effects of combined post-isometric relaxation and massage on neck pain in hospital employees: A randomised controlled trial

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-19 DOI: 10.1016/j.jbmt.2025.04.002

Sanem Sener , Pelin Su Torak , Ahmet Koçyiğit

Background

Healthcare workers are one of the occupational groups that experience neck pain most frequently. The aim of this study is to investigate the immediate effects of Post Isometric Relaxation (PIR) Technique on pain threshold, pain severity and joint range of motion of the cervical region in healthcare workers with neck pain.

Methods

A total of 30 volunteer male and female hospital workers aged 20–45 years, with complaints of neck pain for at least six months and with neck pain as the most prominent complaint, were randomly divided into two groups (Post Isometric Relaxation Technique and Control Group). Control group participants received classical massage to the cervical and upper thoracic region. PIR group participants received a single session of PIR Technique with 10 repetitions to the M.supraspinatus, the upper part of the M.trapeze, M. scaleni and the M.levator scapula muscles in addition to massage. Pain severity, pain threshold and range of motion were measured at baseline and immediately after the treatment programme.

Results

Comparisons were made using both independent samples test and Mann-Whitney U tests. In-group comparison, participants of both groups improved in all measurments immediately after the treatment programme (p < 0,005). There were significant differences in a favour of PIR Group in inter-group comparison across the board (p < 0,01).

Conclusions

The results of the study suggest that in addition to application of massage, PIR Techniques improve pain intensity, pain threshold and range of motion immediately after the programme in non-specific neck pain.

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引用次数: 0

Acute effects of resetting the stretching intensity on range of motion and passive stiffness in healthy adults: A randomized crossover trial

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-18 DOI: 10.1016/j.jbmt.2025.04.027

Taizan Fukaya , Shingo Matsuo , Manabu Miyazaki , Masahiro Iwata , Genki Hatano , Eiji Yamanaka , Wakako Tsuchida , Yuji Asai , Shigeyuki Suzuki

Introduction

Static stretching, a common method used to improve flexibility, has traditionally involved repeated stretching until reaching the initial or pre-determined stretching angle or torque. However, recent recommendations suggest that stretching until reaching a new maximal angle may offer greater benefits owing to increased stretching intensity. This study aimed to examine the acute effects of resetting the static stretching intensity on flexibility.

Methods

In this randomized crossover trial, 14 healthy participants performed 300-s of static stretching of the right hamstrings randomly under two conditions: resetting the stretching intensity at new maximal knee extension angles every 30 s (10 × 30-s) or no-resetting (1 × 300-s). The outcomes assessed included range of motion (ROM), passive torque (PT) at pain onset, passive stiffness before and after stretching, and stretching angle during stretching.

Results

During the 10 × 30-s condition, stretching angle was increased gradually (p < 0.05). Significant improvements were observed in ROM, PT at pain onset, and passive stiffness (p < 0.05) after stretching under both conditions. Moreover, the relative improvement in these parameters was greater under the 10 × 30-s condition than under the 1 × 300-s condition (p < 0.05).

Conclusion

These findings suggest that resetting stretching intensity can enhance flexibility, possibly due to the increased stretching intensity, underscoring the importance of individualized stretching approaches to optimize flexibility outcomes.

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引用次数: 0

Assessment of balance control using limits of stability and Tandem walk Tests: Immediate and long-term effects of textured insoles in individuals with knee osteoarthritis

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-18 DOI: 10.1016/j.jbmt.2025.04.023

Hyoungjin Park

Introduction

Somatosensory dysfunction in individuals with knee osteoarthritis (OA) often leads to poor balance control and elevated fall risk. Although textured insoles appear promising as an intervention for balance enhancement, research has yet to fully explore their long-term effectiveness in this specific patient population.

Method

Twenty-two participants (11 with knee OA, 11 healthy controls) underwent balance assessment using the NeuroCom system. Measurements included Limits of Stability test parameters and Tandem Walk parameters evaluated at baseline, immediately after textured insole insertion, and following three months of continuous use.

Results

At baseline, the knee OA group showed significantly poorer performance in reaction time (p = .022), step width (p = .032), and movement speed (p = .003) compared to controls. With immediate application of textured insoles, the knee OA group demonstrated significant improvements in reaction time (p = .029) compared to baseline, while the control group showed no significant immediate changes. After three months of textured insole use, the knee OA group maintained their initial improvements without significant changes (all p > .05), indicating no habituation effects. The healthy control group showed significant improvements in reaction time (p = .014) and end sway (p = .041) after three months of use.

Conclusion

Textured insoles demonstrated immediate and sustained improvements in balance control parameters among individuals with knee OA, with maintained benefits over a three-month period. These findings suggest that textured insoles may be an effective long-term intervention for improving balance control in individuals with knee OA.

导言：膝关节骨性关节炎（OA）患者的感觉功能障碍通常会导致平衡控制能力低下和跌倒风险升高。尽管纹理鞋垫作为一种增强平衡能力的干预措施似乎很有前景，但研究人员尚未充分探索其在这一特殊患者群体中的长期有效性。方法22名参与者（11名膝关节OA患者，11名健康对照组）使用NeuroCom系统进行了平衡评估。测量包括基线时、插入纹理鞋垫后立即以及连续使用三个月后的稳定性极限测试参数和串联步行参数。结果基线时，膝关节 OA 组在反应时间（p = 0.022）、步幅（p = 0.032）和移动速度（p = 0.003）方面的表现明显差于对照组。立即使用纹理鞋垫后，膝关节 OA 组的反应时间（p = .029）与基线相比有明显改善，而对照组则没有明显的即时变化。使用纹理鞋垫三个月后，膝关节 OA 组保持了最初的改善，没有发生明显变化（所有 p 均为 0.05），表明没有习惯性影响。健康对照组在使用三个月后，反应时间（p = .014）和末端摇摆（p = .041）均有明显改善。这些研究结果表明，质地鞋垫可能是改善膝关节OA患者平衡控制的一种有效的长期干预措施。

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引用次数: 0

Comparison of the efficacy of the Schroth method and proprioceptive neuromuscular facilitation technique in adolescent idiopathic Scoliosis: a randomized controlled, single-blinded study

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-17 DOI: 10.1016/j.jbmt.2025.04.003

Mehmet Hanifi Kaya , Öznur Büyükturan , Buket Büyükturan , Halil Alkan , Fatih Erbahçeci

Background

The aim of this study was to evaluate and compare the effectiveness of the Schroth and PNF exercise methods concerning the Cobb angle, trunk rotation angle, quality of life, and aesthetic trunk deformity in adolescents diagnosed with idiopathic scoliosis.

Methods

This study employed a randomized, single-blind, 1:1 parallel-group design, involving a total of 67 adolescent patients. Participants were randomly allocated to either the Schroth group or the PNF group. Both groups participated in supervised exercise training sessions three times a week over a six-month period. Baseline and post-treatment assessments were conducted by the same researcher, who remained blinded to group allocations throughout the study. Statistical analysis was conducted using a mixed model for repeated measures ANOVA for each outcome measure.

Results

Statistical analysis revealed a significant difference between the groups in terms of the Cobb angle, trunk rotation angle (ATR), Scoliosis Research Society (SRS) scores, and Walter Reed Visual Assessment Scale (WRVAS) parameters (p < .001). The mean change scores indicated a statistically greater improvement in favor of the Schroth group across all parameters compared to the PNF group. Statistically significant changes were observed for all parameters within groups (p < .05).

Conclusions

The study compared the principles of the Schroth and PNF methods, demonstrating that the Schroth method achieved more favorable outcomes than PNF in the conservative management of adolescent idiopathic scoliosis. This trial is registered with NCT05227638.

背景本研究旨在评估和比较施罗特运动法和PNF运动法对被诊断为特发性脊柱侧凸的青少年在Cobb角、躯干旋转角、生活质量和躯干畸形美学方面的有效性。方法本研究采用随机、单盲、1:1平行组设计，共有67名青少年患者参与。参与者被随机分配到施罗特组或 PNF 组。在为期六个月的时间里，两组患者都参加了每周三次的督导运动训练课程。基线和治疗后评估由同一研究人员进行，研究人员在整个研究过程中对组别分配保持盲法。统计分析采用重复测量方差分析混合模型进行。结果统计分析显示，在Cobb角、躯干旋转角（ATR）、脊柱侧凸研究协会（SRS）评分和沃尔特里德视觉评估量表（WRVAS）参数方面，组间差异显著（p <.001）。平均变化分数表明，与 PNF 组相比，Schroth 组在所有参数上的改善幅度更大。该研究比较了 Schroth 和 PNF 方法的原理，表明在青少年特发性脊柱侧凸的保守治疗中，Schroth 方法比 PNF 方法取得了更有利的结果。该试验已在 NCT05227638 上注册。

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引用次数: 0

Are rheumatology field professionals scientifically prepared to rehabilitate using exercise? A cross-sectional survey

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-17 DOI: 10.1016/j.jbmt.2025.04.019

Bruno Honório Cavalcanti , Racklayne Ramos Cavalcanti , Marcelo Cardoso de Souza , André Pontes-Silva

Objective

To assess rheumatology professionals' knowledge about the physical exercise.

Methods

A cross-sectional study. We included Bachelors of Physical Education and Physical Therapists because they are professionals who use exercise as a therapeutic intervention for musculoskeletal rehabilitation. We assessed their knowledge using structured questions based on the EULAR. We used the Chi-squared test (α = 5 %) to compare the number of correct and incorrect answers and calculated the effect size (w value) by dividing the chi-squared value by the number of scores and taking the square root (small: w = 0.10, medium: w = 0.30, and large: w ≥ 0.50).

Results

The sample of this study consists of 116 health professionals with a mean age of 34.43 (±8.71) years. The majority are women and Physical Therapists. Regarding the health professionals’ knowledge about the use of exercise in patients with musculoskeletal disorders, we observed a significant number of incorrect answers (p < 0.001) to the EULAR questions. Clinically, the large effect size (w ≥ 0.5) for the number of errors indicated a worrying situation for the musculoskeletal rehabilitation scenario.

Conclusion

Bachelors of physical education, as well as physical therapists, are not scientifically prepared to rehabilitate people with rheumatic and musculoskeletal diseases through physical exercise.

{"title":"Are rheumatology field professionals scientifically prepared to rehabilitate using exercise? A cross-sectional survey","authors":"Bruno Honório Cavalcanti , Racklayne Ramos Cavalcanti , Marcelo Cardoso de Souza , André Pontes-Silva","doi":"10.1016/j.jbmt.2025.04.019","DOIUrl":"10.1016/j.jbmt.2025.04.019","url":null,"abstract":"<div><h3>Objective</h3><div>To assess rheumatology professionals' knowledge about the physical exercise.</div></div><div><h3>Methods</h3><div>A cross-sectional study. We included Bachelors of Physical Education and Physical Therapists because they are professionals who use exercise as a therapeutic intervention for musculoskeletal rehabilitation. We assessed their knowledge using structured questions based on the EULAR. We used the Chi-squared test (α = 5 %) to compare the number of correct and incorrect answers and calculated the effect size (w value) by dividing the chi-squared value by the number of scores and taking the square root (small: w = 0.10, medium: w = 0.30, and large: w ≥ 0.50).</div></div><div><h3>Results</h3><div>The sample of this study consists of 116 health professionals with a mean age of 34.43 (±8.71) years. The majority are women and Physical Therapists. Regarding the health professionals’ knowledge about the use of exercise in patients with musculoskeletal disorders, we observed a significant number of incorrect answers (p < 0.001) to the EULAR questions. Clinically, the large effect size (w ≥ 0.5) for the number of errors indicated a worrying situation for the musculoskeletal rehabilitation scenario.</div></div><div><h3>Conclusion</h3><div>Bachelors of physical education, as well as physical therapists, are not scientifically prepared to rehabilitate people with rheumatic and musculoskeletal diseases through physical exercise.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"43 ","pages":"Pages 124-129"},"PeriodicalIF":1.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Maitland mobilizations and exercise programs for non-specific low back pain in karate fighters: A randomized clinical trial

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-16 DOI: 10.1016/j.jbmt.2025.04.013

Julio Zago , Rayssa Araújo , Edelberto Marques , Alice Gomes , Adriano Drummond , Tatiana Rondinel , Leonardo Nascimento , Rogério Queiroz , Fellipe Amatuzzi , Renan Pivetta , Gaspar R. Chiappa

Introduction

Karate fighters (KF) often experience non-specific low back pain (NSLBP), which can compromise their mobility, flexibility, and overall athletic performance. Manual therapy techniques, such as Maitland mobilizations (MM), have been proposed as effective strategies for enhancing mobility and reducing pain. Exercise programs (EP) targeting core stabilization and flexibility may offer therapeutic benefits. However, no studies to date have directly compared the effects of these two treatment approaches in this population.

Objectives

To compare the effects of MM and EP on low back pain intensity and posterior chain flexibility (PCF) in KF with NSLBP.

Methods

Forty-five KF with NSLBP were randomly assigned to either the MM or EP group. Low back pain intensity and PCF were evaluated at baseline and after each session. Both groups received four treatment sessions, twice a week. The MM group received end-range III or IV joint mobilizations, while the EP group performed core stabilization and lower limb stretching exercises. Pain intensity was assessed using the visual analog scale (VAS), and PCF was measured with the sit-and-reach test (SRT).

Results

The MM group demonstrated a significant reduction in NSLBP intensity compared to the EP group in the first session (p < 0.001, effect size = 2.36), the second session (p < 0.001, effect size = 2.36), and the third session (p = 0.013, effect size = 1.16). No significant differences were observed in PCF.

Conclusion

MM led to a significant reduction in NSLBP, while both MM and EP interventions were effective in improving PCF in KF.

{"title":"Comparison of Maitland mobilizations and exercise programs for non-specific low back pain in karate fighters: A randomized clinical trial","authors":"Julio Zago , Rayssa Araújo , Edelberto Marques , Alice Gomes , Adriano Drummond , Tatiana Rondinel , Leonardo Nascimento , Rogério Queiroz , Fellipe Amatuzzi , Renan Pivetta , Gaspar R. Chiappa","doi":"10.1016/j.jbmt.2025.04.013","DOIUrl":"10.1016/j.jbmt.2025.04.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Karate fighters (KF) often experience non-specific low back pain (NSLBP), which can compromise their mobility, flexibility, and overall athletic performance. Manual therapy techniques, such as Maitland mobilizations (MM), have been proposed as effective strategies for enhancing mobility and reducing pain. Exercise programs (EP) targeting core stabilization and flexibility may offer therapeutic benefits. However, no studies to date have directly compared the effects of these two treatment approaches in this population.</div></div><div><h3>Objectives</h3><div>To compare the effects of MM and EP on low back pain intensity and posterior chain flexibility (PCF) in KF with NSLBP.</div></div><div><h3>Methods</h3><div>Forty-five KF with NSLBP were randomly assigned to either the MM or EP group. Low back pain intensity and PCF were evaluated at baseline and after each session. Both groups received four treatment sessions, twice a week. The MM group received end-range III or IV joint mobilizations, while the EP group performed core stabilization and lower limb stretching exercises. Pain intensity was assessed using the visual analog scale (VAS), and PCF was measured with the sit-and-reach test (SRT).</div></div><div><h3>Results</h3><div>The MM group demonstrated a significant reduction in NSLBP intensity compared to the EP group in the first session (<em>p</em> < 0.001, effect size = 2.36), the second session (<em>p</em> < 0.001, effect size = 2.36), and the third session (<em>p</em> = 0.013, effect size = 1.16). No significant differences were observed in PCF.</div></div><div><h3>Conclusion</h3><div>MM led to a significant reduction in NSLBP, while both MM and EP interventions were effective in improving PCF in KF.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"43 ","pages":"Pages 108-113"},"PeriodicalIF":1.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of acute effects of stretching vs. foam rolling: Morphological, sensory and fluid responses

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-16 DOI: 10.1016/j.jbmt.2025.04.026

Ewan Thomas , Antonino Scardina , Gianmarco Pinto , Sofia Serafini , Masatoshi Nakamura , Andreas Konrad , Francesco Campa , Marianna Bellafiore , Antonino Bianco

Background

A single bout of foam rolling (FR) or static stretching is effective to increase the range of motion (ROM) without impairments in performance. Recently, non-rolling methods with FR have been investigated, but the effects of these methods are still unclear.

Objective

This study aimed to compare and examine the effects of different FR interventions and SS on the plantar flexor (PF) muscles.

Methods

Dominant PF of 24 participants was investigated under four conditions: Control (CC), FR, FR with dynamic movement (FR-DM), and SS. Each condition was performed unilaterally for 4 sets of 30 s. Outcome variables were ankle dorsiflexion ROM, pain pressure thresholds (PPT), tissue hardness, localized bioimpedance analysis (L-BIA), and unilateral drop jump (DJ). Measures were assessed before (T0), immediately after (T1), and 10-min after (T2).

Results

ROM improved for SS, FR and FR-DM from T0 to T1 while remaining elevated in T2 only for SS and FR-DM. A significant increase in PPT was observed for SS and FR (T1). L-BIA showed a significant change of the vector position in the resistance-reactance graph only for FR (T1 and T2). DJ and tissue hardness did not change for any group at any time-point.

Conclusion

PF-ROM can be acutely improved by either FR, FR-DM, or SS by a modification of local pain perception without any variation in tissue morphology and performance. FR was the only intervention to acutely change fluids distribution.

{"title":"Determinants of acute effects of stretching vs. foam rolling: Morphological, sensory and fluid responses","authors":"Ewan Thomas , Antonino Scardina , Gianmarco Pinto , Sofia Serafini , Masatoshi Nakamura , Andreas Konrad , Francesco Campa , Marianna Bellafiore , Antonino Bianco","doi":"10.1016/j.jbmt.2025.04.026","DOIUrl":"10.1016/j.jbmt.2025.04.026","url":null,"abstract":"<div><h3>Background</h3><div>A single bout of foam rolling (FR) or static stretching is effective to increase the range of motion (ROM) without impairments in performance. Recently, non-rolling methods with FR have been investigated, but the effects of these methods are still unclear.</div></div><div><h3>Objective</h3><div>This study aimed to compare and examine the effects of different FR interventions and SS on the plantar flexor (PF) muscles.</div></div><div><h3>Methods</h3><div>Dominant PF of 24 participants was investigated under four conditions: Control (CC), FR, FR with dynamic movement (FR-DM), and SS. Each condition was performed unilaterally for 4 sets of 30 s. Outcome variables were ankle dorsiflexion ROM, pain pressure thresholds (PPT), tissue hardness, localized bioimpedance analysis (L-BIA), and unilateral drop jump (DJ). Measures were assessed before (T0), immediately after (T1), and 10-min after (T2).</div></div><div><h3>Results</h3><div>ROM improved for SS, FR and FR-DM from T0 to T1 while remaining elevated in T2 only for SS and FR-DM. A significant increase in PPT was observed for SS and FR (T1). L-BIA showed a significant change of the vector position in the resistance-reactance graph only for FR (T1 and T2). DJ and tissue hardness did not change for any group at any time-point.</div></div><div><h3>Conclusion</h3><div>PF-ROM can be acutely improved by either FR, FR-DM, or SS by a modification of local pain perception without any variation in tissue morphology and performance. FR was the only intervention to acutely change fluids distribution.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"43 ","pages":"Pages 130-136"},"PeriodicalIF":1.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143868089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Work-related musculoskeletal disorders among healthcare staff in the hospitals of Taif, Saudi Arabia

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-16 DOI: 10.1016/j.jbmt.2025.04.024

Amr A. Abdel-aziem , Abdulaziz A. Alzhrani , Rayan S. Alshhrani , Amr F. Alsulimani , Moataz A. Alasmari , Abdulwahab A. Alqurashi , Turki K. Majeed

Background and objectives

Work-related musculoskeletal disorders (WMSDs) are a major problem for healthcare professionals and workplaces. Thus, this study assessed the prevalence of WMSDs among healthcare professionals and explored their relationship with the job risk factors (JRFs).

Methods

A total of 496 healthcare professionals at hospitals in Taif city participated in this cross-sectional study. The Nordic Musculoskeletal Questionnaire was used to identify the occurrence of musculoskeletal complaints (MSCs) and Job Factors Questionnaire determined whether they were work-related.

Results

The WMSDs prevalence in the last 12 months was 78.23 % with lower back pain was the most prevalent MSC (45.97 %). The prevalent MSCs prevented normal activity was wrists/hands (70.37 %), led to visiting a physician was elbow (50.00 %), and occurred during the last 7 days was hips/thighs (80.00 %). Above-average body mass index (BMI) and working more than 8 h/day were more likely to develop WMSDs [Odds ratio (OR): 2.83, 5.50 respectively]. The frequently reported JRFs were working in the same position for long periods [40.32 %, OR: 9.09], continuing to work when injured or hurt [38.71 %, OR: 5.72] and bending or twisting back [35.08 %, OR: 4.91].

Conclusion

About four-fifths of the healthcare professionals showed WMSDs. Pain in lower back, neck and upper back were the most reported MSCs. BMI and extended work hours were the major predictors for WMSDs. Working in the same position for long periods was the most frequently reported JRF related to WMSDs. Healthcare professionals should learn more about the JRFs of MSDs in designing preventive strategies to reduce their burdens.

背景和目标与工作相关的肌肉骨骼疾病（WMSDs）是医护人员和工作场所面临的一个主要问题。因此，本研究评估了医护人员中 WMSDs 的患病率，并探讨了它们与工作风险因素 (JRFs) 的关系。方法塔伊夫市各医院共有 496 名医护人员参与了这项横断面研究。北欧肌肉骨骼调查问卷用于确定肌肉骨骼投诉（MSCs）的发生情况，工作因素调查问卷用于确定这些投诉是否与工作有关。结果在过去 12 个月中，WMSDs 患病率为 78.23%，其中下背部疼痛是最常见的 MSC（45.97%）。妨碍正常活动的主要间充质干细胞疾病是手腕/手（70.37%），导致就医的主要是肘部（50.00%），最近 7 天内发生的主要是臀部/大腿（80.00%）。体重指数（BMI）高于平均水平和每天工作超过 8 小时的人更容易患 WMSDs [比值比（OR）分别为 2.83 和 5.50]。经常报告的 JRF 是长期以同一姿势工作[40.32%，OR：9.09]、受伤或受伤时继续工作[38.71%，OR：5.72]以及弯腰或扭腰[35.08%，OR：4.91]。下背部、颈部和上背部疼痛是报告最多的间充质干细胞病。体重指数（BMI）和工作时间延长是导致 WMSDs 的主要预测因素。长期以同一姿势工作是与 WMSDs 相关的最常报告的 JRF。医疗保健专业人员在设计预防策略以减少其负担时，应更多地了解MSD的JRF。

{"title":"Work-related musculoskeletal disorders among healthcare staff in the hospitals of Taif, Saudi Arabia","authors":"Amr A. Abdel-aziem , Abdulaziz A. Alzhrani , Rayan S. Alshhrani , Amr F. Alsulimani , Moataz A. Alasmari , Abdulwahab A. Alqurashi , Turki K. Majeed","doi":"10.1016/j.jbmt.2025.04.024","DOIUrl":"10.1016/j.jbmt.2025.04.024","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Work-related musculoskeletal disorders (WMSDs) are a major problem for healthcare professionals and workplaces. Thus, this study assessed the prevalence of WMSDs among healthcare professionals and explored their relationship with the job risk factors (JRFs).</div></div><div><h3>Methods</h3><div>A total of 496 healthcare professionals at hospitals in Taif city participated in this cross-sectional study. The Nordic Musculoskeletal Questionnaire was used to identify the occurrence of musculoskeletal complaints (MSCs) and Job Factors Questionnaire determined whether they were work-related.</div></div><div><h3>Results</h3><div>The WMSDs prevalence in the last 12 months was 78.23 % with lower back pain was the most prevalent MSC (45.97 %). The prevalent MSCs prevented normal activity was wrists/hands (70.37 %), led to visiting a physician was elbow (50.00 %), and occurred during the last 7 days was hips/thighs (80.00 %). Above-average body mass index (BMI) and working more than 8 h/day were more likely to develop WMSDs [Odds ratio (OR): 2.83, 5.50 respectively]. The frequently reported JRFs were working in the same position for long periods [40.32 %, OR: 9.09], continuing to work when injured or hurt [38.71 %, OR: 5.72] and bending or twisting back [35.08 %, OR: 4.91].</div></div><div><h3>Conclusion</h3><div>About four-fifths of the healthcare professionals showed WMSDs. Pain in lower back, neck and upper back were the most reported MSCs. BMI and extended work hours were the major predictors for WMSDs. Working in the same position for long periods was the most frequently reported JRF related to WMSDs. Healthcare professionals should learn more about the JRFs of MSDs in designing preventive strategies to reduce their burdens.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"43 ","pages":"Pages 49-57"},"PeriodicalIF":1.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Immediate effect of muscle energy technique on chronic non-specific low back pain with diaphragm dysfunction - Single group pre-post design

IF 1.2 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-04-16 DOI: 10.1016/j.jbmt.2025.04.010

Rasmi Ranjan Nayak , Ajay Kumar , Rajasekar Sannasi , Ramprasad Muthukrishnan , Shine Thomas

Background

This study aims to determine the effectiveness of the Muscle Energy Techniques (MET) to the Quadratus lumborum (QL) and the facilitated psoas traction in pain and disability in non-specific chronic low back pain (NSCLBP) patients who have a failed diaphragm test.

Method

Fifty NSCLBP patients aged between 18 and 58 years, presenting with tight psoas major, QL and failed diaphragm test were included. The MET to QL and facilitated psoas traction was administered on alternate days for a total of three sessions. The Numerical Pain Rating Scale (NPRS) and the Rolland Morris Disability Questionnaire (RMDQ), were assessed before intervention and after the third session of treatment.

Results

There was a statistically and clinically significant difference in reduction of NPRS 2.8 (95 % CI (2.5–3.1); P < 00.1) and RMDQ (5.4 (95 % CI 4.9–5.9); P < 0.001) after 3 sessions of treatment. The Effect size for NPRS was 2.4 and RMDQ was 1.8.

Conclusion

The application of MET to QL and facilitated psoas traction has shown immediate reduction in pain and disability in NSCLBP patients with diaphragm dysfunction.

{"title":"Immediate effect of muscle energy technique on chronic non-specific low back pain with diaphragm dysfunction - Single group pre-post design","authors":"Rasmi Ranjan Nayak , Ajay Kumar , Rajasekar Sannasi , Ramprasad Muthukrishnan , Shine Thomas","doi":"10.1016/j.jbmt.2025.04.010","DOIUrl":"10.1016/j.jbmt.2025.04.010","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to determine the effectiveness of the Muscle Energy Techniques (MET) to the Quadratus lumborum (QL) and the facilitated psoas traction in pain and disability in non-specific chronic low back pain (NSCLBP) patients who have a failed diaphragm test.</div></div><div><h3>Method</h3><div>Fifty NSCLBP patients aged between 18 and 58 years, presenting with tight psoas major, QL and failed diaphragm test were included. The MET to QL and facilitated psoas traction was administered on alternate days for a total of three sessions. The Numerical Pain Rating Scale (NPRS) and the Rolland Morris Disability Questionnaire (RMDQ), were assessed before intervention and after the third session of treatment.</div></div><div><h3>Results</h3><div>There was a statistically and clinically significant difference in reduction of NPRS 2.8 (95 % CI (2.5–3.1); P < 00.1) and RMDQ (5.4 (95 % CI 4.9–5.9); P < 0.001) after 3 sessions of treatment. The Effect size for NPRS was 2.4 and RMDQ was 1.8.</div></div><div><h3>Conclusion</h3><div>The application of MET to QL and facilitated psoas traction has shown immediate reduction in pain and disability in NSCLBP patients with diaphragm dysfunction.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"43 ","pages":"Pages 137-142"},"PeriodicalIF":1.2,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0