JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献_第10页

A powerlifting-based exercise program for community-dwelling older adults: A case series 基于力量举重的社区老年人锻炼计划：一个案例系列

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-30 DOI: 10.1016/j.jbmt.2025.12.034

Erick Guilherme Peixoto de Lucena, Laura Gonçalves Piza Cannavan, Guilherme Scali Mendes, Gabriel Barzon Silva, Marco Carlos Uchida

Background

Aging leads to declines in muscle mass, strength, and function, compromising independence and quality of life. Powerlifting, a strength sport modality focusing on the squat, bench press, and deadlift, has shown promise for enhancing strength and function in older adults.

Objective

Investigate the effects of a 12-week powerlifting training program on physical function and muscular strength in community-dwelling older adults.

Methods

This study recruited a convenience sample of 12 healthy older adults (age = 69.6 ± 4.8 years; 33.3 % men). The study lasted 15 weeks, consisting of a three-week familiarization period and 12 weeks of powerlifting training. The powerlifting training consisted of squat, bench press, deadlift, and complementary exercises. Body composition, physical function, and muscle strength were assessed before and after 12 weeks of powerlifting training.

Results

Significant improvements were observed in the sit-to-stand 5x test (p = 0.010) and in muscular strength across all powerlifting exercises. In the squat, increases were observed in absolute strength (p = 0.016) and relative strength (p = 0.032); the bench press showed increases in absolute strength (p = 0.001) and relative strength (p = 0.002); the deadlift demonstrated increases in absolute strength (p = 0.003) and relative strength (p = 0.005). However, no significant changes were observed in body composition and other measures of physical function, one-leg stand, and TUG tests.

Conclusion

The 12-week powerlifting training program resulted in significant improvements in physical function and strength, as well as in the sit-to-stand 5x test and powerlifting exercises, among community-dwelling older adults.

老龄化导致肌肉质量、力量和功能下降，影响独立性和生活质量。力量举重是一种专注于深蹲、卧推和硬举的力量运动，已经显示出增强老年人力量和功能的希望。目的探讨为期12周的力量举训练对社区老年人身体机能和肌肉力量的影响。方法本研究方便地招募了12名健康老年人（年龄= 69.6±4.8岁，33.3%为男性）。这项研究持续了15周，包括3周的熟悉期和12周的力量训练。力量举重训练包括深蹲、卧推、硬举和辅助练习。在12周力量举重训练前后，对身体成分、身体机能和肌肉力量进行了评估。结果：在静坐站立5倍测试（p = 0.010）和所有力量举重练习中，肌肉力量都有显著改善。深蹲时，绝对强度（p = 0.016）和相对强度（p = 0.032）均有所增加；卧压机的绝对强度（p = 0.001）和相对强度（p = 0.002）均有增加；硬举显示绝对强度（p = 0.003）和相对强度（p = 0.005）的增加。然而，在身体组成和其他身体功能测量、单腿站立和TUG测试中没有观察到明显的变化。结论：在社区老年人中，为期12周的力量训练计划显著改善了他们的身体功能和力量，以及坐立5倍测试和力量训练。

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引用次数: 0

Osteopathic manipulative treatment, pain neuroscience education and clinical hypnosis as pain management interventions in chronic low back pain: a randomized sham-controlled feasibility pilot trial 骨科手法治疗、疼痛神经科学教育和临床催眠作为慢性腰痛疼痛管理干预：一项随机、假对照的可行性试点试验

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-24 DOI: 10.1016/j.jbmt.2025.12.032

Guilherme Luis Santana Luchesi , Anne Kastelianne França da Silva , Thais Cristina Chaves , Fabrício José Jassi

Background

Interventions for chronic low back pain (CLBP), such as pain neuroscience education (PNE), clinical hypnosis (CH), and osteopathic manipulative treatment (OMT), encounter barriers due to their subjective nature, which hinders their implementation in clinical practice.

Aim

To evaluate the implementation effectiveness of association of PNE, CH and OMT on pain and disability in low back pain patients compared to PNE, CH, and sham therapy.

Methods

37 patients were randomized into two groups: G1 - PNE and CH associated with OMT (n = 19); and G2 – PNE and CH but associated with a simulated therapy (n = 18). All groups underwent four 50-min sessions (7-day intervals). Primary outcomes were pain intensity and disability. All patients were evaluated before treatment, after the last session and 4 weeks from the end of the procedures (follow-up). Linear mixed models with repeated-measures analysis and random effect models were used to assess between-group differences.

Results

A significant reduction in pain was observed at both time points and in both groups. The intra-group pain improvement effect was Very Large in both groups (OMT d = 4.80; SHAM d =2.18). However, the OMT group maintained significantly lower pain values at follow-up (p = 0.001). Furthermore, only the OMT group showed a Very Large perception of improvement (d= 1.67) at both points (p = 0.005). Regarding disability, both groups improved (Very large for OMT, d = 1.89), but a significantly higher number of OMT group reported minimal disability after treatment (p = 0.009).

Conclusion

The protocol effectively improved pain, perception of improvement, and disability in patients treated with OMT, PNE, and CH, with PNE and CH also reducing pain and enhancing subjective perceptions.

慢性腰痛（CLBP）的干预措施，如疼痛神经科学教育（PNE）、临床催眠（CH）和整骨疗法手法治疗（OMT），由于其主观性而遇到障碍，阻碍了其在临床实践中的实施。目的评价PNE、CH和OMT联合治疗对腰痛患者疼痛和残疾的影响，并与PNE、CH和假治疗进行比较。方法37例患者随机分为两组：G1 - PNE组和伴有OMT的CH组（n = 19）；G2 - PNE和CH，但与模拟治疗相关（n = 18）。所有组均进行4次50分钟的疗程（间隔7天）。主要结局是疼痛强度和残疾。所有患者在治疗前、最后一次治疗后和治疗结束后4周（随访）进行评估。采用重复测量分析的线性混合模型和随机效应模型评估组间差异。结果两组患者在两个时间点均能明显减轻疼痛。两组间疼痛改善效果均非常大（OMT d = 4.80; SHAM d =2.18）。然而，在随访中，OMT组保持了明显较低的疼痛值（p = 0.001）。此外，只有OMT组在两个点上表现出非常大的改善知觉（d= 1.67）（p = 0.005）。在残疾方面，两组均有改善（OMT的改善非常大，d = 1.89），但OMT组在治疗后报告最小残疾的人数显著增加（p = 0.009）。结论该方案有效改善了OMT、PNE和CH治疗患者的疼痛、改善感觉和残疾，PNE和CH也减轻了疼痛并增强了主观感觉。

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引用次数: 0

Influence of a tailored preventive program on injury incidence and time loss in elite gymnastics athletes: a retrospective cohort study over five seasons 量身定制的预防方案对精英体操运动员受伤发生率和时间损失的影响：一项超过五个赛季的回顾性队列研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-24 DOI: 10.1016/j.jbmt.2025.12.029

Mariana Chaves Weschenfelder , Natália Franco Netto Bittencourt , Cassia Elen Cesar Pereira , Mario Bizzini , Luciana De Michelis Mendonça

Background

Gymnastics includes high-intensity movements such as tumbling, twisting, and hard landings that imposes a high mechanical load on the musculoskeletal system. Evidence indicates that prevention programs were effective in reducing overall injury rates, however preventive programs for gymnasts have not yet been investigated.

Objective

Verify the influence of a tailored preventive program on injury incidence and time loss in elite gymnastics athletes over five seasons.

Methods

This retrospective cohort study was conducted in one Brazilian sports club. Registered data corresponding to five 12-month seasons were analyzed, with an average of 71 male and female athletes. Data were divided into two groups: the first comprised of data from athletes who performed a general injury prevention program (IPP), the second comprised of data from athletes who performed a tailored IPP. Relative risk (RR) and Mann-Whitney tests were used to analyze the data on injury incidence and time loss, respectively.

Results

In total, 162 injuries were recorded, with 101 injuries in the group with a general IPP and 61 injuries in the tailored IPP group. A significant reduction in RR was observed (RR = 0.402; 95 % confidence interval, 0.291–0.552; P<0.0001) in the tailored IPP group, reducing the injury incidence rate by 59.7 %. When the tailored IPP was applied, days of time loss were reduced by 53.7 %.

Conclusion

The tailored IPP was effective in reducing the incidence rate of injuries and decreasing time loss in elite gymnastics athletes compared to the general IPP.

体操包括高强度运动，如翻滚、扭转和硬着陆，这些运动对肌肉骨骼系统施加了很高的机械负荷。有证据表明，预防项目在降低整体受伤率方面是有效的，然而，对体操运动员的预防项目尚未进行调查。目的验证量身定制的预防方案对优秀体操运动员5个赛季损伤发生率和时间损失的影响。方法在巴西一家体育俱乐部进行回顾性队列研究。对5个12个月赛季的注册数据进行了分析，平均有71名男女运动员。数据被分为两组：第一组由执行一般伤害预防计划（IPP）的运动员的数据组成，第二组由执行定制IPP的运动员的数据组成。采用相对危险度（RR）检验和Mann-Whitney检验分别分析损伤发生率和时间损失数据。结果共记录损伤162例，其中普通IPP组101例，定制IPP组61例。定制IPP组的RR显著降低（RR = 0.402； 95%可信区间0.291-0.552;P<0.0001），损伤发生率降低59.7%。当采用定制的IPP时，时间损失减少了53.7%。结论与普通IPP相比，量身定制的IPP能有效降低优秀体操运动员的损伤发生率和减少时间损失。

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引用次数: 0

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-20 DOI: 10.1016/j.jbmt.2025.12.022

Hudson R. de Paula-Oliveira , Weverton Rufo-Tavares , Claudio A.B. de Lira , Marilia S. Andrade , Beat Knechtle , Katja Weiss , Morteza Taheri , Thais Russomano , Lucas L. Galvão , Martoni M. Sampaio , Rodrigo L. Vancini

Objective

This cross-sectional study aimed to delineate the isokinetic shoulder strength profile of amateur Brazilian wheelchair basketball athletes (WBA).

Methods

The study cohort comprised 22 WBAs (10 women, mean age 38.4 ± 6.6 years; 12 men, mean age 36.1 ± 6.3 years). Isokinetic evaluations were conducted using a Biodex System 4 isokinetic electromechanical dynamometer, focusing on concentric/concentric bilateral isokinetic exercises for both dominant and non-dominant shoulder joints, specifically targeting internal and external rotations. Descriptive statistics were employed alongside paired and unpaired Student's t-tests for data analysis.

Results

The findings revealed that male athletes dedicated 52.1 % more time to wheelchair basketball practice compared to their female counterparts. Most participants had spinal cord injuries, predominantly located between thoracic vertebrae T4 and T12, with functional classifications ranging from 3 to 4. Analysis of isokinetic strength differences between sexes indicated that men exhibited significantly greater shoulder strength across various speeds and metrics, including absolute maximum torque, relative maximum torque, and average power for both external and internal rotations at angular velocities of 60 and 240° per second. Notably, no significant correlation was observed between isokinetic strength variables and functional classification.

Conclusions

In summary, this study highlights significant sex-based disparities in isokinetic shoulder strength among WBAs, with male athletes demonstrating superior shoulder strength across multiple parameters. These findings underscore the necessity for sex-specific training and rehabilitation programs to optimize athletic performance and injury prevention in wheelchair basketball.

目的：本横断面研究旨在描述巴西业余轮椅篮球运动员（WBA）的等速肩部力量特征。方法纳入22例临床药师（女性10例，平均年龄38.4±6.6岁；男性12例，平均年龄36.1±6.3岁）。使用Biodex System 4等速机电测功机进行等速运动评估，重点关注优势和非优势肩关节的同心/同心双侧等速运动，特别是针对内部和外部旋转。描述性统计与配对和非配对学生t检验一起用于数据分析。结果研究结果显示，男性运动员在轮椅篮球训练上的时间比女性运动员多52.1%。大多数参与者有脊髓损伤，主要位于T4和T12胸椎之间，功能分类从3到4不等。对两性等速力量差异的分析表明，男性在不同的速度和指标下表现出更大的肩膀力量，包括绝对最大扭矩、相对最大扭矩和角速度为60°/秒和240°/秒的外部和内部旋转的平均功率。值得注意的是，等速强度变量与功能分类之间没有明显的相关性。综上所述，本研究强调了WBAs在等速肩力量方面存在显著的性别差异，男性运动员在多个参数上都表现出更强的肩力量。这些发现强调了针对性别的训练和康复计划的必要性，以优化轮椅篮球的运动表现和伤害预防。

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引用次数: 0

Exploring the optimal rest interval between repeated electromyographic measurements of maximal voluntary isometric contraction in lumbopelvic muscles 探索腰骨盆肌最大自主等距收缩重复肌电测量之间的最佳休息间隔

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-19 DOI: 10.1016/j.jbmt.2025.12.030

Seon-yul Kim , Duck-won Oh , Bon-il Ku

Maximal voluntary isometric contraction (MVIC) is commonly used to normalize surface electromyography (EMG) data, enabling consistent and meaningful comparisons across muscles and individuals. However, insufficient rest intervals may compromise muscle function during repeated MVICs, potentially reducing EMG reliability. This study aimed to determine the optimal rest interval required for the recovery of lumbopelvic muscle activity following MVIC and whether muscle activity patterns differ across individual muscles under varying rest intervals. Twenty-two healthy young adults performed MVICs of the erector spinae, multifidus, gluteus maximus, rectus femoris, and biceps femoris muscles in standardized positions. Surface EMG was recorded, with rest intervals of 30, 45, 60, and 120 s randomly assigned between trials. Significant time × rest interval interactions were observed for all muscles (p < 0.05), with notable pre-to post-test differences in the 30- and 45-s rest conditions. Effect sizes (η²_p) ranged from 0.37 to 0.55, indicating large effects for the time × rest interval interaction. In contrast, no significant interaction was found between rest interval condition and muscle (F = 0.82, p = 0.63), suggesting consistent activity patterns across muscles. These findings indicate that a rest period of at least 60 s is required to restore lumbopelvic muscle activity to baseline levels after MVIC, thereby enhancing the reliability of EMG-based assessments in both research and clinical settings.

最大自愿等长收缩（MVIC）通常用于规范表面肌电图（EMG）数据，使肌肉和个体之间的比较保持一致和有意义。然而，在重复的mvic中，休息时间不足可能会损害肌肉功能，潜在地降低肌电图的可靠性。本研究旨在确定MVIC术后腰骨盆肌肉活动恢复所需的最佳休息时间，以及不同休息时间下单个肌肉的肌肉活动模式是否不同。22名健康的年轻成人以标准体位对竖脊肌、多裂肌、臀大肌、股直肌和股二头肌进行mvic。记录表面肌电图，试验之间随机分配休息时间30、45、60和120秒。所有肌肉均观察到显著的时间与休息间隔相互作用（p < 0.05），在30秒和45秒的休息条件下，测试前后差异显著。效应大小（η2p）在0.37 ~ 0.55之间，表明时间×休息间隔相互作用的影响很大。相比之下，休息间隔条件和肌肉之间没有发现显著的相互作用（F = 0.82, p = 0.63），表明肌肉的活动模式一致。这些研究结果表明，MVIC后腰骨盆肌肉活动需要至少60秒的休息时间才能恢复到基线水平，从而提高了研究和临床环境中基于肌电图评估的可靠性。

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引用次数: 0

Changes in BMI, lipid profile, disease perception, and quality of life among myocardial infarction patients participating in a 12-week green walking: A quasi-experimental study 参加12周绿色步行的心肌梗死患者的BMI、血脂、疾病感知和生活质量的变化：一项准实验研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-19 DOI: 10.1016/j.jbmt.2025.12.025

Aynur Cin , Sevilay Hintistan

Objective

This study assessed the 12-week intervention of green walking on BMI, blood lipids, disease perception, and quality of life among myocardial infarction patients.

Methods

In a quasi-experimental design, 60 participants (28 men, 32 women; aged 36–77 years) were assigned to intervention (green walk) or control (routine care) groups based on geographic convenience. The green walking group performed high-intensity interval walking for 50 min three times a week in a natural setting for 12 weeks. Adherence was monitored via attendance logs, with a mean of 91.7 % (SD 7.1 %). Primary outcomes included BMI and lipid profiles, while secondary outcomes included perceived illness and quality of life, assessed through validated questionnaires. A mixed-design model incorporating time-group interaction was used for analysis. Data were analyzed using mixed-design ANOVA, repeated-measures ANOVA, paired t-tests, Friedman tests, and Wilcoxon tests.

Results

The green walk group showed improvements in several measures including a reduction in BMI and positive changes in lipid profiles and disease perception scores with enhanced quality of life for both groups. The mean differences between groups for weight, BMI, and concerns over medication were not significant. No severe adverse events were recorded during the entire 12-week program.

Conclusions

Participation in the green walking program for 12 weeks is associated with favorable trends in BMI, lipid levels, disease perception, and quality of life among myocardial infarction patients which structured green walking can be an aid toward improving well-being during cardiac rehabilitation; however further randomized controlled studies will substantive such an association.

目的评价绿色步行12周后对心肌梗死患者BMI、血脂、疾病感知和生活质量的影响。方法采用准实验设计，60名参与者（28名男性，32名女性，年龄36-77岁）根据地理便利程度分为干预组（绿色步行）和对照组（常规护理）。绿色步行组在自然环境中进行高强度间歇步行，每周三次，每次50分钟，持续12周。通过考勤记录监测依从性，平均为91.7% （SD为7.1%）。主要结果包括BMI和脂质谱，而次要结果包括通过有效问卷评估的感知疾病和生活质量。采用混合设计模型进行分析。数据分析采用混合设计方差分析、重复测量方差分析、配对t检验、Friedman检验和Wilcoxon检验。结果：绿色步行组在几项指标上都有改善，包括BMI的降低、脂质谱和疾病感知评分的积极变化，两组的生活质量都有所提高。两组之间的体重、体重指数和对药物的担忧的平均差异不显著。在整个12周的计划中没有记录严重的不良事件。结论参与绿色步行12周可改善心肌梗死患者的BMI、血脂水平、疾病感知和生活质量，有组织的绿色步行有助于改善心脏康复期间的幸福感；然而，进一步的随机对照研究将证实这种关联。

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引用次数: 0

Effects of 16-week circuit training on spine structure, trunk muscle endurance, and balance in healthy women 16周循环训练对健康女性脊柱结构、躯干肌肉耐力和平衡的影响

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-19 DOI: 10.1016/j.jbmt.2025.12.031

Derya Ozer Kaya , Erhan Secer , Seyda Toprak Celenay

Objective

The present study aimed to examine the effects of circuit training (CT) on spine structure, trunk muscle endurance, and balance in healthy women.

Methods

Thirty-one healthy women [median age: 37.00 (34.00/40.00) years] were included in the study. The participants joined CT, arranged according to the recommendations of the American College of Sports Medicine, 3 days a week, an average of 40 min a day, for a total of 16 weeks. Before and after a CT, spine structure was assessed with the Spinal Mouse, trunk muscle endurance was assessed with the trunk flexion and extension endurance tests, and static balance was assessed with the Biodex Balance System. The Wilcoxon test was used to compare the pretest and posttest values within the group. The significance level (α) was set at 0.05.

Results

Following 16-week CT, the posture and mobility scores improved with large (1.06, 1.18, respectively) effect sizes (p = 0.002, p < 0.001, respectively). No positive effects on postural competency (p = 0.486), trunk flexor and extensor muscle endurance (p = 0.318, p = 0.572, respectively), and static balance eyes-open and eyes-closed (overall, anteroposterior, mediolateral) (p = 0.517, p = 0.173, p = 0.922, p = 0.925, p = 0.404, p = 0.196, respectively) were observed.

Conclusion

A 16-week CT effectively improved static posture and general mobility in healthy women, yet its observed lack of impact on postural competency, trunk muscle endurance, and balance suggests that future exercise interventions should integrate more targeted and specific components to achieve comprehensive physical fitness adaptations.

目的探讨循环训练（CT）对健康女性脊柱结构、躯干肌肉耐力和平衡的影响。方法健康女性31例，中位年龄37.00（34.00/40.00）岁。参与者按照美国运动医学学院的建议参加CT，每周3天，平均每天40分钟，共16周。CT前后用Spinal Mouse评估脊柱结构，用躯干屈伸耐力测试评估躯干肌肉耐力，用Biodex balance System评估静态平衡。使用Wilcoxon检验比较组内测试前和测试后的值。显著性水平（α）设为0.05。结果16周CT后，姿势和活动能力评分均有显著改善（分别为1.06,1.18），效应量较大（p = 0.002, p < 0.001）。对体位能力（p = 0.486）、躯干屈肌和伸肌耐力（p = 0.318, p = 0.572）、静态平衡睁眼和闭眼（整体、前后、中外侧）（p = 0.517, p = 0.173, p = 0.922, p = 0.925, p = 0.404, p = 0.196）均无显著影响。结论16周CT有效改善了健康女性的静态姿势和一般活动能力，但对姿势能力、躯干肌肉耐力和平衡缺乏影响，提示未来的运动干预应结合更有针对性和特异性的成分，以实现全面的体能适应。

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引用次数: 0

Effects of strength training on morphological changes of lipodystrophy in people living with HIV: A quasi-experimental non-randomized controlled trial 力量训练对HIV患者脂肪营养不良形态学改变的影响：一项准实验非随机对照试验

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-18 DOI: 10.1016/j.jbmt.2025.12.026

Wlaldemir Roberto dos Santos , Walmir Romário dos Santos , Pedro Pinheiro Paes , Klaudia Emanuela Ramos Tenório , Talita Morais Fernandes , Ana Paula Morais Fernandes

Background

Lipodystrophy syndrome in people living with HIV (PLHIV) is an adverse effect of antiretroviral therapy (ART), characterized by morphological changes that contribute to the social stigma associated with the disease.

Purpose

The aim of the study was to investigate the effects of a strength training intervention on the morphological changes associated with lipodystrophy in PLHIV.

Methods

This quasi-experimental, non-randomized controlled trial was conducted over 12 weeks with 40 PLHIV (70 % male), divided into Training (TG) and Control (CG) groups (20 each). Participants were HIV-positive, had lipodystrophy, were on ART, over 18 years old, and inactive for at least three months. The TG completed 12 weeks of strength training (36 sessions), assessed by DXA and anthropometry, while the CG was evaluated on the same variables before and after the period. Comparative statistical analyses were performed.

Results

Strength training significantly reduced fat mass in the upper limbs (−4.5 %; p = 0.049) and lower limbs (−8.6 %; p = 0.036), and abdominal circumference (−0.7 %; p = 0.039). Total lean mass increased by 4.6 % (p = 0.007), with significant increases in the upper limbs (+5.7 %; p = 0.001) and trunk (+4.9 %; p = 0.006). Participants with less ART exposure showed greater increases in lean mass in the upper limbs (+5.2 %; p = 0.002) and trunk (5.6 %; p = 0.008). No significant changes were observed in the CG.

Conclusion

Strength training improved body composition in PLHIV with lipodystrophy, especially those with less ART exposure. Further studies are needed to assess early interventions.

艾滋病毒感染者（PLHIV）的脂肪营养不良综合征是抗逆转录病毒治疗（ART）的一种不良反应，其特征是形态改变，导致与该疾病相关的社会耻辱感。目的研究力量训练干预对PLHIV患者与脂肪营养不良相关的形态学改变的影响。方法采用准实验、非随机对照试验方法，将40例PLHIV患者（男性占70%）分为训练组（TG）和对照组（CG），各20例，为期12周。参与者为艾滋病毒阳性，脂肪营养不良，接受抗逆转录病毒治疗，年龄超过18岁，至少三个月不活动。TG完成了12周的力量训练（36次），通过DXA和人体测量进行评估，而CG在此期间前后对相同的变量进行评估。进行比较统计分析。结果力量训练显著降低了上肢脂肪量（- 4.5%,p = 0.049）和下肢脂肪量（- 8.6%,p = 0.036）和腹围（- 0.7%,p = 0.039）。总瘦体重增加4.6% (p = 0.007)，上肢（+ 5.7%;p = 0.001）和躯干（+ 4.9%;p = 0.006）显著增加。接受较少ART治疗的参与者上肢（+ 5.2%,p = 0.002）和躯干（5.6%,p = 0.008）瘦质量增加较多。CG未见明显变化。结论力量训练可改善PLHIV伴脂肪营养不良患者的体成分，尤其是抗逆转录病毒治疗较少的患者。需要进一步的研究来评估早期干预措施。

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引用次数: 0

Functional and structural effects of local vs. global motor control training: An ultrasound-based study on deep abdominal muscles 局部与全局运动控制训练的功能和结构影响：一项基于超声的深腹肌研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-16 DOI: 10.1016/j.jbmt.2025.12.028

Katarzyna Szuścik-Niewiadomy , Paweł Niewiadomy , Oskar Stana , Michał Nowak

Background

Trunk stabilization is essential in rehabilitation and sports training, relying on anticipatory activation of deep trunk muscles like the transverse abdominis.

Objectives

This study assessed the effects of 4-week motor control training programs (global and local) on lateral abdominal wall muscle thickness and functional parameters.

Methods

Fifty-eight participants were enrolled, and forty-eight (35 women, 13 men) completed the study. Inclusion criteria were: age 18–40 years, BMI ≤29.9, and no contraindications to training. Participants were randomly assigned to global training (GT), local training (LT), or control (CG). The intervention lasted four weeks, with GT using a Pressure Biofeedback Stabilizer and LT using sonofeedback. Muscle thickness was assessed by ultrasound, trunk mobility with Fingertip-to-Floor and Sit-and-Reach tests, and jump performance via CMJ. Statistical analyses used Wilcoxon and Kruskal–Wallis tests.

Results

Global training (GT) significantly increased lateral abdominal muscle thickness (TrA: +0.7 cm, IO: +0.1 cm, EO: +0.06 cm; p < 0.01) and showed greater improvements in combined abdominal muscle thickness than both LT and CG. Local training (LT) demonstrated a near-significant increase in transverse abdominis thickness (+0.3 cm; p = 0.07). No significant changes were observed in trunk mobility or jump performance (p > 0.05). Ultrasound transducer positioning (parallel vs. perpendicular) affected measurement reliability for oblique muscles.

Conclusions

Global training led to hypertrophic changes in lateral abdominal muscles. Local training showed a trend toward increased transverse abdominis thick-ness but without statistical significance. Ultrasound measurements may be less reliable when the transducer is positioned parallel to the body midline.

背景躯干稳定在康复和运动训练中是必不可少的，它依赖于深躯干肌肉如腹横肌的预期激活。目的：本研究评估为期4周的运动控制训练计划（整体和局部）对侧腹壁肌肉厚度和功能参数的影响。方法共纳入58名受试者，其中48人（女性35人，男性13人）完成了研究。纳入标准为：年龄18-40岁，BMI≤29.9，无训练禁忌症。参与者被随机分配到全局训练（GT）、局部训练（LT）或对照组（CG）。干预持续了四周，GT使用压力生物反馈稳定器，LT使用声反馈。肌肉厚度通过超声评估，躯干活动能力通过指尖到地板和静坐和伸展测试，并通过CMJ评估跳跃性能。统计分析采用Wilcoxon和Kruskal-Wallis检验。结果整体训练（GT）显著增加了外侧腹肌厚度（TrA: +0.7 cm, IO: +0.1 cm, EO: +0.06 cm; p < 0.01），且综合腹肌厚度的改善明显大于LT和CG。局部训练（LT）显示腹横厚度几乎显著增加（+0.3 cm; p = 0.07）。躯干活动能力和跳跃性能无显著变化（p > 0.05）。超声换能器定位（平行与垂直）影响斜肌测量的可靠性。结论全面训练导致大鼠侧腹肌肥厚改变。局部训练有增加横腹厚度的趋势，但无统计学意义。当换能器与身体中线平行放置时，超声测量可能不太可靠。

{"title":"Functional and structural effects of local vs. global motor control training: An ultrasound-based study on deep abdominal muscles","authors":"Katarzyna Szuścik-Niewiadomy , Paweł Niewiadomy , Oskar Stana , Michał Nowak","doi":"10.1016/j.jbmt.2025.12.028","DOIUrl":"10.1016/j.jbmt.2025.12.028","url":null,"abstract":"<div><h3>Background</h3><div>Trunk stabilization is essential in rehabilitation and sports training, relying on anticipatory activation of deep trunk muscles like the transverse abdominis.</div></div><div><h3>Objectives</h3><div>This study assessed the effects of 4-week motor control training programs (global and local) on lateral abdominal wall muscle thickness and functional parameters.</div></div><div><h3>Methods</h3><div>Fifty-eight participants were enrolled, and forty-eight (35 women, 13 men) completed the study. Inclusion criteria were: age 18–40 years, BMI ≤29.9, and no contraindications to training. Participants were randomly assigned to global training (GT), local training (LT), or control (CG). The intervention lasted four weeks, with GT using a Pressure Biofeedback Stabilizer and LT using sonofeedback. Muscle thickness was assessed by ultrasound, trunk mobility with Fingertip-to-Floor and Sit-and-Reach tests, and jump performance via CMJ. Statistical analyses used Wilcoxon and Kruskal–Wallis tests.</div></div><div><h3>Results</h3><div>Global training (GT) significantly increased lateral abdominal muscle thickness (TrA: +0.7 cm, IO: +0.1 cm, EO: +0.06 cm; p < 0.01) and showed greater improvements in combined abdominal muscle thickness than both LT and CG. Local training (LT) demonstrated a near-significant increase in transverse abdominis thickness (+0.3 cm; p = 0.07). No significant changes were observed in trunk mobility or jump performance (p > 0.05). Ultrasound transducer positioning (parallel vs. perpendicular) affected measurement reliability for oblique muscles.</div></div><div><h3>Conclusions</h3><div>Global training led to hypertrophic changes in lateral abdominal muscles. Local training showed a trend toward increased transverse abdominis thick-ness but without statistical significance. Ultrasound measurements may be less reliable when the transducer is positioned parallel to the body midline.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 555-563"},"PeriodicalIF":1.4,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789934","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

The long head of the biceps brachii muscle is lengthened by compression in the proximal and distal regions 在近端和远端压迫肱二头肌的长头

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-12-16 DOI: 10.1016/j.jbmt.2025.12.027

Hiyu Mukai , Masahide Yagi , Junya Saeki , Jun Umehara , Ko Yanase , Taiga Noda , Hiroshige Tateuchi , Noriaki Ichihashi

Introduction

Manual compression to a muscle, such as massage, is applied clinically to lengthen the muscle. By manual compression, a pennate muscle, the gastrocnemius muscle, is lengthened in the region proximal to the compression point and shortened in the distal region. Although the mechanical response to manual compression is probably different between a pennate muscle and a fusiform muscle, no study has investigated it in a fusiform muscle. The aim of this study was to clarify the lengthening of a fusiform muscle by applying compression using shear wave elastography.

Method

Twenty healthy young men participated in this study. The shear modulus of the long head of the biceps brachii muscle was evaluated in the regions proximal and distal to the compression point, with and without compression. A split-plot analysis of variance was performed to compare the shear modulus, where the factors were ‘measurement region (proximal, distal)’ and ‘condition (with and without compression).’

Result

The significant main effect of ‘condition’ was found, and the shear modulus with compression was higher than that without compression (p < 0.01). No significant main effect of ‘measurement region’ or interaction was found (p = 0.50 and 0.13, respectively).

Conclusion

The long head of the biceps brachii muscle, one of the fusiform muscles, may be lengthened by compression in the regions proximal and distal to the compression point, which was different from a pennate muscle. Furthermore, the lengthening of the muscle owing to compression may occur to the same extent in both regions.

临床应用手动按压肌肉，如按摩，以延长肌肉。通过手动压迫，在压迫点的近端区域，翼状肌即腓肠肌被拉长，在远端区域被缩短。尽管鞭状肌和梭状肌对手动压迫的机械反应可能不同，但没有研究对梭状肌进行过研究。本研究的目的是通过应用剪切波弹性成像来阐明梭状肌的延长。方法20名健康青年男性参与本研究。评估肱二头肌长头在受压点近端和远端区域的剪切模量，有无受压。进行分裂图方差分析以比较剪切模量，其中因素是“测量区域（近端，远端）”和“条件（有和没有压缩）”。结果“状态”的主效应显著，压缩后的剪切模量高于未压缩时的剪切模量（p < 0.01）。没有发现“测量区域”或相互作用的显著主效应（p分别= 0.50和0.13）。结论作为梭状肌的一种，肱二头肌的长头可通过压迫点近端和远端区域的压迫而延长，这与矢状肌不同。此外，由于压迫导致的肌肉延长可能在两个区域出现相同程度。

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引用次数: 0