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Rehabilitation of back pain with laser associated with negative or positive pressure massage in workers: A randomized controlled trial 用激光配合负压或正压按摩治疗工人背痛:随机对照试验
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-17 DOI: 10.1016/j.jbmt.2024.11.032
Danielle Izabel Assis Chaves, Marco Antonio Carneiro de Jesus, Gabriella Dalarmi de Menezes, Lúcio Marques Vieira Souza, Gustavo Henrique Gonçalves, Fernanda Rossi Paolillo

Background and purpose

Work-related musculoskeletal disorders (WMSDs) are an array of conditions affecting the human locomotor system, such as muscles, tendons, nerves, bones, and joints. It is related to physiological, kinesiological and biomechanical changes which result in pain, paresthesia, inflammation, weakness, tiredness, heaviness in limbs, fatigue, reduced range of motion and/or compression of peripheral nerves. The aim of this study was to investigate the therapeutic effects of positive (massage gum) or negative pressure (vacuum therapy) combined with laser on the health of workers with back pain, investigating pain intensity, shoulder mobility, spinal flexibility, life quality, and well-being.

Methods

Twenty-one workers (female and male) aged between 20 and 60 years and who had medical referral for pain complaint in low back, neck and shoulders due to WMSDs participated in this study and were randomized into 3 groups: (1) Positive Pressure plus Laser Group (PPL): positive pressure using a massage gun was applied after the laser; (2) Negative Pressure plus Laser Group (NPL): negative pressure by vacuum was applied together with the laser and; (3) Control group (CG): without positive and negative pressure treatments or laser therapy. All workers received an educational booklet with postural orientation and suggestions focused on stretching exercises. Anamnesis, visual analogue scale (VAS) to assess pain intensity, and functional tests to assess spine flexibility and shoulders mobility were performed. Quality of life and well-being also were evaluated. The regions of lumbar, thoracic and cervical spine were treated once a week, totaling seven sessions.

Results

The main result was a reduced pain and an increased spinal flexibility, shoulders mobility, and quality of life in the PPL and NPL groups compared to the CG (p < 0.05). Furthermore, NPL showed better results compared to PPL (p < 0.05) for lumbar and cervical pain, as well as for right shoulder mobility.

Conclusion

Therefore, laser combined with negative pressure massage was more effective in reducing lumbar and cervical pain and increasing shoulder mobility compared to positive pressure massage in workers.
背景和目的与工作有关的肌肉骨骼疾病(WMSDs)是一系列影响人体运动系统(如肌肉、肌腱、神经、骨骼和关节)的疾病。它与生理、运动学和生物力学变化有关,导致疼痛、麻痹、发炎、虚弱、疲倦、肢体沉重、疲劳、活动范围减小和/或压迫周围神经。本研究旨在调查正压(按摩胶)或负压(真空疗法)结合激光对背痛工人健康的治疗效果,调查疼痛强度、肩部活动度、脊柱灵活性、生活质量和幸福感。方法21名年龄在20至60岁之间,因腰背、颈部和肩部疼痛而就诊的工人(女性和男性)参加了这项研究,并被随机分为3组:(1)正压加激光组(PPL):在激光治疗后使用按摩枪进行正压;(2)负压加激光组(NPL):在激光治疗的同时使用真空负压;(3)对照组(CG):不进行正负压治疗或激光治疗。所有工人都收到了一本教育手册,其中包括姿势指导和以伸展运动为主的建议。此外,还进行了病史、视觉模拟量表(VAS)以评估疼痛强度,以及功能测试以评估脊柱灵活性和肩部活动度。此外,还对生活质量和幸福感进行了评估。结果与 CG 相比,PPL 和 NPL 组的主要结果是疼痛减轻,脊柱灵活性、肩部活动度和生活质量提高(P < 0.05)。结论因此,与正压按摩相比,激光结合负压按摩能更有效地减轻工人的腰椎和颈椎疼痛,增加肩部活动度。
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引用次数: 0
Effect of pain neuroscience education+ (PNE+) in people with different mechanisms of chronic pain: A systematic review and meta-analysis 疼痛神经科学教育+ (PNE+)对不同机制慢性疼痛患者的影响:系统回顾和荟萃分析
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-17 DOI: 10.1016/j.jbmt.2024.11.016
Sripada Pallavi Tatikola , Venkatesh Natarajan , Sampath Kumar Amaravadi , Venkata Krishnaveni Desai , Adlyne Reena Asirvatham , Ravishankar Nagaraja

Background

Chronic pain poses a multifaceted and prevalent challenge that significantly affects an individual’s quality of life. Sensory mechanisms, behavioural components (kinesiophobia and catastrophising), and social factors can influence pain perception in both younger and older populations. Moreover, the mechanisms underlying these altered pain phenotypes require further investigation in order to plan appropriate treatment. While Pain Neuroscience Education (PNE) has proven effective in managing chronic pain and previous research has been conducted on PNE physiotherapeutic techniques, there remains insufficient evidence on the efficacy of these adjunctive treatments.

Objective

The objective of the present systematic review and meta-analysis was to evaluate the evidence for the efficacy of PNE + PT (PNE+) on pain as a primary outcome and 12 other psychosocial variables as secondary outcomes in patients with different pain mechanisms, and whether PNE+ could be applied to painful diabetic neuropathy.

Methods

A thorough literature search was conducted in the database Scopus, MEDLINE/PubMed, ScienceDirect, CINAHL, and Web of Science, using keywords like “Pain Neuroscience Education”, and “Chronic Pain” from 2010 to 2024 based on inclusion and exclusion criteria. Twenty of the 2558 studies that underwent screening qualified for a meta-analysis and 24 of them for a systematic review. Cochrane Risk of Bias 2 was used to assess the quality of the studies. Forest plots were generated using the Revman 5.3 software.

Results

Studies that predominantly addressed central sensitization and neuropathic pain demonstrated moderate-to good-quality evidence. The review findings indicate that PNE+ is effective in reducing experienced pain intensity and experienced pain interference on the Visual Analogue Scale (VAS: SMD -0.70, 95% CI -1.26 to −0.14), Numerical Pain Rating Scale (NPRS SMD -1.71, 95% CI -2.34 to −1.08), reduced kinesiophobia (Tampa scale of Kinesiophobia: SMD -5.29, 95% CI -7.33 to −3.25), and catastrophizing (pain catastrophizing scale: −3.82, 95% CI -6.44 to −1.21).

Conclusion

PNE + has been found to be an effective intervention for reducing perceived pain experience, pain interference and other psychosocial variables in the management of chronic pain with different pain mechanisms. Most studies have focused on central sensitization, urging future research to explore PNE+ efficacy in neuropathic pain, such as painful diabetic neuropathy.

PROSPERO registration number

CRD42023451101.
慢性疼痛是一个多方面和普遍的挑战,严重影响个人的生活质量。感觉机制、行为成分(运动恐惧症和灾难化)和社会因素可以影响年轻人和老年人的疼痛感知。此外,这些改变的疼痛表型背后的机制需要进一步调查,以便计划适当的治疗。虽然疼痛神经科学教育(PNE)已被证明在管理慢性疼痛方面是有效的,并且先前的研究已经对PNE物理治疗技术进行了研究,但这些辅助治疗的有效性仍然缺乏证据。目的本系统综述和meta分析的目的是评估PNE+ PT (PNE+)对不同疼痛机制患者疼痛作为主要结局和其他12个社会心理变量作为次要结局的疗效证据,以及PNE+是否可以应用于疼痛性糖尿病神经病变。方法采用2010 - 2024年的文献检索方法,在Scopus、MEDLINE/PubMed、ScienceDirect、CINAHL、Web of Science等数据库中检索“Pain Neuroscience Education”、“Chronic Pain”等关键词,根据纳入和排除标准进行文献检索。在接受筛选的2558项研究中,有20项符合荟萃分析的要求,其中24项符合系统评价的要求。采用Cochrane Risk of Bias 2评价研究质量。使用Revman 5.3软件生成森林样地。结果主要针对中枢致敏和神经性疼痛的研究显示了中等到高质量的证据。回顾结果表明,PNE+在视觉模拟量表(VAS: SMD -0.70, 95% CI -1.26至- 0.14)、数值疼痛评定量表(NPRS SMD -1.71, 95% CI -2.34至- 1.08)、运动恐惧症(坦帕运动恐惧症量表:SMD -5.29, 95% CI -7.33至- 3.25)和灾难化(疼痛灾难化量表:- 3.82,95% CI -6.44至- 1.21)上有效降低了经历过的疼痛强度和经历过的疼痛干扰。结论pne +在治疗不同疼痛机制的慢性疼痛时,可有效减少疼痛感知体验、疼痛干扰及其他心理社会变量。大多数研究都集中在中枢致敏上,促使未来的研究探索PNE+对神经性疼痛的疗效,如疼痛性糖尿病神经性病变。普洛斯彼罗注册号crd42023451101。
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引用次数: 0
Is Mat pilates effective in lower limb strength and hand grip strength of people with Parkinson’s? A randomized clinical trial with follow-up Mat 普拉提对帕金森患者的下肢力量和手部握力有效吗?随访随机临床试验
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-16 DOI: 10.1016/j.jbmt.2024.11.004
Mainaluá Santana Martinazzo, Adriana Coutinho de Azevedo Guimarães, Jessica Moratelli, Priscila Rodrigues Gil

Introduction

Parkinson's disease can contribute to the loss of muscle strength, and physical exercise such as Mat Pilates can be effective in improving this, core stability, flexibility, and muscle control.

Objective

To analyze the effects of a 12-week intervention with Mat Pilates in the short and long term, on lower limb and hand grip strength in people with Parkinson's.

Methods

The study included 23 people (61.7 ± 7.5 years) of both sexes, diagnosed with Parkinson's disease who were selected according to inclusion criteria and divided into intervention and control groups.

Results

The hand grip variable showed improvement in the intervention group intragroup only in the right hand (p = 0.003) in the post-intervention period. In the lower limb strength variable, there was significance in the extension of the left leg both in the intervention intragroup (p = 0.042), and in the control group (p = 0.001) the result in the flexion of the left leg in the intervention group (p = 0.032). The follow-up data showed significance in the strength of extension of the right leg in the intervention group (p = 0.049) and in the control group (p = 0.024) and in the extension of the left leg in the intervention group (p = 0.021).

Conclusion

Mat Pilates classes for people with Parkinson's with mild and moderate degrees proved to be effective in the short term in the hand grip strength of the right hand, and in the extension and flexion of the left legs, and positive effects in the long term in the strength of extension of the right also left legs.
简介:帕金森病可导致肌肉力量的丧失,而 Mat Pilates 等体育锻炼可有效改善肌肉力量、核心稳定性、灵活性和肌肉控制能力。目的 分析为期 12 周的 Mat Pilates 短期和长期干预对帕金森病患者下肢和手部握力的影响。结果干预组的手部握力变量显示,干预组在组内只有右手在干预后有所改善(P = 0.003)。在下肢力量变量中,干预组内的左腿伸展能力(p = 0.042)和对照组的左腿屈曲能力(p = 0.001)均有显著改善,而干预组的左腿屈曲能力(p = 0.032)也有显著改善。随访数据显示,干预组(p = 0.049)和对照组(p = 0.024)的右腿伸展强度以及干预组(p = 0.021)的左腿伸展强度均有显著性差异。结论事实证明,为轻度和中度帕金森患者开设的垫上普拉提课程对右手的握力、左腿的伸展和屈曲有短期效果,对右腿和左腿的伸展强度也有长期积极影响。
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引用次数: 0
Evaluation of short-term functional mobility outcomes in patients with traumatic lower limb amputations: A prospective cohort study in India 评估外伤性下肢截肢患者的短期功能活动能力:印度前瞻性队列研究
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-15 DOI: 10.1016/j.jbmt.2024.11.015
Uttam Chand Saini , Sushant Soni , Aseem Mehra , B.U. Shubhankar , Arjit Bansal , Neha Suri , Himanshu Bhayana

Background

Traumatic amputation of the lower limb is a significant life-changing event. It is associated with substantial functional disability.

Objective

To assess the serial improvement in functional mobility outcomes after the rehabilitation provided to traumatic unilateral lower limb amputee (TULLA) over 6 months of follow-up.

Methods

It is a prospective observational cohort study including 106 TULLA performed in a tertiary care trauma center in North India from January 2021 to December 2021. Patients were followed up at 2 weeks, 3 months and 6 months post-surgery in the focused amputee clinic, where functional mobility care was provided by physical rehabilitation and prosthesis application and patients were evaluated using the Locomotors Capabilities Index (LCI-5) and L-Test of functional mobility.

Results

There was a significant improvement in LCI-5 and L-Test from discharge to follow-up. The mean overall LCI-5 scores were 14.68 ± 6.56, 28.29 ± 9.04 and 42.77 ± 8.94 at 2 weeks, 3 months and 6 months respectively. The mean L-test for overall individuals with limb loss (N = 100) at discharge, 2 weeks, 3 months and 6 months were 178.41 ± 49.62, 126.98 ± 37.76, 98.39 ± 30.09 and 72.82 ± 21.03 respectively. Further, a subgroup analysis showed a significant improvement in LCI-5 and L-test in individuals with above-knee and below-knee limb loss with prostheses compared to those without prostheses.

Conclusion

Our multidisciplinary approach helps to improve functional mobility outcomes among TULLA. Focused amputee clinics are the need of the hour to achieve successful functional mobility following amputation.
背景外伤性下肢截肢是改变人生的重大事件,与严重的功能障碍有关。方法 这是一项前瞻性观察性队列研究,包括 2021 年 1 月至 2021 年 12 月在北印度一家三级医疗创伤中心进行的 106 例单侧下肢创伤性截肢(TULLA)患者。患者在术后2周、3个月和6个月在重点截肢者门诊接受随访,门诊通过物理康复和假肢应用提供功能移动护理,并使用运动机能指数(LCI-5)和功能移动能力L-测试对患者进行评估。2周、3个月和6个月时的LCI-5平均总分分别为(14.68 ± 6.56)、(28.29 ± 9.04)和(42.77 ± 8.94)。所有肢体缺失患者(N = 100)在出院、2周、3个月和6个月时的L-test平均值分别为(178.41 ± 49.62)、(126.98 ± 37.76)、(98.39 ± 30.09)和(72.82 ± 21.03)。此外,亚组分析显示,与无假肢者相比,膝上和膝下肢体缺失者的LCI-5和L-test均有显著改善。要想在截肢后成功实现功能性移动,当务之急是开设重点截肢者诊所。
{"title":"Evaluation of short-term functional mobility outcomes in patients with traumatic lower limb amputations: A prospective cohort study in India","authors":"Uttam Chand Saini ,&nbsp;Sushant Soni ,&nbsp;Aseem Mehra ,&nbsp;B.U. Shubhankar ,&nbsp;Arjit Bansal ,&nbsp;Neha Suri ,&nbsp;Himanshu Bhayana","doi":"10.1016/j.jbmt.2024.11.015","DOIUrl":"10.1016/j.jbmt.2024.11.015","url":null,"abstract":"<div><h3>Background</h3><div>Traumatic amputation of the lower limb is a significant life-changing event. It is associated with substantial functional disability.</div></div><div><h3>Objective</h3><div>To assess the serial improvement in functional mobility outcomes after the rehabilitation provided to traumatic unilateral lower limb amputee (TULLA) over 6 months of follow-up.</div></div><div><h3>Methods</h3><div>It is a prospective observational cohort study including 106 TULLA performed in a tertiary care trauma center in North India from January 2021 to December 2021. Patients were followed up at 2 weeks, 3 months and 6 months post-surgery in the focused amputee clinic, where functional mobility care was provided by physical rehabilitation and prosthesis application and patients were evaluated using the Locomotors Capabilities Index (LCI-5) and L-Test of functional mobility.</div></div><div><h3>Results</h3><div>There was a significant improvement in LCI-5 and L-Test from discharge to follow-up. The mean overall LCI-5 scores were 14.68 ± 6.56, 28.29 ± 9.04 and 42.77 ± 8.94 at 2 weeks, 3 months and 6 months respectively. The mean L-test for overall individuals with limb loss (N = 100) at discharge, 2 weeks, 3 months and 6 months were 178.41 ± 49.62, 126.98 ± 37.76, 98.39 ± 30.09 and 72.82 ± 21.03 respectively. Further, a subgroup analysis showed a significant improvement in LCI-5 and L-test in individuals with above-knee and below-knee limb loss with prostheses compared to those without prostheses.</div></div><div><h3>Conclusion</h3><div>Our multidisciplinary approach helps to improve functional mobility outcomes among TULLA. Focused amputee clinics are the need of the hour to achieve successful functional mobility following amputation.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"41 ","pages":"Pages 115-120"},"PeriodicalIF":1.2,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706253","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
Effect of visual biofeedback on fine motor function and activity daily of life in stroke patients: A pilot study 视觉生物反馈对中风患者精细运动功能和日常生活活动的影响:试点研究
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-12 DOI: 10.1016/j.jbmt.2024.11.011
Zahra Goodarzi , Ali Asghar Jamebozorgi , Ashkan Irani , Alireza Akbarzadeh Baghban , Aliyeh Daryabor

Introduction

Many stroke patients suffer from dysfunction in their upper limbs, which can lead to difficulties in performing activities of daily living (ADL) as well as social and work interactions. This is particularly true for patients whose dominant side has been affected. The aim of the current study was to explore how effective visual biofeedback could improve fine motor function in the hand and ADL for people suffering from a stroke.

Methods

Ten individuals who had experienced a stroke with aged from 60 to 74 years old (mean: 64.3 years) were randomly divided into two groups. Patients in study group (n: 5) received 15 sessions of visual biofeedback therapy along with routine occupational therapy. Control group (n: 5) received only routine occupational therapy. Fine motor function was measured by Fugl Meyer Scale (FMS), box and block test (BBT), and Purdue pegboard test (PPBT). Also, ADL was measured by functional independence measure (FIM). These clinical outcomes were evaluated before, after, and 1.5 months following the interventions.

Results

The results showed that the study group experienced a significant increase in fine motor function after receiving visual biofeedback, compared to the control group. The ADL also improved in both the study and control groups after the intervention, but there was no significant difference between the two groups during the intervention and follow-up stages for ADL.

Conclusion

It seems that combining biofeedback with routine occupational therapy could be a promising method to enhance fine motor function in individuals with stroke.
导言许多中风患者都有上肢功能障碍,这可能导致他们在日常生活(ADL)、社交和工作互动中遇到困难。对于优势侧受到影响的患者来说尤其如此。本研究旨在探讨视觉生物反馈如何有效改善中风患者的手部精细运动功能和日常活动能力。方法将 10 名年龄在 60-74 岁(平均 64.3 岁)的中风患者随机分为两组。研究组(5 人)接受 15 次视觉生物反馈疗法和常规职业疗法。对照组(5 人)仅接受常规职业疗法。精细运动功能通过 Fugl Meyer 量表(FMS)、方块测试(BBT)和普渡钉板测试(PPBT)进行测量。此外,日常活动能力通过功能独立性测量法(FIM)进行测量。结果表明,与对照组相比,研究组在接受视觉生物反馈治疗后,精细运动功能显著增强。干预后,研究组和对照组的 ADL 也都有所改善,但在干预和随访阶段,两组的 ADL 没有明显差异。
{"title":"Effect of visual biofeedback on fine motor function and activity daily of life in stroke patients: A pilot study","authors":"Zahra Goodarzi ,&nbsp;Ali Asghar Jamebozorgi ,&nbsp;Ashkan Irani ,&nbsp;Alireza Akbarzadeh Baghban ,&nbsp;Aliyeh Daryabor","doi":"10.1016/j.jbmt.2024.11.011","DOIUrl":"10.1016/j.jbmt.2024.11.011","url":null,"abstract":"<div><h3>Introduction</h3><div>Many stroke patients suffer from dysfunction in their upper limbs, which can lead to difficulties in performing activities of daily living (ADL) as well as social and work interactions. This is particularly true for patients whose dominant side has been affected. The aim of the current study was to explore how effective visual biofeedback could improve fine motor function in the hand and ADL for people suffering from a stroke.</div></div><div><h3>Methods</h3><div>Ten individuals who had experienced a stroke with aged from 60 to 74 years old (mean: 64.3 years) were randomly divided into two groups. Patients in study group (n: 5) received 15 sessions of visual biofeedback therapy along with routine occupational therapy. Control group (n: 5) received only routine occupational therapy. Fine motor function was measured by Fugl Meyer Scale (FMS), box and block test (BBT), and Purdue pegboard test (PPBT). Also, ADL was measured by functional independence measure (FIM). These clinical outcomes were evaluated before, after, and 1.5 months following the interventions.</div></div><div><h3>Results</h3><div>The results showed that the study group experienced a significant increase in fine motor function after receiving visual biofeedback, compared to the control group. The ADL also improved in both the study and control groups after the intervention, but there was no significant difference between the two groups during the intervention and follow-up stages for ADL.</div></div><div><h3>Conclusion</h3><div>It seems that combining biofeedback with routine occupational therapy could be a promising method to enhance fine motor function in individuals with stroke.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"41 ","pages":"Pages 109-114"},"PeriodicalIF":1.2,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706252","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
A new field-test for assessing the medial and lateral hamstring strength at long-muscle length 用于评估长肌肉长度下腿筋内侧和外侧力量的新现场测试
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-12 DOI: 10.1016/j.jbmt.2024.11.013
A. Ferré , F. Delvaux , C. Schwartz , J.-L. Croisier
This research investigates the influence of tibial rotations with knee flexion (KF) on the electromyographic (EMG) activities of hamstring muscles (HM) groups and the strength ratio between the medial and lateral rotation of the tibia. A cross-sectional design was employed to assess muscle activity, isometric strength and reliability. The research was conducted in a controlled laboratory environment. Thirty-six amateur male athletes were recruited as volunteers. The measures included peak muscle activity of the semitendinosus and biceps femoris long head, the knee flexors’ isometric strength ratio and reliability. The isometric strength ratios of medial (MR) to lateral (LR) tibial rotations were 0.94 ± 0.17 at 90°, and 0.93 ± 0.10 at both 60° and 30° of KF angulation. Tibial position significantly influenced knee flexion strength as well as HM activity, irrespective of KF angulation. Specifically, biceps femoris activity increased by 33.6% in LR compared to MR, while semitendinosus activity increased by 22.6% in MR compared to LR. The Knee-Rotation test (KR-test) can be a valuable tool for evaluating both HM groups (ICC >0.87), and identifying the primary target for strengthening purposes during the injury prevention process. It provides insights for effective rehabilitation and training interventions.
本研究调查了膝关节屈曲(KF)时胫骨旋转对腿束肌群(HM)肌电图(EMG)活动以及胫骨内侧和外侧旋转力量比值的影响。研究采用横断面设计来评估肌肉活动、等长力量和可靠性。研究在受控实验室环境中进行。招募了 36 名业余男性运动员作为志愿者。测量包括半腱肌和股二头肌长头的峰值肌肉活动、膝关节屈肌的等长力量比和可靠性。胫骨内侧(MR)与外侧(LR)旋转的等长力量比在 90° 时为 0.94 ± 0.17,在 KF 成角 60° 和 30° 时均为 0.93 ± 0.10。无论 KF 角度如何,胫骨位置都会对膝关节屈曲力量和 HM 活动产生重大影响。具体而言,与 MR 相比,LR 的股二头肌活动增加了 33.6%,而与 LR 相比,MR 的半腱肌活动增加了 22.6%。膝关节旋转测试(KR-test)是评估两组 HM 的重要工具(ICC >0.87),也是在预防损伤过程中确定主要强化目标的重要工具。它为有效的康复和训练干预提供了启示。
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引用次数: 0
Impact of strength training on reducing risk of fractures in people living with Human Immunodeficiency virus 力量训练对降低人类免疫缺陷病毒感染者骨折风险的影响
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-09 DOI: 10.1016/j.jbmt.2024.11.012
Wlaldemir Roberto dos Santos , Walmir Romário dos Santos , Pedro Pinheiro Paes , Talita Morais Fernandes , Ana Paula Morais Fernades

Background

The progression of HIV and prolonged antiretroviral therapy (ART) lead to secondary changes in patients, such as reduced bone mineral density (BMD), which increases the susceptibility to fractures and, consequently, the associated morbidity and mortality.

Purpose

The study aimed to assess the impact of strength training on the risk of fractures in people living with Human Immunodeficiency Virus (PLHIV).

Methods

Sixteen HIV-positive men with lipodystrophy syndrome, under ART, aged 40–70 years, inactive for three months, were included. They underwent 12 weeks of strength training (36 sessions) and were evaluated before and after for fracture risk and femoral neck BMD using FRAX (Fracture Risk Assessment) and DXA (Dual-energy X-ray Absorptiometry), respectively, along with body composition. Comparative statistical analyses were conducted.

Results

The results showed a reduction in the risk of major fractures by 24.79% (p = 0.009) and of femoral neck fractures by 72.85% (p = 0.004). There was a significant increase in femoral neck BMD by 11.69% (p = 0.001) and in the T-score by 7.94% (p = 0.002), inversely correlating with fracture risk. Total muscle mass increased by 3.79% (p = 0.011) and lower limb bone mass by 3.55% (p = 0.028), positively correlating with BMD and T-score.

Conclusion

It was concluded that a short period of training (12 weeks) reduced the risk of fractures in PLHIV. However, further research is needed to support evidence-based clinical practices.
背景HIV的发展和长期抗逆转录病毒疗法(ART)导致患者发生继发性变化,如骨矿物质密度(BMD)降低,从而增加了骨折的易感性,并因此增加了相关的发病率和死亡率。他们接受了为期 12 周的力量训练(36 次),训练前后分别使用 FRAX(骨折风险评估)和 DXA(双能 X 射线吸收测定法)对骨折风险和股骨颈 BMD 以及身体成分进行了评估。结果显示,重大骨折风险降低了 24.79%(P = 0.009),股骨颈骨折风险降低了 72.85%(P = 0.004)。股骨颈 BMD 明显增加了 11.69% (p = 0.001),T 评分增加了 7.94% (p = 0.002),与骨折风险成反比。总肌肉量增加了 3.79% (p = 0.011),下肢骨量增加了 3.55% (p = 0.028),与 BMD 和 T 评分呈正相关。然而,还需要进一步的研究来支持循证临床实践。
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引用次数: 0
Is physical exercise effective in improving pain, functional mobility and quality of life in individuals with hip osteoarthritis? A systematic review with meta-analysis 体育锻炼能否有效改善髋关节骨关节炎患者的疼痛、功能活动能力和生活质量?系统回顾与荟萃分析
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-09 DOI: 10.1016/j.jbmt.2024.11.010
Suziany dos Santos Caduda , Talita Santos Andrade , Mayara Alves Menezes , Talita Leite dos Santos Moraes , Igor Borges Silva , Jader Pereira de Farias Neto , Walderi Monteiro da Silva Junior

Objective

To evaluate the effectiveness of physical exercise and its implications on pain, functional mobility (FM) and quality of life (QoL) in individuals with isolated hip osteoarthritis (HO).

Design

Intervention systematic review.

Literature search

Pubmed, Embase, CINAHL, CENTRAL (Cochrane) and PEDro were searched for studies evaluating the effect of exercise on pain, FM and QoL in people with HO from the first publication until August 2022.

Study selection criteria

Two reviewers independently assessed studies for inclusion and quality of evidence. We included randomized controlled trials on HO where the intervention was physical exercise compared with the control group (exercise different from the intervention or no intervention).

Data synthesis

Available data were analyzed using meta-analysis when comparison was possible. Otherwise, the data were synthesized qualitatively. The quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach.

Results

Seven trials were identified. Low-quality evidence indicated that there was no significant difference between the mixed exercise versus no intervention groups in the meta-analysis for pain and QoL in short term. Low-quality evidence indicated that low-intensity resistance exercise showed a statistically significant difference when compared to high-intensity resistance exercise in terms of pain, and very low-quality evidence indicated that there was no significant difference regarding functional mobility, both in short term.

Conclusion

New clinical trials with methodological rigor should be carried out to investigate the effectiveness of physical exercise in individuals with HO and which is the most effective modality in pain, FM and QoL for future clinical decision-making.
目的评估体育锻炼的有效性及其对孤立性髋关节骨性关节炎(HO)患者的疼痛、功能活动度(FM)和生活质量(QoL)的影响.设计干预性系统综述.文献检索检索Pubmed、Embase、CINAHL、CENTRAL(Cochrane)和PEDro,检索自首次发表至2022年8月期间评估体育锻炼对HO患者的疼痛、FM和QoL影响的研究.研究筛选标准两位审稿人独立评估研究的纳入情况和证据质量.我们纳入了对HO进行干预的随机对照试验,这些试验的干预措施是体育锻炼与对照组(不同于干预措施的锻炼或无干预措施)进行比较。否则,对数据进行定性综合。采用 "建议评估、制定和评价分级 "方法对证据质量进行评估。低质量证据表明,在荟萃分析中,混合运动组与无干预组在短期疼痛和 QoL 方面没有显著差异。低质量的证据表明,在疼痛方面,低强度阻力运动与高强度阻力运动相比有显著的统计学差异;在短期功能活动度方面,极低质量的证据表明两者没有显著差异。
{"title":"Is physical exercise effective in improving pain, functional mobility and quality of life in individuals with hip osteoarthritis? A systematic review with meta-analysis","authors":"Suziany dos Santos Caduda ,&nbsp;Talita Santos Andrade ,&nbsp;Mayara Alves Menezes ,&nbsp;Talita Leite dos Santos Moraes ,&nbsp;Igor Borges Silva ,&nbsp;Jader Pereira de Farias Neto ,&nbsp;Walderi Monteiro da Silva Junior","doi":"10.1016/j.jbmt.2024.11.010","DOIUrl":"10.1016/j.jbmt.2024.11.010","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of physical exercise and its implications on pain, functional mobility (FM) and quality of life (QoL) in individuals with isolated hip osteoarthritis (HO).</div></div><div><h3>Design</h3><div>Intervention systematic review.</div></div><div><h3>Literature search</h3><div>Pubmed, Embase, CINAHL, CENTRAL (Cochrane) and PEDro were searched for studies evaluating the effect of exercise on pain, FM and QoL in people with HO from the first publication until August 2022.</div></div><div><h3>Study selection criteria</h3><div>Two reviewers independently assessed studies for inclusion and quality of evidence. We included randomized controlled trials on HO where the intervention was physical exercise compared with the control group (exercise different from the intervention or no intervention).</div></div><div><h3>Data synthesis</h3><div>Available data were analyzed using meta-analysis when comparison was possible. Otherwise, the data were synthesized qualitatively. The quality of the evidence was assessed using the <em>Grading of Recommendations Assessment, Development and Evaluation approach.</em></div></div><div><h3>Results</h3><div>Seven trials were identified. Low-quality evidence indicated that there was no significant difference between the mixed exercise versus no intervention groups in the meta-analysis for pain and QoL in short term. Low-quality evidence indicated that low-intensity resistance exercise showed a statistically significant difference when compared to high-intensity resistance exercise in terms of pain, and very low-quality evidence indicated that there was no significant difference regarding functional mobility, both in short term.</div></div><div><h3>Conclusion</h3><div>New clinical trials with methodological rigor should be carried out to investigate the effectiveness of physical exercise in individuals with HO and which is the most effective modality in pain, FM and QoL for future clinical decision-making.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"41 ","pages":"Pages 121-130"},"PeriodicalIF":1.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706254","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 impact of protocol designs for using massage guns on lower body flexibility: A randomised cross-over design study 使用按摩枪的方案设计对下半身灵活性的影响:随机交叉设计研究
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-07 DOI: 10.1016/j.jbmt.2024.11.014
Lorna Sams, Ben L. Langdown, Joan Simons, Jitka Vseteckova

Introduction

Current protocols for delivering percussive therapy (PT) using massage guns are heterogeneous creating a need to establish the impact of study design on physiological measures. This cross-over design study aimed to determine the most effective protocol, among the eight protocols examined, on lower body flexibility, and to support the provision of protocol validation for future research.

Method

Recreationally active healthy adults (n = 35) undertook two main protocols; three sessions per week at 2100 rpm or increasing the speed from session-to-session: 1750 to 2100–2400 rpm. PT was applied for 60 s to each of the quadriceps, gluteals, hamstrings and calves of both legs. Paired-samples t-tests assessed pre- and post-intervention data for hip flexion and ankle dorsi-flexion range of motion (ROM). These were collected in all sessions using a digital goniometer allowing changes for eight different protocols to be examined.

Results

Results showed the most effective protocol, among the eight protocols examined, for achieving significant gains in lower body flexibility is applying massage gun PT three times a week with increased speeds across sessions (1750–2100–2400 rpm), with average increases for the combined dominant and non-dominant legs of 5.8% for hip flexion and 5.6% ankle dorsiflexion.

Conclusions

Practitioners and the public using this protocol could target specific improvements in hip flexion and ankle dorsi-flexion ROM and researchers may wish to adopt this protocol to allow homogenous analysis across study populations in future research.
引言目前使用按摩枪进行冲击疗法(PT)的方案多种多样,因此需要确定研究设计对生理指标的影响。这项交叉设计研究旨在确定所研究的八种方案中对下半身灵活性最有效的方案,并为未来研究提供方案验证支持。方法:从事娱乐活动的健康成年人(n = 35)采用两种主要方案:每周三次以 2100 rpm 的速度或逐次提高速度:从 1750 rpm 到 2100-2400 rpm。对两条腿的股四头肌、臀肌、腘绳肌和小腿各进行 60 秒钟的运动训练。对干预前后的髋关节屈曲和踝关节背屈运动范围(ROM)数据进行了配对样本 t 检验。结果表明,在所研究的八种方案中,最有效的方案是每周三次使用按摩枪 PT,并在各次训练中提高速度(1750-2100-2400 转/分钟),从而显著提高下半身柔韧性。结论使用该方案的从业人员和公众可以有针对性地改善髋关节屈曲和踝关节背屈的 ROM,研究人员不妨采用该方案,以便在未来的研究中对不同的研究人群进行同质分析。
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引用次数: 0
Acute dose-response effect of photobiomodulation therapy on muscle performance in female futsal players: A randomized, double-blind, placebo-controlled, crossover study 光生物调节疗法对女子五人制足球运动员肌肉表现的急性剂量反应效应:随机、双盲、安慰剂对照、交叉研究
IF 1.2 Q3 REHABILITATION Pub Date : 2024-11-07 DOI: 10.1016/j.jbmt.2024.11.006
Jayne Maria Borim , Sérgio Marques Borghi , Ana Paula do Nascimento , Adriano Valmozino da Silva , Alex Silva Ribeiro , Juliano Casonatto , Cleber Ferraresi , Andreo Fernando Aguiar

Background

Photobiomodulation therapy (PBMT) has recently been indicated as a potential therapeutic strategy in diverse health and sports contexts. However, its efficacy on muscle performance in female futsal players remains unknown. The purpose of this study was to investigate the dose-response effect of PBMT on muscle performance in female futsal players.

Methods

In a crossover design, fifteen female futsal athletes (age: 18–30 years) were randomized to receive 1 of 4 PBMT conditions (placebo, 300, 900, and 1260 J [J]) on four occasions, separated by a 2-wk washout period. PBMT treatments were applied on the quadriceps muscle of both legs using a device containing 200 light-emitting diodes (LEDs), immediately before the following tests: countermovement jump (CMJ) (i.e., flight time as indicator of muscle power), maximum voluntary isometric contraction (MVIC) for the leg extension exercise (i.e., muscle strength), and 3 sets of repetitions-to-failure (i.e., local muscular endurance) for the 45° leg press exercise, with recording of rating of perceived exertion (RPE) after each set. The fatigue index was determined by the number of repetitions between sets 1 and 3.

Results

No significant differences were found between the PBMT conditions for the maximum number of repetitions (p = 0.899), RPE (time p < 0.0001; interaction p = 0.653), fatigue index (p = 0.835), muscle power (p = 0.789), and isometric peak and mean torque (p = 0.776 and 0.537, respectively).

Conclusion

Different doses of acute PBMT with LEDs do not improve muscle performance (endurance, power, and strength) and RPE in female futsal players.
背景光生物调控疗法(PBMT)最近被认为是一种潜在的治疗策略,适用于各种健康和运动领域。然而,它对女子五人制足球运动员肌肉表现的疗效仍然未知。本研究的目的是调查 PBMT 对女子五人制足球运动员肌肉表现的剂量反应效应。方法采用交叉设计,15 名女子五人制足球运动员(年龄:18-30 岁)被随机分配到 4 种 PBMT 条件(安慰剂、300、900 和 1260 J [J])中的一种,接受 4 次治疗,中间有 2 周的冲洗期。在进行以下测试之前,使用含有 200 个发光二极管(LED)的装置对双腿股四头肌进行 PBMT 治疗:反运动跳跃(CMJ)(即以飞行时间作为肌肉力量的指标)、飞行时间,作为肌肉力量的指标)、伸腿运动的最大自主等长收缩(MVIC)(即肌肉力量)和 45°压腿运动的 3 组重复到失败(即局部肌肉耐力),并在每组后记录感知用力评分(RPE)。结果在最大重复次数(p = 0.899)、RPE(时间 p < 0.0001;交互作用 p = 0.653)、疲劳指数(p = 0.结论使用 LED 的不同剂量急性 PBMT 不能改善女子五人制足球运动员的肌肉表现(耐力、力量和强度)和 RPE。
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引用次数: 0
期刊
JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
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