JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献_第3页

The association between physical activity and assisted care use among Chinese older adults 中国老年人身体活动与辅助护理使用的关系

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-10-31 DOI: 10.1016/j.jbmt.2025.10.048

Yueyue You , Yujian Zhang

Background

This study investigated the association between physical activity (PA) and informal assisted care use and the number of days of informal assisted care use in older Chinese adults.

Methods

Data were drawn from 4 waves (2011, 2013, 2015, and 2018) of the China Health and Retirement Longitudinal Study. In total, 2603 participants (≥60 years) at the baseline participated at least once in the follow-up examinations. PA was measured by a modified version of the International Physical Activity Questionnaire. Informal assisted care use and the number of days of informal assisted care use was measured by a self-reported questionnaire. The generalized estimated equation logistic regression was used to model the associations between PA and informal assisted care use and the number of days of informal assisted care use.

Results

From baseline to wave 4, 46.4 %, 51.3 %, 52.6 % and 59.0 % of participants had insufficient PA (i.e. not meeting WHO recommendations for PA), and the percentage of participants who used informal assisted care was 15.3 %, 25.8 %, 31.5 % and 35.5 %, respectively. The results showed that participants who had insufficient PA had higher odds of informal assisted care use (OR: 1.60; 95 % CI: 1.28, 1.99) and more days of informal assisted care use (≥30 days: OR: 2.19; 95 % CI: 1.64, 2.93) than those who had sufficient PA.

Conclusions

Insufficient PA is associated with more informal assisted care use and more days of informal assisted care use. More studies are needed to understand the impact of physical activity on informal assisted care demands among older adults.

本研究探讨了中国老年人身体活动（PA）与非正式辅助护理使用和非正式辅助护理使用天数的关系。方法数据来源于2011年、2013年、2015年和2018年4期中国健康与退休纵向研究。在基线时，共有2603名参与者（≥60岁）至少参加了一次随访检查。PA采用改良版的国际体育活动问卷进行测量。非正式辅助护理的使用和使用非正式辅助护理的天数通过自我报告的问卷进行测量。使用广义估计方程逻辑回归来模拟PA与非正式辅助护理使用和非正式辅助护理使用天数之间的关联。结果从基线到第4波，46.4%、51.3%、52.6%和59.0%的参与者PA不足（即不符合WHO推荐的PA），使用非正式辅助护理的参与者比例分别为15.3%、25.8%、31.5%和35.5%。结果显示，与PA充足的参与者相比，PA不足的参与者使用非正式辅助护理的几率更高（OR: 1.60; 95% CI: 1.28, 1.99），使用非正式辅助护理的天数更长（≥30天：OR: 2.19; 95% CI: 1.64, 2.93）。结论PA不足与更多的非正式辅助护理使用和更多的非正式辅助护理使用天数有关。需要更多的研究来了解身体活动对老年人非正式辅助护理需求的影响。

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引用次数: 0

Trends in the use of Baduanjin for improving sleep quality: a visual analysis 八段锦用于改善睡眠质量的趋势：视觉分析

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-03 DOI: 10.1016/j.jbmt.2025.10.045

Junpu Wu, Xinyan Chen, Yue Chen, Xiang Li, Huaichi Zhang, Yinan Fan, Xiangyu Ma, Xin Jin

This systematic review synthesizes evidence from Chinese and international studies on Baduanjin——a traditional mind-body practice——and its effects on sleep quality. Employing Citespace software, we mapped research trends, hotspots, and emerging trajectories within this literature. After screening thousands of records, 517 studies met the inclusion criteria for analysis. Publication output exhibits a dramatic upward trajectory, beginning with sparse activity before 2013, accelerating post-2013, spiking sharply after 2018, and peaking in 2023. China dominated as the primary research hub, driven by institutions specializing in traditional Chinese medicine which also formed robust collaborative networks. Key themes identified through keyword co-occurrence analysis include associations between Baduanjin, mental health, emotional states, combined interventions (e.g., with resistance training), and underlyling physiological mechanisms related to improved sleep. These findings offer crucial insights for researchers and funders guiding future investigations in this expanding field.

这篇系统综述综合了中国和国际上关于八段锦（一种传统的身心练习）及其对睡眠质量影响的研究证据。利用Citespace软件，我们绘制了这篇文献中的研究趋势、热点和新兴轨迹。在筛选了数千份记录后，517项研究符合纳入分析标准。发表量呈现出戏剧性的上升轨迹，从2013年之前的少量活动开始，2013年之后加速，2018年之后急剧飙升，2023年达到峰值。在中医专业机构的推动下，中国成为主要的研究中心，这些机构也形成了强大的合作网络。通过关键词共现分析确定的关键主题包括八段锦、心理健康、情绪状态、联合干预（如抗阻训练）以及与改善睡眠相关的潜在生理机制之间的关联。这些发现为研究人员和资助者在这一不断扩大的领域指导未来的研究提供了重要的见解。

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引用次数: 0

From hands-on to family-on: Task-Shifting manual therapy techniques in post-stroke neuroplasticity - A retrospective comparative analysis of the Cogni-Famille protocol 从动手到家庭：脑卒中后神经可塑性的任务转移手工治疗技术-对Cogni-Famille协议的回顾性比较分析

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-04 DOI: 10.1016/j.jbmt.2025.10.052

Ibrahim Npochinto Moumeni PT, MSc, MSc, MSc, MSc, PhD, Osteopath DO , Njikam Moumeni Abdel-Nasser , Tchuidjio Ketchogué Bristher Horlister , Michael Temgoua , Yakouba Njankouo Mapoure

Background

Manual therapy techniques have demonstrated efficacy in post-stroke rehabilitation through neuroplastic mechanisms, yet accessibility remains limited by specialist availability. Family-centered task-shifting approaches may democratize manual therapy delivery while amplifying therapeutic intensity.

Objective

Objective: To evaluate the effectiveness of structured family training in manual therapy techniques for post-stroke recovery through the innovative Cogni-Famille protocol, with primary outcome measured by Montreal Cognitive Assessment (MoCA) score changes and functional independence (Barthel Index).

Methods

Retrospective comparative cohort study analyzing 13 post-stroke patients receiving family-delivered manual therapy training (25-h structured program, March 2024–June 2025) versus 13 historical controls receiving conventional therapy (December 2022–January 2024).

Results

Significant improvements in MoCA scores (+5.8 ± 2.1 vs +2.1 ± 1.3 points, p < 0.001, effect size 2.1), functional independence (85 % vs 46 %, p = 0.02), Zarit caregiver burden reduction (−18.3 ± 4.7 vs −6.2 ± 3.1, p < 0.001), and Modified Ashworth Scale spasticity improvement (−2.1 ± 0.8 vs −0.7 ± 0.6, p < 0.001). Task-shifting model achieved 94 % family certification rate with zero serious adverse events. Cost reduction of 68 % (742€ vs 2310€, p < 0.001).

Conclusions

Structured family training in manual therapy techniques achieves superior outcomes through neuroplastic amplification via intensive, culturally-adapted delivery. This model offers scalable solutions for global stroke rehabilitation while maintaining safety and therapeutic effectiveness.

背景：手工治疗技术通过神经可塑性机制在脑卒中后康复中已被证明有效，但其可及性仍然受到专家可用性的限制。以家庭为中心的任务转移方法可以使手工治疗的提供民主化，同时放大治疗强度。目的：以蒙特利尔认知评估（MoCA）评分变化和功能独立性（Barthel指数）为主要指标，通过创新的Cogni-Famille方案评估结构化家庭训练在脑卒中后手工治疗技术中的有效性。方法回顾性比较队列研究分析13例脑卒中后患者接受家庭提供的手工治疗培训（25小时结构化方案，2024年3月- 2025年6月）与13例接受常规治疗的历史对照组（2022年12月- 2024年1月）。结果MoCA评分（+5.8±2.1分vs +2.1±1.3分，p < 0.001，效应量2.1）、功能独立性（85% vs 46%, p = 0.02）、Zarit照顾者负担减轻（- 18.3±4.7分vs - 6.2±3.1分，p < 0.001）和改良Ashworth量表痉挛改善（- 2.1±0.8分vs - 0.7±0.6分，p < 0.001）均有显著改善。任务转移模型达到94%的家庭认证率，零严重不良事件。成本降低68%（742欧元vs 2310欧元，p < 0.001）。结论有组织的家庭手工治疗技术培训，通过强化的、文化适应的传递，实现神经可塑性放大，达到更好的效果。该模型为全球卒中康复提供可扩展的解决方案，同时保持安全性和治疗有效性。

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引用次数: 0

Blood pressure responses after different interval configurations in aerobic exercise: a systematic review in adolescents and adults with type-1 diabetes 有氧运动中不同间隔配置后的血压反应：1型糖尿病青少年和成人的系统回顾

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-20 DOI: 10.1016/j.jbmt.2025.11.025

José Adevalton Feitosa Gomes , Reginaldo Luiz do Nascimento , Jorge Luiz de Brito Gomes

Rationale

Individuals with type 1 diabetes mellitus (T1DM) may present with hypertension. Aerobic exercise could induce post-exercise hypotension. However, the clinical and ambulatory blood pressure responses may vary depending on the exercise prescription.

Objective

To verify the acute and chronic effect on blood pressure after different aerobic exercise intervals in type-1 diabetics.

Methods

A systematic review following the PRISMA protocol in Pubmed, Scielo, and Medline databases. The TESTEX scale was used to assess the methodological study quality (n = 6). Participants (control group): 35 adolescents and 51 adults (their own control). Acutely: No statistical post-exercise hypotension was found among the studies with clinical analysis, except one for adults performing interval exercise. Additionally, descriptively, three studies shown reduced mean values (∼0.1–10 mmHg in systolic pressure) after 20 or 30 min for adults. A single ambulatory analysis with T1DM adolescents showed a variation of ∼1 mmHg in systolic and diastolic after 24h and the daytime: 118 ± 10 and 71 ± 7 and nighttime mean: 112 ± 11 and 64 ± 9 mmHg (P > 0.05). Chronically: A single study with moderate intensity continuous aerobic training (60 % VO₂_max) reduced ∼5.8 mmHg in systolic and ∼3 mmHg in diastolic after 12 weeks in T1DM adolescents.

Conclusion

A single moderate-intensity continuous aerobic session does not promote statistical post-exercise hypotension in adolescents but interval exercise could reduce in males with T1DM adults. However, 12 weeks of continuous aerobic training may reduce SBP significantly for adolescents. Future research should compare blood pressure responses among interval, intermittent, and continuous aerobic exercises in different T1DM ages.

1型糖尿病（T1DM）患者可能伴有高血压。有氧运动可引起运动后低血压。然而，临床和动态血压反应可能因运动处方而异。目的探讨不同有氧运动间隔时间对1型糖尿病患者血压的急、慢性影响。方法按照PRISMA协议对Pubmed、Scielo和Medline数据库进行系统评价。采用TESTEX量表评估方法学研究质量（n = 6）。参与者（对照组）：35名青少年和51名成人（自己对照）。急性：在有临床分析的研究中，除一项针对进行间歇运动的成年人的研究外，未发现有统计学意义的运动后低血压。此外，有三项描述性研究显示，成年人在20或30分钟后收缩压平均值（收缩压约0.1-10 mmHg）降低。一项针对T1DM青少年的单次动态分析显示，24小时后收缩压和舒张压变化约1 mmHg，白天为118±10和71±7，夜间平均为112±11和64±9 mmHg （P > 0.05）。慢性：一项单一研究中，中等强度的持续有氧训练（60% VO2max）在T1DM青少年中，12周后收缩压降低~ 5.8 mmHg，舒张压降低~ 3 mmHg。结论单次中等强度连续有氧运动不会促进青少年运动后低血压，但间歇运动可以降低成年男性T1DM患者的低血压。然而，12周的持续有氧训练可能会显著降低青少年的收缩压。未来的研究应该比较间歇、间歇和连续有氧运动在不同T1DM年龄的血压反应。

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引用次数: 0

Double-blind randomized control trial investigating immediate changes in pain processing measures in response to dry needling to the lumbar multifidus in an asymptomatic population 双盲随机对照试验研究在无症状人群中干针刺腰椎多裂肌后疼痛处理措施的立即变化

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-21 DOI: 10.1016/j.jbmt.2025.11.022

Logan Rodgers , Jenny Bruck , Erienne Blanchard , Joel Bialosky

Intro

Dry needling (DN) is a conservative treatment for managing low back pain. Knowledge of the mechanisms by which DN modulates pain provides insight into matching this intervention to subgroups within the low back pain population with the potential to enhance outcomes. Quantitative sensory testing (QST) is an assessment of somatosensory responses to noxious stimuli. Measuring QST pre- and post-intervention informs mechanisms through which DN modulates pain.

Methods

An asymptomatic convenience sample was recruited. Pre and post-intervention QST measures established pain sensitivity profiles. Participants were randomized to DN or sham DN to the lumbar multifidus. Participant expectations for changes in pain sensitivity were assessed immediately before and after needling. Blinding was assessed immediately after participants received the needling intervention. Repeated measures ANOVAs assessed between group by time differences and correlation coefficients assessed for factors associated with significant QST change scores.

Results

34 participants completed the study. A significant main effect of time was observed for PPT at the low back (P = 0.04, 95 % CI: 0.60;-0.01), partial eta squared 0.12. Baseline conditioned pain modulation efficiency and post-needling expectation were significantly correlated to PPT change scores at r = 0.45 (p < 0.01) and r = −0.39 (p = 0.02).

Conclusion

A significant main effect was observed in response to DN and sham DN local to the intervention site. This finding suggests peripherally mediated shared mechanisms between DN and sham DN. Baseline pain modulatory efficiency and post-intervention expectations may be indicators of individuals who will experience a greater analgesic response to needling interventions.

针刺法（DN）是治疗腰痛的一种保守疗法。通过了解DN调节疼痛的机制，可以深入了解将这种干预与腰痛人群中的亚组相匹配，从而有可能提高结果。定量感觉测试（QST）是一种评估身体对有害刺激反应的方法。通过测量干预前后的QST，可以了解DN调节疼痛的机制。方法采用无症状方便样本。干预前和干预后的QST测量建立了疼痛敏感性概况。参与者被随机分配到DN或假DN到腰椎多裂。在针刺前后立即评估参与者对疼痛敏感性变化的期望。在参与者接受针刺干预后立即评估盲法。重复测量方差分析通过时间差评估组间差异，并评估与显著QST变化评分相关的因素的相关系数。34名参与者完成了研究。观察到时间对腰背部PPT的显著主效应（P = 0.04, 95% CI: 0.60;-0.01），偏eta平方0.12。基线条件疼痛调节效率和针刺后期望与PPT改变评分显著相关，分别为r = 0.45 （p < 0.01）和r = - 0.39 （p = 0.02）。结论干预部位对DN和假性DN均有显著的主效应。这一发现提示外周介导的DN和假性DN之间的共享机制。基线疼痛调节效率和干预后预期可能是个体对针刺干预有更大镇痛反应的指标。

{"title":"Double-blind randomized control trial investigating immediate changes in pain processing measures in response to dry needling to the lumbar multifidus in an asymptomatic population","authors":"Logan Rodgers , Jenny Bruck , Erienne Blanchard , Joel Bialosky","doi":"10.1016/j.jbmt.2025.11.022","DOIUrl":"10.1016/j.jbmt.2025.11.022","url":null,"abstract":"<div><h3>Intro</h3><div>Dry needling (DN) is a conservative treatment for managing low back pain. Knowledge of the mechanisms by which DN modulates pain provides insight into matching this intervention to subgroups within the low back pain population with the potential to enhance outcomes. Quantitative sensory testing (QST) is an assessment of somatosensory responses to noxious stimuli. Measuring QST pre- and post-intervention informs mechanisms through which DN modulates pain.</div></div><div><h3>Methods</h3><div>An asymptomatic convenience sample was recruited. Pre and post-intervention QST measures established pain sensitivity profiles. Participants were randomized to DN or sham DN to the lumbar multifidus. Participant expectations for changes in pain sensitivity were assessed immediately before and after needling. Blinding was assessed immediately after participants received the needling intervention. Repeated measures ANOVAs assessed between group by time differences and correlation coefficients assessed for factors associated with significant QST change scores.</div></div><div><h3>Results</h3><div>34 participants completed the study. A significant main effect of time was observed for PPT at the low back (P = 0.04, 95 % CI: 0.60;-0.01), partial eta squared 0.12. Baseline conditioned pain modulation efficiency and post-needling expectation were significantly correlated to PPT change scores at r = 0.45 (p < 0.01) and r = −0.39 (p = 0.02).</div></div><div><h3>Conclusion</h3><div>A significant main effect was observed in response to DN and sham DN local to the intervention site. This finding suggests peripherally mediated shared mechanisms between DN and sham DN. Baseline pain modulatory efficiency and post-intervention expectations may be indicators of individuals who will experience a greater analgesic response to needling interventions.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 356-364"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618072","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

Reliability of the modified Thomas test in those with low back pain 改良Thomas试验在腰痛患者中的可靠性

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-05 DOI: 10.1016/j.jbmt.2025.10.038

Kira Eimiller PT, DPT, EdD, Adam Licata PT, DPT, August Bilotta PT, DPT, Graham Meagher PT, DPT, Sarah Lahr PT, DPT

Background

Low back pain (LBP) is a leading global health concern, contributing to disability and healthcare costs. The Modified Thomas Test (MTT) is a commonly clinical measure of hip flexor length, which may be associated with LBP. However, limited research has evaluated its reliability in populations with LBP, particularly with considerations for pelvic tilt control and examiner experience.

Objectives

Given the high prevalence of LBP, reliable assessment tools such as the MTT are essential for evaluating contributing musculoskeletal factors. This study evaluated intra- and inter-rater reliability of the MTT in individuals with LBP, using standardized pelvic tilt control to improve measurement consistency.

Design

Cross sectional reliability study.

Methods

Fifty-four participants (mean age 28.67 ± 12.45 years) with LBP (mean Modified Oswestry Disability Index [MODI] 21.2 %, SD 16.38, range 0–68 %) underwent MTT assessments. Measurements were taken bilaterally, resulting in 108 total observations. Two examiners each conducted two blinded trials per limb, ensuring neutral pelvic positioning via palpation. Intraclass Correlation Coefficients (ICCs) and Standard Errors of Measurement (SEMs) were calculated using SPSS.

Results/findings

Intra-rater reliability was good to excellent (ICC = 0.89; range: 0.858–0.906). Inter-rater reliability was strong (ICC = 0.86; range: 0.819–0.890). Participants reported low to moderate disability levels (MODI = 21 % ± 16.38; Roland-Morris Disability Questionnaire [RMDQ] = 5 % ± 5.67).

Conclusions

The MTT demonstrated good-to-excellent intra- and inter-rater reliability in individuals with LBP when pelvic tilt was standardized. These results support its use as a reliable method for assessing hip flexor length in individuals with LBP, though further research is needed to confirm reliability in populations with higher pain and disability levels.

背景：腰痛（LBP）是全球主要的健康问题，造成残疾和医疗成本。改良托马斯试验（MTT）是一种常用的临床测量髋关节屈肌长度的方法，它可能与腰痛有关。然而，有限的研究评估了其在腰痛人群中的可靠性，特别是考虑到骨盆倾斜控制和检查人员的经验。目的：考虑到腰痛的高患病率，可靠的评估工具如MTT对于评估肌肉骨骼因素至关重要。本研究使用标准化的骨盆倾斜控制来提高测量的一致性，评估LBP患者MTT的内部和内部可靠性。设计截面可靠性研究。方法54例LBP患者（平均年龄28.67±12.45岁，修正Oswestry残疾指数[MODI]平均值为21.2%，SD为16.38，范围0 ~ 68%）进行MTT评估。测量是双边进行的，总共进行了108次观察。两名检查人员分别对每条肢体进行两项盲法试验，通过触诊确保骨盆中立定位。用SPSS统计软件计算类内相关系数（ICCs）和计量标准误差（SEMs）。结果/发现sintra -rater信度为良好至优秀（ICC = 0.89；范围：0.858-0.906）。评估者间信度较强（ICC = 0.86；极差：0.819-0.890）。参与者报告低至中度残疾水平（MODI = 21%±16.38；Roland-Morris残疾问卷[RMDQ] = 5%±5.67）。结论当骨盆倾斜标准化时，MTT在腰痛患者中表现出良好到优异的内部和内部可靠性。这些结果支持其作为评估腰痛患者髋屈肌长度的可靠方法，尽管需要进一步的研究来证实其在疼痛和残疾程度较高人群中的可靠性。

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引用次数: 0

Beyond spinal stabilization: Engaging the functional core: The potential of non-invasive force sensor for clinical AWT measurement in adaptive LBP rehabilitation: A critical review 超越脊柱稳定：参与功能核心：无创力传感器用于临床AWT测量在适应性腰痛康复中的潜力：一项重要综述

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2026-01-06 DOI: 10.1016/j.jbmt.2025.12.033

Jayanta Chakraborty, Sugato Ghosh

Background and purpose

LBP remains a pain point for millions worldwide. The interplay between the opoid crisis and LBP underscores the urgent need for effective, non-pharmacological solutions. Current approaches lack precision, particularly due to the limited understanding of core muscle function and the complex anatomical, biomechanical, and physiological factors involved. This study aims to explore the potential of Non-invasive force sensing (NIFS) technologies to quantify abdominal wall tension (AWT), intra-abdominal pressure (IAP), and anterolateral abdominal wall (ALAW) activation, collectively forming the ‘AWT-IAP-ALAW’ triad. By investigating the interactions within this triad, the study hypothesizes that NIFS can provide novel insights for non-pharmacological LBP rehabilitation. The objectives include evaluating NIFS's feasibility for real-time core assessment and proposing a sensor-based LBP management paradigm.

Methods

A comprehensive critical analysis of the existing literature was performed to explore the role of ALAW in core function and evaluate the feasibility of force-sensing technology in LBP rehabilitation. Emphasis was placed on methodological soundness, dynamic measurement of AWT and IAP, and clinical integration of NIFS.

Results

Findings suggest that the ‘AWT–IAP–ALAW’ triad represents a dynamic core unit essential for spinal stabilization. The application of NIFS provides real-time, quantitative data enabling precise diagnosis, personalized treatment planning, and continuous monitoring in LBP management.

Conclusion

The integration of NIFS into LBP rehabilitation introduces a patient-centric, sensor-driven paradigm for assessing and enhancing core stability. Future research should prioritize standardization of measurement protocols and address existing technological limitations to fully realize the clinical potential of the innovative ‘AWT–IAP–ALAW’ triad framework.

背景和目的bp仍然是全世界数百万人的痛点。阿片类药物危机与LBP之间的相互作用强调了迫切需要有效的非药物解决方案。目前的方法缺乏精度，特别是由于对核心肌肉功能的理解有限，以及涉及的复杂解剖、生物力学和生理因素。本研究旨在探索非侵入性力传感（NIFS）技术在量化腹壁张力（AWT）、腹内压力（IAP）和前外侧腹壁（ALAW）激活方面的潜力，这些技术共同形成了“AWT-IAP-ALAW”三元组。通过研究这三个因素之间的相互作用，该研究假设NIFS可以为非药物性腰痛康复提供新的见解。目标包括评估NIFS用于实时核心评估的可行性，并提出基于传感器的LBP管理范式。方法对已有文献进行综合批判性分析，探讨ALAW在核心功能中的作用，并评价力感技术在腰痛康复中的可行性。重点是方法学的合理性，AWT和IAP的动态测量，以及NIFS的临床整合。研究结果表明，“AWT-IAP-ALAW”三元组代表了脊柱稳定所必需的动态核心单元。NIFS的应用为LBP管理提供了实时、定量的数据，从而实现精确诊断、个性化治疗计划和持续监测。结论将NIFS整合到LBP康复中，引入了一种以患者为中心、传感器驱动的模式来评估和增强核心稳定性。未来的研究应优先考虑标准化的测量方案，并解决现有的技术限制，以充分发挥创新的“AWT-IAP-ALAW”三联体框架的临床潜力。

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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 : 2026-06-01 Epub 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

Investigation of lumbopelvic region flexibility, trunk muscle endurance and lower extremity neuromuscular activity in hyperlordosis females 脊柱前凸症女性腰骨盆柔韧性、躯干肌肉耐力和下肢神经肌肉活动的研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2026-01-09 DOI: 10.1016/j.jbmt.2025.10.034

Zahra Azarmi Khosroshahi , Amir Massoud Arab Loodaricheh , Mandana Rezaei , Ramin Balouchy

Background

Relationships exist between lumbo-pelvic-hip complex stability, flexibility, and lower extremity neuromuscular activity in hyperlordosis subjects. Increased lordosis is a compensatory mechanism and movement impairment during prone-lying knee flexion, indicating a relatively stiffer rectus femoris muscle rather than the structures preventing anterior tilting of the pelvis. The purpose of this study was to investigate the effect of lumbopelvic compensatory motions on trunk muscle endurance, lower quadrant flexibility and lower extremity neuromuscular activity in females.

Methods

Forty-two hyperlordosis females were allocated into two groups of compensated and non-compensated based on the results of the prone knee flexion test. Lumbopelvic range of motion, trunk muscle endurance, and activity of gluteus maximus, gluteus medius, semitendinosus, and vastus lateralis muscles were measured during two prone hip extension and single leg stance tasks.

Results

There was a significant difference in the degree of lumbar lordosis during the prone knee flexion test between compensated and non-compensated groups (P = 0.036). There were significant differences in the lumbopelvic range of motion (P < 0.0001) and also lower trunk and abdominal muscles endurance tests (P < 0.05) between compensated and non-compensated groups. Significant within group differences were seen in lower extremity muscle activities during both tasks (P < 0.05), but no between group difference (P > 0.05).

Conclusion

Lumbopelvic compensatory motions may be due to altered hip and knee muscular activity, lower trunk muscle endurance and decreased flexibility in hyperlordosis females.

背景腰椎间盘突出症患者腰骨盆髋关节复合体的稳定性、灵活性和下肢神经肌肉活动之间存在关系。俯卧膝关节屈曲时，前凸增加是一种代偿机制和运动障碍，表明股直肌相对僵硬，而不是防止骨盆前倾的结构。本研究旨在探讨腰盆腔代偿运动对女性躯干肌肉耐力、下肢柔韧性和下肢神经肌肉活动的影响。方法根据俯卧膝关节屈曲试验结果，将42例女性前凸症患者分为代偿组和非代偿组。在两次俯卧髋关节伸展和单腿站立任务中测量腰骨盆运动范围、躯干肌肉耐力和臀大肌、臀中肌、半腱肌和股外侧肌的活动。结果在俯卧屈曲试验中，代偿组与非代偿组腰椎前凸程度差异有统计学意义（P = 0.036）。代偿组和非代偿组在腰盂关节活动度（P < 0.0001）以及下躯干和腹部肌肉耐力测试（P < 0.05）上有显著差异。两组任务时下肢肌肉活动组内差异有统计学意义（P < 0.05），组间差异无统计学意义（P < 0.05）。结论腰骨盆代偿运动可能与髋、膝关节肌肉活动改变、下肢肌肉耐力和柔韧性下降有关。

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引用次数: 0

Exploring the association between the knee injury and osteoarthritis outcome score-patellofemoral subscale and lower extremity kinematics and strength in individuals with patellofemoral pain 探讨膝关节损伤与骨关节炎预后评分-髌骨股亚量表与髌骨股疼痛个体的下肢运动学和力量之间的关系

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-12-11 DOI: 10.1016/j.jbmt.2025.12.014

Oluwatosin Gbotosho , Sungwan Kim , L. Colby Mangum , David M. Bazett-Jones , Michelle C. Boling , Michael D. Toland , Lindsay J. DiStefano , Neal R. Glaviano

Introduction

To assess the association between Knee Injury and Osteoarthritis Outcome Score-Patellofemoral subscale (KOOS-PF) and two-dimensional single-leg squat kinematics and lower extremity isometric strength in individuals with patellofemoral pain.

Methods

Seventy-five individuals with patellofemoral pain completed this cross-sectional laboratory study. Participants completed the KOOS-PF. Lateral trunk motion, pelvic drop, hip frontal plane projection angle, and knee frontal plane projection angle were assessed during a single leg squat using two-dimensional motion analysis. Peak isometric hip abduction, hip extension, and knee extension strength were evaluated using a hand-held dynamometer. Pearson correlations were used to estimate the association of the KOOS-PF with 2D SLS kinematics and lower extremity isometric strength. Separate linear regressions were also conducted, controlling for sex, age, and BMI to assess the relationship between variables. Significance was set at P < .05 for all statistical tests.

Results

75 participants (51 females; 24 males, age: 24 ± 5 years, height: 167.9 ± 10.0 cm, mass: 73.7 ± 18.2 kg) were enrolled and data from all participants were included in the analyses. No significant linear associations were observed between the KOOS-PF and measures of two-dimensional squatting kinematics (−.07≤r ≤ .01; P > .05) or between the KOOS-PF and lower extremity isometric strength (−.04≤r ≤ .04; P > .05) in individuals with patellofemoral pain.

Conclusions

The KOOS-PF was not linearly associated with frontal plane squatting kinematics or lower extremity isometric strength in individuals with patellofemoral pain. The lack of significant linear associations suggests that clinicians should evaluate and consider self-reported, kinematics, and strength measurements when assessing individuals with patellofemoral pain.

目的：评估髌骨股疼痛患者膝关节损伤与骨关节炎预后评分-髌骨股亚量表（KOOS-PF）、二维单腿深蹲运动学和下肢等距力量之间的关系。方法75例髌骨股痛患者完成了横断面实验室研究。参加者完成KOOS-PF。采用二维运动分析评估单腿深蹲时躯干外侧运动、骨盆下垂、髋关节正面平面投影角度和膝关节正面平面投影角度。峰值等距髋关节外展、髋关节伸展和膝关节伸展强度使用手持式测力仪进行评估。使用Pearson相关性来估计KOOS-PF与2D SLS运动学和下肢等长强度的关联。还进行了单独的线性回归，控制性别，年龄和BMI来评估变量之间的关系。所有统计检验的显著性均为P <； 0.05。结果共纳入75例受试者，其中女性51例，男性24例，年龄24±5岁，身高167.9±10.0 cm，体重73.7±18.2 kg。KOOS-PF和二维深蹲运动学测量之间没有明显的线性关联。07≤r≤0.01；P > .05)或KOOS-PF与下肢等长强度之间(−。04≤r≤0.04；P > .05)。结论在髌股疼痛患者中，KOOS-PF与额平面下蹲运动或下肢等距力量无线性相关。缺乏显著的线性关联表明，临床医生在评估髌股疼痛患者时应评估和考虑自我报告、运动学和力量测量。

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引用次数: 0