Pub Date : 2025-12-11DOI: 10.1016/j.jbmt.2025.12.012
Letícia Padilha Mendes , Cid André Fidelis-de-Paula-Gomes , André Pontes-Silva , Jhonata Botelho Protazio , Bruno Ruocco Verengue , Cesário da Silva Souza , Daniela Bassi-Dibai , Almir Vieira Dibai-Filho
Objective
To assess the reliability, internal consistency, structural validity, and construct validity of the Work Role Functioning Questionnaire 2.0 with 5 items (WRFQ-5) in Brazilian workers with chronic pain.
Methods
This was a questionnaire validation study. Workers with chronic pain, both genders, and age ≥18 years were included. We assessed the internal structure of the WRFQ-5 using exploratory factor analysis (EFA). To assess construct validity, we correlated the WRFQ-5 with the short version of the Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ). In addition, we assessed test-retest reliability, internal consistency, and floor and ceiling effects. Results: We included 153 workers with chronic pain for analysis of internal structure and construct validity, and a subsample of 43 for analysis of test-retest reliability. We identified the unidimensionality of the WRFQ-5 by means of EFA with implementation of parallel analysis (KMO = 0.77 and p < 0.001for Bartlett's test of sphericity). Regarding construct validity, we confirmed the hypothesis by observing a negative correlation with magnitude lower than 0.30 (unrelated constructs) between the WRFQ-5 and the OMPSQ. We found substantial reliability (ICC = 0.79) and adequate internal consistency (Cronbach's alpha = 0.88). No ceiling or floor effects were observed.
Conclusion
The Brazilian Portuguese version of the WRFQ-5 demonstrates adequate measurement properties for use in workers with chronic pain.
{"title":"The Brazilian version of the 5-item Work Role Functioning Questionnaire 2.0 (WRFQ-5) has adequate measurement properties in workers with chronic pain","authors":"Letícia Padilha Mendes , Cid André Fidelis-de-Paula-Gomes , André Pontes-Silva , Jhonata Botelho Protazio , Bruno Ruocco Verengue , Cesário da Silva Souza , Daniela Bassi-Dibai , Almir Vieira Dibai-Filho","doi":"10.1016/j.jbmt.2025.12.012","DOIUrl":"10.1016/j.jbmt.2025.12.012","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the reliability, internal consistency, structural validity, and construct validity of the Work Role Functioning Questionnaire 2.0 with 5 items (WRFQ-5) in Brazilian workers with chronic pain.</div></div><div><h3>Methods</h3><div>This was a questionnaire validation study. Workers with chronic pain, both genders, and age ≥18 years were included. We assessed the internal structure of the WRFQ-5 using exploratory factor analysis (EFA). To assess construct validity, we correlated the WRFQ-5 with the short version of the Orebro Musculoskeletal Pain Screening Questionnaire (OMPSQ). In addition, we assessed test-retest reliability, internal consistency, and floor and ceiling effects. <strong>Results</strong>: We included 153 workers with chronic pain for analysis of internal structure and construct validity, and a subsample of 43 for analysis of test-retest reliability. We identified the unidimensionality of the WRFQ-5 by means of EFA with implementation of parallel analysis (KMO = 0.77 and p < 0.001for Bartlett's test of sphericity). Regarding construct validity, we confirmed the hypothesis by observing a negative correlation with magnitude lower than 0.30 (unrelated constructs) between the WRFQ-5 and the OMPSQ. We found substantial reliability (ICC = 0.79) and adequate internal consistency (Cronbach's alpha = 0.88). No ceiling or floor effects were observed.</div></div><div><h3>Conclusion</h3><div>The Brazilian Portuguese version of the WRFQ-5 demonstrates adequate measurement properties for use in workers with chronic pain.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 471-475"},"PeriodicalIF":1.4,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736879","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}
Pub Date : 2025-12-11DOI: 10.1016/j.jbmt.2025.12.004
Neda Asadi , Mehrdad Azarbarzin , Fatemeh Salmani
Introduction
Acute heart attack is one of the most common causes of disability and increased mortality in most countries. Rehabilitation and movement management of these patients immediately after admission to the cardiac intensive care unit can reduce the complications of the patient's hemodynamic status and inability of patients' physical and cognitive function.
Goal
The aim of this study was to determine the effect of early mobilization program (EMP) on changes in hemodynamic symptoms in patients with acute myocardial infarction (AMI).
Methods
This study was performed as a clinical trial study. A total of 60 patients with AMI referred to a selected hospital in one of the western cities of Iran in 2024 were included in the study by convenience sampling and were assigned to two groups of 30 interventions and control by random permutation allocation. In the intervention group, patients were mobilized 18 h after admission to the intensive care unit with a program and in 8 stages, and in the control group, patients were mobilized after 48 h according to the usual schedule. Patients were monitored for hemodynamic symptoms (systolic and diastolic blood pressure, heart rate, and respiration) before, during, and after movement. The results of the study were analyzed using descriptive and inferential statistical methods and using Chi-square tests, repeated measures analysis of variance and independent t-test in SPSS software version 16.
Findings
Findings showed that the mean systolic and diastolic blood pressure and heart rate of the samples in the intervention and control groups at 3 times were not significantly different. While the mean number of patients' breathing in the first and second time of movement was not significantly different, but in the third time of movement this difference was significant (P = 0.05).
Results
The results of this study showed that the EM of an AMI patient can be included in the intensive care unit of patients without any changes in vital signs and as a safe way in the rehabilitation program. Therefore, the use of an EMP in the treatment and care program for patients with AMI in intensive care units on the first day of hospitalization in the ward is recommended.
{"title":"The effect of early mobilization program on changes in hemodynamic symptoms in patients with acute myocardial infarction","authors":"Neda Asadi , Mehrdad Azarbarzin , Fatemeh Salmani","doi":"10.1016/j.jbmt.2025.12.004","DOIUrl":"10.1016/j.jbmt.2025.12.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute heart attack is one of the most common causes of disability and increased mortality in most countries. Rehabilitation and movement management of these patients immediately after admission to the cardiac intensive care unit can reduce the complications of the patient's hemodynamic status and inability of patients' physical and cognitive function.</div></div><div><h3>Goal</h3><div>The aim of this study was to determine the effect of early mobilization program (EMP) on changes in hemodynamic symptoms in patients with acute myocardial infarction (AMI).</div></div><div><h3>Methods</h3><div>This study was performed as a clinical trial study. A total of 60 patients with AMI referred to a selected hospital in one of the western cities of Iran in 2024 were included in the study by convenience sampling and were assigned to two groups of 30 interventions and control by random permutation allocation. In the intervention group, patients were mobilized 18 h after admission to the intensive care unit with a program and in 8 stages, and in the control group, patients were mobilized after 48 h according to the usual schedule. Patients were monitored for hemodynamic symptoms (systolic and diastolic blood pressure, heart rate, and respiration) before, during, and after movement. The results of the study were analyzed using descriptive and inferential statistical methods and using Chi-square tests, repeated measures analysis of variance and independent <em>t</em>-test in SPSS software version 16.</div></div><div><h3>Findings</h3><div>Findings showed that the mean systolic and diastolic blood pressure and heart rate of the samples in the intervention and control groups at 3 times were not significantly different. While the mean number of patients' breathing in the first and second time of movement was not significantly different, but in the third time of movement this difference was significant (P = 0.05).</div></div><div><h3>Results</h3><div>The results of this study showed that the EM of an AMI patient can be included in the intensive care unit of patients without any changes in vital signs and as a safe way in the rehabilitation program. Therefore, the use of an EMP in the treatment and care program for patients with AMI in intensive care units on the first day of hospitalization in the ward is recommended.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 549-554"},"PeriodicalIF":1.4,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789933","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}
Pub Date : 2025-12-11DOI: 10.1016/j.jbmt.2025.12.021
Gustavo Aires de Arruda , Francys Paula Cantieri , Diogo Henrique Constantino Coledam , Mauro Virgilio Gomes de Barros , Jorge Mota , Fatima Maria da Silva Abrão , Paulo Eduardo Cavalcante de Andrade , Arli Ramos de Oliveira
The study aim was to investigate the tracking of spinal pain during adolescence, and its association with sport and/or physical exercise (SPE) after adjustment for confounding variables. The sample included 247 participants with a mean age at baseline of 13.9 (±1.2) years. Those who performed moderate-to-vigorous intensity activities for ≥150 min/week were considered sufficiently active. Spinal pain that was at least moderate was analyzed. The data were collected with an interval of 3-years. Logistic Regression was used to estimate the Odds Ratios. The chance of presenting pain in late adolescence is increased in individuals with previous pain. SPE does not influence the chances of presenting spinal pain in adolescents and sex was a confounding variable.
{"title":"Sport and exercise association with spinal pain in adolescents: longitudinal study with confounding variables approach","authors":"Gustavo Aires de Arruda , Francys Paula Cantieri , Diogo Henrique Constantino Coledam , Mauro Virgilio Gomes de Barros , Jorge Mota , Fatima Maria da Silva Abrão , Paulo Eduardo Cavalcante de Andrade , Arli Ramos de Oliveira","doi":"10.1016/j.jbmt.2025.12.021","DOIUrl":"10.1016/j.jbmt.2025.12.021","url":null,"abstract":"<div><div>The study aim was to investigate the tracking of spinal pain during adolescence, and its association with sport and/or physical exercise (SPE) after adjustment for confounding variables. The sample included 247 participants with a mean age at baseline of 13.9 (±1.2) years. Those who performed moderate-to-vigorous intensity activities for ≥150 min/week were considered sufficiently active. Spinal pain that was at least moderate was analyzed. The data were collected with an interval of 3-years. Logistic Regression was used to estimate the Odds Ratios. The chance of presenting pain in late adolescence is increased in individuals with previous pain. SPE does not influence the chances of presenting spinal pain in adolescents and sex was a confounding variable.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 503-513"},"PeriodicalIF":1.4,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789816","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}
Pub Date : 2025-12-10DOI: 10.1016/j.jbmt.2025.12.009
J. Siega , G.C. Leveck , T. Christinelli , A.E.F. Doliny , L.H. Paladini , V.L. Israel
Objective
To investigate the effects of a 12-week Multicomponent Aquatic Training (MAT) program on bradykinesia in individuals with Parkinson's disease (PD).
Methods
A quasi-experimental single-group study with repeated measures and convenience sampling was conducted. Assessments were performed at baseline (after a 4-week pre-study observation), pre- and post-12-week intervention, and at 4-week follow-up. The MDS-UPDRS bradykinesia subscale (BRAD), and the bradykinesia-akinesia incoordination test for kinesia (BRAIN KS) and akinesia (BRAIN AT) scores were used. The 10-m walk test was used to determine habitual (WS) and maximum (WSMAX) walking speed, and the 5 times sit-to-stand test (FTSST) to assess power, dynamic strength, and muscular endurance. Statistical analysis was performed using SPSS 20.0, and a significance level of p < 0.05 was adopted for significant differences. Data normality was assessed using the Shapiro-Wilk test. To verify the treatment effect, the Friedman non-parametric test was conducted, followed by the MSD multiple comparison test. Effect Size (ES) analysis was also conducted.
Results
Twenty-eight individuals with PD between stages 1–3 in the Hoehn and Yahr Scale completed the study. Following MAT there were increases in BRAD (p < 0.001) with moderate ES (0.330), BRAIN KS on the side contralateral to the onset of the disease (p = 0.003) with small ES (0.165), WS and WSMAX (<0.001; p < 0.001), with large ES (0.565 and 0.565, respectively) and FTSST (p < 0.001) with moderate ES (0.448). All variables had a loss to follow-up, suggesting that improvements in follow-up were not maintained.
Conclusion
MAT improved bradykinesia and functional performance in individuals with PD. However, benefits diminished after follow-up, highlighting the importance of ongoing treatment to sustain and enhance outcomes.
{"title":"Can multicomponent aquatic training improve bradykinesia in individuals with Parkinson's disease? A quasi-experimental study with 4-week follow-up","authors":"J. Siega , G.C. Leveck , T. Christinelli , A.E.F. Doliny , L.H. Paladini , V.L. Israel","doi":"10.1016/j.jbmt.2025.12.009","DOIUrl":"10.1016/j.jbmt.2025.12.009","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effects of a 12-week Multicomponent Aquatic Training (MAT) program on bradykinesia in individuals with Parkinson's disease (PD).</div></div><div><h3>Methods</h3><div>A quasi-experimental single-group study with repeated measures and convenience sampling was conducted. Assessments were performed at baseline (after a 4-week pre-study observation), pre- and post-12-week intervention, and at 4-week follow-up. The MDS-UPDRS bradykinesia subscale (BRAD), and the bradykinesia-akinesia incoordination test for kinesia (BRAIN KS) and akinesia (BRAIN AT) scores were used. The 10-m walk test was used to determine habitual (WS) and maximum (WSMAX) walking speed, and the 5 times sit-to-stand test (FTSST) to assess power, dynamic strength, and muscular endurance. Statistical analysis was performed using SPSS 20.0, and a significance level of p < 0.05 was adopted for significant differences. Data normality was assessed using the Shapiro-Wilk test. To verify the treatment effect, the Friedman non-parametric test was conducted, followed by the MSD multiple comparison test. Effect Size (ES) analysis was also conducted.</div></div><div><h3>Results</h3><div>Twenty-eight individuals with PD between stages 1–3 in the Hoehn and Yahr Scale completed the study. Following MAT there were increases in BRAD (p < 0.001) with moderate ES (0.330), BRAIN KS on the side contralateral to the onset of the disease (p = 0.003) with small ES (0.165), WS and WSMAX (<0.001; p < 0.001), with large ES (0.565 and 0.565, respectively) and FTSST (p < 0.001) with moderate ES (0.448). All variables had a loss to follow-up, suggesting that improvements in follow-up were not maintained.</div></div><div><h3>Conclusion</h3><div>MAT improved bradykinesia and functional performance in individuals with PD. However, benefits diminished after follow-up, highlighting the importance of ongoing treatment to sustain and enhance outcomes.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 483-489"},"PeriodicalIF":1.4,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789815","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}
Pub Date : 2025-12-06DOI: 10.1016/j.jbmt.2025.12.001
Sergi Carrelero Camp , Miki Dalmau-Pastor , Clara Simón De Blas , Carles Vergés Sala , Elena De Planell Mas , Mar Hernández-Secorún
Background
Forefoot Varus is characterized by inversion of the metatarsal heads relative to the calcaneal bisector. It is present in 83.67 % of cases and contributes to overpronation and related foot/knee/hip pathologies. Despite multiple assessment methods, their reliability remains unclear. This systematic review evaluates the most reliable measurement technique.
Methods
This systematic review and meta-analysis selected studies from several databases: PubMed, Scopus, Cochrane Library, Web of Science, and PEDro. The search strategies included keywords such as “forefoot”, “varus forefoot”, “supinatus forefoot”, “varus alignment of the foot-ankle complex” or “shank-forefoot” and their combinations were used. Studies published in the English, French, and Spanish language were included until July 4th, 2024. After identifying the articles, the methodological quality was assessed using the GRRAS checklist. The reported results were intra-class correlation coefficient, influence on gait, biomechanical factors, and pathologies.
Results
This meta-analysis of 13 studies (n = 1238) found excellent intra-observer reliability for forefoot varus measurements (pooled ICC = 0.92, 95 %CI 0.89–0.94), with significant inter-observer differences (Q = 38.7, p < 0.001): goniometry showed ICCs of 0.56–0.68 (isolated forefoot or JIG shank-forefoot alignment goniometer) versus 0.81–0.91 (shank-forefoot alignment), while photogrammetry maintained consistently higher reliability (ICCs 0.90–0.93). Photogrammetry and goniometry demonstrated moderate correlation between methods (r = 0.71, 95 %CI 0.63–0.78) across predominantly healthy populations studies (76.9 %, mean age 31.5 ± 15.2 years).
Conclusion
Photogrammetric and shank-forefoot alignment methods demonstrate excellent reliability (ICC >0.90) for forefoot varus assessment, while traditional goniometry shows inconsistent results. Standardized protocols are recommended to ensure cross-study comparability.
背景：前足内翻的特征是跖骨头相对于跟骨平分线内翻。它出现在83.67%的病例中，并导致过度内旋和相关的足/膝/髋关节病变。尽管有多种评估方法，但其可靠性仍不清楚。本系统综述评估了最可靠的测量技术。方法本系统综述和荟萃分析选择了几个数据库中的研究：PubMed、Scopus、Cochrane Library、Web of Science和PEDro。搜索策略包括关键词“前足”、“内翻前足”、“后旋前足”、“足-踝复合体内翻对准”或“小腿-前足”及其组合。以英语、法语和西班牙语发表的研究包括在2024年7月4日之前。在确定文章后，使用GRRAS检查表评估方法学质量。报告的结果是类内相关系数，对步态，生物力学因素和病理的影响。结果对13项研究（n = 1238）进行的荟萃分析发现，前足内倾角测量具有出色的观察者内信度（合并ICC = 0.92, 95% CI 0.89-0.94），观察者间差异显著（Q = 38.7, p < 0.001）：角度测量显示的ICC值为0.56-0.68（孤立前足或JIG小腿-前足对齐角度计），而0.81-0.91（小腿-前足对齐），而摄影测量始终保持较高的可靠性（ICC值0.90-0.93）。在主要健康人群研究（76.9%，平均年龄31.5±15.2岁）中，摄影测量和角形测量显示方法之间存在中度相关性（r = 0.71, 95% CI 0.63-0.78）。结论摄影测量法和小腿-前足对准法对前足内翻的评估具有良好的可靠性（ICC >0.90），而传统的角度测量法评估结果不一致。建议采用标准化方案以确保交叉研究的可比性。
{"title":"Comparative analysis of measurement methods for forefoot varus reliability: A systematic review and meta-analysis","authors":"Sergi Carrelero Camp , Miki Dalmau-Pastor , Clara Simón De Blas , Carles Vergés Sala , Elena De Planell Mas , Mar Hernández-Secorún","doi":"10.1016/j.jbmt.2025.12.001","DOIUrl":"10.1016/j.jbmt.2025.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Forefoot Varus is characterized by inversion of the metatarsal heads relative to the calcaneal bisector. It is present in 83.67 % of cases and contributes to overpronation and related foot/knee/hip pathologies. Despite multiple assessment methods, their reliability remains unclear. This systematic review evaluates the most reliable measurement technique.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis selected studies from several databases: PubMed, Scopus, Cochrane Library, Web of Science, and PEDro. The search strategies included keywords such as “forefoot”, “varus forefoot”, “supinatus forefoot”, “varus alignment of the foot-ankle complex” or “shank-forefoot” and their combinations were used. Studies published in the English, French, and Spanish language were included until July 4th, 2024. After identifying the articles, the methodological quality was assessed using the GRRAS checklist. The reported results were intra-class correlation coefficient, influence on gait, biomechanical factors, and pathologies.</div></div><div><h3>Results</h3><div>This meta-analysis of 13 studies (n = 1238) found excellent intra-observer reliability for forefoot varus measurements (pooled ICC = 0.92, 95 %CI 0.89–0.94), with significant inter-observer differences (Q = 38.7, p < 0.001): goniometry showed ICCs of 0.56–0.68 (isolated forefoot or JIG shank-forefoot alignment goniometer) versus 0.81–0.91 (shank-forefoot alignment), while photogrammetry maintained consistently higher reliability (ICCs 0.90–0.93). Photogrammetry and goniometry demonstrated moderate correlation between methods (r = 0.71, 95 %CI 0.63–0.78) across predominantly healthy populations studies (76.9 %, mean age 31.5 ± 15.2 years).</div></div><div><h3>Conclusion</h3><div>Photogrammetric and shank-forefoot alignment methods demonstrate excellent reliability (ICC >0.90) for forefoot varus assessment, while traditional goniometry shows inconsistent results. Standardized protocols are recommended to ensure cross-study comparability.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 521-535"},"PeriodicalIF":1.4,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789930","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}
Pub Date : 2025-12-05DOI: 10.1016/j.jbmt.2025.12.002
Afshin Moghadasi, Yaghoob Baziyar
Introduction
Adolescent swimmers are at high risk of shoulder overuse injuries due to repetitive upper limb movements and limited neuromuscular control during growth spurts. Comprehensive injury prevention strategies targeting the entire kinetic chain may yield superior functional outcomes compared to shoulder-focused training. This study compared the effects of localized versus comprehensive programs on upper limb dynamic stability and front crawl performance.
Methods
Twenty-six male adolescent swimmers were randomly assigned to control (Ctrl, n = 8), local exercise (LEG, n = 9), or comprehensive exercise (CEG, n = 9) groups in an 8-week trial. The local program included shoulder-focused stretching and strengthening, while the comprehensive program added scapular stabilization, core strengthening, and integrated neuromuscular training. Upper limb stability was assessed via the Upper Quarter Y-Balance Test (YBT-UQ), and swimming performance via 50-m front crawl time and efficiency. ANCOVA adjusted for baseline scores analyzed between-group differences.
Results
The CEG showed significant improvements in YBT-UQ scores in all directions for both arms (Δ = 7.6–15.3 cm; p < 0.05, η2 = 0.25–0.54), faster front crawl times (Δ = −9.6 s; 95 % CI –16.4 to −2.8), and enhanced overall performance (Δ = 15.1; 95 % CI 2.7–27.5) versus LEG and Ctrl groups. The LEG showed moderate, non-significant gains; no meaningful changes occurred in Ctrl.
Conclusion
Comprehensive, multi-component injury prevention training improves upper limb stability and swimming performance in adolescent swimmers. Localized shoulder exercises alone are insufficient, underscoring the need for integrative programs targeting shoulder, scapula, core, and neuromuscular coordination.
青少年游泳运动员由于在生长高峰期间反复的上肢运动和有限的神经肌肉控制，肩部过度使用损伤的风险很高。与肩部训练相比，针对整个运动链的综合损伤预防策略可能产生更好的功能结果。本研究比较了局部训练和综合训练对上肢动态稳定性和前爬性能的影响。方法将26名男性青少年游泳运动员随机分为对照组（Ctrl, n = 8）、局部运动组（LEG, n = 9）和综合运动组（CEG, n = 9），为期8周。局部项目包括肩部拉伸和强化，而综合项目增加了肩胛骨稳定、核心强化和综合神经肌肉训练。上肢稳定性通过上肢y平衡测试（YBT-UQ）评估，游泳成绩通过50米爬泳时间和效率评估。ANCOVA调整基线评分，分析组间差异。结果CEG组两臂各方向的YBT-UQ评分均显著提高（Δ = 7.6-15.3 cm; p < 0.05, ρ 2 = 0.25-0.54），前爬时间加快（Δ =−9.6 s; 95% CI -16.4 ~−2.8），整体表现提高（Δ = 15.1; 95% CI 2.7 ~ 27.5）。LEG显示出中度的、不显著的增益；Ctrl键没有发生有意义的更改。结论综合、多组分损伤预防训练可提高青少年游泳运动员上肢稳定性和游泳成绩。单独的局部肩部锻炼是不够的，需要针对肩部、肩胛骨、核心和神经肌肉协调的综合方案。
{"title":"Comprehensive injury prevention training significantly enhances upper limb dynamic stability and front crawl performance in adolescent swimmers: A randomized controlled trial","authors":"Afshin Moghadasi, Yaghoob Baziyar","doi":"10.1016/j.jbmt.2025.12.002","DOIUrl":"10.1016/j.jbmt.2025.12.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Adolescent swimmers are at high risk of shoulder overuse injuries due to repetitive upper limb movements and limited neuromuscular control during growth spurts. Comprehensive injury prevention strategies targeting the entire kinetic chain may yield superior functional outcomes compared to shoulder-focused training. This study compared the effects of localized versus comprehensive programs on upper limb dynamic stability and front crawl performance.</div></div><div><h3>Methods</h3><div>Twenty-six male adolescent swimmers were randomly assigned to control (Ctrl, n = 8), local exercise (LEG, n = 9), or comprehensive exercise (CEG, n = 9) groups in an 8-week trial. The local program included shoulder-focused stretching and strengthening, while the comprehensive program added scapular stabilization, core strengthening, and integrated neuromuscular training. Upper limb stability was assessed via the Upper Quarter Y-Balance Test (YBT-UQ), and swimming performance via 50-m front crawl time and efficiency. ANCOVA adjusted for baseline scores analyzed between-group differences.</div></div><div><h3>Results</h3><div>The CEG showed significant improvements in YBT-UQ scores in all directions for both arms (Δ = 7.6–15.3 cm; p < 0.05, η<sup>2</sup> = 0.25–0.54), faster front crawl times (Δ = −9.6 s; 95 % CI –16.4 to −2.8), and enhanced overall performance (Δ = 15.1; 95 % CI 2.7–27.5) versus LEG and Ctrl groups. The LEG showed moderate, non-significant gains; no meaningful changes occurred in Ctrl.</div></div><div><h3>Conclusion</h3><div>Comprehensive, multi-component injury prevention training improves upper limb stability and swimming performance in adolescent swimmers. Localized shoulder exercises alone are insufficient, underscoring the need for integrative programs targeting shoulder, scapula, core, and neuromuscular coordination.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 391-403"},"PeriodicalIF":1.4,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736875","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}
Pub Date : 2025-12-05DOI: 10.1016/j.jbmt.2025.12.013
Amr Almaz Abdel-aziem , Ahad Zid Alharthi , Manar Abdullah AlOtaibi , Miad Mutlaq Althaqafi , Norah Ali AlOsaimi , Taef Wail Altowirqi , Wasan Mahmoud Aldina
Background
Video gaming is a popular leisure activity among adolescents who are in danger of musculoskeletal disorders. So, the current study evaluated the video game addiction (GA) risk factors and investigated its relationship with neck disability and upper limb functional limitations among adolescents.
Methods
A cross-sectional study of 414 adolescents was conducted via a survey in Taif city, Saudi Arabia. The validated Arabic versions of the GA scale, neck disability index and upper limb functional limitations index were used to detect GA, evaluate neck disability and assess functional dysfunctions of upper extremities, respectively. The descriptive statistics and Chi-square test were used to analyze data. Logistic regression analysis was performed to identify the predictors of video GA.
Results
The prevalence of addicted gamers was 14.50 % (males: 13.54 %, and females: 15.32 %). The middle and secondary schools addicted students’ prevalence was 23.85 % and 11.15 % respectively. Students in middle schools were more likely to be addicted gamers 2.29 times more than secondary school students (p = 0.014). Of the addicted gamers, 53.33 % had neck disabilities and 15.00 % had upper limb functional limitations. Neck disability and upper limb functional limitations were not associated with GA (p = 0.654, 0.475 respectively).
Conclusion
The prevalence of GA was 14.50 % among adolescents. The middle schools are more predictive to GA than secondary schools. GA was not a predictor for neck disability or upper limb dysfunctions. To prevent GA, early diagnosis, controlling the accessibility of video games and promoting physical activity are essential to limit its disorders and related risks.
{"title":"The relationship between video game addiction, neck disability and upper extremity functional limitations in adolescents’ students","authors":"Amr Almaz Abdel-aziem , Ahad Zid Alharthi , Manar Abdullah AlOtaibi , Miad Mutlaq Althaqafi , Norah Ali AlOsaimi , Taef Wail Altowirqi , Wasan Mahmoud Aldina","doi":"10.1016/j.jbmt.2025.12.013","DOIUrl":"10.1016/j.jbmt.2025.12.013","url":null,"abstract":"<div><h3>Background</h3><div>Video gaming is a popular leisure activity among adolescents who are in danger of musculoskeletal disorders. So, the current study evaluated the video game addiction (GA) risk factors and investigated its relationship with neck disability and upper limb functional limitations among adolescents.</div></div><div><h3>Methods</h3><div>A cross-sectional study of 414 adolescents was conducted via a survey in Taif city, Saudi Arabia. The validated Arabic versions of the GA scale, neck disability index and upper limb functional limitations index were used to detect GA, evaluate neck disability and assess functional dysfunctions of upper extremities, respectively. The descriptive statistics and Chi-square test were used to analyze data. Logistic regression analysis was performed to identify the predictors of video GA.</div></div><div><h3>Results</h3><div>The prevalence of addicted gamers was 14.50 % (males: 13.54 %, and females: 15.32 %). The middle and secondary schools addicted students’ prevalence was 23.85 % and 11.15 % respectively. Students in middle schools were more likely to be addicted gamers 2.29 times more than secondary school students (p = 0.014). Of the addicted gamers, 53.33 % had neck disabilities and 15.00 % had upper limb functional limitations. Neck disability and upper limb functional limitations were not associated with GA (p = 0.654, 0.475 respectively).</div></div><div><h3>Conclusion</h3><div>The prevalence of GA was 14.50 % among adolescents. The middle schools are more predictive to GA than secondary schools. GA was not a predictor for neck disability or upper limb dysfunctions. To prevent GA, early diagnosis, controlling the accessibility of video games and promoting physical activity are essential to limit its disorders and related risks.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 404-412"},"PeriodicalIF":1.4,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736876","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}
Pub Date : 2025-12-05DOI: 10.1016/j.jbmt.2025.12.023
Fabiano Henrique Justino , Adriana Teresa Silva Santos , Paulo Octávio de Oliveira Silvestre , Josie Resende Torres da Silva , Denise Hollanda Iunes , Andréia Maria Silva Vilela Terra
Objective
This study aimed to evaluate the effects of systemic acupuncture combined with proprioceptive insoles on muscle flexibility, as well as to assess the feasibility, retention, and acceptability of these techniques in women.
Design
A randomized controlled feasibility trial. Setting: Human Performance Research Laboratory.
Participants
The sample comprised 21 women who were randomly assigned to three groups: the control group (CG; n = 8), the insole group (IG; n = 9), and the insole plus acupuncture group (IAG; n = 8). Main outcome Measures: Recruitment rate, retention rate, acceptability rate, and flexibility tests (fingertip-to-floor and sit-and-reach tests) were assessed. Between-group comparisons were performed using appropriate statistical tests to identify differences in flexibility outcomes.
Results
The recruitment rate was 34.9 %, the retention rate was 83.3 %, and the acceptability rate was 94.4 %. Preliminary results indicated a significant increase in sit-and-reach test scores (p = 0.009) for the IG and IAG compared with the CG.
Conclusions
This feasibility study demonstrated that combining proprioceptive insoles with systemic acupuncture is acceptable, well-tolerated, and feasible to implement among women. Preliminary trends suggest potential benefits for muscle flexibility.
目的本研究旨在评估全身针刺结合本体感觉鞋垫对肌肉柔韧性的影响，并评估这些技术在女性中的可行性、保留性和可接受性。设计随机对照可行性试验。单位：人体行为研究实验室。参与者样本包括21名女性，她们被随机分为三组：对照组（CG, n = 8），鞋垫组（IG, n = 9），鞋垫加针灸组（IAG, n = 8）。主要结果测量：评估招募率、保留率、可接受率和柔韧性测试（指尖触地测试和坐伸测试）。采用适当的统计检验进行组间比较，以确定灵活性结果的差异。结果招聘率为34.9%，留用率为83.3%，合格率为94.4%。初步结果显示，与CG组相比，IG组和IAG组的坐伸测试成绩显著增加（p = 0.009）。结论：本可行性研究表明，将本体感觉鞋垫与全身针灸相结合在女性中是可接受的、耐受性良好的、可行的。初步趋势表明对肌肉柔韧性有潜在的好处。
{"title":"Effects of proprioceptive insoles and acupuncture on muscle flexibility in healthy women: Feasibility randomized pilot trial","authors":"Fabiano Henrique Justino , Adriana Teresa Silva Santos , Paulo Octávio de Oliveira Silvestre , Josie Resende Torres da Silva , Denise Hollanda Iunes , Andréia Maria Silva Vilela Terra","doi":"10.1016/j.jbmt.2025.12.023","DOIUrl":"10.1016/j.jbmt.2025.12.023","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the effects of systemic acupuncture combined with proprioceptive insoles on muscle flexibility, as well as to assess the feasibility, retention, and acceptability of these techniques in women.</div></div><div><h3>Design</h3><div>A randomized controlled feasibility trial. Setting: Human Performance Research Laboratory.</div></div><div><h3>Participants</h3><div>The sample comprised 21 women who were randomly assigned to three groups: the control group (CG; n = 8), the insole group (IG; n = 9), and the insole plus acupuncture group (IAG; n = 8). Main outcome Measures: Recruitment rate, retention rate, acceptability rate, and flexibility tests (fingertip-to-floor and sit-and-reach tests) were assessed. Between-group comparisons were performed using appropriate statistical tests to identify differences in flexibility outcomes.</div></div><div><h3>Results</h3><div>The recruitment rate was 34.9 %, the retention rate was 83.3 %, and the acceptability rate was 94.4 %. Preliminary results indicated a significant increase in sit-and-reach test scores (p = 0.009) for the IG and IAG compared with the CG.</div></div><div><h3>Conclusions</h3><div>This feasibility study demonstrated that combining proprioceptive insoles with systemic acupuncture is acceptable, well-tolerated, and feasible to implement among women. Preliminary trends suggest potential benefits for muscle flexibility.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 570-577"},"PeriodicalIF":1.4,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789931","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}
Pub Date : 2025-12-05DOI: 10.1016/j.jbmt.2025.12.018
Yumi Okayama PT, Ph.D., Shinichi Daikuya PT, Ph.D
Achilles tendon rupture is a common injury during sports activities. In physiotherapy for Achilles tendon ruptures, repair of the tendon must take priority. In addition, because it is necessary to provide proper traction load during the treatment process, it is important to clarify the effect to Achilles tendon by physiotherapy, which is muscle strengthening, stretching and o on. The purpose of this study was to examine the effects of different loading amounts and loading positions on the muscle activity of the ankle plantar flexors and dorsiflexors with a fixed ankle dorsiflexion angle. The ankle joint of the participants was fixed with non-stretch cotton tape so that the ankle joint angle was at 0 degree of dorsiflexion. Surface electromyography of the lower limb muscles was recorded during standing position changed the loading positions and the loading amount. The result, muscle activity in the tibialis anterior was increased by loading to the rearfoot, and that muscle activity in the gastrocnemius was increased by loading to the forefoot. Therefore, it was shown that even if the ankle joint is fixed, muscle activity of the ankle plantar flexor muscle group increases during forefoot loading motion. These results also suggest that in physiotherapy after Achilles tendon rupture, there is a risk of increasing the traction load on the Achilles tendon depending on the loading position, even for partial weight-bearing when the ankle joint is fixed.
{"title":"Surface EMG analysis of tibialis anterior and gastrocnemius activity under different loading positions","authors":"Yumi Okayama PT, Ph.D., Shinichi Daikuya PT, Ph.D","doi":"10.1016/j.jbmt.2025.12.018","DOIUrl":"10.1016/j.jbmt.2025.12.018","url":null,"abstract":"<div><div>Achilles tendon rupture is a common injury during sports activities. In physiotherapy for Achilles tendon ruptures, repair of the tendon must take priority. In addition, because it is necessary to provide proper traction load during the treatment process, it is important to clarify the effect to Achilles tendon by physiotherapy, which is muscle strengthening, stretching and o on. The purpose of this study was to examine the effects of different loading amounts and loading positions on the muscle activity of the ankle plantar flexors and dorsiflexors with a fixed ankle dorsiflexion angle. The ankle joint of the participants was fixed with non-stretch cotton tape so that the ankle joint angle was at 0 degree of dorsiflexion. Surface electromyography of the lower limb muscles was recorded during standing position changed the loading positions and the loading amount. The result, muscle activity in the tibialis anterior was increased by loading to the rearfoot, and that muscle activity in the gastrocnemius was increased by loading to the forefoot. Therefore, it was shown that even if the ankle joint is fixed, muscle activity of the ankle plantar flexor muscle group increases during forefoot loading motion. These results also suggest that in physiotherapy after Achilles tendon rupture, there is a risk of increasing the traction load on the Achilles tendon depending on the loading position, even for partial weight-bearing when the ankle joint is fixed.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 429-434"},"PeriodicalIF":1.4,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736882","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}
Pub Date : 2025-12-05DOI: 10.1016/j.jbmt.2025.12.017
Flávio Martins do Nascimento Filho , Talita Santos Andrade , Pedro Machado Menezes , Mayara Alves Menezes , Suziany dos Santos Caduda , Igor Leonardo Alves Mendonça , Tarcísio Brandão Lima , Jader Pereira de Farias Neto , Walderi Monteiro da Silva Junior
Objective
To evaluate the effects of early stimulation on deltoid functional performance in patients undergoing reverse total shoulder arthroplasty (RTSA).
Study design
Systematic review with meta-analysis.
Methods
A comprehensive search was conducted in 12 databases. Two independent reviewers assessed the studies for inclusion and quality of evidence. Data were analyzed using meta-analysis when possible; otherwise, they were qualitatively synthesized. The outcomes evaluated were functional performance, pain, functional capacity, range of motion (ROM), muscle strength, and adverse effects. The quality of evidence was assessed using the GRADE approach.
Results
Four randomized controlled trials (RCTs) were included, of which three provided viable comparisons for meta-analysis. In the comparison between early and late stimulation, early stimulation demonstrated statistically significant improvements in ROM for flexion, abduction, and external rotation. Conversely, delayed stimulation resulted in better outcomes for internal rotation. Nevertheless, no significant differences were found between groups in functional performance, pain, or functional capacity.
Conclusion
Although both groups showed improvements, early stimulation demonstrated superior ROM outcomes in specific movements. However, the evidence was classified as low to very low due to methodological limitations. To enhance clinical decision-making, further studies with greater methodological rigor are necessary.
{"title":"The Relationship between early and late stimulation of the deltoid muscle in patients undergoing reverse total shoulder arthroplasty. A systematic review with meta-analysis","authors":"Flávio Martins do Nascimento Filho , Talita Santos Andrade , Pedro Machado Menezes , Mayara Alves Menezes , Suziany dos Santos Caduda , Igor Leonardo Alves Mendonça , Tarcísio Brandão Lima , Jader Pereira de Farias Neto , Walderi Monteiro da Silva Junior","doi":"10.1016/j.jbmt.2025.12.017","DOIUrl":"10.1016/j.jbmt.2025.12.017","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effects of early stimulation on deltoid functional performance in patients undergoing reverse total shoulder arthroplasty (RTSA).</div></div><div><h3>Study design</h3><div>Systematic review with meta-analysis.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in 12 databases. Two independent reviewers assessed the studies for inclusion and quality of evidence. Data were analyzed using meta-analysis when possible; otherwise, they were qualitatively synthesized. The outcomes evaluated were functional performance, pain, functional capacity, range of motion (ROM), muscle strength, and adverse effects. The quality of evidence was assessed using the GRADE approach.</div></div><div><h3>Results</h3><div>Four randomized controlled trials (RCTs) were included, of which three provided viable comparisons for meta-analysis. In the comparison between early and late stimulation, early stimulation demonstrated statistically significant improvements in ROM for flexion, abduction, and external rotation. Conversely, delayed stimulation resulted in better outcomes for internal rotation. Nevertheless, no significant differences were found between groups in functional performance, pain, or functional capacity.</div></div><div><h3>Conclusion</h3><div>Although both groups showed improvements, early stimulation demonstrated superior ROM outcomes in specific movements. However, the evidence was classified as low to very low due to methodological limitations. To enhance clinical decision-making, further studies with greater methodological rigor are necessary.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 442-455"},"PeriodicalIF":1.4,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736883","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}
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