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Squat task as an assessment tool for detecting injury risk: A systematic review 深蹲任务作为检测损伤风险的评估工具:系统回顾
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-11 DOI: 10.1016/j.jbmt.2025.12.024
Ender Ersin Avcı , Gökçe Kartal , Furkan Çakır , Mine Gülden Polat , İlkşan Demirbüken

Background

The squat is a fundamental movement that is frequently performed in both daily life activities and sports. The aim of this systematic review was to identify and systematize evidence from the literature that relates the isolated squat movement to musculoskeletal injury risk assessment.

Method

A comprehensive literature search was conducted using Web of Science, PubMed, Scopus and ScienceDirect databases and Boolean operators. The study was registered in PROSPERO. Risk of bias assessment was performed using the National Heart, Lung, and Blood Institute (NHLBI) Observational Cohort and Cross-Sectional Studies assessment tools. The quality of the studies was assessed in accordance with the previously established research criteria.

Results

A total of 7 studies were included out of the 4966 studies collected. The included studies were published between 2015 and 2023. The included studies demonstrated that different squat types such as double leg squat, single leg squat and overhead squat were used in injury risk assessment. Despite methodological differences between the included studies, the results showed that squatting can be used for injury risk assessment. Two studies have concluded that squat alone is not sufficient to assess the risk of injury.

Conclusion

The squat task can provide convenience to clinicians when assessing the risk of injury, with its advantages such as ease of application and no equipment required.

Review registration number

PROSPERO (ID: CRD42023479944).
深蹲是日常生活活动和体育运动中经常进行的基本动作。本系统综述的目的是从文献中识别和系统化证据,证明孤立深蹲运动与肌肉骨骼损伤风险评估有关。方法利用Web of Science、PubMed、Scopus、ScienceDirect等数据库和布尔运算符进行综合文献检索。该研究已在普洛斯彼罗登记。使用国家心肺血液研究所(NHLBI)观察队列和横断面研究评估工具进行偏倚风险评估。根据先前建立的研究标准评估研究的质量。结果4966项研究中,共纳入7项研究。纳入的研究发表于2015年至2023年之间。纳入的研究表明,不同的深蹲类型,如双腿深蹲、单腿深蹲和头顶深蹲被用于损伤风险评估。尽管所纳入的研究在方法上存在差异,但结果表明,深蹲可以用于损伤风险评估。两项研究得出结论,单靠深蹲不足以评估受伤的风险。结论深蹲任务具有操作简单、不需要器械等优点,为临床医生评估损伤风险提供了方便。审查注册号prospero (ID: CRD42023479944)。
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引用次数: 0
Functional and structural effects of local vs. global motor control training: An ultrasound-based study on deep abdominal muscles 局部与全局运动控制训练的功能和结构影响:一项基于超声的深腹肌研究
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-16 DOI: 10.1016/j.jbmt.2025.12.028
Katarzyna Szuścik-Niewiadomy , Paweł Niewiadomy , Oskar Stana , Michał Nowak

Background

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

Objectives

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

Methods

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

Results

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

Conclusions

Global training led to hypertrophic changes in lateral abdominal muscles. Local training showed a trend toward increased transverse abdominis thick-ness but without statistical significance. Ultrasound measurements may be less reliable when the transducer is positioned parallel to the body midline.
背景躯干稳定在康复和运动训练中是必不可少的,它依赖于深躯干肌肉如腹横肌的预期激活。目的:本研究评估为期4周的运动控制训练计划(整体和局部)对侧腹壁肌肉厚度和功能参数的影响。方法共纳入58名受试者,其中48人(女性35人,男性13人)完成了研究。纳入标准为:年龄18-40岁,BMI≤29.9,无训练禁忌症。参与者被随机分配到全局训练(GT)、局部训练(LT)或对照组(CG)。干预持续了四周,GT使用压力生物反馈稳定器,LT使用声反馈。肌肉厚度通过超声评估,躯干活动能力通过指尖到地板和静坐和伸展测试,并通过CMJ评估跳跃性能。统计分析采用Wilcoxon和Kruskal-Wallis检验。结果整体训练(GT)显著增加了外侧腹肌厚度(TrA: +0.7 cm, IO: +0.1 cm, EO: +0.06 cm; p < 0.01),且综合腹肌厚度的改善明显大于LT和CG。局部训练(LT)显示腹横厚度几乎显著增加(+0.3 cm; p = 0.07)。躯干活动能力和跳跃性能无显著变化(p > 0.05)。超声换能器定位(平行与垂直)影响斜肌测量的可靠性。结论全面训练导致大鼠侧腹肌肥厚改变。局部训练有增加横腹厚度的趋势,但无统计学意义。当换能器与身体中线平行放置时,超声测量可能不太可靠。
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引用次数: 0
The impact of custom-made rocker sole shoes on biomechanical parameters of the lower limb during gait and running: A systematic review 定制摇椅底鞋对步态和跑步过程中下肢生物力学参数的影响:系统综述
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-11-05 DOI: 10.1016/j.jbmt.2025.11.007
Mokhtar Arazpour , Atefeh Aboutorabi , Monireh Ahmadi Bani , Mohammad Hadadi , Sobhan Sobhani , Shima Shirozhan , Maede Mahmoodi

Aim

The purpose of this systematic review was to investigate the effects of rocker sole shoes on temporal-spatial parameters, kinematics, kinetics, plantar pressure, and electromyography (EMG) activity during walking.

Method

A systematic search was conducted in the PubMed, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) databases. The search keywords included rocker sole, rocker bottom shoe, gait parameters, kinematics, kinetics, pressure, and EMG. The risk of bias in the included studies was assessed using a modified Downs and Black scale.

Results

Twenty-eight studies with low to moderate risk of bias were included. The included studies primarily assessed walking, and the evidence focused on temporal-spatial parameters and kinematics, with fewer studies analyzing kinetics and electromyography. The use of rocker sole shoes was associated with a significantly shorter stance phase duration and a greater cadence compared to conventional footwear. A primary finding was a reduction in ankle joint range of motion, while knee and hip joint kinematics remained largely unchanged.

Conclusion

Custom-made rocker sole shoes induce specific biomechanical adaptations during gait, notably a reduced ankle range of motion and an increased cadence. These changes result in decreased ankle power generation during the late stance phase (push-off) and a shorter stride length.
目的本系统综述的目的是研究摇椅底鞋对行走时时空参数、运动学、动力学、足底压力和肌电活动的影响。方法系统检索PubMed、Web of Science、Scopus和Cochrane Central Register of Controlled Trials (Central)数据库。搜索关键词包括摇椅鞋底、摇椅底鞋、步态参数、运动学、动力学、压力和肌电图。纳入研究的偏倚风险采用改良的Downs和Black量表进行评估。结果纳入28项低至中等偏倚风险的研究。纳入的研究主要评估步行,证据集中在时空参数和运动学上,分析动力学和肌电图的研究较少。与传统的鞋子相比,使用摇椅鞋底的鞋子与明显更短的站立阶段持续时间和更大的节奏有关。主要发现是踝关节活动范围减少,而膝关节和髋关节的运动学基本保持不变。结论:定制的摇椅鞋底在步态中诱导特定的生物力学适应,特别是踝关节活动范围减小和节奏增加。这些变化导致踝关节在站立后期(蹬离)产生的能量减少,步幅变短。
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引用次数: 0
Robotic rehabilitation and intelligent algorithms improving the performance skills of stroke patients: a scoping review 机器人康复和智能算法提高中风患者的表现技能:范围审查
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-10-08 DOI: 10.1016/j.jbmt.2025.09.037
Omid Rustamzadeh , Seyed Ali Hosseini , Rastegar Rahmani Tanha , Nazila Akbarfahimi

Background

This scoping review highlights major advances and persisting gaps in robotic and AI-driven rehabilitation for stroke, evaluating their impact on hand strength, dexterity, and ROM, and offering clinicians practical, updated guidance.

Methods

Studies that focused on robotic-assisted technologies (RATs) in upper limb rehabilitation for stroke survivors (2014–2024) were included. Study designs unrelated to stroke, animal studies, and conference abstracts were excluded. Systematic searching in PubMed, Web of Science, Scopus, and Google Scholar employed robotic rehabilitation, AI, hand function, and stroke recovery-related terms. Data extraction encompassed intervention type, duration of treatment, dosage of therapy, outcome measures, cost-effectiveness, and patient satisfaction. Types of robotic rehabilitation: end-effector robots, exoskeletons, soft robotic gloves (SRGs), brain-computer interfaces (BCIs), and AI-enhanced virtual reality (AIVR).

Results

These devices can augment motion, grip strength, and functional independence, especially in chronic and subacute stroke patients. Therapies are made fine-grained by algorithms to balance challenge and engagement, thus lightning therapists’ burdens. Conventional energy sources may offer a more attractive option at shorter timelines and with reasonably predictable availability. Models that can be done at home enhance adherence at that higher level, though usability appears high for most models. Still, challenges with setup and independence for participants remain.

Conclusion

Robotic rehabilitation has a significant impact on motor function (MF) among stroke patients. Despite this, obstacles such as cost, accessibility, and long-term efficacy need even more research. Therapy dose optimization, adaptive AI integration, and cognitive-emotional outcome assessment are all areas of gaps in robotic rehabilitation that still need to be addressed.
本综述强调了机器人和人工智能驱动的中风康复的主要进展和持续存在的差距,评估了它们对手部力量、灵活性和ROM的影响,并为临床医生提供了实用的最新指导。方法纳入2014-2024年针对脑卒中幸存者上肢康复的机器人辅助技术(RATs)研究。排除了与中风无关的研究设计、动物研究和会议摘要。在PubMed、Web of Science、Scopus和b谷歌Scholar中进行系统搜索,使用机器人康复、人工智能、手部功能和中风康复相关术语。数据提取包括干预类型、治疗持续时间、治疗剂量、结果测量、成本效益和患者满意度。机器人康复类型:末端执行器机器人、外骨骼、软机器人手套(srg)、脑机接口(bci)和人工智能增强虚拟现实(AIVR)。结果这些装置可以增强运动、握力和功能独立性,特别是在慢性和亚急性脑卒中患者中。治疗通过算法进行精细化,以平衡挑战和参与,从而减轻治疗师的负担。传统能源可能在较短的时间内提供更有吸引力的选择,并具有合理可预测的可用性。虽然大多数模型的可用性似乎很高,但可以在家里完成的模型在更高的层次上增强了依从性。然而,参与者在设置和独立性方面的挑战仍然存在。结论机器人康复对脑卒中患者的运动功能有显著影响。尽管如此,成本、可及性和长期疗效等障碍需要更多的研究。治疗剂量优化、适应性人工智能集成和认知情绪结果评估都是机器人康复领域仍需解决的空白领域。
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引用次数: 0
Acute local and remote responses to foam rolling: An inter-set and contralateral thermographic analysis 对泡沫滚动的急性局部和远程反应:组间和对侧热成像分析
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-04 DOI: 10.1016/j.jbmt.2025.12.003
Gianmarco Pinto , Antonino Scardina , Luca Di Bartolo , Masatoshi Nakamura , Konstantin Warneke , Valerio Giustino , Marianna Bellafiore , Antonino Bianco , Ewan Thomas

Background

The aim of this study was to investigate the acute effects of foam rolling (FR) on both local (right hip) and contralateral (left hip) ROM associated with each respective tissue hardness (TH) and skin temperature (TsK) responses both locally (right hamstrings) and contralaterally (left hamstrings).

Methods

Thirty-seven participants completed two conditions: control (CC) and foam rolling (FR; 4 × 30 rolls targeting the right hamstrings). Outcomes included TsK, TH, and ROM, assessed both locally and contralaterally. TsK was measured at baseline and after each FR set, or every 30 s during CC. TH and ROM were evaluated at baseline and post-intervention.

Results

FR significantly increased ROM both locally and contralaterally (p < 0.001). In the treated limb, ROM gains were accompanied by a reduction in TH (p = 0.017) and a TsK rise emerging only after the fourth FR set (p = 0.031). Contralateral ROM improved (p < 0.001) without concurrent changes in TH or TsK.

Conclusion

FR elicited a significant acute ROM increase in both treated and contralateral limbs. In the treated limb, a minimum of four sets was required to evoke a measurable thermal response, as indicated by TsK. The local ROM enhancement was also accompanied by a decrease in TH. Conversely, the contralateral ROM gain occurred without alterations in TsK or TH, implying the involvement of alternative mechanisms. These findings suggest that FR may elicit remote effects, offering a potential alternative when direct application is limited by pain or injury. Future studies should clarify the mechanisms driving contralateral ROM enhancements.
本研究的目的是研究泡沫滚动(FR)对局部(右髋关节)和对侧(左髋关节)ROM的急性影响,这些影响与局部(右腿筋)和对侧(左腿筋)各自的组织硬度(TH)和皮肤温度(TsK)反应有关。方法37名被试完成对照(CC)和泡沫滚动(FR; 4 × 30滚动,目标为右腘绳肌)两种条件。结果包括TsK, TH和ROM,局部和对侧评估。在基线和每次FR组后测量TsK,或在CC期间每30 s测量一次。在基线和干预后评估TH和ROM。结果fr显著增加局部和对侧ROM (p < 0.001)。在接受治疗的肢体中,ROM的增加伴随着TH的降低(p = 0.017), TsK的升高仅在第四次FR组后出现(p = 0.031)。对侧ROM得到改善(p < 0.001), TH或TsK未同时发生变化。结论fr在治疗肢和对侧肢均引起明显的急性ROM增加。在接受治疗的肢体中,至少需要四组才能引起可测量的热反应,如TsK所示。局部ROM增强也伴随着TH的降低。相反,对侧ROM的增加在TsK或TH没有改变的情况下发生,这意味着其他机制的参与。这些发现表明,FR可能会引起远程影响,当直接应用受到疼痛或损伤限制时,它提供了一种潜在的替代方案。未来的研究应阐明驱动对侧ROM增强的机制。
{"title":"Acute local and remote responses to foam rolling: An inter-set and contralateral thermographic analysis","authors":"Gianmarco Pinto ,&nbsp;Antonino Scardina ,&nbsp;Luca Di Bartolo ,&nbsp;Masatoshi Nakamura ,&nbsp;Konstantin Warneke ,&nbsp;Valerio Giustino ,&nbsp;Marianna Bellafiore ,&nbsp;Antonino Bianco ,&nbsp;Ewan Thomas","doi":"10.1016/j.jbmt.2025.12.003","DOIUrl":"10.1016/j.jbmt.2025.12.003","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to investigate the acute effects of foam rolling (FR) on both local (right hip) and contralateral (left hip) ROM associated with each respective tissue hardness (TH) and skin temperature (TsK) responses both locally (right hamstrings) and contralaterally (left hamstrings).</div></div><div><h3>Methods</h3><div>Thirty-seven participants completed two conditions: control (CC) and foam rolling (FR; 4 × 30 rolls targeting the right hamstrings). Outcomes included TsK, TH, and ROM, assessed both locally and contralaterally. TsK was measured at baseline and after each FR set, or every 30 s during CC. TH and ROM were evaluated at baseline and post-intervention.</div></div><div><h3>Results</h3><div>FR significantly increased ROM both locally and contralaterally (p &lt; 0.001). In the treated limb, ROM gains were accompanied by a reduction in TH (p = 0.017) and a TsK rise emerging only after the fourth FR set (p = 0.031). Contralateral ROM improved (p &lt; 0.001) without concurrent changes in TH or TsK.</div></div><div><h3>Conclusion</h3><div>FR elicited a significant acute ROM increase in both treated and contralateral limbs. In the treated limb, a minimum of four sets was required to evoke a measurable thermal response, as indicated by TsK. The local ROM enhancement was also accompanied by a decrease in TH. Conversely, the contralateral ROM gain occurred without alterations in TsK or TH, implying the involvement of alternative mechanisms. These findings suggest that FR may elicit remote effects, offering a potential alternative when direct application is limited by pain or injury. Future studies should clarify the mechanisms driving contralateral ROM enhancements.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 413-421"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736880","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 Brazilian version of the 5-item Work Role Functioning Questionnaire 2.0 (WRFQ-5) has adequate measurement properties in workers with chronic pain 巴西版的5项工作角色功能问卷2.0 (WRFQ-5)对慢性疼痛工人具有足够的测量特性
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-11 DOI: 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.
目的评估巴西慢性疼痛工人5项工作角色功能问卷2.0 (WRFQ-5)的信度、内部一致性、结构效度和结构效度。方法采用问卷验证法。患有慢性疼痛的工人,不分性别,年龄≥18岁。我们使用探索性因子分析(EFA)评估WRFQ-5的内部结构。为了评估结构效度,我们将WRFQ-5与简短版的Orebro肌肉骨骼疼痛筛查问卷(OMPSQ)相关联。此外,我们评估了重测信度、内部一致性和下限和上限效应。结果:我们纳入153名慢性疼痛工人进行内部结构和构念效度分析,并纳入43名子样本进行重测信度分析。我们通过EFA和并行分析确定了WRFQ-5的单维性(Bartlett's球形检验的KMO = 0.77, p < 0.001)。在构念效度方面,我们观察到WRFQ-5与OMPSQ之间存在小于0.30的负相关(不相关构念),从而证实了假设。我们发现了相当的信度(ICC = 0.79)和足够的内部一致性(Cronbach's alpha = 0.88)。没有观察到天花板或地板效应。结论巴西葡萄牙语版WRFQ-5具有足够的测量特性,适用于慢性疼痛工人。
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引用次数: 0
Can functional movement screen scores predict upper extremity injuries in baseball players? A rapid review 功能运动屏幕评分能预测棒球运动员上肢损伤吗?快速回顾
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-04 DOI: 10.1016/j.jbmt.2025.12.020
Blake Hajjar , Cody Mansfield , Ryan Crotin , Brock Amelung , Madison Posner , Ryan Brown , James Oñate

Introduction

This rapid review aims to systematically determine whether the Functional Movement Screen (FMS) can predict upper extremity injuries in youth and collegiate baseball players. We hypothesize that the performance of the FMS will demonstrate good predictability for identifying injuries through qualitative appraisal of the evidence.

Methods

An electronic database search was conducted from May 2024 to February 2025 in PubMed and SPORTDiscus to identify cohort-based studies using the FMS to predict upper extremity injuries in youth and collegiate baseball players in this rapid review. Given the distinct injury risks from growth and workload, the methodological quality of the articles was appraised systematically to summarize the findings and identify any potential bias risks.

Results

Of 172 screened articles, only 11 were included, limiting statistical power and representativeness. One article (n = 1) revealed that FMS predicts upper extremity injuries (high school-level study), and several investigations reported that corrective exercises increased FMS scores. However, the bulk of evidence on FMS benefits for youth/college baseball athletes, comprising nine articles (n = 9), found that the FMS was unable to predict injuries, required further research, or failed to specifically answer the PICO question.

Conclusions

There is a lack of evidence supporting the use of FMS to predict upper extremity injuries in youth and collegiate baseball players, but it might be a useful tool for improving patterns. Further research is warranted to evaluate the efficacy of FMS for screening assessments in baseball players.
本快速回顾旨在系统地确定功能运动屏幕(FMS)是否可以预测青少年和大学棒球运动员的上肢损伤。我们假设,通过对证据的定性评估,FMS的性能将在识别损伤方面表现出良好的可预测性。方法从2024年5月至2025年2月在PubMed和SPORTDiscus中进行电子数据库检索,以确定基于队列的研究,使用FMS预测青少年和大学棒球运动员上肢损伤。考虑到生长和工作量带来的明显伤害风险,我们系统地评估了文章的方法学质量,以总结研究结果并识别任何潜在的偏倚风险。结果172篇筛选文献中,仅有11篇被纳入,统计效力和代表性受到限制。一篇文章(n = 1)揭示了FMS预测上肢损伤(高中水平的研究),几项调查报告了纠正性运动增加了FMS分数。然而,关于FMS对青少年/大学棒球运动员有益的大量证据,包括9篇文章(n = 9),发现FMS无法预测损伤,需要进一步研究,或者未能明确回答PICO问题。结论使用FMS预测青少年和大学棒球运动员上肢损伤的证据不足,但它可能是改进模式的有用工具。在棒球运动员的筛选评估中,需要进一步的研究来评估FMS的有效性。
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引用次数: 0
Changes in BMI, lipid profile, disease perception, and quality of life among myocardial infarction patients participating in a 12-week green walking: A quasi-experimental study 参加12周绿色步行的心肌梗死患者的BMI、血脂、疾病感知和生活质量的变化:一项准实验研究
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-19 DOI: 10.1016/j.jbmt.2025.12.025
Aynur Cin , Sevilay Hintistan

Objective

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

Methods

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

Results

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

Conclusions

Participation in the green walking program for 12 weeks is associated with favorable trends in BMI, lipid levels, disease perception, and quality of life among myocardial infarction patients which structured green walking can be an aid toward improving well-being during cardiac rehabilitation; however further randomized controlled studies will substantive such an association.
目的评价绿色步行12周后对心肌梗死患者BMI、血脂、疾病感知和生活质量的影响。方法采用准实验设计,60名参与者(28名男性,32名女性,年龄36-77岁)根据地理便利程度分为干预组(绿色步行)和对照组(常规护理)。绿色步行组在自然环境中进行高强度间歇步行,每周三次,每次50分钟,持续12周。通过考勤记录监测依从性,平均为91.7% (SD为7.1%)。主要结果包括BMI和脂质谱,而次要结果包括通过有效问卷评估的感知疾病和生活质量。采用混合设计模型进行分析。数据分析采用混合设计方差分析、重复测量方差分析、配对t检验、Friedman检验和Wilcoxon检验。结果:绿色步行组在几项指标上都有改善,包括BMI的降低、脂质谱和疾病感知评分的积极变化,两组的生活质量都有所提高。两组之间的体重、体重指数和对药物的担忧的平均差异不显著。在整个12周的计划中没有记录严重的不良事件。结论参与绿色步行12周可改善心肌梗死患者的BMI、血脂水平、疾病感知和生活质量,有组织的绿色步行有助于改善心脏康复期间的幸福感;然而,进一步的随机对照研究将证实这种关联。
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引用次数: 0
Interrater, test-retest, and intersession reliability of a test designed to measure tibialis posterior strength with a hand-held dynamometer 用手持式测力仪测量胫骨后肌强度的试验的中间、测试-再测试和间歇可靠性
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-11-01 DOI: 10.1016/j.jbmt.2025.10.054
Bergdal L , Svedmark Å , Lisbeth Brax-Olofsson , Tengman E

Background

The tibialis posterior muscle has an important role both in stabilizing the foot and in inversion, plantar flexion, and adduction of the foot. Impaired function can lead to tibialis posterior dysfunction. A clinical test that can objectively measure tibialis posterior strength is warranted.

Objectives

The aim of this study was to investigate the interrater, test-retest, and intersession reliability of a test designed to measure tibialis posterior strength with a hand-held dynamometer.

Design

Interrater, between-day test-retest and intersession reliability.

Setting

University laboratory.

Participants

The participants comprised 20 healthy individuals (mean age 28.8 years, n = 10 women) without foot problems.

Method

A test was designed to test tibialis posterior strength with a hand-held dynamometer (HHD). The test was performed on two occasions 5–15 days apart and was carried out by two raters. The intraclass correlation coefficient (ICC), 95 % confidence interval, standard error of measurement (SEM), and minimal detectable change were calculated.

Results

Interrater reliability was good on both occasions (ICC: 0.769, 0.794), test-retest reliability was moderate for both raters (ICC: 0.671, 0.672), and intersession reliability was excellent (ICC: 0.934–0.967). However, the confidence interval had a large variation (-0.027–0.986) and the SEM was relatively high (2.356–3.863 N).

Conclusions

This test seems to be reliable, but has some limitations. The results suggest that the current version of the test could be used to compare strength between feet, but that further development of the test is needed to achieve increased interrater and test-retest reliability.
背景:胫骨后肌在稳定足部以及足内翻、足底屈曲和内收方面都起着重要作用。功能受损可导致胫骨后肌功能障碍。临床试验,可以客观地测量胫骨后肌的力量是必要的。目的:本研究的目的是研究用手持式测力仪测量胫骨后肌力量的测试的重复测试、重复测试和间歇测试的可靠性。设计隔天测试-重测和间歇测试的可靠性。SettingUniversity实验室。参与者:参与者包括20名健康个体(平均年龄28.8岁,n = 10名女性),没有足部问题。方法采用手持式测力仪(HHD)测定胫骨后肌力量。测试分两次进行,间隔5-15天,由两名评分员进行。计算类内相关系数(ICC)、95%置信区间、测量标准误差(SEM)和最小可检测变化。结果两组量表间信度均为良好(ICC: 0.769, 0.794),两组量表重测信度均为中等(ICC: 0.671, 0.672),两组量表间信度均为优异(ICC: 0.934-0.967)。但置信区间变化较大(-0.027 ~ 0.986),SEM较高(2.356 ~ 3.863 N)。结论:该试验似乎是可靠的,但也有一定的局限性。结果表明,当前版本的测试可以用于比较脚之间的强度,但需要进一步开发测试以提高解释和测试重测的可靠性。
{"title":"Interrater, test-retest, and intersession reliability of a test designed to measure tibialis posterior strength with a hand-held dynamometer","authors":"Bergdal L ,&nbsp;Svedmark Å ,&nbsp;Lisbeth Brax-Olofsson ,&nbsp;Tengman E","doi":"10.1016/j.jbmt.2025.10.054","DOIUrl":"10.1016/j.jbmt.2025.10.054","url":null,"abstract":"<div><h3>Background</h3><div>The tibialis posterior muscle has an important role both in stabilizing the foot and in inversion, plantar flexion, and adduction of the foot. Impaired function can lead to tibialis posterior dysfunction. A clinical test that can objectively measure tibialis posterior strength is warranted.</div></div><div><h3>Objectives</h3><div>The aim of this study was to investigate the interrater, test-retest, and intersession reliability of a test designed to measure tibialis posterior strength with a hand-held dynamometer.</div></div><div><h3>Design</h3><div>Interrater, between-day test-retest and intersession reliability.</div></div><div><h3>Setting</h3><div>University laboratory.</div></div><div><h3>Participants</h3><div>The participants comprised 20 healthy individuals (mean age 28.8 years, n = 10 women) without foot problems.</div></div><div><h3>Method</h3><div>A test was designed to test tibialis posterior strength with a hand-held dynamometer (HHD). The test was performed on two occasions 5–15 days apart and was carried out by two raters. The intraclass correlation coefficient (ICC), 95 % confidence interval, standard error of measurement (SEM), and minimal detectable change were calculated.</div></div><div><h3>Results</h3><div>Interrater reliability was good on both occasions (ICC: 0.769, 0.794), test-retest reliability was moderate for both raters (ICC: 0.671, 0.672), and intersession reliability was excellent (ICC: 0.934–0.967). However, the confidence interval had a large variation (-0.027–0.986) and the SEM was relatively high (2.356–3.863 N).</div></div><div><h3>Conclusions</h3><div>This test seems to be reliable, but has some limitations. The results suggest that the current version of the test could be used to compare strength between feet, but that further development of the test is needed to achieve increased interrater and test-retest reliability.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 43-48"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468947","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
Handgrip strength as an independent predictor of mortality in chronic kidney disease patients undergoing hemodialysis: A prospective cohort 握力作为血液透析慢性肾病患者死亡率的独立预测因子:一项前瞻性队列研究
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-11-03 DOI: 10.1016/j.jbmt.2025.10.036
Vanessa Gomes Brandão Rodrigues , Joyce Noelly Vitor Santos , Vanessa Kelly da Silva Lage , Inara Caroline Marcelino Martins , Elisângela Andrade Assis Madeira , Gabriel Viana Figueiredo , Larissa Paes Toledo , Tamara Cunha , Jéssica Stéfany Rocha , Vitória Emanuelli Rodrigues Silva , Frederico Lopes Alves , Maria Cecília Sales Mendes Prates , Emílio Henrique Barroso Maciel , Redha Taiar , Henrique Silveira Costa , Ana Cristina Rodrigues Lacerda , Pedro Henrique Scheidt Figueiredo , Vanessa Amaral Mendonça

Background

Patients with end-stage chronic kidney disease (CKD) in hemodialysis treatment present a high index of mortality. Some studies found that mass and muscle strength are predictors of mortality in this population. However, these studies focused on older patients and residents of regions with high socioeconomic levels. Therefore, this study aimed to assess whether handgrip strength (HGS) is an independent predictor of mortality in patients with CKD undergoing hemodialysis in a low-HDI region in Brazil.

Methods

The prospective observational study was conducted among patients undergoing hemodialysis at a Brazilian public dialysis center, with baseline measurements taken in 2019. Handgrip strength (HGS), clinical, and biochemical parameters were evaluated at baseline.

Results

One hundred fourteen (51.9 years, 38.6 % females) composed the sample. After 36 months of follow-up, approximately 27 % of the patients died. In Cox regression analysis, only HGS (HR: 0.94 [95 % CI 0.90–0.98]; p = 0.004) and age (HR: 1.03 [95 % CI 1.01–1.06]; p = 0.016) were identified as independent predictors of mortality. The HGS ≤28 kg (AUC: 0.71 [95 % CI 0.62–0.79]) in the general population was the optimal cutoff value to predict death in the sample. In the male population, a cutoff value of 24 kg (AUC: [95 % CI 0.53–0.86]) was found, and for the female population, it was 21 kg (AUC: 0.63 [95 % CI 0.46–0.80]).

Conclusion

The HGS may provide valuable prognostic information on mortality in patients undergoing hemodialysis in areas with low socioeconomic development indices.
背景:终末期慢性肾脏疾病(CKD)患者在血液透析治疗中呈现高死亡率。一些研究发现,体重和肌肉力量是这一人群死亡率的预测指标。然而,这些研究主要集中在老年患者和高社会经济水平地区的居民。因此,本研究旨在评估握力(HGS)是否是巴西低hdi地区接受血液透析的CKD患者死亡率的独立预测因子。方法前瞻性观察研究在巴西一家公共透析中心接受血液透析的患者中进行,并于2019年进行基线测量。在基线时评估握力(HGS)、临床和生化参数。结果共114例,年龄51.9岁,女性38.6%。经过36个月的随访,大约27%的患者死亡。在Cox回归分析中,只有HGS (HR: 0.94 [95% CI 0.90-0.98]; p = 0.004)和年龄(HR: 1.03 [95% CI 1.01-1.06]; p = 0.016)被确定为死亡率的独立预测因子。一般人群的HGS≤28 kg (AUC: 0.71 [95% CI 0.62-0.79])是预测样本死亡的最佳临界值。在雄性种群中,发现截断值为24 kg (AUC: [95% CI 0.53-0.86]),在雌性种群中发现截断值为21 kg (AUC: 0.63 [95% CI 0.46-0.80])。结论HGS可为社会经济发展指数较低地区血液透析患者的死亡率提供有价值的预后信息。
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引用次数: 0
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JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
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