JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

Objective: To perform the translation, cross-cultural adaptation and validation the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD) for the Brazilian Portuguese in a sample of people with lower limb amputation.

Methods: This is a methodological study with cross-sectional design. Translation and cross-cultural adaptation of the scale were initially carried out in accordance with international guidelines. After its psychometric properties were evaluated, in addition to the presence of floor and ceiling effect, the standard error of measurement and the minimal detectable change.

Results: The Brazilian version of PASIPD presented face and content validity and correlated significantly with International Physical Activity Questionnaire (_rs: 0.71/p = 0.001). The degree of inter-examiner agreement ranged from 0.29 to 0.75, and the intra-examiner from 0.13 to 0.72. The inter-examiner was 0.71, and the intra-examiner was 0.78. The internal consistency measure (Cronbach's α) was 0.75. No floor or ceiling effect were observed. The standard error of measurement was 0.36 and the minimal detectable change was 1.66.

Conclusions: The Brazilian version of PASIPD is valid, reliable and has internal consistency among its items, and can be used by researchers and health professionals to evaluate the physical activity of Brazilians with lower limb amputation.

Introduction: A single session of exercises-inducing motor unit recruitment has been reported to immediately improve static and dynamic postural balance in different populations. It remains unclear whether such an effect occurs in patients with piriformis muscle syndrome (PMS). Thus, this study aimed to explore the immediate effect of hip exercises-inducing motor unit recruitment on postural balance in these patients.

Methods: In this pre-post-repeated measure study design, twelve patients with PMS were enrolled. These patients participated in a single session of hip exercises-inducing motor unit recruitment, consisting of two exercises, bilateral bridging to target hip extensors and side lying clams to target hip abductors and external rotators. Static (stabilometric platform) and dynamic (timed up and go test (TUGT) and Functional reach test (FRT)) postural balance, and pain were evaluated before and immediately after the intervention protocol.

Results: Patients with PMS had significant (p < 0.001) lower centre of pressure velocity and symmetry index values during the unipedal posture (eyes closed) in post-compared to pre-session. However, no significant effects of hip exercises-inducing motor unit recruitment were found on static bipedal and dynamic postural balance or pain in these patients.

Conclusion: A single session of hip exercises-inducing motor unit recruitment immediately improved static postural balance (unipedal posture with eyes closed) in patients with PMS. Given that this protocol is simple and easy to implement, it is recommended that patients with PMS consider incorporating these exercises into their daily physical activity.

Background: Some cognitive functions can be affected by a stroke as it causes sensory, perceptual, and visual deficits, contributing to a loss of body awareness and changes in one's body image and leading to a decrease in the quality of life (QoL). This systematic review aims to identify and systematize scientific evidence of body-oriented intervention (BOI) effects in adult and elderly patients after a stroke on cognitive function, body awareness, and QoL.

Methods: The research was carried out in: Pubmed, Science Direct, Cochrane, Web of Science, Psycinfo, Scopus, Portal Regional da BVS, and PEDro. To assess the methodological quality of the studies, the PEDro scale was used, and best evidence synthesis (BES) was performed on the data.

Results: The study included 11 high-quality randomized controlled trials involving 590 participants. The trials investigated BOIs' effects, focusing on creative arts and mind-body and evaluating cognitive functions, body awareness, and QoL. BOIs were evidenced to induce positive effects, limited to strong ones, on several cognitive outcomes and QoL indicators, with more benefits than, or similar amounts of benefits to, other therapies.

Conclusions: BOIs have been shown to be a valid therapy in stroke recovery as there is limited to strong evidence that they improve several cognitive functions and QoL, with similar benefits to or more benefits than other therapies. In the future, it is important to study the outcomes that were not explored by the included studies or that have hardly been investigated, such as those related to body awareness.

Introduction: Migraine is a neurological disease that affects proportionally more women. It has been documented that migraineurs often experience balance disturbances.

Objective: To evaluate the balance between migraineur patients (MG) and healthy volunteers classified as control group (CG).

Method: A cross-sectional study. Seventy-four women were evaluated: 37 MG and 37 CG. The evaluation of the center of pressure (COP) variables was carried out using a balance platform in three postures, bipodal eyes closed (BEC), right monopodal with eyes open (RMEO), and left monopodal with eyes open (LMEO). Self-report questionnaires (dizziness handicap inventory (DHI), fall risk efficacy scale (FES I), the functional impact scale (HIT 6) and the timed up and go test (TUG test) were used. The U-Mann Whitney test was used to verify differences in the COP between MG and CG. The Kruskal-Wallis one-way ANOVA was used to analyze the differences between migraine groups (MGs) with postures, self-report questionnaires, and TUG test. A p < 0.05 was considered statistically significant.

Results: No statistically significant changes were found in the balance variables, except the medial-lateral excursion variable in the BEC (p < 0.02) and LMEO (p = 0.04) postures. No significant differences were found between the MGs with HIT 6 (p = 0.48) or FES I (p = 0.49). Significant differences were found between the MGs with DHI (p = 0.003). The TUG test showed statistically significant changes between groups (p < 0.01).

Conclusion: The women with migraine in this sample did not show differences in postural balance, however, dizziness and functional differences are shown compared to healthy women.

Introduction: Adults with cerebral palsy (CP) may have reduced motivation or interest in exercising, whereas exercise or even an active lifestyle could provide them the greatest possible degree of independence and functionality. It is proposed that patient-centered intervention can increase adherence to exercise and as a result change the patient's lifestyle. Cognitive and Behavioral Therapy (CBT) is a task-oriented approach that deals with cognitive beliefs and behaviors, and it is considered to be effective in lifestyle changes. This case report examined the effect of a functional physiotherapy intervention with cognitive and behavioral principles treatment, on an adult with CP.

Case description: The patient was a 52-year-old male with bilateral (diplegia) spastic cerebral palsy (level 3 according to Gross Motor Function Classification System - GMFCS) and prolonged inactivity. The patient engaged in a combination of a functional exercise program with cognitive and behavioral approach treatment. A tailored program of progressive exercises for 20 weeks was used to address patient's functional limitations. A combination of functional tests was used in order to monitor the progress.

Outcomes: The patient presented a gradual improvement in values of balance and strength at 6 and 20 weeks as well as of fear of fall at 20 weeks.

Discussion: The positive outcomes from this new combination therapy for this patient are encouraging the opinion that a patient-centered intervention with enjoyable sessions and meaningful program based on CBT principles can increase adherence to exercise program, and as a result change the lifestyle.

Sedentary lifestyles lead to postural deformities, Lower Back Pain(LBP) and Colorectal cancer(CRC). Practicing Yoga attains definite strength in muscles by activating muscle fibers. The Yoga poses analyzed are often used in strengthening and stability programs for the abdomen and back muscles.

Objective: To determine the potential use of Dolphin pose and Dolphin plank in specific strengthening endurance and rehabilitation programs via sEMG analysis in the selected bilateral abdomen and lower back muscles.

Methods: Surface electromyographic analysis was conducted on bilateral muscles, including the Rectus Abdominis(RA), External oblique(EO), Internal oblique(IO), and Erector Spinae(ES), resulting in Dolphin pose(DS), Dolphin plank(DP), and High plank(HP). Data were expressed by Root Mean Square(RMS) of each bilateral muscle during each Pose normalized as 100% of maximum voluntary isometric contraction(MVIC).

Results: Dolphin plank(DP) generated a very high-level muscle activation than 100% MVIC in all bilateral muscles, and there was a significant main effect of Pose e (p < 0.001). Erector spinae generated more activation in the Dolphin pose (p < 0.05) than in the HP and DS. No significant difference between bilateral activity differences in DP and DS. There was a significant difference between RRA and LRA (p < 0.001) and RIO and LIO (p < 0.0001).

Conclusion: Findings have suggested that the Dolphin plank could be used for abdomen strengthening, performance enhancement, and rehabilitation programs. Dolphin pose may benefit lower back stability by providing endurance to the Erector spinae muscle. So, this yoga pose can be incorporated into the yoga training module for addressing lower back pain(LBP) caused by longer sitting in a sedentary lifestyle.

Background: There is an intimate association between chronic pain and substance use disorders, and it is difficult to manage these conditions without causing significant morbidity. Many studies have shown that exercise can alleviate chronic pain. The purpose of this study was to evaluate the impact of yoga and Pilates on pain and mood scores among those with chronic pain at a womens' substance use treatment facility.

Methods: This is a prospective questionnaire-based pilot study. One hour of Vinyasa Yoga and 1 h of mat Pilates classes were offered weekly at a women's substance use treatment center between November 11, 2016 and December 16, 2017. Questionnaire data was collected to assess the role of these modalities on pain and mood scores. Descriptive statistics, chi square for categorical outcomes and t-test for continuous outcomes were used for analysis.

Results: Among the women in residential rehabilitation for substance use disorder, 37% had chronic pain and the odds ratio of having a prior relapse within this group was 2.8 (95% CI: 1.5-5.4). These classes primarily heightened mood, decreased anxiety, improved self-image and only 21.7% of respondents noted improved pain management. Participants reported an average pain decrease of 0.19 and mood improvement of 0.11 units per week on a scale of 0-10. While pain control was not the primary benefit or motivation behind the classes, pain scores consistently decreased over the course of the study.

Conclusion: Pain scores improved synergistically with enhanced mood as part of this yoga and Pilates intervention. Yoga and stretching were cited as more beneficial then strengthening, meditation and Pilates. Further studies should be conducted to illuminate whether these interventions could prevent relapse in this population.

Introduction: Low back pain (LBP) accounts for nearly a third of musculoskeletal disorders in ballet dancers. LBP has a significant short- and long-term impact on dancers' performance, career, income, identity and overall health. However, the literature provides little specific guidance for the prevention and management of low back pain in ballet dancers. Against this background, this review presents those considerations and highlights gaps in the literature that warrant future research.

Method: We examined 15 bibliographical databases from February to June 2022.

Results and discussion: Recommendations for prevention and treatment formulated in the current literature omit elements of key importance for classical dancers and do little to distinguish the issues they face from those facing other athletes. The management of LBP in classical dancers needs to take proper account of the biopsychosocial and environmental landscapes in which they work.

Conclusion: Building trustful relationships, shared decision-making and exploration of dancers' beliefs are key pillars of LBP care. The current literature does not fully explore these issues and fails to provide dance-specific screening tools.