JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

Background: For preventing injury in specific muscles, a targeted warm-up (WU) involving repetitive functional movements may be more effective than a general WU. However, the scientific basis for the commonly recommended six repetitions of active knee extension (AKE) to enhance hamstring flexibility is unclear.

Objective: This study aimed to examine how the number of AKE repetitions influences hamstring flexibility, specifically by evaluating the effect of a 15-repetition WU protocol in individuals with hamstring tightness.

Methods: Nineteen healthy young adults with significant hamstring tightness (AKE >15°) participated in the study. Hamstring flexibility was assessed using the straight leg raise (SLR) and AKE tests before (Pre-AKE or Pre-SLR) and after the WU (Post-AKE or Post-SLR). The WU consisted of 15 continuous AKE repetitions performed without rest.

Results: A moderate correlation was observed between Pre-AKE and Pre-SLR (p = 0.024). Significant improvements in flexibility were found, with mean changes of 6.5° in Post-AKE (p = 0.001) and 6.2° in Post-SLR (p < 0.001). Flexibility gains were most notable early, leveling off after the third to fourth repetition.

Conclusion: These findings suggest that specific WU can effectively improve flexibility of the targeted muscles, though benefits may plateau after the early repetitions. In clinical settings, to avoid under- or overestimating the intervention effects, WU should be performed in advance.

Introduction: Soccer players must maintain optimal levels of physical performance, and to achieve this goal, various training strategies are implemented. However, previous studies concerning the impact of core stability training on the physical performance of soccer players have yielded contradictory results.

Objective: To determine the effects of core stability training on the physical performance of soccer players.

Methods: Systematic search of controlled trials until November 2024 in PubMed, Bireme, Scopus and WOS, following the guidelines of the Cochrane handbook and the PRISMA checklist. Two reviewers independently selected studies, with disagreement resolution by a third. The ROB2 tool was used to assess risk of bias, and publication bias was addressed using funnel plots and Egger regression. On the other hand, quality was assessed with checklists (SIGN/CONSORT). Data were analyzed in RevMan-Web using fixed effects meta-analysis, assessing heterogeneity with I², Chi² and Galbraith plots. Finally, the certainty of the evidence was determined with the GRADE approach.

Results: From 2984 records, 37 studies with 1174 soccer players (9-30 years) were selected. Core stability training improved vertical jump by 1.66 cm (95 % CI: 0.53, 2.79), and also improved agility tests such as the t-drill (-0.71 s [95 % CI: -1.27, -0.14]) and Illinois (-0.56 s [95 % CI: -1.05, -0.06]). No significant improvements were observed in the 30-m sprint (-0.04 s [95 % CI: -0.14, 0.06]) or 20-m sprint (-0.05 s [95 % CI: -0.11, 0.01]).

Conclusion: Sports scientists can implement core stability training to optimize physical performance in terms of jumping and agility in soccer players, but not to increase their speed.

Registration number: CRD42023461634.

Preventive physiotherapy plays an essential role in health promotion, emphasizing educational strategies and interventions aimed at preventing musculoskeletal dysfunctions. This study aimed to investigate the effects of a preventive physiotherapy protocol mediated by a mobile application on the health of workers. The participants' self-perceived health and thoracolumbar flexibility were assessed by comparing the results obtained before and after the intervention. We also sought to understand workers' perceptions of the proposed protocol. This exploratory randomized controlled clinical trial combines quantitative and qualitative approaches. in which participants received audiovisual educational interventions on the prevention of musculoskeletal diseases and healthy habits via the WhatsApp app over a 12-week period. The sample consisted of workers from a higher education institution in the state of Rio Grande do Sul, divided into a control group and an intervention group. The perception of the importance of preventive physiotherapy and thoracolumbar flexibility associated with each individual's self-perceived health variables were analyzed. The results showed no statistically significant differences between the groups in terms of self-perceived health, perception of preventive practice and thoracolumbar flexibility. However, intra-group improvements were observed in some parameters, suggesting a positive effect of the intervention. There are preliminary indications that technology-mediated preventive physiotherapy may be a viable workplace strategy, with potential health benefits, although it requires further development.

Objective: To describe the current status of safety and feasibility physiotherapy application during hemodialysis in patients during ICU stay.

Methods: It is a scoping review conducted from May to July 2024, developed in accordance with the PRISMA-ScR guidelines. The Concept, Population, and Context strategy and descriptors standardized by DECS and MESH in English and Portuguese were used, and they were arranged in different strategies in nine databases (MEDLINE by PUBMED, EMBASE, LILACS-BVS, PEDro, Scielo, WoS, Portal de Periódicos CAPES, and CINAHL). The studies were analyzed in terms of authorship, year of publication, design, outcomes, population, and results. The main outcome reported was describe the safety and presence of adverse events of applying physiotherapy to critically ill patients during hemodialysis session.

Results: A total of 122 files were identified and 02 were included after screening and selection. The results were framed into 07 themes on the particularities of early physiotherapy: the context of the physiotherapy in the ICU, Hemodialysis and vascular access to the necessary care, physiotherapy applied in the intradialytic period, the importance of interdisciplinary action, recording of adverse events, and the patient's perception.

Conclusion: Early physiotherapy applied during the intradialytic period in ICU patients was safe when conducted with a careful assessment of eligible patients, although transient hemodynamic changes may occur as adverse events.

Background: Non-specific chronic low back pain (NSCLBP) is the most prevalent form of low back pain globally and a leading cause of disability, affecting quality of life, work productivity, and healthcare systems. Despite many therapies, treatment responses remain inconsistent, highlighting the need for comprehensive evaluations of these interventions.

Objective: To evaluate and synthesize evidence from systematic reviews on the effectiveness and safety of interventions for managing NSCLBP in adults.

Methods: An overview of systematic reviews was conducted through searches in Cochrane Library, PROSPERO, MEDLINE/PubMed, LILACS, Embase, Scopus, Web of Science, and PEDro, with no language restrictions. Reviews were included if they analyzed randomized controlled trials (RCTs) assessing interventions for NSCLBP in adults, reported at least one clinical outcome, and used GRADE to assess the certainty of evidence, which restricted inclusion to reviews published from 2011 onwards. Methodological quality was assessed using ROBIS and AMSTAR 2.

Results: Fifty systematic reviews comprising 1096 RCTs and 124,087 participants were included. Core stabilization, aerobic exercise, Qigong, spinal manipulative therapy, and stretching suggested benefits for pain reduction, while integrated pain management programs combining physical, psychological, and educational components showed moderate-to-large improvements in disability. Reporting of adverse events, quality of life, and recurrence outcomes was limited, and most reviews presented high risk of bias with low certainty of evidence.

Conclusion: Pharmacological and non-pharmacological strategies have been studied for NSCLBP, but evidence certainty remains low. Clinicians should prioritize multimodal strategies supported by moderate-certainty evidence and adapt treatment to individual contexts. High-quality primary studies are needed for NSCLBP.

Background: Biomechanical variations of lower limb could be responsible for groin pain.

Objective: The aim of this review is to evaluate if there is a relationship between having biomechanical variations of the lower limb and suffering from groin pain, and to describe what these influential biomechanical variations are.

Methods: This review was registered on Open Science Framework prior to data extraction. A systematic search of PubMed, Embase, Web of Science, Scopus, CINAHL and SPORTDiscus, in addition to manual searches, were conducted. The risk of bias was assessed thanks to the tools "The Joanna Briggs Institute Checklist for Analytical Cross-Sectional Studies" (JBI), and "The Quality in Prognosis Studies (QUIPS)" for longitudinal studies.

Results: 15 studies, and the possibility of bias in their design, conduct and analysis were evaluated. Most cross-sectional studies had homogeneous exposure measurements that were valid and reliable. They used standardized criteria and objective methods, but lacked strategies to address confounding factors. Longitudinal studies had low bias in measuring the prognostic factor and in statistical analysis, but high bias in handling confounding factors. A meta-analysis was not performed due to substantial heterogeneity in study populations, measurement techniques, diagnostic thresholds, and outcome definitions, which precluded valid data pooling.

Conclusion: There are no biomechanical variations of the lower limb that can directly cause groin pain. The coxofemoral joint is the most studied for this association, with the alpha angle being the parameter that most influences groin pain when it exceeds 55°.

Introduction: Tele-yoga is regarded as a promising approach for managing fibromyalgia syndrome (FMS); however, substantial gaps still exist in the literature. This study aims to investigate the effects of a telerehabilitation-based yoga therapy program on pain, central sensitization, disease activity, fear-avoidance, sleep, and fatigue, as well as to explore patients' perceptions of the intervention among individuals with FMS.

Methods: Thirty-one patients with FMS were randomized into the tele-yoga training group or the control group (CG). The tele-yoga training was performed on Zoom software for 4 weeks, with one session per week, 60 min per day. No intervention was made in the control group. Tender points, Central Sensitization Inventory Short-Form (CSI-SF), Fibromyalgia Impact Questionnaire (FIQ), Numeric Rating Scale (NRS), Fear-Avoidance Beliefs Questionnaire (FABQ), Pittsburgh Sleep Quality Index (PSQI), and Fatigue Severity Scale (FSS) were evaluated. Additionally, in the tele-yoga training group, patients completed the Exercise Therapy Burden Questionnaire (ETBQ) after treatment only.

Results: Post-treatment, the tele-yoga training group showed significantly greater improvements than the CG in tender points, CSI-SF, NRS, and PSQI (p < 0.05). The tele-yoga group demonstrated treatment effects ranging from medium to large on the CSI-SF, FIQ, FABQ-work, and PSQI outcomes, with Cohen's d values between 0.55 and 1.04. A comparison of training satisfaction levels revealed significantly higher satisfaction in the tele-yoga group compared to the CG (p < 0.05).

Conclusions: The absence of adverse events supports the safety and practicality of tele-yoga, emphasizing its potential as an effective and accessible intervention for managing FMS symptoms and enhancing patient outcomes.

Background and objectives: Taxi drivers have several occupational risk factors related to musculoskeletal diseases (MSDs) because of their occupation's demands. Thus, this study assessed the prevalence of MSDs related to driving postures among drivers of passenger transport applications (apps) and explored their associated risk factors.

Methods: A total of 565 drivers participated in this cross-sectional study. The Nordic Musculoskeletal Questionnaire (NMQ-Arabic version) was used to identify the occurrence of MSDs and question about driving posture.

Results: The MSDs prevalence in the last 12 months was 75.04 % with neck complaint was the most prevalent (57.31 %). Knee issues were the most prevalent complaints preventing normal activity (70.90 %). Ankles/feet was the most complaint that led to visiting a physician (16.43 %). Incorrect driving posture increased the risk of MSDs three times (OR: 2.85). Females, driving 6-7 days/week, and incorrect driving posture were predictors of neck complaint (OR: 2.29, 2.61, 2.23 respectively). Females, and incorrect driving posture were predictors of shoulder complaint (OR: 3.47, 2.16 respectively). Incorrect driving posture was a predictor of upper back, lower back and knee complaints (OR: 1.68, 2.72, 1.90 respectively).

Conclusion: Three quarters of passenger transport app drivers have had MSDs during the last 12 months. Incorrect driving posture was the major predictor of neck, lower back, shoulders, upper back, and knee complaints. The female driver was a predictor of neck and shoulder complaints, while daily driving was a predictor of neck complaints. Ergonomic training courses focusing on proper driving posture could successfully reduce the drivers' MSDs.

Purpose: The study determined the impact of a six-week graded motor imagery on improving upper limb function and quality of life in individuals with subacute to chronic stroke. Graded motor imagery is based on neuroplastic mechanisms.

Methods: In this quasi-experimental study, 20 hemiplegic participants with a three-to six-month duration of stroke were recruited. After recruitment all subjects received graded motor imagery for 6 weeks. At baseline and six weeks after the intervention, the Wolf motor function test and the Fugl-Meyer assessment scale were used for evaluation. Since data followed a normal distribution, a paired t-test was employed for statistical analysis.

Results: FMA-UE showed a statistically significant improvement (p-value = 0.017) with an effect size of 0.5 following intervention. A small effect size was observed on WMFT and SS-QoL, although it was not statistically significant. The effect size for SS-QoL was 0.38, with the p-value of 0.102.

Conclusion: The present study showed that GMI could lead to improvements in both pain measured on FMA - UE scale and the motor abilities as measured on WMFT which may lead to improvement of upper limb functions. A small effect size was seen on the QoL scale, which concludes that a small but positive change was noted on the SS-QoL scale. Therefore the results should be interpreted carefully due to small sample size and short intervention period. Future studies with long term follow-up are required to confirm these findings.

Aim: Cerebral Palsy (CP) is a neurodevelopmental disorder that affects sensory processing, balance, and trunk control. This study aimed to examine in detail the relationship between sensory profiles, balance, and trunk control in children with quadriparetic CP, in order to provide evidence for integrating sensory-targeted strategies into rehabilitation.

Method: The study included 32 children diagnosed with spastic quadriparesis. Sensory processing was assessed using the Dunn Sensory Profile, balance was evaluated with the Pediatric Balance Scale (PBS), and trunk control was measured using the Trunk Control Measurement Scale (TCMS).

Results: A total of 32 children were assessed. Sensory processing disorders were identified in 81.5 % of the assessed parameters. Balance scores showed significant positive correlations with vestibular processing (p = 0.014, r = 0.429), proprioception (p = 0.017, r = 0.417), endurance and tone regulation (p = 0.036, r = 0.372), sensitivity to stimuli (p = 0.011, r = 0.444), and sensory seeking (p = 0.039, r = 0.366). Similarly, trunk control was positively correlated with stimuli perception (p = 0.014, r = 0.430), vestibular processing (p = 0.034, r = 0.377), oral sensory processing (p = 0.008, r = 0.463), and sensitivity to stimuli (p = 0.039, r = 0.367).

Conclusion: Difficulties in sensory processing, particularly in the vestibular, proprioceptive, somatosensory, and oral domains, were associated with impairments in balance and trunk control. These findings highlight the importance of evaluating sensory profiles in children with CP and support the inclusion of sensory-focused assessments and interventions in rehabilitation programs to improve motor and functional outcomes.