JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献

Objectives: This study aimed to assess the effects of cold compression therapy (Game Ready®), ice, and placebo on quadriceps recovery in amateur football players following plyometric exercise, focusing on stiffness, reactive strength index (RSI), pain, and muscle damage markers.

Design: Randomized, controlled, crossover trial.

Setting: University biomechanics laboratory.

Participants: Forty-five healthy male amateur football players.

Main outcome measures: Muscle stiffness (N/m), RSI, pressure pain threshold (PPT), perfusion (perfusion units, PU), creatine kinase (CK), lactate dehydrogenase (LDH), and total quality recovery (TQR), assessed at pre, post, 24 h, 48 h, and 72 h after plyometric exercise.

Results: Cold compression significantly reduced muscle stiffness (p < 0.01), CK and LDH levels (p < 0.05), and improved RSI (p < 0.01) and PU (p < 0.01) at 48 h and 72 h, compared to placebo. No significant differences were found between groups in PPT.

Conclusions: Cold compression therapy was more effective than ice or placebo in promoting muscle recovery after plyometric exercise by enhancing perfusion, reducing muscle stiffness and biochemical damage, and improving neuromuscular performance and perceived recovery.

Burn injuries represent a critical healthcare challenge. Contemporary burn care has achieved remarkable survival rates through advanced acute interventions, yet comprehensive rehabilitation remains essential for optimal physical and psychological recovery. However, despite numerous isolated studies on rehabilitation approaches, a systematic understanding of integrated physiotherapy interventions' effectiveness across multiple domains remains inadequately synthesized. This narrative review examined evidence from January 2015 to March 2024 across major databases (PubMed, Scopus, ScienceDirect, Google Scholar), analyzing physiotherapy interventions in burn rehabilitation through physical, psychological, technological, and cultural lenses. This analysis revealed that early mobilization combined with aerobic and resistance training significantly improved patient outcomes, with Functional Independence Measure scores increasing by up to 40 % and hospital stays reducing by approximately 30 %. Integration of psychological strategies, including cognitive-behavioral therapy and mindfulness activities, enhanced treatment adherence and mental wellness. Modern technological solutions, particularly tele-rehabilitation and virtual reality applications, demonstrated improved accessibility and engagement. Notably, culturally sensitive multidisciplinary approaches showed superior patient satisfaction and community reintegration outcomes. These findings underscore the critical importance of comprehensive physiotherapy interventions in burn rehabilitation while highlighting the need for future research focusing on equitable, culturally adaptive rehabilitation frameworks that integrate digital health technologies and cognitive rehabilitation approaches globally. This review aims to equip caregivers with up-to-date physiotherapeutic techniques for burn rehabilitation.

Background: The transition to menopause contributes to higher postprandial lipemia (LLP) and risk of cardiovascular disease. While acute physical exercise can mitigate these risks, the optimal intensity remains a subject of debate.

Objective: compare the subacute effects of high- and moderate-intensity interval exercise on LLP of postmenopausal women fed a high-fat meal.

Methods: eleven sedentary and post-menopausal women aged 56.7 ± 4 years participated in the study. On day 1, the participants randomly performed one of the three protocols, high intensity interval exercise (HIIT), moderate intensity interval exercise (MIIT) and Control (REST). On day 2 after a 12h fast, a basal blood sample was collected and the participants consumed a high-fat meal (HFM). After HFM, collections were performed for analysis of triglycerides (TG), Cholesterol (CHO), High-density lipoprotein (HDL) and Low-density lipoprotein (LDL) in the interval from 1 to 5h.

Results: HIIT was more effective than REST protocol in reducing TG at times 1h (38.6 %; p = 0.05), 3h (35.3 %; p = 0,004) and 4h (27.9 %; p = 0.05) but showed no difference compared to MIIT. Analyzing the incremental area under the curve (iAUC), HIIT and MIIT reduced TG (28.2 % and 39 %; p < 0.05) compared to REST protocol respectively. The rating of perceived exertion (RPE) and average heart rate (HR_mean) during HIIT were higher than during MIIT (26.5 %; p = 0.001 and 38.4 %; p = 0.001) respectively.

Conclusion: Both the HIIT and MIIT exercise protocols were effective in reducing postprandial TG levels. However, MIIT showed lower RPE and HR_mean than HIIT, and no differences were found in CHO, HDL, and LDL.

Background: A common and significant worry for people in their later year falls. Falls are frequently caused by residual impairments, including decreasing strength, poor sensory processing, balance issues, and cognitive gait inadequacies. Deficits in movement and balance can persist for years and are associated with a high fall rate (>6 months). Neuromuscular re-education by proprioceptive neuromuscular facilitation involves stimulating sensory receptors to provide feedback on incorrect movement and posture.

Objective: To Identify the effects of PNF on Balance, Strength, cognition and ADL.

Methods: 32 participants in all were divided into Group A and Group B at random. Participants had to be 65 years of age or older, have a history of falls within the previous year, be able to walk independently, be willing to participate, and not have cardiovascular or respiratory disorders, chronic neurological conditions, hearing or speech impairment, acute orthopaedic conditions, or head injuries.

Results: The results for both groups showed significant improvements from baseline to post-test analysis. When compared to one another, Group A shown more progress than Group B in BBS and Lower Limb Strength. No Statistically Significant changes were observed in the MMSE, KLE's Functional Scale, and Hand-Held Dynamometer for Upper Limb pre and post values, respectively (p < 0.05).

Conclusions: According to the study, Exercises have shown to improve both the groups. PNF-based exercises improved Lower Limb strength and balance.

Background: Parkinson's disease is a disorder with a growing prevalence that significantly reduces the quality of life of those affected.

Purpose: This review aims to analyze the effects of whole-body vibration on Parkinson's disease symptoms.

Methods: A systematic search was carried out in PubMed, CINHAL, EMBASE, and the Cochrane Library for randomized clinical trials studying the use of whole-body vibration interventions involving more than one session on Parkinson's Disease related symptoms. The Cochrane Risk of Bias Assessment Tool-2 was used to assess the methodological quality and the GRADE and TIDierR evaluated the certainty of the evidence and replicability of studies. Extracted data was pooled in meta-analysis.

Results: Six studies met the selection criteria. The TIDieR scores indicated high replicability. Whole-body vibration interventions improved static balance compared to active controls. No differences were found for gait speed, functional mobility, or motor symptoms. There were high concerns about the risk of bias and the certainty of the evidence.

Conclusions: Whole-body vibration showed no better effect than controls to improve Parkinson's disease symptoms, except for static balance. No clinical recommendations can be made due to the low number of studies and serious methodological issues.

Background: Parkinson's disease (PD) causes a loss of functionality due to difficulty performing dual task (DT).

Purpose: The aim of this study was to evaluate the acute interference of aerobic cycling DT on processing speed and attention in patients with PD.

Methods: A randomized controlled trial was carried out. Both groups of PD patients performed a cycling program using MOTOmed Viva 2 Parkinson. The control group only carried out the physical program, while the experimental group also carried out a cognitive task where they had to solve questions related to orientation, memory, calculation, language and similarities. Different variables were evaluated: Mini-Mental State Examination, Heart Rate, MOTOmed variables, and the Symbol Digit Modalities Test.

Results: Participants were randomly assigned to the experimental group (n = 24) and the control group (n = 22). On the Symbol Digit Modalities Test, both groups showed significant improvements at pre-, post-, and pre-follow-up with medium and large effect sizes for the control group, and large and very large effect sizes for the experimental group. When stratifying the groups by cognitive status, participants without cognitive impairment showed significant improvements and a very large effect size on the Digits and Symbols Modalities Test, regardless of the group to which they belonged.

Conclusions: The DT developed on the MOTOmed cycling device is a safe intervention for people diagnosed with PD (stage 2-3) with or without mild or moderate cognitive impairment. This intervention, associated with a cognitive intervention, seems to show improvements in the speed of information processing.

Objective: To describe the adaptation process of the assessment of aquatic motor skills using the Aquatic Functional Assessment Scale (AFAS) for people with Parkinson's disease (PD) (AFAS-PD).

Methodology: Cross-sectional study, filmed assessment in aquatic environment to score 32 motor skills: 8 adaptation phase (A), 9 mastering of the liquid medium (D), 7 specialized therapeutic exercises (E) and 8 global fitness (Cd).

Results: 61 people with PD, mean age of 67.4 (±9.1) years, which 50.82 % were female and mostly with Hoehn & Yahr (HY) stage 2 (37.70 %) and 3 (47.54 %). The A and E phases showed notable results, with participants reaching, respectively, 65 % and 80.6 % of the total score. In the D and Cd phases, participants achieved high scores, reaching 52.2 % and 59 %, respectively.

Conclusion: The adaptation of the AFAS-PD enable the identification of areas of competence skills and limitations within the poll, allowing for a personalized and effective prescription of aquatic physiotherapy exercises.

Introduction: The knowledge society demands continuous learning as a tool for growth. Occupational adaptation is crucial to managing the balance between work-life and study, which can reduce dropout rates.

Objective: To analyze the occupational adaptation processes of workers at an accredited university hospital, in the context of their postgraduate studies in education.

Methods: This was a quantitative, observational, cross-sectional study with an analytical component. It focused on occupational adaptation based on Kielhofner's Model of Human Occupation (MOH).

Results: The median age for those perceiving occupational adaptation is 41 years, compared to 39 years for those who do not. A higher proportion of women report a perceived lack of occupational adaptation compared to men. The roles of student, worker, caregiver, and family member are highly valued. Participants in healthcare and medical services are more likely to struggle with occupational adaptation (OR = 4.37 and OR = 4.00, respectively). Negative perceptions of performance and enjoyment in activities also affect occupational adaptation.

Conclusion: The perception of occupational adaptation in workers studying a specialization in university teaching at a university hospital is significantly influenced by the type of service performed and the need to adjust the workday.

Background: Military training often involves high-impact activities such as jump landing in which subjects' foot bears significant loading. Footwear choice, particularly military boots (MB), can affect plantar pressure distribution and muscle activity in the foot, thus related to soldiers' performance and injury risk. While previous studies have examined walking and running in MB, limited research explores plantar pressure and electromyography (EMG) activity in the lower limbs during jumping landing.

Methods: Thirteen healthy adult participants performed jump landings from a 60-cm height platform while wearing MB and running shoes (RS). Their plantar pressure and EMG data were collected using the Pedar-X plantar pressure system and DELSYS EMG system. Plantar area was defined into nine zones, and the pressure parameters including maximum force, peak pressure, and pressure-time integral (PTI) were analyzed. The EMG were collected from the rectus femoris, vastus medialis, tibialis anterior, long head and short head of the biceps femoris, lateral head of the gastrocnemius and medial head of the gastrocnemius. Statistical comparisons were conducted to examine the effect of footwear type on these biomechanical variables.

Results: MB showed significantly higher peak pressure in the heel region compared to RS (451.25 vs 311.60 kPa, p < 0.001), indicating greater impact concentration. EMG analysis revealed that the biceps femoras had higher activation during landings in MB than in RS (i.e. 61.6 % vs 37.0 % of maximum voluntary contraction, p < 0.014) while the vastus medial and medial gastrocnemius had higher EMG activities in RS than in MB. This suggests that the MB and RS structures have different muscular demands to maintain stability during jumping landing.

Conclusion: The results of the study suggest that MB concentrates the impact on the heel during jump landing and requires higher muscle activation in the biceps femoris. RS, in contrast, allows for better pressure distribution and shock absorption, potentially reducing injury risk. These insights are essential for optimizing footwear selection in military training to enhance performance and minimize injury. In terms of pressures, the foot performance when jumping landing in RS is better than when wearing MB.