JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献_第6页

Virtual reality exercises versus high volume resistance training on body fat and blood biomarkers in obese adult females: A randomized controlled study 虚拟现实运动与大容量阻力训练对肥胖成年女性体脂和血液生物标志物的影响：一项随机对照研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-13 DOI: 10.1016/j.jbmt.2025.11.012

Nabil Mahmoud Abdel-Aal , Mohsen Mohamed Elsayyad , Sarah Sabry Ahmed , Maged A. Basha , FatmaAlzahraa H. Kamel

Background

To compare the adding effect of virtual reality exercises (VRE) versus high volume resistance training (HVRT) to low calorie diet (LCD) on blood biomarkers and body fat in obese adult females.

Methods

Sixty sedentary obese females (aged 40–60 years; BMI 30–40 kg/m²) were randomly assigned to three groups: VRE plus LCD, HVRT and LCD, or LCD only. Both exercise interventions were conducted three times weekly for 12 weeks. The outcome measures were lipid profile, glycated hemoglobin (Hb A1C), C-reactive protein (CRP), percentage of body fat (PBF), trunk fat (TF), waist hip ratio (WHR), skinfold thickness (SFT), quality of life (QOL), and fatigue severity (FS). All measurements were taken at baseline and after twelve weeks. Data were analyzed using mixed-model MANOVA with Bonferroni post-hoc tests (α < 0.05).

Results

Significant multivariate effects were found for group, time, and group-time interaction (p < 0.001). Both VRE and HVRT groups demonstrated significant reductions in total cholesterol, triglycerides, LDL, HbA1c, CRP, PBF, TF, WHR, and skinfold thickness, with increased HDL and improved QOL and FS (p < 0.01). No significant differences were observed between VRE and HVRT groups (p > 0.05), whereas both were superior to LCD alone across all outcomes (p < 0.05).

Conclusion

Combining VRE or HVRT with a LCD resulted in comparable improvements on lipid profile, HbA1c, CRP, PBF, TF, WHR, SFT, QOL, and FS, exceeding the benefits of dietary intervention alone. Virtual reality exercise may offer an engaging alternative to traditional resistance training for obesity management in women.

比较虚拟现实运动（VRE）与大容量阻力训练（HVRT）对低热量饮食（LCD）对肥胖成年女性血液生物标志物和体脂的增加作用。方法60例久坐肥胖女性（40 ~ 60岁，BMI 30 ~ 40 kg/m2）随机分为VRE + LCD组、HVRT + LCD组和仅LCD组。两种运动干预每周进行三次，持续12周。结果测量为脂质谱、糖化血红蛋白（Hb A1C）、c反应蛋白（CRP）、体脂百分比（PBF）、躯干脂肪（TF）、腰臀比（WHR）、皮褶厚度（SFT）、生活质量（QOL）和疲劳程度（FS）。所有测量均在基线和12周后进行。数据分析采用Bonferroni事后检验的混合模型方差分析（α < 0.05）。结果组、时间和组时间交互作用存在显著的多因素影响（p < 0.001）。VRE和HVRT组均显示总胆固醇、甘油三酯、LDL、HbA1c、CRP、PBF、TF、WHR和皮褶厚度显著降低，HDL升高，QOL和FS改善（p < 0.01）。VRE组和HVRT组之间无显著差异（p > 0.05），而两者在所有结果上均优于单独LCD组（p < 0.05）。结论VRE或HVRT联合LCD对血脂、HbA1c、CRP、PBF、TF、WHR、SFT、QOL和FS的改善效果相当，超过单独饮食干预的效果。虚拟现实运动可能为女性肥胖管理提供传统阻力训练之外的另一种有吸引力的选择。

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引用次数: 0

Mobile health applications for the self-management of musculoskeletal pain: A systematic review of online stores in Brazil 用于肌肉骨骼疼痛自我管理的移动健康应用程序：对巴西在线商店的系统审查

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-20 DOI: 10.1016/j.jbmt.2025.11.021

Luiz Filipe Máximo Ribeiro , Julya Perea , Cristiano Carvalho , Paula Rezende Camargo

Introduction

Musculoskeletal (MSK) pain is a common and disabling condition. In Brazil, the prevalence of MSK pain ranges from 21 % to 76 % with social and economic impacts. Mobile health (mHealth) applications (apps) have potential for aiding MSK pain treatment. Assessing their quality and usage is crucial to guarantee patient safety and intervention efficacy. The aim of this systematic review was to identify mHealth apps for self-management of MSK pain available in Brazilian online stores. The quality of the apps was also assessed.

Methods

Searches at App Store and Google Play were performed in December/2024. Apps in Portuguese, with no restrictions of price, involving self-management of MSK pain were included. The quality of apps was assessed with the Mobile Health App Rating Scale (MARS). Two reviewers conducted the search, screening and mHealth assessment. This systematic review was previously registered at PROSPERO (CRD42024626484).

Results

Of the 12,639 apps identified, 36 met the inclusion criteria (App Store = 5 and Google Play = 31). Among the included apps, 41.5 % approached exercises, 26.4 % education or counseling, 15.1 % symptom tracking and notes/logbook, and 1.9 % self-massage. The mean MARS score for the 36 apps was 3.87 ± 0.20 (ranging from 2.75 to 4.39 points).

Conclusion

This systematic review identified 36 apps with quality ranging from poor to excellent. The highest-scoring apps may be recommended for individuals with MSK pain with caution, as some do not provide all necessary resources for the assessment and follow-up in this population. Further studies are necessary to evaluate the efficacy and effectiveness of mHealth apps.

肌肉骨骼（MSK）疼痛是一种常见的致残疾病。在巴西，MSK疼痛的患病率从21%到76%不等，具有社会和经济影响。移动健康（mHealth）应用程序（app）具有帮助MSK疼痛治疗的潜力。评估它们的质量和使用是保证患者安全和干预效果的关键。本系统综述的目的是确定巴西在线商店中可用于MSK疼痛自我管理的移动健康应用程序。应用程序的质量也进行了评估。方法于2024年12月在App Store和b谷歌Play进行搜索。包括葡萄牙语应用程序，没有价格限制，涉及MSK疼痛的自我管理。应用程序的质量通过移动健康应用程序评级量表（MARS）进行评估。两位审稿人进行了搜索、筛选和移动健康评估。该系统评价先前已在普洛斯彼罗注册（CRD42024626484）。结果在确定的12,639个应用程序中，36个符合纳入标准（App Store = 5， b谷歌Play = 31）。在包括的应用程序中，41.5%用于锻炼，26.4%用于教育或咨询，15.1%用于症状跟踪和笔记/日志，1.9%用于自我按摩。36个应用程序的MARS平均得分为3.87±0.20（范围从2.75到4.39分）。本系统评价确定了36个质量从差到优的应用程序。对于患有MSK疼痛的个体，可能会谨慎推荐得分最高的应用程序，因为有些应用程序不能为该人群的评估和随访提供所有必要的资源。需要进一步的研究来评估移动健康应用程序的功效和效果。

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引用次数: 0

Is cryotherapy effective for tendon health? A systematic review of evidence and methodological limitations 冷冻疗法对肌腱健康有效吗？对证据和方法局限性的系统回顾

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-19 DOI: 10.1016/j.jbmt.2025.11.015

Tatiana Araújo Lima , Thiago Santos Rocha , Márcio Almeida Bezerra , Rodrigo Ribeiro de Oliveira

Background

Cryotherapy is widely used in managing soft tissue injuries, but its scientific foundation and clinical application remain inconsistent. Human evidence—especially concerning tendinopathy—is limited and heterogeneous. Understanding the effects of cold exposure on tendon structure and function is essential for safer and more effective clinical practice.

Objective

To systematically review the clinical, mechanical, and physiological effects of cryotherapy on human tendons, both healthy and affected by tendinopathy.

Methods

Comprehensive searches were conducted in CENTRAL, MEDLINE, EMBASE, CINAHL, and PEDro. Studies including human participants exposed to cryotherapy and assessing tendon-related outcomes were eligible. From 1075 records screened, 12 studies met inclusion criteria.

Results

Among the 12 included studies, seven (58.3 %) were randomized or quasi-randomized, four (33.3 %) experimental, and one (8.3 %) observational. Nine studies (75 %) used ice and three (25 %) used cold- or ice-water immersion. Cryotherapy was applied either as a standalone treatment (five studies, 41.7 %) or combined with other therapies (seven, 58.3 %) such as exercise, ultrasound, compression, or taping. Short-term improvements were reported in pain and microcirculatory parameters, suggesting potential benefits when used as an adjunct. However, methodological limitations—small samples, limited follow-up, and heterogeneous outcomes—restrict the strength and generalizability of findings.

Conclusions

Current evidence does not support cryotherapy as a standalone or standard treatment for tendinopathy. It may serve as an adjunctive strategy for short-term symptom relief, but its long-term structural or functional benefits remain uncertain. High-quality randomized controlled trials are required to clarify its therapeutic role.

冷冻疗法广泛应用于软组织损伤的治疗，但其科学基础和临床应用仍不一致。人类的证据——尤其是关于肌腱病变的证据——是有限的和异质性的。了解冷暴露对肌腱结构和功能的影响对于更安全、更有效的临床实践至关重要。目的系统回顾冷冻疗法对健康和受肌腱病变影响的人肌腱的临床、力学和生理影响。方法在CENTRAL、MEDLINE、EMBASE、CINAHL、PEDro等数据库中进行综合检索。包括接受冷冻治疗的人类参与者和评估肌腱相关结果的研究是合格的。从筛选的1075份记录中，有12项研究符合纳入标准。结果纳入的12项研究中，随机或准随机研究7项（58.3%），实验研究4项（33.3%），观察研究1项（8.3%）。9项研究（75%）使用冰，3项研究（25%）使用冷水或冰水浸泡。冷冻疗法要么作为单独治疗（5项研究，41.7%），要么与其他治疗（7项研究，58.3%）联合应用，如运动、超声、压迫或贴敷。据报道，疼痛和微循环参数的短期改善表明，作为辅助治疗有潜在的益处。然而，方法学上的局限性——小样本、有限的随访和异质性结果——限制了研究结果的强度和普遍性。结论：目前的证据不支持冷冻治疗作为肌腱病变的独立或标准治疗。它可以作为短期症状缓解的辅助策略，但其长期结构或功能益处仍不确定。需要高质量的随机对照试验来阐明其治疗作用。

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引用次数: 0

Effects of 16-week circuit training on spine structure, trunk muscle endurance, and balance in healthy women 16周循环训练对健康女性脊柱结构、躯干肌肉耐力和平衡的影响

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-12-19 DOI: 10.1016/j.jbmt.2025.12.031

Derya Ozer Kaya , Erhan Secer , Seyda Toprak Celenay

Objective

The present study aimed to examine the effects of circuit training (CT) on spine structure, trunk muscle endurance, and balance in healthy women.

Methods

Thirty-one healthy women [median age: 37.00 (34.00/40.00) years] were included in the study. The participants joined CT, arranged according to the recommendations of the American College of Sports Medicine, 3 days a week, an average of 40 min a day, for a total of 16 weeks. Before and after a CT, spine structure was assessed with the Spinal Mouse, trunk muscle endurance was assessed with the trunk flexion and extension endurance tests, and static balance was assessed with the Biodex Balance System. The Wilcoxon test was used to compare the pretest and posttest values within the group. The significance level (α) was set at 0.05.

Results

Following 16-week CT, the posture and mobility scores improved with large (1.06, 1.18, respectively) effect sizes (p = 0.002, p < 0.001, respectively). No positive effects on postural competency (p = 0.486), trunk flexor and extensor muscle endurance (p = 0.318, p = 0.572, respectively), and static balance eyes-open and eyes-closed (overall, anteroposterior, mediolateral) (p = 0.517, p = 0.173, p = 0.922, p = 0.925, p = 0.404, p = 0.196, respectively) were observed.

Conclusion

A 16-week CT effectively improved static posture and general mobility in healthy women, yet its observed lack of impact on postural competency, trunk muscle endurance, and balance suggests that future exercise interventions should integrate more targeted and specific components to achieve comprehensive physical fitness adaptations.

目的探讨循环训练（CT）对健康女性脊柱结构、躯干肌肉耐力和平衡的影响。方法健康女性31例，中位年龄37.00（34.00/40.00）岁。参与者按照美国运动医学学院的建议参加CT，每周3天，平均每天40分钟，共16周。CT前后用Spinal Mouse评估脊柱结构，用躯干屈伸耐力测试评估躯干肌肉耐力，用Biodex balance System评估静态平衡。使用Wilcoxon检验比较组内测试前和测试后的值。显著性水平（α）设为0.05。结果16周CT后，姿势和活动能力评分均有显著改善（分别为1.06,1.18），效应量较大（p = 0.002, p < 0.001）。对体位能力（p = 0.486）、躯干屈肌和伸肌耐力（p = 0.318, p = 0.572）、静态平衡睁眼和闭眼（整体、前后、中外侧）（p = 0.517, p = 0.173, p = 0.922, p = 0.925, p = 0.404, p = 0.196）均无显著影响。结论16周CT有效改善了健康女性的静态姿势和一般活动能力，但对姿势能力、躯干肌肉耐力和平衡缺乏影响，提示未来的运动干预应结合更有针对性和特异性的成分，以实现全面的体能适应。

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引用次数: 0

A study investigating the impact of the ‘rehabilitation-training integration’ intervention strategy on elite weightlifters with chronic low back pain returning to competitive sports 一项研究调查了“康复-训练一体化”干预策略对优秀举重运动员慢性腰痛恢复竞技运动的影响

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-09-26 DOI: 10.1016/j.jbmt.2025.09.022

Peng Liu (Assistant researcher) , Qi Yan (Professor of China Institute of Sports Science)

Objective

This study aimed to evaluate the efficacy of a 16-week integrated rehabilitation-training intervention for an elite female weightlifter with chronic low back pain (CLBP), focusing on optimizing biomechanical and clinical synergy to address pain-performance conflicts and restore her competitive capacity.

Methods

A case-study framework was employed with a structured three-phase protocol: pain modulation, neuromuscular re-education, and sport-specific loading. Multidimensional assessments were conducted throughout the intervention, including the Visual Analog Scale (VAS), Functional Movement Screen (FMS), Y-Balance Test (YBT), joint range of motion (ROM), isokinetic strength testing, and sport-specific performance metrics. Dynamic periodization was applied to ensure progressive adaptation, with an emphasis on core stability, strength symmetry, and kinetic chain efficiency.

Results

indicated substantial improvements: VAS scores reduced by 76 % (from 7.8 to 1.9), FMS scores increased by 28.6 % (from 14 to 19), YBT asymmetry normalized to <8 %, hip flexion symmetry restored to within 5°, and hip extension torque improved by 22.3 % (from 218 N to 266 N). The athlete returned to competition, surpassing her pre-injury total lift by 7 kg and winning a national championship.

Conclusion

The rehabilitation-training integration strategy, combining biomechanical correction and neuromuscular optimization, effectively addressed the athlete's CLBP. By focusing on core stability, restoring strength symmetry, and improving movement patterns, the intervention facilitated pain reduction, tissue healing, and sport-specific performance restoration. This approach provides a validated framework for managing chronic injuries in strength sports, offering valuable insights for rehabilitation and performance enhancement in elite athletes.

本研究旨在评估一名优秀女子举重运动员慢性腰痛（CLBP）的16周综合康复训练干预的疗效，重点是优化生物力学和临床协同作用，以解决疼痛-表现冲突，恢复其竞技能力。方法采用病例研究框架，采用结构化的三阶段方案：疼痛调节、神经肌肉再教育和运动特异性负荷。在整个干预过程中进行了多维评估，包括视觉模拟量表（VAS）、功能运动屏幕（FMS）、y -平衡测试（YBT）、关节活动范围（ROM）、等速力量测试和运动特定性能指标。动态周期化应用于确保渐进适应，重点是核心稳定性，强度对称性和动力学链效率。结果显示了显著的改善：VAS评分下降了76%（从7.8到1.9），FMS评分增加了28.6%（从14到19），YBT不对称归一化到8%，髋关节屈曲对称恢复到5°以内，髋关节伸扭力提高了22.3%（从218 N到266 N）。这位运动员重返赛场，总举重比受伤前提高了7公斤，赢得了全国冠军。结论采用生物力学矫正与神经肌肉优化相结合的康复训练一体化策略，可有效治疗运动员的CLBP。通过关注核心稳定性、恢复力量对称性和改善运动模式，干预有助于减轻疼痛、组织愈合和运动特定表现的恢复。这种方法为力量运动中的慢性损伤管理提供了一个有效的框架，为精英运动员的康复和表现提高提供了有价值的见解。

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引用次数: 0

The Relationship between early and late stimulation of the deltoid muscle in patients undergoing reverse total shoulder arthroplasty. A systematic review with meta-analysis 逆行全肩关节置换术患者三角肌早期和晚期刺激的关系。荟萃分析的系统综述

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-12-05 DOI: 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.

目的探讨早期刺激对逆行全肩关节置换术（RTSA）患者三角肌功能的影响。研究设计：采用荟萃分析的系统评价。方法对12个数据库进行综合检索。两名独立审稿人对研究的纳入和证据质量进行了评估。尽可能采用元分析对数据进行分析；否则，它们是定性合成的。评估的结果包括功能表现、疼痛、功能能力、活动范围（ROM）、肌肉力量和不良反应。使用GRADE方法评估证据质量。结果共纳入4项随机对照试验（RCTs），其中3项为meta分析提供可行的比较。在早期和晚期刺激的比较中，早期刺激在屈曲、外展和外旋的ROM方面显示出统计学上显著的改善。相反，延迟刺激内旋效果更好。然而，两组之间在功能表现、疼痛或功能能力方面没有发现显著差异。结论：虽然两组均有改善，但早期刺激在特定运动方面表现出更好的ROM效果。然而，由于方法上的限制，证据被归类为低到非常低。为了提高临床决策，进一步的研究更严格的方法是必要的。

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引用次数: 0

Surface EMG analysis of tibialis anterior and gastrocnemius activity under different loading positions 不同负荷体位下胫前肌和腓肠肌活动的表面肌电图分析

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-12-05 DOI: 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.

跟腱断裂是体育运动中常见的损伤。在跟腱断裂的物理治疗中，必须优先考虑跟腱的修复。此外，由于在治疗过程中需要提供适当的牵引负荷，因此明确物理治疗对跟腱的作用是肌肉强化、拉伸等很重要。本研究的目的是研究不同负荷量和负荷位置对固定踝关节背屈角度下足底屈肌和背屈肌肌肉活动的影响。用无弹力棉带固定受试者踝关节，使踝关节角度为0度背屈。记录站立姿势改变负荷位置和负荷量时下肢肌肉的表面肌电图。结果，胫骨前肌的肌肉活动因后脚负荷增加而增加，腓肠肌的肌肉活动因前脚负荷而增加。因此，研究表明，即使踝关节固定，踝关节底屈肌群在前足负重运动中肌肉活动增加。这些结果还表明，在跟腱断裂后的物理治疗中，根据加载位置增加跟腱牵引负荷的风险，即使是踝关节固定时的部分负重。

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引用次数: 0

Sex-specific acute effects of postural hammock exercise on autonomic regulation and plantar pressure in individuals with low back pain 腰痛患者体位吊床运动对自主调节和足底压力的急性影响

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-11-21 DOI: 10.1016/j.jbmt.2025.11.026

Elena Martínez-Rosales , Antonio J. Casimiro-Andújar , Eva M. Artés-Rodríguez

Background

Low back pain is a leading cause of disability worldwide, with significant socioeconomic implications. The autonomic nervous system is implicated in the pathophysiology of back pain, with changes in heart rate variability (HRV) and plantar pressure observed in affected individuals. This study aimed to evaluate the effects of a single postural hammock-based exercise session on HRV and plantar pressure in individuals with low back pain.

Methods

Forty-three participants (mean age 48.88 ± 11.87, 67 % women) with lower back pain were assessed before and after a 60-min exercise session, which incorporated flexibility, strength training, and deep breathing techniques designed to enhance autonomic regulation in a postural hammock. HRV was measured using a Polar heart monitor, and plantar pressure was analyzed with the Podoprint S4 System. Linear mixed-effects models were used to analyze the effects of the intervention, and subgroup analyses based on sex were performed using R Studio (v. 4.3).

Results

The results indicated a significant reduction in heart rate (mean difference: −5.2 bpm, p ≤ 0.01) and an increase in the HRV parameter very low frequency power (VLF; mean difference: 0.6 ms², p ≤ 0.01), across all participants. No other HRV parameters showed significant changes. Women showed greater improvements in heart rate (mean difference: −6.5 bpm, p ≤ 0.01) and VLF (mean difference: 0.6 ms², p = 0.011) compared to men. However, no significant changes were observed in plantar pressure parameters.

Conclusion

These findings suggest that a single session of postural hammock exercise may influence autonomic balance, particularly in women, but does not appear to affect plantar pressure in a static standing position. Further research is needed to explore the long-term benefits and mechanisms underlying these effects.

背景：腰痛是世界范围内致残的主要原因，具有重要的社会经济影响。自主神经系统与背痛的病理生理有关，在受影响的个体中观察到心率变异性（HRV）和足底压力的变化。本研究旨在评估单次基于吊床的体位运动对腰痛患者HRV和足底压力的影响。方法对43名腰痛患者（平均年龄48.88±11.87岁，67%为女性）进行为期60分钟的运动前后评估，该运动包括柔韧性、力量训练和旨在增强体位吊床自主调节的深呼吸技术。HRV测量采用Polar心脏监测器，足底压力分析采用Podoprint S4系统。使用线性混合效应模型分析干预的效果，并使用R Studio （v. 4.3）进行基于性别的亚组分析。结果结果表明，在所有参与者中，心率显著降低（平均差值：- 5.2 bpm, p≤0.01），HRV参数甚低频功率（VLF，平均差值：0.6 ms2, p≤0.01）增加。其他HRV参数无明显变化。与男性相比，女性在心率（平均差值：- 6.5 bpm, p≤0.01）和VLF（平均差值：0.6 ms2, p = 0.011）方面表现出更大的改善。然而，足底压力参数没有明显变化。结论：单次体位吊床运动可能会影响自主神经平衡，尤其是女性，但似乎不会影响静止站立时的足底压力。需要进一步的研究来探索这些影响的长期益处和机制。

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引用次数: 0

Effects of attentional focus on performance in standardized lumbar strength tests 注意焦点对标准化腰椎力量测试表现的影响

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-10-30 DOI: 10.1016/j.jbmt.2025.10.040

Gustavo Sinezio Goulart , Fabian Alberto Romero Clavijo , João Victor Vieira da Silva , Luciano Fernandes Crozara , Fábio Saraiva Flôres , Ricardo Drews

Background

A significant body of research has revealed the effect of attentional focus on the performance of a variety of motor tasks. However, the effect of different directed attentional foci on performance in standardized lumbar strength tests remains unexplored. This study aimed to investigate the effect of directed attentional focus on performance in standardized lumbar strength tests.

Method

The sample consisted of 48 physically active adults (23.3 ± 3.1 years), distributed into three groups: external focus group (EFG), internal focus group (IFG), and control group (CG). The study consisted of two phases: Phase 1 (Pre-test) and Phase 2 (Post-test). Each phase included two tests: an isometric maximum strength test and an isometric strength control test aimed at producing 50 % of the maximal value. Both tests were conducted using a lumbar dynamometer. Following Phase 1, participants received instructions according to their experimental condition. In Phase 2, after specific trials of the control and maximal strength test, participants completed questionnaires to assess their attentional focus during the tests.

Results

No significant differences were found between the groups in either the isometric maximum strength or the isometric strength control tests at any phase of the study. In the isometric strength control test, all groups showed improvement from pre to post-test. The attentional focus questionnaire results indicated that both the EFG and IFG primarily adhered to the provided instructions.

Conclusions

Different attentional focus instructions do not benefit isometric maximal strength or control lumbar strength performance in active young adults. These findings contrast with a portion of previous studies and highlight the complex relationship between attentional focus and motor performance.

大量的研究已经揭示了注意力集中对各种运动任务表现的影响。然而，不同的定向注意力焦点对标准化腰椎力量测试表现的影响仍未被探索。本研究旨在探讨定向注意力集中对标准化腰椎力量测试表现的影响。方法选取48例（23.3±3.1岁）体力活动成年人，分为外焦点组（EFG）、内焦点组（IFG）和对照组（CG）。研究包括两个阶段：第1阶段（预测试）和第2阶段（后测试）。每个阶段包括两个测试：一个等距最大强度测试和一个等距强度控制测试，旨在产生最大值的50%。两项测试均使用腰椎测力仪进行。在第一阶段之后，参与者根据他们的实验情况收到指示。在第二阶段，经过对照和最大力量测试的具体试验后，参与者完成问卷，以评估他们在测试期间的注意力集中程度。结果在研究的任何阶段，各组之间在等距最大强度或等距强度对照试验中均未发现显著差异。在等长强度对照试验中，各组均有较前、后的改善。注意焦点问卷结果显示，EFG和IFG基本上都遵守了所提供的指示。结论不同的注意力集中指导对运动的年轻人的等长最大力量或控制腰力量表现没有好处。这些发现与之前的部分研究形成对比，强调了注意力集中和运动表现之间的复杂关系。

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引用次数: 0

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2026-06-01 Epub Date: 2025-12-20 DOI: 10.1016/j.jbmt.2025.12.022

Hudson R. de Paula-Oliveira , Weverton Rufo-Tavares , Claudio A.B. de Lira , Marilia S. Andrade , Beat Knechtle , Katja Weiss , Morteza Taheri , Thais Russomano , Lucas L. Galvão , Martoni M. Sampaio , Rodrigo L. Vancini

Objective

This cross-sectional study aimed to delineate the isokinetic shoulder strength profile of amateur Brazilian wheelchair basketball athletes (WBA).

Methods

The study cohort comprised 22 WBAs (10 women, mean age 38.4 ± 6.6 years; 12 men, mean age 36.1 ± 6.3 years). Isokinetic evaluations were conducted using a Biodex System 4 isokinetic electromechanical dynamometer, focusing on concentric/concentric bilateral isokinetic exercises for both dominant and non-dominant shoulder joints, specifically targeting internal and external rotations. Descriptive statistics were employed alongside paired and unpaired Student's t-tests for data analysis.

Results

The findings revealed that male athletes dedicated 52.1 % more time to wheelchair basketball practice compared to their female counterparts. Most participants had spinal cord injuries, predominantly located between thoracic vertebrae T4 and T12, with functional classifications ranging from 3 to 4. Analysis of isokinetic strength differences between sexes indicated that men exhibited significantly greater shoulder strength across various speeds and metrics, including absolute maximum torque, relative maximum torque, and average power for both external and internal rotations at angular velocities of 60 and 240° per second. Notably, no significant correlation was observed between isokinetic strength variables and functional classification.

Conclusions

In summary, this study highlights significant sex-based disparities in isokinetic shoulder strength among WBAs, with male athletes demonstrating superior shoulder strength across multiple parameters. These findings underscore the necessity for sex-specific training and rehabilitation programs to optimize athletic performance and injury prevention in wheelchair basketball.

目的：本横断面研究旨在描述巴西业余轮椅篮球运动员（WBA）的等速肩部力量特征。方法纳入22例临床药师（女性10例，平均年龄38.4±6.6岁；男性12例，平均年龄36.1±6.3岁）。使用Biodex System 4等速机电测功机进行等速运动评估，重点关注优势和非优势肩关节的同心/同心双侧等速运动，特别是针对内部和外部旋转。描述性统计与配对和非配对学生t检验一起用于数据分析。结果研究结果显示，男性运动员在轮椅篮球训练上的时间比女性运动员多52.1%。大多数参与者有脊髓损伤，主要位于T4和T12胸椎之间，功能分类从3到4不等。对两性等速力量差异的分析表明，男性在不同的速度和指标下表现出更大的肩膀力量，包括绝对最大扭矩、相对最大扭矩和角速度为60°/秒和240°/秒的外部和内部旋转的平均功率。值得注意的是，等速强度变量与功能分类之间没有明显的相关性。综上所述，本研究强调了WBAs在等速肩力量方面存在显著的性别差异，男性运动员在多个参数上都表现出更强的肩力量。这些发现强调了针对性别的训练和康复计划的必要性，以优化轮椅篮球的运动表现和伤害预防。

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引用次数: 0