JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献_第7页

Double-blind randomized control trial investigating immediate changes in pain processing measures in response to dry needling to the lumbar multifidus in an asymptomatic population 双盲随机对照试验研究在无症状人群中干针刺腰椎多裂肌后疼痛处理措施的立即变化

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-21 DOI: 10.1016/j.jbmt.2025.11.022

Logan Rodgers , Jenny Bruck , Erienne Blanchard , Joel Bialosky

Intro

Dry needling (DN) is a conservative treatment for managing low back pain. Knowledge of the mechanisms by which DN modulates pain provides insight into matching this intervention to subgroups within the low back pain population with the potential to enhance outcomes. Quantitative sensory testing (QST) is an assessment of somatosensory responses to noxious stimuli. Measuring QST pre- and post-intervention informs mechanisms through which DN modulates pain.

Methods

An asymptomatic convenience sample was recruited. Pre and post-intervention QST measures established pain sensitivity profiles. Participants were randomized to DN or sham DN to the lumbar multifidus. Participant expectations for changes in pain sensitivity were assessed immediately before and after needling. Blinding was assessed immediately after participants received the needling intervention. Repeated measures ANOVAs assessed between group by time differences and correlation coefficients assessed for factors associated with significant QST change scores.

Results

34 participants completed the study. A significant main effect of time was observed for PPT at the low back (P = 0.04, 95 % CI: 0.60;-0.01), partial eta squared 0.12. Baseline conditioned pain modulation efficiency and post-needling expectation were significantly correlated to PPT change scores at r = 0.45 (p < 0.01) and r = −0.39 (p = 0.02).

Conclusion

A significant main effect was observed in response to DN and sham DN local to the intervention site. This finding suggests peripherally mediated shared mechanisms between DN and sham DN. Baseline pain modulatory efficiency and post-intervention expectations may be indicators of individuals who will experience a greater analgesic response to needling interventions.

针刺法（DN）是治疗腰痛的一种保守疗法。通过了解DN调节疼痛的机制，可以深入了解将这种干预与腰痛人群中的亚组相匹配，从而有可能提高结果。定量感觉测试（QST）是一种评估身体对有害刺激反应的方法。通过测量干预前后的QST，可以了解DN调节疼痛的机制。方法采用无症状方便样本。干预前和干预后的QST测量建立了疼痛敏感性概况。参与者被随机分配到DN或假DN到腰椎多裂。在针刺前后立即评估参与者对疼痛敏感性变化的期望。在参与者接受针刺干预后立即评估盲法。重复测量方差分析通过时间差评估组间差异，并评估与显著QST变化评分相关的因素的相关系数。34名参与者完成了研究。观察到时间对腰背部PPT的显著主效应（P = 0.04, 95% CI: 0.60;-0.01），偏eta平方0.12。基线条件疼痛调节效率和针刺后期望与PPT改变评分显著相关，分别为r = 0.45 （p < 0.01）和r = - 0.39 （p = 0.02）。结论干预部位对DN和假性DN均有显著的主效应。这一发现提示外周介导的DN和假性DN之间的共享机制。基线疼痛调节效率和干预后预期可能是个体对针刺干预有更大镇痛反应的指标。

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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 : 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

Blood pressure responses after different interval configurations in aerobic exercise: a systematic review in adolescents and adults with type-1 diabetes 有氧运动中不同间隔配置后的血压反应：1型糖尿病青少年和成人的系统回顾

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-20 DOI: 10.1016/j.jbmt.2025.11.025

José Adevalton Feitosa Gomes , Reginaldo Luiz do Nascimento , Jorge Luiz de Brito Gomes

Rationale

Individuals with type 1 diabetes mellitus (T1DM) may present with hypertension. Aerobic exercise could induce post-exercise hypotension. However, the clinical and ambulatory blood pressure responses may vary depending on the exercise prescription.

Objective

To verify the acute and chronic effect on blood pressure after different aerobic exercise intervals in type-1 diabetics.

Methods

A systematic review following the PRISMA protocol in Pubmed, Scielo, and Medline databases. The TESTEX scale was used to assess the methodological study quality (n = 6). Participants (control group): 35 adolescents and 51 adults (their own control). Acutely: No statistical post-exercise hypotension was found among the studies with clinical analysis, except one for adults performing interval exercise. Additionally, descriptively, three studies shown reduced mean values (∼0.1–10 mmHg in systolic pressure) after 20 or 30 min for adults. A single ambulatory analysis with T1DM adolescents showed a variation of ∼1 mmHg in systolic and diastolic after 24h and the daytime: 118 ± 10 and 71 ± 7 and nighttime mean: 112 ± 11 and 64 ± 9 mmHg (P > 0.05). Chronically: A single study with moderate intensity continuous aerobic training (60 % VO₂_max) reduced ∼5.8 mmHg in systolic and ∼3 mmHg in diastolic after 12 weeks in T1DM adolescents.

Conclusion

A single moderate-intensity continuous aerobic session does not promote statistical post-exercise hypotension in adolescents but interval exercise could reduce in males with T1DM adults. However, 12 weeks of continuous aerobic training may reduce SBP significantly for adolescents. Future research should compare blood pressure responses among interval, intermittent, and continuous aerobic exercises in different T1DM ages.

1型糖尿病（T1DM）患者可能伴有高血压。有氧运动可引起运动后低血压。然而，临床和动态血压反应可能因运动处方而异。目的探讨不同有氧运动间隔时间对1型糖尿病患者血压的急、慢性影响。方法按照PRISMA协议对Pubmed、Scielo和Medline数据库进行系统评价。采用TESTEX量表评估方法学研究质量（n = 6）。参与者（对照组）：35名青少年和51名成人（自己对照）。急性：在有临床分析的研究中，除一项针对进行间歇运动的成年人的研究外，未发现有统计学意义的运动后低血压。此外，有三项描述性研究显示，成年人在20或30分钟后收缩压平均值（收缩压约0.1-10 mmHg）降低。一项针对T1DM青少年的单次动态分析显示，24小时后收缩压和舒张压变化约1 mmHg，白天为118±10和71±7，夜间平均为112±11和64±9 mmHg （P > 0.05）。慢性：一项单一研究中，中等强度的持续有氧训练（60% VO2max）在T1DM青少年中，12周后收缩压降低~ 5.8 mmHg，舒张压降低~ 3 mmHg。结论单次中等强度连续有氧运动不会促进青少年运动后低血压，但间歇运动可以降低成年男性T1DM患者的低血压。然而，12周的持续有氧训练可能会显著降低青少年的收缩压。未来的研究应该比较间歇、间歇和连续有氧运动在不同T1DM年龄的血压反应。

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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 : 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

Treatment of chronic recalcitrant gluteal trochanteric pain syndrome with dry needling and electrical stimulation: A case study 干针加电刺激治疗慢性顽固性臀粗隆痛综合征一例研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-19 DOI: 10.1016/j.jbmt.2025.11.017

J. Bleacher , C. Mansfield , M. Smith , T. Barth , N. Gulla , M. Briggs

A 67-year-old male presented with chronic right gluteal tendinopathy and greater trochanteric pain syndrome (GTPS) following a fall nine months prior. He reported persistent pain (8/10), impaired sleep, and limited function despite prior treatments including corticosteroid injection, physical therapy, and rest. Imaging revealed calcific tendinosis of the gluteus medius/minimus. The patient elected to undergo dry needling with electrical stimulation targeting the gluteal musculotendinous junction and trigger points. Six weekly sessions were performed. At discontinuation of therapy, pain decreased to 2/10, Hip Disability and Osteoarthritis Outcome Score improved from 42 to 54, and the patient reported that their sleep and activity tolerance improved. At six months following discontinuation of therapy pain was 0/10, HOOS was 64, and all functional gains were maintained. This case highlights the potential of dry needling with electrical stimulation as a stand-alone intervention for recalcitrant GTPS when conventional treatments fail.

一位67岁男性患者在9个月前跌倒后表现为慢性右臀腱病和大转子疼痛综合征（GTPS）。他报告了持续疼痛（8/10）、睡眠受损和功能受限，尽管之前的治疗包括皮质类固醇注射、物理治疗和休息。影像学显示臀中/小肌钙化肌腱病。患者选择干针刺与电刺激针对臀肌肌腱交界处和触发点。每周进行6次治疗。在停止治疗时，疼痛减少到2/10，髋关节残疾和骨关节炎结局评分从42分改善到54分，患者报告他们的睡眠和活动耐受性得到改善。在停止治疗6个月后，疼痛为0/10，HOOS为64，所有功能增益保持不变。该病例强调了当常规治疗失败时，干针结合电刺激作为一种单独干预顽固性GTPS的潜力。

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引用次数: 0

Level of agreement with common low back pain misconceptions among students in DPT and nursing programs, and other non-healthcare undergraduate majors: An observational study DPT和护理专业学生以及其他非医疗保健本科专业学生对常见腰痛误解的认同程度：一项观察性研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-19 DOI: 10.1016/j.jbmt.2025.11.024

Mehrdad Bahramian PT, DPT , Don Walsh PT, DPT, MS, OCS , Ehsan Sinaei PT, MS

Background

Low back pain (LBP) is a major global health challenge that significantly affects adults worldwide, imposing considerable socio-economic burdens. For physical therapy education, understanding and correcting misconceptions about LBP is vital for developing effective treatment strategies.

Purpose

This study aims to investigate the prevalence of LBP misconceptions among students across various academic disciplines in the United States, including DPT, Nursing, and undergraduate programs, addressing how these misconceptions could affect future clinical practices.

Methods

The study sampled 320 students from DPT, Nursing, and various undergraduate programs within the United States, using convenience sampling for selection. This cross-sectional observational study was conducted using an electronic survey to assess LBP misconceptions. The survey included Likert scale responses to 10 statements on LBP myths. Descriptive statistics and chi-square tests were used for data analysis.

Results

The findings revealed significant misconceptions about LBP across all student groups, with notable disparities among disciplines. DPT students displayed a relatively lower agreement with misconceptions compared to nursing and other undergraduate students. Myths regarding the necessity of scans for diagnosis, the efficacy of aggressive treatments, and beliefs about the causation of LBP were prevalent. Nursing students showed the highest agreement with the myth that LBP will persist and worsen over time.

Conclusion

Misconceptions about LBP are widespread among students in health-related and general academic programs, highlighting a notable gap between current educational content and evidence-based practice. This study underscores the need for curriculum reforms and targeted educational interventions to dispel myths about LBP.

背景：腰痛（LBP）是一项重大的全球健康挑战，严重影响全球成年人，造成相当大的社会经济负担。在物理治疗教育中，理解和纠正对腰痛的误解对于制定有效的治疗策略至关重要。目的本研究旨在调查包括DPT、护理和本科专业在内的美国不同学科学生对LBP的误解，探讨这些误解如何影响未来的临床实践。方法采用方便抽样的方法，对320名来自美国DPT、护理和各种本科专业的学生进行抽样。本横断面观察研究采用电子调查来评估LBP误解。该调查包括李克特量表对10个关于LBP神话的陈述的回答。数据分析采用描述性统计和卡方检验。结果调查结果显示，所有学生群体对LBP存在明显的误解，各学科之间存在显著差异。与护理和其他本科学生相比，DPT学生对误解的认同程度相对较低。关于扫描诊断的必要性，积极治疗的有效性，以及关于腰痛病因的看法普遍存在。护理专业的学生对LBP会持续并随着时间的推移而恶化的说法的认同程度最高。结论在健康相关专业和普通专业的学生中普遍存在对腰痛的误解，这突出了当前教育内容与循证实践之间的显著差距。这项研究强调了课程改革和有针对性的教育干预的必要性，以消除关于LBP的神话。

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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 : 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

The impact of hip abductors’ fatigue on the Frontal Plane Knee Projection angle, in healthy active young women 健康运动青年女性髋外展肌疲劳对膝关节前平面投影角的影响

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-19 DOI: 10.1016/j.jbmt.2025.11.019

Eleftheria Lagouvardou , Savvas Spanos , Konstantinos Vassis , Zacharias Dimitriadis , Asimakis Kanellopoulos , Ioannis Poulis

The main aim was to investigate the changes in Frontal Plane knee Projection Angle (FPPA), as it is recorded during the Single Leg Squat and Single Leg Landing functional tests, after inducing isokinetic fatigue to hip abductors, in physically active females. Additionally, to correlate hip abductors' Maximal Peak Torque at Rest to FPPA and hip abductors' Peak Torque Post-Fatigue to FPPA. Twenty three physically active females, aged 18–28yrs, were included. Hip abductors' Maximal Peak Torque at Rest and Peak Torque Post-Fatigue was isokinetically measured at 120°/sec. The estimation of FPPA through the functional tests Single Leg Squat and Single Leg Landing, was performed pre- and post-fatigue, using the Kinovea application. Results showed that during Single Leg Landing test, FPPA was significantly increased when the hip abductors had been fatigued. No correlation was found between abductors' Maximal Peak Torque at Rest and FPPA in both functional tests (Single Leg Squat and Single Leg Landing). A mild negative correlation was observed between abductors' Peak Torque Post-Fatigue and FPPA, during the Single Leg Landing test. In conclusion, results showed that FPPA increased after hip abductors' fatigue. Correlation was observed only between FPPA and abductors' Peak Torque Post-Fatigue during the Single Leg Landing functional test. Hip abductors’ Peak Torque Post-Fatigue maybe is more useful for FPPA evaluation during functional tests, than Maximal Peak Torque at Rest alone.

本研究的主要目的是研究活跃女性在引起髋外展肌等动疲劳后，单腿深蹲和单腿着地功能测试中记录的膝关节前平面投影角（FPPA）的变化。此外，将髋外展肌休息时的最大峰值扭矩与FPPA和髋外展肌疲劳后的峰值扭矩与FPPA相关联。包括23名年龄在18 - 28岁的体力活动女性。以120°/秒等速测量髋外展肌静止时的最大峰值扭矩和疲劳后的峰值扭矩。使用Kinovea应用程序，通过单腿深蹲和单腿着地的功能测试来估计FPPA，并在疲劳前和疲劳后进行。结果表明，在单腿着地试验中，髋外展肌处于疲劳状态时，FPPA显著升高。在两项功能测试（单腿深蹲和单腿着地）中，外展者静止时最大峰值扭矩与FPPA之间没有相关性。在单腿着地试验中，外展者疲劳后峰值扭矩与FPPA呈轻微负相关。结论：髋外展肌疲劳后，FPPA升高。在单腿着陆功能测试中，仅观察到FPPA与外展肌疲劳后峰值扭矩之间的相关性。在功能测试中，髋外展肌疲劳后的峰值扭矩可能比单独静止时的最大峰值扭矩更有助于FPPA评估。

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引用次数: 0

Effect of resistance training with different occlusion pressure on hand grip strength and forearm girth among young adults- A pilot study 不同咬合压力下的阻力训练对年轻人握力和前臂周长的影响-一项初步研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-19 DOI: 10.1016/j.jbmt.2025.11.020

Tarun Kumar , Tanya Gujral

Background

Since skeletal muscle is essential for metabolism and self-sufficiency, methods to preserve or improve its mass and strength are therapeutically significant. Although hypertrophy and strength improvements can be effectively achieved by high-resistance training, excessive joint loading is frequently caused by the resistance levels being too high. You can train with low loads using Blood Flow Restriction Training (BFRT), which has the same hypertrophic and strength-building effects as conventional high-resistance training. The effects of constant occlusion pressure versus occlusion pressure that is established during a BFRT session on results, however, are not well understood.

Aim

The goal is to evaluate how muscle strength and girth are affected by constant versus dynamic occlusion pressure after BFRT.

Methodology

Participants were split into two groups: Group A used a fixed occlusion pressure decided on Day 1 to perform BFRT whileGroup B employed occlusion pressure measured before each session. Forearm girth and hand grip strength were measured both before and after the training session. Both independent and paired t-tests were used to analyze the data.

Result

A significant difference in forearm girth was found across groups (p < 0.05). Group B's muscle strength and both groups' muscle girth improved significantly, according to within-group analyses (p < 0.05). Across sessions, the session-specific pressure technique (Group B) showed more flexibility and reactivity to physiological changes.

Conclusion

In summary, assessing arterial occlusion pressure prior to each training session improves the accuracy and efficacy of BFRT and supports customised, secure, and clinically flexible exercise regimens. This study offers fresh data that helps determine the best way to use BFRT in performance and rehabilitation contexts.

由于骨骼肌是新陈代谢和自给自足所必需的，因此保持或提高其质量和力量的方法具有重要的治疗意义。虽然通过高阻力训练可以有效地实现肥大和力量的提高，但过高的关节负荷往往是由阻力水平过高引起的。你可以用低负荷的血流量限制训练（BFRT）进行训练，它与传统的高阻力训练具有相同的增厚和力量增强效果。然而，在BFRT期间建立的恒定闭塞压力与闭塞压力对结果的影响尚未得到很好的理解。目的评估BFRT后恒定和动态闭塞压力对肌肉力量和周长的影响。方法将参与者分为两组：A组使用第1天确定的固定咬合压力进行BFRT， B组使用每次疗程前测量的咬合压力。在训练前后测量前臂周长和手部握力。采用独立t检验和配对t检验对数据进行分析。结果各组患者前臂围长差异有统计学意义（p < 0.05）。组内分析显示，B组肌肉力量和两组肌肉周长均显著提高（p < 0.05）。在整个疗程中，特定疗程压力技术（B组）对生理变化表现出更强的灵活性和反应性。总之，每次训练前评估动脉闭塞压力可提高BFRT的准确性和有效性，并支持定制、安全、临床灵活的运动方案。这项研究提供了新的数据，有助于确定在性能和康复环境中使用BFRT的最佳方法。

{"title":"Effect of resistance training with different occlusion pressure on hand grip strength and forearm girth among young adults- A pilot study","authors":"Tarun Kumar , Tanya Gujral","doi":"10.1016/j.jbmt.2025.11.020","DOIUrl":"10.1016/j.jbmt.2025.11.020","url":null,"abstract":"<div><h3>Background</h3><div>Since skeletal muscle is essential for metabolism and self-sufficiency, methods to preserve or improve its mass and strength are therapeutically significant. Although hypertrophy and strength improvements can be effectively achieved by high-resistance training, excessive joint loading is frequently caused by the resistance levels being too high. You can train with low loads using Blood Flow Restriction Training (BFRT), which has the same hypertrophic and strength-building effects as conventional high-resistance training. The effects of constant occlusion pressure versus occlusion pressure that is established during a BFRT session on results, however, are not well understood.</div></div><div><h3>Aim</h3><div>The goal is to evaluate how muscle strength and girth are affected by constant versus dynamic occlusion pressure after BFRT.</div></div><div><h3>Methodology</h3><div>Participants were split into two groups: Group A used a fixed occlusion pressure decided on Day 1 to perform BFRT whileGroup B employed occlusion pressure measured before each session. Forearm girth and hand grip strength were measured both before and after the training session. Both independent and paired t-tests were used to analyze the data.</div></div><div><h3>Result</h3><div>A significant difference in forearm girth was found across groups (p < 0.05). Group B's muscle strength and both groups' muscle girth improved significantly, according to within-group analyses (p < 0.05). Across sessions, the session-specific pressure technique (Group B) showed more flexibility and reactivity to physiological changes.</div></div><div><h3>Conclusion</h3><div>In summary, assessing arterial occlusion pressure prior to each training session improves the accuracy and efficacy of BFRT and supports customised, secure, and clinically flexible exercise regimens. This study offers fresh data that helps determine the best way to use BFRT in performance and rehabilitation contexts.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 274-279"},"PeriodicalIF":1.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571306","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

Knowledge, perceptions, and attitudes about physical fitness assessment among physical exercise practitioners: A cross-sectional study 体育锻炼从业者对身体健康评估的知识、认知和态度：一项横断面研究

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-19 DOI: 10.1016/j.jbmt.2025.11.023

Wellington Fernando da Silva , Ricardo Borges Viana , Hudson Rosa da Silva , Rizia Rocha-Silva , Naiane Silva Morais , Douglas Assis Teles Santos , Rodrigo Luiz Vancini , Marilia Santos Andrade , Katja Weiss , Beat Knechtle , Claudio Andre Barbosa de Lira

Objectives

To evaluate knowledge, perceptions, and attitudes about physical fitness assessment among practitioners of regular physical exercise.

Methods

A total of 400 practitioners of regular physical exercise participated in the study. A self-administered 12-item survey was developed, including five questions on exercise experience and training characteristics, two on knowledge, one on perception, and four on attitude toward fitness assessments.

Results

Most participants reported positive perceptions regarding the usefulness of physical fitness assessments, yet regular participation in such assessments was limited. Participants who had previously performed physical assessments or received guidance from a personal trainer demonstrated greater knowledge and more favorable attitudes toward assessment. Statistically significant associations were found between perception of assessment usefulness and guidance by a personal trainer (p = 0.039, Cramer's V = 0.16 [small]) and having performed physical assessments (p < 0.001, Cramer's V = 0.35 [medium]). Knowledge about the importance of physical assessments for monitoring training effects was also associated with training experience (p = 0.023, Cramer's V = 0.18 [small]), personal trainer guidance (p = 0.011, Cramer's V = 0.11 [small]), and previous performance of physical assessments (p < 0.001, Cramer's V = 0.71 [large]).

Conclusions

The present study showed that participants who have training or physical assessment experience presented a positive perception about physical fitness assessment and that knowledge of physical fitness assessment is associated with better perceptions and attitudes.

Practice implications

Personal trainers play a crucial role in providing assessment-related guidance, which can improve training methods and enhance clients’ awareness of the importance of fitness monitoring.

目的了解常规体育锻炼从业者对体质评估的认识、认知和态度。方法对400名经常进行体育锻炼的人进行研究。研究人员自行设计了一份12道题的调查问卷，其中包括5道关于运动经验和训练特点的问题，2道关于知识的问题，1道关于感知的问题，4道关于对健康评估的态度的问题。结果大多数参与者报告了对身体健康评估有用性的积极看法，但定期参与此类评估的人数有限。先前进行过身体评估或接受过私人教练指导的参与者对评估表现出更大的知识和更有利的态度。在评估有用性的感知与私人教练的指导（p = 0.039, Cramer's V = 0.16[小]）和进行身体评估（p < 0.001, Cramer's V = 0.35[中]）之间发现了统计学上显著的关联。了解身体评估对监测训练效果的重要性还与训练经验（p = 0.023, Cramer's V = 0.18[小]）、私人教练指导（p = 0.011, Cramer's V = 0.11[小]）和以前的身体评估表现（p < 0.001, Cramer's V = 0.71[大]）有关。结论有训练或体能评估经历的被试对体能评估有积极的认知，对体能评估的认知与态度的改善有关。实践意义私人教练在提供与评估相关的指导方面发挥着至关重要的作用，可以改进训练方法，增强客户对健身监测重要性的认识。

{"title":"Knowledge, perceptions, and attitudes about physical fitness assessment among physical exercise practitioners: A cross-sectional study","authors":"Wellington Fernando da Silva , Ricardo Borges Viana , Hudson Rosa da Silva , Rizia Rocha-Silva , Naiane Silva Morais , Douglas Assis Teles Santos , Rodrigo Luiz Vancini , Marilia Santos Andrade , Katja Weiss , Beat Knechtle , Claudio Andre Barbosa de Lira","doi":"10.1016/j.jbmt.2025.11.023","DOIUrl":"10.1016/j.jbmt.2025.11.023","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate knowledge, perceptions, and attitudes about physical fitness assessment among practitioners of regular physical exercise.</div></div><div><h3>Methods</h3><div>A total of 400 practitioners of regular physical exercise participated in the study. A self-administered 12-item survey was developed, including five questions on exercise experience and training characteristics, two on knowledge, one on perception, and four on attitude toward fitness assessments.</div></div><div><h3>Results</h3><div>Most participants reported positive perceptions regarding the usefulness of physical fitness assessments, yet regular participation in such assessments was limited. Participants who had previously performed physical assessments or received guidance from a personal trainer demonstrated greater knowledge and more favorable attitudes toward assessment. Statistically significant associations were found between perception of assessment usefulness and guidance by a personal trainer (p = 0.039, Cramer's V = 0.16 [small]) and having performed physical assessments (p < 0.001, Cramer's V = 0.35 [medium]). Knowledge about the importance of physical assessments for monitoring training effects was also associated with training experience (p = 0.023, Cramer's V = 0.18 [small]), personal trainer guidance (p = 0.011, Cramer's V = 0.11 [small]), and previous performance of physical assessments (p < 0.001, Cramer's V = 0.71 [large]).</div></div><div><h3>Conclusions</h3><div>The present study showed that participants who have training or physical assessment experience presented a positive perception about physical fitness assessment and that knowledge of physical fitness assessment is associated with better perceptions and attitudes.</div></div><div><h3>Practice implications</h3><div>Personal trainers play a crucial role in providing assessment-related guidance, which can improve training methods and enhance clients’ awareness of the importance of fitness monitoring.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 365-373"},"PeriodicalIF":1.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617985","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