Pub Date : 2025-12-01Epub Date: 2025-10-16DOI: 10.1016/j.jbmt.2025.09.046
Beyza Avci, Meral Sertel, Selma Demir
Objective: This study aims to examine the effects of telerehabilitation, including posture and breathing exercises, on respiratory functions, quality of life, exercise capacity, fatigue, and psychosocial factors in individuals with chronic obstructive pulmonary disease (COPD).
Methods: Thirty individuals diagnosed with COPD (15 in the control group, 15 in the treatment group) were randomly selected for the study. Participants were evaluated through a pulmonary function test, dyspnea, health-related quality of life, exercise capacity, fatigue, psychosocial factors. Posture and breathing exercises were applied to the treatment group via video conference for a total of 16 sessions, 45 min, 2 days/week, for 8 weeks.
Results: When the pre-and post-treatment data were compared in fatigue, depression, and anxiety examinations, the change in the treatment group was found to be statistically significant (p < 0.05).
Conclusion: It was concluded that exercise with telerehabilitation in COPD patients is effective on quality of life, exercise capacity, fatigue, psychosocial factors and can be used as a treatment approach.
{"title":"The effect of posture and breathing exercises applied with telerehabilitation on respiratory functions, exercise capacity, fatigue, and psychosocial factors in chronic obstructive pulmonary disease patients.","authors":"Beyza Avci, Meral Sertel, Selma Demir","doi":"10.1016/j.jbmt.2025.09.046","DOIUrl":"10.1016/j.jbmt.2025.09.046","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine the effects of telerehabilitation, including posture and breathing exercises, on respiratory functions, quality of life, exercise capacity, fatigue, and psychosocial factors in individuals with chronic obstructive pulmonary disease (COPD).</p><p><strong>Methods: </strong>Thirty individuals diagnosed with COPD (15 in the control group, 15 in the treatment group) were randomly selected for the study. Participants were evaluated through a pulmonary function test, dyspnea, health-related quality of life, exercise capacity, fatigue, psychosocial factors. Posture and breathing exercises were applied to the treatment group via video conference for a total of 16 sessions, 45 min, 2 days/week, for 8 weeks.</p><p><strong>Results: </strong>When the pre-and post-treatment data were compared in fatigue, depression, and anxiety examinations, the change in the treatment group was found to be statistically significant (p < 0.05).</p><p><strong>Conclusion: </strong>It was concluded that exercise with telerehabilitation in COPD patients is effective on quality of life, exercise capacity, fatigue, psychosocial factors and can be used as a treatment approach.</p><p><strong>Clinical trial number: </strong>NCT04879576.</p>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"45 ","pages":"953-961"},"PeriodicalIF":1.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642198","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}
Pub Date : 2025-11-27DOI: 10.1016/j.jbmt.2025.11.027
Xinyu Zhao , Yang Hong , Zihao Cai, Chang Liu, Yibo Jia, Tao Liu
Objective
This study aimed to test the efficacy of functional training in improving soccer fitness among boys aged 10–11 years.
Methods
Functional movement screening (FMS) and soccer fitness tests were conducted on 36 boys aged 10–11 years. The participants were randomly allocated to the control group (CG, n = 18) or experimental group (EG, n = 18). The CG was trained following a regular soccer training program, and the EG completed functional training during the warm-up and relaxation periods of the regular soccer training.
Results
After training, the FMS score of the EG increased from 16.94 ± 2.61 to 19.38 ± 1.06 (P < 0.01, ES = 1.19), while the CG remained unchanged (17.22 ± 2.39, P > 0.05, ES = 0.11). Both groups demonstrated significant improvements in multiple fitness indicators, including ball-dribbling shuttle run (CG: P < 0.001, ES = 0.17; EG: P < 0.001, ES = 0.88), dribbling around the poles (CG: P < 0.001, ES = 0.32; EG: P < 0.001, ES = 1.01), standing long jump (CG: P < 0.001, ES = 0.11; EG: P < 0.001, ES = 0.45), T-drill (CG: P < 0.001, ES = 0.34; EG: P < 0.001, ES = 2.28), and 400-m run (CG: P < 0.05, ES = 0.80; EG: P < 0.001, ES = 1.02). However, a significant improvement in target-oriented passing and receiving was observed only in the EG (P < 0.01, ES = 0.48). Inter-group comparisons showed that the EG performed significantly better than the CG in dribbling around the poles (P < 0.05, ES = 1.01), standing long jump (P < 0.05, ES = 0.45), and T-drill (P < 0.001, ES = 2.28). However, no significant differences were observed between the two groups in ball-dribbling shuttle run (P > 0.05, ES = 0.88), target-oriented passing and receiving (P > 0.05, ES = 0.48), or 400-m run (P > 0.05, ES = 1.02).
Conclusions
The functional training program significantly enhanced FMS scores, mobility, and explosiveness, EG improved in the 400-m run performance and target accuracy, but no inter-group difference was observed, suggesting that additional sport-specific technical and endurance components are required to achieve more comprehensive performance gains.
目的探讨功能性训练对提高10-11岁男孩足球体能的作用。方法对36名10 ~ 11岁男孩进行功能运动筛查（FMS）和足球体能测试。将参与者随机分为对照组（CG, n = 18）和实验组（EG, n = 18）。CG在常规足球训练项目后进行训练，EG在常规足球训练的热身和放松阶段完成功能训练。结果训练后，EG的FMS评分由16.94±2.61分提高至19.38±1.06分（P < 0.01, ES = 1.19），而CG的FMS评分为17.22±2.39分（P > 0.05, ES = 0.11）。两组在多个健康指标显著改善,包括ball-dribbling往返跑(CG: P & lt; 0.001, ES = 0.17;例如:P & lt; 0.001, ES = 0.88),盘带在两极(CG: P & lt; 0.001, ES = 0.32;例如:P & lt; 0.001, ES = 1.01),站在跳远(CG: P & lt; 0.001, ES = 0.11;例如:P & lt; 0.001, ES = 0.45), T-drill (CG: P & lt; 0.001, ES = 0.34;例如:P & lt; 0.001, ES = 2.28),和400米跑(CG: P & lt; 0.05, ES = 0.80;例如:P & lt; 0.001, ES = 1.02)。然而，仅在EG中观察到目标导向传递和接收的显着改善（P < 0.01, ES = 0.48）。组间比较显示，EG组在绕杆运球（P < 0.05, ES = 1.01）、立定跳远（P < 0.05, ES = 0.45）、t型训练（P < 0.001, ES = 2.28）的成绩显著优于CG组。两组在带球穿梭跑（P > 0.05, ES = 0.88）、目标导向传球接球（P > 0.05, ES = 0.48）、400米跑（P > 0.05, ES = 1.02）方面差异无统计学意义。结论：功能性训练方案显著提高了运动员的FMS分数、机动性和爆发力，EG提高了400米跑成绩和目标准确性，但没有观察到组间差异，这表明需要额外的运动特定技术和耐力成分来实现更全面的成绩提升。
{"title":"Effect of 12-week functional training on soccer fitness among boys aged 10–11 years","authors":"Xinyu Zhao , Yang Hong , Zihao Cai, Chang Liu, Yibo Jia, Tao Liu","doi":"10.1016/j.jbmt.2025.11.027","DOIUrl":"10.1016/j.jbmt.2025.11.027","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to test the efficacy of functional training in improving soccer fitness among boys aged 10–11 years.</div></div><div><h3>Methods</h3><div>Functional movement screening (FMS) and soccer fitness tests were conducted on 36 boys aged 10–11 years. The participants were randomly allocated to the control group (CG, n = 18) or experimental group (EG, n = 18). The CG was trained following a regular soccer training program, and the EG completed functional training during the warm-up and relaxation periods of the regular soccer training.</div></div><div><h3>Results</h3><div>After training, the FMS score of the EG increased from 16.94 ± 2.61 to 19.38 ± 1.06 (P < 0.01, ES = 1.19), while the CG remained unchanged (17.22 ± 2.39, P > 0.05, ES = 0.11). Both groups demonstrated significant improvements in multiple fitness indicators, including ball-dribbling shuttle run (CG: P < 0.001, ES = 0.17; EG: P < 0.001, ES = 0.88), dribbling around the poles (CG: P < 0.001, ES = 0.32; EG: P < 0.001, ES = 1.01), standing long jump (CG: P < 0.001, ES = 0.11; EG: P < 0.001, ES = 0.45), T-drill (CG: P < 0.001, ES = 0.34; EG: P < 0.001, ES = 2.28), and 400-m run (CG: P < 0.05, ES = 0.80; EG: P < 0.001, ES = 1.02). However, a significant improvement in target-oriented passing and receiving was observed only in the EG (P < 0.01, ES = 0.48). Inter-group comparisons showed that the EG performed significantly better than the CG in dribbling around the poles (P < 0.05, ES = 1.01), standing long jump (P < 0.05, ES = 0.45), and T-drill (P < 0.001, ES = 2.28). However, no significant differences were observed between the two groups in ball-dribbling shuttle run (P > 0.05, ES = 0.88), target-oriented passing and receiving (P > 0.05, ES = 0.48), or 400-m run (P > 0.05, ES = 1.02).</div></div><div><h3>Conclusions</h3><div>The functional training program significantly enhanced FMS scores, mobility, and explosiveness, EG improved in the 400-m run performance and target accuracy, but no inter-group difference was observed, suggesting that additional sport-specific technical and endurance components are required to achieve more comprehensive performance gains.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 460-470"},"PeriodicalIF":1.4,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736877","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}
Pub Date : 2025-11-24DOI: 10.1016/j.jbmt.2025.11.018
Nicole Nelson MSH, LMT , Charles Nelson MS
Background
Fibromyalgia (FM) is a chronic condition characterized by widespread pain, fatigue, sleep disturbances, and other symptoms. Cupping therapy has emerged as a promising treatment for pain relief. Despite its increasing use, the mechanisms by which cupping therapy may alleviate FM symptoms are not fully understood.
Objectives
This scoping review aims to summarize the proposed pain-attenuating mechanisms of cupping therapy in FM.
Eligibility criteria
The review included original research studies published in English, involving participants aged ≥18 years with a clinical diagnosis of FM. Studies were included if they investigated the effects of cupping therapy alone on pain-related outcomes.
Sources of evidence
A systematic search was conducted in PsycINFO, Google Scholar, and MEDLINE from inception to March 2025 using the keywords “Fibromyalgia” and “cupping therapy”.
Charting methods
Data extraction included publication details, intervention protocols, pain intensity outcomes, and postulated mechanisms of action.
Results
From the 185 initial studies, five met the inclusion criteria: one randomized controlled trial, one single-arm clinical trial, one case-controlled trial, one partially randomized patient preference trial, and one case series. The types of cupping investigated included wet, dry, and medicinal cupping. Seven mechanisms for pain relief were identified, grouped as physiological and psychological.
Conclusions
This scoping review provides a summary of the proposed mechanisms for the pain-relieving effects of cupping therapy in FM. The findings highlight the potential for both physiological and psychological mechanisms contributing to pain reduction, but underscore the need for more rigorous research.
{"title":"Cupping therapy for fibromyalgia: A scoping review of proposed mechanisms","authors":"Nicole Nelson MSH, LMT , Charles Nelson MS","doi":"10.1016/j.jbmt.2025.11.018","DOIUrl":"10.1016/j.jbmt.2025.11.018","url":null,"abstract":"<div><h3>Background</h3><div>Fibromyalgia (FM) is a chronic condition characterized by widespread pain, fatigue, sleep disturbances, and other symptoms. Cupping therapy has emerged as a promising treatment for pain relief. Despite its increasing use, the mechanisms by which cupping therapy may alleviate FM symptoms are not fully understood.</div></div><div><h3>Objectives</h3><div>This scoping review aims to summarize the proposed pain-attenuating mechanisms of cupping therapy in FM.</div></div><div><h3>Eligibility criteria</h3><div>The review included original research studies published in English, involving participants aged ≥18 years with a clinical diagnosis of FM. Studies were included if they investigated the effects of cupping therapy alone on pain-related outcomes.</div></div><div><h3>Sources of evidence</h3><div>A systematic search was conducted in PsycINFO, Google Scholar, and MEDLINE from inception to March 2025 using the keywords “Fibromyalgia” and “cupping therapy”.</div></div><div><h3>Charting methods</h3><div>Data extraction included publication details, intervention protocols, pain intensity outcomes, and postulated mechanisms of action.</div></div><div><h3>Results</h3><div>From the 185 initial studies, five met the inclusion criteria: one randomized controlled trial, one single-arm clinical trial, one case-controlled trial, one partially randomized patient preference trial, and one case series. The types of cupping investigated included wet, dry, and medicinal cupping. Seven mechanisms for pain relief were identified, grouped as physiological and psychological.</div></div><div><h3>Conclusions</h3><div>This scoping review provides a summary of the proposed mechanisms for the pain-relieving effects of cupping therapy in FM. The findings highlight the potential for both physiological and psychological mechanisms contributing to pain reduction, but underscore the need for more rigorous research.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 302-307"},"PeriodicalIF":1.4,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618071","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}
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.
{"title":"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","authors":"Logan Rodgers , Jenny Bruck , Erienne Blanchard , Joel Bialosky","doi":"10.1016/j.jbmt.2025.11.022","DOIUrl":"10.1016/j.jbmt.2025.11.022","url":null,"abstract":"<div><h3>Intro</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 356-364"},"PeriodicalIF":1.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618072","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}
Pub Date : 2025-11-21DOI: 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。
{"title":"Sex-specific acute effects of postural hammock exercise on autonomic regulation and plantar pressure in individuals with low back pain","authors":"Elena Martínez-Rosales , Antonio J. Casimiro-Andújar , Eva M. Artés-Rodríguez","doi":"10.1016/j.jbmt.2025.11.026","DOIUrl":"10.1016/j.jbmt.2025.11.026","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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).</div></div><div><h3>Results</h3><div>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 ms<sup>2</sup>, 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 ms<sup>2</sup>, p = 0.011) compared to men. However, no significant changes were observed in plantar pressure parameters.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 295-301"},"PeriodicalIF":1.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618076","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}
Pub Date : 2025-11-20DOI: 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 % VO2max) 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.
{"title":"Blood pressure responses after different interval configurations in aerobic exercise: a systematic review in adolescents and adults with type-1 diabetes","authors":"José Adevalton Feitosa Gomes , Reginaldo Luiz do Nascimento , Jorge Luiz de Brito Gomes","doi":"10.1016/j.jbmt.2025.11.025","DOIUrl":"10.1016/j.jbmt.2025.11.025","url":null,"abstract":"<div><h3>Rationale</h3><div>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.</div></div><div><h3>Objective</h3><div>To verify the acute and chronic effect on blood pressure after different aerobic exercise intervals in type-1 diabetics.</div></div><div><h3>Methods</h3><div>A systematic review following the PRISMA protocol in Pubmed, Scielo, and Medline databases. The <em>TESTEX</em> 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 % VO<sub>2</sub><sub>max</sub>) reduced ∼5.8 mmHg in systolic and ∼3 mmHg in diastolic after 12 weeks in T1DM adolescents.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 340-345"},"PeriodicalIF":1.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618074","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}
Pub Date : 2025-11-20DOI: 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。
{"title":"Mobile health applications for the self-management of musculoskeletal pain: A systematic review of online stores in Brazil","authors":"Luiz Filipe Máximo Ribeiro , Julya Perea , Cristiano Carvalho , Paula Rezende Camargo","doi":"10.1016/j.jbmt.2025.11.021","DOIUrl":"10.1016/j.jbmt.2025.11.021","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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).</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 287-294"},"PeriodicalIF":1.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571437","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}
Pub Date : 2025-11-19DOI: 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.
{"title":"Treatment of chronic recalcitrant gluteal trochanteric pain syndrome with dry needling and electrical stimulation: A case study","authors":"J. Bleacher , C. Mansfield , M. Smith , T. Barth , N. Gulla , M. Briggs","doi":"10.1016/j.jbmt.2025.11.017","DOIUrl":"10.1016/j.jbmt.2025.11.017","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 374-381"},"PeriodicalIF":1.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684839","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}
Pub Date : 2025-11-19DOI: 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.
{"title":"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","authors":"Mehrdad Bahramian PT, DPT , Don Walsh PT, DPT, MS, OCS , Ehsan Sinaei PT, MS","doi":"10.1016/j.jbmt.2025.11.024","DOIUrl":"10.1016/j.jbmt.2025.11.024","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 536-541"},"PeriodicalIF":1.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789817","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}
Pub Date : 2025-11-19DOI: 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.
{"title":"Is cryotherapy effective for tendon health? A systematic review of evidence and methodological limitations","authors":"Tatiana Araújo Lima , Thiago Santos Rocha , Márcio Almeida Bezerra , Rodrigo Ribeiro de Oliveira","doi":"10.1016/j.jbmt.2025.11.015","DOIUrl":"10.1016/j.jbmt.2025.11.015","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>To systematically review the clinical, mechanical, and physiological effects of cryotherapy on human tendons, both healthy and affected by tendinopathy.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 346-355"},"PeriodicalIF":1.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618073","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}
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