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Effect of aroma shiatsu massage therapy on cognitive function in healthy adolescents: A non-randomized controlled trial 芳香指压按摩疗法对健康青少年认知功能的影响:一项非随机对照试验
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-11-01 DOI: 10.1016/j.jbmt.2025.10.047
Y. Deepa , A. Vijay , S. Rithaniya , J. Aarthy , V.L. Roja , R. Kathiresan , A. Mooventhan

Objective

Cognitive functions are essential to daily life as they encompass the fundamental abilities required for any activity. Despite the importance of cognitive health in adolescents, the effects of aroma shiatsu massage therapy on cognitive function in this age group have not been previously investigated. Thus, the objective of the study was to assess the effect of aroma shiatsu massage therapy on cognitive function in adolescents aged 17–19 years.

Methods

A total of 100 healthy adolescents were allocated into study group (SG) (n = 50) and control group (CG) (n = 50). The SG underwent a single 10 min session of aroma shiatsu massage therapy on selected acupuncture points, while CG underwent rest in sitting position for 10 min. Audio reaction time (ART), Visual reaction time (VRT) and Critical flicker fusion frequency (CFFF) were assessed before and immediately after the intervention. Within-group differences were analyzed using the Wilcoxon Signed Ranks Test, and between-group differences were assessed using ANCOVA.

Results

Results of the study showed a significant reduction in ART and VRT (p < 0.05 for both) with no significant changes in CFFF (p = 0.785) in SG, whereas CG showed a significant reduction in VRT (p < 0.05) with no significant changes in ART (p = 0.991) or CFFF (p = 0.648). Moreover, the between group analysis showed no significant change in CFFF, ART and VRT.

Conclusion

A single 10 min session of aroma shiatsu massage therapy showed significant cognitive improvements within the treated group, but these were not significantly different from the control group. However, larger, longer-term studies are needed to confirm these findings.
目的认知功能对日常生活至关重要,因为它包含了任何活动所需的基本能力。尽管认知健康在青少年中很重要,但芳香指压按摩疗法对该年龄组认知功能的影响尚未被研究过。因此,本研究的目的是评估芳香指压按摩疗法对17-19岁青少年认知功能的影响。方法将100例健康青少年分为研究组(SG)和对照组(CG)各50例。SG在选定的穴位上进行一次10分钟的芳香指压按摩治疗,而CG则在坐姿休息10分钟。评估干预前后的视听反应时间(ART)、视觉反应时间(VRT)和临界闪烁融合频率(CFFF)。组内差异采用Wilcoxon sign rank检验分析,组间差异采用ANCOVA评估。结果SG组ART和VRT显著降低(p < 0.05), CFFF无显著变化(p = 0.785),而CG组VRT显著降低(p < 0.05), ART和CFFF无显著变化(p = 0.991)或CFFF无显著变化(p = 0.648)。此外,组间分析显示CFFF、ART和VRT无显著变化。结论单次10分钟的芳香指压按摩治疗组有显著的认知改善,但与对照组无显著差异。然而,需要更大规模、更长期的研究来证实这些发现。
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引用次数: 0
Effect of pelvic floor-centered patient education programme in young women with primary dysmenorrhea: A randomized controlled trial 以骨盆底为中心的患者教育计划对原发性痛经年轻女性的影响:一项随机对照试验
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-05 DOI: 10.1016/j.jbmt.2025.12.015
Tuba Kolaylı Çerezci, Esra Demir, Semanur Eniş, Filiz Eyüboğlu

Objective

The aim of this study is to evaluate whether a pelvic floor–centered multicomponent education program (PF-CMP) is associated with improvements in pain, pelvic-floor knowledge, and dysmenorrhea impact in young women with primary dysmenorrhea (PD).

Methods

In this single-blind randomized controlled trial (n = 66; PF-CMP = 33; control = 33), the PF-CMP group received an education and brief guided practice programme in a single visit and continued self-care; controls continued routine practices only. Outcomes were assessed at baseline and during the next menstrual cycle with pain intensity (VAS), dysmenorrhea impact (DIS-R), and pelvic-floor knowledge (PFHKQ). Between-group effects were analyzed using t-tests and ANCOVA, adjusting for baseline values.

Results

In within-group analyses, VAS scores decreased significantly in both groups (p < 0.05); only the intervention group showed additional significant improvements in DIS-R and PFHKQ scores (p < 0.05). In between-group comparisons, the intervention group showed greater improvement than the control group on VAS (p = 0.004) and DIS-R (p = 0.003). For PFHKQ, the adjusted difference in favor of the intervention was statistically significant after ANCOVA with baseline scores as covariates (p = 0.010).

Conclusion

Over one cycle, PF-CMP was associated with improvements in pain and dysmenorrhea impact versus routine practices, and with higher pelvic-floor knowledge after baseline adjustment. This study shows that PF-CMP can help young women with PD cope with pain and make life changes. Integration into routine assessments or educational workshops may improve accessibility among young women.

ClinicalTrials.gov

NCT06600230
本研究的目的是评估以骨盆底为中心的多成分教育计划(PF-CMP)是否与原发性痛经(PD)年轻女性疼痛、骨盆底知识和痛经影响的改善有关。方法在单盲随机对照试验中(n = 66; PF-CMP = 33; control = 33), PF-CMP组在单次就诊中接受教育和简短的指导实践计划,并继续自我护理;只控制持续的常规操作。在基线和下一个月经周期评估疼痛强度(VAS)、痛经影响(DIS-R)和骨盆底知识(PFHKQ)。采用t检验和ANCOVA分析组间效应,调整基线值。结果组内分析,两组患者VAS评分均显著降低(p < 0.05);只有干预组在DIS-R和PFHKQ评分上有额外的显著改善(p < 0.05)。组间比较,干预组VAS评分(p = 0.004)和DIS-R评分(p = 0.003)较对照组改善明显。对于PFHKQ,以基线评分为协变量的ANCOVA后,支持干预的调整差异具有统计学意义(p = 0.010)。结论在一个周期内,与常规做法相比,PF-CMP与疼痛和痛经影响的改善有关,并且在基线调整后具有更高的骨盆底知识。这项研究表明,PF-CMP可以帮助患有PD的年轻女性应对疼痛并改变生活。将其纳入常规评估或教育研讨会可能会改善年轻女性的可及性
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引用次数: 0
Effects of basic body awareness therapy on movement quality, arousal regulation, and bodily experience in Danish military veterans with severe PTSD symptoms 基本身体意识疗法对丹麦严重PTSD退伍军人运动质量、觉醒调节和身体体验的影响
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-11-11 DOI: 10.1016/j.jbmt.2025.11.013
Anni Brit Sternhagen Nielsen , Sofie Folke , Ditte Larsen , Bjarke Wæhrens Schmidt , Julie Wedel Gjelstrup , Henrik T. Machon , Nikolai C. Roitmann , Lene Nyboe , Lars Ravnborg Nissen

Introduction

Military veterans suffering from severe symptoms of Post-Traumatic Stress Disorder (PTSD) often experience significant bodily manifestations that recommended psychological trauma-focused therapies might not fully address.

Aim

This study aims to evaluate the impacts of Basic Body Awareness Therapy (BBAT) on movement quality, arousal regulation, and bodily experience among Danish military veterans with severe PTSD symptoms undergoing psychological trauma-focused therapy.

Methods

This cohort study included 37 Danish male military veterans with severe PTSD symptoms (consistent with PTSD diagnosis) who received individual BBAT sessions alongside psychological trauma-focused therapy (e.g. trauma-focused cognitive processing and prolonged exposure therapy). Assessments were conducted at baseline and after 12 BBAT sessions using the Body Awareness Scale Movement Quality and Experience (BAS MQ-E) and questionnaires evaluating self-rated interoceptive awareness and subjective somatic, PTSD, depression, anxiety, and stress symptoms. The Wilcoxon Signed Rank Test, including Wilcoxon effect size (‘r’), was used to estimate changes. Differences between completers and dropouts were also analyzed.

Results

Significant improvements were observed in overall movement quality (BAS MQ from 0.97-0.49, Wilcoxon effect size = 0.79) and overall bodily experiences (BAS E from 1.43 to 0.86, Wilcoxon effect size = 0.74). Notable enhancements were found in interoceptive awareness with large effect sizes for indicators such as Noticing, Attention Regulation, Emotional Awareness, Self-regulation, and Body Listening. Additionally, significant improvements were seen in somatic symptoms, PTSD, depression, anxiety, and stress.

Conclusion

The findings suggest that BBAT may improve movement quality, bodily experience, and arousal regulation in Danish male veterans with severe PTSD symptoms undergoing trauma treatment.
患有严重创伤后应激障碍(PTSD)症状的退伍军人通常会经历显著的身体表现,推荐的心理创伤治疗可能无法完全解决这些症状。目的探讨基础身体意识疗法(BBAT)对丹麦严重创伤后应激障碍退伍军人运动质量、觉醒调节和身体体验的影响。方法本队列研究纳入37名丹麦男性退伍军人,他们有严重的创伤后应激障碍症状(符合创伤后应激障碍诊断),接受单独的BBAT治疗,同时接受创伤心理治疗(如创伤聚焦认知加工和长时间暴露治疗)。在基线和12个BBAT课程后,使用身体意识量表运动质量和体验(BAS MQ-E)和评估自我评定的内感受意识和主观躯体、创伤后应激障碍、抑郁、焦虑和压力症状的问卷进行评估。使用Wilcoxon sign Rank检验,包括Wilcoxon效应量(' r ')来估计变化。还分析了完成者和辍学者之间的差异。结果整体运动质量(BAS MQ从0.97 ~ 0.49,Wilcoxon效应值= 0.79)和整体身体体验(BAS E从1.43 ~ 0.86,Wilcoxon效应值= 0.74)均有显著改善。在注意、注意力调节、情绪意识、自我调节和身体倾听等指标上,内感受意识显著增强,且效应量较大。此外,在躯体症状、创伤后应激障碍、抑郁、焦虑和压力方面也有显著改善。结论BBAT可改善丹麦严重PTSD男性退伍军人创伤治疗后的运动质量、身体体验和觉醒调节。
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引用次数: 0
Influence of a tailored preventive program on injury incidence and time loss in elite gymnastics athletes: a retrospective cohort study over five seasons 量身定制的预防方案对精英体操运动员受伤发生率和时间损失的影响:一项超过五个赛季的回顾性队列研究
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-24 DOI: 10.1016/j.jbmt.2025.12.029
Mariana Chaves Weschenfelder , Natália Franco Netto Bittencourt , Cassia Elen Cesar Pereira , Mario Bizzini , Luciana De Michelis Mendonça

Background

Gymnastics includes high-intensity movements such as tumbling, twisting, and hard landings that imposes a high mechanical load on the musculoskeletal system. Evidence indicates that prevention programs were effective in reducing overall injury rates, however preventive programs for gymnasts have not yet been investigated.

Objective

Verify the influence of a tailored preventive program on injury incidence and time loss in elite gymnastics athletes over five seasons.

Methods

This retrospective cohort study was conducted in one Brazilian sports club. Registered data corresponding to five 12-month seasons were analyzed, with an average of 71 male and female athletes. Data were divided into two groups: the first comprised of data from athletes who performed a general injury prevention program (IPP), the second comprised of data from athletes who performed a tailored IPP. Relative risk (RR) and Mann-Whitney tests were used to analyze the data on injury incidence and time loss, respectively.

Results

In total, 162 injuries were recorded, with 101 injuries in the group with a general IPP and 61 injuries in the tailored IPP group. A significant reduction in RR was observed (RR = 0.402; 95 % confidence interval, 0.291–0.552; P<0.0001) in the tailored IPP group, reducing the injury incidence rate by 59.7 %. When the tailored IPP was applied, days of time loss were reduced by 53.7 %.

Conclusion

The tailored IPP was effective in reducing the incidence rate of injuries and decreasing time loss in elite gymnastics athletes compared to the general IPP.
体操包括高强度运动,如翻滚、扭转和硬着陆,这些运动对肌肉骨骼系统施加了很高的机械负荷。有证据表明,预防项目在降低整体受伤率方面是有效的,然而,对体操运动员的预防项目尚未进行调查。目的验证量身定制的预防方案对优秀体操运动员5个赛季损伤发生率和时间损失的影响。方法在巴西一家体育俱乐部进行回顾性队列研究。对5个12个月赛季的注册数据进行了分析,平均有71名男女运动员。数据被分为两组:第一组由执行一般伤害预防计划(IPP)的运动员的数据组成,第二组由执行定制IPP的运动员的数据组成。采用相对危险度(RR)检验和Mann-Whitney检验分别分析损伤发生率和时间损失数据。结果共记录损伤162例,其中普通IPP组101例,定制IPP组61例。定制IPP组的RR显著降低(RR = 0.402; 95%可信区间0.291-0.552;P<0.0001),损伤发生率降低59.7%。当采用定制的IPP时,时间损失减少了53.7%。结论与普通IPP相比,量身定制的IPP能有效降低优秀体操运动员的损伤发生率和减少时间损失。
{"title":"Influence of a tailored preventive program on injury incidence and time loss in elite gymnastics athletes: a retrospective cohort study over five seasons","authors":"Mariana Chaves Weschenfelder ,&nbsp;Natália Franco Netto Bittencourt ,&nbsp;Cassia Elen Cesar Pereira ,&nbsp;Mario Bizzini ,&nbsp;Luciana De Michelis Mendonça","doi":"10.1016/j.jbmt.2025.12.029","DOIUrl":"10.1016/j.jbmt.2025.12.029","url":null,"abstract":"<div><h3>Background</h3><div>Gymnastics includes high-intensity movements such as tumbling, twisting, and hard landings that imposes a high mechanical load on the musculoskeletal system. Evidence indicates that prevention programs were effective in reducing overall injury rates, however preventive programs for gymnasts have not yet been investigated.</div></div><div><h3>Objective</h3><div>Verify the influence of a tailored preventive program on injury incidence and time loss in elite gymnastics athletes over five seasons.</div></div><div><h3>Methods</h3><div>This retrospective cohort study was conducted in one Brazilian sports club. Registered data corresponding to five 12-month seasons were analyzed, with an average of 71 male and female athletes. Data were divided into two groups: the first comprised of data from athletes who performed a general injury prevention program (IPP), the second comprised of data from athletes who performed a tailored IPP. Relative risk (RR) and Mann-Whitney tests were used to analyze the data on injury incidence and time loss, respectively.</div></div><div><h3>Results</h3><div>In total, 162 injuries were recorded, with 101 injuries in the group with a general IPP and 61 injuries in the tailored IPP group. A significant reduction in RR was observed (RR = 0.402; 95 % confidence interval, 0.291–0.552; <em>P&lt;</em>0.0001) in the tailored IPP group, reducing the injury incidence rate by 59.7 %. When the tailored IPP was applied, days of time loss were reduced by 53.7 %.</div></div><div><h3>Conclusion</h3><div>The tailored IPP was effective in reducing the incidence rate of injuries and decreasing time loss in elite gymnastics athletes compared to the general IPP.</div></div>","PeriodicalId":51431,"journal":{"name":"JOURNAL OF BODYWORK AND MOVEMENT THERAPIES","volume":"46 ","pages":"Pages 671-678"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022228","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
Changes in vital signs and functional performance during the 2-minute step test in healthy Colombian adults 哥伦比亚健康成人2分钟步速试验期间生命体征和功能表现的变化
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-11-01 DOI: 10.1016/j.jbmt.2025.10.056
José Julián Bernal-Sánchez , Víctor Hugo Arboleda-Campo , Paola Andrea Chavarro-Ortiz , Jose Gabriel Valencia-Ortiz , Esther Cecilia Wilches-Luna

Background

The 2-Minute Step Test is a submaximal assessment to evaluate functional performance and cardiovascular response in settings with limited space and resources. Although its validity has been documented in Colombia, evidence remains limited on the physiological changes it elicits and their connection to functional performance. The primary objective of this study was to quantify pre–post changes in vital signs and perceived exertion during the 2-Minute Step in healthy adults. The secondary objectives were to compare these changes between sexes and to assess the correlation between heart rate and step count as an indicator of functional performance.

Methods

A cross-sectional study was conducted in southwestern Colombia with 101 healthy adults. Heart rate, blood pressure, respiratory rate, oxygen saturation, and perceived exertion were measured before and after the 2-Minute Step. Wilcoxon tests assessed pre–post differences, and Spearman's rho tested correlations between heart rate and step count. Analyses were stratified by sex for exploratory purposes, as the study was not powered to detect between-sex differences (p < 0.05).

Results

Significant increases were observed in all physiological parameters after the test (p < 0.001). Median heart rate increased by approximately 50 beats per minute, systolic blood pressure by 20 mmHg, diastolic blood pressure by 10 mmHg, and respiratory rate by 7.5 breaths per minute, while oxygen saturation decreased slightly by about 1 %. Perceived exertion increased by six points on the Borg scale. A positive correlation was found between heart rate and step count, moderate in women (r = 0.55; p < 0.001) and in men (r = 0.42; p = 0.023).

Conclusions

The 2-Minute Step produced significant increases in heart rate (p < 0.001), blood pressure (p < 0.001), respiratory rate (p < 0.001), and perceived exertion (p < 0.001), accompanied by a slight decrease in oxygen saturation (p < 0.001). A positive correlation was observed between heart rate and step count, stronger in women (r = 0.55; p < 0.001) than in men (r = 0.42; p = 0.023).
背景:2分钟步数试验是一种在空间和资源有限的情况下评估功能表现和心血管反应的次最大评估方法。虽然它的有效性已在哥伦比亚得到证明,但关于它引起的生理变化及其与功能表现的联系的证据仍然有限。本研究的主要目的是量化健康成人在2分钟步法中生命体征和感知体力消耗的前后变化。次要目的是比较性别之间的这些变化,并评估心率和步数作为功能表现指标之间的相关性。方法对哥伦比亚西南部101名健康成人进行横断面研究。测量心率、血压、呼吸频率、血氧饱和度和感知运动在2分钟步骤前后的变化。Wilcoxon测试评估了前后差异,Spearman的rho测试了心率和步数之间的相关性。出于探索性目的,分析按性别分层,因为该研究无法检测性别之间的差异(p < 0.05)。结果试验后各生理指标均显著升高(p < 0.001)。中位心率每分钟增加约50次,收缩压增加20毫米汞柱,舒张压增加10毫米汞柱,呼吸频率每分钟增加7.5次,而血氧饱和度略有下降约1%。在博格量表上,感觉体力消耗增加了6分。心率与步数之间存在正相关关系,其中女性(r = 0.55; p < 0.001)和男性(r = 0.42; p = 0.023)呈正相关关系。结论2分钟步法可显著提高心率(p < 0.001)、血压(p < 0.001)、呼吸频率(p < 0.001)和感觉劳累(p < 0.001),并伴有血氧饱和度的轻微降低(p < 0.001)。心率与步数呈正相关,女性(r = 0.55; p < 0.001)强于男性(r = 0.42; p = 0.023)。
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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 Pub Date : 2026-06-01 Epub 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
Effects of TDCS and TENS on chronic low back pain: A randomized controlled clinical trial TDCS和TENS对慢性腰痛的影响:一项随机对照临床试验
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-10-30 DOI: 10.1016/j.jbmt.2025.10.044
Letícia Souza Martins Diniz , Rebecca Rickele de Souza Mousinho , Letícia Leite Cavalcante , Suellen Mary Marinho dos Santos Andrade , Heleodório Honorato dos Santos , Palloma Rodrigues de Andrade

Introduction

The objective of this study was to investigate whether transcranial direct current stimulation (tDCS) can enhance Transcutaneous Electrical Nerve Stimulation (TENS) outcomes in patients with chronic low back pain, and whether stimulating the primary motor cortex and dorsolateral prefrontal cortex results in distinct clinical effects.

Method

This study is a sham-controlled, double-blind, randomized clinical trial with a one-month follow-up. A total of 60 individuals (18 years or older) with low back pain for ≥6 months were enrolled and randomized into one of three tDCS + TENS groups: primary motor cortex (n = 20), dorsolateral prefrontal cortex (n = 20), and sham stimulation (n = 20). The participants underwent transcranial direct current stimulation combined with TENS over the lumbar region versus simulated tDCS with active TENS for 30 min daily for 10 consecutive days. Assessments were performed at baseline, post-intervention, and 30 days follow-up. Outcomes were pain assessments, functional capacity evaluations, emotional state, and quality of life.

Results

No superior effects were observed at post-intervention with tDCS + TENS compared to sham tDCS + TENS (P > 0.05), regardless of stimulation site, for pain relief, functional capacity, quality of life, or emotional state in chronic low back pain patients.

Conclusion

The use of TENS alone in long-term protocols is sufficient for chronic low back pain patients, with few contraindications and the ability to reduce pain and improve functional capacity and emotional state over a 10-day intervention period.
本研究的目的是探讨经颅直流电刺激(tDCS)是否能提高慢性腰痛患者经皮神经电刺激(TENS)的效果,以及刺激初级运动皮层和背外侧前额叶皮层是否会产生明显的临床效果。方法采用假对照、双盲、随机临床试验,随访1个月。共有60名腰痛≥6个月的患者(18岁或以上)被纳入tDCS + TENS三组:初级运动皮质组(n = 20)、背外侧前额皮质组(n = 20)和假刺激组(n = 20)。参与者接受经颅直流电刺激联合TENS在腰椎区与模拟tDCS与主动TENS每天30分钟,连续10天。在基线、干预后和30天随访时进行评估。结果包括疼痛评估、功能能力评估、情绪状态和生活质量。结果无论刺激部位如何,在缓解慢性腰痛患者的疼痛、功能能力、生活质量或情绪状态方面,tDCS + TENS干预后与假tDCS + TENS相比均无显著效果(P > 0.05)。结论长期方案中单独使用TENS对于慢性腰痛患者是足够的,禁忌症少,并且在10天的干预期内能够减轻疼痛,改善功能能力和情绪状态。
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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 Pub Date : 2026-06-01 Epub 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。
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引用次数: 0
Feasibility of neuromuscular electrical stimulation for knee osteoarthritis in older women: A double-blind randomized controlled trial 神经肌肉电刺激治疗老年女性膝骨关节炎的可行性:一项双盲随机对照试验
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2026-01-20 DOI: 10.1016/j.jbmt.2025.12.008
Jean Carlos Constantino Silva , Josiel Gomes Ribeiro , Walbert Menezes Bitar , Geovanna de Paula Martins de Souza , Rômulo de Oliveira Sena , Alex S. Ribeiro , Ewertton de Souza Bezerra
This study examined the feasibility of using neuromuscular electrical stimulation (NMES)—specifically AUSSIE and functional electrical stimulation (FES) currents—for older women with knee osteoarthritis (OA). Primary outcomes included feasibility indicators such as recruitment rate, adherence, satisfaction, and safety, while secondary outcomes assessed pain and physical function. Participants were randomly assigned to three groups: AUSSIE current, pulsed FES current, or a control group without intervention. The intervention lasted four weeks, with three 20-min sessions per week. Feasibility was evaluated using recruitment and attendance records and post-intervention questionnaires. Pain was measured by the visual analog scale (VAS), and function was assessed using the Timed Up and Go (TUG) and 6-m walk tests. The recruitment rate was 13.9 % (25 of 180 screened). Adherence was high, with all intervention participants completing at least 80 % of sessions. Satisfaction was also high, as 100 % of participants rated the program as “excellent” or “very good,” and no adverse events were reported. Although not powered for efficacy, exploratory analyses suggested that both NMES groups experienced pain reduction and improved physical function, with the FES group showing the greatest TUG improvement. These findings indicate that both AUSSIE and FES currents are feasible, safe, and well-accepted interventions for older women with knee OA. The results support the design of a larger randomized controlled trial to confirm the clinical efficacy of NMES in this population.
本研究探讨了使用神经肌肉电刺激(NMES)——特别是AUSSIE和功能性电刺激(FES)电流——治疗老年女性膝骨关节炎(OA)的可行性。主要结局包括可行性指标,如招募率、依从性、满意度和安全性,而次要结局评估疼痛和身体功能。参与者被随机分为三组:AUSSIE电流组、脉冲FES电流组和不进行干预的对照组。干预持续了四周,每周进行三次20分钟的治疗。可行性评估采用招募和出勤记录和干预后问卷。疼痛采用视觉模拟量表(VAS)测量,功能采用定时起走(TUG)和6米步行测试评估。录取率为13.9%(180人中25人)。依从性很高,所有干预参与者至少完成了80%的疗程。满意度也很高,100%的参与者将该计划评为“优秀”或“非常好”,并且没有报告不良事件。虽然没有疗效,但探索性分析表明,两个NMES组都经历了疼痛减轻和身体功能改善,其中FES组表现出最大的TUG改善。这些发现表明,对于患有膝关节OA的老年女性,AUSSIE和FES电流都是可行、安全且被广泛接受的干预措施。研究结果支持设计一项更大的随机对照试验,以确认NMES在这一人群中的临床疗效。
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引用次数: 0
Can multicomponent aquatic training improve bradykinesia in individuals with Parkinson's disease? A quasi-experimental study with 4-week follow-up 多组分水上训练能改善帕金森病患者运动迟缓吗?准实验研究,随访4周
IF 1.4 Q3 REHABILITATION Pub Date : 2026-06-01 Epub Date: 2025-12-10 DOI: 10.1016/j.jbmt.2025.12.009
J. Siega , G.C. Leveck , T. Christinelli , A.E.F. Doliny , L.H. Paladini , V.L. Israel

Objective

To investigate the effects of a 12-week Multicomponent Aquatic Training (MAT) program on bradykinesia in individuals with Parkinson's disease (PD).

Methods

A quasi-experimental single-group study with repeated measures and convenience sampling was conducted. Assessments were performed at baseline (after a 4-week pre-study observation), pre- and post-12-week intervention, and at 4-week follow-up. The MDS-UPDRS bradykinesia subscale (BRAD), and the bradykinesia-akinesia incoordination test for kinesia (BRAIN KS) and akinesia (BRAIN AT) scores were used. The 10-m walk test was used to determine habitual (WS) and maximum (WSMAX) walking speed, and the 5 times sit-to-stand test (FTSST) to assess power, dynamic strength, and muscular endurance. Statistical analysis was performed using SPSS 20.0, and a significance level of p < 0.05 was adopted for significant differences. Data normality was assessed using the Shapiro-Wilk test. To verify the treatment effect, the Friedman non-parametric test was conducted, followed by the MSD multiple comparison test. Effect Size (ES) analysis was also conducted.

Results

Twenty-eight individuals with PD between stages 1–3 in the Hoehn and Yahr Scale completed the study. Following MAT there were increases in BRAD (p < 0.001) with moderate ES (0.330), BRAIN KS on the side contralateral to the onset of the disease (p = 0.003) with small ES (0.165), WS and WSMAX (<0.001; p < 0.001), with large ES (0.565 and 0.565, respectively) and FTSST (p < 0.001) with moderate ES (0.448). All variables had a loss to follow-up, suggesting that improvements in follow-up were not maintained.

Conclusion

MAT improved bradykinesia and functional performance in individuals with PD. However, benefits diminished after follow-up, highlighting the importance of ongoing treatment to sustain and enhance outcomes.
目的探讨为期12周的多组分水上训练(MAT)对帕金森病(PD)患者运动迟缓的影响。方法采用重复测量、方便抽样的准实验单组研究方法。在基线(在4周的研究前观察后)、12周干预前和12周干预后以及4周随访时进行评估。采用MDS-UPDRS运动迟缓量表(BRAD)、运动迟缓-运动不协调测验(BRAIN KS)和运动障碍(BRAIN AT)评分。采用10米步行试验测定惯常步行速度(WS)和最大步行速度(WSMAX),采用5次坐立试验(FTSST)评定力量、动力强度和肌肉耐力。采用SPSS 20.0进行统计学分析,有显著性差异采用p <; 0.05水平。使用Shapiro-Wilk检验评估数据的正态性。为了验证治疗效果,我们进行了Friedman非参数检验,然后进行了MSD多重比较检验。效应量(Effect Size, ES)分析。结果在Hoehn和Yahr量表中处于1-3阶段的28名PD患者完成了研究。MAT后,中度ES的BRAD (p <0.001)增加(0.330),小ES的对侧脑KS (p = 0.003)增加(0.165),大ES的WS和WSMAX (<0.001; p <0.001)增加(分别为0.565和0.565),中度ES的FTSST (p <0.001)增加(0.448)。所有的变量在随访中都有损失,表明随访的改善没有得到维持。结论mat可改善PD患者运动迟缓和功能表现。然而,随访后获益减少,强调了持续治疗对维持和增强结果的重要性。
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引用次数: 0
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JOURNAL OF BODYWORK AND MOVEMENT THERAPIES
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