JOURNAL OF BODYWORK AND MOVEMENT THERAPIES最新文献_第9页

Musculoskeletal problems and bio-mechanical analysis of selected Bharatanatyam dance poses 肌肉骨骼问题和选定婆罗塔那提姆舞蹈姿势的生物力学分析

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-07 DOI: 10.1016/j.jbmt.2025.11.009

Riya Ghosh M.Sc., Saptadip Samanta Ph.D., Sayan Jyoti Bera M.Sc., Soumyadip Ghosh M.Sc., Sujaya De Ph.D., Indranil Manna Ph.D.

Introduction

This study aimed to investigate the physical, physiological, and biomechanical variables, as well as the musculoskeletal problems, of Bharatanatyam dancers.

Methods

110 healthy female volunteers (age 18–25 years) were included, and twenty volunteers having a history of illness were excluded; ninety volunteers were divided into two groups: (i) regular dancers (RD, n = 45) and (ii) novice dancers (ND, n = 45). The body composition, physical fitness, and physiological variables were determined. Assessment of body posture, joint angles, spinal curvatures, center of gravity (CG), rapid upper limb assessment (RULA), rapid entire body assessment (REBA), and prevalence of musculoskeletal disorders (MSD) was performed in selected dance poses.

Results

The regular dancers had significantly (p < 0.05) higher mid-upper arm circumference (MUAC), strength, flexibility, physical fitness index, and maximal aerobic capacity (VO_2max), and significantly (p < 0.05) lower falls in balance test, resting and working blood pressure, respiratory rates, working and recovery heart rates than the novice dancers. The RULA and REBA scores were found to be higher (p < 0.05) among the novice dancers than the regular dancers. The novice dancers had significantly (p < 0.05) higher ache, pain, discomfort, and numbness in the neck, shoulders, wrists, upper and lower back, and ankles than the regular dancers.

Conclusion

Assessments of physical, physiological, and biomechanical variables may help to prevent overuse injuries. This scientific knowledge in Bharatanatyam training, emphasizing physiological conditioning and biomechanical awareness, may enhance both safety and performance.

本研究旨在调查巴拉塔纳塔姆舞者的身体、生理和生物力学变量，以及肌肉骨骼问题。方法纳入健康女性志愿者110例（年龄18 ~ 25岁），排除既往病史者20例；90名志愿者被分为两组：(i)常规舞者（RD, n = 45）和（ii）新手舞者（ND, n = 45）。测定身体组成、体质和生理变量。在选定的舞蹈姿势中进行身体姿势、关节角度、脊柱曲率、重心（CG）、快速上肢评估（RULA）、快速全身评估（REBA）和肌肉骨骼疾病（MSD）患病率的评估。结果常规舞蹈运动员中上臂围（MUAC）、力量、柔韧性、体能指数、最大有氧能力（VO2max）显著（p < 0.05）高于新手，平衡测试、静息和工作血压、呼吸频率、工作和恢复心率显著（p < 0.05）低于新手。初学舞蹈者的RULA和REBA得分高于常规舞蹈者（p < 0.05）。初学者在颈部、肩部、手腕、上下背部和脚踝的疼痛、不适和麻木感明显高于常规舞者（p < 0.05）。结论评估身体、生理和生物力学变量有助于预防过度使用性损伤。Bharatanatyam训练中的这种科学知识，强调生理条件和生物力学意识，可以提高安全性和性能。

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引用次数: 0

Aquatic vs. hopping exercises: A novel comparison of their impacts on motor and sensorimotor rehabilitation in chronic ankle instability 水上运动与跳跃运动：对慢性踝关节不稳定患者运动和感觉运动康复影响的新比较

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-06 DOI: 10.1016/j.jbmt.2025.10.039

Zahra Shahsanaei, Sajad Bagherian, Banafsheh Mohammadi

Background

Chronic ankle instability (CAI) is a common condition characterized by recurrent instability, reduced proprioception, and impaired balance, increasing the risk of further injuries. While various rehabilitation strategies exist, evidence comparing the efficacy of aquatic and hopping exercises in improving motor and sensorimotor functions in individuals with CAI remains limited. This study aimed to address this gap.

Methods

In this quasi-experimental study, 53 women with unilateral CAI were allocated to control (n = 18), aquatic exercise (n = 17), or hopping exercise (n = 18) groups. Interventions lasted six weeks (three sessions/week, 45 min/session). Motor function (Fusionetics Scoring System: overhead and single-leg squats), dynamic balance (Y-Balance Test), static balance (Balance Error Scoring System), and proprioception (goniometric evaluation) were assessed pre- and post-intervention. Mixed-design ANOVA and Bonferroni post-hoc tests analyzed within- and between-group differences.

Results

Both interventions significantly improved all outcomes compared to the control group (P < 0.05). Proprioceptive errors in dorsiflexion and plantarflexion decreased by 19.69 % and 25.54 % (aquatic) and 24.62 % and 26.67 % (hopping). Dynamic balance improved by 4.39 % (aquatic) and 7.44 % (hopping). Hopping exercises showed superior benefits in single-leg squat performance (P < 0.05).

Conclusions

Both exercise modalities effectively enhance motor and sensorimotor functions in individuals with CAI. Hopping exercises demonstrated greater improvements in dynamic balance and motor control, making them particularly beneficial for athletes or advanced rehabilitation stages. Future studies should explore long-term outcomes and diverse populations.

背景：慢性踝关节不稳定（CAI）是一种常见的疾病，其特征是反复不稳定、本体感觉降低和平衡受损，增加了进一步损伤的风险。虽然存在各种康复策略，但比较水上运动和跳跃运动在改善CAI患者运动和感觉运动功能方面的功效的证据仍然有限。本研究旨在解决这一差距。方法将53例单侧CAI女性患者分为对照组（n = 18）、水上运动组（n = 17）和跳跃运动组（n = 18）。干预持续6周（3次/周，45分钟/次）。运动功能（融合评分系统：头顶和单腿深蹲）、动态平衡（Y-Balance测试）、静态平衡（平衡误差评分系统）和本体感觉（角度评估）在干预前和干预后进行评估。混合设计方差分析和Bonferroni事后检验分析了组内和组间差异。结果与对照组相比，两种干预措施均显著改善了所有结果（P < 0.05）。背屈和跖屈的本体感觉误差分别减少19.69%和25.54%（水生动物）和24.62%和26.67%（跳跃动物）。动态平衡提高了4.39%（水生）和7.44%（跳跃）。跳跃练习对单腿深蹲表现有显著的益处（P < 0.05）。结论两种运动方式均能有效增强CAI患者的运动和感觉运动功能。跳跃练习在动态平衡和运动控制方面表现出更大的改善，使其对运动员或高级康复阶段特别有益。未来的研究应该探索长期的结果和不同的人群。

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引用次数: 0

Effects of hydrotherapy on gait control in older adults with neurological conditions: A systematic review 水疗法对老年神经系统疾病患者步态控制的影响：一项系统综述

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-05 DOI: 10.1016/j.jbmt.2025.10.032

Zélia Rodrigues , Patrícia Pires , Sónia Pires , Sara Gonçalves , Telma Pires

Background

Hydrotherapy is the external use of water for therapeutic purposes, using the physical, physiological, and kinesiological effects of immersing the body in a pool to aid rehabilitation or prevent functional alterations.

Objective

This systematic review aims to assess hydrotherapy's effects on gait control in older adults with neurological conditions.

Methods

Computerised search in Scopus, PubMed, Web of Science, B-on, PEDro, and Cochrane databases, using the combination of keywords: Thermal water, Gait control, hydrotherapy, and Aquatic therapy for older adults. Methodological quality was analysed using the Physiotherapy Evidence Database (PEDro) scale. The selection criteria included randomised clinical trials in neurological cases in older adults with altered gait and balance.

Results

A comprehensive search was conducted in Scopus, PubMed, Web of Science, B-on, PEDro, and Cochrane databases. Randomised controlled trials involving older adults (≥65 years) with neurological disorders affecting gait and balance were included. Methodological quality was assessed using the PEDro scale.

Conclusion

Hydrotherapy appears safe and more effective than conventional physiotherapy for improving gait control, balance, and mobility in older adults with neurological impairments. Its buoyancy and resistance effects facilitate motor re-education and confidence in movement. Integrating aquatic therapy into neurorehabilitation programs may enhance outcomes and quality of life, although long-term follow-up studies are still needed.

水疗法是为了治疗目的而外用水，利用身体浸泡在水池中的物理、生理和运动学效应来帮助康复或防止功能改变。目的本系统综述旨在评估水疗法对老年神经系统疾病患者步态控制的影响。方法计算机检索Scopus、PubMed、Web of Science、B-on、PEDro和Cochrane数据库，结合关键词：老年人热水、步态控制、水疗法和水疗法。采用物理治疗证据数据库（PEDro）量表分析方法学质量。选择标准包括步态和平衡改变的老年人神经学病例的随机临床试验。结果在Scopus、PubMed、Web of Science、B-on、PEDro、Cochrane等数据库中进行综合检索。随机对照试验纳入了影响步态和平衡的神经系统疾病的老年人（≥65岁）。采用PEDro量表评估方法学质量。结论在改善老年人神经功能障碍患者的步态控制、平衡和活动能力方面，水疗法比传统物理疗法更安全、更有效。它的浮力和阻力作用有助于运动的再教育和运动的信心。尽管仍需要长期的随访研究，但将水生疗法纳入神经康复计划可能会提高预后和生活质量。

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引用次数: 0

Reliability of the modified Thomas test in those with low back pain 改良Thomas试验在腰痛患者中的可靠性

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-05 DOI: 10.1016/j.jbmt.2025.10.038

Kira Eimiller PT, DPT, EdD, Adam Licata PT, DPT, August Bilotta PT, DPT, Graham Meagher PT, DPT, Sarah Lahr PT, DPT

Background

Low back pain (LBP) is a leading global health concern, contributing to disability and healthcare costs. The Modified Thomas Test (MTT) is a commonly clinical measure of hip flexor length, which may be associated with LBP. However, limited research has evaluated its reliability in populations with LBP, particularly with considerations for pelvic tilt control and examiner experience.

Objectives

Given the high prevalence of LBP, reliable assessment tools such as the MTT are essential for evaluating contributing musculoskeletal factors. This study evaluated intra- and inter-rater reliability of the MTT in individuals with LBP, using standardized pelvic tilt control to improve measurement consistency.

Design

Cross sectional reliability study.

Methods

Fifty-four participants (mean age 28.67 ± 12.45 years) with LBP (mean Modified Oswestry Disability Index [MODI] 21.2 %, SD 16.38, range 0–68 %) underwent MTT assessments. Measurements were taken bilaterally, resulting in 108 total observations. Two examiners each conducted two blinded trials per limb, ensuring neutral pelvic positioning via palpation. Intraclass Correlation Coefficients (ICCs) and Standard Errors of Measurement (SEMs) were calculated using SPSS.

Results/findings

Intra-rater reliability was good to excellent (ICC = 0.89; range: 0.858–0.906). Inter-rater reliability was strong (ICC = 0.86; range: 0.819–0.890). Participants reported low to moderate disability levels (MODI = 21 % ± 16.38; Roland-Morris Disability Questionnaire [RMDQ] = 5 % ± 5.67).

Conclusions

The MTT demonstrated good-to-excellent intra- and inter-rater reliability in individuals with LBP when pelvic tilt was standardized. These results support its use as a reliable method for assessing hip flexor length in individuals with LBP, though further research is needed to confirm reliability in populations with higher pain and disability levels.

背景：腰痛（LBP）是全球主要的健康问题，造成残疾和医疗成本。改良托马斯试验（MTT）是一种常用的临床测量髋关节屈肌长度的方法，它可能与腰痛有关。然而，有限的研究评估了其在腰痛人群中的可靠性，特别是考虑到骨盆倾斜控制和检查人员的经验。目的：考虑到腰痛的高患病率，可靠的评估工具如MTT对于评估肌肉骨骼因素至关重要。本研究使用标准化的骨盆倾斜控制来提高测量的一致性，评估LBP患者MTT的内部和内部可靠性。设计截面可靠性研究。方法54例LBP患者（平均年龄28.67±12.45岁，修正Oswestry残疾指数[MODI]平均值为21.2%，SD为16.38，范围0 ~ 68%）进行MTT评估。测量是双边进行的，总共进行了108次观察。两名检查人员分别对每条肢体进行两项盲法试验，通过触诊确保骨盆中立定位。用SPSS统计软件计算类内相关系数（ICCs）和计量标准误差（SEMs）。结果/发现sintra -rater信度为良好至优秀（ICC = 0.89；范围：0.858-0.906）。评估者间信度较强（ICC = 0.86；极差：0.819-0.890）。参与者报告低至中度残疾水平（MODI = 21%±16.38；Roland-Morris残疾问卷[RMDQ] = 5%±5.67）。结论当骨盆倾斜标准化时，MTT在腰痛患者中表现出良好到优异的内部和内部可靠性。这些结果支持其作为评估腰痛患者髋屈肌长度的可靠方法，尽管需要进一步的研究来证实其在疼痛和残疾程度较高人群中的可靠性。

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引用次数: 0

The impact of custom-made rocker sole shoes on biomechanical parameters of the lower limb during gait and running: A systematic review 定制摇椅底鞋对步态和跑步过程中下肢生物力学参数的影响：系统综述

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-05 DOI: 10.1016/j.jbmt.2025.11.007

Mokhtar Arazpour , Atefeh Aboutorabi , Monireh Ahmadi Bani , Mohammad Hadadi , Sobhan Sobhani , Shima Shirozhan , Maede Mahmoodi

Aim

The purpose of this systematic review was to investigate the effects of rocker sole shoes on temporal-spatial parameters, kinematics, kinetics, plantar pressure, and electromyography (EMG) activity during walking.

Method

A systematic search was conducted in the PubMed, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) databases. The search keywords included rocker sole, rocker bottom shoe, gait parameters, kinematics, kinetics, pressure, and EMG. The risk of bias in the included studies was assessed using a modified Downs and Black scale.

Results

Twenty-eight studies with low to moderate risk of bias were included. The included studies primarily assessed walking, and the evidence focused on temporal-spatial parameters and kinematics, with fewer studies analyzing kinetics and electromyography. The use of rocker sole shoes was associated with a significantly shorter stance phase duration and a greater cadence compared to conventional footwear. A primary finding was a reduction in ankle joint range of motion, while knee and hip joint kinematics remained largely unchanged.

Conclusion

Custom-made rocker sole shoes induce specific biomechanical adaptations during gait, notably a reduced ankle range of motion and an increased cadence. These changes result in decreased ankle power generation during the late stance phase (push-off) and a shorter stride length.

目的本系统综述的目的是研究摇椅底鞋对行走时时空参数、运动学、动力学、足底压力和肌电活动的影响。方法系统检索PubMed、Web of Science、Scopus和Cochrane Central Register of Controlled Trials （Central）数据库。搜索关键词包括摇椅鞋底、摇椅底鞋、步态参数、运动学、动力学、压力和肌电图。纳入研究的偏倚风险采用改良的Downs和Black量表进行评估。结果纳入28项低至中等偏倚风险的研究。纳入的研究主要评估步行，证据集中在时空参数和运动学上，分析动力学和肌电图的研究较少。与传统的鞋子相比，使用摇椅鞋底的鞋子与明显更短的站立阶段持续时间和更大的节奏有关。主要发现是踝关节活动范围减少，而膝关节和髋关节的运动学基本保持不变。结论：定制的摇椅鞋底在步态中诱导特定的生物力学适应，特别是踝关节活动范围减小和节奏增加。这些变化导致踝关节在站立后期（蹬离）产生的能量减少，步幅变短。

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引用次数: 0

Prevalence, associated disorders and treatment of joint hypermobility syndrome; A systematic review 关节活动过度综合征的患病率、相关疾病和治疗；系统回顾

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-05 DOI: 10.1016/j.jbmt.2025.10.037

Mohsen Jari , Fatemeh Alaei

Background

Joint hypermobility syndrome (JHS)-which was previously named benign JHS- is a condition in which there are musculoskeletal symptoms with generalized hypermobility without any associated connective tissue abnormality or congenital syndrome.

Methods

This study followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Article databases were reviewed in depth by two researchers blinded to each other. The quality of the articles was evaluated based on the QUADAS-2 tool.

Results

The overall prevalence of JHS was estimated to be 17.2 %, this overall prevalence in boys was 17.9 % and 24.2 % in girls was determined. The main disorders associated with JHS included orthopedic disorders, the main of which were scoliosis, knee injuries, hip dysfunction, jaw dysfunction, and shoulder dysfunction. Among non-orthopedic underlying diseases, the most important underlying disorders included digestive disorders, vesicoureteral reflux, orthostatic tachycardia syndrome and anxiety disorders. The main therapeutic approaches offered to improve JHS included education, mindfulness and body stability training, exercise and physical therapy, psychological counseling, occupational therapy, transcutaneous electrical nerve stimulation, limb splinting, and foot orthosis. These approaches showed promise in managing musculoskeletal symptoms and psychological comorbidities, but evidence on extra-articular systemic symptoms was limited.

Conclusion

JHS is a common disorder among children and adolescents, associated with both orthopedic and non-orthopedic disorders. Supportive treatments, physiotherapy, and occupational therapy appear effective for musculoskeletal and psychological symptoms, though their impact on extra-articular systemic symptoms remains unclear. Further research is needed to optimize diagnostic and therapeutic strategies.

关节活动过度综合征（JHS），以前被命名为良性JHS，是一种有全身活动过度的肌肉骨骼症状，没有任何相关的结缔组织异常或先天性综合征的疾病。方法本研究遵循系统评价和荟萃分析的首选报告项目（PRISMA）。文章数据库由两位互不知情的研究人员进行了深入的审查。采用QUADAS-2工具对文章质量进行评价。结果JHS总患病率为17.2%，其中男孩为17.9%，女孩为24.2%。与JHS相关的主要疾病包括骨科疾病，主要有脊柱侧凸、膝关节损伤、髋关节功能障碍、下颌功能障碍和肩部功能障碍。在非骨科基础疾病中，最重要的基础疾病包括消化系统疾病、膀胱输尿管反流、体位性心动过速综合征和焦虑症。改善JHS的主要治疗方法包括教育、正念和身体稳定性训练、运动和物理治疗、心理咨询、职业治疗、经皮神经电刺激、肢体夹板和足部矫形。这些方法在控制肌肉骨骼症状和心理合并症方面显示出希望，但在关节外全身症状方面的证据有限。结论jhs是儿童和青少年常见疾病，与骨科和非骨科疾病相关。支持性治疗、物理治疗和职业治疗似乎对肌肉骨骼和心理症状有效，但它们对关节外全身症状的影响尚不清楚。需要进一步的研究来优化诊断和治疗策略。

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引用次数: 0

Effect of heel drop static stretching on triceps surae stiffness through shear wave elastography 用横波弹性学研究足跟落差静态拉伸对肱三头肌表面刚度的影响

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-05 DOI: 10.1016/j.jbmt.2025.11.008

Leonardo Gastaldoni Klujsza, Maria Clara Albuquerque Brandão, José Carlos dos Santos Albarello, Liliam Fernandes de Oliveira

Introduction

The heel drop static stretching is a stretching posture where the forefoot is placed on a step and the heel is dropped to maximum dorsiflexion and held in that position for the duration of the stretch. Heel drop static stretching is widely used in training and rehabilitation programs. However, to our knowledge, no previous studies have investigated the acute effect this stretching posture has on the mechanical properties of the triceps surae.

Methods

A total of 29 healthy young adults participated in the study. The range of motion, the maximum isometric voluntary contraction and the stiffness of gastrocnemius lateralis, gastrocnemius medialis and Achilles tendons were measured before and after 3x 60-s series of heel drop static stretching. High-density surface electromyography was acquired during the maximum voluntary contraction and stretching protocols.

Results

The main findings of the present study were: (1) the immediate effect of a series of heel drop static stretches was a significant increase in shear modulus of the lateral and medial gastrocnemius; there was no statistically significant change in Achillies tendon shear modulus; (2) there was no correlation between muscle activation and stiffness levels in triceps surae structures; (3) there was no change in maximum voluntary contraction pre-and post-stretching and (4) there was statistically significant increase in dorsiflexion range of motion pre- and post-stretching.

Conclusion

The results show that heel drop static stretching should not be viewed as a method to acutely reduce gastrocnemius muscle stiffness.

脚后跟下降静态拉伸是一种拉伸姿势，将前脚放在台阶上，脚后跟下降到最大背屈，并在拉伸期间保持在该位置。静拉伸法广泛应用于训练和康复项目中。然而，据我们所知，之前没有研究调查过这种拉伸姿势对三头肌表面机械性能的急性影响。方法29名健康青年参与研究。测定3 × 60 s系列降跟静态拉伸前后腓肠肌外侧、腓肠肌内侧和跟腱的活动范围、最大等距自主收缩量和僵硬度。在最大自愿收缩和拉伸过程中获得高密度表面肌电图。结果本研究的主要发现有：(1)一系列足跟下降静态拉伸的直接效果是显著增加腓肠肌外侧和内侧的剪切模量；跟腱剪切模量变化无统计学意义；(2)肱三头肌表面结构的肌肉激活与僵硬程度无相关性；(3)拉伸前后最大自主收缩没有变化；(4)拉伸前后背屈运动范围有统计学意义上的显著增加。结论不应将静拉伸法作为腓肠肌僵硬的一种方法。

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引用次数: 0

Intensive versus usual rehabilitation programs in stable chronic obstructive pulmonary disease (COPD) patients 稳定型慢性阻塞性肺疾病（COPD）患者强化与常规康复方案的比较

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-04 DOI: 10.1016/j.jbmt.2025.10.055

Hala M. Abd Elsabour Sabah , Rehab M. Mohammed , Samia Mohamed Rashad

Background

Pulmonary rehabilitation (PR) is a comprehensive, patient-customized, multifaceted, non-pharmacological, pivotal intervention designed to enhance the quality of life in patients with chronic obstructive pulmonary disease (COPD). Comorbidities and financial costs pose an important hindrance to long-term adherence to PR programs, and the optimal duration and intensity of a PR program are controversial.

So, we conducted this study to assess the effect of 3-week PR program on COPD patients, and to compare the effectiveness of an intensive program with two sessions per day, to a usual program with one session per day.

Methods

A prospective interventional study enrolling 50 clinically stable COPD patients randomized into two groups. A three-week PR program was designed for both groups. Group I received one session/day while Group II received two sessions/day. Oxygen saturation(SPO2) modified Medical Research Councill(mMRC) dyspnea grade, COPD Assessment Test (CAT) score, Barthel scale, and 6-min walking test(6MWT) were all assessed at baseline and the end of the program.

Results

Fifty COPD patients, with a mean age of 60.06 ± 6.3 years. After three weeks of PR either with one or two sessions per day, both groups showed significant improvement in the dyspnea score, CAT score, Barthel score, SPO2, and 6minute walking distance (6MWD) (p-value˂0.05). Also, on comparing the resulting parameters between the two groups showed a non-significant difference.

Conclusion

A three-week pulmonary rehabilitation with usual program is effective and comparable to an intensive program in increasing exercise capacity, improving dyspnea, and health-related quality of life in stable COPD Patients.

肺康复（PR）是一项全面的、针对患者的、多方面的、非药物的、关键的干预措施，旨在提高慢性阻塞性肺疾病（COPD）患者的生活质量。合并症和财务成本是长期坚持PR计划的重要障碍，PR计划的最佳持续时间和强度存在争议。因此，我们进行了这项研究，以评估3周PR计划对COPD患者的影响，并比较每天两次的强化计划和每天一次的常规计划的有效性。方法采用前瞻性介入研究方法，将50例临床稳定的COPD患者随机分为两组。为两组人设计了一个为期三周的公关项目。第一组每天接受一次会议，第二组每天接受两次会议。血氧饱和度（SPO2）修正医学研究委员会（mMRC）呼吸困难等级、COPD评估测试（CAT）评分、Barthel量表和6分钟步行测试（6MWT）均在基线和项目结束时进行评估。结果50例COPD患者，平均年龄60.06±6.3岁。每天进行一次或两次PR三周后，两组在呼吸困难评分、CAT评分、Barthel评分、SPO2和6分钟步行距离（6MWD）方面均有显著改善（p值小于0.05）。此外，在比较两组之间的结果参数时显示无显著差异。结论：在增加稳定期COPD患者的运动能力、改善呼吸困难和健康相关生活质量方面，采用常规方案的三周肺部康复是有效的，且与强化方案相当。

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引用次数: 0

From hands-on to family-on: Task-Shifting manual therapy techniques in post-stroke neuroplasticity - A retrospective comparative analysis of the Cogni-Famille protocol 从动手到家庭：脑卒中后神经可塑性的任务转移手工治疗技术-对Cogni-Famille协议的回顾性比较分析

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-04 DOI: 10.1016/j.jbmt.2025.10.052

Ibrahim Npochinto Moumeni PT, MSc, MSc, MSc, MSc, PhD, Osteopath DO , Njikam Moumeni Abdel-Nasser , Tchuidjio Ketchogué Bristher Horlister , Michael Temgoua , Yakouba Njankouo Mapoure

Background

Manual therapy techniques have demonstrated efficacy in post-stroke rehabilitation through neuroplastic mechanisms, yet accessibility remains limited by specialist availability. Family-centered task-shifting approaches may democratize manual therapy delivery while amplifying therapeutic intensity.

Objective

Objective: To evaluate the effectiveness of structured family training in manual therapy techniques for post-stroke recovery through the innovative Cogni-Famille protocol, with primary outcome measured by Montreal Cognitive Assessment (MoCA) score changes and functional independence (Barthel Index).

Methods

Retrospective comparative cohort study analyzing 13 post-stroke patients receiving family-delivered manual therapy training (25-h structured program, March 2024–June 2025) versus 13 historical controls receiving conventional therapy (December 2022–January 2024).

Results

Significant improvements in MoCA scores (+5.8 ± 2.1 vs +2.1 ± 1.3 points, p < 0.001, effect size 2.1), functional independence (85 % vs 46 %, p = 0.02), Zarit caregiver burden reduction (−18.3 ± 4.7 vs −6.2 ± 3.1, p < 0.001), and Modified Ashworth Scale spasticity improvement (−2.1 ± 0.8 vs −0.7 ± 0.6, p < 0.001). Task-shifting model achieved 94 % family certification rate with zero serious adverse events. Cost reduction of 68 % (742€ vs 2310€, p < 0.001).

Conclusions

Structured family training in manual therapy techniques achieves superior outcomes through neuroplastic amplification via intensive, culturally-adapted delivery. This model offers scalable solutions for global stroke rehabilitation while maintaining safety and therapeutic effectiveness.

背景：手工治疗技术通过神经可塑性机制在脑卒中后康复中已被证明有效，但其可及性仍然受到专家可用性的限制。以家庭为中心的任务转移方法可以使手工治疗的提供民主化，同时放大治疗强度。目的：以蒙特利尔认知评估（MoCA）评分变化和功能独立性（Barthel指数）为主要指标，通过创新的Cogni-Famille方案评估结构化家庭训练在脑卒中后手工治疗技术中的有效性。方法回顾性比较队列研究分析13例脑卒中后患者接受家庭提供的手工治疗培训（25小时结构化方案，2024年3月- 2025年6月）与13例接受常规治疗的历史对照组（2022年12月- 2024年1月）。结果MoCA评分（+5.8±2.1分vs +2.1±1.3分，p < 0.001，效应量2.1）、功能独立性（85% vs 46%, p = 0.02）、Zarit照顾者负担减轻（- 18.3±4.7分vs - 6.2±3.1分，p < 0.001）和改良Ashworth量表痉挛改善（- 2.1±0.8分vs - 0.7±0.6分，p < 0.001）均有显著改善。任务转移模型达到94%的家庭认证率，零严重不良事件。成本降低68%（742欧元vs 2310欧元，p < 0.001）。结论有组织的家庭手工治疗技术培训，通过强化的、文化适应的传递，实现神经可塑性放大，达到更好的效果。该模型为全球卒中康复提供可扩展的解决方案，同时保持安全性和治疗有效性。

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引用次数: 0

Trends in the use of Baduanjin for improving sleep quality: a visual analysis 八段锦用于改善睡眠质量的趋势：视觉分析

IF 1.4 Q3 REHABILITATION

JOURNAL OF BODYWORK AND MOVEMENT THERAPIES

Pub Date : 2025-11-03 DOI: 10.1016/j.jbmt.2025.10.045

Junpu Wu, Xinyan Chen, Yue Chen, Xiang Li, Huaichi Zhang, Yinan Fan, Xiangyu Ma, Xin Jin

This systematic review synthesizes evidence from Chinese and international studies on Baduanjin——a traditional mind-body practice——and its effects on sleep quality. Employing Citespace software, we mapped research trends, hotspots, and emerging trajectories within this literature. After screening thousands of records, 517 studies met the inclusion criteria for analysis. Publication output exhibits a dramatic upward trajectory, beginning with sparse activity before 2013, accelerating post-2013, spiking sharply after 2018, and peaking in 2023. China dominated as the primary research hub, driven by institutions specializing in traditional Chinese medicine which also formed robust collaborative networks. Key themes identified through keyword co-occurrence analysis include associations between Baduanjin, mental health, emotional states, combined interventions (e.g., with resistance training), and underlyling physiological mechanisms related to improved sleep. These findings offer crucial insights for researchers and funders guiding future investigations in this expanding field.

这篇系统综述综合了中国和国际上关于八段锦（一种传统的身心练习）及其对睡眠质量影响的研究证据。利用Citespace软件，我们绘制了这篇文献中的研究趋势、热点和新兴轨迹。在筛选了数千份记录后，517项研究符合纳入分析标准。发表量呈现出戏剧性的上升轨迹，从2013年之前的少量活动开始，2013年之后加速，2018年之后急剧飙升，2023年达到峰值。在中医专业机构的推动下，中国成为主要的研究中心，这些机构也形成了强大的合作网络。通过关键词共现分析确定的关键主题包括八段锦、心理健康、情绪状态、联合干预（如抗阻训练）以及与改善睡眠相关的潜在生理机制之间的关联。这些发现为研究人员和资助者在这一不断扩大的领域指导未来的研究提供了重要的见解。

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引用次数: 0