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Brazilian Journal of Physical Therapy

Thiago Paulo Frascareli Bento, Caio Vitor Dos Santos Genebra, Nicoly Machado Maciel, Guilherme Porfírio Cornelio, Sandra Fiorelli Almeida Penteado Simeão, Alberto de Vitta
OBJECTIVE: To compare men and women with low back pain and identify the prevalence and some of its associated factors in a population-based sample of adults aged 20 and over a seven day period. METHODS: Cross-sectional study based on a population survey. 600 individuals were interviewed on the following: (1) characteristics of the participants (i.e. demographic, socioeconomic, and labor aspects); (2) physical activity level (IPAQ); (3) musculoskeletal symptoms (Nordic Questionnaire)...
February 13, 2019: Brazilian Journal of Physical Therapy
Donald A Neumann, Paula R Camargo
BACKGROUND: The serratus anterior (SA) is capable of a wide range of actions across the scapulothoracic joint. Furthermore, the lack of control, strength, or activation of this important muscle is believed to be associated with several painful conditions involving the shoulder complex. Studies and clinical intuition have therefore identified several exercises that selectively target the activation of the SA. METHODS: This paper reviews the anatomy, innervation, testing, and complex actions of the SA...
February 2, 2019: Brazilian Journal of Physical Therapy
Mark A Kaizik, Alessandra N Garcia, Mark J Hancock, Robert D Herbert
OBJECTIVES: To determine the reliability, internal consistency, measurement error, convergent validity, and floor and ceiling effects of three quality assessment tools commonly used to evaluate the quality of diagnostic test accuracy studies in physical therapy. A secondary aim was to describe the quality of a sample of diagnostic accuracy studies. STUDY DESIGN AND SETTING: 50 studies were randomly selected from a comprehensive database of physical therapy-relevant diagnostic accuracy studies...
January 30, 2019: Brazilian Journal of Physical Therapy
Chad E Cook, Simon Décary
BACKGROUND: Differential diagnosis is a systematic process used to identify the proper diagnosis from a set of possible competing diagnoses. METHODS: The goal of this masterclass is to discuss the higher order thinking components of differential diagnosis. CONCLUSIONS: For healthcare providers, diagnosis is one of many necessary components during the clinical decision making process and it is hallmarked by differentiation of competing structures for a definitive understanding of the underlying condition...
January 30, 2019: Brazilian Journal of Physical Therapy
Ana Paula Salazar, Aline Souza Pagnussat, Gabriela Alves Pereira, Gabriela Scopel, Janice Luisa Lukrafka
OBJECTIVE: To systematically review the effectiveness of neuromuscular electrical stimulation (NMES) as an adjuvant therapy to improve gross motor function in children with spastic cerebral palsy. METHODS: MEDLINE, EMBASE, Cochrane CENTRAL, PEDro and Scopus were searched. We included randomized controlled trials examining the effects of NMES combined with other therapies on gross motor function as assessed by the Gross Motor Function Measure (GMFM) and its functional dimensions...
January 23, 2019: Brazilian Journal of Physical Therapy
Licia P Cacciari, Chantale Dumoulin, E Jean Hay-Smith
BACKGROUND: Pelvic floor muscle training is the most commonly used physical therapy treatment for women with urinary incontinence. OBJECTIVES: To assess the effects of Pelvic floor muscle training for women with urinary incontinence in comparison to a control treatment and to summarize relevant economic findings. METHODS: Cochrane Incontinence Group Specialized Register (February 12, 2018). SELECTION CRITERIA: Randomized or quasi-randomized trials in women with stress, urgency or mixed urinary incontinence (symptoms, signs, or urodynamic)...
January 22, 2019: Brazilian Journal of Physical Therapy
Camila Teixeira Vaz, Rosana Ferreira Sampaio, Fernanda Saltiel, Elyonara Mello Figueiredo
BACKGROUND: Although the efficacy of pelvic floor muscle training (PFMT) and bladder training are well established, there is a paucity of patient centered models using these interventions to treat women with UI at primary level of health assistance in Brazil. OBJECTIVE: To investigate the effectiveness of a physical therapy intervention to treat women with UI in primary health centers. METHODS: Pragmatic non-randomized controlled trial in which women with UI from the community participated in a supervised physical therapy program consisting of bladder training plus 12 weeks of PFMT, performed either at home or in the health center...
January 19, 2019: Brazilian Journal of Physical Therapy
Alexandre Delgado, Polyana da Nóbrega Farias de Oliveira, Paulo Sávio Angeiras de Góes, Andrea Lemos
OBJECTIVE: To develop and analysis of measurement properties an instrument to assess maternal perception of fatigue during childbirth. METHODS: The study was developed in three steps: elaboration of the initial version of the questionnaire from literature review and semi-structured interviews of the health professionals and the women during labor; consultation of Brazilian specialists through a Delphi Study, to define the items that should compose the final version of the document; validation and factor analysis...
January 19, 2019: Brazilian Journal of Physical Therapy
Steven J Kamper
No abstract text is available yet for this article.
January 18, 2019: Brazilian Journal of Physical Therapy
Anne Mette Rustaden, Lene Annette Hagen Haakstad, Gøran Paulsen, Kari Bø
BACKGROUND: Overweight and obesity are associated with musculoskeletal pain, particularly in the female population. However, regular resistance training may positively affect these complaints. OBJECTIVE: The present study aimed to investigate between group differences in musculoskeletal pain in previously inactive women, allocated to three different resistance-training modalities available in health- and fitness clubs. METHODS: This is secondary analysis from a single-blinded randomized controlled trial, including healthy women (aged 18-65) with a BMI (kg/m2 ) ≥25...
January 18, 2019: Brazilian Journal of Physical Therapy
Ana Izabela S Oliveira-Souza, Lidiane L Florencio, Gabriela F Carvalho, César Fernández-De-Las-Peñas, Fabiola Dach, Debora Bevilaqua-Grossi
OBJECTIVE: To compare flexion rotation test and global active cervical mobility in women with chronic migraine, episodic migraine, and headache-free controls. The influence of neck pain-related disability on the flexion rotation test was also analyzed. METHODS: Women with chronic migraine (n=25), episodic migraine (n=30), and those who were headache-free (n=30) were evaluated. Upper cervical mobility was measured using the flexion rotation test and global active mobility was assessed using the cervical range of motion device...
January 16, 2019: Brazilian Journal of Physical Therapy
Luiz Carlos Hespanhol Junior, Caio Sain Vallio, Bruno Tirotti Saragiotto, Lucíola Menezes Costa
INTRODUCTION: Reporting confidence intervals (CI) in scientific articles is important and relevant for evidence-based practice. Clinicians should understand CIs in order to determine if they can realistically expect results similar to those presented in research studies when they implement the scientific evidence in clinical practice. The aims of this masterclass are: (1) to discuss CIs around effect estimates; (2) to understand CIs estimation (frequentist and Bayesian approaches); and (3) to interpret such uncertainty measures...
December 31, 2018: Brazilian Journal of Physical Therapy
Patrick R Avelino, Kênia K P Menezes, Lucas Rodrigues Nascimento, Iza Faria-Fortini, Christina Danielle Coelho de Morais Faria, Luci F Teixeira-Salmela
BACKGROUND: The identification of the predictors of locomotion ability could help professionals select variables to be considered during clinical evaluations and interventions. OBJECTIVE: To investigate which impairment measures would best predict locomotion ability in people with chronic stroke. METHODS: Individuals (n=115) with a chronic stroke were assessed. Predictors were characteristics of the participants (i.e. age, sex, and time since stroke), motor impairments (i...
December 24, 2018: Brazilian Journal of Physical Therapy
Jo Nijs, Amarins J Wijma, Laurence Leysen, Roselien Pas, Ward Willaert, Wouter Hoelen, Kelly Ickmans, C Paul van Wilgen
BACKGROUND: Pain is one of the most prevalent and debilitating symptom following cancer treatment. OBJECTIVES: This paper entails a practical guide for clinicians willing to apply pain neuroscience education (PNE) in this specific population, or clinical researchers willing to examine the effects of PNE in patients suffering from pain following cancer. RESULTS: Patient-specific information (i.e. beliefs, cognitions, pain memories, social factors) as well as identification of the dominant pain mechanism are needed to tailor the education to the specific needs and beliefs of the patient...
December 21, 2018: Brazilian Journal of Physical Therapy
Bianca Ferdin Carnavale, Elie Fiogbé, Ana Claudia Silva Farche, Aparecida Maria Catai, Alberto Porta, Anielle Cristhine de Medeiros Takahashi
BACKGROUND: Frailty syndrome is characterized by a marked reduction in physiological reserves and a clinical state of vulnerability to stress. Torque complexity analysis could reveal changes in the musculoskeletal systems that are the result of having the syndrome. OBJECTIVE: The aim of this study was to evaluate the complexity of submaximal isometric knee extensor torque in frail, pre-frail, and non-frail older adults. A secondary aim was to analyze the torque complexity behavior in different force levels in each group...
December 20, 2018: Brazilian Journal of Physical Therapy
Luciana De Michelis Mendonça, Natália Franco Netto Bittencourt, Laís Emanuelle Meira Alves, Renan Alves Resende, Fábio Viadanna Serrão
OBJECTIVES: (1) To identify the type and frequency of interventions used by Brazilian physical therapists to treat and prevent the occurrence of patellar tendinopathy in athletes and the criteria used to return to sport; (2) to compare the interventions used to the grade of recommendation of current evidence. METHODS: Design: cross-sectional study. SETTING: online survey throughout sports physical therapy association. PARTICIPANTS: Physical therapists who were invited to complete a structured questionnaire...
December 19, 2018: Brazilian Journal of Physical Therapy
Ernesto Cesar Pinto Leal-Junior, Rodrigo Álvaro Brandão Lopes-Martins, Jan Magnus Bjordal
BACKGROUND: There is about ten years since the first randomized controlled trial looking for the effects of photobiomodulation therapy using low-level laser therapy and/or light emitting diodes therapy in athletic performance enhancement was published. Since then, the knowledge in this field has increasing exponentially. OBJECTIVE: Given the fast advance in clinical interest, research and development in the use of photobiomodulation therapy for athletic performance enhancement and also to accelerate post-exercise recovery, as pioneers in this research field we felt the need to establish recommendations to ensure the correct use of the therapy, and also to guide the further studies in this area looking for the achievement of highest scientific evidence...
January 2019: Brazilian Journal of Physical Therapy
Marina Vargas-Terrones, Taniya S Nagpal, Ruben Barakat
OBJECTIVE: This article presents the state of knowledge related to the impact of exercise on gestational weight gain and birth weight. TRANSCENDENCE OF BABY WEIGHT: Birth weight is an important indicator of intrauterine environment and maternal and newborn health. There are several factors that can affect birth weight including mother's pre-pregnancy Body Mass Index (BMI), gestational weight gain, Gestational Diabetes Mellitus (GDM), chronic diabetes and gestational age at birth...
November 22, 2018: Brazilian Journal of Physical Therapy
Robin M Daly, Jack Dalla Via, Rachel L Duckham, Steve F Fraser, Eva Wulff Helge
BACKGROUND: Osteoporosis and related fragility fractures are a global public health problem in which pharmaceutical agents targeting bone mineral density (BMD) are the first line of treatment. However, pharmaceuticals have no effect on improving other key fracture risk factors, including low muscle strength, power and functional capacity, all of which are associated with an increased risk for falls and fracture, independent of BMD. Targeted exercise training is the only strategy that can simultaneously improve multiple skeletal and fall-related risk factors, but it must be appropriately prescribed and tailored to the desired outcome(s) and the specified target group...
November 22, 2018: Brazilian Journal of Physical Therapy
Vasanthan Rajagopalan, Manikandan Natarajan, Johnson Alex, John M Solomon
OBJECTIVE: To explore the personal and environmental contextual factors that influence use of affected arm for function among stroke survivors. METHODS: We conducted a qualitative phenomenological study using an interpretivist paradigm among 23 stroke survivors in their late sub-acute and chronic stages and their relatives living in the rural regions of India using maximum variation sampling. Semi-structured interviews were conducted to identify personal and environmental contextual factors relevant to arm use...
November 22, 2018: Brazilian Journal of Physical Therapy
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