4757
Affordance-based practice: An ecological-enactive approach to chronic musculoskeletal pain managementDaniela Virgínia Vaz, Peter Stilwell, Sabrina Coninx, Matthew Low, Craig Liebenson
Braz J Phys Ther. 2023;27:100554
4757
Highlights
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The ecological-enactive approach to pain extends the biopsychosocial model.
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Clinical reasoning and practice centers around affordances: opportunities for action.
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Disabling pain is experienced as closed-off or “stuck” field of affordances.
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Therapist and patient work together to make sense of pain, complexity, and uncertainty.
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Together, they choose interventions aimed to “open-up” the field of affordances.
4196
Person-centred education and advice for people with low back pain: Making the best of what we knowEdel T. O'Hagan, Aidan G. Cashin, Adrian C. Traeger, James H. McAuley
Braz J Phys Ther. 2023;27:100478
4196
Highlights
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There is little guidance for physical therapists on how best to provide first line care for people with low back pain.
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Providing validation to patients seems important.
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The AxEL-Q is a valid and reliable tool that could help to guide physical therapy consultations.
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Physical therapists could consider focusing patient education and advice on messages about cause, severity, and imaging, and in doing so remove barriers to physical activity.
4066
Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysisÉrika P. Rampazo, Maurício A. Luz Júnior, Juliana B. Corrêa, Naiane T.B. de Oliveira, Irlei dos Santos, Richard E. Liebano, Leonardo O.P. Costa
Braz J Phys Ther. 2023;27:100549
4066
Highlights
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Interferential current probably reduces pain intensity and disability immediately post-treatment compared to placebo in patients with chronic non-specific low back pain.
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Interferential current may reduce pain, but not disability, immediately post-treatment compared to other interventions in patients with chronic non-specific low back pain.
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Interferential current combined with other intervention (massage or exercises) may not further reduce pain intensity and disability compared to other interventions provided in isolation immediately post-treatment in patients with chronic non-specific low back pain.
4004
Vascular flow limitations affecting the cervico-cranial region: Understanding ischaemiaAlan Taylor, Roger Kerry, Firas Mourad, Nathan Hutting
Braz J Phys Ther. 2023;27:100493
4004
Highlights
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Vascular flow limitations, may occur in the presence or absence of vascular pathology.
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Not all flow limitations affecting the cervico-cranial region are confined to the neck.
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An understanding of the mechanisms of flow limitation may aid clinical reasoning.
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‘Vascular flow limitation’ and ‘ischaemia’ are recommended for communication/triage.
3890
Exploration of the clinical course of frozen shoulder: A longitudinal multicenter prospective study of functional impairmentsMichel GCAM Mertens, Mira Meeus, Olivier Verborgt, Enrique Lluch Girbes, Silvia Mena-Del Horno, Marta Aguilar-Rodriguez, Lirios Dueñas, Santiago Navarro-Ledesma, ... Filip Struyf
Braz J Phys Ther. 2023;27:100539
3890
Highlights
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Most functional impairments the patients experience improve in the short-term.
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Shoulder rotation at 90° abduction continues to improve in the long-term.
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Proprioception does not change in the clinical course of frozen shoulder.
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Direct longitudinal correlations between functional impairments were established.
3841
The effects of multisensory stimulation on the length of hospital stay and weight gain in hospitalized preterm infants: A systematic review with meta-analysisGiovana Pascoali Rodovanski, Bruna Aparecida Bêz Réus, Adriana Neves dos Santos
Braz J Phys Ther. 2023;27:100468
3841
Highlights
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We investigated the effects of multisensory stimulation combined to standard care versus standard care alone on the length of hospital stay and weight gain in hospitalized preterm infants.
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Auditory–Tactile–Visual-Vestibular intervention combined with standard care increased the total weight gain.
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Tactile-Kinesthesic stimulation combined with standard care reduced the number of days at the hospital and increased the daily weight gain and the total weight gain.
- •
Kangaroo method care combined with standard care increased the daily weight gain.
3605
Test procedures and positive diagnostic criteria of the upper limb tension tests differ: a systematic review of the DiTA databaseArianne P Verhagen, Hayley Brown, Mark Hancock, David Anderson
Braz J Phys Ther. 2023;27:100558
3605
Highlights
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Most of the cervical radiculopathy studies included physical examination in their reference standard, potentially leading to a risk of confirmation bias.
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Included studies varied in reported test procedures and positive diagnostic criteria.
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Based on our findings we proposed a more standardised test procedure for the ULTT1 with accompanying criteria for when the test is positive to facilitate homogeneity in future diagnostic accuracy studies of the ULTT.
3528
Effectiveness of intensive versus regular or no exercise in older adults after hip fracture surgery: A systematic review and meta-analysisFan Bai, Minmin Leng, Yan Zhang, Jinli Guo, Zhiwen Wang
Braz J Phys Ther. 2023;27:100482
3528
Highlights
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Intensive exercise in the early postoperative rehabilitation after hip fracture (up to 3 months postoperatively) is beneficial to the recovery of physical function in older adults.
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Intensive exercise with more load lead to greater improvements in muscle strength, balance, and functional ability.
- •
Older adults with cognitive impairment were not included in the studies selected for this review, conclusions about the training results may not be extended to this population.
3526
What are the unsupervised exercise adherence rates in clinical trials for knee osteoarthritis? A systematic reviewKristin M. Smith, B. James Massey, Jodi L. Young, Daniel I. Rhon
Braz J Phys Ther. 2023;27:100533
3526
Highlights
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Exercise trials for knee osteoarthritis are not consistently collecting and reporting information about exercise adherence.
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Without information about adherence, the understanding of true treatment effect sizes of exercise for individuals with knee osteoarthritis is limited.
- •
Only 10.2% of trials provided a predetermined threshold of adequate adherence, and outcomes did not appear to differ in those who met the threshold. However, metrics, thresholds, and comparator groups were highly heterogeneous in these trials, limiting any conclusions.
3342
Effects of elastic kinesiology taping on shoulder proprioception: a systematic reviewAmanda L. Ager, Fabio Carlos Lucas de Oliveira, Jean-Sébastien Roy, Dorien Borms, Michiel Deraedt, Morgane Huyge, Arne Deschepper, Ann M. Cools
Braz J Phys Ther. 2023;27:100514
3342
Highlights
- •
Elastic kinesiology tape (KT) has a mixed effect on active joint position sense (AJPS) of healthy shoulders (low certainty).
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Elastic KT improves active or passive JPS among pathological shoulders (very low certainty).
- •
Elastic KT has no effect on kinesthesia with subacromial pain syndrome (very low certainty).
- •
Overall, evidence remains speculative as to the effects of elastic KT on shoulder proprioception.
3300
Breaking barriers to rehabilitation: the role of behavior change theories in overcoming the challenge of exercise-related behavior changeManuela Karloh, Thiago Sousa Matias, Joice Mara de Oliveira, Fabiano Francisco de Lima, David Halen Araújo Pinheiro, Graziele Besen Barbosa, Karina Couto Furlanetto, Celso R.F. Carvalho
Braz J Phys Ther. 2023;27:100574
3300
Highlights
- •
Rehabilitation programs fail to promote exercise-related behavior change.
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The one-size-fits-all approach to promoting behavior change is impractical.
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Multiple theories and strategies are needed for successful behavior change.
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We explained the key points of six theories for behavior change.
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Rehabilitation staff must intentionally implement strategies to change behavior.