Journal Information
Issue
Vol. 21. Issue 1.
Pages 1-76 (01 January 2017)
Masterclass
Reassurance for patients with non-specific conditions – a user's guide
Adrian C. Traeger, Edel T. O’Hagan, Aidan Cashin, James H. McAuley
Braz J Phys Ther. 2017;21:1-6
Highlights

  • Reassurance is a frequently utilized yet poorly understood clinical skill.

  • Emotional distress is an important driver of healthcare use.

  • Diagnostic test results are not reassuring.

  • Some attempts at reassurance can increase rather than decrease concern.

  • Patient education is a promising way for clinicians to manage emotional distress.

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Original research
Knee pain in adolescents: prevalence, risk factors, and functional impairment
Mirelle O. Saes, Maria C.F. Soares
Braz J Phys Ther. 2017;21:7-14
Highlights

  • Knee pain prevalence over the last 7 days was 22.6%.

  • Knee functionality was investigated using the Knee injury and Osteoarthritis Outcome Score.

  • More knee pain was found in older adolescents who do not have physical education at school.

  • Functional impairment in girls and adolescents who are physically active in their leisure time.

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Comparing airways clearance techniques in chronic obstructive pulmonary disease and bronchiectasis: positive expiratory pressure or temporary positive expiratory pressure? A retrospective study
Francesco D’Abrosca, Barbara Garabelli, Gloria Savio, Agnese Barison, Lorenzo Appendini, Luis V.F. Oliveira, Paola Baiardi, Bruno Balbi
Braz J Phys Ther. 2017;21:15-23
Highlights

  • Patients with chronic hypersecretion (CH) of tracheobronchial mucus are a clinical challenge. They have an impaired quality of life, frequent exacerbations, and hospitalizations with need of antibiotics and other type of expensive treatments.

  • Chest physical therapy evolved along the last decades and new techniques are currently used to help patients clear the airways efficiently. Among these airway clearance techniques (ACTs), the use of positive expiratory pressure (PEP) is considered one of the most effective.

  • We report the retrospective evaluation of 162 patients with CH due to chronic obstructive pulmonary disease or bronchiectasis undergoing ACT in our Pulmonary Rehabilitation Department. They were treated either with PEP or with a new PEP device called UNIKO®, which applies PEP in a temporary manner (TPEP).

  • Comparing the two groups of patients, both treatments (i.e., PEP and TPEP) were followed by great improvements in physiological parameters of spirometry and gas exchange. However, subdividing patients, it was evident that TPEP had better effects than PEP in patients with emphysema and in patients on long-term oxygen treatment, while PEP was superior at least in some parameters in patients on mechanical ventilation.

  • This study, albeit retrospective and calling for controlled clinical trials, suggests that different ACTs can be applied in different populations of patients.

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Observational practice of incentive spirometry in stroke patients
Íllia N.D.F. Lima, Guilherme A.F. Fregonezi, Rêncio B. Florêncio, Tânia F. Campos, Gardênia H. Ferreira
Braz J Phys Ther. 2017;21:24-9
Highlights

  • Stroke patients performed differently to healthy individuals when learning to use incentive spirometry.

  • Stroke patients can benefit from learning rehabilitation techniques.

  • Observational techniques improve the performance of tasks in stroke patients.

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Predictive equations for maximal respiratory pressures of children aged 7–10
George J. da Rosa, André M. Morcillo, Maíra S. de Assumpção, Camila I.S. Schivinski
Braz J Phys Ther. 2017;21:30-6
Highlights

  • Predictive equations allow comparisons between children with or without changes in respiratory muscle strength.

  • Predictive equations facilitate the monitoring and control of physical therapy interventions.

  • Age and biometric measurements had little influence on the values of maximal respiratory pressures.

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Implications of pain in functional activities in immediate postpartum period according to the mode of delivery and parity: an observational study
Thalita R.C. Pereira, Felipe G. De Souza, Ana C.S. Beleza
Braz J Phys Ther. 2017;21:37-43
Highlights

  • Cesarean section births postpartum had higher pain intensity during movement compared to vaginal delivery births.

  • In postpartum, cesarean births showed greater functional limitation for selected movements than vaginal births.

  • Parity had no association with the functional limitations complaint.

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Predictors of perceived barriers to physical activity in the general adult population: a cross-sectional study
Yaneth Herazo-Beltrán, Yisel Pinillos, José Vidarte, Estela Crissien, Damaris Suarez, Rafael García
Braz J Phys Ther. 2017;21:44-50
Highlights

  • Our investigation has shown factors that influence physical activity.

  • Lack of motivation, resources, social support and fear of injury are barriers.

  • Socioeconomic level, marital status, education and others are predictors.

  • The design not allowed to calculate a causal relationship between the variables.

  • A representative sample of the residents of Barranquilla (Colombia), is a strength.

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Passive stiffness of the ankle and plantar flexor muscle performance after Achilles tendon repair: a cross-sectional study
Pollyana R.T. Borges, Thiago R.T. Santos, Paula R.S. Procópio, Jessica H.D. Chelidonopoulos, Roberto Zambelli, Juliana M. Ocarino
Braz J Phys Ther. 2017;21:51-7
Highlights

  • The surgical ankle presented lower stiffness values than the non-surgical ankle in the same subject.

  • The surgical ankle presented lower stiffness than the non-surgical group.

  • The SU group had greater absolute asymmetry of ankle stiffness.

  • The SU group had greater absolute asymmetry of plantar flexor muscle work.

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Exercise training for people following curative intent treatment for non-small cell lung cancer: a randomized controlled trial
Vinicius Cavalheri, Sue Jenkins, Nola Cecins, Kevin Gain, Martin J. Phillips, Lucas H. Sanders, Kylie Hill
Braz J Phys Ther. 2017;21:58-68
Highlights

  • Lung resection for lung cancer is associated with marked reductions in exercise capacity.

  • Exercise training increased exercise capacity in people with non-small cell lung cancer.

  • Exercise training did not improve other outcomes.

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Construct and discriminant validity of STarT Back Screening Tool – Brazilian version
Bruna Pilz, Rodrigo A. Vasconcelos, Paulo P. Teixeira, Wilson Mello, Freddy B. Marcondes, Jonathan C. Hill, Débora B. Grossi
Braz J Phys Ther. 2017;21:69-73
Highlights

  • SBST-Brazil showed a moderate to good correlation with disability tools.

  • SBST-Brazil demonstrated weak correlations with fear-avoidance beliefs.

  • SBST-Brazil discriminates LBP patients with disability and fear-avoidance beliefs.

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Acknowledgements
Acknowledgments
Braz J Phys Ther. 2017;21:74-5
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Idiomas
Brazilian Journal of Physical Therapy
en pt
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