Journal Information
Vol. 25. Issue 4.
Pages 367-480 (01 July 2021)
Pain in COVID-19 patients: A call to action for physical therapists to provide pain management after an episode of COVID-19
Juliana Valentim Bittencourt, Felipe José Jandre Reis, Leandro Alberto Calazans Nogueira
Braz J Phys Ther. 2021;25:367-8
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Systematic review
Effectiveness of virtual reality in children and young adults with cerebral palsy: a systematic review of randomized controlled trial
Junior Vitorino Fandim, Bruno Tirotti Saragiotto, Gustavo José Martiniano Porfírio, Renato Figueiredo Santana
Braz J Phys Ther. 2021;25:369-86

  • In recent years virtual reality (VR) has been used alone and as an adjunct intervention in the treatment of patients with cerebral palsy (CP).

  • VR plus conventional rehabilitation can improve upper limb function and lower limb strength in patients with CP.

  • VR alone is no better than other treatments to improve upper and lower limb function in patients with CP.

  • VR alone can improve postural control, balance, and lower limb function in patients with CP.

  • Further research is needed to better define the effectiveness of VR in patients with CP.

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Mobile health technologies for the management of urinary incontinence: A systematic review of online stores in Brazil
Lucas Ogura Dantas, Cristiano Carvalho, Beatriz Laryssa de Jesus Santos, Cristine Homsi Jorge Ferreira, Kari Bø, Patricia Driusso
Braz J Phys Ther. 2021;25:387-95

  • mHealth apps offer potential to assist the self-management of UI.

  • Apps for UI in Brazil are not credible and need major improvements.

  • None of the apps were used as an intervention in a RCT.

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Self-management at the core of back pain care: 10 key points for clinicians
Alice Kongsted, Inge Ris, Per Kjaer, Jan Hartvigsen
Braz J Phys Ther. 2021;25:396-406

  • Self-management support is person-centred care reinforcing patient autonomy.

  • Avoid strong clinician control and help patients developing self-efficacy.

  • Let patients’ value-based goals and shared decisions guide management.

  • Help patients make sense of symptoms and reframe unhelpful perspectives.

    Use supervised exercises as a tool to practice problem-solving skills

Open access
The why, where, and how clinical reasoning model for the evaluation and treatment of patients with low back pain
Sean P. Riley, Brian T. Swanson, Joshua A. Cleland
Braz J Phys Ther. 2021;25:407-14

  • There are overlapping sources of symptoms in patients with low back pain (LBP).

  • A hypothesis-driven, probabilistic approach may therefore be needed.

  • This model integrates the principles of mechanism, location, and mechanical input.

  • The utilization of this model may help to develop reflection on and in action.

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Original research
Prediction equation of hip external rotators maximum torque in healthy adults and older adults using the measure of hip extensors maximum torque
Suelen Cristina Souza Martins, Renan Alves Resende, Larissa Santos Pinto Pinheiro, Thales Rezende Souza, Rafael Zambelli Pinto, André Gustavo Pereira Andrade, Lygia Paccini Lustosa, Juliana Melo Ocarino
Braz J Phys Ther. 2021;25:415-20

  • Hip extensors (HEX) torque was able to predict hip external rotators (HER) torque.

  • Both measures were strongly correlated in adults and older individuals.

  • There is no difference between directly measured and predicted values of HER torque.

  • The prediction equation was valid and accurate to estimate HER torque.

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Early CPAP protocol in preterm infants with gestational age between 28 and 32 weeks: experience of a public hospital
Bruna S.P.P. Vieira, Thales R. Souza, Luciana N. Paschoal, Marcela R. Magalhães, Cristiana M. Magalhães, Verônica F. Parreira
Braz J Phys Ther. 2021;25:421-7

  • The “early CPAP” protocol was implemented using intermediate pressures of 6–7 cmH2O.

  • A decrease in intubation rate and days of invasive ventilation were observed.

  • A reduction of exogenous surfactant use and length of hospital stay were observed.

  • The protocol used simple and affordable equipment and could be reproduced.

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Effects of a six-week mobile app versus paper book intervention on quality of life, symptoms, and self-care in patients with fibromyalgia: a randomized parallel trial
Susan Lee King Yuan, Letícia Assis Couto, Amélia Pasqual Marques
Braz J Phys Ther. 2021;25:428-36

  • The use of the ProFibro app for six weeks was not more effective than the use of a traditional paper book with similar content for health-related quality of life, symptoms, or self-care agency in individuals with fibromyalgia.

  • Improvements on severity of symptoms in both groups suggest that the self-care program using a mobile app or a paper book may be beneficial in individuals with fibromyalgia.

  • The Sleep Strategies was the most used function of the ProFibro app, followed by the Exercise Program, and the diary for the practice of gratitude.

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Mild and marked executive dysfunction and falls in people with Parkinson’s disease
Paulo H.S. Pelicioni, Jasmine C. Menant, Emily J. Henderson, Mark D. Latt, Matthew A. Brodie, Stephen R. Lord
Braz J Phys Ther. 2021;25:437-43

  • People with PD with executive dysfunction have multiple motor, sensory, and balance impairments

  • Executive dysfunction is an independent risk factor for falls in people with PD

  • Balance and executive function interventions may prevent falls in people with PD

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Cross-country validity of the Alberta Infant Motor Scale using a Brazilian sample
Ana Paula Bensemann Gontijo, Juliana Vaz de Melo Mambrini, Marisa Cotta Mancini
Braz J Phys Ther. 2021;25:444-9

  • The AIMS normative age scale is appropriate for Brazilian infants.

  • The sequence of gross motor development for Brazilian infants is similar to Canadian infants.

  • Ages of attainment vary for some items between samples.

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Functioning of women in the postpartum period: an International Classification of Functioning, Disability and Health-based consensus of physical therapists
Élida Raquel Freitas Neri Bulhões, Thaissa Hamana De Macedo Dantas, Jardelina Hermecina Dantas, Íris Nascimento De Souza, Luciana Castaneda, Diego De Sousa Dantas
Braz J Phys Ther. 2021;25:450-9

  • We identified the ICF categories relevant to describe the problems and resources of women in the postpartum period.

  • The list of ICF categories comprises all components of the ICF framework.

  • Physical therapists had a higher agreement about the relevant aspects for the assessment of the postpartum women.

  • ICF can be used for professionals in this category to improve their evaluations and clinical practice.

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Assessing health empowerment - Brazilian cross-cultural adaptation and validity testing of the health education impact questionnaire (heiQ) among people with chronic low back pain
Aline Mendonça Turci, Camila Gorla Nogueira, Richard Osborne, Anamaria Siriani de Oliveira, Thais Cristina Chaves
Braz J Phys Ther. 2021;25:460-70

  • The Brazilian heiQ showed acceptable reliability and internal consistency

  • The Brazilian heiQ showed acceptable construct validity in individuals with low back pain

  • Correlations between pain and functioning outcomes versus heiQ scales (≅40%) were significant

  • Correlations between affective and general health versus heiQ scales (75%) were significant

  • The minimum detectable difference for heiQ scales scores ranged from 2.84 to 4.94

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Clinical trial protocol
A randomised controlled trial of implementation of a guideline-based clinical pathway of care to improve health outcomes following whiplash injury (Whiplash ImPaCT): Statistical analysis plan
Michele Sterling, Trudy Rebbeck, Luke B. Connelly, Andrew Leaver, Carrie Ritchie, Aila Bandong, Martin Mackey, Ian D. Cameron, ... Nigel R. Armfield
Braz J Phys Ther. 2021;25:471-80

  • a statistical plan of a randomised controlled trial of a clinical pathway of care for whiplash.

  • The clinical trial aims to improve outcomes after whiplash injury.

  • Primary outcomes are global recovery and neck disability.

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Brazilian Journal of Physical Therapy
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