Journal Information
Vol. 25. Issue 6.
Pages 659-914 (01 November 2021)
Insights into low back pain management in Argentina
Andrés Pierobon, Federico Villalba, Giovanni Ferreira, Chris G. Maher
Braz J Phys Ther. 2021;25:659-63
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Systematic review
What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis
Sandra Gluppe, Marie Ellström Engh, Kari Bø
Braz J Phys Ther. 2021;25:664-75

  • Trials investigating abdominal and PFM exercises on DRA have mostly been performed on women with mild DRA.

  • The abdominal and PFM exercise programs identified were heterogenous in terms of type of exercises and training dose.

  • We found low quality evidence that TrA and curl-up training are more effective than minimal intervention for treating DRA.

  • There is low to very low evidence that PFM training is not more effective than minimal intervention.

Open access
Effectiveness of conservative therapy on pain, disability and quality of life for low back pain in pregnancy: A systematic review of randomized controlled trials
Laísa B. Maia, Letícia G. Amarante, Débora F.M. Vitorino, Rodrigo O. Mascarenhas, Ana Cristina R. Lacerda, Bianca M. Lourenço, Vinícius C. Oliveira
Braz J Phys Ther. 2021;25:676-87

  • Efficacy of conservative therapy for low back pain in pregnancy (PLBP) is unclear.

  • Oil treatment may reduce pain and disability, but the evidence is uncertain.

  • Auriculotherapy may reduce pain and disability, but the evidence is unclear.

  • Evidence for other investigated therapies (e.g., exercise) is still uncertain.

  • Future larger high-quality trials should clarify efficacy of therapies in PLBP.

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Therapeutic ultrasound for knee osteoarthritis: A systematic review and meta-analysis with grade quality assessment
Lucas Ogura Dantas, Mikala C. Osani, Raveendhara R. Bannuru
Braz J Phys Ther. 2021;25:688-97

  • Therapeutic ultrasound (US) is commonly used as an adjunctive treatment in rehabilitation focused on pain management.

  • Therapeutic US may provide benefits for knee osteoarthritis, but its isolated effects have not been systematically assessed.

  • High-quality randomized controlled trials are needed to confirm the efficacy of therapeutic US for knee osteoarthritis.

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Effects of motor imagery on strength, range of motion, physical function, and pain intensity in patients with total knee arthroplasty: A systematic review and meta-analysis
Raúl Ferrer-Peña, Ferran Cuenca-Martínez, Mario Romero-Palau, Luis Miguel Flores-Román, Pablo Arce-Vázquez, Clovis Varangot-Reille, Luis Suso-Martí
Braz J Phys Ther. 2021;25:698-708

  • -Motor imagery (MI) plus standard rehabilitation may increase the strength in patients post total knee arthroplasty (TKA).

  • -MI may increase active ROM in patients with TKA.

  • -The meta-analysis showed moderate clinical effects for strength and pain intensity in patients with TKA.

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Original research
Intra- and inter-rater reliability of Fugl-Meyer Assessment of Lower Extremity early after stroke
Edgar D. Hernández, Sandra M. Forero, Claudia P. Galeano, Nubia E. Barbosa, Katharina S. Sunnerhagen, Margit Alt Murphy
Braz J Phys Ther. 2021;25:709-18

  • The Spanish FMA-LE can be recommended for evaluation of motor impairment in stroke.

  • Intra- and interrater reliability of the Spanish FMA-LE was excellent.

  • Wider use of FMA-LE would allow worldwide comparisons of stroke recovery.

Open access
Clinimetric properties of the SATIS-Stroke questionnaire in the Brazilian population: A satisfaction assessment measure addressing activities and participation after a stroke
Gabriela Santos Pereira, Fernanda Ishida Corrêa, Cíntia Elord Júlio, Jean-Louis Thonnard, Edouard Bouffioulx, João Carlos Ferrari Corrêa, Soraia Micaela Silva
Braz J Phys Ther. 2021;25:719-26

  • The Brazilian version of the SATIS-Stroke questionnaire exhibited adequate measure properties.

  • SATIS-Stroke considers the perspective of the patient on their performance in activities and situations of daily living.

  • The SATIS-Stroke offers important data for decision-making with regard to treatment and follow up of stroke survivors.

  • These findings can contribute to the development of effective evaluation strategies.

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Foot pronation affects pelvic motion during the loading response phase of gait
Joana Ferreira Hornestam, Paula Maria Machado Arantes, Thales Rezende Souza, Renan Alves Resende, Cecilia Ferreira Aquino, Sergio Teixeira Fonseca, Paula Lanna Pereira da Silva
Braz J Phys Ther. 2021;25:727-34

  • Bilateral increased foot pronation affects pelvic kinematics during walking.

  • Increased pronation modifies pelvic motion during the loading response phase of gait.

  • Bilateral increased foot pronation increased mean pelvic contralateral drop.

  • Bilateral increased pronation reduced pelvic range of motion in the frontal plane.

  • Increased pronation reduced mean pelvic rotation towards the contralateral side.

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Dyspnea could be accurately assessed by a caregiver in hospitalized patients with respiratory diseases: Interrater reliability and agreement study
Gregory Reychler, Marc Beaumont, Anne-Claire Latiers, Thierry Pieters, Antoine Fremault
Braz J Phys Ther. 2021;25:735-40
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New method for evaluating maximal respiratory pressures: Concurrent validity, test-retest, and inter-rater reliability
Bruna M.F. Silveira, Manoel C.B. Pereira, Daniella R. Cardoso, Giane A. Ribeiro-Samora, Henrique R. Martins, Verônica F. Parreira
Braz J Phys Ther. 2021;25:741-8

  • Maximal respiratory pressures performed with the TrueForce are valid.

  • Maximal respiratory pressures at functional residual capacity are reliable.

  • PImax is significantly lower if performed at functional residual capacity.

  • PEmax is significantly lower if performed at functional residual capacity.

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Effects of lumbar lordosis increment on gait deteriorations in ambulant boys with Duchenne Muscular Dystrophy: A cross-sectional study
Meral Bilgilisoy Filiz, Naciye Füsun Toraman, Muhammet Gültekin Kutluk, Serkan Filiz, Şebnem Koldaş Doğan, Tuncay Çakır, Aylin Yaman
Braz J Phys Ther. 2021;25:749-55
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Through the athlete lens: A novel study exploring the perspectives and experiences of injury prevention practices in women playing elite Australian Football
Andrea M. Bruder, Kay M. Crossley, Alex Donaldson, Andrea B. Mosler
Braz J Phys Ther. 2021;25:756-66

  • Athletes believe injury prevention practices have multiple aims and benefits.

  • Lack of knowledge, time, and competing demands were perceived as program barriers.

  • Education, resources, and positive club culture facilitated program adoption.

  • Full-time professional contracts and improved resources may enhance implementation.

  • Program implementation is a shared responsibility.

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Cross-cultural validity of the Animated Activity Questionnaire for patients with hip and knee osteoarthritis: a comparison between the Netherlands and Brazil
Clarissa Daniela do Nascimento, Wilfred F. Peter, Icaro Martins Ribeiro, Bruno de Souza Moreira, Vanessa Pereira Lima, Renata Noce kirkwood, Alessandra de Carvalho Bastone
Braz J Phys Ther. 2021;25:767-74
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External validation of prognostic models for recovery in patients with neck pain
Roel W. Wingbermühle, Martijn W. Heymans, Emiel van Trijffel, Alessandro Chiarotto, Bart Koes, Arianne P. Verhagen
Braz J Phys Ther. 2021;25:775-84
Open access
Brazilian version of the OSTRC Questionnaire on health problems (OSTRC-BR): translation, cross-cultural adaptation and measurement properties
Rafael Mirante Pimenta, Luiz Hespanhol, Alexandre Dias Lopes
Braz J Phys Ther. 2021;25:785-93

  • The OSTRC-BR is a valid and reliable tool for monitoring health problems in athletes with similar characteristics of this study population.

  • Adequate values of reliability and responsiveness were observed.

  • Researchers and clinicians can use the OSTRC-BR either to collect data for research or in practice as part of a health problem monitoring system in Brazilian sport populations.

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Translation, cross-cultural adaptation, and measurement properties of the Brazilian-Portuguese version of the idiopathic pulmonary fibrosis-specific version of the Saint George's Respiratory Questionnaire (SGRQ-I) for patients with interstitial lung disease
Wagner Florentin Aguiar, Leandro Cruz Mantoani, Humberto Silva, Camile Ludovico Zamboti, Thatielle Garcia, Vinicius Cavalheri, Marcos Ribeiro, Janelle Yorke, ... Carlos Augusto Camillo
Braz J Phys Ther. 2021;25:794-802
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Popular videos related to low back pain on YouTube™ do not reflect current clinical guidelines: a cross-sectional study
Laísa B. Maia, Juliana P. Silva, Mateus B. Souza, Nicholas Henschke, Vinicius C. Oliveira
Braz J Phys Ther. 2021;25:803-10

  • Low back pain information offered on YouTube ™ is often not evidence based.

  • Available information prioritizes interventions rather than inform on condition.

  • Factors related to engagement with content on YouTube ™ remain uncertain.

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‘Your spine is so worn out’ – the influence of clinical diagnosis on beliefs in patients with non-specific chronic low back pain – a qualitative study’
Igor da Silva Bonfim, Leticia Amaral Corrêa, Leandro Alberto Calazans Nogueira, Ney Meziat-Filho, Felipe José Jandre Reis, Renato Santos de Almeida
Braz J Phys Ther. 2021;25:811-8

  • Clinical diagnosis influences beliefs about pain and daily activity levels.

  • Health professional approach and discourse can generate a nocebo effect.

  • Patients believe on the relation between lumbar structural changes and pain.

  • There is a strong influence of the biomedical model on patients` beliefs.

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Changes in movement behaviors and back pain during the first wave of the COVID-19 pandemic in Brazil
Danilo R. Silva, André O. Werneck, Deborah C. Malta, Dalia Romero, Paulo R.B. Souza-Júnior, Luiz O. Azevedo, Marilisa B.A. Barros, Célia L. Szwarcwald
Braz J Phys Ther. 2021;25:819-25
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Effects of dry needling of the obliquus capitis inferior on sensorimotor control and cervical mobility in people with neck pain: A double-blind, randomized sham-controlled trial
Carlos Murillo, Julia Treleaven, Barbara Cagnie, Javier Peral, Deborah Falla, Enrique Lluch
Braz J Phys Ther. 2021;25:826-36

  • A single session of dry needling of the obliquus capitis inferior reduces cervical joint position error in people with neck pain.

  • Dry needling of the obliquus capitis inferior does not have an effect on cervical movement sense or postural stability.

  • Dry needling of the obliquus capitis inferior increases upper cervical range of motion measured with the flexion rotation test.

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Low back pain prevalence in Sao Paulo, Brazil: A cross-sectional study
Gabrielle Z. Gonzalez, Tatiane da Silva, Marina A. Avanzi, Gabriel T. Macedo, Shirley S. Alves, Luciana S. Indini, Luzinete M.P. Egea, Amélia P. Marques, ... Leonardo O.P. Costa
Braz J Phys Ther. 2021;25:837-45
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Are foot deformity and plantar sensitivity impairment associated with physical function of community-dwelling older adults?
Aurélio Dias Santos, Janina Manzieri Prado-Rico, Nayara Tasse de Oliveira Cirino, Monica Rodrigues Perracini
Braz J Phys Ther. 2021;25:846-53

  • Foot deformity and plantar sensitivity in elderly adults were evaluated.

  • Hallux valgus was the most prevalent deformity among elderly individuals.

  • Reduced foot sensitivity and hallux valgus impair physical function of older adults.

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Reported practices related to, and capability to provide, first-line knee osteoarthritis treatments: a survey of 1064 Australian physical therapists
Christian J. Barton, Marcella F. Pazzinatto, Kay M. Crossley, Karen Dundules, Natasha A. Lannin, Matt Francis, Jason Wallis, Joanne L. Kemp
Braz J Phys Ther. 2021;25:854-63

  • Australian physical therapists typically prescribed strength-focused home exercise.

  • Aerobic and neuromuscular exercise are prescribed some of the time.

  • Confidence is associated with aerobic and neuromuscular exercise prescription frequency.

  • Less than half surveyed had been trained to deliver education and exercise therapy.

  • Just one in nine could name an accepted osteoarthritis guideline.

Open access
Incidence and factors associated with low back pain in adolescents: A prospective study
Alberto de Vitta, Thiago Paulo Frascareli Bento, Guilherme Porfirio Cornelio, Priscila Daniele de Oliveira Perrucini, Lilian Assunção Felippe, Marta Helena Souza de Conti
Braz J Phys Ther. 2021;25:864-73

  • This study shows a high incidence of new episode of low back pain over a one-year period.

  • Female sex and clinical mental health problem were predictors of low back pain.

  • Sitting tablet use, daily tablet use time, hours of cell phone use per day, and lying down while using cell phone were predictors of low back pain

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The Brazilian hip and groin outcome score (HAGOS-Br): cross-cultural adaptation and measurement properties
Luciana De Michelis Mendonça, Paulo Ricardo Pinto Camelo, Giulianne Cristine Capovilla Trevisan, Flávio Fernandes Bryk, Kristian Thorborg, Rodrigo Ribeiro Oliveira
Braz J Phys Ther. 2021;25:874-82

  • Brazilian soccer athletes often present with hip/groin injuries/pain and HAGOS contributes to guide interventions towards clinical improvement.

  • The Brazilian version of the HAGOS is a reliable and validated tool to measure pain and function in individuals with hip and groin pain.

  • This cross-cultural adaptation allows the use of the Brazilian version of the HAGOS for clinical and scientific purposes.

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Kinematics and biomechanical validity of shoulder joint laxity tests as diagnostic criteria in multidirectional instability
Justin L. Staker, Jonathan P. Braman, Paula M. Ludewig
Braz J Phys Ther. 2021;25:883-90

  • The biomechanics and utility of clinical laxity tests are poorly understood.

  • Fluoroscopy was used to accurately track laxity testing of glenohumeral translations.

  • Swimmers demonstrated increased overall translations compared to controls.

  • Construct validity of multidirectional joint instability was demonstrated.

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Effects of additional inspiratory muscle training on mobility capacity and respiratory strength for school-children and adolescents with cerebral palsy: a randomized controlled trial
Bhuvaneshwari Anand, Suruliraj Karthikbabu
Braz J Phys Ther. 2021;25:891-9

  • Adding inspiratory muscle training in addition to sensorimotor physical therapy did not impact mobility capacity in children and adolescents with cerebral palsy.

  • The inspiratory muscle training did not impact respiratory muscle strength.

  • The inspiratory muscle training did not change pulmonary function except for % of predicted peak expiratory flow.

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Does adding hip strengthening exercises to manual therapy and segmental stabilization improve outcomes in patients with nonspecific low back pain? A randomized controlled trial
Thiago Yukio Fukuda, Leticia Moraes Aquino, Pedro Pereira, Isabella Ayres, Ana Francisca Feio, Fábio Luciano Arcanjo de Jesus, Mansueto Gomes Neto
Braz J Phys Ther. 2021;25:900-7

  • The literature still debates the need for hip strengthening in LBP

  • Manual therapy and lumbar segmental stabilization are widely used by clinicians

  • Hip strengthening exercises added no benefits to a course of manual therapy and lumbar segmental stabilization for patients with LBP

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Clinical trial protocol
Statistical analysis plan for the coaching for healthy AGEing trial – a cluster-randomised controlled trial to enhance physical activity and prevent falls in community-dwelling older people
Juliana S. Oliveira, Catherine Sherrington, Chris Rissel, Dafna Merom, James Wickham, Stephen R Lord, Judy M Simpson, Anne Tiedemann
Braz J Phys Ther. 2021;25:908-14

  • We will measure the effectiveness of a physical activity and fall prevention program in a pragmatic parallel-group cluster-randomised controlled trial design.

  • Allocation will be concealed, and the assessor will be blinded where possible.

  • Data will be analysed following intention-to-treat principles.

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Brazilian Journal of Physical Therapy
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