Brazilian Journal of Physical Therapy

ISSN: 1413-3555

The Brazilian Journal of Physical Therapy (BJPT) is the official publication of the Brazilian Society of Physical Therapy Research and Graduate Studies (ABRAPG-Ft). It publishes original research articles on topics related to the areas of physical therapy and rehabilitation sciences, including clinical, basic or applied studies on the assessment, prevention, and treatment of movement disorders.

Indexed in:

MEDLINE (National Library of Medicine); Scopus, Web of Science (WoS), CINAHL, CSA-Cambridge Scientific Abstracts.

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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.

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Masterclass

Affordance-based practice: An ecological-enactive approach to chronic musculoskeletal pain management

Daniela Virgínia Vaz, Peter Stilwell, Sabrina Coninx, Matthew Low, Craig Liebenson

Braz J Phys Ther. 2023;27:100554

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.

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Original research

Predictive factors of functional limitation after cardiac surgery: a retrospective cohort study

Patrícia da Silva Bauer, Cassiano Teixeira, Bruna Muller Leão, Regis Goulart Rosa

Braz J Phys Ther. 2023;27:100550

Highlights

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Functional limitation is relatively common after cardiac surgery.
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Functional limitation could be predicted by preoperative and post-operative factors.
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Public healthcare system increased the risk of functional limitation.
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Expiratory muscle weakness increased the risk of functional limitation.

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Habitual physical activity minimizes healthcare costs resulting from comorbidities among adults with cardiovascular diseases

Monique Yndawe Castanho Araujo, Eduardo Kokubun, Maria Carolina Castanho Saes Norberto, André Lucas Servo Bento, Bruna Camilo Turi-Lynch, Jamile Sanches Codogno

Braz J Phys Ther. 2023;27:100551

Highlights

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The presence of comorbidities in cardiac patients increased healthcare costs.
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Physical activity might minimize healthcare costs associated with cardiovascular diseases.
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Patients with higher habitual physical activity presented savings of US$ 35.11 over a 24-month period.

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The care pathway of individuals with spinal disorders in a Health Care Network in the Federal District, Brazil: a retrospective study

Luciana Alves Custódio, Yara Andrade Marques, Aline Martins de Toledo, Arthur de Sá Ferreira, Maurits van Tulder, Everton Nunes da Silva, Rodrigo Luiz Carregaro

Braz J Phys Ther. 2023;27:100553

Highlights

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Emergency Departments were the most accessed setting by individuals with non-specific spinal disorders.
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Individuals with non-specific spinal disorders underwent more imaging and drug prescriptions than exercise interventions.
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Women are approximately 2 times more likely to access Emergency Departments compared to men.

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Physical therapists’ perspectives of patient values and their place in clinical practice: a qualitative study

Carla M. Bastemeijer, Johannes P. van Ewijk, Jan A. Hazelzet, Lennard P. Voogt

Braz J Phys Ther. 2023;27:100552

Highlights

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Taking patient values into account is implicit and intuitive.
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Patient values are closely associated with humanity in care.
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Most barriers are experienced in being responsive.
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Guidelines seems to be at odds regarding uniqueness of patients.
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Systematic reflection on patient values is necessary in high quality care.

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Additional effect of pain neuroscience education to spinal manipulative therapy on pain and disability for patients with chronic low back pain: a randomized controlled trial

Fernando Augusto Gonçalves Tavares, João Vitor Alves Rossiter, Gabriela Caroline Leandro Lima, Letícia Gomes de Oliveira, Witor Souza Cavalcante, Mariana Arias Ávila, Steven Zachary George, Thais Cristina Chaves

Braz J Phys Ther. 2023;27:100555

Highlights

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No additional effect of PNE when added to SMT compared to SMT alone for pain intensity in the short-term.
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No additional effect of PNE when added to SMT compared to SMT alone for low back pain-related disability in the short-term.
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Additional effect of PNE when added to SMT for pain and disability in the long-term.
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Additional effect of PNE when added to SMT for global perceived effect of improvement at the 6-month follow-up.
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Additional effect of PNE when added to SMT for pain self-efficacy at the 6-month follow-up.

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Putting the fear-avoidance model into practice – what can patients with chronic low back pain learn from patients with Achilles tendinopathy and vice versa?

Hayley Powell Smitheman, Mari Lundberg, Malin Härnesand, Sara Gelfgren, Karin Grävare Silbernagel

Braz J Phys Ther. 2023;27:100557

Highlights

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Individuals with Achilles tendinopathy (AT) did not differ from individuals with chronic low back pain (CLBP) in prevalence of high kinesiophobia.
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Individuals with AT and those with CLBP both presented with moderate disability.
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Clinicians can learn from AT to inform the treatment of CLBP and vice versa.

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