Journal Information
Vol. 27. Issue 6.
(01 November 2023)
Systematic review
What do people believe to be the cause of low back pain? A scoping review
Søren Grøn, Kasper Bülow, Tobias Daniel Jonsson, Jakob Degn, Alice Kongsted
Braz J Phys Ther. 2023;27:100562

  • There is a high variation in measuring causal beliefs about low back pain.

  • No measurement exists that clearly isolates causal beliefs from other belief domains.

  • There is a lack of studies exploring longitudinal relationships between causal beliefs and health outcomes.

  • Causal beliefs are just one element of a complex beliefs construct, and there is very little quantitative evidence from which its unique relevance can be judged.

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Open Article
Arm swing asymmetry in people with Parkinson's disease and its relationship with gait: A systematic review and meta-analysis
Jessica Espinoza-Araneda, Cristian Caparrós-Manosalva, Paula M. Caballero, Maira J. da Cunha, Ritchele R. Marchese, Aline S. Pagnussat
Braz J Phys Ther. 2023;27:100559

  • People with Parkinson´s disease (PD) have greater arm swing asymmetry than healthy individuals.

  • People with PD have lower arm swing (AS) amplitude than healthy individuals.

  • As PD progresses, symptoms worsen and gait cadence increases, AS asymmetry decreases.

  • AS asymmetry and AS are relevant motor parameters for gait rehabilitation in PD.

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Breaking barriers to rehabilitation: the role of behavior change theories in overcoming the challenge of exercise-related behavior change
Manuela 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

  • Rehabilitation programs fail to promote exercise-related behavior change.

  • The one-size-fits-all approach to promoting behavior change is impractical.

  • Multiple theories and strategies are needed for successful behavior change.

  • We explained the key points of six theories for behavior change.

  • Rehabilitation staff must intentionally implement strategies to change behavior.

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Original research
Bimanual hand use in children and adolescents with unilateral spastic cerebral palsy: an exploratory study
Simone A. Bueno, Marisa C. Mancini, Rachel H.S. Oliveira, Marina J. Airoldi, Beatriz S. Vieira, Andrew M. Gordon, Marina B. Brandão
Braz J Phys Ther. 2023;27:100561

  • Children with USCP have difficulties to use their hands and feel bothered with their performance.

  • Extensive caregiver assistance may limit the child's performance in bimanual activities.

  • Intervention should consider efficacy, time, and the child feeling bothered in bimanual activities.

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Self-reported knee function and activity level are reduced after primary or additional anterior cruciate ligament injury in female football players: a five-year follow-up study
Anne Fältström, Martin Hägglund, Henrik Hedevik, Joanna Kvist
Braz J Phys Ther. 2023;27:100573

  • ACL injuries decrease satisfaction, knee function, and activity level.

  • Activity decreases with time, and more so in players who sustain an ACL injury.

  • Players with additional ACL injuries had the largest decrease in all variables.

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Open Article
Glittre-ADL test without backpack: A qualitative study of perceptions of people with chronic obstructive pulmonary disease
Bianca Louise Carmona Rocha, Marcella Guimarães Assis, Liliane Patrícia de Souza Mendes, Marcelo Velloso
Braz J Phys Ther. 2023;27:100564

  • Participants reported facing difficulties using the backpack during the Glittre-ADL test during tasks such as squatting.

  • Participants reported similarities between tasks in the Glittre-ADL test circuit and activities of daily living (ADLs), whether at home or work.

  • Participants perceived dyspnea and fatigue as the main symptoms during tests.

  • This study contributed to understanding different perspectives of people with COPD during a functional capacity test.

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Short communications
Compared to what? An analysis of comparators in trials informing the National Institute of Clinical Excellence (NICE) low back pain guideline
Geronimo Bejarano, Ben Csiernik, Joshua R. Zadro, Giovanni E. Ferreira
Braz J Phys Ther. 2023;27:100563

  • Almost one in three trials included in the NICE LBP CPG use suboptimal comparators.

  • Invasive and non-surgical trials used more suboptimal comparators than pharmacological trials.

  • Use of suboptimal comparators in a substantial proportion of trials may be misleading some CPGs leading to inconsistencies in recommendations.

  • Using suboptimal comparators made treatments less likely to be recommended for use by NICE LBP CPG.

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Articles from the special issue on: diagnosis in physiotherapy
Test procedures and positive diagnostic criteria of the upper limb tension tests differ: a systematic review of the DiTA database
Arianne P Verhagen, Hayley Brown, Mark Hancock, David Anderson
Braz J Phys Ther. 2023;27:100558

  • Most of the cervical radiculopathy studies included physical examination in their reference standard, potentially leading to a risk of confirmation bias.

  • Included studies varied in reported test procedures and positive diagnostic criteria.

  • 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.

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A proposal for a universal physical therapy diagnostic concept
Marc Perron, Rachel Brosseau, Désirée B. Maltais, Vincent Piette, Alain Godbout, Hélène Corriveau, Luc J. Hébert
Braz J Phys Ther. 2023;27:100560

  • This manuscript proposes a new physical therapy diagnostic concept.

  • This proposition is based on the World Health Organisation classifications.

  • This model goes beyond the health problem.

  • It includes the impact of relevant impairments on everyday activities and performance.

  • It is applicable to all patients in all contexts and practice domains.

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What are the cut-off points for vaginal manometry to differentiate women with a weak from those with a strong pelvic floor muscle contraction?
Jordana Barbosa-Silva, Tatiana de Oliveira Sato, Cristine Homsi Jorge, Susan Armijo-Olivo, Patricia Driusso
Braz J Phys Ther. 2023;27:100572

  • Four variables from vaginal manometry can discriminate pelvic floor strength.

  • Maximal voluntary contraction average, menopause, and stress urinary incontinence are predictive of pelvic floor strength.

  • Maximal voluntary contraction average is the best variable to identify a strong pelvic floor contraction.

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Brazilian Journal of Physical Therapy
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