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5078
Pain revolution in the public health system: Active coping strategies for chronic pain unit
Federico Montero-Cuadrado, Laura Barrero-Santiago, Manuel Santos-Bermejo
Braz J Phys Ther. 2025;29:101176
5078
Highlights

  • Chronic pain care must shift to a biopsychosocial model focused on functionality.

  • Interdisciplinary work is essential in the management of chronic pain.

  • Exercise in active coping strategy should consider psychosocial, emotional, and contextual factors.

Acesso de texto completo
3086
Unraveling the role of fear and avoidance behavior in chronic musculoskeletal pain: from theory to physical therapy clinical practice
Rafael Krasic Alaiti, Felipe J.J. Reis, Tiago Arruda-Sanchez, JP Caneiro, Ann Meulders
Braz J Phys Ther. 2025;29:101197
3086
Highlights

  • We explore how fear and avoidance can be learned and lead to disability.

  • We explore the fear learning theory to physical therapy clinical practice.

  • We discuss behavioral frameworks to address movement-related fear and avoidance.

  • We illustrate practical application through a patient case study.

Acesso de texto completo
2595
Physical therapy assistance in labor: A systematic review and meta-analysis
Alexandre Delgado, Andrea Lemos, Geyson Marinho, Renato S. Melo, Filipe Pinheiro, Melania Amorim
Braz J Phys Ther. 2025;29:101169
2595
Highlights

  • Physical therapy assistance during labor increases the chances of vaginal delivery.

  • Physical therapy assistance during labor reduces the risk of a cesarean delivery.

  • Physical therapy assistance during labor reduces the intensity of pain and maternal anxiety.

  • Physical therapy assistance during labor reduces the risk of perineal laceration, and reduces the need for pharmacological analgesia.

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2183
Normative values for calf muscle strength-endurance in the general population assessed with the Calf Raise Application: A large international cross-sectional study
Tjerk SO Sleeswijk Visser, Seth O’ Neill, Kim Hébert-Losier, Denise Eygendaal, Robert-Jan de Vos
Braz J Phys Ther. 2025;29:101188
2183
Highlights

  • Outcomes of the HRET are influenced by personal characteristics.

  • Female sex, higher BMI, and low activity level link to lower HRET metrics.

  • Normative values may help track recovery and guide rehabilitation plans.

  • Online tool for HRET estimates available at: www.achillestendontool.com/HRET.

Acesso de texto completo
1721
Acute effect of aerobic and resistance exercise on glycemia in individuals with type 2 diabetes: Systematic review and meta-analysis
Josiane Aparecida de Almeida, Ana Paula Delgado Bomtempo Batalha, Carolina Vargas de Oliveira Santos, Tamiris Schaeffer Fontoura, Mateus Camaroti Laterza, Lilian Pinto da Silva
Braz J Phys Ther. 2025;29:101146
1721
Highlights

  • Exercise is a fundamental component in treating type 2 diabetes.

  • The glycemic response to a single exercise session differs based on exercise type.

  • Continuous aerobic exercise reduces glycemia up to 10 min after its completion.

  • Interval aerobic exercise reduces glycemia up to 30 min after its completion.

  • Resistance exercise reduces glycemia up to 1 min after its completion.

Acesso de texto completo
1582
Brazilian Portuguese version of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I: Cross-cultural adaptation, criterion validity, and reliability
Taísi Antunes da Cunha, Per Alstergren, Francisco José Pereira Júnior, Daniela Aparecida de Godoi Gonçalves, Thaís Cristina Chaves, Daniela Aparecida Biasotto-Gonzalez
Braz J Phys Ther. 2025;29:101187
1582
Highlights

  • The DC/TMD was translated and adapted into Brazilian Portuguese.

  • Brazilian TMD Pain Screener is valid and reliable.

  • Brazilian DC/TMD Axis I is reliable for painful TMDs diagnosis.

Acesso de texto completo
1573
Physical therapist-delivered motivational interviewing and health-related behaviour change: A systematic review and meta-analysis
Elizabeth Wintle, Nicholas F Taylor, Katherine Harding, Paul O'Halloran, Casey L Peiris
Braz J Phys Ther. 2025;29:101168
1573
Highlights

  • Physical therapists can proficiently deliver motivational interviewing (MI)

  • MI produced a small increase in physical activity compared to minimal intervention.

  • Usual-care physical therapy may sufficiently address health-related behaviour change.

  • MI may be most beneficial for patients not actively receiving physical therapy care.

Acesso de texto completo
Artigo aberto
1516
Reliability of the McKenzie Method of Mechanical Diagnosis and Therapy in the examination of spinal pain, including the OTHER classifications
Hans van Helvoirt, Henk Tempelman, Puck van der Vet, Frank van der Vet, Job van Helvoirt, Richard Rosedale, Adri Apeldoorn
Braz J Phys Ther. 2025;29:101154
1516
Highlights

  • The Mckenzie Method of Mechanical Diagnosis and Therapy (MDT) spinal classification system consists of three main MDT syndromes and the classification OTHER.

  • In reliability studies, the 10 different classifications under OTHER (e.g. spinal stenosis, chronic pain syndrome) has always been grouped together as one classification.

  • In a Dutch medical centre (Rugpoli) that provides secondary and tertiary level care, the prevalence of patients classified as OTHER is 63%.

  • The results showed that the reliability between experienced, highly trained MDT clinicians of Rugpoli was almost perfect.

Acesso de texto completo
1486
Epigenetics as the molecular substrate of multimodal lifestyle approaches for patients with persistent pain
Andrea Polli, Jo Nijs, Bernard Thienpont
Braz J Phys Ther. 2025;29:101170
1486
Acesso de texto completo
1472
A Brazilian Association of Women´s Health Physical Therapy (ABRAFISM) guideline on the terminology of pelvic floor muscle function and assessment
Patricia Driusso, Cristine Homsi Jorge, Ana Jéssica dos Santos Sousa, Daniela Fantin Carro, Leticia Maciel de Freitas, Simone Botelho, Luiz Gustavo Oliveira Brito, Maria Augusta Tezelli Bortolini, ... Elizabeth Alves Ferreira
Braz J Phys Ther. 2025;29:101173
1472
Highlights

  • The guideline establishes a consensus on anatomical terminology, signs/symptoms, and assessment of pelvic floor (PF) muscles in women, based on a systematic literature review, involving 21 Women's Health/Pelvic Floor experts.

  • Clearly defined PF terminology in Brazilian Portuguese enhances clinical and scientific discussions by eliminating ambiguity.

  • The guideline is expected to be widely used from undergraduate education to the evaluation and treatment of PF dysfunctions in research and clinical practice.

Acesso de texto completo
1442
Association between contextual factors and vulvovaginal symptoms in Brazilian women: A cross-sectional study
Clara Maria de Araujo Silva, Tatiana de Oliveira Sato, Vanessa Patrícia Soares de Sousa, Natália Duarte Pereira, Daiana Priscila Rodrigues-de-Souza, Ana Carolina Sartorato Beleza
Braz J Phys Ther. 2025;29:101184
1442
Highlights

  • Educational level and number of pregnancies were associated with vulvovaginal symptoms.

  • Vaginal discharge and itching were the most prevalent vulvovaginal symptoms.

  • Vulvovaginal symptoms had a low impact on quality of life.

Acesso de texto completo
1392
“If by exercising I can conceive; I would like to exercise”. Exploring knowledge, perception, and practices about exercise among women with infertility: A qualitative study
Gundimi Shashwathi, Bhamini Krishna Rao, Ajay Bailey, Pratap Kumar, Preetha Ramachandra
Braz J Phys Ther. 2025;29:101186
1392
Highlights

  • Women with infertility benefit from exercise.

  • Social media was the primary source of information for exercise.

  • Barriers and facilitators to exercise must be considered by physical therapists.

Acesso de texto completo
1369
Translation, cross-cultural adaptation, and measurement properties of the prolapse and incontinence knowledge quiz (PIKQ-Br) for Brazilian women with urinary incontinence
Carla Coutinho da Silva, Rodrigo Cappato de Araújo, Danielly Alves Amorim, Ana Eliza Rios de Araújo Mathias, Ana Carolina Rodarti Pitangui
Braz J Phys Ther. 2025;29:101155
1369
Highlights

  • The PIKQ-Br presented adequate measurement properties.

  • Positive and moderate correlations were observed between the PIKQ-UI with 12 questions and PIKQ-UI with 10.

  • PIKQ-Br demonstrated that the original instrument with 12 questions and one factor was not appropriate.

  • PIKQ-Br with 10 questions and two-factor loadings showed good validity and high reliability.

Acesso de texto completo
1306
High-intensity interval training versus moderate-intensity continuous training on exercise capacity and health-related quality of life in patients with coronary artery disease: An updated systematic review and meta-analysis
Mansueto Gomes-Neto, Andre Rodrigues Durães, Lino Sérgio Rocha Conceição, Cassio Magalhães Silva, Bruno Prata Martinez, Vitor Oliveira Carvalho
Braz J Phys Ther. 2025;29:101137
1306
Highlights

  • HIIT improves peak VO2 and should be considered as a component of care of patients with coronary artery disease.

  • An important caveat is uncertainty and variation of actual training intensities compared to program targets.

  • The superiority of HIIT over MICT in improving VO2peak disappeared when analysis was restricted to isocaloric protocols.

Acesso de texto completo
1291
Physical functions assessed by lower limb performance-based and self-reported outcome measures for knee musculoskeletal conditions: A scoping review
Andrés Pierobon, Will Taylor, Richelle Caya, Federico Villalba, Santiago Soliño, Pablo Oscar Policastro, Richard Siegert, Ben Darlow
Braz J Phys Ther. 2025;29:101166
1291
Highlights

  • Climbing stairs was the most assessed physical function.

  • Lower limb physical functions performance tests assess a limited number of activities.

  • Knee OA outcome measures rarely assess challenging activities like running or jumping.

  • Some issues related to the drafting of self-reported items were found.

Acesso de texto completo
Artigo aberto
1228
Low back pain prevalence, capacity, and performance according to sociodemographic variables, population-based study in Chile
Marina Carvalho Arruda Barreto, Fabianna Resende Jesus-Moraleida, Valeria Campos, Ricardo Cartes-Velásquez, Shamyr Sulyvan Castro
Braz J Phys Ther. 2025;29:101151
1228
Highlights

  • There is a higher prevalence of LBP among specific sociodemographic groups.

  • People with LBP have worse capacity and performance levels compared to people without LBP.

  • Sex, age, education, and health status were associated with capacity and performance.

  • There is a need for a comprehensive biopsychosocial analysis of LBP.

Acesso de texto completo
1226
Examining heterogeneity and reporting of mirror therapy intervention for phantom limb pain: A scoping review
Matthieu Guémann, Kevin Arribart
Braz J Phys Ther. 2025;29:101165
1226
Highlights

  • The available literature lacks detailed description of mirror therapy sessions, particularly regarding the type of exercises, number of repetitions, and session content.

  • Most sessions were performed daily for 15 min over one month.

  • Exercises primarily consisted of motor exercises targeting the distal part of the limb.

Acesso de texto completo
1151
The most effective therapeutic exercises for pain intensity in women with fibromyalgia: A systematic review and network meta-analysis
Álvaro-José Rodríguez-Domínguez, Manuel Rebollo-Salas, Raquel Chillón-Martínez, Abel Rosales-Tristancho, Inmaculada Villa-del-Pino, José-Jesús Jiménez-Rejano
Braz J Phys Ther. 2025;29:101226
1151
Highlights

  • Resistance training was the only therapeutic exercise (TE) approach that showed clinical relevance, in the short and long term, to reduce pain intensity in women with fibromyalgia, showing a moderately important improvement (>30 %).

  • In the short term, aquatic exercise was the most effective approach to reduce pain intensity, so it could be an appropriate option to start a TE program in women with fibromyalgia.

  • These findings could contribute to a change in the current paradigm on TE prescription in fibromyalgia, because the “gold standard” recommendation of aerobic exercise should be replaced by other more effective approaches.

  • The results provide a valuable tool for decision making when choosing the most appropriate TE approach according to the patient's characteristics and preferences, because it is a key factor in improving adherence to treatment.

Acesso de texto completo
1124
Considerations when designing, analyzing, and reporting reliability studies
Paul Stratford, Gregory F. Spadoni, Ayse Kuspinar, Luciana Macedo
Braz J Phys Ther. 2025;29:101193
1124
Highlights

  • Reliability studies often show a lack of coherence among study purpose, design, choice of analysis, sample size justification, and reporting of results.

  • Possible explanations for this deficiency include vaguely structured purpose statements and limitations of statistical software packages.

  • This article provides resources to improve the coherence and reporting of reliability studies.

Acesso de texto completo
1082
Test-retest reliability and internal structure of the Brazilian version of the impact on participation and autonomy (IPA-Br4) for individuals with physical disabilities
Ana Amélia Moraes Antunes, Graciandre Almeida Neves, Bianca Pantuzza Santana Rojas, Daniela Virgínia Vaz
Braz J Phys Ther. 2025;29:101152
1082
Highlights

  • The IPA-Br4 has adequate test-retest reliability and internal structure.

  • The IPA-Br4 can be used with adults with varied physical disabilities.

  • The IPA-Br4 needs to be tested for other measurement properties.

Acesso de texto completo
Idiomas
Brazilian Journal of Physical Therapy
en pt
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