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6937
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
6937
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
4478
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
4478
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
3653
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
3653
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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3506
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
3506
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.

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2928
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
2928
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.

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Artigo aberto
2770
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
2770
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
2631
Rehabilitation management of the chronic pain-hypertension synergy: Proposal of an evidence-informed framework
Renzo Mendoza, Craig Hensley, Jennifer Ryan, Todd Davenport
Braz J Phys Ther. 2025;29:101229
2631
Highlights

  • Chronic pain and hypertension (HTN) are intertwined global health challenges, with substantial societal and economic burdens.

  • Evidence suggests a bidirectional relationship between chronic pain and HTN, influenced by shared risk factors such as metabolic syndrome, obesity, poor sleep quality, and mental health conditions.

  • Physical therapists (PTs) can play a pivotal role in managing patients with chronic pain and HTN through evidence-informed screening, assessment, and interventions.

  • The proposed framework integrates biopsychosocial models for personalized pain management and emphasizes blood pressure monitoring for safe, effective interventions.

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2571
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
2571
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
2362
ASSOBRAFIR clinical practice guidelines in cardiovascular physical therapy: Exercise-based interventions in outpatient rehabilitation programs for heart failure
Marlus Karsten, Giulliano Gardenghi, Alessandra Choqueta Toledo Arruda, Aparecida Maria Catai, Ariany Marques Vieira, Cinara Stein, Cintia Laura Pereira de Araujo, Danielle Aparecida Gomes Pereira, ... Gerson Cipriano
2362
Highlights

  • Supervised high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) are options for heart failure treatment in cardiovascular rehabilitation programs (CoR, low CoE).

  • Supervised moderate-intensity resistance training (MIRT) may be more effective than low-intensity resistance training (LIRT) for heart failure with preserved ejection fraction (HFpEF) patients (CoR, very low CoE).

  • High-intensity inspiratory muscle training (HI-IMT) improves inspiratory muscle strength/endurance in heart failure patients (CoR, very low CoE).

  • Aerobic training (AT) plus neuromuscular electrical stimulation (NMES) offers no extra benefit over AT alone for heart failure patients (CoR, low CoE).

  • NMES is more effective than NMES placebo or usual activities for heart failure patients (CoR, low CoE).

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2319
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
2319
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
2146
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
2146
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
2070
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
2070
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
2054
“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
2054
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
1984
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
1984
Acesso de texto completo
1966
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
1966
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
1945
Association between pitching velocity and elbow varus torque
Scott Peters, Garrett S. Bullock, Kristen F. Nicholson
Braz J Phys Ther. 2025;29:101222
1945
Highlights

  • Small associations were seen with pitching mechanics and elbow torque when controlling for pitch velocity. This suggests that varus torques can potentially be reduced while maintaining pitch velocity.

  • Optimizing pitching efficiency by improving small aspects throughout the delivery will likely lead to increased coaching effectiveness vs attempting to find one variable.

  • Differences in association were seen in pelvic rotational velocity and thoracic rotational velocity, suggesting potential ramifications for the oblique musculature in force generation. This is an area for further research and focus.

Acesso de texto completo
1918
Immersive virtual reality versus cervical mobilization: The effects on joint position sense and pain for chronic neck pain - a randomized controlled trial
Hatice Cetin, Selenay Aydogdu, Birol Onal, Esra Dulger, Sevil Bilgin, Halil Kamil Oge, Nezire Kose
Braz J Phys Ther. 2025;29:101228
1918
Highlights

  • Virtual reality when added to traditional exercises provided no additional.benefit for joint position sense.

  • Cervical mobilization when added to traditional exercises provided no additional benefit for joint position sense.

  • Virtual reality when added to traditional exercises provided no additional benefit for pain relief.

  • Cervical mobilization when added to traditional exercises provided no additional benefit for pain relief.

Acesso de texto completo
1899
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
1899
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
1856
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
1856
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
1834
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
1834
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
Idiomas
Brazilian Journal of Physical Therapy
en pt
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