Journal Information
Issue
Vol. 21. Issue 4.
Pages 225-304 (01 July 2017)
Masterclass
Modern pain neuroscience in clinical practice: applied to post-cancer, paediatric and sports-related pain
Anneleen Malfliet, Laurence Leysen, Roselien Pas, Kevin Kuppens, Jo Nijs, Paul Van Wilgen, Eva Huysmans, Lisa Goudman, Kelly Ickmans
Braz J Phys Ther. 2017;21:225-32

  • Generalized hypersensitivity in post-cancer, sports-related and pediatric pain.

  • Rationale for pain education, stress management and cognition targeted exercises.

  • Need to change from a biomedical or psychosocial to an integrated approach.

Systematic review
Effects of monochromatic infrared phototherapy in patients with diabetic peripheral neuropathy: a systematic review and meta-analysis of randomized controlled trials
Caroline Cabral Robinson, Patrícia Da Silva Klahr, Cinara Stein, Maicon Falavigna, Graciele Sbruzzi, Rodrigo Della Méa Plentz
Braz J Phys Ther. 2017;21:233-43

  • MIRE is an adjunctive phototherapy source approved by FDA to improve blood perfusion and reduce pain.

  • MIRE was associated with a modest short-term improvement in plantar tactile sensitivity, not sustained over time.

  • MIRE resulted in a less decrease in pain relief, possibly associated with initial improvement in plantar sensitivity.

  • Current quality of evidence is low and further studies are likely to change the estimated effect.

Original research
Resistance training improves aortic structure in Wistar rats
Romeu R. Souza, Elias de França, Diana Madureira, Carla C.R. Pontes, Jeferson O. Santana, Erico C. Caperuto
Braz J Phys Ther. 2017;21:244-50

  • There is aortic adaptation to resistance training in an experimental animal model.

  • Resistance training promoted left ventricle concentric hypertrophy and improved aortic wall structure by increasing the density of elastic fibers and collagen fibers and increasing the thickness of collagen fibrils.

  • Resistance training rats displayed aortic remodeling.

Are heart rate dynamics in the transition from rest to submaximal exercise related to maximal cardiorespiratory responses in COPD?
Adriana Mazzuco, Wladimir Musetti Medeiros, Aline Soares de Souza, Maria Clara Noman Alencar, José Alberto Neder, Audrey Borghi-Silva
Braz J Phys Ther. 2017;21:251-8

  • Exercise intolerance is a hallmark in COPD patients.

  • Changes in HRV dynamics are early and sensitive indices of impaired health.

  • 6MWD provides relevant information about functional (in)capacity in COPD patients.

  • A system with loss of complexity interferes with exercise performance.

  • HRV modulation to submaximal exercise may reflect ventilatory and hemodynamic abnormalities.

Intra- and inter-rater reliability of neutral head position and target head position tests in patients with and without neck pain
Khalid Alahmari, Ravi Shankar Reddy, Paul Silvian, Irshad Ahmad, Venkat Nagaraj, Mohammad Mahtab
Braz J Phys Ther. 2017;21:259-67

  • Neutral head and target head position tests evaluate cervical proprioception.

  • Clinics commonly use those position tests, and it is important to test their reliability.

  • Intra- and inter-rater reliability was moderate to high for these tests.

Functional electrical stimulation improves muscle strength and endurance in patients after cardiac surgery: a randomized controlled trial
Jociane Schardong, Gabriela Castro Kuinchtner, Graciele Sbruzzi, Rodrigo Della Méa Plentz, Antônio Marcos Vargas da Silva
Braz J Phys Ther. 2017;21:268-73

  • FES is widely used in patients with chronic heart failure.

  • FES increased quadriceps muscle strength after eight weeks of training.

  • FES increased lower limb muscle endurance after eight weeks of training.

  • FES was unable to modify functional capacity after eight weeks of training.

Prevalence and factors associated with neck pain: a population-based study
Caio Vitor Dos Santos Genebra, Nicoly Machado Maciel, Thiago Paulo Frascareli Bento, Sandra Fiorelli Almeida Penteado Simeão, Alberto De Vitta
Braz J Phys Ther. 2017;21:274-80

  • The study population shows high prevalence of neck pain.

  • The factors were widowed, income, educational level, sitting posture and diseases.

  • Prevention should emphasize sociodemographic, behavioral, and ergonomic factors.

Description of interventions is under-reported in physical therapy clinical trials
K. Hariohm, S. Jeyanthi, J. Saravan Kumar, V. Prakash
Braz J Phys Ther. 2017;21:281-6

  • A clear definition and description of the interventions in randomized controlled trials are pre-requisites for implementation in clinical practice.

  • There is a trend among investigators to describe control group interventions poorly compared to the experimental group.

  • The readers would not be able to apply the findings of the trial to their clinical practice if the interventions are poorly described.

Identification of intervention categories for aquatic physical therapy in pediatrics using the International Classification of Functioning, Disability and Health-Children and Youth: a global expert survey
Javier Güeita-Rodríguez, Francisco García-Muro, Beatriz Cano-Díez, Ángel L. Rodríguez-Fernández, Johan Lambeck, Domingo Palacios-Ceña
Braz J Phys Ther. 2017;21:287-95

  • Due to the unique properties of the water-based environment, a range of categories may be treated.

  • This study reveals the areas of functioning and disability most commonly targeted by aquatic physical therapists.

  • Prior authors have performed Delphi studies to determine the categories related to specific diagnoses, not categorizing interventions.

  • This guide could be included in goal setting for a given condition.

  • This may enable aquatic physical therapists to develop treatment-based classification systems and competencies for entry-level practice.

Effect of low-level laser therapy (LLLT) and light-emitting diodes (LEDT) applied during combined training on performance and post-exercise recovery: protocol for a randomized placebo-controlled trial
Aryane Flauzino Machado, Jéssica Kirsch Micheletti, Franciele Marques Vanderlei, Fabio Yuzo Nakamura, Ernesto Cesar Pinto Leal-Junior, Jayme Netto Junior, Carlos Marcelo Pastre
Braz J Phys Ther. 2017;21:296-304

  • This is a high quality randomized controlled trial (with blinded assessors).

  • This is the first trial to adjust phototherapy to training after control of the primary adaptation process.

  • The intervention under investigation may reflect the real effect of phototherapy.

Idiomas
Brazilian Journal of Physical Therapy

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