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Journal Information
Issue
Vol. 24. Issue 1.
Pages 1-90 (01 January 2020)
Masterclass
Higher order thinking about differential diagnosis
Chad E. Cook, Simon Décary
Braz J Phys Ther. 2020;24:1-7

  • Diagnosis is designed to improve communication and documentation about a patient's condition and should help refine treatment options for patients. A diagnosis allows clinicians to “cross-talk” and reduce variability of care.

  • Higher order thinking is a form of thinking and learning that requires greater cognitive processing and indirectly requires different forms of learning beyond memorization, facts and, concepts. Higher order thinking occurs after one makes a diagnosis.

  • Diagnostic metrics are either internal (in that they provide information about the test only) or external (in that they provide information about post-test decision making). The best tests influence post-test decision making.

  • Overdiagnosis may lead to overtreatment. A caveat exists that over-pursuing diagnoses may lead to worse outcomes.

  • Within a diagnosis are specific phenotypes. Thus, multiple patients may have a single diagnosis but present markedly differently and respond to different outcomes.

Systematic review
Effect of combined interval training on the cardiorespiratory fitness in heart failure patients: a systematic review and meta-analysis
Incare Correa De Jesus, Francisco José de Menezes Junior, Paulo Cesar Barauce Bento, Astrid Wiens, Jorge Mota, Neiva Leite
Braz J Phys Ther. 2020;24:8-19

  • Interval training is an interesting strategy in increasing aerobic capacity.

  • In patients with heart failure the use of combined interval training may effective in increasing VO2peak.

  • Interval training combined with resistance training can maximize treatment time.

  • Maximize treatment time is an aspect that has been important in the choice of interventions.

  • Training combined showed more effective in improving VO2peak in patients with heart failure.

Original research
EMG breakthrough during cortical silent period in congenital hemiparesis: a descriptive case series
Maíra C. Lixandrão, James W. Stinear, Tonya Rich, Chao-Ying Chen, Tim Feyma, Gregg D. Meekins, Bernadette T. Gillick
Braz J Phys Ther. 2020;24:20-9

  • Variability exists in the duration of ipsilesional and contralesional cortical silent period durations in children with congenital hemiparesis.

  • EMG breakthrough activity was consistently observed during ipsilesional CSP assessment.

  • The amplitude of ipsilesional EMG breakthrough was higher than contralesional EMG breakthrough.

Complexity of knee extensor torque in patients with frailty syndrome: a cross-sectional study
Bianca Ferdin Carnavale, Elie Fiogbé, Ana Claudia Silva Farche, Aparecida Maria Catai, Alberto Porta, Anielle Cristhine de Medeiros Takahashi
Braz J Phys Ther. 2020;24:30-8

  • Knee extensor torque complexity is reduced in the presence of frailty syndrome.

  • Frail participants showed a reduction in body mass, peak knee extensor torque and decreased physical performance.

  • The relationship between complexity and force levels was similar in all groups.

Hip muscle weakness and reduced joint range of motion in patients with femoroacetabular impingement syndrome: a case-control study
Viviane Bortoluzzi Frasson, Marco Aurélio Vaz, Anete Beling Morales, Anna Torresan, Marco Aurélio Telöken, Paulo David Fortis Gusmão, Marcus Vinicius Crestani, Bruno Manfredini Baroni
Braz J Phys Ther. 2020;24:39-45

  • Femoroacetabular impingement (FAI) syndrome patients had losses in hip muscle strength.

  • Flexion and rotation movements are reduced in FAI syndrome patients.

  • Reduced hip strength and motion should be considered during rehabilitation programs.

Interventions used for Rehabilitation and Prevention of Patellar Tendinopathy in athletes: a survey of Brazilian Sports Physical Therapists
Luciana De Michelis Mendonça, Natália Franco Netto Bittencourt, Laís Emanuelle Meira Alves, Renan Alves Resende, Fábio Viadanna Serrão
Braz J Phys Ther. 2020;24:46-53

  • Education, joint stabilization, and myofascial release were most used for patellar tendinopathy rehabilitation.

  • Quadriceps eccentrics, education, joint stabilization and lumbo-pelvic stabilization and hamstrings stretching were frequently used for patellar tendinopathy prevention.

  • Brazilian physical therapists consider pain, function and functional test results to discharge an athlete.

  • Our results revealed an inconsistency between interventions used in clinical practice and interventions recommended by the best available evidence.

The minimal important difference for Glittre-ADL test in patients with chronic obstructive pulmonary disease
Aline Almeida Gulart, Cintia Laura Pereira de Araujo, Anelise Bauer Munari, Karoliny dos Santos, Manuela Karloh, Betina Gabriele Foscarini, Pedro Dal Lago, Anamaria Fleig Mayer
Braz J Phys Ther. 2020;24:54-60

  • Glittre-ADL test minimal important difference (MID) is −0.38min in COPD patients.

  • Glittre-ADL test's MID reflects the changes in functional capacity.

  • Two tests are necessary for interpretation of changes induced by pulmonary rehabilitation.

How does context influence arm use after stroke? A qualitative content analysis among rural community-dwelling stroke survivors
Vasanthan Rajagopalan, Manikandan Natarajan, Johnson Alex, John M. Solomon
Braz J Phys Ther. 2020;24:61-8

  • Personal and environmental context influence affected arm use of stroke survivors.

  • Rural stroke survivors have limited awareness and knowledge of active functional task practice.

  • For recovery of the affected upper extremity, many stroke survivors rely on passive recovery methods.

  • Self-engagement in active functional task practice is facilitated by an enriched home environment and perception of ongoing recovery.

Seven cervical sensorimotor control tests measure different skills in individuals with chronic idiopathic neck pain
Rutger M.J. de Zoete, Peter G. Osmotherly, Darren A. Rivett, Suzanne J. Snodgrass
Braz J Phys Ther. 2020;24:69-78

  • Seven cervical sensorimotor control tests measure different skills.

  • Tests cannot be grouped according to the subsystems of sensorimotor control.

  • Clinicians have to perform each test, as each test provides unique information.

Low back pain and some associated factors: is there any difference between genders?
Thiago Paulo Frascareli Bento, Caio Vitor dos Santos Genebra, Nicoly Machado Maciel, Guilherme Porfírio Cornelio, Sandra Fiorelli Almeida Penteado Simeão, Alberto de Vitta
Braz J Phys Ther. 2020;24:79-87

  • This study shows a high prevalence of low back pain over a one week period.

  • Older age, low education, hypertension and smoking were associated with back pain in men.

  • Occupational and ergonomic factors were associated with back pain in women.

Letter to the editors
The (un)standardized use of handheld dynamometers on the evaluation of muscle force output
Marco Antonio Cavalcanti Garcia, Victor Hugo Souza
Braz J Phys Ther. 2020;24:88-9
Acknowledgements
Braz J Phys Ther. 2020;24:I-II
Idiomas
Brazilian Journal of Physical Therapy

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