Manual Therapy, Posturology & Rehabilitation Journal
https://submission-mtprehabjournal.com/revista
<p><em>Manual Therapy, Posturology & Rehabilitation Journal</em> is an international open access, peer-reviewed online journal publishing original research articles, case reports, technical advance articles, study protocols, reviews, proceedings and, letters to editor.</p>Pró Ciência - Periódicos Científicosen-USManual Therapy, Posturology & Rehabilitation Journal1677-5937Effects of microcurrent therapy combined with High-Intensity Interval Training on the reduction of localized abdominal adiposity: a randomized clinical trial
https://submission-mtprehabjournal.com/revista/article/view/1306
<p><strong>Background: </strong>The combination of aerobic exercise and transcutaneous microcurrent application (Microcurrent Electrical Stimulation - MES) was shown to have a positive effect on localized abdominal adiposity(LAA) reduction. However, the effect of the combination of MES and high-intensity interval training (HIIT) is still unknown.<strong> Objective: </strong>This study aimed to evaluate the effect combination of MES and HIIT on LAA reduction.<strong> Methods: </strong>39 sedentary women with LAA, distributed in a Control Group (CG), an Exercise Group (EG), and a Microcurrent plus Exercise Group (MEG) participated in this randomized clinical trial. The CG was not submitted to intervention. The EG was submitted to a HIIT protocol (80% of Heart Rate max in a functional circuit) and MEG was submitted to abdominal transcutaneous application of MES prior to HIIT, 2x/week, during 5 weeks. The outcomes were collected by a blind evaluator and measured in three moments (before the 1st intervention, and after the 5th and 10th intervention), based on body composition parameters, anthropometric data, physical activity level (PAL), body satisfaction, quality of life (QoL), and lumbar functionality. <strong>Results: </strong>After 10 interventions, MEG showed significant improvement in skinfolds, QoL, and body satisfaction, but no significant difference compared to EG or CG. Regarding PAL, MEG differed significantly in relation to CG, but not in relation to EG. <strong>Conclusion: </strong>The combination of MES and HIIT in 10 interventions did not show satisfactory results for LAA reduction compared to HIIT, but the increase in PAL and the improvement in lumbar functionality may provide positive effects in the medium-term, although further studies are required.</p>Raciele Ivandra Guarda KoreloAline PesaskiNandara Lopes dos SantosNatalia de Paiva da SilvaRubia Alana Souza dos AnjosAna Carolina Brandt de MacedoRubneide Barreto Silva GalloAudrin Said Vojciechowski
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-03-182024-03-182210.17784/mtprehabjournal.2024.22.1306Assessment of the pelvic floor in young women in the presence and absence of verbal instruction from a physical therapist
https://submission-mtprehabjournal.com/revista/article/view/1328
<p><strong>Fundo: </strong>O treinamento da musculatura do assoalho pélvico é geralmente focado na força e resistência muscular, utilizando protocolos de exercícios com cargas pré-estabelecidas. No entanto, 30% a 45% das mulheres não são capazes de realizar ativamente a contração da musculatura do assoalho pélvico (MAP), mesmo após serem instruídas. Portanto, identificar fraqueza na capacidade de contrair e relaxar esses músculos pode ser importante, mesmo antes do desenvolvimento de uma possível disfunção. <strong>Objetivos:</strong> analisar a capacidade de contrair e relaxar a musculatura do assoalho pélvico em mulheres jovens sem queixas pélvicas na presença e ausência de orientação de um fisioterapeuta. <strong>Métodos:</strong> trata-se de um estudo descritivo, transversal, controlado e randomizado. Participaram do estudo 28 estudantes do sexo feminino da Universidade Federal do Delta do Parnaíba (UFDPar). Os participantes da pesquisa foram alocados em dois grupos: grupo controle (GC= 14 mulheres) e grupo experimental (GE=14 mulheres). Ambos os grupos participaram de um programa de avaliação fisioterapêutica e a MAP foi examinada por meio de palpação vaginal (uni ou bidigital). <strong>Resultados:</strong> Na análise da avaliação funcional, os resultados de força foram semelhantes nos dois grupos, com média de 2,85 (±0,94) para o GE e 2,21 (±0,97) para o GC. Na avaliação funcional utilizando o New Perfect Scheme e perineômetro, não foi observada diferença significativa entre os grupos quanto ao grau de força, repetição das contrações mantidas, contrações rápidas e pressão intravaginal (p>0,05). <strong>Conclusão:</strong> Apesar da baixa autopercepção e das dificuldades de contração observadas, o estudo demonstrou que o grupo que recebeu instruções verbais do fisioterapeuta apresentou resultados superiores em alguns aspectos importantes da avaliação funcional do assoalho pélvico, como resistência muscular e movimentação correta da cabeça.</p>Anna Allyne Alves CarvalhoAna Cecília de Oliveira RochaJane Kelly da Silva VianaSávia Francisca Lopes Dias
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-01-262024-01-262210.17784/mtprehabjournal.2024.22.1328Association among muscle strength from upper and lower limb with risk of falls in elderly
https://submission-mtprehabjournal.com/revista/article/view/1309
<p><strong>Background: </strong>Falls represent a serious public health problem, especially for the elderly, and are associated with high rates of morbidity and mortality, decreased functional capacity, and early institutionalization. Falls have a multifactorial etiology, with muscle weakness being a significant risk factor. <strong>Objectives:</strong> To analyze the association between upper and lower limb muscle strength and the risk of falls in the elderly. <strong>Methods:</strong> This is a cross-sectional observational study with 81 individuals aged ≥ 60 years. Participants were subjected to the following assessment instruments International Physical Activity Questionnaire - IPAQ (short version), the Timed Up and Go Test (TUG), the handgrip strength test (HST), and the 30-second chair stand test. <strong>Results:</strong> Associations were observed between physical activity and HST (p = 0.004) and TUG (p = 0.010). Age was significantly associated with performance in the chair stand and rise test (p = 0.042) and TUG (p < 0.001). Multiple linear regression demonstrated that HST and age are predictors of the risk of falls. <strong>Conclusion:</strong> Low HST is a predictor of falls in the elderly (determined by TUG). Physically active elderly individuals had higher HST and a lower risk of falls compared to insufficiently active elderly individuals.</p>Eva Vívian CostaRodolfo de Paula Vieira
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2024-02-092024-02-092210.17784/mtprehabjournal.2024.22.1309Effectiveness of low-intensity aerobic exercise with assisted bicycle exercises on quality of life and lung functions in du-chenne muscular dystrophy
https://submission-mtprehabjournal.com/revista/article/view/1285
<p><strong>Background: </strong>Duchenne muscular dystrophy (DMD) is an X-linked recessive disorder caused by abnormalities in the dystrophin gene that affects one in every 3,500 males. In India, approximately 0.8 million were involved. Management is usually multidirectional and more focused on improving the quality of life (QOL), not mortality. Physiotherapy and exercise are an integral part of the management of DMD. Since there were no recommended exercises for DMD, there is a need to create an exercise protocol that improves the QOL. Low-intensity aerobic exercises are highly recommended for older people and are found effective.<strong> Objective: </strong>The study aimed to identify the effectiveness of low-intensity aerobic exercise with assisted bicycle exercises on QOL and lung functions in DMD.<strong> Methods: </strong>A randomized controlled trial was conducted at the Institute of Muscular Dystrophy and Research Centre, Jeevan Foundation, Veeravanalur, Tirunelveli Dist. Tamil Nadu, India. The institute has around 200 children with DMD. This study selected 34 children based on the criteria. I, the children, were provided with low-intensity aerobic exercise for seventeen children. Group II provided the children with assisted bicycle exercises for seventeen children. Both groups received exercises for 60 minutes and deep diaphragmatic breathing for 10 minutes. All are given a home program to the children. The total study duration is ten weeks. <strong>Results: </strong>Data were analysed following the assessment of Quality of life using DMD QoL and the Lung function using a spirometer (FVC, FEV1, FEV1/VC). All the data were collected on day 1, every two months. Parametric tests were used to compare the outcome measures. The student t value for the DMD QOL is 9.66 with p <0.001, the spirometry values of FEV1 are 7.67 with p< 0.001, and FVC is 14.78 with p < 0.001, respectively, and FEV1/VC is 10.81 with p < 0.001. <strong>Conclusion: </strong>This study concluded that low-intensity aerobic exercises and assisted bicycle training improve the QOL and lung functions. On comparing the interventions, it was found that low-intensity aerobic exercises are better improved than the assisted bicycle group.</p>Anandan DAnandh VArunachalam RARUN BRajkumar Krishnan Vasanthi3
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-01-262024-01-262210.17784/mtprehabjournal.2023.21.1285Comparison of two manipulative techniques on pain and function in patients with low back pain: a double-blind clinical trial
https://submission-mtprehabjournal.com/revista/article/view/1318
<p><strong>Background: </strong>Low back pain affects a large part of the population, exerting negative impacts on the physical, social and emotional aspects of quality of life. Manipulative therapy is one of the main techniques used in the treatment, but little is known whether one technique is a more effective than another in terms of improving low back pain and functioning. <strong>Objectives:</strong> Compare two physiotherapeutic manipulation techniques (Maitland concept vs. osteopathy) and determine the impact on pain and functioning in patients with chronic low back pain. <strong>Methods:</strong> Forty-eight patients with nonspecific chronic low back pain (age: 18 to 40 years) and no contraindication for manipulation techniques participated in the study. Intervention: A single manipulation was performed in the lumbar region of the patients allocated to the Maitland group and osteopathy group. Randomization was performed using the Random Number Generator v.3.0.72 with concealed allocation. Blinding: The assessor who collected all data and the participants were blinded to the allocation to the different groups. Outcomes: Pain intensity (VAS), pressure pain threshold (algometer) and functional capacity (Roland-Morris) seven and 30 days after manipulation. <strong>Results:</strong> Both groups exhibited an improvement in the pressure pain threshold after seven days, which was maintained at 30 days. Likewise, the two groups exhibited an improvement in functional capacity after seven days, but this result was only maintained at 30 days in the Maitland group. No difference in pain intensity was found in either group after manipulation. No significant differences were found between the osteopathy and Maitland groups for any of the outcomes of interest. <strong>Conclusion:</strong> Although both methods led to improvements in the pressure pain threshold and functional capacity of the lumbar spine, no significant differences were found between the osteopathic and Maitland manipulation treatment techniques for the pain and functional capacity outcomes in patient with chronic low back pain.</p>Felipe Figueiredo MoreiraRaissa PatelLuiz Alfredo Braun FerreiraWagner MennaLuciano Pavan Rossi
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-02-262024-02-262210.17784/mtprehabjournal.2024.22.1318Acute blood pressure behavior in hypertensive elderly people after a strength training session under the superserie method: Study protocol for a randomized clinical trial
https://submission-mtprehabjournal.com/revista/article/view/1319
<p><strong>Background:</strong> Chronic degenerative diseases have increased significantly, among them, systemic arterial hypertension (AH) stands out. The treatment of hypertension includes, in addition to specific hypotensive drugs, regular physical exercise. However, even though it is strongly recommended in national and international guidelines, the acute and subacute effects of physical exercise on the regulation mechanisms of the blood pressure system in different types of exercises still require further studies, especially regarding strength training and its methods in elderly people, which at least to our knowledge, there are not many studies published to date on this topic. Strength training has metabolic characteristics related to moderate intensity, a safe factor when it is related to the elderly, and can be an important ally for controlling the blood pressure system in this group. <strong>Objective: </strong>To evaluate the effects of a strength training session on blood pressure behavior in elderly people with hypertension. <strong>Methods: </strong>This is a randomized crossover clinical trial protocol. The minimum sample size was determined based on a previous study published by our research group. The size of 30 individuals was estimated, using a significance level of 5%, power of 80%, and a difference of 5mmHg in systolic blood pressure, after being included in the study, they will undergo a battery of tests, in order to outline their physical-functional and metabolic profile, and will be allocated into two protocols: CP (control protocol) and EP (experimental protocol). Control session, without exercise, and the EP which consists of a strength training session, using a superserie method. The blood pressure will be measured before the protocols, immediately after (minute 0), and at minutes 15 , 30, 45 and 60 after. Individuals will perform the other protocol, featuring the crossover design. Expected results: It is expected that by carrying out this study, we will obtain the hypotensive effect as well as contribute to the understanding of the effects of strength training under the superserie method on blood pressure levels in elderly people with hypertension, and its real practical applicability.</p>Wanderson Gonçalves CostaRaphael Martins Cunha
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-02-202024-02-202210.17784/mtprehabjournal.2024.22.1319Muscular strength, balance, and functionality in post-COVID-19 patients: An observational case-control protocol
https://submission-mtprehabjournal.com/revista/article/view/1314
<p><strong>Background: </strong>Persistent and systemic impairments have been reported in individuals recovering from COVID-19, including balance and muscle strength dysfunctions. However, the implications for static and dynamic Balance and their potential associations with muscle strength and functional assessments in patients with severe disease during the acute phase remain poorly understood in the existing scientific literature. <strong>Objectives:</strong> This study evaluates static and dynamic balance, lower limb muscle strength, and physical capacity in post COVID volunteers who experienced severe and critical forms of the disease. Additionally, it seeks to identify potential correlations between functional outcomes and demographic characteristics. <strong>Methods:</strong> This observational case-control study will enroll individuals who had experienced severe and critical forms of COVID-19 during the acute phase of the illness. Static Balance will be assessed using a Portable Baropodometry and Stabilometry platform, while dynamic Balance will be evaluated through the MiniBest Test. Muscle strength will be measured by Isometric Quadriceps Muscle Strength during contraction of knee extension, flexion, and physical capacity utilizing the 1-minute Sit-to-Stand Test (1MST). <strong>Hypothesis:</strong> We hypothesize that Long COVID volunteers who endured severe and critical forms of the disease during the acute phase will exhibit: 1)Impaired static and dynamic Balance compared to a control group of individuals without a history of COVID-19, as evidenced by significantly different scores on Baropodometry and Stabilometry assessments, as well as the MiniBest Test. 2)Reduced lower limb muscle strength compared to the control group. 3) Decreased physical capacity as assessed by the 1-minute Sit-to-Stand Test (1MST) when compared to individuals without a history of COVID-19. 4) Possible associations between demographic characteristics (age, gender, and physical activity level) and the observed functional outcomes. We anticipate that these findings will contribute to a better understanding of the long-term effects of severe and critical COVID-19 on Balance, muscle strength, and physical capacity.</p>Nadia Oliveira GomesJose Carlos da Silva JuniorFelipe Augusto dos Santos MendesJean Carlos CoutinhoVinicius Z MaldanerIsabella da Silva AlmeidaJoão Luiz Quagliotti DuriganGraziella França Bernardelli CiprianoGerson Cipriano Jr
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-03-272024-03-272210.17784/mtprehabjournal.2024.22.1314Acute and subacute evaluation of plasma glucose with circuit strength training in young adults: Study protocol
https://submission-mtprehabjournal.com/revista/article/view/1311
<p><strong>Background:</strong> Strength training with physical exercise improves glycemic stability during exercise and reduces the duration and severity of post-exercise hypoglycemia in individuals with type 2 diabetes. Even though the effects of exercise on health are vast in the literature, the acute and sub-acute response of plasma glycemia with circuit strength training (CST) in young individuals is very scarce. <strong>Objectives:</strong> Develop a study protocol to evaluate plasma glycemic behavior in healthy young adults before, during and after CST with active rest.<strong> Methods:</strong> This is a cross-sectional study. Participants will be selected based on certain variables of interest, informed about the study, and signing the informed consent. Participants will undergo anamnesis, anthropometric assessment collection, in order to outline the physical-functional profile, taken to the weight room, where they will spend 10 minutes in a sitting position to collect pre-protocol capillary blood, one group will carry out a session with control protocol without exercise and another, a session with an experimental protocol with CST and will have plasma glucose collected between and post-protocols. <strong>Results:</strong> This cross-sectional study protocol is expected to contribute additional information on understanding the acute and subacute effects of plasma glycemia with CST, with active rest, in young individuals.</p>Welyngton Fernando AlvesRaphael Martins da Cunha
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-02-072024-02-072210.17784/mtprehabjournal.2024.22.1311Applicability of kegel exercises in different urinary incontinences in women: Systematic review
https://submission-mtprehabjournal.com/revista/article/view/1320
<p><strong>Introduction: </strong>Urinary incontinence (UI) is the involuntary loss of urine. The condition also happens when there are small daily leaks. <strong>Objective</strong>: The aim of this study was to conduct a systematic review that verified the efficacy of Kegel's exercise in UI in women. <strong>Methodology:</strong> This is a systematic review, in which searches were conducted for articles related to the theme "Kegel Exercise in Urinary Incontinence in Women" in the PubMed, LILACS and SCIELO databases, the search was carried out starting on March 1, 2023 and ending on June 1 of the same year and the selection of articles was for the last 5 years. The inclusion criteria were full-text articles that talked about UI in women and the applicability of Kegel's exercise in treatment and studies with intervention, exclusion criteria were articles from the proposed period and which did not corresponded with the inclusion criteria. Altogether, 191 articles were found, after removal of articles off the subject and repeated 7 studies remained to be evaluated on the PEDro scale, among them 6 were suitable for use in the study.<strong> Results:</strong> To evaluate the articles, the PEDro scale consists of 11 questions containing yes or no answers that help validate the quality of clinical trial studies, the scores of the articles evaluated and elected in this scale of the study was 70%, in all, 6 articles were analyzed by the PEDro scale. <strong>Conclusion: </strong>Finally, it is concluded that the use of kegel exercises for the treatment of UI in women is effective, and should also be used as a method of prevention for possible incontinences, thus strengthening the pelvic floor with the exercises.</p>Luis Felipe Martins PiresMatheus André Ribeiro da CostaEstela Urzeda VitóriaMariana Gontijo de SouzaLarissa Rebeca Luz XavierRodrigo Franco de Oliveira
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-03-132024-03-132210.17784/mtprehabjournal.2024.22.1320Physical activity for muscle rehabilitation in sarcopenia
https://submission-mtprehabjournal.com/revista/article/view/1338
<p><strong>Background:</strong> sarcopenia is a progressive and generalized clinical condition associated with loss of mass, strength, and/or muscle function, impairing physical performance. The definition of sarco-penia is a dilemma, as several studies have been published in the last ten years by different socie-ties. One of the most used definitions is the Guideline created by the European Working Group on Sarcopenia in Older People (EWGSOP) and updated in 2019 (EWGSOP2) to facilitate the under-standing of sarcopenia and improve treatment proposals. This is the only definition supported by several international scientific societies for clinical practice and research in patients with sarcope-nia. Treatment can be divided into non-pharmacological and pharmacological. There are no spe-cific drugs approved for the treatment of sarcopenia. As for non-pharmacological interventions, physical exercise is the most effective intervention, especially resistance exercises. Nutritional in-tervention has a low level of evidence. <strong>Objectives:</strong> The objective of this article is to review data on the effect of physical exercise in the treatment of sarcopenia. <strong>Method:</strong> Reviews and systematic re-views were searched in different data sources, including PubMed, between the years 2010 and 2024, with the keywords (sarcopenia and non-pharmacological treatment; sarcopenia and exercise and sarcopenia). <strong>Conclusions:</strong> Physical exercise is the first-line treatment for sarcopenia. There is no drug released for the specific treatment of sarcopenia, and nutritional interventions have little clinical evidence in improving the quantitative and functional aspects of the muscular system in sarcopenic patients. Among the exercise modalities, resistive exercises alone showed the most sig-nificant benefit in the muscular rehabilitation of sarcopenic patients. Despite this, when evaluated with resistive exercise, aerobic and balance exercises brought additional benefits in some muscular functions. Nutritional intervention also appears to improve muscle strength when associated with resistive exercises. More studies are needed to elucidate the best physical activity program and whether other nutritional interventions could benefit the patient more.</p>Fernanda N. B. R. AlvesWilson José S. PedroJoão Pedro R. AfonsoShayra Kellen A. SouzaBarbara O. MouraJoaquim P. M. NetoKeyci S. I. TabataLarissa R. AlvesLenita V. BragaMarcos André RibeiroFlávi V. Barbosa JúniorHelias HannaDanúbio A. de OliveiraPatrícia Regina A. GaldeanoPedro . A. GaldeanoJairo B. S. Ribeiro JúniorRodrigo F. de OliveiraWilson R. Freitas JúniorLuís Vicente F. de Oliveira
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-03-082024-03-082210.17784/mtprehabjournal.2024.22.1338Occupational challenges: burnout syndrome and brazilian legislation
https://submission-mtprehabjournal.com/revista/article/view/1322
<p>The article addresses the intersection between Burnout Syndrome and changes in Brazilian legislation, offering a holistic view of the clinical, psychological and legal implications of this phenomenon in the workplace. By exploring the trajectory of Burnout Syndrome as a new occupational condition, the analysis highlights the evolution of legal perspectives in Brazil. Using a desk research approach, the study reviews Brazilian legislation and analyzes related studies, revealing increasing attention to mental health and specific changes in legislation to protect workers. Furthermore, the ethical discussion and employers' responsibilities are addressed, expanding the scope of the analysis. The research contributes to an ongoing dialogue about mental health, legislation and work practices, promoting a deeper understanding and prevention of Burnout in Brazilian professional environments.</p>Marcos Andre RibeiroRodrigo Franco de OliveiraJoaquim P. Mundim NetoJoão Pedro R. AfonsoShayra Kellen A. SouzaBarbara de O. MouraMiriã C. OliveiraLuís Vicente F. de OliveiraWilson R. Freitas JúniorFernanda N. R. AlvesJairo B. S. Ribeiro JúniorPatrícia Regina A. GaldeanoEumar E. de Menezes Júnior
Copyright (c) 2024 Manual Therapy, Posturology & Rehabilitation Journal
2024-03-082024-03-082210.17784/mtprehabjournal.2024.22.1322