Abstract:
Background:Implementation of interprofessional clinical guidelines for the prevention of neuropathic diabetic foot ulceration has demonstrated positive effects regarding ulceration and amputation rates. Current foot care recommendations are primarily based on research regarding the prevention of ulcer recurrence and focused on reducing the magnitude of plantar stress (pressure overload). Yet, foot ulceration remains to be a prevalent and debilitating consequence of Diabetes Mellitus. There is limited evidence targeting the prevention of first-time ulceration, and there is a need to consider additional factors of plantar stress to supplement current guidelines. Objectives:The first purpose of this article is to discuss the biomechanical theory underpinning diabetic foot ulcerations and illustrate how plantar tissue underloading may precede overloading and breakdown. The second purpose of this commentary is to discuss how advances in biomechanical foot modeling can inform clinical practice in the prevention of first-time ulceration. Discussion:Research demonstrates that progressive weight-bearing activity programs to address the frequency of plantar stress and avoid underloading do not increase ulceration risk. Multi-segment foot modeling studies indicate that dynamic foot function of the midfoot and forefoot is compromised in people with diabetes. Emerging research demonstrates that implementation of foot-specific exercises may positively influence dynamic foot function and improve plantar stress in people with diabetes. Conclusion:Continued work is needed to determine how to best design and integrate activity recommendations and foot-specific exercise programs into the current interprofessional paradigm for the prevention of first-time ulceration in people with Diabetes Mellitus.
journal_name
Braz J Phys Therjournal_title
Brazilian journal of physical therapyauthors
DiLiberto FE,Baumhauer JF,Nawoczenski DAdoi
10.1590/bjpt-rbf.2014.0195subject
Has Abstractpub_date
2016-11-16 00:00:00pages
375-383issue
5eissn
1413-3555issn
1809-9246pii
S1413-35552016005014104journal_volume
20pub_type
杂志文章abstract:BACKGROUND:The use of local muscle vibration is a promising technique to improve motor performance in people with movement impairments. Majority of studies have failed to properly describe the used system and its reliability, making it difficult to transfer this promising technique to clinical practice. OBJECTIVE:To d...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.09.001
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the effect of three types of exercise intervention in patients with patellofemoral pain and to verify the contributions of each intervention to pain control, function, and lower extremity kinematics. METHODS:A randomized controlled, single-blinded trial was conducted. Forty women with patellofemo...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.bjpt.2018.03.009
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The Iconographical Falls Efficacy Scale (Icon-FES) is an innovative tool to assess concern of falling that uses pictures as visual cues to provide more complete environmental contexts. Advantages of Icon-FES over previous scales include the addition of more demanding balance-related activities, ability to as...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.01.003
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Patients with heart failure (HF) usually develop exercise intolerance. In this context, noninvasive ventilation (NIV) can help to increase physical performance. OBJECTIVE:To undertake a systematic review and meta-analysis of randomized controlled trials that evaluated the effects of NIV on exercise toleranc...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,meta分析,评审
doi:10.1590/bjpt-rbf.2014.0039
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:To address the need for a better treatment of chronic whiplash associated disorders (WAD), a contemporary neuroscience approach can be proposed. OBJECTIVE:To examine the effectiveness of a contemporary neuroscience approach, comprising pain neuroscience education, stress management, and cognition-targeted e...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2020.09.004
更新日期:2020-10-10 00:00:00
abstract:BACKGROUND:Cystic fibrosis (CF) is a hereditary condition in which lung disease affects all patients. In addition to pulmonary involvement, the multisystemic components of CF cause significant physical limitations. However, the impact of lung function on balance control in CF has not been studied. OBJECTIVE:To assess ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000111
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Compared to eccentric contractions, concentric contractions result in higher cardiovascular stress. However, we do not know how these two types of contractions influence cardiac autonomic modulation during the post-exercise recovery period. OBJECTIVE:to compare the effect of resistance training that is perf...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,随机对照试验
doi:10.1590/s1413-35552012005000141
更新日期:2014-01-01 00:00:00
abstract::Our biodynamics laboratory group has conducted large cohort biomechanical-epidemiological studies targeted at identifying the complex interactions among biomechanical, biological, hormonal, and psychosocial factors that lead to increased risk of anterior cruciate ligament (ACL) injuries. The findings from our studies ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0121
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:To determine the reliability, internal consistency, measurement error, convergent validity, and floor and ceiling effects of three quality assessment tools commonly used to evaluate the quality of diagnostic test accuracy studies in physical therapy. A secondary aim was to describe the quality of a sample of...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2019.01.009
更新日期:2020-01-01 00:00:00
abstract::Systematic reviews aim to summarize all evidence using very rigorous methods in order to address a specific research question with less bias as possible. Systematic reviews are widely used in the field of physical therapy, however not all reviews have good quality. This tutorial aims to guide authors of the Brazilian ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0077
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Radiographs are used to monitor thoracic kyphosis in individuals with certain pathologies (e.g. osteoporosis), exposing patients to potentially harmful radiation. Thus, other measures for monitoring the progression of thoracic kyphosis are desirable. The gravity-dependent inclinometer has been shown to be re...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.02.005
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The analysis of the kinetic responses of heart rate (HR) and oxygen consumption (VO(2)) are an important tool for the evaluation of exercise performance and health status. OBJECTIVES:The purpose of this study was to investigate the effects of aging on the HR and VO(2) kinetics during the rest-exercise trans...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/s1413-35552012005000056
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Alterations in respiratory system kinematics in stroke lead to restrictive pattern associated with decreased lung volumes. Chest physical therapy, such as positive expiratory pressure, may be useful in the treatment of these patients; however, the optimum intensity to promote volume and motion changes of the...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.06.006
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:There is a poor understanding of the dose-response relationship between years of physical activity and motor and cognitive function. We determined the dose-response effects of physical activity duration in years on motor and cognitive function and their relationship in healthy old females. OBJECTIVES:To det...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.06.002
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To systematically review randomized controlled trials that assessed the effects of Global Postural Reeducation (GPR) on patient-reported outcomes in conditions of the musculoskeletal system. METHOD:An electronic search of MEDLINE (via PubMed), EMBASE, Cochrane CENTRAL, and SciELO was performed from their in...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0153
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Handheld dynamometers (HHD) provide quick and low-cost assessments of muscle strength and their use has been increasing in clinical practice. There is no available data related to the validity of HHD for this measurement. OBJECTIVE:To verify the concurrent validity of scapular protraction measurements using...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.08.002
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:the assessment of functional capacity in patients with chronic obstructive pulmonary disease (COPD) has been performed by simple and easy to apply methods that mimic everyday activities, such as the Chester step test (TChester). OBJECTIVES:to investigate whether TChester is able to differentiate functional ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/s1413-35552012005000087
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Rasch analysis has been used in recent studies to test the psychometric properties of a questionnaire. The conditions for use of the Rasch model are one-dimensionality (assessed via prior factor analysis) and local independence (the probability of getting a particular item right or wrong should not be condit...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.03.007
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Knee osteoarthritis (OA) is a chronic progressive disease that imparts a substantial socioeconomic burden to society and healthcare systems. The prevalence of knee OA has dramatically risen in recent decades due to consistent increases in life expectancy and obesity worldwide. Patient education, physical exe...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章,评审
doi:10.1016/j.bjpt.2020.08.004
更新日期:2020-09-08 00:00:00
abstract:BACKGROUND:The assessment of strength and its relationships with functional capacity could contribute to more specific and effective disability management of stroke survivors. OBJECTIVE:To compare and investigate associations between measures of strength and functional capacity of 98 chronic stroke survivors, stratifi...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000114
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Some inspiratory muscle training protocols for patients with heart failure report the request of diaphragmatic breathing during inspiratory loaded breathing. However, it is unclear whether this condition modifies the chest wall volumes. OBJECTIVE:The primary purpose was to evaluate chest wall volumes during...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.04.005
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Low back pain is a highly prevalent and disabling musculoskeletal disorder. Physical activity is widely used as a prevention strategy for numerous musculoskeletal disorders; however, there is still conflicting evidence as to whether physical activity is a protective or risk factor for low back pain or whethe...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2018.06.004
更新日期:2019-01-01 00:00:00
abstract:Objective:To investigate the acute effects of EPAP on the activity of sternocleidomastoid (SCM), parasternal muscles and ventilatory parameters in COPD patients. Method:Twenty-four patients with COPD were studied using surface electromyography (sEMG) and a ventilometer. Patients were randomly assigned to EPAP 10 cmH2O...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0190
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVES:To examine the strength deficits of the shoulder complex after stroke and to characterize the pattern of weakness according to type of movement and type of isokinetic parameter. METHOD:Twelve chronic stroke survivors and 12 age-matched healthy controls had their shoulder strength measured using a Biodex iso...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0030
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Respiratory muscle training has shown to increase strength of the respiratory muscles following a stroke. However, low duration and/or intensity of training may be responsible for the small effect size seen and/or absence of carry-over effects to an activity, e.g., walking. Therefore, an investigation of the...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.06.017
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Joint inflammation is a common clinical problem in patients treated by physical therapists. The hypothesis of this study is that joint inflammation induces molecular and structural changes in the soleus muscle, which is composed mainly of slow-twitch muscle fibers. OBJECTIVE:To study the effect of tibiotars...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/S1413-35552012005000084
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Kinesio Taping® has been widely used in clinical practice. However, it is unknown whether this type of tape is more effective than placebo taping in patients with chronic lower back pain. OBJECTIVE:To compare the effectiveness of Kinesio Taping® in patients with chronic non-specific low back pain against a ...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0128
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Previous studies have shown positive results of phototherapy for improving performance and accelerating recovery; however, the effects of phototherapy during training and after a primary adaptation remain unclear. The aim of this randomized controlled trial is to analyze the effects of phototherapy and combi...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2017.05.010
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Mirror therapy has been used as an alternative stimulus to feed the somatosensory cortex in an attempt to preserve hand cortical representation with better functional results. OBJECTIVE:To analyze the short-term functional outcome of an early re-education program using mirror therapy compared to a late clas...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1590/bjpt-rbf.2014.0130
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:The phenotype profiling of individuals with chronic obstructive pulmonary disease (COPD) according to impairments in body composition and level of physical activity in daily life (PADL) needs to be determined. OBJECTIVE:To verify if individuals with COPD classified as physically active/inactive present diff...
journal_title:Brazilian journal of physical therapy
pub_type: 杂志文章
doi:10.1016/j.bjpt.2020.07.005
更新日期:2020-07-30 00:00:00