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Introduction: The global postural reeducation (GPR) method seems to be an effective method for the treatment of musculoskeletal disorders; therefore, the aim of this study was to compare the effect and durability of 6 weeks of GPR and lumbar stability exercises on movement control, pain and disability in men with chronic nonspecific low back pain (NSLBP) with lumbar movement control dysfunction.Methods: Based on the inclusion and exclusion criteria, 46 men with non-specific chronic low back pain (LBP) with lumbar movement control dysfunction were selected and randomly divided into three groups (two exercise groups - one control group). Training intervention groups practiced for six weeks, three sessions per week. Visual analogue scale (VAS), Roland Morris questionnaire, and movement control test were used to measure pain, level of physical disability, and lumbar movement control, respectively. Repeated measures ANOVA was utilized to compare the effect and durability of the two training protocols on the dependent variables at a significant level.Results: Results from this research showed that both types of exercises reduced pain (P = 0.001) and improved disability index (P = 0.001) and lumbar movement control (P = 0.001). Our findings suggested that a GPR intervention for 6 weeks (P = 0.040) and inactivity for 4 weeks (P = 0.001) resulted in a greater improvement in disability compared to the lumbar stabilization exercises (LSEs). Conclusion: Both types of exercises seem to be effective in improving lumbar movement control, pain, and disability in people with movement control dysfunction after both training and inactivity. The GPR method improved disability more than the LSEs.

Background: Chronic nonspecific neck pain is the most frequent form of neck pain. It is more prevalent in women, and a costly public health issue. It is commonly associated with biomechanical, functional, proprioceptive, and postural impairments. The aim of this trial is to compare the effects of global postural exercises versus specific therapeutic exercises on neck pain, disability, mobility, pressure pain threshold, kinesiophobia, pain catastrophizing, postural control, and neuromuscular efficiency in women with chronic nonspecific neck pain. Methods and analysis: This study is a randomized, parallel-group and single blinded clinical trial. Sixty-two women with nonspecific chronic neck pain were recruited from the community of Guarda, Portugal, and randomly assigned to one of two intervention groups: (1) global postural reeducation (GPR group), (2) specific therapeutic exercises (STE group). The intervention was carried out over 4 weeks, with two sessions per week (eight sessions), and applied by a physiotherapist and paired with a daily individual at-home-exercise program. Primary outcomes are neck pain intensity and disability (Numerical Pain Rating Scale, Neck Disability Index). Secondary outcomes are cervical mobility and pressure pain threshold (CROM, algometry), attitude to pain (kinesiophobia, pain catastrophizing), standing postural control (Center of Pressure (COP) displacements), and neuromuscular efficiency (electromyography). There are four points of evaluation where the outcomes were assessed twice before the intervention, 1 week apart, and the two post-intervention assessments will be carried out after four and eight sessions. The objective was to increase scientific knowledge of different exercise modalities, such as global postural reeducation, in musculoskeletal disorders. Trial registration: ClínicalTrials.gov (NCT04402463), prospectively registered (data 22 May 2020).

This article belongs to the Special Issue Spondyloarthritis: From Pathophysiology to Treatment., The aim of this study was to determine the role of global postural reeducation for people with ankylosing spondylitis. We compared the effects of treatments on pain, dysfunction (using the Bath Ankylosing Spondylitis Disease Activity Index and Bath Ankylosing Spondylitis Functional Index), range of motion, and chest expansion in a specific population aged over 18 years old with ankylosing spondylitis. We performed a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statements. The search was conducted using the PubMed, Physiotherapy Database (PEDro), Scientific Electronic Library Online (SciELO), and Web of Science (WoS) databases. Clinical trials and systematic reviews/meta-analysis were reviewed. Results: 154 studies were found. Finally, four were included. Conclusions: global postural reeducation is beneficial for ankylosing spondylitis, but no more so than other conventional treatments, except for spinal mobility, where Global Postural Reeducation demonstrated an advantage.

WOS: 000460934000001 PubMed: 30412478 OBJECTIVE: The purpose of this study was to investigate the effects of combination therapy with global postural reeducation exercise (GPR) and anti-TNF treatments on clinical parameters in patients with active Ankylosing spondylitis (AS). MATERIALS AND METHOD: Sixty patients with active AS were distributed into three groups. Group 1 was given anti-TNF therapy plus GPR program. Group 2 was given anti-TNF and conventional exercise therapy. Group 3 was accepted as the control group. Patients were assessed according to pain, disease activity (Bath Ankylosing Spondylitis Disease Activity Index), functionality (Bath Ankylosing Spondylitis Functional Index and walking performance), mobility (lumbar Schober, chest expansion, hand-finger to floor distance), fatigue (Multidimensional Assessment Questionnaire), sleep quality (Pittsburgh sleep quality index), and depression. RESULTS: The parameters were significantly improved in both groups receiving exercise and anti-TNF therapy compared to the control group after treatment. The anti-TNF plus GPR exercise therapy resulted in greater improvements than the anti-TNF plus conventional exercise therapy in pain, walking performance, and mobility. CONCLUSIONS: Anti-TNF therapy and exercise were efficient in both groups on improving all clinic parameters. However, the improvements in pain, function, and mobility were greater in the active AS patients with GPR exercise method. Therefore, motivated patients should be encouraged to perform this method.

Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia Introdução: A escoliose é definida como um desvio da coluna vertebral nos diversos planos, e a sua etiologia é multifatorial. Existem diferentes formas terapêuticas para correção e reeducação das curvaturas escolióticas. Objetivo: Analisar os efeitos de diferentes protocolos de reeducação postural em pacientes com escoliose. Metodologia: A pesquisa foi realizada nas bases de dados PubMed, Science Direct e motor de pesquisa B-on, fundamentada em artigos compreendidos entre os anos de 2007 e 2017, avaliados segundo a escala Critical Appraisal Skills Programme (CASP). Resultados: Nesta revisão foram incluídos 6 estudos, com um total de 110 crianças e jovens de ambos os sexos, e com idades médias compreendidas entre 7 e 20 anos. Após a implementação das técnicas constatou-se uma melhoria nos ângulos da curvatura, na flexibilidade vertebral, na expansibilidade tóraco-pulmonar, na sintomatologia dolorosa e na qualidade de vida dos participantes. Conclusão: As técnicas de reeducação postural, nomeadamente reeducação postural global, método de Pilates, isostretching e exercícios de Schroth são efetivas no tratamento convencional de escolioses em crianças e jovens. Background: Scoliosis is defined as a deviation of the spine in various planes, and is etiology is multifactorial. There are different therapeutic forms for correction and re-education of scoliotic curvatures. Objectives: Analyze different protocols on the effects and importance of different techniques of postural reeducation in patients with scoliosis. Methodology: The survey was conducted in PubMed and Science Direct databases, and search engines such as B-on, based on articles dated between 2007 and 2017, evaluated according to the Critical Appraisal Skills Program (CASP) scale. Results: In this review, 6 studies were included, with a total of 110 children and teenagers of both sexes, with ages ranging from 7 to 20 years. After the implementation of the techniques, there was an improvement in the angles of curvature, in the vertebral flexibility, in the thoracic-pulmonary expansion, in the pain symptomatology and in the quality of life of the participants. Conclusion: The techniques of postural reeducation, namely global postural reeducation, Pilates method, isostretching and Schroth exercises are effective in the conventional treatment of scoliosis in children and young people. N/A

127 p., La esquizofrenia es uno de los trastornos psiquiátricos más complejos, caracterizado por un amplio rango de síntomas positivos, negativos y cognitivos que afectan a la totalidad de los dominios cognitivos del paciente incluyendo la percepción, el pensamiento, la atención, la memoria y la emoción. Las personas con un diagnóstico de esquizofrenia presentan una esperanza de vida dos veces menor a la del resto de la población y mayores riesgos de padecer una enfermedad cardiovascular, trastornos psicológicos concomitantes como la ansiedad o las reacciones adversas derivadas de la medicación. Esto refleja la necesidad de implantar tratamientos complementarios que hagan frente a todas estas necesidades en el tratamiento multidisciplinar de los pacientes con diagnóstico de esquizofrenia. Objetivo: el propósito de esta revisión sistemática es valorar la eficacia de las intervenciones de terapia física más utilizadas en el campo de la salud mental según la IOPTMH en el tratamiento multidisciplinar de pacientes con diagnóstico de esquizofrenia: ejercicio físico, relajación muscular progresiva (RMP), terapia de concienciación corporal basal, biofeedback, estimulación multisensorial, masoterapia y reeducación postural global (RPG). Métodos: las búsquedas de ECAS se realizaron en las bases de datos de PubMed y PsycINFO, desde su inicio hasta enero de 2016. Los estudios examinaban la eficacia de 7 intervenciones diferentes de terapia física en pacientes con diagnóstico de esquizofrenia. Para valorar la calidad metodológica de los ECAS se usaron las escalas JADAD y PEDro. Resultados: 10 ECAS cumplieron con los criterios de selección: 5 de los estudios estaban dirigidos a programas de ejercicio físico, 4 estaban dirigidos a la RMP y uno trataba sobre biofeedback. No se encontró ningún ECA que investigara la eficacia de la terapia de concienciación corporal basal, estimulación multisensorial, masaje o la reeducación postural global. Conclusión: esta revisión sistemática ha demostrado que intervenciones de terapia física como los programas de ejercicio físico o la relajación muscular progresiva usadas como tratamiento complementario tiene efectos beneficiosos sobre los síntomas psiquiátricos, la ansiedad y sobre la sensación de bienestar y la calidad de vida de personas con un diagnóstico de esquizofrenia. Por tanto, la aplicación de tratamientos de fisioterapia dentro del tratamiento multidisciplinar de estos pacientes en los servicios de salud mental puede aportar resultados positivos. Son necesarios futuros estudios que investiguen la aplicabilidad y adecuación de otras técnicas de terapia física para pacientes con un diagnóstico de esquizofrenia y que avalen la participación de los fisioterapeutas dentro de los servicios de salud mental., Schizophrenia is one of the most complex psychiatric disorders, characterized by a wide range of positive, negative and cognitive symptoms affecting all aspects of mental activity, including perception, thought, attention, memory and emotion. In addition, people with a diagnosis of schizophrenia have a life expectancy twice lower than the rest of population and an increased risk of cardiovascular disease, related psychological disorders like anxiety or negative reactions resulting from medication. This reflects the need to implement complementary treatments to face these needs in the multidisciplinary treatments for patients with schizophrenia. Objective: the main goal of this systematic review was to assess the effectiveness of most commonly physical therapy interventions used in Mental Health services according to IOPTMH in multidisciplinary treatment for patients with schizophrenia: physical exercise, progressive muscle relaxation, basic body awareness therapy, multisensorial stimulation, massage and global postural reeducation. Method: Searches were performed using PubMed and PsycINFO databases of randomized clinical trials (RCTs) from their inception until January 2016. The studies examined the effectiveness of seven different physical therapy interventions in patients with a diagnosis of schizophrenia. The methodical quality of RCTs was evaluated according to the JADAD scale and PEDro scale Results: 10 RCTs met all selection criteria: 5 of these studies were aimed to the use of physical exercise programs; 4 studies, to the use of progressive muscle relaxation and 1 about the use of biofeedback. No RTCs investigating on the effectiveness of basic body awareness therapy, multisensorial stimulation, massage or global postural reeducation was found. Conclusion: this systematic review shows that physical therapy interventions, such a physical therapy programs and progressive muscle relaxation used as add-on treatment have benefits for psychiatric symptoms, anxiety, subjective well-being and life quality. Then, the application of a physical therapy inside a multidisciplinary treatment for these patients in the mental health services may have positive outcomes. Future studies are needed to investigate the applicability and adaptation of other physical therapy techniques for patients with a diagnosis of schizophrenia and substantiating the participation of physiotherapists within the mental health services., Grado en Fisioterapia

The Global Postural Reeducation (GPR) method is a physical therapy based on the stretching of antigravity muscle chains with the parallel enhancement of the basal tone of antagonistic muscles addressed to improve static and dynamic stability. Through a three-dimensional motion analysis (3DMA) system, our study aims to investigate whether in Parkinson's disease (PD) patients a GPR program results in a more physiological gait pattern. The kinematic parameters of gait of twenty subjects with clinically diagnosed PD were calculated. The patients were randomly assigned to a study (10 or control (10) group. All subjects underwent neurological and 3DMA assessments at entry time (t 0), at 4 weeks (t 1, end of GPR program), and at 8 and 12 weeks (t 2 and t 3, follow-up evaluation). The study group underwent a four-week GPR program, three times a week, for 40 min individual sessions. Kinematic gait parameters of thigh (T), knee (K) and ankle (A) and UPDRS-III scores were evaluated. At the end of the GPR program, we observed an improvement of the kinematic gait pattern, documented by the increase in KΔc and TΔc values that respectively express the flexion amplitude of knee and thigh. The amelioration was persistent at follow-up assessments, with a parallel enhancement in clinical parameters. GPR intervention shows a long-term efficacy on gait pattern in PD patients. Furthermore, we validated 3DMA as a valuable tool to study the kinematics of gait thus refining the understanding of the effects of specific rehabilitation programs.

Background The aim of this non-randomized controlled trial was to evaluate the effectiveness of a Global Postural Reeducation (GPR) program as compared to a Stabilization Exercise (SE) program in subjects with persistent low back pain (LBP) at short- and mid-term follow-up (ie. 3 and 6 months). Methods According to inclusion and exclusion criteria, 100 patients with a primary complaint of persistent LBP were enrolled in the study: 50 were allocated to the GPR group and 50 to the SE group. Primary outcome measures were Roland and Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI). Secondary outcome measures were lumbar Visual Analogue Scale (VAS) and Fingertip-to-floor test (FFT). Data were collected at baseline and at 3/6 months by health care professionals unaware of the study. An intention to treat approach was used to analyze participants according to the group to which they were originally assigned. Results Of the 100 patients initially included in the study, 78 patients completed the study: 42 in the GPR group and 36 in the SE group. At baseline, the two groups did not differ significantly with respect to gender, age, BMI and outcome measures. Comparing the differences between groups at short- and mid-term follow-up, the GPR group revealed a significant reduction (from baseline) in all outcome measures with respect to the SE group. The ordered logistic regression model showed an increased likelihood of definitive improvement (reduction from baseline of at least 30% in RMDQ and VAS scores) for the GPR group compared to the SE group (OR 3.9, 95% CI 2.7 to 5.7). Conclusions Our findings suggest that a GPR intervention in subjects with persistent LBP induces a greater improvement on pain and disability as compared to a SE program. These results must be confirmed by further studies with higher methodological standards, including randomization, larger sample size, longer follow-up and subgrouping of the LBP subjects. Trial registration NCT00789204