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AbstractPurposeMethodResultsConclusions\nIMPLICATIONS FOR REHABILITATIONTo synthesize evidence regarding psychometric properties of the Mini-Balance Evaluation Systems Test (Mini-BESTest) in assessing postural control.Six databases were searched until October 15th, 2024. Two authors independently assessed the methodological quality and results of studies using the COSMIN checklist and Terweés criteria. The overall quality of the evidence was provided using the modified GRADE approach.Ninety-one studies were included. The Mini-BESTest showed very good quality and sufficient structural validity (CFI: 0.91–0.99; TLI: 0.888–0.97; RMSEA: 0.05–0.45), internal consistency (α: 0.73–0.97), criterion validity (BESTest r: 0.65–0.95), convergent validity (e.g., Brief-BESTest r: 0.85–0.94; rs: 0.73–0.92; Berg Balance scale r: 0.58–0.85) and know-groups validity (AUC: 0.712–0.97; cutoffs: 9.0–22/28). However, the scale showed doubtful quality as well as sufficient and indeterminate reliability (inter-rater ICC: 0.56–0.998; r: 0.98; intra-rater ICC: 0.74–0.964) and measurement error (SEM: 0.45–3.03; MDC95: 1.23–8.40), respectively. Adequate quality and sufficient rating were found in most studies for responsiveness. The quality of evidence was moderate to low for structural validity and criterion validity, high to low for internal consistency, convergent validity, and high to very low for reliability, measurement error, know-groups validity, and responsiveness.Moderate to high quality evidence was found for support structural validity, internal consistency, reliability, measurement error, criterion validity, hypothesis testing, and responsiveness of the Mini-BESTest only in some study populations.The Mini-BESTest showed sufficient structural validity, internal consistency, reliability, criterion validity, hypothesis testing and responsiveness in most of the studies, and indeterminate measurement error.Moderate to high quality evidence was found for support structural validity, internal consistency, reliability, measurement error, criterion validity, hypothesis testing, and responsiveness of the Mini-BESTest in Parkinson’s disease patients.Patients with stroke or multiple sclerosis, adults with neurological diverse diagnoses, and older adults, moderate to high quality evidence was found in internal consistency, reliability, measurement error, and hypothesis testing.The Mini-BESTest is a reliable, valid, and responsive tool in assessing control postural in Parkinson’s disease patients.The Mini-BESTest showed sufficient structural validity, internal consistency, reliability, criterion validity, hypothesis testing and responsiveness in most of the studies, and indeterminate measurement error.Moderate to high quality evidence was found for support structural validity, internal consistency, reliability, measurement error, criterion validity, hypothesis testing, and responsiveness of the Mini-BESTest in Parkinson’s disease patients.Patients with stroke or multiple sclerosis, adults with neurological diverse diagnoses, and older adults, moderate to high quality evidence was found in internal consistency, reliability, measurement error, and hypothesis testing.The Mini-BESTest is a reliable, valid, and responsive tool in assessing control postural in Parkinson’s disease patients. [ABSTRACT FROM AUTHOR]

BackgroundHemophilic ankle arthropathy is manifested by degenerative functional alterations and chronic pain. Myofascial release techniques are used to treat soft tissue adhesions, relieve pain, and reduce tissue sensitivity. ObjectiveThis study aims to evaluate the safety and efficacy of a protocol using self-myofascial release with a foam roller to be applied in patients with hemophilic ankle arthropathy. MethodsPatients with ankle arthropathy (N=70) will be recruited, enrolled, and assigned to one of two groups—experimental or control—in a 1:1 allocation ratio. Patients will be recruited from 5 centers in different regions of Spain. Patient data will be collected at baseline, posttreatment, and follow-up. The primary outcome will be frequency of ankle joint bleeding (self-reported). The secondary outcomes will be ankle range of motion (measured with a digital goniometer); joint pain (measured with a visual analog scale and an algometer); joint status (measured using the Hemophilia Joint Health Score); muscle strength (measured with a dynamometer); functionality of lower limbs (measured using the 6-minute walking test); activity (self-reported); and muscle flexibility (measured using the fingertip-to-floor test). The treatment program includes 11 exercises that must be administered bilaterally. A mobile app will be developed where each patient will be able to observe the exercises to be carried out. Each session will last 15 minutes with 5 physiotherapy sessions per week for a period of 3 months. It is expected that patients with hemophilia who receive the foam roller intervention will show improvement in mobility, pain, and status of the ankle joint; muscle strength; and function in the lower extremities. ResultsThe study has been approved by the institutional review board of the University of Murcia. Patient recruitment will begin in September 2020, and the intervention period will last until June 2021. Data collection will take place between September 2020 and October 2021. ConclusionsThis protocol describes a randomized clinical trial to examine the safety and efficacy of a self-myofascial release intervention using a foam roller in patients with hemophilic ankle arthropathy. Trial RegistrationClinicalTrials.gov NCT03914287; http://clinicaltrials.gov/ct2/show/NCT03914287. International Registered Report Identifier (IRRID)PRR1-10.2196/15612

In recent years, there has been a significant rise in the number of psychometric studies, together with crucial statistical advances for validity and reliability measures. Given the importance of providing accurate procedures both in methodology and score interpretation of tests and/or measurement scales, the editors-in-chief of the journal Annals of Psychology have drafted this guide to address the most relevant issues in the field of applied psychometry. To this end, the present manuscript analyses the main topics under the Classical Test Theory framework (e.g., exploratory/confirmatory factor analysis; reliability, bias, etc.) aiming to synthesize and clarify the best practical applications; and improve publication standards. [ABSTRACT FROM AUTHOR]

Background: Patients with haemophilic arthropathy suffer chronic pain that affects and restricts their quality of life. Visualization of movement through immersive virtual reality is used for pain management. Aim: To evaluate the efficacy of 180‐degree immersive VR motion visualization therapy in patients with haemophilic ankle arthropathy. Methods: Prospective, multicentre pilot study. Fifteen adult patients with bilateral haemophilic ankle arthropathy were recruited (mean age: 42.73 ± 12.36 years). The intervention lasted 4 weeks, with daily home sessions of 180‐degree immersive motion visualization. The patients were given virtual reality glasses to use with their smartphones. From the YouTube mobile app® they accessed the recorded video with access from the He‐Mirror App®. The study variables were joint state (Haemophilia Joint Health Score), pressure pain threshold (pressure algometer), muscle strength (dynamometry) and range of motion (goniometry). Three evaluations were performed: at baseline (T0), after the intervention (T1) and at the end of a 16‐week follow‐up period (T2). Results: No patient developed ankle hemarthrosis during the experimental phase. In the repeated measures analysis we found statistically significant differences in joint state (F = 51.38; η2p =.63), pressure pain threshold of the lateral malleolus (F = 12.34; η2p =.29) and range of motion (F = 11.7; η2p =.28). Conclusions: Therapy using immersive motion visualization does not cause hemarthrosis. This intervention can improve joint condition, pressure pain threshold and range of motion in patients with ankle arthropathy. Changes greater than the MDC were reported in more than 40% of patients for the variables pressure pain threshold, anterior tibialis strength and range of motion, which were considered clinically relevant. [ABSTRACT FROM AUTHOR]

To evaluate the effectiveness of manual therapy in reducing the frequency of clinical hemarthrosis, increasing range of motion and improving the perception of disability in the upper limbs in patients with hemophilic elbow arthropathy. Sixty-nine patients were randomized into experimental (N = 35) and control group (N = 34). The outcome measures were: frequency of clinical hemarthrosis, the elbow range of motion and the perception of disability in the upper limbs (DASH questionnaire). The intervention included one 50 min weekly session, for three weeks, of upper limb fascial therapy according to our treatment protocol. There were differences (p < 0.001) in the repeated measures analysis for frequency of elbow clinical hemarthrosis (F = 20.64) and range of motion in flexion (F = 17.37) and extension (F = 21.71). No differences were found in the overall perceived disability (F = 0.91; p =.37). We found group interaction with the (p < 0.001) in the frequency of elbow clinical hemarthrosis, range of motion and overall perceived disability. Manual therapy is safe in patients with hemophilia and elbow arthropathy. Fascial therapy reduces the frequency of hemarthrosis, increases the range of motion and improves the perceived disability in the upper limbs. Trial registration number: id NCT03009591 Impairments in the range of motion, pain and disability may occur in patients with hemophilic elbow arthropathy since early age. There is a need to validate safe and effectiveness protocols of rehabilitation to treat these patients. Prophylactic replacement is the most effective treatment for the prevention of hemarthrosis. Physiotherapists need to be trained in the specific management of patients with hemophilia. Manual therapy can be a safe and effective tool in the treatment of hemophilic arthropathy. [ABSTRACT FROM AUTHOR]

Background: Pain is a major characteristic in haemophilic arthropathy. Identifying the psychosocial variables affected by pain can help when addressing these patients. Aim: To assess the relationship between perceived intensity of chronic pain and joint damage, kinesiophobia, catastrophism, anxiety and perceived quality of life in adult patients with haemophilic arthropathy. Methods: Multicentre cross‐sectional descriptive study. Seventy‐seven adult patients with haemophilic arthropathy were recruited. The usual and maximum pain intensity (Visual Analog Scale), joint status (Haemophilia Joint Health Score), Kinesiophobia (Tampa Scale of Kinesiophobia), catastrophism (Pain catastrophizing scale), anxiety (State‐Trait Anxiety inventory) and perceived quality of life (36‐Item Short Form Health Survey) were evaluated. The correlation between usual and maximum pain intensity with quantitative variables was obtained with Spearman's correlation test. Kruskal‐Wallis one‐way ANOVA analysed differences in perceived pain according to the severity and type of treatment, and development of inhibitors. Results: The usual intensity of perceived pain correlated positively with catastrophism, kinesiophobia, and state and trait anxiety. The same results were obtained when analysing the maximum perception of pain. We found an inverse correlation between the physical component of perceived quality of life and usual and maximum pain intensity perceived by patients. Conclusion: Psychosocial factors affect the painful experience of patients with haemophilic arthropathy. Pain intensity affects the quality of life of these patients. [ABSTRACT FROM AUTHOR]