bluuebunny/crossref_metadata_2025 huggingface dataset:
A quantificação do trabalho mecânico como recurso de avaliação do controle postural
Authors: Castro Pedro Cláudio Gonsales de , Coelho Daniel Boari , Goroso Daniel Gustavo , Lopes José Augusto Fernandes , Moreira Maria Cecília dos Santos Moreira Cecília dos Santos
Published: June 2022

O estudo tem por objetivo propor dois métodos de cálculo para a quantificaçao do trabalho mecânico (W) como recurso para análise do controle postural em indivíduos submetidos a perturbaçoes motoras, visuais e/ou que estao em processo de reabilitaçao física. Neste estudo se aborda a quantificaçao do W realizado pelo sistema muscular após a extensao do tronco para postura ereta (auto-perturbaçao) em indivíduos com visao preservada (VP) e privaçao momentânea da visao (PMV) por meio de dois métodos denominados: i) Trabalho mecânico total (Wtot) e ii) Trabalho mecânico do centro de massa (WCM). A amostra constituiu-se de 10 voluntários saudáveis, do sexo masculino com idades de 25,6 (± 2,2) anos. Foram realizadas cinco tentativas para cada voluntário em ambas as condiçoes. Para coleta dos dados foi utilizado um sistema de imagem para rastreamento optoeletrônico tridimensional, composto de 8 câmeras de vídeo, com freqüência de captaçao de 200 Hz. Observou-se pela análise de regressao linear que o Wtot e WCM apresentam forte correlaçao entre as duas condiçoes (r2 = 0,77 para a condiçao VP e r2 = 0,84 para a condiçao PMV) e pelo teste t de Student observou-se diferenças estatisticamente significativas (p<0,10) na primeira tentativa entre os voluntários com VP e PMV para o Wtot durante o intervalo pós-perturbaçao, bem como diferenças no WCM nos intervalos [0,80]ms e [0,100]ms. Concluiu-se que os métodos que calculam o Wtot e o WCM possibilita investigar o controle postural após perturbaçoes motoras e visuais podendo ser utilizado como recurso na reabilitaçao física.
Antiinflamatórios não-esteroidais e sua farmacologia local
Authors: Muri Estela Maris Freitas , Sposito Maria Matilde de Mello , Metsavaht Leonardo
Published: June 2022

Os antiinflamatórios não-esteroidais (AINES) são geralmente usados para reduzir a dor e inflamação resultantes de diversos tipos de lesões. Apesar de normalmente serem administrados por via oral, seu uso local tem atraído a atenção de profissionais da área médica e de pesquisadores interessados em comprovar a disponibilidade aumentada desses medicamentos em locais próximos a área lesionada. A presente revisão enfatiza a terapia local, principalmente a via intradérmica, como uma alternativa altamente promissora para a administração de AINES.
Controle postural no envelhecimento: um estudo comparativo entre Brasil e Espanha
Authors: Alfieri Fábio Marcon , Riberto Marcelo , Ribeiro Carla Paschoal Corsi , Carreres Maria Àngels Abril , Battistella Linamara Rizzo , Figuera Roser Garreta
Published: June 2022

O envelhecimento traz consigo alterações nos sistemas sensoriais e músculo-esquelético, que juntos alteram o controle postural dos idosos. O objetivo deste estudo foi o de verificar e comparar o controle postural de idosos da cidade de São Paulo - Brasil, com idosos que vivem em Terrassa (Barcelona)- Espanha. Participaram da pesquisa, 36 idosos brasileiros (69,61±5,3 anos) e 33 idosos espanhóis (69,72±4,6 anos) considerados saudáveis, recrutados a partir de dois serviços de reabilitação. Os voluntários realizaram avaliações pertinentes ao controle postural por meio do teste Timed up and go e bateria de testes de Guralnik. Os dados foram analisados por meio do teste t e os resultados mostram que os grupos são semelhantes quanto a idade e a composição corporal, porém o grupo do Brasil apresentou melhores resultados nas duas avaliações realizadas quando comparado com o grupo da Espanha. Concluise que os indivíduos brasileiros deste estudo apresentaram melhor desempenho na realização dos testes sobre controle postural.
Study of chronic low back pain treatment using the Back School
Authors: Tobo Andrea , El Khouri Marcelo , Cordeiro Quirino , Lima Moisés da Cunha , Brito Junior Carlos Alexandrino de , Battistella Linamara Rizzo
Published: June 2022

The aim of the present study was to quantitatively analyze the response of patients with chronic low back pain to treatment at the Back School at the IMREA-HCFMUSP. The following scales were used to measure the therapeutic response: the Oswestry Low Back Pain Disability Questionnaire, a Visual Analog Scale (VAS), and a corporal diagram of the pain. The sample was composed of 43 patients with chronic low back pain evaluated, treated, and referred to by the Back School program. The results showed significant improvement among those who completed the program in all three scales applied. Since the period of study was only two months, the results do not support any claim that the Back School is also this effective on long-term treatment of chronic low back pain. Further qualitative and quantitative studies must be carried out in order to support the development of specialized multi-professional teams, who will carry out alterations and improvements in therapeutic resources to the management of chronic low back pain.
Fear among the elderly of suffering recurring falls: the gait as a determining factor of functional independence
Authors: Rezende Adriana Arruda Barbosa , Silva Iris Lima e , Cardoso Fabrício Bruno , Beresford Heron
Published: June 2022

This study was carried out with 60 sedentary elderly females, aged between 68 and 70 years and with histories of falls, registered in the “Idoso Feliz” Program in the city of Rio de Janeiro/RJ, and sought to identify the fear of having repeated falls. Initially, an inquiry was done about the occurrence of falls in the group participating in the research. Interviews were then made by means of the Falls Efficacy Scale- International-Brazil to evaluate the group in relation to the concern with falling during the practice of 16 daily activities. Their dynamic gait profile was also evaluated using the Dynamic Gait Index.  In relation to the concern by the elderly with falling, 40.11% mentioned no concern, 30% reported some concern, 25.33% moderate concern, and 4.6% were very concerned. The activities for which they showed more concern: taking a bath, walking on slippery or irregular surfaces, walking in a crowded place, and going out to social events. On evaluating the dynamic gait index, the majority of the population had a result considered predictive of falls since most of the elderly scored less than 19 points. It could be concluded that the majority of the investigated population showed at least low or moderate concern for suffering recurrent falls in the practice of everyday life activities, physical activities, and social activities, especially when these require muscular strength and balance. This can be justified, in part, by the unsatisfactory dynamic gait index detected, which implies the presence of abnormalities in that biomechanical function.
The client’s perspective regarding their welcoming at a rehabilitation clinic ENDEREÇO
Authors: Cruz Sirlaine Vieira da , Ribeiro Liliane Dias , Cabral Lúcia Helena de Assis , Sampaio Rosana Ferreira
Published: June 2022

The new healthcare measures proposed by the Brazilian National Humanization Policy stress the patients’ welcoming, which constantly seeks to recognize the needs of clients and the forms of satisfying these needs. Studies have demonstrated the importance of humanized care, in which listening to the client is a valuable tool for assessing the efficacy of the service of-fered to a particular population. The aim of the present study was to describe how clients per-ceive the manner in which they are received at a hand rehabilitation clinic and to analyze the most important factors. A qualitative approach was adopted, with semistructured interviews in which clients were asked about how they were received at the clinic in terms of access, posture, and technique. Content analysis consisted of arranging, classifying and analyzing the results. Twelve patients from a public hospital in the city of Belo Horizonte, Minas Gerais, Brazil, participated in the study. The patients considered good reception to be the most hu-manized manner of being received–– with care, politeness, and fondness. Communication between therapist and client proved to be important in building a trusting relationship, generating client satisfaction and favoring progress in the treatment. It was evident that a warm reception was a valuable therapeutic instrument for the rehabilitation professional. Having listening skills and revealing oneself to be sensitive to the needs of the client helps reduce the natural fear and anxiety experienced at the beginning of physical therapy treatment and facili-tates the entire process.
Mesotherapy improves range of motion in patients with rotator cuff tendinitis
Authors: Sposito Maria Matilde de Melo , Rivera Daniele , Riberto Marcelo , Metsavaht Leonardo
Published: June 2022

There is published evidence on the effect of mesotherapy for inflammatory shoulder diseases. Objective: Evaluate the gain in range of motion (ROM) in patients with rotator cuff tendinopathy treated with mesotherapy. A retrospective series of cases conducted from medical records. Location: an outpatient rehabilitation and orthopedic service. 145 patients with clinical diagnosis of rotator cuff tendinopathy, with limited active range of motion. Method: The study subjects were treated with mesotherapy between 1995 and 2008, the blends were selected according to the patient’s profile and tolerance. The effect on the ROM was qualified as “not improved” or “improved”. The improvement in symptomatology was correlated to age, duration of symptoms, and drugs used in the mesotherapy. The concomitant application of physical therapy was also correlated with the result. The adverse effects were evaluated systematically. Results: 117 patients (80.7%) presented objective improvement of ROM or of pain. The result was not influenced by age, duration of symptoms, or by the concomitant application of physical therapy. Only smaller adverse effects were observed. Conclusion: This study suggests that mesotherapy can be efficient in the treatment of rotator cuff tendinopathy, for the improvement of pain, ROM, or global functioning of the upper limb. The clinical impact of this study is that mesotherapy can be associated with the standard physical therapy treatment to improve ROM and pain in rotator cuff tendinopathy.
Body composition of active persons with spinal cord injury and with poliomyelitis
Authors: Ribeiro Sandra Maria Lima , Kehayias Joseph , Silva Regina Célia da , Tirapegui Julio
Published: June 2022

This study sought to evaluate the body composition of subjects with active spinal cord injuries and polio. Method: Two groups of males and females, active, free-living, of similar ages and body mass index (BMI), were distributed according to the source of deficiency: SCI – low spinal cord injury (T5-T12) and P – survivors of poliomyelitis infection. Body composition was analyzed by DEXA (fat and lean mass); bioelectrical impedance by vector analysis (BIVA analysis; resistance and reactance). Participants of the same gender were compared according to the source of deficiency, and both groups had their values compared to a reference population, when available. Results: Mean vectors were assessed with Hotelling’s T2 test and compared by Mahalanobis distance (D). DEXA analysis pointed out the men of P group with higher absolute amount of lean mass, and consequently the higher body lean mass index; both groups presented lower values than a reference study. With regard to BIVA analysis, P men presented higher resistance than SCI men and, consequently, a lower phase angle. Conclusion: Considering body composition as an indirect indicator of nutritional status, the present study suggests that, even with both groups presenting lower values than a reference population, there is a possibility of an increased nutritional risk for polio individuals than SCI, and this risk seems to be higher in men than in women. Further investigation, adopting biochemical and dietetic markers, and a higher sample size, certainly could better explore and understand our results.
Use of interactive video game for stroke rehabilitation
Authors: Souza Lucas Barbosa de , Paim Chennyfer da Rosa Paino , Imamura Marta , Alfieri Fabio Marcon
Published: June 2022

Stroke is an ischemic or hemorrhagic clinical condition that affects the central nervous system and engenders cognitive and motor deficits. Many studies are made each year to find better ways to alleviate the symptoms and recover as many of the functions lost as possible. Nowadays, the latest trends in rehabilitation are exploiting advances in technology and virtual reality devices, such as the Nintendo Wii®. Objective: To identify the functional results obtained in the rehabilitation of individuals with stroke using the interface of the Nintendo Wii games. Method: For this systematic review, articles were selected from MEDLINE, PubMed and the Cochrane Library through the PICO strategy. The keywords used were: User-Computer Interface; Stroke; and Rehabilitation. Results: We found 229 articles, of which only 3 were used in this review, because they showed a direct relationship between Wii and stroke. All studies showed benefits such as improved motor coordination and agility of upper limbs using the Wii associated with conventional therapies such as physiotherapy and occupational therapy. Conclusion: Further studies should be performed with Nintendo Wii® and the new Virtual Reality Technologies that appear every day in order to improve the level of scientific evidence regarding the use of these resources in the rehabilitation of stroke patients.
Effect of lateral dominance on manual dexterity in people with Down syndrome
Authors: Guimarães Renata , Blascovi-Assis Silvana Maria , Macedo Elizeu Coutinho de
Published: June 2022

Objective: To evaluate the effect of lateral dominance on manual dexterity in a group of children and adolescents with Down syndrome (DS) and to compare the results from participants with DS with people without the syndrome. Method: The study included 100 children and adolescents of both sexes with ages ranging from 7 to 9 years and 14 to 15 years. 50 people were diagnosed with DS (GDS) and 50 without the syndrome (GC). The Box and Blocks Test (BBT) was used because it allows assessment of motor activity by counting the number of blocks transferred between two divisions of a standard box. The BBT implementation is simple and does not require complex cognitive skills. Results: The number of blocks transferred per minute was lower in participants of GDS than the GC, with a clear disadvantage for manual dexterity in both hands. There was no effect of dominance in the GDS, but the GC showed better performance on the dominant side. Conclusion: The BBT was useful for the quantification of manual dexterity in people with DS as it is easy to apply and understand by people with cognitive impairment.
Effects of geotherapy and phytotherapy associated with kinesiotherapy in the knee osteoarthritis: randomized double blind study
Authors: Arthur Katleen , Nascimento Ligia Carla do , Figueiredo Delize Alves da Silva , Souza Lucas Barbosa de , Alfieri Fábio Marcon
Published: June 2022

Geotherapy is the therapeutic use of clay materials which are defined as natural earths that have different minerals in their composition. Objective: This work aimed to compare the pain, mobility, weight-bearing, and functional impairment in individuals with Knee Osteoarthritis who had undergone two types of physiotherapy treatments: the first group associated Geotherapy with Kinesiotherapy (GGK) and second group associated Geotherapy and Phytotherapy with Kinesiotherapy (GGFK). Method: This study was a randomized double-blind clinical trial, which was attended by 25 individuals of both sexes aged over 43 years; they underwent 10 sessions lasting 45 minutes each. The individuals performed the assessments to check for pain by using a visual analogue scale (VAS); to assess functional mobility, the test Timed Up and Go (TUG) test; to assess disability and symptoms, the Lequesne Algo functional questionnaire; and finally the Nintendo Wii Fit®, to measure weight-bearing between members. Results: The results showed that only the GGFK had improved functional mobility. Both groups improved the intensity of pain and symptoms after the intervention and that improvement in GGFK was superior for symptoms in relation to GGK. Both groups showed a reduction in the intensity of pain and symptoms after the intervention, and the GGFK improvement was greater than the GGK for symptoms of Osteoarthritis (OA). Neither group showed any improvement in weight-bearing. Conclusion: It was concluded that geotherapy and phytotherapy associated with kinesiotherapy can be beneficial in reducing the pain and functional impairment associated with knee OA.
The influence of mirror therapy on functional limitations of hemiparetic patients: a systematic review
Authors: Conceição Lívia Portugal da , Souza Priscila de , Cardoso Leyne de Andrade
Published: June 2022

The purpose of this study was to assess the influence of mirror therapy (MT) on sensory and motor deficits of hemiparetic patients affected by stroke, through systematic review. Method: A review was performed in the LILACS, MEDLINE, PubMed and SciELO databases, covering the last 12 years. The classification of articles was made through the PEDro platform. Results: This study included all five articles, clinical trials, and randomized controlled trial, which used MT in the treatment of hemiparetic patients. The scores of studies ranged from 4 to 7 by the PEDro scale, with an average grade of 6.2. Discussion: Some studies have shown that MT is beneficial to increase the accuracy, range, and speed of movement and other studies have indicated that there is a greater recovery and motor function in patients treated with MT. One study analyzed hemiparetic patients with acute stroke and with complex regional pain syndrome type 1 (CRPSt1), concluding that MT improves motor and sensory function. Conclusion: MT is beneficial for motor recovery, sensorymotor function, and decreased pain. Individuals affected by stroke require physical therapy and the amount of therapy can influence the motor learning and neural plasticity. We know the importance of intensive stimulation to increase the adaptive capacity of the central nervous system in response to experiences, and adaptations to repeated stimuli under various conditions. Thus, it is necessary to carry out new clinical protocols with different frequencies to show future results with reality in rehabilitation centers.
Improvement in the quality of life and pain intensity among workers with shoulder impingement syndrome after application of the Isostretching method
Authors: Barbosa Érica Carvalho , Peres Claudia Maria , Lucca Sérgio Roberto de , Oliveira José Inácio de
Published: June 2022

Among Work-Related Musculoskeletal Disorders, the Shoulder Impingement Syndrome (SIS) is the leading cause of work disability. Aside being off work, many cases often require physiotherapy. The Isostretching method can be an alternative and can contribute to improving the quality of life of workers with SIS. Objective: To verify the effects of a treatment protocol based on the Isostretching method in individuals with SIS, in improving the quality of life and decreasing pain intensity. Method: By analyzing patient records in treatment at the occupational health clinic and other Unicamp clinics, 30 volunteers were selected and submitted to 12 physiotherapy sessions with the Isostretching method for 6 weeks. The volunteers were evaluated before and after the proposed protocol using the SF-36 quality of life questionnaire and a visual numeric pain scale. Data was analyzed using (ANOVA) variance analysis, which was performed using software R, version 2.12.0. Results: The results of the SF-36 quality of life questionnaire showed statistically significant differences (p < 0.05) in most areas. In the visual numeric scale from zero to ten, the average value was 6.63 points pre-treatment and 3.23 post-treatment, which was significant (p < 0.05). Conclusion: The proposed protocol was effective in improving the quality of life and in reducing pain in the group of volunteers studied.
Functional electrical stimulation (FES) and neuronal plasticity: a historical review
Authors: Cecatto Rebeca Boltes , Chadi Gerson
Published: June 2022

Neurophysiological imaging studies have revealed changes in the pattern of cortical structures and clinical functionality during recovery after brain lesion, thus suggesting a correlation between clinical functional improvements and the plastic changes of the neuronal tissue. However, the interpretation of these results remains equivocal. Importantly, therapeutic neuronal stimulation leading to neurorehabilitation gains and is able to trigger endogenous nervous system changes that may interact with normal learning. In this way, stimulation of the endogenous CNS neuroplasticity as an anatomical substrate for neuronal functional recovery has emerged as a promising area in the search for understanding the mechanisms that regulate functional recovery after brain lesion. Objective: This study aims to review historical literature to score major milestones in the study of peripheral electrical stimulation and their possible effects on the CNS, particularly in relation to functional electrical stimulation. Method: This review was drawn from an examination of the historical literature articles researched at MedLine®, the National Library of Medicine’s database. We selected 169 studies based on historical relevance, importance, and accuracy. Results: FES has the ability to interact with the CNS. The extent to which compensatory plasticity occurs after stroke after FES use and the extent to which that contributes to functional recovery are as yet unclear. Nevertheless, further investigations are warranted for evaluating the effect of FES on cortical structural modifications.
Communicative processes of individuals with injuries of the right cerebral hemisphere
Authors: Pinto Aline Rodrigues , Gastão Ana Paula Ferreira , Ferreira Milene Silva , Sakamoto Marla Fabiana Rodrigues Oliveira , Santana Andréa Siqueira Kokanj
Published: June 2022

Objective: This study aimed to profile the language skills of patients with damage to the right cerebral hemisphere attended at the Ibirapuera Unit (Central) of the Association for the Welfare of Handicapped Children - AACD (Associação de Assistência à Criança Deficiente - AACD/Unidade Ibirapuera - Central), and to discover the perceptions of caregivers and patients regarding the presence or absence of language disorders after a stroke. Method: The descriptive study was conducted from July to September of 2009 with 11 adults through the application of the Montreal Communication Evaluation Battery (known in Brazil as Bateria MAC) tests, the Questionnaire on Awareness of Difficulties, and the Communicative Disorders Screening on individuals with neurological conditions, direct relatives, and/or caregivers. Results: It was found that 90.9% of patients with injuries of the right cerebral hemisphere had a deficit in at least one of the tests comprising the Bateria MAC assessment of language. Conclusion: Findings showing the patient’s absence of awareness of their linguistic and cognitive deficits are also very important, not only about their daily life activities, but about their agnosia.
Tradução e adaptação cultural da escala “Lower Limb extremity Amputee Measurement Scale” para a língua portuguesa
Authors: Gardin Ana Maria Vieira , Resende Juliana Mantovani de , Chamlian Therezinha Rosane
Published: June 2022

Objetivo: Traduzir a versão original da escala Lower Limb extremity AmputeeMeasurement Scale (LLAMS) da língua inglesa para a portuguesa; verificar o nível de compreensão da escala entre os profissionais da saúde e construir uma versão adaptada culturalmente aos profissionais da população brasileira. Método: Foram realizadas duas traduções da escala original americana para o português, e a tradução consensual foi convertida em duas novas versões para a língua inglesa. Estas duas versões foram comparadas com a versão original do instrumento americano e novamente as divergências foram analisadas e modificadas para um consenso com a versão original. Obteve-se uma versão brasileira da LLAMS modificada que foi avaliada em relação à sua equivalência cultural e conteúdo. A versão brasileira da LLAMS foi aplicada em profissionais da área da saúde (n = 20) para avaliação do nível de compreensão de cada sentença. Resultados: Na primeira aplicação, obteve-se 35% de não compreensão no item “data clínica,” e este item foi substituído por “data da consulta médica”. A escala foi então reaplicada, obtendo-se 100% de compreensão. Conclusão: Foi realizada a tradução e a adaptação cultural da versão original do LLAMS da língua inglesa para a portuguesa e quantificou-se o nível de compreensão dos profissionais, obtendo-se 100% de compreensão dos itens após duas aplicações. Com isso, construiu-se uma versão adaptada culturalmente aos profissionais e pacientes da população brasileira.
Evaluating gross motor function of cerebral palsy patients using the GMFM pre and post lower extremity orthopedic surgery
Authors: Gomes Caio Ribeiro Azevedo , Araújo Isolda Ferreira de , Maciel Simone Carazzato
Published: June 2022

Orthopedic surgery is often used to improve the gait of ambulatory patients with cerebral palsy. The objectives may change, given the motor severity, however, an improve in the patient’s mobility can be achieved through surgical procedures of the lower extremity. The Gross Motor Function Measure (GMFM) is a measure of gross motor function, used to evaluate therapeutic choices, rehabilitation progress and in our institution, to evaluate, orthopedic surgeries. Objective: The main goal of this study was to evaluate orthopedic surgeries performed in children with cerebral palsy, through comparison of the GMFM’s score pre and post procedure. Method: We included in this study, patients with great limitation in mobility function but potential to improve (Levels III and IV of the Gross Motor Function Classification System), that underwent surgical procedures between January 2010 and December 2012, achieving a total of 36 subjects. Results: There was no statistically significant change between the measures, except for the C domain (crawling and kneeling), that presented a lower post-surgical procedure score. Age, time of follow up, the surgery’s characteristic, and, most of all, the instrument used, which in our case was the GMFM, were pointed as possible difficulties in measuring objectively the results of lower extremity surgery in children with cerebral palsy. Conclusion: A larger sample of subjects evaluated through a more appropriate instrument is still necessary to acknowledge the real effects of orthopedic surgery of lower extremity in patients with cerebral palsy.
Development of an exercise manual and guidelines for patients with plantar fasciitis
Authors: Silva Rafael Henrique da , Pontin José Carlos Baldocchi , Costa Thiago Ragusa , Chamlian Therezinha Rosane
Published: June 2022

Plantar fasciitis is a common cause of heel and foot pain. It affects approximately 2 million Americans annually. Physiotherapy is the first treatment prescribed, and its success depends on the patient’s adherence to treatment. Objective: This study aimed to develop a manual with orientations and exercises for patients with plantar fasciitis and to assess its clarity, level of understanding, and satisfaction among patients and physiotherapists. Method: Thirty physiotherapists and thirty patients, who were literate and showed no cognitive deficit, participated in this study. They analyzed a manual that consists of 10 exercises and orientations for patients with plantar fasciitis. Results: All exercises and orientations were well understood (above 90%). The manual was considered excellent by the patients and great by physiotherapists. Conclusion: Demonstrating a relevant level of understanding and satisfaction among therapists and patients, the manual proved to be a supplementary tool in the treatment of patients with plantar fasciitis.
Aging and chronic pain: a study of women with fibromyalgia
Authors: Hayar Maria Angelica Schlickmann Pereira , Salimene Arlete Camargo de Melo , Karsch Ursula Margarida , Imamura Marta
Published: June 2022

Objective: This study seeks to investigate the aging process of women affected by fibromyalgia, as well as its physical, personal, and social impacts. Method: Sixty-six (66) women participated who were diagnosed with fibromyalgia, aged from 30 to 68 years, living in Sao Paulo/SP. For qualitative research, a group of fifteen (15) out of the 66 women was selected at random: five (05) aged from 30 to 49 years; five (05) aged from 50 to 59 years; and five (05) aged 60 years and above. Individual, semi-structured interviews designed by the author were conducted, recorded, and later transcribed verbatim. The instrument sought to encourage the subjects to reflect in order to access social representations of pain, of the disease, and of aging with chronic pain. The methodology used for processing the qualitative research data was the Collective Subject Discourse technique. Results: Analysis indicated greater incidence of fibromyalgia among elderly women, but the impact on quality of life, as measured by the FIQ, was greater among the middleaged group (50 to 59 years). There was a greater prevalence of the disease among women with poor levels of formal learning, but it was found that the impact of fibromyalgia was more significant for women with higher education. The presence of religiosity was very significant in this group of subjects. Conclusion: Primary care provided by public health programs, such as “Estratégia de Saúde da Família” (Family Health Strategy), requires the proper approach to a person suffering from such a peculiar chronic illness as fibromyalgia. This approach should be extended to the elderly, in observation to the policies for humanization of healthcare services seeking to promote health.
The association of GMFCS levels with education, type of motion, pain, and employability in adults with cerebral palsy
Authors: Zanelato Natali , Rosanova Giselle Cristina Lopes , Santucci Fernanda , Campos Debora da Silva Fragoso de , Narumia Lisa Carla , Ozu Márcia Harumi Uema
Published: June 2022

Adults with cerebral palsy (CP) have experienced premature aging associated with function decline. And despite improvements in health care, studies show that these individuals have fewer opportunities to have some kind of education and employment, in addition to presenting complaints of pain and alterations in their ability to walk. Objective: The aim of this study was to check the association of GMFCS levels with the parameters of employability, education, level of ambulation, and pain in adults with CP. Method: 671 medical records were selected to analyze the correlations among the variables mentioned above. Result: It was noticed that those with the more severe levels of CP have fewer chances to get any level of education and employment, in addition to presenting a worse gait. Conclusion: No association was found between levels of GMFCS and the parameter for pain.
Motor stimulation protocol for children and adolescents 4 to 17 years old in an outpatient clinic for persons with Down’s syndrome
Authors: Mota Cristiane Gonçalves da , Cardoso Cristiane Vieira , Cavalcante Leandro Lanchotti , Ardelino Ednaldo , Miyahara Katia Lina , Tempski Patricia Zen
Published: June 2022

The motor development stage is the period in which children explore their motor skills and, depending on the stimulation of the environment and the proposal of tasks, they may achieve a satisfactory global development. Children with Down’s Syndrome can achieve satisfactory and even adequate development for their chronological age if they receive the appropriate stimulation, even if late in acquiring motor skills. In adolescence, the work of motor development should be continued with specialized activities such as sports so that the development acquired is maintained and refined. The objective of this article is to present the motor stimulation program developed at the HCFMUSP Physical Medicine and Rehabilitation Institute. It is believed that an appropriately structured motor stimulation program for children and adolescents with Down’s Syndrome acts as an important means of intervention to provide the proper development of essential and specialized motor skills.
Oropharingeal dysphagia in patients with chronic Chagas disease: phonoaudiological, videofluoroscopic, and manometric evaluations
Authors: Cabral Danielly Moreira Gonçalves , Abrahão Júnior João Luiz , Marques Charles Henrique Dias , Pereira Basílio de Bragança , Pedrosa Roberto Coury
Published: June 2022

Objective: To determine the frequency of episodes of laryngeal penetration and aspiration in chronic Chagas patients and to evaluate the interpreted relationship not only with the patterns displayed in videofluoroscopy and manometry, but also with clinical screening and structural and functional phonoaudiological evaluation. Method: Clinical and phonoaudiological (structural and functional) evaluation, fluoroscopy, and computed manometry were performed on all patients. Results: Twenty-two patients were included in the study, fifteen females and seven males. Age ranged between 37 and 70 years, mean 55.9 ± 10.2 years. Among the complaints in clinical screening, 18.2% were choking, 13.6% reported throat-clearing, 40.9% heartburn, 22.7% regurgitation, and 36.4% had the sensation of food stuck in the throat. Only 18.2% of patients had adequate dentition. Functional assessment of swallowing detected only 31.8% capable of functional swallowing. In videofluoroscopy, lingering residues were found in the pharynx in 18.2% of cases, followed by multiple swallows 95.4% and 100% posterior escape. There were 4 cases of grade 2 laryngeal penetration (dysphagia) and, in 82% of cases, the findings were similar for the non-occurrence of laryngeal penetration in the videofluoroscopy and in the functional assessment of swallowing. The apertures of the upper esophageal sphincter indicated a relationship with the volume of swallowed bolus. In the manometry, 42.1% of changes were found in the body of the esophagus and 5.3% in the pharynx. Conclusion: Laryngeal penetration was prevalent in 18.2% of cases with an important interpretation of the functional relationship between clinical assessment and videofluoroscopic findings regarding the absence of laryngeal penetration, with similar results in 82% of cases.
Cross-cultural adaptation of the Motor Assessment Scale (MAS) for Brazil
Authors: Wanderley Elaine Lima Silva , Teixeira-Salmela Luci Fuscaldi , Laurentino Glória Elizabeth , Simões Luan César
Published: June 2022

Objective: To make a cross-cultural adaptation of the MAS for Brazil. Method: The process of cross-cultural adaptation took place in five stages: 1) translation of the original version of the MAS by two independent bilingual translators; 2) synthesis of translations (creation of version 1); 3) back-translation (version 1 in Portuguese was reversed to English by two independent bilingual translators); 4) analysis by the specialists committee (four translators and two physiotherapists); 5) pre-test (application of the instrument in the target population). A Delphi study was also performed and the instrument was submitted to the approval of ten physiotherapists from different states in the country. Results: The consensus about the clarity, semantic equivalence, and technicalscientific relevance of MAS-Brazil was obtained in the second phase of the Delphi study, with agreement between 80 and 100%. In the first phase of the Delphi study, suggestions were made to improve the clarity of the items, which resulted in the Delphi-2 list. Conclusion: The MAS-Brazil was created through an appropriate process of cross-cultural adaptation, ensuring its semantic equivalence and cultural adequacy. It is still necessary to verify the measuring properties of this version for its appropriate use clinically and in research.
Results of a physical fitness program for a patient with severe hemophilia A
Authors: Cruz Leonardo Danelon da , Mota Cristiane Gonçalves da , Cardoso Cristiane Vieira , Miyahara Katia Lina , Yamamoto Rodrigo Luis , Jorge Filho Donaldo
Published: June 2022

Hemophilia is a blood clotting disorder that causes the decrease or absence of blood coagulation factors VIII or IX. This disease causes a person to bleed longer than a normal person if it is not treated. A 31-year-old male with hemophilic arthropathy in the left elbow and right ankle was evaluated. The program lasted 20 months, with aerobic and muscle strength training. The muscles involved were the pectoralis major, latissimus dorsi, biceps brachii, triceps brachii, deltoideus, quadriceps femoris, and hamstring. The patient performed two series of 10 repetitions with 45 seconds between series. The intensity was based on the initial test of 10 maximum repetitions in accordance with the rate of perceived exertion on the Borg Scale. Aerobic exercise was performed on a horizontal stationary bike for 20 minutes. Pulse rate was registered at rest, after 10 and then 20 minutes of workout, and again after three minutes of recovery. Six months before the initiation of the fitness program the patient suffered three hemorrhages: two spontaneous in the left elbow and left ankle and one in the right leg due to a small unspecified trauma. All three hemorrhages were treated by means of clotting factors (CF’s). During the program period, the first hemorrhage treated with CF’s occurred in the left elbow by trauma after increasing the exercise load. Twelve months later, the patient had spontaneous bleeding in the same joint. The least improvement in strength was found for the triceps brachii with 33%, whereas the knee extensors improved the most with 257%. The average muscle strength increase was 121%. Monitored physical exercise is an important vehicle in treating of people with hemophilia, presenting the need for resistance training specific for hemophilic patients to prevent injuries and avoiding early wear of the musculoskeletal system. The objective of this study was to present the results of a physical activity program to prevent bleeding episodes in a person with severe hemophilia A and the prophylaxis without administering any clotting factors
Investigating information regarding functional capacity and quality of life in institutionalized elderly according to the ICF
Authors: Araujo Luize Bueno de , Moreira Natália Boneti , Villegas Isabela Lúcia Pelloso , Loureiro Ana Paula Cunha , Israel Vera Lúcia , Gato Simone Alves , Kliemann Gisele
Published: June 2022

Objective: To evaluate the functional capacity and quality of life (QoL) of the institutionalized elderly from an ICF perspective. Method: A cross-sectional observational analytic study was conducted with 22 elderly residents (77.9 ± 9.41 years) of a long-stay care institution in Curitiba, Paraná. The following assessment instruments were applied: the Barthel Index, the Nottingham Health Profile Questionnaire, and the International Classification of Functioning, Disability, and Health (ICF). Analysis of the data was done by measures of central tendency (mean) and dispersion (standard deviation). The ICF was analyzed by the distribution of relative and absolute frequencies. Results: The majority of the sample had medium cognitive status and light functional dependency. The domain that most interfered with the elderly’s QOL was physical ability, energy level, sleep, and emotional and social pain, respectively. The ICF frequency distribution showed aspects not observed in the conventional assessment of the participants; in particular, it showed great specificity in the following functions: mental, sensory, and pain, the digestive, metabolic, and endocrine systems, psychomotor, movement, personal care, support and relationships, and individual activities. Conclusions: It is expected that the ICF will be adopted and used in various areas of health, including long-stay care facilities and multidisciplinary teams, so that professionals, through a unified and standard language, may intervene in the health of the individual as a whole.
Profile, recommendation criteria, and outcome of gastrostomy tube insertions in a pediatric teaching hospital
Authors: Soutinho Luise Alexandre Rocha , Fontes Danyelle Araujo , Carvalho Yonatta Salarini Vieira de , Brendim Mariana Pinheiro , Marques Charles Henrique Dias
Published: June 2022

Objective: To describe the profile of patients undergoing a gastrostomy, the recommendations and outcome of this insertion in a Pediatric Teaching Hospital. Method: This was a retrospective, quantitative, and descriptive study that researched the records of patients who underwent a gastrostomy between January 2010 and December 2012. Results: The diseases and conditions most frequent were chronic infantile encephalopathy (77.5%), pneumonia (67.5%), seizures (57.5%), and malnutrition (42.5%). Although most patients presented a history of dysphagia (62.5%), oral feeding was observed most frequently as the most common form of nutrition, before the gastrostomy insertion (42.5%), followed by nasoenteric tube (40%). The introduction of nutrition by gastrostomy was successful and occurred an average of 2.82 (± 1.19) days after insertion. Six months after their gastrostomy, 80% of patients continued feeding only through this access tube and only 2.5% had removed the gastrostomy; 45% of the participants had gastrostomy complications, with extravasation of gastric material (15%) and local inflammation (15%) being the most frequent. Conclusion: The profile of patients undergoing gastrostomy is mostly of individuals with neurological and respiratory diseases, without respiratory support, of the male gender, and feeding by oral cavity or nasoenteric tube for a prolonged period. The main recommendation criteria were dysphagia and neurological diseases. Regarding the outcome, the introduction of nutrition by gastrostomy was successful; most individuals remained with this long-term nutritional support and the most common complications were gastric material extravasation and local inflammations
Qualidade de vida e desempenho ocupacional de indivíduos com esclerose múltipla
Authors: Andrade Valeria Sousa de , Silva Maysa de Oliveira
Published: June 2022

A esclerose múltipla (EM) é uma doença neurológica degenerativa e crônica com ampla gama de sinais e sintomas que podem comprometer a qualidade de vida (QV) e o desempenho ocupacional (DO) dos indivíduos que a exibem. Objetivo: Resumiu-se em avaliar a existência de possível correlaçao entre DO e QV em populaçao com essa doença. Método: Trata-se de uma pesquisa transversal e quantitativa cujos indivíduos frequentavam o ambulatório de neurologia do hospital de clínicas de uma universidade federal no estado de Minas Gerais. O DO e a QV dos indivíduos foram obtidos através da versao em português dos instrumentos Medida Canadense de Desempenho Ocupacional (COPM) e Escala de Determinaçao Funcional da Qualidade de Vida (DEFU), respectivamente. A análise dos dados foi realizada por meio do Coeficiente de Correlaçao de Pearson. Resultados: A amostra envolveu 24 sujeitos, sendo 66,7% do sexo feminino com idade média de 48,3 anos (DP = 10,21). O tipo remitente recorrente (RR) de EM foi o mais observado (91,7%). Os resultados da COPM revelaram que a maior parte dos participantes apresentou desempenho variando de moderado a ruim, tendo sido enumeradas as atividades "andar na rua, subir e descer escadas, ir à casa de familiares e amigos, dançar e ler" como mais difíceis de serem realizadas. Mais de 75% dos indivíduos obtiveram escores abaixo de 6,7 pontos. A DEFU indicou que a QV dos participantes se configurou como boa, tendo 90% dos indivíduos alcançando escore acima de 72 pontos. A associaçao entre o escore da DEFU e seus domínios com os escores de desempenho e satisfaçao da COPM nao apresentou correlaçao estatisticamente significante. A correlaçao entre a "mobilidade" da DEFU apresentou correlaçao significativa com o escore de desempenho da COPM (r = 0,438, p = 0,032). Conclusao: A fadiga é uma das manifestaçoes mais comuns e perturbadoras e pode comprometer o desempenho nas funçoes individuais de forma variada, sendo relatada por 92% dos indivíduos deste estudo. Isto pode ser explicado pelo diminuído número de surtos observados, pela predominância do tipo RR da doença, possível suporte familiar e social. Salienta-se também que alguns participantes da pesquisa mencionaram inteirar-se quanto aos aspectos da doença através da internet ou e reunioes em associaçoes, fato que, segundo eles, os levou a se tornar a par do caráter evolutivo e deteriorante da doença. Isto pode tê-los levado a refletir sobre sua situaçao de vida e ter influenciado sua opiniao sobre a qualidade da mesma.
Associação entre desempenho funcional e quedas em idosas classificadas segundo a faixa etária
Authors: Amarante Thiago Rogério Padilha , Gomes Anna Raquel Silveira , Santos Flavia Pinotti dos , Coelho Rodrigo Augusto , Valderramas Silvia
Published: June 2022

Objetivo: Avaliar o desempenho funcional e o histórico de quedas de idosas. Método: Estudo observacional de corte transversal, onde foram selecionadas 57 idosas da comunidade, divididas em 3 grupos, segundo a faixa etária: G1- 60 a 69 anos; G2- 70 a 79 anos e G3- 80 a 89 anos. Foram avaliados: mobilidade funcional ("Timed Up & Go Test"); potência muscular (Teste de sentar e levantar 5 vezes); força de preensão manual (dinamômetro manual JAMAR®), histórico e prevalência de quedas. A análise das diferenças intergrupos foi realizada por meio da ANOVA One way e post hoc Tukey. As correlações foram avaliadas por meio do teste de Spearman. Resultados: Idosas do G3 quando comparadas aos grupos G1 e G2, apresentaram diminuição da FPM (18,08 ± 3,29 Kgf vs. 28,10 ± 4,26 Kgf; 18,08 ± 3,29Kgf vs. 22,92 ± 4,01, p = 0,001), da potencia muscular (14,44 ± 2,85s vs. 12,27 ± 2,34s; 14,44 ± 2,85s vs. 13,16 ± 2,27s, p = 0,04) e da mobilidade funcional (11,56 ± 3,10s vs. 8,57 ± 2,25s; 11,56 ± 3,10s vs. 10,30 ± 2,58s, p = 0,004). A maior prevalência de quedas foi nas idosas do G2 (52,6%) sendo que, nos últimos 6 meses, 26% caíram 1 vez, 5% caíram 2 vezes; 10% caíram 3 e 4 vezes. As idosas do G1 e G3 caíram 1 vez. A frequência de quedas apresentou correlação com mobilidade funcional (r = -0,52, p = 0,018). A idade apresentou correlação com a força de preensão manual (r = -0,67, p = 0,0001), potencia muscular (r = 0,31, p = 0,02) e com mobilidade funcional (r = 0,49, p = 0,0001). Conclusão: A prevalência de quedas foi maior na faixa etária entre 70-79 anos e quanto maior a idade pior o desempenho musculoesquelético e funcional.
Mensuração de sobrecarga emocional em cuidadores de crianças com paralisia cerebral
Authors: Marques Yara Haydenilla Menezes , Rangel Tathiana Corrêa , Moraes Gleidially Nayara Bezerra de , Bezerra Roberto Rodrigues , Carmo Rodrigo Feliciano do
Published: June 2022

Objetivo: O presente estudo tem por objetivo avaliar o nível de sobrecarga emocional em cuidadores de crianças com paralisia cerebral, assim como, os possíveis fatores que influenciarão o aumento dessa sobrecarga. Métodos: Trata-se de um estudo descritivo de corte transversal realizado no período de fevereiro de 2014 a Setembro de 2014, em ambulatórios de fisioterapia de serviços públicos e privados. Resultados: Foram avaliados 41 cuidadores. A média de sobrecarga pela Burden Interview foi de 25,2 ± 10,1, onde 37 desses cuidadores eram mães. A sobrecarga foi maior em indivíduos com renda familiar entre 1 e 2 salários mínimos; idades mais avançadas (33,5 ± 14,77) apresentaram maior tendência à sobrecarga; e indivíduos que apresentaram um maior número de filhos (2 ou 3), tiveram resultado estatístico significante, com p = 0,0091. Conclusão: Os cuidados dispensados às crianças com paralisia cerebral e as condições físicas e socioeconômicas do cuidador são fatores importantes no aumento da sobrecarga emocional destes. Foi possível verificar, ainda, que quanto maior o número de filhos, maior a sobrecarga emocional, e que tal condição está diretamente relacionada à idade do cuidador e a renda familiar.