bluuebunny/crossref_metadata_2025 huggingface dataset:
Uso de testes clínicos para verificação do controle postural em idosos saudáveis submetidos a programas de exercícios físicos
Authors: Alfieri Fábio Marcon , Riberto Marcelo , Gatz Lucila Silveira , Ribeiro Carla Paschoal Corsi , Battistella Linamara Rizzo
Published: June 2022

O controle postural no envelhecimento diminui e a prática de exercícios físicos pode melhorar esta importante função. A fim de medir estas possíveis melhoras, podem ser usados diversos testes. O objetivo deste estudo foi o de analisar o uso de testes clínicos de medidas indiretas para verificar as alterações sobre o controle postural de idosos saudáveis submetidos a programas de exercícios físicos. O desenho do estudo foi um ensaio clínico simples-cego e aleatorizado com braços paralelos. Participaram da pesquisa 46 idosos divididos aleatoriamente em dois grupos de exercícios: multissensoriais (GMS, n=23, 68,8±5,9 anos) e de fortalecimento (treino resistido) (GR, n=23, 70,18±4,8). Ambos os grupos realizaram 12 semanas (2dias/semana, 50m/dia) de exercícios. Para avaliação do controle postural foram utilizados os testes: Timed up and go (TUG), teste de apoio unipodal, bateria de testes de Guralnik e escala de equilíbrio funcional de Berg. Os indivíduos do GMS apresentaram melhora significativa nos testes TUG e bateria de testes de Guralnik e o GR não apresentou melhora em nenhum dos testes. A melhora no tempo de execução do teste TUG do GMS que foi de 9,1±8,04 para 8,0±1,0 segundos após a intervenção, foi estatisticamente superior ao resultado do GR. Acreditamos que o teste TUG e a bateria de testes de Guralnik são boas opções para avaliar o controle postural de idosos submetidos a programas de intervenção. Embora o TUG não possa ter seu tempo diminuído indefinidamente, permite verificar até mesmo dentro de um tempo de normalidade, alterações promovidas por exercícios físicos.
Características biomecânicas da articulação escapulotorácica no retorno da elevação dos membros superiores: uma revisão da literatura
Authors: Cota Eva Guedes , Faria Christina Danielli Coelho de Morais
Published: June 2022

O objetivo deste estudo foi realizar uma revisão da literatura sobre as características biomecânicas da articulação escapulotorácica no retorno da elevação dos MMSS em indivíduos saudáveis e com disfunções no complexo articular do ombro. Para isso, foram realizadas pesquisas nas bases de dados MedLine (PubMed), LILACS, Scielo e PEDRo seguida de busca manual e, após análise de um total de 232 estudos encontrados, 14 foram selecionados por atenderam aos critérios de inclusão previamente estabelecidos. Desses, oito investigaram características cinemáticas, seis características eletromiográficas, sendo que dois estudos investigaram as duas características associadas e apenas dois apresentaram resultados relacionados a indivíduos com disfunções no complexo articular do ombro. Os resultados desses estudos demonstraram que, durante o retorno, os movimentos tridimensionais da articulação escapulotorácica envolvem a combinação de rotação inferior (eixo perpendicular ao plano da escápula), inclinação anterior (eixo medial-lateral) e rotação interna (eixo vertical) seja o retorno realizado no plano frontal (retorno da abdução), sagital (retorno da flexão) ou no plano escapular. Dessa forma, o retorno da elevação dos MMSS resulta em reversão dos movimentos escapulotorácicos que ocorrem durante a elevação, mas apresenta diferenças significativas nas posições angulares da articulação escapulotorácica em relação à elevação, principalmente para os movimentos de rotação interna e inclinação anterior. A escassez de estudos que avaliaram as características biomecânicas da articulação escapulototácica em indivíduos com disfunções no complexo articular do ombro limita a compreensão da cinemática e atividade muscular nessa população específica.
Cognitive condition of patients with CVA in primary health care in João Pessoa - PB
Authors: Mendes Luciana Moura , Neves Robson da Fonseca , Ribeiro Kátia Suely Queiroz Silva , Brito Geraldo Eduardo Guedes de , Lucena Eleazar Marinho de Freitas , Batista Hermínio Rafael Lopes , Morais Jairo Domingos de
Published: June 2022

Cerebrovascular Accident orStroke (CVA) has a high prevalence worldwide causing neurological disability in adults. Cognitive deficit is one of the most important consequences, since its recognition is difficult and thus may interfere with the rehabilitation process and lead to impacts on the life quality of affected people. Objective: The goal was to estimate the prevalence of cognitive impairment in stroke among those with Primary Health Care (PHC), as well as to describe the clinical and sociodemographic characteristics, and the cognitive dimensions affected. Method: This was a cross-sectional study carried out in the city of João Pessoa - PB with 140 people enrolled in the Family Health Program that had been affected by stroke within the previous five years. Results: Over half of the people studied had manifestations suggesting cognitive impairment (54.9%) in the following dimensions: memory recall (70%), attention and calculation (60%), and read and apply (60%). In addition, the majority was elderly (73.1%) and, regarding the clinical characteristics of stroke, had declared that in the previous five years had had only one episode (64.2%) triggered in the last 13 months or more (76.1%). Also, half of the participants (50.7%) were unable to tell us the type of stroke they had suffered. Conclusion: The cognitive dimensions affected by stroke require further investigation in order to provide more funding to improve the assistance provided under the PHC.
Evaluation of ludic behavior in children with cerebral palsy and of their caretakers’ perception
Authors: Zaguini Camila Gomes Silva , Bianchin Maysa Alahmar , Lucato Junior Rui Vicente , Chueire Regina Helena Morganti Fornari
Published: June 2022

For children, playing helps develop their abilities and in acquiring action and adaptation strategies. Depending on the diagnosis, on the associated or non-associated disturbances, the child with Cerebral Palsy may have difficulties in acquiring general abilities during his or her development, including playing. Objective: We sought to evaluate the ludic behavior of the child with Cerebral Palsy and to verify their caretakers’ perceptions towards the ludic action of the child, so as to offer them occupational treatment later on. Method: The research was quantitative, qualitative, and transversal. For collecting data, the authors used: Initial Interview with parents and the child’s ludic behavior Evaluation. Results: Through the interview we noticed that 90% of them became interested by the presence of other children, that the majority of the materials used by them during playing were those with audible stimuli (90%), and according to their styles of expression, the majority (31.5%) expressed themselves by gestures according to their need –25% by facial expressions. Following their interests, 42.5% of the children expressed themselves with words and 55% always showed attitudes towards playing. When evaluating the subject, we noticed that 69.1% showed an attitude in playing and only 64% presented some ability for playfulness. Conclusion: The study showed that the Initial Interview with Parents was fundamental in helping evaluate the Ludic Behavior. With this evaluation we could observe that their ludic ability is unlimited, but that it does not interfere in the interest or in the ludic attitude of the child. In that manner, playing is essential as a resource in Occupational Therapy for the rehabilitation of children with Cerebral Palsy.
Performance of insured workers in the rehabilitation service at the National Institute for Social Security
Authors: Vacaro Jerri Estevan , Pedroso Fleming Salvador
Published: June 2022

The main objective of this study was to evaluate the performance of insured workers who participated in the vocational rehabilitation program from the INSS (National Institute of Social Security) in Porto Alegre/RS. Method: We selected all of the insured workers participating in the vocational rehabilitation process during the year of 2008 in Porto Alegre/RS at INSS. Through the Administration System for Disability Benefits and the National Register of Social Information, all information was collected regarding the benefits and vocational rehabilitation program. The data was tabulated using SPSS 17.0 for Windows in which all tests were made. Results: The results showed that 553 (69%) of the insured were men and 249 (31%) were women. Their ages ranged from 18 to 60 years with an average of 38.9 years. Initially, 645 (80.4%) were employed and 157 (19.6%), unemployed. One year after the end of the rehabilitation program, 29.4% of the insured were working. While 40.6% of those employed had returned to work, 76.7% of the unemployed had not. Those on leave for accidents at work returned 58.7% of the time, and also 29.6% of those on sick leave. Those who remained on leave for one year had a success rate of 72.4%, and those with more than five years 24.7%. Conclusion: Those who remained employed, went on sick leave for a shorter time, and were rehabilitated within the company enjoyed a higher rate of return to work than those who became unemployed, were off work for a longer time, and whose company did not offer them another job.
Body Image in active and sedentary people with multiple sclerosis
Authors: Tavares Maria da Consolação Gomes Cunha Fernandes Tavares , Campana Angela Nogueira Neves Betanho
Published: June 2022

Objective: The aim of this research was to evaluate perceptive and attitudinal aspects of body image among people with multiple sclerosis, and the differences between these variables among active and sedentary people. Method: This study was descriptive, exploratory, and cross-sectional. The sample was composed of 26 volunteers, with Expanded Disability Status Scale (EDSS) up to 6. Software for Perceptual Assessment, Adaptive Probit Estimation, Appreciation Scale of Own Body, Symptom scale, and a demographic questionnaire were the scales used to collect data. Nominal data were submitted to a descriptive analysis and interval data were submitted to inferential analysis. Results: The main results indicate accuracy in body perception, with high sensitivity to body change - the active people being the more sensitive. Also, 73% were dissatisfied with their appearance and tingling pain was the most frequent complaint. There was no association between dissatisfaction with body parts and painful body parts, and the reasons for their being dissatisfied were mostly esthetic. Conclusion: We concluded that regular physical activity seems to contribute to enhancing body perception, but not body satisfaction. In its turn, pain was established as a real fact - however, apart from physical appearance, indicating for health professionals who work with this clinical group that appearance and body function are distinct elements of body identity, and both have an impact on the subject relationship with its body.
Functionality after hip surgery: correlation between balance, age, independence, and depression among the elderly
Authors: Couto Marcela de Abreu Silva , Reiff Rodrigo , Castro Alessandra Paiva de
Published: June 2022

Objective: To determine correlations between age and balance, independence, and depression among the elderly who suffered hip fractures following a fall. Method: The consecutive sample included elderly who had suffered hip fractures within the past 24 months. We evaluated 14 elderly patients (12 women and two men); with an average age of 78 ± 6.9 years old. A questionnaire was applied to obtain general data, Timed Up and Go (TUG test), Berg Balance Scale (BBS), Geriatric Depression Scale - Short form (GDS-S), Barthel Index (BI), and Waist-hip ratio (WHR). We used the one-way ANOVA, t-test, and Pearson correlation tests with a significance levels of 5%. Results: Mean tests: BBS (35.38 ± 33.06), the TUG test (28.40 ± 10.59), the pre-fall GDS-S 6.33 ± 1.52, the post-fall GDS-S 7.66 ± 1.52, and the WHR 1.05 ± 0.35 for men and 0.92 ± 0.12 for women. The Barthel Index pre-fall was 16.20 ± 5.4 and the Barthel Index post-fall was 15.12 ± 6.78. The greater the age, the longer the stay, but there was no correlation between age and function. There was a negative correlation between age and balance, but age was not related to the level of depression. Conclusion: A positive correlation was found between age and length of stay and a negative correlation was found between age and balance. There was a decrease in the BBS, and an increase in the length of the TUG test and WHR.
The impact of aquatic therapy on the agility of a non-ambulatory patient with Duchenne muscular dystrophy
Authors: Silva Kaitiana Martins da , Braga Douglas Martins , Hengles Ricardo Cristian , Beas Allan Rogers Venditi , Rocco Fernanda Moraes
Published: June 2022

Duchenne Muscular Dystrophy (DMD) is a progressive disease. The inability to walk is common in early adolescence, and with the restriction to a wheelchair at this stage of the disease, the wheelchair becomes the patient’s only form of locomotion. Their agility in the wheelchair is a key factor for the functional independence of these individuals. Objective: The objective of this study was to verify the impact of aquatic therapy on non-ambulatory children with DMD. Method: This study has a prospective, interventional, clinical character. The patient underwent ten sessions of aquatic therapy as an intervention, using the following assessment tools: EgenKlassifikation scale, zigzag agility test, oxygen saturation (SatO2), respiratory rate (RR), forced vital capacity (FVC), tidal volume (TV), minute volume (MV), peak cough flow (PCF), and maximal inspiratory (PImax) and maximal expiratory (PEmax) pressures. The intervention protocol of aquatic therapy was defined focusing on the agility in maneuvering the wheelchair. Results: Improvement in agility was observed in moving wheelchair, maintenance of the EK scale score, and a decrease in TV, MV, and PCF. Conclusion: The results showed that for this patient, aquatic therapy may intervene positively in his mobile agility in the wheelchair.
Motor ability and attention span among individuals dependent on illicit psychotropic drugs
Authors: Souza André Luiz Bertoncini de , Cintrão Júlia Magnus , Silva Maria Eduarda Merlin da , Guimarães Adriana Coutinho de Azevedo Guimarães , Parcias Silvia Rosane
Published: June 2022

Psychoactive substances act on the central nervous system producing mental and behavioral changes leading to clinical manifestations associated with drug abuse. Objective: To evaluate the motor ability and attention span among individuals dependent on psychotropic drugs, who were in treatment in a psychiatric hospital. Method: A single case study, whose unit of analysis was a hospital, assessed the motor skills and attention span of 10 male individuals addicted to illicit psychotropic drugs, with mean age of 31.9 ± 7.07 years and average hospitalization of 23.9 days. The following instruments were used: a structured socio-demographic interview, the Motor Scale for Elderly (EMTI) adapted, and the Trail Making Test (TMT A and B). The average age at first consumption was 15.1 years; and there was a slower performance in the TMT A and B in all age groups. In general motor ability, individuals were classified as follows: two “superior”, two “above average”, five “average”, and one “below average”. Results: Their temporal organization was the variable with the lowest performance. Conclusion: Attention deficits were encountered along with average general motor ability and a strong negative association or correlation between motor performance and attention span.
Visual restriction and anterior-posterior body oscillations in Parkinson’s disease
Authors: Sánchez-Arias Mônica Del Rosario , Kleiner Ana Francisca Rozin , Hamanaka Ágata Yoko Yasue , Santiago Paulo Roberto Pereira , Gobbi Lilian Teresa Bucken , Stella Florindo
Published: June 2022

With their vision restricted, sufferers of Parkinson’s disease (PD) make few anticipatory and/or compensatory adjustments in their posture and the evidence of these adjustments is even less when the disease progresses and body oscillations are considered. Objective: The aim of this study was to demonstrate the effects of visual restriction on the anterior-posterior body oscillation angles in parkinsonian stance considering the early stages of this disease. Method: Ten elderly PD patients with Hoehn & Yahr (HY) stage 2 remained standing still for 30 seconds to measure the body oscillation angles with and without restricted vision. Results: Two-way ANOVA analyses with repeated measurements revealed the main effect of vision (F(1,7) = 8.931, p < 0.02). Conclusion: The angles of the anterior-posterior body oscillations without visibility were greater than with visibility. They did not differ in correlation with the HY stages and visibility conditions interfered with the postural control regardless of the PD evolution stage.
Prevalence of phantom pain among amputees at Lar Escola São Francisco
Authors: Chamlian Therezinha Rosane , Bonilha Mariana Matteis Martins , Macêdo Márcia Cristina Matos , Rezende Flávia , Leal Caio Augusto Pereira
Published: June 2022

The physiopathology of phantom limb pain is characterized by cortical map reorganization, a process that involves plasticity in sensorimotor representations. The presence of phantom limb pain can interfere with the physical and psychosocial rehabilitation of amputees, compromising the patient’s acquisition of skills and quality of life. Objective: To determine the prevalence of phantom limb pain in amputees seen at the Lar Escola São Francisco (LESF). Methods: The records of patients attending the Amputation and Prosthesis Group between January 2005 and December 2010 were analyzed regarding the presence or absence of signs of phantom limb pain. Results: Phantom limb pain was reported in 10 of 330 records analyzed, corresponding to a proportion of 3.3%. Conclusion: Prevalence of phantom limb pain was low among amputees studied at LESF. Its approach needs to be better investigated during individual assessment of amputees.
The effects of partial vascular occlusion on gaining muscle strength
Authors: Costa Gabriela Perpétua Neves da , Moreira Valéria Perpétua , Reis Amir Curcio dos , Leite Saulo Nani , Lodovichi Samuel Straceri
Published: June 2022

Objective: To investigate the effects of low-intensity resistance exercise associated with vascular occlusion in strength and muscle volume. Method: We performed a systematic review in electronic databases: Science Direct, PEDro, and Pubmed, in which were reviewed only randomized clinical trials with a score over 50% according to the PEDro scale. Results: During the survey 440 articles were pre-selected and reviewed, but in the final selection only seven articles met all inclusion criteria and specifications set. Conclusion: We conclude that low-intensity exercise with blood occlusion is an effective alternative in inducing muscle hypertrophy and is seen as a new possibility of targeted muscle training for young people and seniors. However, we need more studies, for there are still points that remain unclear, such as pain and discomfort during training.
Brazilian publications on the International Classification of Functioning
Authors: Castaneda Luciana , Castro Shamyr Sulyvan de
Published: June 2022

Considering the increase of chronic disease and life expectancy there is now an emerging interest in measuring the phenomena of functioning and disability. For nearly 30 years the World Health Organization has been developing tools for understanding and classifying these processes, currently favoring the International Classification of Functioning (ICF). The ICF proposes a paradigm shift, where the biopsychosocial model replaces the biomedical model. It is the most recent and comprehensive taxonomic model for functioning and disability and has a unified and universal perspective. Objective: Given the increasing interest of the scientific community in the subject, the objective of this study is to describe and classify the publications in Brazilian literature related to the ICF by areas of knowledge. Method: The database used was the Lilacs and Scielo. Results: Thirty-nine publications were selected. Most of the papers were related to original articles (51.3%) and Neurology was the field written about most. Conclusion: The results show an increase in the number of publications in the last five years.
Application of the Fugl-Meyer Assessment (FMA) and the Wolf Motor Function Test (WMFT) in the recovery of upper limb function in patients after chronic stroke: a literature review
Authors: Padovani Cauê , Pires Cristhiane Valério Garabello , Ferreira Fernanda Pretti Chalet , Borin Gabriela , Filippo Thais Raquel Martins , Imamura Marta , Rosa Chennyfer Dobbins Paes da , Battistella Linamara Rizzo
Published: June 2022

It is estimated that 45-75% of chronic adult stroke patients have difficulty in using the hemiparetic upper limb (MS) in their daily life activities (DLAs). Functional scales are used in the practice of rehabilitation, in the search for diagnoses and prognoses, and in evaluating response to treatment. The Wolf Motor Function Test (WMFT) and Fugl-Meyer Assessment (FMA) scales are the instruments most commonly mentioned in the literature. Objective: The aim of this study was to review the use of the WMFT and FMA scales in the recovery of upper limb function in patients after chronic stroke. Method: We searched the MedLine database (PubMed) for articles published from 2000 to 2013. The PICO method was adopted as the search strategy. The descriptors used for the search were: (stroke OR cerebrovascular disorders OR intracranial arteriosclerosis OR thrombosis intracranial embolism) AND (Fugl-Meyer assessment OR wolf motor function test). Therapy/narrow was used as a search filter. Results: We found 181 studies, 89 of which were excluded because they did not meet the inclusion criteria or did not have a topic relevant to the review search. After selection by title and by abstract, 92 articles were fully read. Of these articles, 47 were excluded because they did not fulfil the search objective. All in all, 45 articles were reviewed. FMA is the tool most used and it was found that 80% of the studies applied this scale to evaluate responses to the different therapies. In these studies, the intervention most used was the Constrained Induced Therapy (CIT) (25%), followed by Robotics Therapy (22.2%). Although the WMFT was initially developed to assess the effects of CIT, nowadays this scale is used, after the application of other techniques, to assess the functional recovery of patients with stroke sequelae. In our survey, 44.4% of the studies used WMFT; of these, 35% assessed the effects of CIT, 15% assessed robotic therapy for the upper limbs, and 65% for different therapies. Conclusion: For randomized controlled trials, the FMA scale was more used to assess functional recovery in the upper limbs of chronic stroke patients, even after application of robotics therapy. However, we found that it is not the most appropriate scale to assess the same outcomes after CIT use. WMFT is the scale most widely used for functional assessment after application of CIT; it is more sensitive than FMA for bilateral therapy, and is highly applicable in virtual reality therapy.
Análise dos índices de reabilitação para o trabalho nos pacientes amputados na região sul de Santa Catarina no ano de 2011
Authors: Machado Davi Francisco , Beirão Marcelo Emilio
Published: June 2022

As amputações geram um importante impacto socioeconômico, com perda da capacidade laboral, de socialização e, consequentemente, da qualidade de vida, associando-se à alta morbidade, incapacidade e mortalidade. Dentre as suas etiologias, as secundárias ao trauma representam uma importante fonte de incapacidade e limitação funcional entre adolescentes e adultos jovens. Os objetivos finais da amputação costumam ser a otimização funcional do paciente e a redução do nível de morbidade. Neste momento, o retorno ao trabalho precisa ser francamente incentivado, pois proporciona bem estar, melhora da autoestima e do convívio social, além de dar mais um sentido a vida destes indivíduos. Objetivo: Conhecer o índice de reabilitação para o trabalho nos pacientes amputados acompanhados pelo Instituto Nacional de Seguro Social na Região Sul de Santa Catarina, no ano de 2011, avaliando o índice de retorno ao mercado de trabalho, além de verificar o acesso às próteses disponibilizadas pelo INSS, as principais etiologias das amputações, o sexo e a faixa etária mais comuns. Método: Este estudo foi realizado através da análise dos dados obtidos por prontuários do INSS - Unidade de Criciúma (SC), de pacientes atendidos neste local no ano de 2011. Resultados: A amostra foi composta por 83 cadastros, 74 homens e 9 mulheres, com média de idade de 37,27 anos. Nos prontuários disponíveis, 87,3% apresentavam trauma como etiologia da amputação, 54,3% retiraram o membro esquerdo e 90,4% os membros inferiores. Sessenta pacientes (72,3%) receberam a prótese, porém somente 62,7% adaptaram-se a ela e usaram-na. Treze prontuários (15,7%) relatavam dor fantasma. O retorno ao trabalho foi visualizado em 78% dos casos. Não houve relevância estatística na análise da reinserção trabalhista de acordo com cada variável estudada. Conclusão: Encontramos uma taxa satisfatória de retorno ao trabalho, ato que pode ser atribuído à eficácia do Serviço de Reabilitação do INSS. Outros estudos podem ser realizados para avaliarem o tempo entre a cirurgia e o recebimento da prótese e para analisarem o retorno à atividade profissional anterior ao procedimento. Maiores amostras são necessárias para inferir quais as variáveis mais envolvidas ao retorno ao trabalho.
Validação e reprodutibilidade da versão em Português da Lower Limb Amputee Measurement Scale
Authors: Cristiani Beatriz Sernajoto , Resende Juliana Mantovani de , Chamlian Therezinha Rosane
Published: June 2022

A LLAMS é uma escala criada em 2007 com o objetivo de prever o tempo de permanência hospitalar de amputados de membros inferiores; é constituída de 6 domínios (médico, cognitivo, social, físico, atividades de vida diária e outros) e a versão em português da LLAMS foi criada em 2008. Objetivo: Validar a versão em português da LLAMS e avaliar sua reprodutibilidade inter e intra-avaliador. Método: A LLAMS foi aplicada em 50 amputados de membro inferior atendidos no Lar Escola São Francisco. A reprodutibilidade foi analisada por duas avaliadoras que efetuaram 3 entrevistas utilizando a LLAMS. As duas primeiras entrevistas foram realizadas no mesmo dia, sendo que a primeira entrevista foi realizada pela primeira avaliadora e a segunda entrevista foi realizada pela segunda avaliadora. Entre 7-15 dias depois, a primeira avaliadora reaplicou a LLAMS nos pacientes pela terceira vez. Além disso, foi verificada a correlação da LLAMS. Resultados: Na reprodutibilidade intra-avaliador, os domínios Médico e Social obtiveram concordância ótima; já os domínios Cognitivo, Físico, Outros e o Total da escala obtiveram concordância substancial. Na avaliação inter-avaliador, o domínio Médico obteve concordância ótima e os domínios Cognitivo, Outros e o Total da escala obtiveram concordância substancial. Na correlação entre as escalas, o domínio Cognitivo da LLAMS apresentou significante correlação com o item comunicação da MIF (p = 0,0045); após regressão linear foi observada relação inversamente proporcional entre esses itens. Os demais domínios das escalas não apresentaram correlação com a MIF e o SF-36. Conclusão: Foi realizada a validação da versão em português da Lower Limb Amputee Measurement Scale. Todos os domínios apresentaram reprodutibilidade de moderada a ótima, com exceção do domínio AVD que obteve mínima concordância na avaliação inter-avaliador. O domínio cognitivo da LLAMS apresentou correlação inversamente proporcional com o item Comunicação da MIF. Não houve correlação entre o SF-36 e a LLAMS.
Avaliação do padrão postural e marcha de pacientes amputados vasculares transtibiais protetizados
Authors: Chamlian Therezinha Rosane , Angrisani Pedro Giaffredo , Resende Juliana Mantovani de , Celestino Melissa Leandro , Say Karina Gramani , Barela Ana Maria Forti
Published: June 2022

Objetivo: Avaliar o padrão postural e a marcha de pacientes amputados transtibiais unilaterais, de etiologia vascular que realizaram o processo de protetização e reabilitação no setor de Fisioterapia do Lar Escola São Francisco - Centro de Reabilitação. Método: Trata-se de um estudo Observacional Prospectivo Transversal. Participaram do estudo oito sujeitos com média de idade de 60, 4 anos, submetidos à amputação transtibial unilateral até 5 anos da data da análise, por etiologia vascular e que concluíram o processo de protetização com alta da reabilitação até 24 meses. Foi avaliado o padrão postural com o paciente em ortostatismo, sobre uma plataforma de força com os olhos abertos e olhos fechados alternadamente, e também foi avaliada a marcha em uma passarela de 6 metros utilizando uma plataforma de força nivelada e escondida no meio da passarela. Foram colocados marcadores reflexivos no quinto metatarso, maléolo lateral, côndilo lateral do fêmur e trocânter maior, pois duas filmadoras foram dispostas lateralmente para a obtenção das imagens e sendo sincronizadas com a plataforma de força. Resultados: Os dados achados para controle postural em amplitude média de oscilação MANOVA revelaram diferença na visão (olhos abertos e olhos fechados) para direções ântero-posterior (F1,7 = 13.223 p < 0,05) e médio-lateral (F1,7 = 7.872 p < 0,05). Na análise de marcha, a velocidade média foi de 0,72 (m/s) ± 0,18, e não foram achadas diferenças significativas na comparação entre os dois membros nos dados analisados. Conclusão: O estudo demonstrou aumento significativo da oscilação em ortostatismo dos indivíduos com os olhos fechados em comparação com olhos abertos. Parâmetros da marcha não tiveram diferença significativa entre o membro protético e o não protético.
Perfil epidemiológico dos pacientes amputados de membros inferiores atendidos no Lar Escola São Francisco entre 2006 e 2012
Authors: Chamlian Therezinha Rosane , Varanda Renata dos Ramos , Pereira Caio Leal , Resende Juliana Mantovani de , Faria Cecília Caruggi de
Published: June 2022

Objetivo: Analisar o perfil epidemiológico dos pacientes amputados de membros inferiores atendidos no Lar Escola São Francisco de 2006 a 2012. Método: A coleta de dados foi realizada de modo retrospectivo com 474 prontuários selecionados para verificar: gênero, idade, etnia, etiologia e nível de amputação, doenças associadas, intervalos de tempo entre a amputação e avaliação inicial e entre a avaliação inicial e a alta, presença de dor fantasma, uso de dispositivo auxiliar para marcha ou locomoção e independência em AVD. Os dados foram analisados descritivamente (porcentagem e média) e foi utilizado o teste do qui-quadrado, com p < 0,05, como teste de diferença de proporção para etnia e etiologia. Resultados: Trezentos e trinta e nove pacientes (72%) eram homens com média de idade de 56,2 anos; os níveis de amputação foram 43% transfemoral e 44% transtibial; a etiologia da amputação foi vascular em 341 pacientes (72%) sendo 73% em caucasianos; hipertensão arterial sistêmica e diabetes melitus foram as doenças associadas mais prevalentes; 267 pacientes (56%) foram protetizados, 100 pacientes (21%) abandonaram o tratamento. Conclusão: A população de amputados atendida no Lar Escola São Francisco no período estudado é composta, em sua maioria, por pacientes do gênero masculino, na quinta década da vida, com amputação de origem vascular nos níveis transfemoral e transtibial. Pouco mais da metade é protetizado, o índice de abandono do tratamento é elevado e o intervalo de tempo para reabilitação ainda é longo.
Relationship between depression, work, and grade of impairment in leprosy
Authors: Corrêa Bruna Janerini , Marciano Lúcia Helena Soares Camargo , Nardi Susilene Tonelli , Marques Tatiani , Assis Thássia Ferraz de , Prado Renata Bilion Ruiz
Published: June 2022

Depression is the most common psychiatric disorder in leprosy and with high depressive symptoms. Objective: The aim of this study was to determine the prevalence and frequency of depressive symptoms and their relationship to WHO impairment grading (IG), and sociodemographic variables. Method: We applied a survey containing sociodemographic, clinical aspects and IG. The original scale of the BDI was applied to identify the frequency of depressive symptoms (21 items), as well as the cognitive subscale BDI-Short Form-BDI-SF (items 1-13), recommended to assess depressive symptoms in individuals with defined pathologies. Descriptive statistical analysis was used, with the frequency distribution to characterize the sample, and to the intersection of the variables, the Chi-square Test-corrected (Yates) was applied, considering significant results p - value < 0.05. Results: 130 patients who have or have had leprosy were evaluated. The mean age of patients was 49.64 (SD = 14.04). There was a predominance of males (64.6%), those living with family (87.7%), with incomplete primary education (66.2%), stable civil union (61.6%), which did not work (75.4%) and receive retirement or health aid (63.9%). Regarding clinical aspects, 94.5% were multibacillary, 74.6% had multidrug therapy and most have loss of protective sensation and/or deformities (31.5% IG1; 37 % IG2). Among the cases evaluated, 43.1% had depressive symptoms of moderate to severe intensity. There was no significant correlation between BDI-SF and IG (p - value = 0.950). However, the individuals without an occupation or job (“which did not work”) were associated with depressive symptoms (BDI-FS; p- value < 0.05). Somatic apprehension was the most frequent symptom (80.7%), followed by difficulty with work (78.5%), irritability (68.5%), fatigue (67.7%), self-blame (62.3%) and tearfulness (60%). Conclusion: It is concluded that moderate and severe depressive symptoms assaulted 43.1% of the cases evaluated, regardless of whether or not physical disabilities (IG1 and 2). Individuals who did not work were the most affected by depressive symptoms compared to those who had some sort of occupation.
Analysis of neuromuscular activation of the vastus medialis obliquus and vastus lateralis with the use of functional taping
Authors: Capote Andrielle Elaine , Knaut Sibele de Andrade Melo , Magnani Rina Márcia , Fernande Walkyria Vilas Boas , Carneiro Lyonn Jean , Takemoto Miriam Hatsue
Published: June 2022

Muscular and anatomical changes are mostly responsible for patella femoral syndrome (PFPS). Knowing that the quadriceps muscles are very important to stabilize the patella, studies have questioned the influence of the Vastus Medialis Oblique (VMO) in the patellar stabilization avoiding the PFPS. Many researchers have investigated the use of taping as a means of muscle activation. Objective: The present study aimed to analyze the use of functional taping to activate the VMO during the squat exercise. Method: The activity of the VMO and Vastus Lateralis (VL) was assessed by electromyography during squats and squats with adduction using functional taping. The sample composed for 39 individuals was divided into four groups: sedentary males and athletes, and females also divided into sedentary and athletes. Results: Although it has been found greater activation of VMO in comparison with the VL, with the applied methodology and variables, we could not demonstrate a statistical difference between groups in squats with and without the use of functional taping. However, it is important to emphasize that the lack of difference in the activation of VMO during squats with adduction and tapping suggest a positive effect of the tapping in muscle activation. This result is very important in the treatment of acute injuries where active movement is limited. Conclusion: Future studies should be done with other electromyography parameters and reflex activation in order to investigate the actual role of functional taping on muscle activation.
Effects of manual therapy on cervicogenic headaches: a therapeutic approach
Authors: Almeida Renato Santos de , Gomes Vanessa , Gaullier Carolina de Magalhães , Dames Karla Kristine , Nogueira Leandro Alberto Calazans
Published: June 2022

The cervical spine is considered a possible source of headaches, however there are still some controversies regarding the pathophysiology, clinical presentation, and treatment. Objective: To propose a physical therapy treatment protocol with multimodal approach for cervicogenic headache and evaluate the effects of manual therapy on such patients. Method: This was an uncontrolled experimental study in which 9 patients from the UNIFESO Physical Therapy Clinic (Teresópolis, RJ) diagnosed with cervicogenic headache underwent 10 physiotherapy interventions with manual therapy techniques. The experimental protocol included joint techniques, fascial release, and muscle recruitment. The Neck Disability Index (NDI) and a visual analogic scale (VAS) were used as measurement tools and the pain pattern was recorded. Results: Of the nine selected patients, all were female and had an average age of 43.3 years (± 15.5). Significant differences were observed between the average intensity of pain (VAS) before treatment (8.0 ± 1.3) and after (2.2 ± 0.9, p < 0.01). The NDI also showed improvement after intervention 63.9% (p < 0.01). Regarding crises frequency, a decrease of 70% was observed after the intervention (p < 0.01) and a reduction was also shown in the duration of such crises before (4 hours ± 1.5) and after treatment (1 hour ± 0.5; p < 0.01). Conclusion: A multimodal approach by manual therapy techniques was beneficial in the reduction of the patients’ symptoms and it provided a decrease in cervical disability.
Contributions of dance therapy to the emotional aspect of people with physical disabilities in a rehabilitation program
Authors: Viriato Rute Heckert , Hmeliowski Nadir Lopes , Nolasco Daniella Branco , Sancinetti Fabiana Pavani
Published: June 2022

Dance therapy stimulates the discovery of movements, the perception of emotions, and the recognition of opportunities that foster social inclusion. Objective: To analyze the contribution of dance therapy to the emotional aspect of patients in Rehabilitation, based on their self-perceptions. Method: The study included 23 patients in 4 groups, which lasted 4 months each. A questionnaire was applied at the beginning and at end of the program, and they were asked to draw themselves at those two moments. Results: 69.56% of the participants reported good self-esteem before, and 95.65% at the end. An improvement in sociability was perceived, as 69.56% considered themselves shy at the first moment, and 43.47% at the end. We observed greater creativity, 86.95% of the patients (65.21% earlier); and a reduced sense of sadness, just 4.43% (52.17% before). As for difficulties in communicating, there was also a significant reduction: 13.04% reported always having it originally, 4.34% after the program. The drawings in the 2nd assessment were more detailed, proportionate, and centered on the sheet of paper; we also perceived better body awareness, improved self-esteem and greater perception of personal characteristics. Conclusion: Dance therapy provided a significant change in the emotional aspect of the participants of this study, allowing improvement in their perception of possibilities for themselves, increased self-esteem, and greater socialization skills; this favored their contact with their own bodies, contributing to a new perception of themselves.
Prevalence of myofascial dysfunction in patients with low back pain
Authors: Coelho Daniel Martins , Barbosa Rafael Inacio , Pavan Ana Maria , Oliveira Anamaria Siriani de , Bevilaqua-Grossi Debora , Defino Helton Luiz Aparecido
Published: June 2022

Objective: This study aimed to examine the prevalence of myofascial dysfunction in patients with low back pain, which is the area most frequently afflicted, and to quantify the pain threshold for these evaluations using an algometer. Method: We evaluated 70 patients with a history of chronic low back pain in search of trigger points that would elicit the patient’s pain. The muscles tested were the quadratus lumborum, iliopsoas, gluteus maximus, medius, minimus, and piriformis. The prevalence of myofascial dysfunction was determined by the percentage of patients with trigger points. The pain threshold was determined by the average of three assessments of pressure for each trigger point. Results: The results showed that 90% of patients had myofascial dysfunction, 76% of whom had trigger points in the quadratus lumborum, 69% in the gluteus medius, 56% in the piriformis, 40% in the gluteus minimus, 31% in the iliopsoas, and 29% in the gluteus maximus. The pressure pain threshold of the quadratus lumborum was 1.71 kg/cm2, 2.39 kg/cm2 for the gluteus medius, 2.34 kg/cm2 for the piriformis, 2.58 kg/cm2 for the gluteus minimus, 2.11 kg/cm2 for the iliopsoas and 2.19 kg/cm2 for the gluteus maximus. Conclusion: Our data demonstrate the high prevalence of this disorder and suggest that it deserves specific attention in the treatment of low back pain in patients with chronic pain.
Exercise in osteogenesis imperfecta
Authors: Campana Mateus Betanho , Sannomiya Vanessa Fabiana da Costa , Ferreira Lucilene , Campana Angela Nogueira Neves Betanho
Published: June 2022

Osteogenesis imperfecta (OI) is a genetic disorder of the connective tissue, characterized by bone fragility and low bone density, with a broad spectrum of clinical expression. Oriented physical exercise is recognized as a relevant conservative treatment option. Objective: To gather and systematize knowledge related to physical fitness testing, choosing exercises, load progression, and training systematization for persons with OI. Method: Databases from SciELO, LILACS, MedLine, Scopus, PubMed, Web of Science, PEDro and the Cochrane BVS were searched. Two independent reviewers selected the eligible studies. All randomized controlled clinical trials, transversal exploratory studies, case reports, and experience reports that described physical exercise intervention and physical fitness testing; general rules for physical activity and reported physical activity effects were included. Results: The electronic search yielded a total of 961 references published in English, Portuguese, French, and German. After analyzing previously established inclusion criteria, 9 studies were included, only two of which were controlled clinical trials. All the recommendations and conclusions found were oriented toward children, since all the studies had this population as a target. Only two studies included samples of adolescents up to the age of 12 years. OI types I and IV were investigated and some of the recommendations were extended to the other types of OI. Swimming is the exercise recommended most often. Strengthening exercises, with a slow addition of weight were also recommended, as well as aerobic exercises on bicycles, stationary or not. There are some special considerations in handling and treatment for this public that should be taken to avoid trauma. Conclusion: It was possible to obtain some systematization and orientation to conduct conservative treatment interventions with a physical exercise program; however, evidence to support any prescribed exercise and training development for persons with OI is still scarce.
Pain related to amputation and functionality of individuals with lower limb amputations
Authors: Chamlian Therezinha Rosane , Santos Juliana Kliemke dos , Faria Cecília Caruggi de , Pirrelo Maria Silvia , Leal Caio Pereira
Published: June 2022

The presence of persistent pain, whether from the stump, phantom pain, or in the contralateral limb may negatively interfere with obtaining a gait with a prosthesis in an amputee patient. Objective: To investigate the presence of pain related to amputation in lower limb amputees during their rehabilitation treatment, to evaluate their functional status with and without a prosthesis, and to verify whether there is any association between the presence of pain and gait. Method: A transversal study with 60 unilateral lower limb amputees in treatment at a rehabilitation center in São Paulo to investigate: age, gender, time since amputation, level and etiology of amputation, number of comorbidities, presence of pain in the stump or phantom pain or in contralateral limb, and if so, the kind of pain, intensity, frequency, improvement or worsening factors, use of medication, prosthetization, type of gait with prosthesis (community, therapeutic or household), use of gait assistance and application of Functional Independence Measure (FIM). Data was analysed with absolute and relative values and parametric tests (ANOVA) and non-parametric tests (equality of two proportions), chi-square, and confidence interval of 95% and P-value < 0.05. Results: The group, which contained 73.4% men, one year since amputation at the transtibial level, vascular etiology, with two comorbidities composed the sample in a statistically significant way (p < 0.001). There was no difference between patients fitted and not fitted with prostheses for stump pain and phantom pain, but there was a difference for the contralateral limb, statistically significant in those patients not fitted with prostheses. Although there was a mean difference between patients with and without prostheses for the 3 FIM scores, it was not statistically significant. Conclusion: Most unilateral lower limb amputation patients in rehabilitation at the AACD - Lar Escola at the time of the study had a low incidence of pain related to amputation and it didn’t interfere with their acquiring a gait with their prostheses.
Analysis of the dietary habits and nutritional status of patients with spinal cord injury after nutritional intervention
Authors: Santos Elizabete Alexandre dos , Alves Vera Lúcia Rodrigues , Ramos Silvia , Frangella Vera Silvia
Published: June 2022

According to the World Health Organization, disability is defined as a restriction of bodily structure or function that is not offset by social measures, with spinal cord injuries (SCI) being a common type of physical disability. Several factors may influence the nutritional status of individuals with SCI, and metabolic complications can lead to a number of acute and chronic changes in the body that are related to the development of chronic diseases and obesity. The evaluation and proper nutritional management of patients with SCI can assist in improving their nutritional status, minimize complications associated with the injury, and facilitate their rehabilitation in the long term. Objective: To evaluate the effect of the nutritional intervention measures used in one nutrition clinic on the eating habits and nutritional status of patients with spinal cord injuries. Method: This was a cross-sectional retrospective exploratory study in which we analyzed the eating habits of all the SCI outpatients in the period from April 2012 to October 2013. Results: 30 patients with mean age of 46 ± 15.29 years were evaluated, 70% of whom were male. After the nutritional intervention there was a reduction in saturated fat intake, a decreased intake of refined grains, and an increased consumption of fruits and vegetables. Conclusion: The study showed the importance of a nutritional intervention in the dietary habits of individuals, and that nutrition education should begin early to prevent complications secondary to the injury.