bluuebunny/crossref_metadata_2025 huggingface dataset:
Judo injuries: their repercussions on the practice of the sport
Authors: Oliveira Thiago de Sá , Monnerat Eduardo , Pereira João Santos
Published: June 2022

This study sought to verify the frequency of injuries during judo classes, the consequent time away from the practice of the sport, and the treatment used on judo athletes from gyms and clubs located in the city of Rio de Janeiro. Method: Thirty-five male athletes participated in the study, with ages between 8 and 30 years old, with a minimum involvement in the sport of 12 months. A validated and structured questionnaire was used for evaluation composed of 18 questions, both open and closed. Results and discussion: It was verified that the majority of the injuries occurred during the training process (82.86%) and most of the athletes remained away from the practice of the sport on average between 15 and 30 days. In relation to therapy, it was observed that anti-inflammatory medicines were being used more frequently (71.4%), followed by rest (62.9%), immobilization (60%) and ice locally (cryotherapy) (51.4%). This treatment was associated with physiotherapy in 40% of the injuries. Surgical interventions were needed in 14.3% of the cases. Conclusion: the occurrence of injuries during judo practice predominates in the training period, and most athletes can recover in less than one month having a conservative treatment as the main therapeutic choice.
Relationships between subjective well-being, mobility, and independence as a function of age bracket and gender among the elderly ENDEREÇO
Authors: Sposito Giovana , Diogo Maria José D’Elboux , Cintra Fernanda Aparecida , Neri Anita Liberalesso , Guariento Maria Elena , Sousa Maria da Luz Rosário de
Published: June 2022

The aim of this study was to investigate the associations of subjective well-being, independence in daily activities, and the measures of mobility and flexibility in the lower limbs of elderly outpatients, according to age groups and gender. 125 people over 60 of both genders were chosen and evaluated. The instruments used were: Functional Independence Measure (FIM) to evaluate their daily activities, Short Physical Performance Battery (SPPB) for their physical performance, and Subjective Well-Being (SWB) for satisfaction with life. The results revealed that women have poorer physical performance and less functional independence than men. The older subjects had lower scores in physical performance and were more dependent in daily life activities than the younger ones, however they were more satisfied with life. The results suggest that older individuals and women have greater functional limitation. Meanwhile the older seniors show greater satisfaction with life
Mirror box therapy in the complex regional pain syndrome type I
Authors: Gaspar Ana Teresa , Castro André , Antunes Filipe
Published: June 2022

Complex regional pain syndrome (CRPS) type I is a neuropathic pain condition, commonly affecting a limb extremity after a traumatic event and/or a period of immobilization, in the absence of nerve injury. Besides pain, the clinical features include regional vasomotor alterations and usually a decreased range of motion in the affected extremity. Its actual cause remains somewhat obscure and there are few agreements on optimal treatment. The mirror box is a therapeutic approach based on visual feedback as a way to achieve a new mental imagery of the affected limb by promoting cortical reorganization. This approach has been used for the motor recovery or pain relief in conditions such as stroke or type-I CRPS.
Investigação dos efeitos do exercício terapêutico sobre a regeneração nervosa periférica
Authors: Possamai Fernanda , Siepko Cristiane Márcia , André Edison Sanfelice
Published: June 2022

O sistema nervoso periférico apresenta relativa capacidade de rege- neração após uma lesão. Após a axonotmese o nervo ciático produz respostas morfo-funcionais, no músculo alvo, no epicentro da lesão e alguns distritos neuronais retrógrados. Apesar dos avanços terapêuti- cos, a restauração funcional é incompleta na maioria dos casos. Neste contexto, nós testamos se o exercício (nado) é capaz de interferir na marcha funcional e reações de plasticidade nos motoneurônios da medula espinhal. Quarenta ratos foram divididos em quatro grupos (n=10 cada), submetidos a 30 min/dia de nado, iniciando no 1, 7, 14, 21 dias após lesão do nervo ciático. Todos os grupos apresentaram recuperação funcional, não observamos diferenças significantes nos números de motoneurônios da medula espinhal entre os diferentes grupos estudados. De acordo com a análise funcional e histológica, o exercício terapêutico, nas condições do presente estudo, foi incapaz de acelerar o processo regenerativo.
Prevalência de lombalgia em trabalhadores submetidos ao programa de Reabilitação Profissional do Instituto Nacional do Seguro Social (INSS), São Luís, MA
Authors: Abreu Ana Teresa de Jesus Brito de , Ribeiro Camila Almeida Bezerra
Published: June 2022

O presente estudo avalia a prevalência de lombalgia na população de trabalhadores inseridos no Programa de Reabilitação Profissional do Instituto Nacional do Seguro Social (INSS), na cidade de São Luís/ MA. Este programa apresenta como funções básicas a avaliação do potencial laborativo e a definição da real capacidade de retorno ao trabalho dos segurados atendendo aproximadamente 400 pessoas por mês. Através dos registros em prontuários, foi realizado um es- tudo de corte transversal retrospectivo em que foram separados 264 prontuários, válidos de 1995 a 2009, de trabalhadores afastados do trabalho e ainda com vínculo empregatício. Aqueles apresentados como desempregados foram excluídos do trabalho. Dessa amostra, selecionou-se somente os trabalhadores com diagnóstico de lombal- gia, totalizando 88 prontuários, em que foram encontrados 83 casos do sexo masculino (94,3%), média de idade de 41 anos, variando de 24 a 53 anos. A prevalência de lombalgia foi de 33,3% em relação aos diagnósticos encontrados na amostra inicial. Observou-se que em sua maioria, a amostra era composta por trabalhadores casados, com bai- xa escolaridade, do sexo masculino, em idade produtiva e afastados do trabalho há mais de um ano, associada à realização de atividades profissionais às quais exigem postura estática, movimentos repetiti- vos e carregamento de peso.
Eletroneuromiografia na avaliação das radiculopatias cervicais e lombossacrais
Authors: Balbinot Luciane Fachin , Garbino José Antonio , Riberto Marcelo
Published: June 2022

A eletroneuromiografia (ENMG) é empregada como método de diagnóstico complementar no diagnóstico de radiculopatia desde 1950, contribuindo com importantes informações para o esclarecimento diagnóstico, planejamento do tratamento e acompanhamento evolutivo dos pacientes. A presente revisão baseada em evidências buscou referências com ênfase na indicação, sensibilidade, especificidade, reprodutibilidade e limitações do uso desse exame na avaliação das radiculopatias cervicais e lombossacrais. As referências apontam a ENMG como um exame bastante útil tanto na triagem quanto no diagnóstico diferencial na suspeita de radiculopatia cervical ou lombossacra, bem como na avaliação do grau e extensão da lesão, quando respeitadas as limitações da técnica.
Estudo sobre depressão reativa e depressão secundária em pacientes após acidente vascular encefálico
Authors: Rodrigues Priscila Aparecida , Schewinsky Sandra Regina , Alves Vera Lúcia Rodrigues
Published: June 2022

O Acidente Vascular Encefálico (AVE) é uma das patologias que mais acarreta comorbidades e alterações incapacitantes, tanto em relação a aspectos físicos, como em relação a aspectos cognitivos e afetivo emocionais. Após a ocorrência do AVE, freqüentemente o quadro de depressão encontra-se associado. Os tipos mais freqüentes que podem ocorrer são depressão reativa e depressão secundária a lesão encefálica. O manejo terapêutico do profissional de Psicologia é fundamental para o tratamento da depressão, sendo reativa ou secundária, interferindo diretamente no processo de reabilitação após o AVE. A presente pesquisa consiste em identificar, na literatura, os sintomas da depressão reativa e secundária em pacientes após AVE e qual a aplicabilidade da avaliação psicológica diferencial no contexto de reabilitação.
Protocolo de cuidado à saúde da pessoa com Síndrome de Down - IMREA/HCFMUSP
Authors: Tempski Patricia Zen , Miyahara Kátia Lina , Almeida Munique Dias , Oliveira Ricardo Bocatto de , Oyakawa Aline , Battistella Linamara Rizzo
Published: June 2022

A Síndrome de Down (SD) ou trissomia do cromossomo 21 é a cromossomopatia mais comum no ser humano, acontece independente de sexo, etnia ou classe social. No Brasil, nasce aproximadamente uma criança com SD para cada 700 nascimentos. Sabe-se que as pessoas com síndrome de Down, quando bem atendidas e estimuladas, têm potencial para plena inclusão social. Este protocolo foi elaborado pela equipe multiprofissional de Cuidado à Saúde da Pessoa com síndrome de Down do Instituto de Medicina Física e Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Objetivo: Oferecer orientações para o cuidado à saúde da pessoa com Síndrome de Down, nos diferentes níveis de atenção a saúde, em todo o seu ciclo vital. Método: A elaboração do protocolo de cuidado integral à saúde da pessoa com síndrome de Down baseou-se em buscas no sistema PubMed, SciELO e no Cochrane Database of Systematic Reviews utilizando como palavras chaves: “Down Syndrome” e “Síndrome de Down”; “Trisomy 21”, “Trisomíadel Cromosoma 21” e “Trissomia do Cromossomo 21” e “Growth”, “Desarollo” e “Crescimento”. Resultados: Os artigos revistos foram publicados no período de 1972 a 2011 e limitados às línguas: inglesa, espanhola e portuguesa. Priorizamos revisões sistemáticas e metanálises. Foram incluídos também registros prévios a 1972 considerados históricos. Conclusão: Os dados foram analisados por um grupo de especialistas que discutiu os resultados e elaborou este protocolo.
Prevalence of Carpal Tunnel syndrome in wheel-chair users due to medullary lesion
Authors: Nunes Lucas Martins de Exel , Raimundo Verônica Magalhães , Cordeiro Quirino , Guerrini Karen Fraga Moreira , Ramos Arquimedes de Moura , Chung Tae Mo , Riberto Marcelo
Published: June 2022

Medullary lesions create numerous functional limitations directly related to the loss of nervous functions. However, the mechanics associated with the use of a wheelchair impose a load on the upper limbs that seems to be linked to secondary lesions in the tendinous and nervous structures. Objective: This study seeks to evaluate the appearance of signs of electromyographic impairments of the median nerve around the carpal tunnel in individuals who use wheelchairs due to medullary lesion. Method: Following a transversal design, all the individuals with medullary lesion in the rehabilitation program at the HC-FMUSP Institute of Physical Medicine and Rehabilitation in the year 2010 were submitted to a study of nervous conduction and electromyography. Those findings were correlated with biodemographic and clinical variables, as well as to characteristics of the use of wheelchairs. Results: Twenty-eight (28) individuals were evaluated, with an average age of 41.4 years (60.7% males). Most patients moved the wheelchair for less than four hours and would move it less than 500 meters a day. An absence of painful symptoms was found in 67.9%, while only 7.1% presenting positive Phalen and/or Tinel test. Half of the sample presented the neurophysiological diagnostic of carpal tunnel syndrome (CTS), which had a statistically significant association with age (p = 0.024), but not with the time and distance moving the wheelchair daily, the use of protection or adaptation of the wheelchair, of pain in upper limbs, or the presence of positive signs of CTS in the physical exam. Conclusion: We concluded that the electromyographic signs of CTS are very prevalent in these individuals, which suggests more situations of risk for the integrity of their upper limbs and demands the development of a more efficient biomechanical strategy for prevention.
New times, new practices: challenges in the training of occupational therapy
Authors: Coutinho Isa de Jesus , Santos Karla Ribeiro dos , Passos Ana Joaquina das Mercês Mariani
Published: June 2022

Problem-based Learning PBL is a method of teaching and learning that is based on real or simulated problems focusing on knowledge, skills, actions, and values. Although several universities around the world have experimented with this methodology only a few studies present results on its use. Objective: This research seeks to describe the experience of PBL in the course of Occupational Therapy of the School of Medicine and Public Health of Bahia (EBMSP) in Salvador, state of Bahia. Method: This is a qualitative approach, involving seventeen students from the sixth semester of Occupational Therapy. A standard instrument was developed prior to the survey with seven questions. Results: Indicated the use of the Methodology was helpful in the training of occupational therapists, as well as challenging for the beginning student, but revealed the need for improved training of the teachers involved in this methodology. Conclusion: The uncertainty of the participants in managing their own knowledge, that is, the quality and need for what was learned - the “learning to learn, the learning to be, and the learning to do” - was also demonstrated.
Conceito Halliwick inclusão e participação através das atividades aquáticas funcionais
Authors: Garcia Mauricio Koprowski , Joares Edenilson Cordeiro , Silva Marcelo Alves , Bissolotti Renato Rocha , Oliveira Suzana , Battistella Linamara Rizzo
Published: June 2022

Este trabalho apresenta os resultados qualitativos e quantitativos de um grupo 674 usuários que por 12 meses participaram do Projeto Halliwick - atividades aquáticas funcionais - do Instituto de Medicina Física e Reabilitação do Hospital das Clínicas FMUSP e suas amplas repercussões na vida da pessoa com deficiência. O conceito Halliwick foi desenvolvido em 1949 por James McMillan na Inglaterra e está fundamentado em princípios da hidrostática, hidrodinâmica e na mecânica dos corpos na água. Objetivo: O Programa dos 10 Pontos do conceito Halliwick é a aplicação prática e fornece estrutura aos processos de ensinar e aprender com segurança, lógica e progressivamente. Método: O trabalho se desenvolve em grupos que motivam e favorecem a interação social, ao mesmo tempo que otimizam o aprendizado. O Halliwick introduz a água como um novo fator ambiental para se trabalhar estratégias do movimento e controle motor de forma diferente. Os atributos da piscina, especificamente as propriedades físicas de água, promovem o bem estar de estruturas físicas e função corporal, independência funcional, novos padrões de movimentos, entendimento de diferentes conceitos sobre motricidade, processamento sensorial, aprendizado cognitivo, organização de padrões de movimentos e controle de atividades diversas. A fisiologia da imersão responde pela ativação de orgãos e sistemas do corpo melhorando seus desempenhos. Resultados: Com apoio da Associação Halliwick Internacional e Associação Brasil Halliwick o projeto, pioneiro no país, possibilitou atendimento a milhares de usuários garantindo acesso igualitário, pois foca a inclusão e participação da pessoa com e sem deficiência. Conclusão: A característica holística do Halliwick influenciou sobre maneira o tradicional ensino de natação e trouxe uma série de refinamentos às técnicas de hidroterapia, demonstrando que programas terapêuticos e recreativos combinados oferecem uma reabilitação contínua para todas as pessoas. Ainda permite o alcance do máximo potencial, trazendo benefícios físicos, psicológicos e social.
Impact of two different exercise programs on persistent cancer-related fatigue and physical fitness
Authors: Reis Fabiana , Cecatto Rebeca Boltes , Brito Christina May Moran de , Hoff Paulo Marcelo Gehm , Battistella Linamara Rizzo
Published: June 2022

Cancer-related fatigue is a common symptom in patients with cancer, which is experienced by 70% to 100% of these patients and brings some impairment of physical and mental performance, hinders their working or carrying out regular daily activities, and hence results in a substantial reduction of the quality of life. Physical exercise has consistently been identified as a central element of rehabilitation for many chronic diseases like cancer, and increasing evidence supports the contention that physical activity is a valuable intervention that can be utilized in conjunction with conventional therapies during CRF treatment. Objective: The aim of this study was to assess the impact of a program of physical exercise on fatigue levels and physical performance of cancer patients. Method: A consecutive series of 44 adult patients with neoplastic disease (solid or hematological), with a medical diagnosis of fatigue, who were enrolled in an oncological treatment, with the ability to walk and willing to enter a rehabilitation program of exercise for at least 4 consecutive months. The exercise program was performed two times per week, each session lasting one hour and consisting of aerobic, resistance, and flexibility exercises. The protocol was divided into aerobic exercise and resistance training combined with aerobic exercise. The patients were evaluated with two assessments: one prior to their beginning the exercise program and other at the end of the four-month program. In both assessments the patients completed the Revised Piper Fatigue Scale and the six-minute walk test. The primary outcome of change over baseline and after 16 weeks in PFS-R score and six-minute walk test were compared using a two sample two-sided t-test for both groups. Alpha level was set at p < 0.05. Results: After 16 weeks, the patients who participated in the aerobic or the combined exercise program reported significantly higher levels of physical functioning (6-minute walking test, p = 0.0009 and p = 0.001, respectively) and significantly lower fatigue (PFS-R, p = 0.003 and p = 0.002, respectively) than at the beginning the exercise program. Conclusion: The results of patients who underwent aerobic or aerobic + anaerobic exercise showed statistically significant improvement of physical performance and of fatigue. Data from this study corroborates with the literature showing that exercise programs with aerobic or resistance exercises are an effective strategy for the treatment of fatigue. The results of this study confirm that physical exercise could be useful in rehabilitation of cancer survivors, especially for fatigued patients.
Using the ICF in work-related physiotherapy: a contribution to data collection about functioning
Authors: Araújo Eduardo Santana de , Buchalla Cassia Maria
Published: June 2022

In Brazil, the notification of the worker’s health is made through the International Classification of Diseases (ICD). However, to assess their functionality and disability, the International Classification of Functioning, Disability, and Health (ICF) is more appropriate as it is a tool that generates data on human functioning at work and on the influence of the environment on the performance of occupational activities. Objective: This paper aims to develop a data collection form for use in Occupational Physiotherapy to facilitate the notification of disabilities or of environmental influences on functionality. Method: Based on the Delphi technique and after an informed consensus with specialists, relevant categories of the ICF were chosen and an instrument of data collection was structured that was eventually submitted to the participants of this selective process to evaluate its applicability. Results: We obtained a data collection instrument comprising 24 ICF categories with the possibility of using three qualifiers created for this purpose. The participants found this collection form easy to use. Conclusion: The data collection instrument that resulted from this study will be available for tests in the area of Occupational Physiotherapy and is expected to help in generating data on the workers’ functioning.
Reequilíbrio tóraco-abdominal em recém-nascidos prematuros: efeitos em parâmetros cardiorrespiratórios, no comportamento, na dor e no desconforto respiratório
Authors: Roussenq Kethlen Roberta , Scalco Janaina Cristina , Rosa George Jung da , Honório Gesilane Júlia da Silva , Schivinski Camila Isabel Santos
Published: June 2022

Objetivo: Avaliar o efeito de manuseios do método fisioterapêutico de Reequilíbrio Tóraco-Abdominal (RTA) em parâmetros cardiorrespiratórios, em sinais clínicos de esforço respiratório, no comportamento e na dor de recém-nascidos (RN) prematuros com baixo peso internados em unidade de terapia intensiva. Método: Ensaio clínico controlado, randomizado com avaliador cego. Os RN foram caracterizados segundo: sexo, idade gestacional (IG), idade gestacional corrigida (IgC), peso, altura, índice de massa corpórea (IMC), tipo de parto, ventilação mecânica (VM), oxigenoterapia (O2) e Apgar. Através de sorteio foram divididos em dois grupos: G1- grupo controle e G2- grupo que recebeu RTA. Os RN foram avaliados antes e imediatamente após um dos procedimentos. Adotou-se um nível de significância de 5% (p= 0,05). Resultados: Houve diminuição significativa da FR (54,08 ± 8,34rpm x 49,77 ± 2,82 rpm, p= 0,0277) e do BSA (0,62 ± 0,96 x 0,00 ± 0,60; p= 0,0431) nos RN submetidos ao RTA. Também verificou-se menor pontuação na escala EPB do G2 em comparação ao G1 (1,00 ± 0,00 x 1,54 ± 1,13, com p= 0,0492). As outras variáveis não diferiram entre os grupos. Conclusão: Os RN prematuros de baixo peso submetidos aos manuseios do método RTA apresentaram redução da FR e do desconforto respiratório. Não houve prejuízo alteração no comportamento dos neonatos com a aplicação da técnica.
Factors that can influence the gingival health of children with cerebral palsy
Authors: Silva Taciana Mara Couto , Paula Caroline Pequeño de , Coelho Dorothy de Souza Alves Moura , Tapia Letícia Cardoso , Pereira Rosangela Aparecida , Costa Regina Celia Villa , Tessicini Giuliana , Conde Marcela de Oliveira , Bittar Daniela Pimenta , Jimenez Louise , Chamlian Therezinha Rosane , Santos Maria Teresa Botti Rodrigues
Published: June 2022

Studies have shown that the greater the severity of neurological damage in children with cerebral palsy (CP), the greater risk of oral disease. Objective: To evaluate the influence of some factors as intellectual disability, oral sensitivity, manual ability and clinical patterns of cerebral palsy (CP) onto gingival health of CP children. Method: One hundred and six children (10.7 ± 3.6) with CP participated of the study. Descriptive data and continuous use of drugs were collected from their medical records. Clinical assessments included the Simplified Oral Hygiene Index (SOHI), the Gingival Index (GI) and the biting reflex. Were also evaluate oral sensitivity, intellectual assessment by Raven test, and manual dexterity by Manual Ability Classification System Manual (MACS). It was used the chi-square, t Student, and logistic regression tests whit a significance level of 5%. Results: Group 1 (G1) consisted of 47 children without and group 2 (G2) by 59 children with gingivitis. Groups were similar regarding gender (p = 0566), but G2 were significantly older (p = 0.001), with quadriplegia (p = 0.016), who used drugs (p < 0.001) and biting reflex (p = 0.025). G2 children presented significantly higher values for SOHI (p < 0.001) and IG (p < 0.001). Significantly higher percentages of children in G2 presented percentiles below 10 (p = 0.036) for Raven test, with manual skill levels IV and V (p = 0.002) of MACS. The chance of a child present gingivitis grows 23.5% for each year of age, and up to 5 times for every 1 unit increase in SOHI. The use of medication increases the chance of children present gingivitis by about 4.5 times. Conclusion: Increasing age, accumulation of biofilm, and use of drugs increase the risk of gingivitis in children with CP.
The influence of a karate training in motor and cognitive functions in older with mixed dementia
Authors: Paiva Ana Clara de Souza , Viana Eduardo Dias , Andrade Larissa Pires de , Costa Thais Delamuta Ayres da , Costa José Luiz Riani
Published: June 2022

Among the different forms and recent non-pharmacological interventions for dementia patients already performed in Brazil, there are no studies that have investigated the effect of a protocol of karate in patients with this clinical conditions, more specifically in the elderly with a diagnosis of mixed dementia, Alzheimer’s disease associated with vascular dementia. Objective: Thus, the present study aimed to analyze the effects of a karate training in cognitive and functional with an elderly mixed dementia. Method: The participant, clinically diagnosed with mixed dementia, underwent a anamnesis, followed by cognitive and functional assessment, pre and post training four months. The karate training was adapted and systematized, in order to muscle strengthening, flexibility, posture techniques, attack (punches and kicks), blocks (defenses) and kata (imaginary fight with multiple opponents), three times per week, lasting an hour session on nonconsecutive days. Results: The findings were maintaining cognitive function and improvement in static and dynamic balance. Conclusion: It was concluded that training adapted and systematized karate contributes to improved static and dynamic balance and maintenance of cognitive status. May, thus contribute to a new alternative non-pharmacological intervention in elderly patients with mixed dementia.
Identifying the concepts in outcome measures of clinical trials on osteogenesis imperfecta using the International Classification of Functioning, Disability and Health - version for children and youth
Authors: Santos Tatiana Vasconcelos dos , Llerena Júnior Juan Clinton , Ribeiro Carla Trevisan Martins , Gomes Júnior Saint Clair dos Santos
Published: June 2022

The biopsychosocial model from the International Classification of Functioning, Disability, and Health (ICF) has been used as a reference in clinical practice to identify and analyze the functioning components in outcome measures. Objective: The objectives of this study were to identify the concepts contained in outcome measures of clinical trials on Osteogenesis Imperfecta, to analyze how these concepts are linked with the ICF - Children and Youth version (ICF-CY) and describe what the functioning components are that are assessed in these studies. Method: Randomized controlled trials on children with diagnoses of Osteogenesis Imperfecta carried out between 2000 and 2013 were selected using MedLine and Cochrane. The outcome measures were extracted and the concepts contained in the outcome measures were linked to the ICF-CY. Results: Fourteen trials were included. The concepts of clinical and technical measures and of one health assessment instrument (Pediatric Evaluation of Disability Inventory - PEDI) were identified. The concepts of clinical and technical measures were linked to the ICF-CY Body Functions and Structures component. The PEDI concepts were linked to the Body Functions and especially to Activity and Participation. Conclusion: Using the linking of the concepts of outcome measures to the ICF-CY it was possible to verify that clinical trials on Osteogenesis Imperfecta assessed mainly the Body Functions and Body Structures component. Assessments of Activity and Participation and contextual factors are scarce on these studies. More research is necessary on the effects of interventions on these components.
Therapeutic climbing: a possibility of intervention for children with cerebral palsy
Authors: Koch Huayna Gabriel Barrios , Peixoto Gabriela de Oliveira , Labronici Rita Helena Duarte Dias , Silva Natália Cristina de Oliveira Vargas e , Alfieri Fabio Marcon , Portes Leslie Andrews
Published: June 2022

Therapeutic climbing, an adaptation of sport climbing, can promote improvements in motor coordination, balance, and muscle endurance. Objective: The aim of this study was to evaluate the effects of this intervention on handgrip strength, postural control, functional mobility, and the spasticity control of children with cerebral palsy. Method: Case series study with 7 patients with a mean age of 9.6 ± 3.7 years, who took part in 1-hour sessions of therapeutic climbing twice a week. Results: After 19 sessions, there was an increase in handgrip strength of the right hand (p = 0.022) and improvement in static balance and gait (p = 0.007). Functional mobility also improved significantly (p = 0.014). The score on the Ashworth modified scale showed an efficient control of spasticity, although the difference has not reached statistical significance. Conclusion: Therapeutic climbing improved the handgrip strength, postural control, and functional mobility of patients.
Photobiomodulation effect on the masseter muscle in children with cerebral palsy: a case report
Authors: Santos Maria Teresa Botti Rodrigues , Pinto Marcio da Silva , Nascimento Karla Santos do , Maciel Simone Carazzato
Published: June 2022

Spasticity causes stiffness in the masticatory muscles of individuals with cerebral palsy (CP), affecting the amplitude of mouth opening, making oral hygiene conditions difficult and predisposing these individuals to the risk of developing oral diseases. Objective: To evaluate the effect of a low-intensity photobiomodulation diode laser on the thick part of the masseter muscle in a child with spastic type CP. Method: The caregiver reported that the child had great difficulty in performing the oral hygiene, making avoidance movements of the head when the toothbrush touched the mucosa of the upper molar region in the mouth. The mother described the child’s discomfort as extreme. The first ultrasound evaluation was performed at the first appointment, and the second evaluation after 6 sessions of photobiostimulation. The low-intensity Infrared Laser Diode, Ga-As-Al, was employed (λ = 808 ± 3 nm, 120 mW; Twin Flex Evolution Laser MMOptics São Paulo, Brazil), using 5.0 J/cm2 dose energy/location, with 20 seconds exposure/site. The area of the masseter muscle was bilaterally irradiated towards the midpoint of its length and width. Six sessions were performed, with an interval of 7 days between them. Results: At the end of the sixth session of photobiostimulation, the mother reported that the child slept better, had reduction in involuntary movements performed by the jaw, and oral hygiene was possible now with no painful expression of the child. During palpation there was less stiffness in the bilateral masseter and an increased masseter thickness and increase in the amplitude of the mouth opening of 7 mm. Conclusion: The diode laser photobiostimulation appears to be effective in reducing spasticity in the masseter muscle of children with spastic type CP.
Influence of shockwave therapy on pain in women with knee osteoarthritis
Authors: Imamura Marta , Alfieri Fabio Marcon , Plapler Pérola Grinberg , Hsing Wu Tu , Battistella Linamara Rizzo
Published: June 2022

Osteoarthritis is the most common articular disease that causes pain to its sufferers. Shockwave therapy is among the many treatments that can be used. Objective: The objective of this study was to observe the influence of shockwave therapy on the intensity of pain in elderly women with knee OA. Method: In this study, 40 elderly females (69.57 ± 6.42 years) were submitted to weekly shockwave therapy with 2000 impulses at 2.5 to 4.0 bar, at a frequency of 8Hz, at the location most painful to touch in the knee, the medial articular interline, for three consecutive weeks. The effect of its application on the pain was evaluated by the visual analogue scale before and after the treatment. Results: There was a significant reduction (p < 0.0001) of pain intensity in the volunteers, going from 7.86 ± 1.07 cm to 5.32 ± 2.26 cm. Conclusion: The application of shockwave therapy has been shown to reduce pain in elderly females with osteoarthritis.
Health profile of children diagnosed with cerebral palsy treated at the Lucy Montoro Rehabilitation Center in São José dos Campos
Authors: Toledo Carolina Abud Weber de , Pereira Cinthia Hermínia Carvalho Nascimento , Vinhaes Marilia Menezes , Lopes Maria Izabel Romão , Nogueira Maria Angélica Ratier Jajah
Published: June 2022

Cerebral Palsy is a disorder of posture and movement due to a brain injury and may result in neurological and motor dysfunction, usually associated with the severity of the sequelae and the child’s age. Objective: To evaluate the epidemiological profile of children diagnosed with Cerebral Palsy treated at the Lucy Montoro Rehabilitation Center in São José dos Campos in the state of São Paulo. Method: 83 medical records were reviewed from December 2011 through December 2014. Factors were recorded such as age, gender, origin, prior physical therapy, types of cerebral palsy according to anatomical distribution, seizures, orthoses, treatment with botulinum toxin, auxiliary means of locomotion, GMFM score, and GMFCS level. Results: There was a predominance of males (55%) and 32% of them were aged between 4 and 6 years. The majority were from São José dos Campos (33 individuals). As to the types of Cerebral Palsy, there was a higher prevalence for tetraplegia and diplegia (43% each); 61% of the patients did not have seizures, and 30% had applications of botulinum toxin. There were 41% who needed assistive devices for locomotion. The prevalent score of GMFM was 0-25% (22 individuals), and the largest portion (29%) classified as level IV in the GMFCS. Conclusion: Further studies are needed to define the epidemiological profile of children with Cerebral Palsy for a better characterization of this population and guidance for future research
Differences of free-throw shot in wheelchair basketball and conventional players
Authors: Eltz Giovana Duarte , Moraes Enaile Farias , Stocchero Cíntia Mussi Alvim , Rocha Clarice Sperotto dos Santos , Matos Mauro Gomes
Published: June 2022

Wheelchair Basketball (WB) follows almost the same rules as Conventional Basketball (CB). Objective: Evaluate the electromyographic (EMG) activation of the pectoralis major (PM), anterior deltoid (AD), and triceps brachii (TB) muscles during shooting in CB and WB athletes and to verify whether there is any difference in muscle activation between the categories. Method: Comparing two groups in a transversal study, CB and WB, in which eleven individuals submitted to an electromyographic examination, of muscles PM, AD, TB on the extremity that was doing the shooting. We used a 4-channel EMG (Miotec/Brazil) (2000Hz/channel). Results: Comparing the muscles, the CB group showed a significant difference: greater AD muscle activation compared to the others; however in the WB group, no differences were found. When comparing between the groups, the PM muscle showed greater activation in the WB group, while the AD muscle was more active in the CB group. The TB muscle showed no difference between groups. Conclusion: From these results, the athletes from the CB and WB groups showed differences in muscle activation during shooting. However, both groups activated the AD the most, followed by the TB. The least active muscle was the PM, and these differences were more visible in the CB group
Fatores de risco cardiovasculares em pacientes com fibromialgia
Authors: Zanetti Hugo Ribeiro , Facioli Tábata de Paula , Furlanetto Júnior Roberto , Haddad Eduardo Gaspareto , Lopes Leandro Teixeira Paranhos , Gonçalves Alexandre
Published: June 2022

Objetivo: Verificar os fatores de risco cardiovasculares em pacientes com fibromialgia (FM). Métodos: O estudo foi composto por 40 mulheres diagnosticadas com FM e encaminhadas para o setor de Reabilitação Física do Hospital de Clínicas de Uberlândia. Foi aplicado um questionário do American College of Sports Medicine contendo perguntas sobre histórico familiar; tabagismo; hipertensão; dislipidemia; glicose de jejum alterada; obesidade; sedentarismo e etilismo. Resultados: O sedentarismo teve prevalência de 92,5%, hereditariedade 52,5%, obesidade 50%, hipertensão arterial 45%, dislipidemia 37,5%, tabagismo 25%, etilismo 8% e diabetes 7,5%. Além disso, 60% da amostra apresentou três ou mais fatores de risco, 30% apresentou 2 fatores e 10% apresentou apenas um fator de risco. Conclusão: Pacientes com FM apresentam vários fatores de risco cardiovasculares, desse modo, deve-se orientar tais pacientes à mudança do estilo de vida, a fim de reduzir tais fatores e consequentemente eventos cardíacos futuros, e proporciona melhora do quadro de dor.
Pressure pain threshold, lifestyle, muscle strength and functional capacity in elderly women with sarcopenia
Authors: Lima Alessandra Rodrigues Souto , Portes Leslie Andrews , Oliveira Natália Cristina de , Alfieri Fábio Marcon
Published: June 2022

Objective: The present study sought to assess the impact of this condition on muscle strength, functional capacity, lifestyle, and the pressure pain threshold. Methods: Elderly people considered healthy (n = 75) aged 60-75 years (66.8 ± 4.6 years) were studied in an observational and crosssectional design. Those who registered pain above 4 on the Visual Analogue Scale (VAS) and used analgesic and/or anti-inflammatory medication were excluded from the study. Body composition and presence of sarcopenia were evaluated by bioelectric impedance. Two groups were formed: CO - control group (n = 51) and SARC - sarcopenic group (n = 24, muscle mass index less than 6.86 kg/m2 ). Results: Functional capacity was determined by the 6-minute walk test (6MWT); handgrip strength and elbow flexion strength were both determined by dynamometry. Lifestyle was assessed by the FANTASTIC questionnaire. The pressure pain threshold was determined by algometry. Data were analyzed using the Student’s t-test (p < 0.05). CO and SARC did not differ regarding age, body fat percentage, lifestyle, 6MWT, elbow flexion strength, or in algometry measurements at almost any point. However, statistically significant differences between groups were found regarding handgrip strength and algometry in the right insertion of the biceps. Conclusion: Elderly women with significant reduction of muscle mass do not present impairments in functionality or in the sensation of muscle and tendon pain, probably due to a pre-sarcopenic condition
Practice of mental protocols used in rehabilitation of patients with Parkinson’s disease: a systematic review
Authors: Silva Douglas Monteiro da , Coriolano Maria das Graças Wanderley de Sales , Macêdo João Gabriel Figuêredo de , Silva Liliane Pereira da , Lins Otávio Gomes
Published: June 2022

The Mental Practice (MP) consists of a training method by which a given specific motor act is cognitively reproduced internally and repeated with the intention of promoting learning or improvement of motor skills, without inducing any real movement. The results of MP to research in Parkinson’s disease are still ambiguous due to various reasons such as the diversity of the intervention protocols. The MP with intervention protocols are cognitively complex and challenging presenting variations in its application concerning the type of PM, task/movement to be imagined and type of instruction. Objective: The study aimed to investigate the literature MPs protocols used for motor rehabilitation of individuals with Parkinson’s disease. Methods: The searches of this systematic review was performed on the portals databases: PubMed, Scopus, Web of Science and Medicine. The descriptors were: (“mental practice” or “engine imagery” or “imagery training” and “Parkinson”). Results: 128 articles were found, of which only 4 were included according to the eligibility criteria. Conclusion: The protocols that have proven to be effective for reducing bradykinesia, improving mobility and gait speed used the MP combined with physical practice in 12 sessions, of 5 to 30 minutes, visual or visual and kinesthetic imagery of specific activities and used gait videos of patients or healthy subjects promote familiarization and identification of kinematic components of the movement
Multidisciplinarity in reducing levodopa in person with advanced Parkinson’s disease
Authors: Yamaguchi Bruna , Ferreira Manoela de Paula , Israel Vera Lúcia
Published: June 2022

Objective: To identify and compare people with Parkinson Disease (PD) doing multidisciplinary activities with those who do not realize. Method: Participants were evaluated for the Hoehn and Yahr (HY) (1-4), age, daily dose of levodopa, what activities they participate in and quality of life (PDQ-39), UPDRS activities of daily living and motor (UPDRS). They compared participants and non-practicing multidisciplinary activities stratifying the levels of HY between those with balance deficit (levels 3 and 4 HY), and those who do not have balance problems (levels 1 and 2 HY). Results: Attended by 49 participants of both genders (21 women, 28 men), these 17 do not participate in other therapies and 32 perform at least one multidisciplinary activity. There were no differences between groups participants and non-participating multidisciplinary activities. However, when stratifying the levels of HY, we realized that there was a statistical difference at the highest level of HY, the daily dose prescribed levodopa, between participants and non-participating multidisciplinary activities (P=0.017). Conclusions: The finding points that for this group of people with PD, with greater severity of PD, those who practice multidisciplinary activities need a statistically lower dose of levodopa
Ground reaction force patterns during gait in patients with lower limb lymphedema
Authors: Forner-Cordero Isabel , Furtado Fabianne , Cervera-Deval Juan , Forner-Cordero Arturo
Published: June 2022

Although gait problems have been reported in patients with lower limb lymphedema (LLL), the gait pattern (GP) changes have not been documented yet. However, it is possible that patients with LLL show abnormal GP that can be related to biomechanical complications related to osteoarthritis or falls affecting the quality of life. Ground reaction force analysis during gait allows objective assessment of the patients and it can be used to plan a rehabilitation approach. Objective: To analyze the GRF during gait in patients LLL. Methods: An experimental descriptive study was realized with twenty-three LLL patients, both unilateral and bilateral and classified as moderate and severe, participated in the experiments. The patients walked on a force plate while the three ground reaction force (GRF) components, vertical, mediolateral (M-L) and anteroposterior (A-P), under their feet were recorded and analyzed. Results: In the patients with unilateral lymphedema, either moderate or severe, the vertical GRF components of the affected limb were similar to the sound one and also resembling those found in healthy adults. The M-L GRF was smaller in the non-affected side. In patients with bilateral lymphedema gait speed was significantly slower. More interestingly, the vertical GRF pattern was flat, not showing the typical 2-peak shape. Finally, the large M-L forces found suggest gait stability problems. Conclusions: The patients showed abnormal GRF patterns, including compensation with the non-affected leg. The GRF variability was higher in the patients with severe unilateral lymphedema. Bilateral lymphedema results in lower A-P forces. Stance phase duration was longer in patients with bilateral and severe lymphedema
Nível de atividade física de usuários da atenção primária: comparação entre indivíduos saudáveis e pós acidente vascular cerebral
Authors: Simões Tamires Fernanda Pedrosa , Ferreira Ananda Jacqueline , Martins Júlia Caetano , Faria Christina Danielli Coelho de Morais
Published: June 2022

Indivíduos acometidos pelo Acidente Vascular Cerebral (AVC) comumente apresentam um baixo nível de atividade física (AF), o que é fator de risco para recorrência do AVC, surgimento de outras doenças cardiovasculares e aumento das incapacidades. A manutenção de um bom nível de AF associa-se a uma melhora funcional e da saúde desses indivíduos. Objetivo: Comparar o nível de AF de indivíduos saudáveis e indivíduos pós-AVC usuários da atenção primária do SUS. Método: Todos os indivíduos pós-AVC (G1; n=37) usuários de uma Unidade Básica de Saúde (UBS) da cidade de Belo Horizonte, MG com condições clínicas para responder a um questionário, e indivíduos saudáveis pareados (G2; n=37), também usuários da UBS, foram avaliados quanto ao nível de AF pelo questionário Perfil de Atividade Humana (PAH). Estatísticas descritivas, teste-t de student, teste qui-quadrado e teste de Mann-Whitney foram utilizados para as análises (α=0,05). Resultados: Os grupos foram semelhantes quanto à idade, sexo e nível de exercício físico (p>0,05). Houve diferença estatisticamente significativa entre os grupos para todas as variáveis do PAH (0,001≤p≤0,011). Conclusão: Indivíduos pós-AVC apresentaram piores pontuações ou classificações quando comparados a indivíduos saudáveis pareados para todos os desfechos do PAH relacionados ao nível de atividade física.
Intervenções fisioterapêuticas utilizadas em pessoas amputadas de membros inferiores pré e pós-protetização: uma revisão sistemática
Authors: Vieira Rafael Isac , Luz Soraia Cristina Tonon , Santos Kadine Priscila Bender , Gonçalvez Junior Erádio , Campos Paloma Vanessa Coelho
Published: June 2022

Intervenções fisioterapêuticas no paciente amputado antes e após a colocação de uma prótese são utilizadas em diversos serviços de fisioterapia, no entanto, faz-se necessária a sistematização de evidências sobre protocolos para condução da reabilitação. Objetivo: Agregar evidências científicas para guiar a prática fisioterapêutica nas fases pré e pós protetização da pessoa amputada de membro inferior. Método: Realizou-se uma revisão sistemática durante os meses de agosto à dezembro de 2014 nas bases de dados: Lilacs, Medline, Pedro, Pubmed, Scielo e Cochrane. Selecionaram-se artigos publicados no período de 2000 até o primeiro semestre de 2014, utilizando unitermos em português, inglês e espanhol. Resultados: Seis artigos atenderam aos critérios de inclusão, sendo que apenas um esteve relacionado à fase pré-protetização destacando a intervenção: enfaixamento do coto. As demais intervenções referiram-se à fase pós-protetização como fortalecimentos musculares, treino aeróbio, funcional e de marcha. Conclusão: Foram encontrados poucos artigos com evidências científicas relacionadas às principais intervenções pré e pós protetização rotineiramente usadas pelo fisioterapeuta, o que dificulta o estabelecimento de protocolos e conclusões sobre a eficácia das terapêuticas comumente descritas.
Avaliação da qualidade de vida, grau de incapacidade e do desenho da figura humana em pacientes com neuropatias na hanseníase
Authors: Benedicto Camila Beltrame , Marques Tatiani , Milano Arianni Pereira , Galan Noêmi Garcia de Almeida , Nardi Susilene Tonelli , Duerksen Frank , Marciano Lúcia Helena Soares Camargo , Prado Renata Bilion Ruiz
Published: June 2022

Na hanseníase, a presença de sintomas dermatoneurológicos com potencial evolução para incapacidades físicas pode comprometer a qualidade de vida (QV) e a imagem corporal do paciente. Objetivo: Avaliar as possíveis associações entre a QV, o Grau de Incapacidade (GI) e o Desenho da Figura Humana (DFH) em indivíduos com neuropatia hansênica. Método: Este estudo consiste em um estudo descritivo, com abordagem quanti-qualitativa. Foram utilizados quatro instrumentos de avaliação: Questionário sociodemográfico, NeuroQol (Neuropathy – Specific Quality of Life Questionnaire), DFH e Formulário de avaliação do GI. Foram incluídos pacientes com GI 1 ou 2 nos pés e idade igual ou superior a 18 anos. Resultados: Foram avaliados 100 indivíduos. Entre aqueles com GI 2, houve uma tendência à omissão do nariz (p=0,050) e DFH no tamanho pequeno (p=0,047). Houve associação entre o DFH e o domínio QV Sintomas difuso sensitivo-motores (p=0,035), sugerindo que a omissão dos pés no DFH pode representar perda da QV. Conclusão: Indivíduos com neuropatia hansênica apresentam QV boa à moderada. A omissão de segmentos do corpo pode indicar conflitos e sentimentos de insegurança. Há indícios de perda de autonomia quando o paciente omite ou corta os pés no DFH.