Revista Iberoamericana de Fisioterapia y Kinesiología最新文献

Aims of the study

The goals of this study have been to know the number of patients who participate in the Maternal Education Program in the Health Centers in Galicia. Timetable, theoretical and practical activities of the program have been analised.

Subject and methods

transversal descriptive study. We have sent by post a survey to all the health centers of Galicia which have midwifes. The statistic analyses has been about a descriptive study of all the variables included in the questionnaire. The maternal Education Program exists in the 81.5 % of the replies we have received. In the 93.4% of the cases, the women both started and finished the program. The theoretical contents more frequently developed have been the medical care for newborn, breast-feeding and medical care in the postpartum period, which are present in the 100 % of the cases. The less frequently developed has been the medication and pregnancy. The practical contents of the program more frequently developed have been the breathe technics (100 %) followed by physical training during pregnancy (98.1 %). The less developed topic has been the physical training after delivery. The month of pregnancy when the programme begun had as median 6.5. The lenght of the program had as median 10 weeks. The 100 % of the replies showed that the person in charge of the programme was the midwife.

According to the replies we have received, there is a high development of the Maternal Education Program. Related to the theoretical and practical contents taught during the pregnancy, there is so much homogeneity about several aspects among the different centers. It seems to be more emphasis in the prepartum compared to the postpartum program, which has less number of hours per week, and also less weeks of length.

Goal

To check if the records of the physiotherapists, who work in the Intensive Care Units (ICU) of the Public Hospitals, in the metropolitan district of Lisbon, are made according to the guidelines of practice set by the Portuguese Association of Physiotherapists (PAP).

Methodology

An instrument of auditor ship was constructed based on the Patient Record Audit Collection Data, already adapted by the Portuguese Association of Physiotherapists. This instrument has 10 criteria to be evaluated and 48 items in total.

A questionnaire of 18 criteria was elaborated on as well. Following their testing and validation, they were applied to six hospitals, where it has been possible to gather 80 records and 11 questionnaires, which represent the totality of physiotherapists.

Results

It was verified that 36,4 % of the collected records data were in conformity with the established Total Quality patterns. The highest values obtained in three out off our hospitals were linked with the documentation criteria. The remainder was obtained in the analysis criteria. Related to the security criteria, 0 % of positive answers were obtained in all hospitals. As to the importance of the record, seven (63,6 %) consider it very important and the majority, five (45,5 %), consider it influences the performance of the interdisciplinary team. Eight (72,7%), consider the implementation of guidelines for the record very important, and nine (81,8 %), consider the auditory to the records important. As to providing physiotherapists with specific formation, the majority, five (45,5 %), finds it necessary.

Conclusions

By obtaining in the record’s auditor ship a conformity value of 36,4% we could verify it is much inferior than what could be desired, since the Total Quality (100 %) was the one envisaged. This auditor ship primarily focused on the quality of the records, and less on the care given by physiotherapists. In addition to contributing to the continuous professional development, they could facilitate an improvement on the results of a new auditor ship, which should take place in order to complete the cycle of auditor ship.

The aim of this study is to offer a interdisciplinary approach to one of the most frequent pathologies (arthrotic hand) found in geriatric centres, which is, due to its characteristicts specially invalidating as it affects the patient’s interaction with his environment. In this study we have established valuation and treatment procedures from both points of view (i.e. physiotherapy and occupational therapy). As far as the conclusions are concerned, we can prove that with an appropriate intervention we can obtain improvements in different clinical parameters which lead to a major functionality and as such, to an increase in the patient’s quality of life.

Different kinds of grip used in sports climb are able to favour the appearance of different minor pathologies such as: soft tissue injuries, tendon injuries(at flexor muscles level overall), tenosynovitis, contracture, carpal tunnel syndrome.

Other issues, as for example, rupture of pullies, ligament injuries, articular luxation or tendons rupture are generally caused by orthopaedics reasons.

We have carried out a routine survey to a group of 97 climbers from different ages, and sports experience in order to establish what kind of pathologies are most frequent and set out in this way the possibility of establishing a protocol of proceedings.

This form has been carried out by Climbers Association from Málaga and in El Torcal (Antequera), El Chorro and La Cala del Moral.

We have taken into account the time (based on weekly hours) they dedicate to climb and the experience of sportsmen/women (number of years that climbers have been practising).

Referred pathologies have been divided into six groups: soft tissue injuries, flexor tendon injuries, rupture of A2 pully, joints and ligaments injuries and nervous compression syndrome.

Those cases in which we could detect after-effect (57 % presented deformity at some of the proximal interfalangeal joints level), they were explored individually to determine the typology, and to value the current conditions.

In this study are relevant the great percentage of injuries by overload which climbers suffer, permanent after-effect and the non-existence of a detection and an early treatment of such injuries.

Objective

describing the International Physical Activity Questionnaire, in order to justify its application in physical activity programs.

Material and methods

reviewing notable studies that have used the International Physical Activity Questionnaire, a description will make about the feature and psychometric properties of it, to understand its ways of application.

Results

There are different instruments to be applied, depending on the number of questions to make, the time of evaluation, and method of application. They can be applied in people from 18 to 65 years old. The short version gives information about the time spending in walking, in strong, soft, and even sedentary activities. The long version gives information about house keeping and gardening activities, and even in transport, free time, and sedentary activities. On the other hand, the psychometric properties, for the long version, have been shown a reliability of about 0.8 (r = 0.81; CI 95 % = 0.79-0.82) and of 0.65 (r = 0.76; CI 95% = 0.73-0.77) for the short one. The observed validity coefficients suggest that both IPAQ versions have a moderate confiability (r = 0.67; CI 95% = 0.64-0.70).

Conclusions

The short IPAQ version can be applied in regional and national studies of physical activity where surveillance and monitoring of people are required. The long one is better on studies that required specific information on the physical activity dimentions.

Introduction

The concept that the anti-gravitational effects typical of the aquatic exercises improve lumbar trouble is wide spread, being their recommendation often justified.

Objectives

It is intended to determine scientific evidence of the effect of hydrotherapy on the chronic lumbar pain, to define its indications and to compare its effectiveness with a therapy of out-of-the-water exercises.

Methodology

It was performed a bibliographic research on the main healthcare Data Bases (Pubmed, The Cochrane Library and PEDro) about the effects of hydrotherapy on the chronic lumbar pain. In addition, other bibliographic sources were consulted which supplied information of interest for the subject under discussion.

Results and Discussion

Limited evidence on hydrotherapy for the chronic lumbar pain. No significant differences were found between inside and outside the swimming pool therapies.

Conclusions

There is an obvious need for more studies to exactly determine the benefits of hydrotherapy for the chronic lumbar pain.

Objective

To describe the effect the quality of life related to healthy (QLRH) of program therapeutic activity (PTA) in water, in a group of persons with 55 year old non institutionalized.

Design

Cross-sectional study.

Participants and method

50 women that were agree with the criterion of the program in a certain area in Santiago of Cali city. Primary measuring. Were colleted anthropometric variable (age, weight, size, Muscular Body Index). Was presented health questionnaire SF-36 to size quality of life related to the health by personal interview pre and post intervention. Was calculated medium average and dispersion of results, depending on each group.

Results

All ranges of SF-36 health questionnaire were modified after the study. The highest punctuation were found in corporal pain range (23 %), physical range (22 %), vitality (21 %), while that on emotional range and general health results were 18 % and 16% respectively. Social range (14 %) and physical function (13 %) were the lowest results. The mental health resulted negative variation on (3 %) p = < 0.05.

Conclusions

The therapeutic physical activity on person with more than 55 years old modifies the perception of health in all ranges. This results shows the advantage of exercise of this group of persons.