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AVALIAÇÃO CARDIORESPIRATÓRIA EM MULHERES COM LUPUSERITEMATOSO SISTÊMICO 系统性红斑狼疮妇女的心肺评估
Pub Date : 2018-03-20 DOI: 10.33233/fb.v7i3.1898
Leandra G. Lima, A. A. Miranda, A. C. C. Viana, N. Lima
Objetivo: Avaliar a capacidade aerobia estimada, atraves do teste de caminhada de 6 minutos (TC6), juntamente com a analise da funcao pulmonar em mulheres com Lupus Eritematoso Sistemico (LES). Metodos: Participaram do estudo 17 pacientes do sexo feminino, com idade entre 16 a 50 anos, tempo de doenca superior a 12 meses. Todas as pacientes preencheram os criterios de classificacao do American College of Rheumatology para LES e se encontravam na fase inativa da doenca, constatada pelo indice de atividade da doenca (SLEDAI). A avaliacao pulmonar foi feita com base em parâmetros de funcao pulmonar e a capacidade submaxima ao exercicio pela aplicacao do TC6. Resultados: Na funcao pulmonar pode-se observar que a Pressao Expiratoria Maxima e a Capacidade Vital Forcada apresentaram valores inferiores, com alteracao significativa de 23,57% e 33,3% respectivamente, quando comparados a valores preditos. A Pressao Inspiratoria Maxima e o Pico de Fluxo Expiratorio, nao apresentaram alteracao estatistica. No TC6 os valores obtidos foram inferiores aos preditos, media de 46,26%. Conclusao: Analises da populacao estudada demonstram que mulheres com LES apresentam um condicionamento fisico limitado, contribuindo para niveis baixos de atividade aerobia, o que pode ser constatado por valores inferiores no TC6 e nos testes de funcao pulmonar. Objective: To evaluate the estimate aerobic capacity, throught a 6 minute walk test (6MW), along with analysis of pulmonary function in women with systemic lupus erythematosus (SLE). Methods: 17 female patients participated in the study, age 16-50 years, body mass index (BMI)
目的:通过6分钟步行试验(6mwt)评估系统性红斑狼疮(sle)女性的有氧能力,并分析肺功能。方法:17例女性患者,年龄16 - 50岁,患病时间超过12个月。所有患者均符合美国风湿病学会对sle的分类标准,并处于疾病活动指数(SLEDAI)确定的非活动性阶段。肺评估是基于肺功能参数和应用6mwt的次最大运动能力。结果:在肺功能方面,最大呼气压和用力肺活量较预测值有显著变化,分别为23.57%和33.3%。最大吸气压力和呼气峰值流量无统计学变化。在6mwt中,得到的值低于预测值,平均为46.26%。结论:对研究人群的分析表明,患有sle的女性身体状况有限,导致有氧活动水平较低,这可以从6mwt和肺功能测试的较低值中看出。目的:通过6分钟步行试验(6MW)评估系统性红斑狼疮(SLE)女性的有氧能力,并分析其肺功能。方法:17例女性患者,年龄16-50岁,身体质量指数(BMI)
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引用次数: 0
ESTUDO COMPARATIVO ENTRE DUAS ESCALAS FUNCIONAIS PARA PACIENTES COM ESCLEROSE MÚLTIPLA 多发性硬化症患者两种功能量表的比较研究
Pub Date : 2018-01-24 DOI: 10.33233/FB.V9I2.1623
L. Nogueira, Felipe Resende Nóbrega, K. N. Lopes, Luiz Claudio Santos Thuler, R. Alvarenga
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引用次数: 0
EFEITOS DA GALVANOPUNTURA NO TRATAMENTO DAS ESTRIAS ATRÓFICAS 电镀治疗萎缩妊娠纹的效果
Pub Date : 2017-12-30 DOI: 10.33233/fb.v9i1.1613
P. A. S. White, R. C. Gomes, Adriana Clemente Mendonça, L. P. Braganholo, A. S. Ferreira
A estria e definida como uma atrofia tegumentar adquirida, representada por adelgacamento, pregueamento, secura, menor elasticidade da pele e rarefacao dos pelos. Sua etiologia basica ainda e desconhecida, mas sabe-se que dentre os possiveis fatores causais, o fator endocrinologico e o principal determinante. Este trabalho teve como objetivo avaliar os efeitos obtidos no tratamento da estria atraves da galvanopuntura, verificando possivel reparacao do tecido e melhora da aparencia estetica da area afetada. Para isso, foi realizado um estudo de caso em um voluntario do sexo feminino, 25 anos, apresentando estrias atroficas, de coloracao branca, na regiao externa do quadril e da coxa. Foi realizada biopsia da pele estriada, antes e apos o tratamento, a fim de verificar possiveis alteracoes histologicas decorrentes do estimulo oferecido pela associacao da corrente continua filtrada e o estimulo fisico da agulha. Os resultados obtidos atraves de microscopia otica mostraram uma epiderme mais espessa, maior quantidade de fibroblastos, fibras colagenas e elasticas, e maior numero de vasos. Conclui-se, portanto, que houve reparacao da pele apos o tratamento, com consequente melhora do aspecto cutâneo da regiao. The stretch mark is defined as an acquired atrophy of the skin, characterized by thinning, wrinkling, dryness, flaccidness and loss of hair. Its basic etiology is still not completely known, but it is understood that, among the causes, the endocrinous activity is a determined factor. This study had the objective to evaluate the effects obtained by the galvanic-puncture, observing the possibility of tissue repairing and esthetic appearance improvement of the affected area. To observe this a case study was made on a feminine volunteer, 25 years old, presenting white stretch marks in the external area of hips and thighs. A biopsy of the stretched skin was made, before and after the treatment with the galvanic-puncture, verifying possible histological alterations resulting from the impulse of the direct current in association with the needle's physical impulse. The obtained results, viewed by optical microscopy, showed a dense epidermis, higher quantity of fibroblasts, collagen and elastic fibers, and more blood vessels. Thence it follows that there is a repairing of the skin after treatment, with improvement of the aspect of the skin.
妊娠纹被定义为获得性皮肤萎缩,表现为皮肤变薄、皱褶、干燥、皮肤弹性降低和毛发稀疏。其基本病因尚不清楚,但已知在可能的病因中,内分泌因素是主要决定因素。本研究旨在评估电镀处理条纹的效果,验证可能的组织修复和改善受影响区域的美观外观。为此,我们对一名25岁的女性志愿者进行了案例研究,她的臀部和大腿外侧有可怕的白色条纹。在治疗前和治疗后对纹状体皮肤进行活检,以验证过滤直流电和针头的物理刺激可能导致的组织学改变。光学显微镜结果显示表皮更厚,成纤维细胞、胶原纤维和弹性纤维数量更多,血管数量更多。因此,我们得出结论,治疗后皮肤有修复,从而改善了该区域的皮肤外观。= =地理= =根据美国人口普查,这个县的总面积为,其中土地和(1.1%)水。它的基本病因尚不完全清楚,但据了解,在病因中,内分泌活动是一个确定的因素。本研究的目的是评估电穿刺所取得的效果,观察受影响区域组织修复和美观改善的可能性。为了注意这个案例研究是在一个25岁的女性志愿者身上进行的,在臀部和大腿的外部区域有白色的拉伸痕迹。的biopsy stretched皮肤了,之前和之后的治疗电化-puncture, verifying可能组织学alterations resulting从直接的脉冲电流在协会与针的生理冲动。= =地理= =根据美国人口普查,这个县的面积为,其中土地面积为,其中土地面积为。= =地理= =根据美国人口普查,这个县的面积为,其中土地面积为,其中土地面积为。
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引用次数: 6
A INFLUÊNCIA DA ATAXIA CEREBELAR PROGRESSIVA NA MARCHA HUMANA: UM ESTUDO DE CASO 进行性小脑共济失调对人类步态的影响:个案研究
Pub Date : 2017-12-30 DOI: 10.33233/FB.V9I6.1734
I. C. A. Calsani, D. V. Lopes, L. Pessina
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引用次数: 1
Avaliação da função pulmonar em pacientes com câncer submetidos à quimioterapia 癌症化疗患者肺功能的评价
Pub Date : 2016-10-05 DOI: 10.17058/RECI.V1I1.7970
Caroline Heemann Vione, D. Paiva, D. M. Cardoso, I. M. Albuquerque
Background and Objective: Some neoplastic agents used in cancer treatment cause pulmonary toxicity and other important adverse effects, therefore, the present study aimed to evaluate the presence of obstructive lung disease (OLD), restrictive lung disease (RLD) or mixed in patients 2 with cancer undergoing chemotherapy. Method: This is a cross-sectional and descriptive study that evaluated patients diagnosed with cancer and undergoing chemotherapy using Doxorubicin, Bleomycin, Vinblastine, Dacarbazine, Cyclophosphamide, Fluorouracil and Vincristine, being excluded those diagnosed with lung cancer. Realized pulmonary function test byspirometric analysis (EasyOne®, Switzerland) in patients who started chemotherapy for over 30 days, it was evaluated the Forced Vital Capacity (FVC), forced expiratory volume in one second FVC (FEV1), forced expiratory flow between 25-75% of FVC (FEF25-75 %) and the FEV1 / FVC Relation before the chemotherapy session. Results: Sample (n = 18) composed of cancer patients with average age of 49.28±9.90 years and 26.49±5.67 kg/m2 on which 44.4% had normal spirometry standard, 27.8% had OLD, 16.7% presented RLD and 11.1% presented mixed respiratory disorder. Conclusion: Thechemotherapy resulted in obstructive pulmonary disease, restrictive and mixedin patients with leukemia, breast cancer and Hodgkin's lymphoma not specific evaluated.
背景与目的:肿瘤治疗中使用的一些肿瘤药物会引起肺毒性和其他重要的不良反应,因此,本研究旨在评估癌症化疗患者是否存在阻塞性肺疾病(OLD)、限制性肺疾病(RLD)或混合性肺疾病。方法:本研究是一项横断面描述性研究,对诊断为癌症并使用阿霉素、博来霉素、长春碱、达卡巴嗪、环磷酰胺、氟尿嘧啶和长春新碱化疗的患者进行评估,排除肺癌患者。在开始化疗超过30天的患者中,实现了肺功能试验by - spirometric分析(EasyOne®,瑞士),评估了化疗前用力肺活量(FVC)、一秒用力呼气量(FEV1)、用力呼气流量(FVC的25-75%)和FEV1 / FVC关系。结果:18例肿瘤患者平均年龄为49.28±9.90岁,平均年龄为26.49±5.67 kg/m2,其中肺活量测定指标正常的占44.4%,有OLD的占27.8%,有RLD的占16.7%,有混合性呼吸障碍的占11.1%。结论:化疗导致的阻塞性肺疾病、限制性和混合性白血病、乳腺癌和霍奇金淋巴瘤患者没有特异性评价。
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引用次数: 1
Correlação entre a capacidade vital lenta e o tempo máximo de fonação em adultos saudáveis 健康成人慢肺活量与最大发声时间的相关性
Pub Date : 2014-04-01 DOI: 10.1590/1982-021620146912
Danusa Cristina Barbosa de Lima, F. Ferrari, Cláudio Gonçalves de Albuquerque, F. Mesquita, F. M. D. Andrade, Vanessa Vieira, Natália Cardoso, Cecilia Cedrim, Ricardo Espinhara, Marco Aurélio de Valois Correia Junior
Purpose to correlate the value of slow vital capacity (SVC) with the maximum phonation time (TMF) in order to estimate the vital capacity. Methods the study is a cross-sectional crossover and participated in this research one hundred one (101) healthy subjects 71 women and 30 men. The slow vital capacity (SVC) was measured using a spirometer and TMF was evaluated by vowel “a”;, the phoneme “s”; and “z”; and the manner of counting numbers. Results there was significant correlation between the SVC (ml) and TMF (a, s, z) and technique of counting with r * respectively (0.420, 0.442, 0.399, 0.279) with a p-value <0.05 in total population. There was a positive correlation between the slow vital capacity and the variables /a /, /s /, /z / and technique of counting for females, according to values of r * (0.296, 0.334, 0.326, 0.320) respectively and p-value < 0.05 . Conclusion in this study was possible to observe a positive correlation between the SVC and TMF in total population and females, this correlation was not observed among males.
目的探讨慢速肺活量(SVC)与最大发声时间(TMF)的相关性,以估计肺活量。方法本研究采用横断面交叉法,共纳入健康受试者101例,女性71例,男性30例。慢肺活量(SVC)用肺活量计测定,慢肺活量(TMF)用元音“a”、音素“s”评价;和“z”;以及计数的方式。结果总人群SVC (ml)、TMF (a、s、z)与计数技术分别以r *表示(0.420、0.442、0.399、0.279),p值<0.05。雌鼠慢肺活量与/a /、/s /、/z /、计数方法呈正相关,r *分别为(0.296、0.334、0.326、0.320),p值< 0.05。结论在本研究中,SVC与TMF在总体人群和女性中存在正相关,而在男性中未见相关。
{"title":"Correlação entre a capacidade vital lenta e o tempo máximo de fonação em adultos saudáveis","authors":"Danusa Cristina Barbosa de Lima, F. Ferrari, Cláudio Gonçalves de Albuquerque, F. Mesquita, F. M. D. Andrade, Vanessa Vieira, Natália Cardoso, Cecilia Cedrim, Ricardo Espinhara, Marco Aurélio de Valois Correia Junior","doi":"10.1590/1982-021620146912","DOIUrl":"https://doi.org/10.1590/1982-021620146912","url":null,"abstract":"Purpose to correlate the value of slow vital capacity (SVC) with the maximum phonation time (TMF) in order to estimate the vital capacity. Methods the study is a cross-sectional crossover and participated in this research one hundred one (101) healthy subjects 71 women and 30 men. The slow vital capacity (SVC) was measured using a spirometer and TMF was evaluated by vowel “a”;, the phoneme “s”; and “z”; and the manner of counting numbers. Results there was significant correlation between the SVC (ml) and TMF (a, s, z) and technique of counting with r * respectively (0.420, 0.442, 0.399, 0.279) with a p-value <0.05 in total population. There was a positive correlation between the slow vital capacity and the variables /a /, /s /, /z / and technique of counting for females, according to values of r * (0.296, 0.334, 0.326, 0.320) respectively and p-value < 0.05 . Conclusion in this study was possible to observe a positive correlation between the SVC and TMF in total population and females, this correlation was not observed among males.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"20 1","pages":"254-254"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83348485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
A percepção dos pacientes portadores de neoplasia pulmonar avançada diante dos cuidados paliativos da fisioterapia 晚期肺癌患者对姑息治疗前物理治疗的看法
Pub Date : 2013-12-31 DOI: 10.32635/2176-9745.RBC.2013V59N4.980
Ticiana Torres de Melo, Élida Jane de Oliveira Maia, Camila de Fátima L. Pimentel, A. S. Araújo, Clarissa Bentes de Araújo Magalhães, I. C. Nogueira, M. T. A. P. Morano, Framartinho Carlos Silva Araújo
Introducao: O câncer de pulmao e uma doenca altamente letal, geralmente detectado em estagios avancados. Corresponde ao terceiro tipo de tumor mais incidente no sexo masculino e no sexo feminino e o quinto tumor mais frequente. O tratamento depende do historico do paciente, sua idade, estado geral, estagio e tipo do tumor. O fisioterapeuta detem metodos e recursos que sao imensamente uteis nos cuidados paliativos, e sua atuacao corrobora o tratamento multiprofissional. Objetivo: Descrever a percepcao dos pacientes portadores de neoplasia pulmonar avancada diante dos cuidados paliativos da fisioterapia, bem como o estado de saude em que o paciente se encontra e a principal queixa clinica relacionada a doenca. Metodo: Trata-se de uma pesquisa qualitativa realizada com pessoas portadoras de neoplasia pulmonar avancada que se encontravam internadas no Hospital de Messejana Dr. Carlos Alberto Studart Gomes, em Fortaleza-Ceara, onde foi aplicado um questionario com cinco questoes norteadoras em dez pacientes. Resultados: A partir da analise dos dados, emergiram tres categorias distintas: a tristeza e sofrimento ocasionados pela doenca; as limitacoes e incapacidades fisicas no cotidiano; e a atuacao da fisioterapia em relacao aos cuidados paliativos. Conclusao: A importância do papel da fisioterapia mostrou ser de grande valor, a partir das percepcoes dos pacientes, sua atuacao contribuiu de uma forma substancial no tratamento assistencial desses pacientes com câncer pulmonar tornando-se motivadora.
简介:肺癌是一种高度致命的疾病,通常在晚期发现。它对应于男性和女性中第三常见的肿瘤类型和第五常见的肿瘤类型。治疗取决于病人的病史、年龄、一般情况、分期和肿瘤类型。物理治疗师拥有在姑息治疗中非常有用的方法和资源,他们的行为支持多专业治疗。摘要目的:探讨晚期肺癌患者对物理治疗姑息治疗的认知,以及患者的健康状况及与疾病相关的主要临床主诉。方法:这是一项定性研究,对象是在福塔莱萨市Messejana Dr. Carlos Alberto Studart Gomes医院住院的晚期肺癌患者,对10名患者进行了5个指导问题的问卷调查。结果:从数据分析中,出现了三种不同的类别:疾病引起的悲伤和痛苦;日常生活中的限制和身体残疾;以及物理治疗在姑息治疗中的作用。结论:物理治疗的重要性已被证明是非常有价值的,从患者的认知来看,他们的行动对这些肺癌患者的辅助治疗做出了实质性的贡献,成为激励。
{"title":"A percepção dos pacientes portadores de neoplasia pulmonar avançada diante dos cuidados paliativos da fisioterapia","authors":"Ticiana Torres de Melo, Élida Jane de Oliveira Maia, Camila de Fátima L. Pimentel, A. S. Araújo, Clarissa Bentes de Araújo Magalhães, I. C. Nogueira, M. T. A. P. Morano, Framartinho Carlos Silva Araújo","doi":"10.32635/2176-9745.RBC.2013V59N4.980","DOIUrl":"https://doi.org/10.32635/2176-9745.RBC.2013V59N4.980","url":null,"abstract":"Introducao: O câncer de pulmao e uma doenca altamente letal, geralmente detectado em estagios avancados. \u0000Corresponde ao terceiro tipo de tumor mais incidente no sexo masculino e no sexo feminino e o quinto tumor \u0000mais frequente. O tratamento depende do historico do paciente, sua idade, estado geral, estagio e tipo do tumor. O \u0000fisioterapeuta detem metodos e recursos que sao imensamente uteis nos cuidados paliativos, e sua atuacao corrobora \u0000o tratamento multiprofissional. Objetivo: Descrever a percepcao dos pacientes portadores de neoplasia pulmonar \u0000avancada diante dos cuidados paliativos da fisioterapia, bem como o estado de saude em que o paciente se encontra e \u0000a principal queixa clinica relacionada a doenca. Metodo: Trata-se de uma pesquisa qualitativa realizada com pessoas \u0000portadoras de neoplasia pulmonar avancada que se encontravam internadas no Hospital de Messejana Dr. Carlos \u0000Alberto Studart Gomes, em Fortaleza-Ceara, onde foi aplicado um questionario com cinco questoes norteadoras em \u0000dez pacientes. Resultados: A partir da analise dos dados, emergiram tres categorias distintas: a tristeza e sofrimento \u0000ocasionados pela doenca; as limitacoes e incapacidades fisicas no cotidiano; e a atuacao da fisioterapia em relacao \u0000aos cuidados paliativos. Conclusao: A importância do papel da fisioterapia mostrou ser de grande valor, a partir das \u0000percepcoes dos pacientes, sua atuacao contribuiu de uma forma substancial no tratamento assistencial desses pacientes \u0000com câncer pulmonar tornando-se motivadora.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"6 1","pages":"384-384"},"PeriodicalIF":0.0,"publicationDate":"2013-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81362014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Assessment of gait in toddlers with normal motor development and in hemiplegic children with mild motor impairment: a validity study 运动发育正常的幼儿和轻度运动损伤的偏瘫儿童步态评估:一项效度研究
Pub Date : 2013-07-01 DOI: 10.1590/S1413-35552012005000105
P. Figueiredo, P. L. Silva, B. S. Avelar, P. Chagas, Luísa C. P. Oliveira, M. Mancini
BACKGROUND: The optimization of gait performance is an important goal in the rehabilitation of children with cerebral palsy (CP) who present a prognosis associated with locomotion. Gait analysis using videos captured by digital cameras requires validation. OBJECTIVE: To evaluate the validity of a method that involves the analysis of videos captured using a digital camera for quantifying the temporal parameters of gait in toddlers with normal motor development and children with CP. METHOD: Eleven toddlers with normal motor development and eight children with spastic hemiplegia who were able to walk without assistive devices were asked to walk through a space contained in the visual field of two instruments: a digital camera and a three-dimensional motion analysis system, Qualisys Pro-Reflex. The duration of the stance and swing phases of gait and of the entire gait cycle were calculated by analyzing videos captured by a digital camera and compared to those obtained by Qualisys Pro-Reflex, which is considered a highly accurate system. RESULTS: The Intraclass Correlation Coefficient (ICC) demonstrated excellent agreement (ICC>0.90) between the two procedures for all measurements, except for the swing phase of the normal toddlers (ICC=0.35). The standard error of measurement was less than 0.02 seconds for all measures. CONCLUSIONS: The results reveal similarities between the two instruments, suggesting that digital cameras can be valid instruments for quantifying two temporal parameters of gait. This congruence is of clinical and scientific relevance and validates the use of digital cameras as a resource for helping the assessment and documentation of the therapeutic effects of interventions targeted at the gait of children with CP.
背景:步态表现的优化是脑瘫(CP)患儿预后与运动相关的康复的一个重要目标。使用数码相机拍摄的视频进行步态分析需要验证。目的:评估一种方法的有效性,该方法包括分析使用数码相机拍摄的视频来量化正常运动发育的幼儿和CP儿童的步态时间参数。方法:要求11名正常运动发育的幼儿和8名不需要辅助装置就能行走的痉挛性偏瘫儿童在两种仪器的视野范围内行走:一台数码相机和一个三维运动分析系统Qualisys Pro-Reflex。通过分析数码相机拍摄的视频,并与被认为是高精度系统的Qualisys Pro-Reflex获得的视频进行比较,计算步态的站立和摆动阶段以及整个步态周期的持续时间。结果:除了正常幼儿的摇摆阶段(ICC=0.35)外,两种方法的班级内相关系数(ICC)在所有测量结果中均表现出极好的一致性(ICC>0.90)。所有测量的标准误差均小于0.02秒。结论:结果显示了两种仪器之间的相似性,表明数码相机可以作为量化步态两个时间参数的有效工具。这种一致性具有临床和科学意义,并验证了数码相机作为一种资源的使用,可以帮助评估和记录针对CP儿童步态干预的治疗效果。
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引用次数: 7
Tradução do questionário Children Helping Out - Responsibilities, Expectations and Supports (CHORES) para o português - Brasil: equivalências semântica, idiomática, conceitual, experiencial e administração em crianças e adolescentes normais e com paralisia cerebral 葡萄牙语-巴西儿童帮助-责任、期望和支持问卷(CHORES)的翻译:正常和脑瘫儿童和青少年的语义、习惯、概念、经验对等和管理
Pub Date : 2012-12-01 DOI: 10.1590/S1413-35552012000600011
Maíra Amaral, Rebeca L. Paula, A. F. Drummond, Louise Dunn, M. C. Mancini
Background: The participation of children with disabilities in daily chores in different environments has been a therapeutic goal shared by both parents and rehabilitation professionals, leading to increased demand for instrument development. The Children Helping Out: Responsibilities, Expectations and Supports (CHORES) questionnaire was created with the objective of measuring child and
背景:残疾儿童在不同环境中参与日常家务一直是父母和康复专业人员共同的治疗目标,导致对工具开发的需求增加。“孩子们帮忙:责任、期望和支持(家务)”问卷调查的目的是衡量孩子和父母的能力
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引用次数: 14
Força de preensão palmar em idosos com demência: estudo da confiabilidade 老年痴呆患者的握力:信度研究
Pub Date : 2012-12-01 DOI: 10.1590/S1413-35552012005000059
Mariana Asmar Alencar, João Marcos Domingues Dias, L. C. Figueiredo, R. Dias
Background: Measuring instruments should have their scientific and clinical value evaluated in different populations. The handgrip strength test is widely used, however little has been investigated about its reliability when used in elderly with dementia and the right stage wich its use should be avoided. Objectives: To evaluate the test-retest reliability of the handgrip strength test in elderly with different ratings of dementia. Method: The cognitive function of 76 elderly subjects with dementia was measured, and the caregivers were interviewed to allow classification by the Clinical dementia rating (CDR). For these assessments the Mini-Metal State Examination and the Pfeffer, Lawton, and Katz scales were used. Twenty subjects were classified as borderline (83.4± 5.8 years), 19 as mild (82.4±6.8 years), 19 as moderate (85.8±5.6 years) and 18 as severe dementia (84.0±5.1 years). Handgrip strength was assessed with a JAMAR hydraulic dynamometer and after one week it was reevaluated. Reliability was analyzed by Intraclass Correlation Coefficient (ICC). The significance level was set at α=0.05. Results: Test-retest reliability was excellent for groups with borderline (ICC=0.975; p=0.001), mild (ICC=0.968; p=0.002), and moderate (ICC=0.964; p=0.001) dementia. The analysis of the group with a severe CDR showed no statistical significance and a low ICC (ICC=0.415; p=0.376). Conclusion: The handgrip strength test has excellent reliability when used in elderly with borderline, mild, and moderate dementia, which enables its use in research. However, its use is not recommended in elderly classified with severe dementia due to the measure's low reliability and subsequent irrelevance in clinical practice.
背景:测量仪器应在不同人群中评估其科学和临床价值。握力测试被广泛使用,但其在老年痴呆患者中应用的可靠性及应避免使用的正确阶段的研究却很少。目的:评价不同痴呆评分老年人握力测验的重测信度。方法:对76例老年痴呆患者的认知功能进行测量,并对照顾者进行访谈,采用临床痴呆评分(CDR)进行分类。在这些评估中,使用了迷你金属状态检查和Pfeffer, Lawton和Katz量表。20例为交界性痴呆(83.4±5.8岁),19例为轻度痴呆(82.4±6.8岁),19例为中度痴呆(85.8±5.6岁),18例为重度痴呆(84.0±5.1岁)。用JAMAR液压测功仪评估握力,一周后重新评估。采用类内相关系数(Intraclass Correlation Coefficient, ICC)分析信度。显著性水平设为α=0.05。结果:临界组重测信度极好(ICC=0.975;p=0.001),轻度(ICC=0.968;p=0.002),中度(ICC=0.964;p = 0.001)痴呆。重症CDR组分析无统计学意义,ICC低(ICC=0.415;p = 0.376)。结论:握力测试在老年边缘性、轻度、中度痴呆患者中具有良好的信度,可用于研究。然而,由于该方法的可靠性较低且与临床实践无关,不建议在重度痴呆的老年人中使用该方法。
{"title":"Força de preensão palmar em idosos com demência: estudo da confiabilidade","authors":"Mariana Asmar Alencar, João Marcos Domingues Dias, L. C. Figueiredo, R. Dias","doi":"10.1590/S1413-35552012005000059","DOIUrl":"https://doi.org/10.1590/S1413-35552012005000059","url":null,"abstract":"Background: Measuring instruments should have their scientific and clinical value evaluated in different populations. The handgrip strength test is widely used, however little has been investigated about its reliability when used in elderly with dementia and the right stage wich its use should be avoided. Objectives: To evaluate the test-retest reliability of the handgrip strength test in elderly with different ratings of dementia. Method: The cognitive function of 76 elderly subjects with dementia was measured, and the caregivers were interviewed to allow classification by the Clinical dementia rating (CDR). For these assessments the Mini-Metal State Examination and the Pfeffer, Lawton, and Katz scales were used. Twenty subjects were classified as borderline (83.4± 5.8 years), 19 as mild (82.4±6.8 years), 19 as moderate (85.8±5.6 years) and 18 as severe dementia (84.0±5.1 years). Handgrip strength was assessed with a JAMAR hydraulic dynamometer and after one week it was reevaluated. Reliability was analyzed by Intraclass Correlation Coefficient (ICC). The significance level was set at α=0.05. Results: Test-retest reliability was excellent for groups with borderline (ICC=0.975; p=0.001), mild (ICC=0.968; p=0.002), and moderate (ICC=0.964; p=0.001) dementia. The analysis of the group with a severe CDR showed no statistical significance and a low ICC (ICC=0.415; p=0.376). Conclusion: The handgrip strength test has excellent reliability when used in elderly with borderline, mild, and moderate dementia, which enables its use in research. However, its use is not recommended in elderly classified with severe dementia due to the measure's low reliability and subsequent irrelevance in clinical practice.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"29 1","pages":"510-514"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87138520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 43
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