Pub Date : 2012-12-01DOI: 10.1590/S1517-86922012000600004
D. A. Pereira, G. A. R. Samora, Maria Clara Alves Alencar, D. S. Vieira, S. Lage, Mariana Hoffman Barbosa, V. Parreira, R. Britto
INTRODUCAO E OBJETIVO: O teste de esforco com protocolo de rampa e descrito como o que mais se adequa a condicao fisica de individuos com insuficiencia cardiaca (IC). Porem, nao ha padronizacao descrita sobre incrementos de velocidade e inclinacao. Este estudo teve como objetivo descrever resultados encontrados a partir da aplicacao de um teste de esforco com protocolo de rampa adaptado para individuos com IC, classes II e III da New York Heart Association (NYHA). METODOS: 41 individuos com media de idade de 46,37 ± 8,98 anos e fracao de ejecao de 31,51 ± 9,45% fizeram o teste de esforco com analise de gases expirados em esteira, com protocolo de rampa desenvolvido a partir de criterios definidos pelo estudo de Barbosa e Silva e Sobral. Analise estatistica: Foi realizada analise descritiva com distribuicao de frequencia e o tempo de teste foi apresentado como media ± desvio padrao. Foi realizado o modelo de regressao linear incluindo classe da NYHA, idade e fracao de ejecao como variaveis explicativas para tempo de teste. Foi considerado significativo p < 0,05. RESULTADOS: O tempo medio do teste foi 8,89 ± 3,57 minutos e o R alcancado foi 1,12 ± 0,11. Sessenta e um porcento da amostra apresentou duracao do teste entre seis e 12 minutos, considerando intervalo de media ± 1 desvio padrao, e 73,2% da amostra apresentou duracao entre seis e 15 minutos. CONCLUSAO: Os achados deste estudo demonstraram que a maioria dos individuos com IC finalizou o teste com o protocolo de rampa adaptado dentro da duracao considerada adequada pela literatura.
简介和目的:斜坡协议的压力测试被描述为最适合心力衰竭(hf)个体的身体状况。然而，速度和倾斜的增加并没有标准化的描述。本研究旨在描述纽约心脏协会(NYHA) II类和III类心衰患者的压力测试和坡道方案的应用结果。方法:41名受试者，平均年龄46.37±8.98岁，弹射分数31.51±9.45%，根据Barbosa e Silva e Sobral研究定义的标准，采用跑步机呼气分析斜坡方案进行压力测试。统计分析:采用频率分布进行描述性分析，测试时间以均值±标准差表示。线性回归模型包括NYHA类、年龄和弹射分数作为测试时间的解释变量。我们认为p < 0.05是显著的。结果:平均试验时间为8.89±3.57分钟，R为1.12±0.11。61%的样本显示测试持续时间在6 - 12分钟之间，考虑到平均±1标准偏差，73.2%的样本显示测试持续时间在6 - 15分钟之间。结论:本研究的结果表明，大多数心衰患者在文献认为合适的时间内完成了坡道方案的测试。
{"title":"Teste de esforço cardiopulmonar com protocolo de rampa em adultos com insuficiência cardíaca","authors":"D. A. Pereira, G. A. R. Samora, Maria Clara Alves Alencar, D. S. Vieira, S. Lage, Mariana Hoffman Barbosa, V. Parreira, R. Britto","doi":"10.1590/S1517-86922012000600004","DOIUrl":"https://doi.org/10.1590/S1517-86922012000600004","url":null,"abstract":"INTRODUCAO E OBJETIVO: O teste de esforco com protocolo de rampa e descrito como o que mais se adequa a condicao fisica de individuos com insuficiencia cardiaca (IC). Porem, nao ha padronizacao descrita sobre incrementos de velocidade e inclinacao. Este estudo teve como objetivo descrever resultados encontrados a partir da aplicacao de um teste de esforco com protocolo de rampa adaptado para individuos com IC, classes II e III da New York Heart Association (NYHA). METODOS: 41 individuos com media de idade de 46,37 ± 8,98 anos e fracao de ejecao de 31,51 ± 9,45% fizeram o teste de esforco com analise de gases expirados em esteira, com protocolo de rampa desenvolvido a partir de criterios definidos pelo estudo de Barbosa e Silva e Sobral. Analise estatistica: Foi realizada analise descritiva com distribuicao de frequencia e o tempo de teste foi apresentado como media ± desvio padrao. Foi realizado o modelo de regressao linear incluindo classe da NYHA, idade e fracao de ejecao como variaveis explicativas para tempo de teste. Foi considerado significativo p < 0,05. RESULTADOS: O tempo medio do teste foi 8,89 ± 3,57 minutos e o R alcancado foi 1,12 ± 0,11. Sessenta e um porcento da amostra apresentou duracao do teste entre seis e 12 minutos, considerando intervalo de media ± 1 desvio padrao, e 73,2% da amostra apresentou duracao entre seis e 15 minutos. CONCLUSAO: Os achados deste estudo demonstraram que a maioria dos individuos com IC finalizou o teste com o protocolo de rampa adaptado dentro da duracao considerada adequada pela literatura.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"1 1","pages":"185-185"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78088847","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}
Pub Date : 2012-11-01DOI: 10.1590/S1413-35552012000600006
Eli Maria Pazzianotto-Forti, Fabiana Sobral Peixoto-Souza, Camila Piconi-Mendes, Irineu Rasera-Junior, Marcela Barbalho-Moulim
BACKGROUND: Studies on the behavior of respiratory muscle strength (RMS) in morbidly obese patients have found conflicting results. OBJECTIVES: To evaluate RMS in morbidly obese women and to compare the results by using different predictive equations. METHOD: This is a cross-sectional study that recruited 30 morbidly obese women and a control group of 30 normal-weight women. The subjects underwent anthropometric and maximal respiratory pressure measurement. Visual inspection of the Bland-Altman plots was performed to evaluate the correlation between the different equations, with a p value lower than 0.05 considered as statistically significant. RESULTS: The obese women showed a significant increase in maximal inspiratory pressure (MIP) values (-87.83±21.40 cmH2O) compared with normal-weight women (-72±15.23 cmH2O) and a significant reduction of MIP (-87.83±21.40 cmH2O) according to the values predicted by the EHarik equation (-130.71±11.98 cmH2O). Regarding the obtained maximal expiratory pressure (MEP), there were no between-group differences (p>0.05), and no agreeement was observed between obtained and predicted values of MEP and the ENeder and ECosta equations. CONCLUSIONS: Inspiratory muscle strength was greater in the morbidly obese subjects. The most appropriate equation for calculating the predicted MIP values for the morbidly obese seems to be Harik-Khan equation. There seem to be similarities between the respiratory muscle strength behavior of morbidly obese and normal-weight women, however, these findings are still inconclusive.
{"title":"Comportamento da força muscular respiratória de obesas mórbidas por diferentes equações preditivas","authors":"Eli Maria Pazzianotto-Forti, Fabiana Sobral Peixoto-Souza, Camila Piconi-Mendes, Irineu Rasera-Junior, Marcela Barbalho-Moulim","doi":"10.1590/S1413-35552012000600006","DOIUrl":"https://doi.org/10.1590/S1413-35552012000600006","url":null,"abstract":"BACKGROUND: Studies on the behavior of respiratory muscle strength (RMS) in morbidly obese patients have found conflicting results. OBJECTIVES: To evaluate RMS in morbidly obese women and to compare the results by using different predictive equations. METHOD: This is a cross-sectional study that recruited 30 morbidly obese women and a control group of 30 normal-weight women. The subjects underwent anthropometric and maximal respiratory pressure measurement. Visual inspection of the Bland-Altman plots was performed to evaluate the correlation between the different equations, with a p value lower than 0.05 considered as statistically significant. RESULTS: The obese women showed a significant increase in maximal inspiratory pressure (MIP) values (-87.83±21.40 cmH2O) compared with normal-weight women (-72±15.23 cmH2O) and a significant reduction of MIP (-87.83±21.40 cmH2O) according to the values predicted by the EHarik equation (-130.71±11.98 cmH2O). Regarding the obtained maximal expiratory pressure (MEP), there were no between-group differences (p>0.05), and no agreeement was observed between obtained and predicted values of MEP and the ENeder and ECosta equations. CONCLUSIONS: Inspiratory muscle strength was greater in the morbidly obese subjects. The most appropriate equation for calculating the predicted MIP values for the morbidly obese seems to be Harik-Khan equation. There seem to be similarities between the respiratory muscle strength behavior of morbidly obese and normal-weight women, however, these findings are still inconclusive.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"611 1","pages":"479-486"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76800653","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}
Pub Date : 2012-11-01DOI: 10.1590/S1413-35552012005000061
V. Parreira, D. S. Vieira, Mariana A. C. Myrrha, I. M. B. S. Pessoa, S. Lage, R. Britto
BACKGROUND: Optoelectronic plethysmography (OEP) is an innovative method of indirect measurement of pulmonary ventilation, capable of breath-by-breath, three-dimensional, real time assessment of absolute lung volumes and their variations in the three compartments of the chest wall (pulmonary rib cage, abdominal rib cage, and abdomen). OEP allows the measurement of variables of breathing pattern, breathing asynchrony, and contribution of each chest wall compartment and hemithorax to the tidal volume. OBJECTIVES: To review the literature on the following aspects related to OEP: history, operating principle, advantages, psychometric properties, variables, and method of system analysis, highlighting information about its handling. In a second part, the objective is to analyze the applicability of OEP in different health conditions/situations such as: chronic obstructive pulmonary disease (COPD; acute effects of exercise, pulmonary rehabilitation, breathing exercise, and lung transplantation), asthma, patients in intensive care, neuromuscular diseases, and stroke. METHOD: A search was performed in MedLine, SciELO and Lilacs with the term "optoelectronic plethysmography". Forty-three papers were included. CONCLUSION: Based on the literature reviewed, OEP has been shown to be an assessment tool that can provide information about ventilatory parameters in healthy subjects and subjects with various dysfunctions in different positions, situations, and settings. The main results of studies on OEP in COPD are shown, representing the largest body of knowledge to date. The results of studies on OEP in other health conditions are also shown.
{"title":"Pletismografia optoeletrônica: uma revisão da literatura","authors":"V. Parreira, D. S. Vieira, Mariana A. C. Myrrha, I. M. B. S. Pessoa, S. Lage, R. Britto","doi":"10.1590/S1413-35552012005000061","DOIUrl":"https://doi.org/10.1590/S1413-35552012005000061","url":null,"abstract":"BACKGROUND: Optoelectronic plethysmography (OEP) is an innovative method of indirect measurement of pulmonary ventilation, capable of breath-by-breath, three-dimensional, real time assessment of absolute lung volumes and their variations in the three compartments of the chest wall (pulmonary rib cage, abdominal rib cage, and abdomen). OEP allows the measurement of variables of breathing pattern, breathing asynchrony, and contribution of each chest wall compartment and hemithorax to the tidal volume. OBJECTIVES: To review the literature on the following aspects related to OEP: history, operating principle, advantages, psychometric properties, variables, and method of system analysis, highlighting information about its handling. In a second part, the objective is to analyze the applicability of OEP in different health conditions/situations such as: chronic obstructive pulmonary disease (COPD; acute effects of exercise, pulmonary rehabilitation, breathing exercise, and lung transplantation), asthma, patients in intensive care, neuromuscular diseases, and stroke. METHOD: A search was performed in MedLine, SciELO and Lilacs with the term \"optoelectronic plethysmography\". Forty-three papers were included. CONCLUSION: Based on the literature reviewed, OEP has been shown to be an assessment tool that can provide information about ventilatory parameters in healthy subjects and subjects with various dysfunctions in different positions, situations, and settings. The main results of studies on OEP in COPD are shown, representing the largest body of knowledge to date. The results of studies on OEP in other health conditions are also shown.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"29 1","pages":"439-453"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72999216","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}
Pub Date : 2012-09-01DOI: 10.1590/S0103-51502012000300018
Leilane Marcos, Gerson Linck Bichinho, E. Panizzi, Keidy Karla Gonçalves Storino, Davi Carpintero Pinto
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) causes changes in respiratory function and alters the musculoskeletal structures of the chest, increasingly limiting an individual's ability to breathe. OBJECTIVES: To quantitatively analyze chest radiographs of patients with COPD and establish a comparison among the pulmonary function, respiratory muscle strength, thoracic mobility, functional capacity and findings of radiographic exams. METHOD: We studied 15 subjects with COPD who performed the spirometry test, the six-minute walk, manovacuometry and micrometry. The values obtained from these tests were compared with measurements made on chest radiographs of these patients. The values obtained for each variable were normalized by dividing them by retrosternal height. RESULTS: The variable that correlated most significantly with the variables of spirometry (FVC and PEF) and cirtometry (Xiphoid CR and Axillary CR) was the costo-phrenic angle. The image variable ALB DIR positively correlated with the variable PI max. The level of left diaphragmatic drawdown, intercostals right and left distances were not correlated with the variables of physiotherapy exams. CONCLUSION: The variable that correlated most significantly with the tests was the costo-phrenic angle, which indicates that the involvement of the diaphragm has impact on the general conditions of COPD. Thus, the study showed that impairment of the diaphragm in patients with COPD observed in tests of physiotherapy correlate with image variables that assess the diaphragm in radiography.
{"title":"RADIOGRAFIA DE TÓRAX DE INDIVÍDUOS COM DPOC E SUA CORRELAÇÃO COM OS TESTES FUNCIONAIS","authors":"Leilane Marcos, Gerson Linck Bichinho, E. Panizzi, Keidy Karla Gonçalves Storino, Davi Carpintero Pinto","doi":"10.1590/S0103-51502012000300018","DOIUrl":"https://doi.org/10.1590/S0103-51502012000300018","url":null,"abstract":"INTRODUCTION: Chronic obstructive pulmonary disease (COPD) causes changes in respiratory function and alters the musculoskeletal structures of the chest, increasingly limiting an individual's ability to breathe. OBJECTIVES: To quantitatively analyze chest radiographs of patients with COPD and establish a comparison among the pulmonary function, respiratory muscle strength, thoracic mobility, functional capacity and findings of radiographic exams. METHOD: We studied 15 subjects with COPD who performed the spirometry test, the six-minute walk, manovacuometry and micrometry. The values obtained from these tests were compared with measurements made on chest radiographs of these patients. The values obtained for each variable were normalized by dividing them by retrosternal height. RESULTS: The variable that correlated most significantly with the variables of spirometry (FVC and PEF) and cirtometry (Xiphoid CR and Axillary CR) was the costo-phrenic angle. The image variable ALB DIR positively correlated with the variable PI max. The level of left diaphragmatic drawdown, intercostals right and left distances were not correlated with the variables of physiotherapy exams. CONCLUSION: The variable that correlated most significantly with the tests was the costo-phrenic angle, which indicates that the involvement of the diaphragm has impact on the general conditions of COPD. Thus, the study showed that impairment of the diaphragm in patients with COPD observed in tests of physiotherapy correlate with image variables that assess the diaphragm in radiography.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"67 1","pages":"256-256"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83989100","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}
Pub Date : 2012-07-30DOI: 10.4034/RBCS.2012.16.S2.02
Afonso Rodrigues Tavares Netto, Elis Katarine Freire Cabral, G. C. Gomes, Heleodório Honorato Dos Santos, S. S. Maciel
Objective: To identify the effect of intensive physiotherapy on the ventilatory evolution of patients with syndrome of Guillain-Barre under mechanical ventilation. Material and Methods: This was a correlational and cross-sectional study with five patients, intubated, presenting with Guillain-Barre syndrome (n = 5) assisted with pressure- controlled mechanical ventilation. This study was based on the quantification of ventilatory, hemodynamic and gasometric parameters, carried out in two phases, before and after physiotherapeutic intervention. Data were analyzed using descriptive statistics and Student’s t-tests, with significance level of 0.05. Results: Hemodinamyc findings demonstrated stability of the patients before and after intervention, with MBP (96.7 ± 4.9 and 95.6 ± 3.4 mmHg); HR (109.9 ± 5.2 and 112.0 ± 4.4, bpm); RR (17.2 ± 1.6 and 15.9 ± 1.3 irpm); Tidal Volume (476.6 ± 10.4 and 485.4 ± 3.6 mL/Kg) controlled pressure (21.8 ± 0.7 and 22.2 ± 0.8 cmH2O); PEEP (6.8 ± 0.3 and 7.3 ± 0.2 cmH2O); pH (7.35 ± 0.08 and 7.47 ± 0.02); pCO2 (30.98 ± 3.95 and 30.96 ± 3.44); HCO-3 (25.51 ± 4.61 and 23.88 ± 1.85); pO2 (117.08 ± 13.15 and 129.28 ± 25.14); SaO2 (97.81 ± 0.27 and 97.46 ± 0.56); pO2/FiO2 (419.80 ± 76.70 and 520.60 ± 147.80). Conclusion: The results indicate satisfactory effects of physiotherapy according to the hemodinamic control and ventilatory action. However, it is recognized the severity of the disease under intensive care, what brings about the need for increasing the sample. DESCRIPTORS Guillain-Barre Syndrome. Ventilation, Mechanical. Respiration, Artificial. Intensive care unit. Physical Therapy.
{"title":"EFEITO VENTILATÓRIO DA FISIOTERAPIA INTENSIVA NA SÍNDROME DEGUILLAIN-BARRÉ SOB VENTILAÇÃO MECÂNICA","authors":"Afonso Rodrigues Tavares Netto, Elis Katarine Freire Cabral, G. C. Gomes, Heleodório Honorato Dos Santos, S. S. Maciel","doi":"10.4034/RBCS.2012.16.S2.02","DOIUrl":"https://doi.org/10.4034/RBCS.2012.16.S2.02","url":null,"abstract":"Objective: To identify the effect of intensive physiotherapy on the ventilatory evolution of patients with syndrome of Guillain-Barre under mechanical ventilation. Material and Methods: This was a correlational and cross-sectional study with five patients, intubated, presenting with Guillain-Barre syndrome (n = 5) assisted with pressure- controlled mechanical ventilation. This study was based on the quantification of ventilatory, hemodynamic and gasometric parameters, carried out in two phases, before and after physiotherapeutic intervention. Data were analyzed using descriptive statistics and Student’s t-tests, with significance level of 0.05. Results: Hemodinamyc findings demonstrated stability of the patients before and after intervention, with MBP (96.7 ± 4.9 and 95.6 ± 3.4 mmHg); HR (109.9 ± 5.2 and 112.0 ± 4.4, bpm); RR (17.2 ± 1.6 and 15.9 ± 1.3 irpm); Tidal Volume (476.6 ± 10.4 and 485.4 ± 3.6 mL/Kg) controlled pressure (21.8 ± 0.7 and 22.2 ± 0.8 cmH2O); PEEP (6.8 ± 0.3 and 7.3 ± 0.2 cmH2O); pH (7.35 ± 0.08 and 7.47 ± 0.02); pCO2 (30.98 ± 3.95 and 30.96 ± 3.44); HCO-3 (25.51 ± 4.61 and 23.88 ± 1.85); pO2 (117.08 ± 13.15 and 129.28 ± 25.14); SaO2 (97.81 ± 0.27 and 97.46 ± 0.56); pO2/FiO2 (419.80 ± 76.70 and 520.60 ± 147.80). Conclusion: The results indicate satisfactory effects of physiotherapy according to the hemodinamic control and ventilatory action. However, it is recognized the severity of the disease under intensive care, what brings about the need for increasing the sample. \u0000 \u0000DESCRIPTORS \u0000Guillain-Barre Syndrome. Ventilation, Mechanical. Respiration, Artificial. Intensive care unit. Physical Therapy.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"39 1","pages":"7-7"},"PeriodicalIF":0.0,"publicationDate":"2012-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79873673","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}
Pub Date : 2012-07-01DOI: 10.1590/S1413-35552012000400001
J. E. Araújo
{"title":"About the rights of practicing acupuncture in Brazil","authors":"J. E. Araújo","doi":"10.1590/S1413-35552012000400001","DOIUrl":"https://doi.org/10.1590/S1413-35552012000400001","url":null,"abstract":"","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87622905","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}
Pub Date : 2012-07-01DOI: 10.1590/S1413-35552012000400007
Juliana A. Andrade, L. C. Figueiredo, T. T. Santos, Ana Paula, N. Bittencourt, S. T. Fonseca
BACKGROUND: The bridge test with unilateral knee extension evaluates the stability of the trunk and pelvis. The evaluation of this stability can contribute to the understanding of the occurrence of musculoskeletal injuries. OBJECTIVES: To investigate the intra- and inter-rater reliability of a qualitative analysis and intra-test reliability of a quantitative analysis of transverse plane pelvic alignment during the bridge test with unilateral knee extension. METHOD: Thirty participants (24.73±4.24 years old) were tested. The qualitative analysis was conducted by asking two raters to judge the transverse plane pelvic alignment and its reliability was assessed with the weighted kappa coefficient (kw). The quantitative analysis was conducted by measuring the greatest pelvic tilt angle in transverse plane and its reliability was assessed by use of the intraclass correlation coefficient (ICC); the mean change, which was evaluated using 95% confidence interval of the mean difference (95%CI ) and Bland-Altman plot; and the quantification of measurement variability, which was assessed using standard error of measurement (SEM) and the coefficient of variation of the typical error (CVTE). In addition, the minimal detectable change (MDC95) was determined. RESULTS: The intra-rater reliability ranged from fair to moderate (kw=0.32 to 0.58) and the inter-rater reliability was substantial (kw=0.80). The intra-test reliability was excellent (ICC=0.82), the 95% CI ranged from -0.51o to 1.99o, the SEM was 2.38o and the CVTE was 28.75%. The MDC95 was 6.59o. CONCLUSIONS: The inter-rater reliability was greater than the intra-rater reliability; the intra-test reliability was excellent and showed no systematic or random error.
{"title":"Confiabilidade da mensuração do alinhamento pélvico no plano transverso durante o teste da ponte com extensão unilateral do joelho","authors":"Juliana A. Andrade, L. C. Figueiredo, T. T. Santos, Ana Paula, N. Bittencourt, S. T. Fonseca","doi":"10.1590/S1413-35552012000400007","DOIUrl":"https://doi.org/10.1590/S1413-35552012000400007","url":null,"abstract":"BACKGROUND: The bridge test with unilateral knee extension evaluates the stability of the trunk and pelvis. The evaluation of this stability can contribute to the understanding of the occurrence of musculoskeletal injuries. OBJECTIVES: To investigate the intra- and inter-rater reliability of a qualitative analysis and intra-test reliability of a quantitative analysis of transverse plane pelvic alignment during the bridge test with unilateral knee extension. METHOD: Thirty participants (24.73±4.24 years old) were tested. The qualitative analysis was conducted by asking two raters to judge the transverse plane pelvic alignment and its reliability was assessed with the weighted kappa coefficient (kw). The quantitative analysis was conducted by measuring the greatest pelvic tilt angle in transverse plane and its reliability was assessed by use of the intraclass correlation coefficient (ICC); the mean change, which was evaluated using 95% confidence interval of the mean difference (95%CI ) and Bland-Altman plot; and the quantification of measurement variability, which was assessed using standard error of measurement (SEM) and the coefficient of variation of the typical error (CVTE). In addition, the minimal detectable change (MDC95) was determined. RESULTS: The intra-rater reliability ranged from fair to moderate (kw=0.32 to 0.58) and the inter-rater reliability was substantial (kw=0.80). The intra-test reliability was excellent (ICC=0.82), the 95% CI ranged from -0.51o to 1.99o, the SEM was 2.38o and the CVTE was 28.75%. The MDC95 was 6.59o. CONCLUSIONS: The inter-rater reliability was greater than the intra-rater reliability; the intra-test reliability was excellent and showed no systematic or random error.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"66 1","pages":"268-274"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74111369","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}
Pub Date : 2012-04-01DOI: 10.1590/S1413-35552012005000016
F. Guimarães, Vanessa J. R. Moço, S. L. S. Menezes, Cristina Márcia Dias, R. E. B. Salles, A. Lopes
Background: Although respiratory physical therapy is considered fundamental in the treatment of hypersecretive patients, there is little evidence of its physiological and therapeutic effects in bronchiectasis patients. Objective: To evaluate the acute physiological effects of ELTGOL and Flutter VRP1® in dynamic and static lung volumes in patients with bronchiectasis and, secondarily, to study the effect of these techniques in sputum elimination. Methods: Patients with clinical and radiological diagnosis of bronchiectasis were included. Patients underwent three interventions in a randomized order and with a one-week washout interval between them. Before all interventions patients inhaled two puffs of 100 mcg of salbutamol. There was a cough period of five minutes before and after the control protocol and the interventions (ELTGOL and Flutter VRP1®). After each cough series patients underwent assessments of dynamic and static lung volumes by spirometry and plethysmography. The expectorated secretions were collected during the interventions and during the second cough series, and quantified by its dry weight. Results: We studied 10 patients, two males and eight females (mean age: 55.9±18.1 years). After using Flutter VRP1®and ELTGOL there was a significant decrease in residual volume (RV), functional residual capacity (FRC) and total lung capacity (TLC) (p<0.05). There was a higher sputum production during ELTGOL compared with Control and Flutter VRP1® (p<0.05). Conclusion: The ELTGOL and Flutter VRP1® techniques acutely reduced lung hyperinflation, but only the ELTGOL increased the removal of pulmonary secretions from patients with bronchiectasis.
{"title":"Efeitos da ELTGOL e do Flutter® nos volumes pulmonares dinâmicos e estáticos e na remoção de secreção de pacientes com bronquiectasia","authors":"F. Guimarães, Vanessa J. R. Moço, S. L. S. Menezes, Cristina Márcia Dias, R. E. B. Salles, A. Lopes","doi":"10.1590/S1413-35552012005000016","DOIUrl":"https://doi.org/10.1590/S1413-35552012005000016","url":null,"abstract":"Background: Although respiratory physical therapy is considered fundamental in the treatment of hypersecretive patients, there is little evidence of its physiological and therapeutic effects in bronchiectasis patients. Objective: To evaluate the acute physiological effects of ELTGOL and Flutter VRP1® in dynamic and static lung volumes in patients with bronchiectasis and, secondarily, to study the effect of these techniques in sputum elimination. Methods: Patients with clinical and radiological diagnosis of bronchiectasis were included. Patients underwent three interventions in a randomized order and with a one-week washout interval between them. Before all interventions patients inhaled two puffs of 100 mcg of salbutamol. There was a cough period of five minutes before and after the control protocol and the interventions (ELTGOL and Flutter VRP1®). After each cough series patients underwent assessments of dynamic and static lung volumes by spirometry and plethysmography. The expectorated secretions were collected during the interventions and during the second cough series, and quantified by its dry weight. Results: We studied 10 patients, two males and eight females (mean age: 55.9±18.1 years). After using Flutter VRP1®and ELTGOL there was a significant decrease in residual volume (RV), functional residual capacity (FRC) and total lung capacity (TLC) (p<0.05). There was a higher sputum production during ELTGOL compared with Control and Flutter VRP1® (p<0.05). Conclusion: The ELTGOL and Flutter VRP1® techniques acutely reduced lung hyperinflation, but only the ELTGOL increased the removal of pulmonary secretions from patients with bronchiectasis.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"39 1","pages":"108-113"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75566183","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}
Pub Date : 2012-04-01DOI: 10.1590/S1413-35552012000200009
G. P. Bella, N. B. B. Rodriguês, P. J. Valenciano, L. M. D. Silva, R. C. Souza
CONTEXTUALIZACAO: Desordens da marcha sao comuns em criancas com paralisia cerebral (PC) diparetica espastica. Com o intuito de aprimorar a marcha dessas criancas e quantificar os desfechos de tal intervencao, torna-se necessario que se faca uma analise instrumentada pre e pos-intervencao. OBJETIVOS: Correlacionar a Edinburgh Visual Gait Scale (EVGS), a Visual Gait Assessment Scale (VGAS) e a Escala Observacional de Marcha (EOM). METODOS: Estudo transversal de analise da marcha por meio das escalas EVGS, VGAS e EOM, envolvendo oito criancas com PC diparetica espastica, nivel I ou II do Gross Motor Function Classification System (GMFCS), avaliadas por tres examinadores. O estudo foi aprovado pelo Comite de Etica em Pesquisa da Universidade Estadual de Campinas - UNICAMP. Os dados foram analisados pelo indice Kappa ponderado, considerando um nivel de significância de 5%. RESULTADOS: O estudo intra-avaliadores mostrou que a concordância entre os metodos na classificacao dos sujeitos foi de moderada a excelente (k=0,41, 1,00), sendo a comparacao entre a VGAS e a EVGS a de maior indice de concordância, enquanto a EOM obteve grande discordância em comparacao com as outras escalas. A concordância interavaliadores se mostrou predominantemente alta. CONCLUSAO: Os resultados fornecem evidencias de que a VGAS e a EVGS sao mais adequados para avaliacao da marcha de criancas com PC diparetica quando comparadas a EOM.
{"title":"Correlação entre a Visual Gait Assessment Scale, Edinburgh Visual Gait Scale e Escala Observacional da Marcha em crianças com paralisia cerebral diparética espástica","authors":"G. P. Bella, N. B. B. Rodriguês, P. J. Valenciano, L. M. D. Silva, R. C. Souza","doi":"10.1590/S1413-35552012000200009","DOIUrl":"https://doi.org/10.1590/S1413-35552012000200009","url":null,"abstract":"CONTEXTUALIZACAO: Desordens da marcha sao comuns em criancas com paralisia cerebral (PC) diparetica espastica. Com o intuito de aprimorar a marcha dessas criancas e quantificar os desfechos de tal intervencao, torna-se necessario que se faca uma analise instrumentada pre e pos-intervencao. OBJETIVOS: Correlacionar a Edinburgh Visual Gait Scale (EVGS), a Visual Gait Assessment Scale (VGAS) e a Escala Observacional de Marcha (EOM). METODOS: Estudo transversal de analise da marcha por meio das escalas EVGS, VGAS e EOM, envolvendo oito criancas com PC diparetica espastica, nivel I ou II do Gross Motor Function Classification System (GMFCS), avaliadas por tres examinadores. O estudo foi aprovado pelo Comite de Etica em Pesquisa da Universidade Estadual de Campinas - UNICAMP. Os dados foram analisados pelo indice Kappa ponderado, considerando um nivel de significância de 5%. RESULTADOS: O estudo intra-avaliadores mostrou que a concordância entre os metodos na classificacao dos sujeitos foi de moderada a excelente (k=0,41, 1,00), sendo a comparacao entre a VGAS e a EVGS a de maior indice de concordância, enquanto a EOM obteve grande discordância em comparacao com as outras escalas. A concordância interavaliadores se mostrou predominantemente alta. CONCLUSAO: Os resultados fornecem evidencias de que a VGAS e a EVGS sao mais adequados para avaliacao da marcha de criancas com PC diparetica quando comparadas a EOM.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"29 1","pages":"134-140"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85996009","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}
Pub Date : 2012-04-01DOI: 10.1590/S1413-35552012005000012
Vanessa O. O. Puga, Alexandre Dias Lopes, Leonardo Oliveira Pena Costa
OBJETIVOS: Avaliar os procedimentos de traducao/adaptacao cultural e das propriedades de medida de questionarios que avaliam dor e disfuncoes no ombro, os quais ja foram traduzidos/adaptados para a lingua portuguesa. METODOS: Foram realizadas buscas sistematizadas nas bases de dados eletronicas MEDLINE, EMBASE, CINAHL, SCIELO e LILACS para identificar os estudos relevantes. Foram extraidos os dados referentes a traducao e adaptacao cultural, alem dos dados das propriedades de medida de cada estudo. Todos os estudos foram analisados quanto a sua respectiva qualidade metodologica de acordo com as diretrizes para adaptacao cultural e para as propriedades de medida. RESULTADOS: Um total de 876 estudos foi identificado nas buscas, e, desses, apenas 11 foram considerados elegiveis, sendo que eles adaptaram e/ou testaram sete instrumentos diferentes (DASH, WORC, SPADI, PSS, ASORS, ASES e UCLA). A maioria deles cumpriu adequadamente as recomendacoes das diretrizes de adaptacao transcultural. Dois dos sete questionarios nao foram testados para nenhuma propriedade de medida (PSS e ASES), e apenas dois questionarios (WORC e DASH) foram testados para praticamente todas as propriedades de medida, porem nem todas foram testadas adequadamente. Nenhum questionario testou por completo todas as propriedades de medida. CONCLUSOES: Os processos de traducao e adaptacao transcultural foram realizados de maneira adequada para a maioria dos instrumentos, porem a maioria nao teve suas propriedades de medida testadas adequadamente. Recomenda-se que somente instrumentos testados para suas respectivas propriedades de medida sejam utilizados na pratica clinica assim como em pesquisas.
{"title":"Assessment of cross-cultural adaptations and measurement properties of self-report outcome measures relevant to shoulder disability in Portuguese: a systematic review","authors":"Vanessa O. O. Puga, Alexandre Dias Lopes, Leonardo Oliveira Pena Costa","doi":"10.1590/S1413-35552012005000012","DOIUrl":"https://doi.org/10.1590/S1413-35552012005000012","url":null,"abstract":"OBJETIVOS: Avaliar os procedimentos de traducao/adaptacao cultural e das propriedades de medida de questionarios que avaliam dor e disfuncoes no ombro, os quais ja foram traduzidos/adaptados para a lingua portuguesa. METODOS: Foram realizadas buscas sistematizadas nas bases de dados eletronicas MEDLINE, EMBASE, CINAHL, SCIELO e LILACS para identificar os estudos relevantes. Foram extraidos os dados referentes a traducao e adaptacao cultural, alem dos dados das propriedades de medida de cada estudo. Todos os estudos foram analisados quanto a sua respectiva qualidade metodologica de acordo com as diretrizes para adaptacao cultural e para as propriedades de medida. RESULTADOS: Um total de 876 estudos foi identificado nas buscas, e, desses, apenas 11 foram considerados elegiveis, sendo que eles adaptaram e/ou testaram sete instrumentos diferentes (DASH, WORC, SPADI, PSS, ASORS, ASES e UCLA). A maioria deles cumpriu adequadamente as recomendacoes das diretrizes de adaptacao transcultural. Dois dos sete questionarios nao foram testados para nenhuma propriedade de medida (PSS e ASES), e apenas dois questionarios (WORC e DASH) foram testados para praticamente todas as propriedades de medida, porem nem todas foram testadas adequadamente. Nenhum questionario testou por completo todas as propriedades de medida. CONCLUSOES: Os processos de traducao e adaptacao transcultural foram realizados de maneira adequada para a maioria dos instrumentos, porem a maioria nao teve suas propriedades de medida testadas adequadamente. Recomenda-se que somente instrumentos testados para suas respectivas propriedades de medida sejam utilizados na pratica clinica assim como em pesquisas.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"42 1","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81411294","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}
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