Pub Date : 2012-02-01DOI: 10.1590/S1413-35552012000100006
Lucas Homercher Galant, L. A. F. Junior, A. S. Dias, C. Marroni
BACKGROUND: Liver diseases are responsible for metabolic disorders and loss of muscle mass and function that affect functional status and quality of life (QoL). OBJECTIVE: To compare exercise capacity, respiratory muscle strength, and QoL in liver transplant candidates with cirrhosis of the following etiologies: hepatitis C virus (HCV), hepatitis B virus (HBV), and alcoholic cirrhosis (AC). METHODS: Cross-sectional study comprising 86 patients divided into three groups: HCV (40 patients), HBV (14 patients), and AC (32 patients). Patients were evaluated using the Six-Minute Walk Test (6MWT), manometry, and the QoL questionnaire SF-36. RESULTS: The AC group showed the lowest performance in the 6MWT (meters) compared to the HBV and HCV groups (373.50±50.48, 464.16±32, and 475.94±27.84, respectively, p=0.001). In the domains of the SF-36, the AC group had lower scores for functional capacity and physical limitations when compared to the HBV and HCV groups (p=0.001). In the comparison of respiratory muscle strength, the AC group had lower MIP (cmH2O) compared to the HBV and HCV groups (-65.54±11.28, -71.61±6.96, -82.44±13.71, respectively, p=0.001). The MEP (cmH2O) in the AC group was also lower than in the HBV and HCV groups (65.13±10.74, 82.44±13.87, 83.44±12.20, respectively, p=0.001). CONCLUSION: The AC group showed worse exercise capacity, respiratory muscle strength, and QoL compared to patients with HCV and HBV.
{"title":"Condição funcional, força muscular respiratória e qualidade de vida em pacientes cirróticos","authors":"Lucas Homercher Galant, L. A. F. Junior, A. S. Dias, C. Marroni","doi":"10.1590/S1413-35552012000100006","DOIUrl":"https://doi.org/10.1590/S1413-35552012000100006","url":null,"abstract":"BACKGROUND: Liver diseases are responsible for metabolic disorders and loss of muscle mass and function that affect functional status and quality of life (QoL). OBJECTIVE: To compare exercise capacity, respiratory muscle strength, and QoL in liver transplant candidates with cirrhosis of the following etiologies: hepatitis C virus (HCV), hepatitis B virus (HBV), and alcoholic cirrhosis (AC). METHODS: Cross-sectional study comprising 86 patients divided into three groups: HCV (40 patients), HBV (14 patients), and AC (32 patients). Patients were evaluated using the Six-Minute Walk Test (6MWT), manometry, and the QoL questionnaire SF-36. RESULTS: The AC group showed the lowest performance in the 6MWT (meters) compared to the HBV and HCV groups (373.50±50.48, 464.16±32, and 475.94±27.84, respectively, p=0.001). In the domains of the SF-36, the AC group had lower scores for functional capacity and physical limitations when compared to the HBV and HCV groups (p=0.001). In the comparison of respiratory muscle strength, the AC group had lower MIP (cmH2O) compared to the HBV and HCV groups (-65.54±11.28, -71.61±6.96, -82.44±13.71, respectively, p=0.001). The MEP (cmH2O) in the AC group was also lower than in the HBV and HCV groups (65.13±10.74, 82.44±13.87, 83.44±12.20, respectively, p=0.001). CONCLUSION: The AC group showed worse exercise capacity, respiratory muscle strength, and QoL compared to patients with HCV and HBV.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"64 1","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76051852","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 : 2012-02-01DOI: 10.1590/S1413-35552012000100003
N. C. Gomes, Kelly C. S. Berni-Schwarzenbeck, Amanda Carine Packer, Delaine Rdrigues-Bigaton
CONTEXTUALIZACAO: A dor e o principal sintoma dos pacientes com disfuncao temporomandibular (DTM). OBJETIVO: Avaliar o efeito da estimulacao eletrica de alta voltagem catodica (EEAV) sobre a intensidade da dor em mulheres com DTM. METODOS: Participaram do estudo 20 mulheres (24,25±8,90 anos) com DTM, divididas em grupo experimental (GE n=10), no qual as mulheres receberam dez aplicacoes de EEAV, e grupo placebo (GP n=10), no qual foi aplicada a EEAV, porem com o aparelho desligado. Para selecao da amostra, utilizou-se o criterio de diagnostico em pesquisa para DTM (RDC/TMD) e, para avaliacao da dor, utilizou-se a Escala Visual Analogica (EVA) aplicada antes do inicio do tratamento (pre-tratamento) e apos a decima aplicacao da EEAV (pos-tratamento). Os dados foram analisados pelos testes Wilcoxon das ordens assinaladas e Mann-Whitney. RESULTADOS: As dez aplicacoes de EEAV promoveram reducao da intensidade da dor no GE (p=0,01); no GP, nao se observou diferenca significativa (p=0,20). Comparando-se os grupos apos a aplicacao da EEAV, nao se notou diferenca (p=0,65). CONCLUSAO: A EEAV catodica e efetiva para reducao da dor em mulheres com DTM. Registro de Ensaio Clinico RBR-4bk94x.
{"title":"Efeito da estimulação elétrica de alta voltagem catódica sobre a dor em mulheres com DTM","authors":"N. C. Gomes, Kelly C. S. Berni-Schwarzenbeck, Amanda Carine Packer, Delaine Rdrigues-Bigaton","doi":"10.1590/S1413-35552012000100003","DOIUrl":"https://doi.org/10.1590/S1413-35552012000100003","url":null,"abstract":"CONTEXTUALIZACAO: A dor e o principal sintoma dos pacientes com disfuncao temporomandibular (DTM). OBJETIVO: Avaliar o efeito da estimulacao eletrica de alta voltagem catodica (EEAV) sobre a intensidade da dor em mulheres com DTM. METODOS: Participaram do estudo 20 mulheres (24,25±8,90 anos) com DTM, divididas em grupo experimental (GE n=10), no qual as mulheres receberam dez aplicacoes de EEAV, e grupo placebo (GP n=10), no qual foi aplicada a EEAV, porem com o aparelho desligado. Para selecao da amostra, utilizou-se o criterio de diagnostico em pesquisa para DTM (RDC/TMD) e, para avaliacao da dor, utilizou-se a Escala Visual Analogica (EVA) aplicada antes do inicio do tratamento (pre-tratamento) e apos a decima aplicacao da EEAV (pos-tratamento). Os dados foram analisados pelos testes Wilcoxon das ordens assinaladas e Mann-Whitney. RESULTADOS: As dez aplicacoes de EEAV promoveram reducao da intensidade da dor no GE (p=0,01); no GP, nao se observou diferenca significativa (p=0,20). Comparando-se os grupos apos a aplicacao da EEAV, nao se notou diferenca (p=0,65). CONCLUSAO: A EEAV catodica e efetiva para reducao da dor em mulheres com DTM. Registro de Ensaio Clinico RBR-4bk94x.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"8 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74912892","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 : 2012-01-01DOI: 10.21115/cinter.v13i3.3992
M. Rosa, Caruline Godinho da Silveira, Rodrigo Boff Daitx, L. Santos
Contextualizacao: A pneumonia e uma doenca inflamatoria das vias aereas e o risco estimado de adquiri-la e cinco vezes superior para os casos hospitalares. Objetivo: Comparar a forca muscular respiratoria e o tempo de permanencia hospitalar de pacientes internados com pneumonia bacteriana submetidos a um programa de treinamento muscular respiratorio com Threshold™. Metodos: Estudo controlado randomizado, no qual participaram 11 pacientes, divididos em grupo intervencao e controle. A avaliacao da forca muscular inspiratoria (PImax) e expiratoria (PEmax) foi realizada em ambos os grupos atraves da manovacuometria no primeiro e quinto dia de tratamento. Para o treinamento muscular inspiratorio, foi utilizado o Threshold™ PEP. Foi utilizado o teste T de Student para amostras independentes e o Mann-Whitney (p≤0,05). Resultados: Estudo realizado entre setembro e novembro de 2009, onde a media de idade dos pacientes foi de 51±15 anos, com predominio do sexo masculino (64%).
{"title":"TREINAMENTO MUSCULAR INSPIRATÓRIO COM THRESHOLD EM PACIENTES INTERNADOS COM PNEUMONIA BACTERIANA.","authors":"M. Rosa, Caruline Godinho da Silveira, Rodrigo Boff Daitx, L. Santos","doi":"10.21115/cinter.v13i3.3992","DOIUrl":"https://doi.org/10.21115/cinter.v13i3.3992","url":null,"abstract":"Contextualizacao: A pneumonia e uma doenca inflamatoria das vias aereas e o risco estimado de adquiri-la e cinco vezes superior para os casos hospitalares. Objetivo: Comparar a forca muscular respiratoria e o tempo de permanencia hospitalar de pacientes internados com pneumonia bacteriana submetidos a um programa de treinamento muscular respiratorio com Threshold™. Metodos: Estudo controlado randomizado, no qual participaram 11 pacientes, divididos em grupo intervencao e controle. A avaliacao da forca muscular inspiratoria (PImax) e expiratoria (PEmax) foi realizada em ambos os grupos atraves da manovacuometria no primeiro e quinto dia de tratamento. Para o treinamento muscular inspiratorio, foi utilizado o Threshold™ PEP. Foi utilizado o teste T de Student para amostras independentes e o Mann-Whitney (p≤0,05). Resultados: Estudo realizado entre setembro e novembro de 2009, onde a media de idade dos pacientes foi de 51±15 anos, com predominio do sexo masculino (64%).","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"137 1","pages":"77-77"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79740247","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 : 2012-01-01DOI: 10.1590/S1413-35552012000100010
R. V. Figueiredo, A. Amaral, A. Shimano
OBJECTIVE: To identify whether flight training activities cause postural changes in cadets and pilots of the Brazilian Air Force Academy (AFA). METHODS: Eighty subjects were assessed through photographic images in anterior and right side views. Four groups of cadets (n=20 per group) divided according to the year since enlistment and a fifth group of fifteen pilots from the Air Demonstration Squadron (ADS) were included. Pictures were analyzed using the Postural Analysis Program (SAPO) and angles related to head vertical alignment (HVA), head horizontal alignment (HHA), acromion horizontal alignment (AHA) and anterior-superior iliac spine horizontal alignment (HAS) were plotted. RESULTS: We did not find statistical significant differences in the angles: HVA, HHA and AHA. However, a significant difference was found for the HAS angle with pilots having lower values than cadets, suggesting greater postural stability for this variable in pilots. CONCLUSION: The horizontal alignment of the anterior-superior iliac spine was the only measure that showed significant difference in the comparison between pilots and cadets. The remaining alignments were not different, possibility because of the strict criteria used for admission of cadets at the AFA and the efficiency of the physical training that is performed periodically.
{"title":"Fotogrametria na identificação de assimetrias posturais em cadetes e pilotos da academia da força aérea brasileira","authors":"R. V. Figueiredo, A. Amaral, A. Shimano","doi":"10.1590/S1413-35552012000100010","DOIUrl":"https://doi.org/10.1590/S1413-35552012000100010","url":null,"abstract":"OBJECTIVE: To identify whether flight training activities cause postural changes in cadets and pilots of the Brazilian Air Force Academy (AFA). METHODS: Eighty subjects were assessed through photographic images in anterior and right side views. Four groups of cadets (n=20 per group) divided according to the year since enlistment and a fifth group of fifteen pilots from the Air Demonstration Squadron (ADS) were included. Pictures were analyzed using the Postural Analysis Program (SAPO) and angles related to head vertical alignment (HVA), head horizontal alignment (HHA), acromion horizontal alignment (AHA) and anterior-superior iliac spine horizontal alignment (HAS) were plotted. RESULTS: We did not find statistical significant differences in the angles: HVA, HHA and AHA. However, a significant difference was found for the HAS angle with pilots having lower values than cadets, suggesting greater postural stability for this variable in pilots. CONCLUSION: The horizontal alignment of the anterior-superior iliac spine was the only measure that showed significant difference in the comparison between pilots and cadets. The remaining alignments were not different, possibility because of the strict criteria used for admission of cadets at the AFA and the efficiency of the physical training that is performed periodically.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"52 1","pages":"54-60"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84937625","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}
BACKGROUND: The diagnosis of clinical parameters associated with falls in the elderly has become a major challenge for the scientific community. Despite the existence of several tools aiming to assess body balance in the elderly, it is still scarce the number of studies that have investigated and discussed the agreement between different methods. OBJECTIVE: To analyze the correlation between tests used to assess the body balance in the elderly. METHODS: This was a cross-sectional, observational study conducted with 30 healthy female community-dwelling elderly volunteers with different levels of physical conditioning. The Functional Reach Test (FRT), the Berg Balance Scale (BBS), the Timed Up and Go (TUG) and the Performance-Oriented Mobility Assessment of Balance (POMA) were used. The data analysis was performed by using the Spearmam's rank correlation coefficient, with a significance level of 5% (p<0.05). RESULTS: There was positive and moderate correlation between the FRT and BBS (r=0.4845, p=0.0067), between FRT and POMA (r=0.4136, p=0.0231), and between BBS and POMA (r=0.6088, p=0.0004). CONCLUSION: The tests are complementary since they showed specific and distinct limitations. It is reasonable, therefore, to use these instruments together to get better assessment of elderly body balance.
{"title":"Análise da concordância entre instrumentos de avaliação do equilíbrio corporal em idosos","authors":"Aline Harumi Karuka, José Adolfo Menezes Garcia Silva, Marcelo Tavella Navega","doi":"10.1590/S1413-35552011000600006","DOIUrl":"https://doi.org/10.1590/S1413-35552011000600006","url":null,"abstract":"BACKGROUND: The diagnosis of clinical parameters associated with falls in the elderly has become a major challenge for the scientific community. Despite the existence of several tools aiming to assess body balance in the elderly, it is still scarce the number of studies that have investigated and discussed the agreement between different methods. OBJECTIVE: To analyze the correlation between tests used to assess the body balance in the elderly. METHODS: This was a cross-sectional, observational study conducted with 30 healthy female community-dwelling elderly volunteers with different levels of physical conditioning. The Functional Reach Test (FRT), the Berg Balance Scale (BBS), the Timed Up and Go (TUG) and the Performance-Oriented Mobility Assessment of Balance (POMA) were used. The data analysis was performed by using the Spearmam's rank correlation coefficient, with a significance level of 5% (p<0.05). RESULTS: There was positive and moderate correlation between the FRT and BBS (r=0.4845, p=0.0067), between FRT and POMA (r=0.4136, p=0.0231), and between BBS and POMA (r=0.6088, p=0.0004). CONCLUSION: The tests are complementary since they showed specific and distinct limitations. It is reasonable, therefore, to use these instruments together to get better assessment of elderly body balance.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"9 6 1","pages":"460-466"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80045823","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 : 2011-11-01DOI: 10.1590/S1413-35552011000600008
Diogo Homann, Joice Mara Facco Stefanello, Suelen Meira Góes, Neiva Leite
BACKGROUND: Fibromyalgia has been association with physical performance limitations. Additionally, activities of daily living have been reported to be directly associated with the exacerbation of pain and perceived exertion in this patient population. OBJECTIVES: To compare the performance of a 6-minute walk (6MWT) test in patients with fibromyalgia and controls and to evaluate the relationship between test performance and quality of life, limitations of activities of daily living and physical activity level. METHODS: The study included 19 women with fibromyalgia (FM) and 20 healthy controls (CG). A 6MWT was conducted and pain intensity and perceived effort (PE) were assessed during the test. In addition, Fibromyalgia Impact Questionnaire (FIQ), Health Assessment Questionnaire (HAQ) and International Physical Activity Questionnaire (IPAQ) were applied. RESULTS: The fibromyalgia group walked significantly shorter distances when compared to the control group (FM: 473.52±77.84 m vs. CG: 541.75±85.62 m; p=0.02). In the fibromyalgia group, there was a negative correlation between distance in 6MWT and FIQ (r=-0.46; p=0.05), HAQ (r=-0.49; p=0.03) and oxygen consumption (r=0.78; p<0.01). There was also a correlation between HAQ and oxygen consumption (r=0.52; p=0.02). Participants with fibromyalgia had higher pain intensity and perceived effort during the test when compared to the control group. CONCLUSIONS: Women with fibromyalgia had greater impaired of functional capacity, exacerbation of pain and exertion during the 6MWT when compared to healthy women.
背景:纤维肌痛与体能限制有关。此外，据报道，日常生活活动与该患者群体的疼痛加剧和感知劳累直接相关。目的:比较纤维肌痛患者和对照组6分钟步行(6MWT)测试的表现，并评估测试表现与生活质量、日常生活活动限制和身体活动水平之间的关系。方法:研究纳入19例纤维肌痛(FM)女性和20例健康对照(CG)。进行6MWT，并在测试期间评估疼痛强度和感知力(PE)。此外，采用纤维肌痛影响问卷(FIQ)、健康评估问卷(HAQ)和国际身体活动问卷(IPAQ)。结果:纤维肌痛组行走距离明显短于对照组(FM: 473.52±77.84 m vs CG: 541.75±85.62 m;p = 0.02)。纤维肌痛组6MWT距离与FIQ呈负相关(r=-0.46;p=0.05)， HAQ (r=-0.49;P =0.03)和耗氧量(r=0.78;p < 0.01)。HAQ与耗氧量也有相关性(r=0.52;p = 0.02)。与对照组相比，纤维肌痛的参与者在测试中有更高的疼痛强度和感知努力。结论:与健康女性相比，患有纤维肌痛的女性在6MWT期间有更大的功能受损、疼痛加剧和劳累。
{"title":"Redução da capacidade funcional e exacerbação da dor durante o esforço do teste de caminhada de 6 minutos em mulheres com fibromialgia","authors":"Diogo Homann, Joice Mara Facco Stefanello, Suelen Meira Góes, Neiva Leite","doi":"10.1590/S1413-35552011000600008","DOIUrl":"https://doi.org/10.1590/S1413-35552011000600008","url":null,"abstract":"BACKGROUND: Fibromyalgia has been association with physical performance limitations. Additionally, activities of daily living have been reported to be directly associated with the exacerbation of pain and perceived exertion in this patient population. OBJECTIVES: To compare the performance of a 6-minute walk (6MWT) test in patients with fibromyalgia and controls and to evaluate the relationship between test performance and quality of life, limitations of activities of daily living and physical activity level. METHODS: The study included 19 women with fibromyalgia (FM) and 20 healthy controls (CG). A 6MWT was conducted and pain intensity and perceived effort (PE) were assessed during the test. In addition, Fibromyalgia Impact Questionnaire (FIQ), Health Assessment Questionnaire (HAQ) and International Physical Activity Questionnaire (IPAQ) were applied. RESULTS: The fibromyalgia group walked significantly shorter distances when compared to the control group (FM: 473.52±77.84 m vs. CG: 541.75±85.62 m; p=0.02). In the fibromyalgia group, there was a negative correlation between distance in 6MWT and FIQ (r=-0.46; p=0.05), HAQ (r=-0.49; p=0.03) and oxygen consumption (r=0.78; p<0.01). There was also a correlation between HAQ and oxygen consumption (r=0.52; p=0.02). Participants with fibromyalgia had higher pain intensity and perceived effort during the test when compared to the control group. CONCLUSIONS: Women with fibromyalgia had greater impaired of functional capacity, exacerbation of pain and exertion during the 6MWT when compared to healthy women.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"10 1","pages":"474-480"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91022589","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 : 2011-10-06DOI: 10.5585/CONSSAUDE.V10I3.2892
Henrique de Gusmão Filho, Danielle Teixeira Alves, V. P. Lima
Contextualizacao: A exposicao ao fumo ambiental esta associada a elevada morbidade e mortalidade em criancas. Ha cerca de 2 bilhoes de pessoas fumantes passivas no mundo dentre elas 700 milhoes sao criancas. Objetivo: Identificar a prevalencia de criancas fumantes passivas na faixa etaria de 7 a 10 anos em sete escolas da cidade de Diamantina/MG, analisar a relacao do fumo passivo com doencas respiratorias e assiduidade escolar. Metodo: Estudo do tipo observacional transversal, onde foram entregues questionarios estruturados a todas as criancas das escolas selecionadas. O questionario era constituido de 9 perguntas fechadas sobre perfil tabagico, doencas respiratorias e assiduidade escolar. Resultados: Foram entregues 1155 questionarios sendo que 395 retornaram ate o momento. Obtivemos os seguintes dados: 50,51% das criancas eram do sexo feminino e 49,49 do masculino, 29.90% das criancas sao fumantes passivas; 7,92 das maes fumaram durante a gravidez; 30% das criancas apresentaram algum problema respiratorio nos ultimos doze meses, sendo que destas 28,07% sao fumantes passivas; 57,16% das criancas que apresentaram problema respiratorio nao foram assiduas a escola, destas 26% sao fumantes passivas, 49,17% das familias tem o pai como fumante, 27,50% as maes e 23,33% outro integrante da familia. Conclusao: Observou-se com o estudo numero elevado de criancas fumantes passivas e que apresentaram algum problema respiratorio nos ultimos 6 meses o que promoveu queda na assiduidade escolar. Com os dados expostos nota-se a relevância de trabalhos de conscientizacao quanto a suspensao do habito tabagico direcionado aos pais, criancas e por que nao a toda comunidade escolar.
{"title":"Prevalência de crianças fumantes passivas em idade escolar na cidade de Diamantina-MG","authors":"Henrique de Gusmão Filho, Danielle Teixeira Alves, V. P. Lima","doi":"10.5585/CONSSAUDE.V10I3.2892","DOIUrl":"https://doi.org/10.5585/CONSSAUDE.V10I3.2892","url":null,"abstract":"Contextualizacao: A exposicao ao fumo ambiental esta associada a elevada morbidade e mortalidade em criancas. Ha cerca de 2 bilhoes de pessoas fumantes passivas no mundo dentre elas 700 milhoes sao criancas. Objetivo: Identificar a prevalencia de criancas fumantes passivas na faixa etaria de 7 a 10 anos em sete escolas da cidade de Diamantina/MG, analisar a relacao do fumo passivo com doencas respiratorias e assiduidade escolar. Metodo: Estudo do tipo observacional transversal, onde foram entregues questionarios estruturados a todas as criancas das escolas selecionadas. O questionario era constituido de 9 perguntas fechadas sobre perfil tabagico, doencas respiratorias e assiduidade escolar. Resultados: Foram entregues 1155 questionarios sendo que 395 retornaram ate o momento. Obtivemos os seguintes dados: 50,51% das criancas eram do sexo feminino e 49,49 do masculino, 29.90% das criancas sao fumantes passivas; 7,92 das maes fumaram durante a gravidez; 30% das criancas apresentaram algum problema respiratorio nos ultimos doze meses, sendo que destas 28,07% sao fumantes passivas; 57,16% das criancas que apresentaram problema respiratorio nao foram assiduas a escola, destas 26% sao fumantes passivas, 49,17% das familias tem o pai como fumante, 27,50% as maes e 23,33% outro integrante da familia. Conclusao: Observou-se com o estudo numero elevado de criancas fumantes passivas e que apresentaram algum problema respiratorio nos ultimos 6 meses o que promoveu queda na assiduidade escolar. Com os dados expostos nota-se a relevância de trabalhos de conscientizacao quanto a suspensao do habito tabagico direcionado aos pais, criancas e por que nao a toda comunidade escolar.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"37 1","pages":"213-213"},"PeriodicalIF":0.0,"publicationDate":"2011-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85752359","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 : 2011-08-01DOI: 10.1590/S1413-35552011000400006
G. F. B. Cipriano, Guilherme Carlos Brech, P. A. T. Peres, C. C. Mendes, G. C. Júnior, A. C. Carvalho
CONTEXTUALIZACAO: A Sindrome de Marfan (SM) e uma doenca autossomica dominante do tecido conjuntivo que envolve os sistemas ocular, cardiovascular e musculoesqueletico, causada por mutacoes no gene da fibrilina1, gerando flacidez nos ligamentos articulares, favorecendo a hipermobilidade articular e reducao na contencao do crescimento osseo. OBJETIVOS: Avaliar as medidas antropometricas, alteracoes musculoesqueleticas e a frequencia do tratamento fisioterapeutico nos pacientes com SM. METODOS: Participaram deste estudo 26 pacientes, sendo 17 do genero feminino, com idade de 13,23±2,77 anos, massa corporea de 51,5±24-68 Kg, altura de 1,70±1,40-1,81 m e envergadura de 1,73±0,12 cm, e nove do genero masculino, com idade de 14,44±2,18, massa corporea de 61,0±42-72 Kg, altura de 1,83±1,66-1,97 m e envergadura de 1,93±0,13. Foram obtidas medidas antropometricas, alteracoes ME de forma padronizada, sendo o pectus e a escoliose, por avaliacao radiologica, e a angulacao (â) da curva escoliotica, pelo metodo de Cobb; a aracnodactilia, pelo sinal do polegar e teste de Walker-Murdoch, e a dolicostenomelia, pela envergadura em relacao a altura. Os pacientes responderam a um questionario quanto a participacao em tratamento de fisioterapia. RESULTADOS: Quando comparados com a estimativa brasileira, a massa corporea e a altura apresentaram valores maiores no genero feminino (p=0,001 e p<0,0005) e masculino (p=0,019 e p=0,0001). Das alteracoes musculoesqueleticas, encontrou-se pectus em 3 (11%), pectus e escoliose em 19 (73%), dolicostenomelia em 11 (42%) e aracnodactilia em 21(80%). Onze (42%) pacientes com SM ja haviam realizado tratamento de fisioterapia. CONCLUSOES: As alteracoes antropometricas e musculoesqueleticas estao presentes na SM, e o tratamento fisioterapeutico e pouco frequente.
{"title":"Avaliação antropométrica e musculoesquelética de pacientes com síndrome de Marfan","authors":"G. F. B. Cipriano, Guilherme Carlos Brech, P. A. T. Peres, C. C. Mendes, G. C. Júnior, A. C. Carvalho","doi":"10.1590/S1413-35552011000400006","DOIUrl":"https://doi.org/10.1590/S1413-35552011000400006","url":null,"abstract":"CONTEXTUALIZACAO: A Sindrome de Marfan (SM) e uma doenca autossomica dominante do tecido conjuntivo que envolve os sistemas ocular, cardiovascular e musculoesqueletico, causada por mutacoes no gene da fibrilina1, gerando flacidez nos ligamentos articulares, favorecendo a hipermobilidade articular e reducao na contencao do crescimento osseo. OBJETIVOS: Avaliar as medidas antropometricas, alteracoes musculoesqueleticas e a frequencia do tratamento fisioterapeutico nos pacientes com SM. METODOS: Participaram deste estudo 26 pacientes, sendo 17 do genero feminino, com idade de 13,23±2,77 anos, massa corporea de 51,5±24-68 Kg, altura de 1,70±1,40-1,81 m e envergadura de 1,73±0,12 cm, e nove do genero masculino, com idade de 14,44±2,18, massa corporea de 61,0±42-72 Kg, altura de 1,83±1,66-1,97 m e envergadura de 1,93±0,13. Foram obtidas medidas antropometricas, alteracoes ME de forma padronizada, sendo o pectus e a escoliose, por avaliacao radiologica, e a angulacao (â) da curva escoliotica, pelo metodo de Cobb; a aracnodactilia, pelo sinal do polegar e teste de Walker-Murdoch, e a dolicostenomelia, pela envergadura em relacao a altura. Os pacientes responderam a um questionario quanto a participacao em tratamento de fisioterapia. RESULTADOS: Quando comparados com a estimativa brasileira, a massa corporea e a altura apresentaram valores maiores no genero feminino (p=0,001 e p<0,0005) e masculino (p=0,019 e p=0,0001). Das alteracoes musculoesqueleticas, encontrou-se pectus em 3 (11%), pectus e escoliose em 19 (73%), dolicostenomelia em 11 (42%) e aracnodactilia em 21(80%). Onze (42%) pacientes com SM ja haviam realizado tratamento de fisioterapia. CONCLUSOES: As alteracoes antropometricas e musculoesqueleticas estao presentes na SM, e o tratamento fisioterapeutico e pouco frequente.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"21 1","pages":"291-296"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81325334","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 : 2011-06-01DOI: 10.1590/S1413-35552011000300009
G. N. Guimarães, M. S. M. Pires-de-Campos, G. Leonardi, Helena H. K. Dib-Giusti, M. L. Polacow
OBJECTIVE: To analyze the effect of ultrasound (US), dexpanthenol (d-P) and a combination of these treatments (US+d-P) on collagen fiber organization in tegumentary lesions in rats by birefringence analysis. METHODS: Wistar rats (50) were anesthetized (Thionembutal - Sodic = 50mg/Kg), 1cm2 of dorsal region skin was removed, and the animals were divided into five groups: control (C), gel (G), US (3 MHz, 0.1 W/cm2, 1 minute, continuous), d-P (10%) and US+d-P. After daily treatment for 7 and 14 days, 6µm thick sections of lesioned areas were stained in picrosirius and measurements of the collagen birefringent area (µm2) were obtained using polarized light microscopy (Zeiss Axiolab-ZEISS- Germany) with histological image analysis software (KS 400 2.0 - Kontrol Eletronics, Munique, Germany). The means were compared by ANOVA followed by the Tukey test (p<0.05). RESULTS: The US+d-P group showed a significantly greater (p<0.001) birefringent area (1586.43±162.14) than the other experimental groups: C (139.36±35.35), US (317.55±129.9) and d-P (192.41±3657) by the 7th day of treatment, indicating acceleration of the wound healing process. By the 14th day of treatment, the US+d-P, US and d-P groups presented greater birefringence than the control group, but did not differ from each other. CONCLUSION: The combination of treatments (US+d-P) accelerated collagen fiber synthesis and organization in the early stages of cutaneous repair.
{"title":"Efeito do ultrassom e do dexapantenol na organização das fibras colágenas em lesão tegumentar","authors":"G. N. Guimarães, M. S. M. Pires-de-Campos, G. Leonardi, Helena H. K. Dib-Giusti, M. L. Polacow","doi":"10.1590/S1413-35552011000300009","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300009","url":null,"abstract":"OBJECTIVE: To analyze the effect of ultrasound (US), dexpanthenol (d-P) and a combination of these treatments (US+d-P) on collagen fiber organization in tegumentary lesions in rats by birefringence analysis. METHODS: Wistar rats (50) were anesthetized (Thionembutal - Sodic = 50mg/Kg), 1cm2 of dorsal region skin was removed, and the animals were divided into five groups: control (C), gel (G), US (3 MHz, 0.1 W/cm2, 1 minute, continuous), d-P (10%) and US+d-P. After daily treatment for 7 and 14 days, 6µm thick sections of lesioned areas were stained in picrosirius and measurements of the collagen birefringent area (µm2) were obtained using polarized light microscopy (Zeiss Axiolab-ZEISS- Germany) with histological image analysis software (KS 400 2.0 - Kontrol Eletronics, Munique, Germany). The means were compared by ANOVA followed by the Tukey test (p<0.05). RESULTS: The US+d-P group showed a significantly greater (p<0.001) birefringent area (1586.43±162.14) than the other experimental groups: C (139.36±35.35), US (317.55±129.9) and d-P (192.41±3657) by the 7th day of treatment, indicating acceleration of the wound healing process. By the 14th day of treatment, the US+d-P, US and d-P groups presented greater birefringence than the control group, but did not differ from each other. CONCLUSION: The combination of treatments (US+d-P) accelerated collagen fiber synthesis and organization in the early stages of cutaneous repair.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"27 1","pages":"227-232"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84567842","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 : 2011-06-01DOI: 10.1590/S1413-35552011000300012
Maurício Oliveira Magalhães, Leonardo Oliveira Pena Costa, M. L. Ferreira, Luciana A. C. Machado
BACKGROUND: There are no clinimetrically tested instruments for measuring attitudes and beliefs of health care providers with regards to chronic low back pain in Brazil. OBJECTIVES: To translate and cross-culturally adapt the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT) into Brazilian-Portuguese and to test the clinimetric properties of the Brazilian-Portuguese versions of the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) and the PABS.PT. METHODS: The PABS.PT was cross-culturally adapted following the recommendations of current guidelines. The PABS.PT and the HC-PAIRS were clinimetrically tested in 100 physical therapists who routinely treat patients with low back pain in their clinical practice. The internal consistency, construct validity and ceiling and floor effects were tested using only baseline values from the participants while reproducibility was evaluated in a test-retest design with a seven-day interval. RESULTS: Both scales demonstrated adequate levels of internal consistency (Cronbach's alpha ranging from 0.67 to 0.74). Their reproducibility ranged from moderate to substantial (Intraclass Correlation Coefficient2,1 ranging from 0.70 to 0.84; Standard Error of the Measurement ranging from 3.48 to 5.06). The validity coefficients of the scales ranged from weak to moderate (Pearson's correlation coefficient ranging from 0.19 to 0.62). No ceiling or floor effects were detected. CONCLUSIONS: The results of the present study indicate that both PABS.PT and HC-PAIRS are reproducible scales for the measurement of attitudes and beliefs towards chronic low back pain in Brazilian physical therapists.
{"title":"Testes clinimétricos de dois instrumentos que mensuram atitudes e crenças de profissionais de saúde sobre a dor lombar crônica","authors":"Maurício Oliveira Magalhães, Leonardo Oliveira Pena Costa, M. L. Ferreira, Luciana A. C. Machado","doi":"10.1590/S1413-35552011000300012","DOIUrl":"https://doi.org/10.1590/S1413-35552011000300012","url":null,"abstract":"BACKGROUND: There are no clinimetrically tested instruments for measuring attitudes and beliefs of health care providers with regards to chronic low back pain in Brazil. OBJECTIVES: To translate and cross-culturally adapt the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS.PT) into Brazilian-Portuguese and to test the clinimetric properties of the Brazilian-Portuguese versions of the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS) and the PABS.PT. METHODS: The PABS.PT was cross-culturally adapted following the recommendations of current guidelines. The PABS.PT and the HC-PAIRS were clinimetrically tested in 100 physical therapists who routinely treat patients with low back pain in their clinical practice. The internal consistency, construct validity and ceiling and floor effects were tested using only baseline values from the participants while reproducibility was evaluated in a test-retest design with a seven-day interval. RESULTS: Both scales demonstrated adequate levels of internal consistency (Cronbach's alpha ranging from 0.67 to 0.74). Their reproducibility ranged from moderate to substantial (Intraclass Correlation Coefficient2,1 ranging from 0.70 to 0.84; Standard Error of the Measurement ranging from 3.48 to 5.06). The validity coefficients of the scales ranged from weak to moderate (Pearson's correlation coefficient ranging from 0.19 to 0.62). No ceiling or floor effects were detected. CONCLUSIONS: The results of the present study indicate that both PABS.PT and HC-PAIRS are reproducible scales for the measurement of attitudes and beliefs towards chronic low back pain in Brazilian physical therapists.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"81 1","pages":"249-256"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80511309","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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