Pub Date : 2010-10-01DOI: 10.1590/S1413-35552010000500011
Anna L. M. Margre, M. L. Reis, R. L. S. Morais
CONTEXTUALIZACAO: Paralisia Cerebral (PC) e um grupo de perturbacoes permanentes no desenvolvimento de movimentos e posturas que causam limitacao nas atividades funcionais e que sao atribuidas a disturbios nao-progressivos que ocorrem no cerebro fetal ou infantil. Nos ultimos anos, com o aumento na expectativa de vida dos individuos com PC, varios estudos tem descrito a instalacao de deficiencias musculoesqueleticas e limitacoes funcionais ao longo do ciclo vital. OBJETIVO: Caracterizar adultos com PC por meio de informacoes sociodemograficas, classificacoes, saude geral e condicoes associadas, complicacoes fisicas e locomocao. METODOS: Participaram deste estudo 22 adultos com PC residentes em uma cidade no interior do Brasil, recrutados nos centros de reabilitacao locais. Aplicou-se um questionario para caracterizacao sociodemografica, de comorbidades e complicacoes fisicas. Alem disso, realizou-se breve avaliacao fisioterapeutica e aplicaram-se as classificacoes padronizadas, Sistema de Classificacao da Funcao Motora Grossa (GMFCS) e Sistema de Classificacao das Habilidades Manuais (MACS). Os dados foram analisados de forma descritiva. RESULTADOS: A media de idade foi de 28,7 anos, 86,4% participantes moravam com os pais, 4,5% possuiam emprego. A maior parte da amostra era composta por quadriplegicos espasticos, niveis IV e V do GMFCS e do MACS. Houve presenca de diferentes comorbidades e importantes complicacoes fisicas, como escoliose e contraturas musculares. Mais da metade dos participantes nao deambula. Conclusoes: A maioria dos participantes demonstrou ter importante restricao na participacao social, alem de escolaridade baixa. Adultos com PC estao sujeitos ainda a instalacao de varias complicacoes fisicas e limitacoes progressivas na marcha.
{"title":"Caracterização de adultos com paralisia cerebral","authors":"Anna L. M. Margre, M. L. Reis, R. L. S. Morais","doi":"10.1590/S1413-35552010000500011","DOIUrl":"https://doi.org/10.1590/S1413-35552010000500011","url":null,"abstract":"CONTEXTUALIZACAO: Paralisia Cerebral (PC) e um grupo de perturbacoes permanentes no desenvolvimento de movimentos e posturas que causam limitacao nas atividades funcionais e que sao atribuidas a disturbios nao-progressivos que ocorrem no cerebro fetal ou infantil. Nos ultimos anos, com o aumento na expectativa de vida dos individuos com PC, varios estudos tem descrito a instalacao de deficiencias musculoesqueleticas e limitacoes funcionais ao longo do ciclo vital. OBJETIVO: Caracterizar adultos com PC por meio de informacoes sociodemograficas, classificacoes, saude geral e condicoes associadas, complicacoes fisicas e locomocao. METODOS: Participaram deste estudo 22 adultos com PC residentes em uma cidade no interior do Brasil, recrutados nos centros de reabilitacao locais. Aplicou-se um questionario para caracterizacao sociodemografica, de comorbidades e complicacoes fisicas. Alem disso, realizou-se breve avaliacao fisioterapeutica e aplicaram-se as classificacoes padronizadas, Sistema de Classificacao da Funcao Motora Grossa (GMFCS) e Sistema de Classificacao das Habilidades Manuais (MACS). Os dados foram analisados de forma descritiva. RESULTADOS: A media de idade foi de 28,7 anos, 86,4% participantes moravam com os pais, 4,5% possuiam emprego. A maior parte da amostra era composta por quadriplegicos espasticos, niveis IV e V do GMFCS e do MACS. Houve presenca de diferentes comorbidades e importantes complicacoes fisicas, como escoliose e contraturas musculares. Mais da metade dos participantes nao deambula. Conclusoes: A maioria dos participantes demonstrou ter importante restricao na participacao social, alem de escolaridade baixa. Adultos com PC estao sujeitos ainda a instalacao de varias complicacoes fisicas e limitacoes progressivas na marcha.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"7 1","pages":"417-425"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85479457","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 : 2010-10-01DOI: 10.1590/S1413-35552010000500006
Poliana H. Leite, R. Melo, M. Mello, E. Silva, A. Borghi-Silva, A. M. Catai
CONTEXTUALIZACAO: A magnitude das respostas cardiovasculares depende dos componentes estatico e dinâmico bem como da duracao e intensidade da contracao realizada. OBJETIVO: Avaliar as respostas da frequencia cardiaca (FC) frente a diferentes percentuais de contracao isometrica em 12 pacientes (63±11,6 anos; media±dp) com doenca da arteria coronaria e/ou fatores de risco para ela, participantes de um programa de reabilitacao cardiaca fase III. METODOS: A variacao da frequencia cardiaca (ΔFC) foi avaliada durante as contracoes voluntarias maximas (CVM; 5" e 10" de duracao) e submaximas (CVSM; 30 e 60% da CVM-5, ate exaustao muscular) de preensao palmar, utilizando-se um dinamometro (hand grip). Adicionalmente, o RMSSD dos iR-R em ms (indice representante da modulacao vagal cardiaca) foi calculado em repouso (pre-contracao) nos ultimos 30 segundos da CVSM e na recuperacao (pos-contracao). RESULTADOS: A ΔFC apresentou maiores valores em CVM-10 vs CVM-5 (17±5,5 vs 12±4,2 bpm, p 0,05). RMSSD de repouso reduziu-se (p<0,05) durante a CVSM-30 (30%=29,9±17,1 vs 12,9±8,5ms) e CVSM-60 (60%=25,8±18,2 vs 9,96±4,2 ms), mas retornou aos valores basais quando a contracao foi interrompida. CONCLUSOES: Em pacientes com doenca da arteria coronaria e/ou fatores de risco para ela, a contracao isometrica de baixa intensidade mantida por longos periodos de tempo apresenta os mesmos efeitos sobre as respostas da FC, quando comparada a contracao isometrica de alta ou maxima intensidade, porem de breve duracao.
背景:心血管反应的大小取决于静态和动态成分，以及收缩的持续时间和强度。摘要目的:评价12例患者(63±11.6岁)的心率(hr)对不同等距收缩百分比的反应冠状动脉疾病和/或危险因素，III期心脏康复计划的参与者。方法:诊断频率(ΔFC)的目标是评估在contracoes maximas志愿者(证券交易委员会;5"和10"长度)和次最大值(CVSM;30和60%的CVM-5，直到肌肉疲劳)，使用握力计(手握力)。此外，在CVSM最后30秒静息(收缩前)和恢复期(收缩后)计算ms(代表心脏迷走神经调节指数)的iR-R RMSSD。结果:Δ俱乐部的最大价值,提出了证券交易委员会在-10年对5(17±5秒,5对12±4,2 bpm, p 0 . 05)。在CVSM-30(30%= 29.9±17.1 vs 12.9±8.5 ms)和CVSM-60(60%= 25.8±18.2 vs 9.96±4.2 ms)期间，静息RMSSD降低(p< 0.05)，但在停止收缩时恢复到基线。结论:在冠状动脉疾病和/或其危险因素患者中，长时间保持低强度等距收缩对hr反应的影响与高强度或最大强度等距收缩相同，但持续时间较短。
{"title":"Resposta da frequência cardíaca durante o exercício isométrico de pacientes submetidos à reabilitação cardíaca fase III","authors":"Poliana H. Leite, R. Melo, M. Mello, E. Silva, A. Borghi-Silva, A. M. Catai","doi":"10.1590/S1413-35552010000500006","DOIUrl":"https://doi.org/10.1590/S1413-35552010000500006","url":null,"abstract":"CONTEXTUALIZACAO: A magnitude das respostas cardiovasculares depende dos componentes estatico e dinâmico bem como da duracao e intensidade da contracao realizada. OBJETIVO: Avaliar as respostas da frequencia cardiaca (FC) frente a diferentes percentuais de contracao isometrica em 12 pacientes (63±11,6 anos; media±dp) com doenca da arteria coronaria e/ou fatores de risco para ela, participantes de um programa de reabilitacao cardiaca fase III. METODOS: A variacao da frequencia cardiaca (ΔFC) foi avaliada durante as contracoes voluntarias maximas (CVM; 5\" e 10\" de duracao) e submaximas (CVSM; 30 e 60% da CVM-5, ate exaustao muscular) de preensao palmar, utilizando-se um dinamometro (hand grip). Adicionalmente, o RMSSD dos iR-R em ms (indice representante da modulacao vagal cardiaca) foi calculado em repouso (pre-contracao) nos ultimos 30 segundos da CVSM e na recuperacao (pos-contracao). RESULTADOS: A ΔFC apresentou maiores valores em CVM-10 vs CVM-5 (17±5,5 vs 12±4,2 bpm, p 0,05). RMSSD de repouso reduziu-se (p<0,05) durante a CVSM-30 (30%=29,9±17,1 vs 12,9±8,5ms) e CVSM-60 (60%=25,8±18,2 vs 9,96±4,2 ms), mas retornou aos valores basais quando a contracao foi interrompida. CONCLUSOES: Em pacientes com doenca da arteria coronaria e/ou fatores de risco para ela, a contracao isometrica de baixa intensidade mantida por longos periodos de tempo apresenta os mesmos efeitos sobre as respostas da FC, quando comparada a contracao isometrica de alta ou maxima intensidade, porem de breve duracao.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"13 1","pages":"383-389"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73041757","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 : 2010-10-01DOI: 10.1590/S1413-35552010000500003
Natalia Aquorini Ricci, Mayra Cristina Aratani, Flávia Doná, Camila Macedo, Heloisa Helena Caovilla, F. Ganança
OBJECTIVE: To summarize the results of clinical trials on vestibular rehabilitation (VR) in middle-aged and elderly people with vestibular disorders. METHODS: A search for relevant trials was performed in the databases LILACS, EMBASE, MEDLINE, SciELO, Cochrane, ISI Web of Knowledge and virtual libraries of theses and dissertations. Randomized controlled trials published in the last 10 years and written in English, Portuguese or Spanish were included. The methodological quality of the studies was assessed by the PEDro scale. Results from the included studies were analyzed through a critical review of content. RESULTS: Nine studies were included in the review. Four studies reported on participants aged over 40 years (middle-aged and elderly) and five studies consisted exclusively of elderly subjects (over 60 years). Findings of vestibular dysfunction were diverse and the most common complaints were body imbalance or postural instability (3 studies), and vertigo or dizziness (3 studies). The Visual Analogue Scale (VAS) was the most commonly used instrument to assess subjective perception of symptoms of vestibular dysfunction (4 studies). According to the PEDro scale, four studies were considered to be of good quality. The most common experimental intervention was the Cawthorne & Cooksey protocol (4 studies). For most outcome measures, the studies comparing VR with another type of intervention showed no differences between the groups after the therapy. CONCLUSIONS: The studies included in this review provide evidence for the positive effects of VR in elderly and middle-aged adults with vestibular disturbances.
目的:总结中老年前庭功能障碍患者前庭功能康复(VR)的临床研究结果。方法:在数据库LILACS、EMBASE、MEDLINE、SciELO、Cochrane、ISI Web of Knowledge和论文虚拟图书馆中检索相关试验。过去10年发表的随机对照试验，以英语、葡萄牙语或西班牙语撰写。研究的方法学质量采用PEDro量表进行评估。纳入研究的结果通过对内容的批判性回顾进行分析。结果:本综述纳入了9项研究。4项研究报告的参与者年龄超过40岁(中老年)，5项研究仅包括老年受试者(60岁以上)。前庭功能障碍的表现多种多样，最常见的主诉是身体失衡或姿势不稳(3项研究)，以及眩晕或头晕(3项研究)。视觉模拟量表(VAS)是评估前庭功能障碍症状主观知觉的最常用工具(4项研究)。根据PEDro量表，4项研究被认为是高质量的。最常见的实验干预是Cawthorne & Cooksey方案(4项研究)。对于大多数结果测量，将VR与另一种类型的干预进行比较的研究显示，治疗后两组之间没有差异。结论:本综述中纳入的研究为VR对中老年前庭功能障碍患者的积极作用提供了证据。
{"title":"Revisão sistemática sobre os efeitos da reabilitação vestibular em adultos de meia-idade e idosos","authors":"Natalia Aquorini Ricci, Mayra Cristina Aratani, Flávia Doná, Camila Macedo, Heloisa Helena Caovilla, F. Ganança","doi":"10.1590/S1413-35552010000500003","DOIUrl":"https://doi.org/10.1590/S1413-35552010000500003","url":null,"abstract":"OBJECTIVE: To summarize the results of clinical trials on vestibular rehabilitation (VR) in middle-aged and elderly people with vestibular disorders. METHODS: A search for relevant trials was performed in the databases LILACS, EMBASE, MEDLINE, SciELO, Cochrane, ISI Web of Knowledge and virtual libraries of theses and dissertations. Randomized controlled trials published in the last 10 years and written in English, Portuguese or Spanish were included. The methodological quality of the studies was assessed by the PEDro scale. Results from the included studies were analyzed through a critical review of content. RESULTS: Nine studies were included in the review. Four studies reported on participants aged over 40 years (middle-aged and elderly) and five studies consisted exclusively of elderly subjects (over 60 years). Findings of vestibular dysfunction were diverse and the most common complaints were body imbalance or postural instability (3 studies), and vertigo or dizziness (3 studies). The Visual Analogue Scale (VAS) was the most commonly used instrument to assess subjective perception of symptoms of vestibular dysfunction (4 studies). According to the PEDro scale, four studies were considered to be of good quality. The most common experimental intervention was the Cawthorne & Cooksey protocol (4 studies). For most outcome measures, the studies comparing VR with another type of intervention showed no differences between the groups after the therapy. CONCLUSIONS: The studies included in this review provide evidence for the positive effects of VR in elderly and middle-aged adults with vestibular disturbances.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"7 1","pages":"361-371"},"PeriodicalIF":0.0,"publicationDate":"2010-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74914769","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 : 2010-09-01DOI: 10.1590/S1413-35552010000500010
V. Parreira, C. J. Bueno, Danielle C. França, D. S. Vieira, Dirceu R. Pereira, R. Britto
OBJECTIVE: To describe the breathing pattern and thoracoabdominal motion of healthy individuals, taking age and sex into consideration. METHODS: The study included 104 individuals aged 20 to 39, 40 to 59, and 60 to 80 years (41 males and 63 females), with normal body mass index and spirometric values. Participants were evaluated at rest in the supine position, by means of respiratory inductive plethysmography. The following variables were measured: tidal volume (Vt), respiratory frequency (f), minute ventilation (VE), inspiratory duty cycle (Ti/Ttot), mean inspiratory flow (Vt/Ti), rib cage motion (%RC), inspiratory phase relation (PhRIB), expiratory phase relation (PhREB), and phase angle (PhaseAng). Comparisons between the age groups were performed using one-way ANOVA or Kruskal-Wallis H, while comparisons between the sexes were performed using Student's t test or the Mann-Whitney U test, depending on the data distribution; p<0.05 was taken to be significant. RESULTS: Comparison between the sexes showed that, in the age groups 20 to 39 and 60 to 80 years, women presented significantly lower values for Vt, VE, and Ti/Ttot than men, and there was no significant difference in the age group 40 to 59 years. Comparisons between the age groups showed that participants aged 60 to 80 presented significantly greater PhRIB and PhaseAng than participants aged 20 to 39 years, without significant differences in the breathing pattern. CONCLUSION: The data suggest that breathing pattern is influenced by sex whereas thoracoabdominal motion is influenced by age.
{"title":"Padrão respiratório e movimento toracoabdominal em indivíduos saudáveis: influência da idade e do sexo","authors":"V. Parreira, C. J. Bueno, Danielle C. França, D. S. Vieira, Dirceu R. Pereira, R. Britto","doi":"10.1590/S1413-35552010000500010","DOIUrl":"https://doi.org/10.1590/S1413-35552010000500010","url":null,"abstract":"OBJECTIVE: To describe the breathing pattern and thoracoabdominal motion of healthy individuals, taking age and sex into consideration. METHODS: The study included 104 individuals aged 20 to 39, 40 to 59, and 60 to 80 years (41 males and 63 females), with normal body mass index and spirometric values. Participants were evaluated at rest in the supine position, by means of respiratory inductive plethysmography. The following variables were measured: tidal volume (Vt), respiratory frequency (f), minute ventilation (VE), inspiratory duty cycle (Ti/Ttot), mean inspiratory flow (Vt/Ti), rib cage motion (%RC), inspiratory phase relation (PhRIB), expiratory phase relation (PhREB), and phase angle (PhaseAng). Comparisons between the age groups were performed using one-way ANOVA or Kruskal-Wallis H, while comparisons between the sexes were performed using Student's t test or the Mann-Whitney U test, depending on the data distribution; p<0.05 was taken to be significant. RESULTS: Comparison between the sexes showed that, in the age groups 20 to 39 and 60 to 80 years, women presented significantly lower values for Vt, VE, and Ti/Ttot than men, and there was no significant difference in the age group 40 to 59 years. Comparisons between the age groups showed that participants aged 60 to 80 presented significantly greater PhRIB and PhaseAng than participants aged 20 to 39 years, without significant differences in the breathing pattern. CONCLUSION: The data suggest that breathing pattern is influenced by sex whereas thoracoabdominal motion is influenced by age.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"4 1","pages":"411-416"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74180311","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 : 2010-09-01DOI: 10.1590/S1413-35552010000500014
Louise G. Araújo, D. M. F. Lima, R. Sampaio, Leani Souza Máximo Pereira
CONTEXTUALIZACAO: A dor e considerada uma experiencia multidimensional e muito prevalente em idosos. O locus de controle da dor tem se tornado fundamental para entender como percepcoes, expectativas e crencas individuais se relacionam a comportamentos, atitudes, enfrentamento e aderencia dos idosos frente as condicoes de saude e propostas de tratamento. Estudos focados na adaptacao e confiabilidade de instrumentos sao necessarios para os profissionais de saude. Objetivos: Realizar a adaptacao transcultural, para o Brasil, do instrumento Pain Locus of Control Scale (forma C da Multidimensional Health Locus of Control ) e avaliar sua confiabilidade intra e interexaminadores em uma amostra de 68 idosos comunitarios, com dor cronica nao oncologica. METODOS: A adaptacao transcultural da escala foi feita conforme metodologia padronizada por Beaton et al. (2000)*. Para analise estatistica, foram usados os coeficientes de correlacao de Pearson (CCP) e de correlacao intraclasse (CCI) (p<0.05). RESULTADOS: A media de idade dos idosos foi de 69,6±5,5 anos, predominando mulheres, de baixa renda e escolaridade. O tempo medio de evolucao da dor foi de 10,2 anos, e o principal diagnostico clinico foi a osteoartrite. A confiabilidade da escala mostrou-se adequada com correlacao de regular a muito forte (CCP=0,60 a 0,93) e de moderada a quase perfeita (CCI =0,60 a 0,93), principalmente nas subescalas de controle ao acaso e de profissionais medicos e de saude. CONCLUSAO: Apos as adaptacoes e as adequacoes da escala para aplicacao em idosos, verificou-se sua aplicabilidade e confiabilidade adequadas na amostra estudada.
{"title":"Escala de Locus de controle da dor: adaptação e confiabilidade para idosos","authors":"Louise G. Araújo, D. M. F. Lima, R. Sampaio, Leani Souza Máximo Pereira","doi":"10.1590/S1413-35552010000500014","DOIUrl":"https://doi.org/10.1590/S1413-35552010000500014","url":null,"abstract":"CONTEXTUALIZACAO: A dor e considerada uma experiencia multidimensional e muito prevalente em idosos. O locus de controle da dor tem se tornado fundamental para entender como percepcoes, expectativas e crencas individuais se relacionam a comportamentos, atitudes, enfrentamento e aderencia dos idosos frente as condicoes de saude e propostas de tratamento. Estudos focados na adaptacao e confiabilidade de instrumentos sao necessarios para os profissionais de saude. Objetivos: Realizar a adaptacao transcultural, para o Brasil, do instrumento Pain Locus of Control Scale (forma C da Multidimensional Health Locus of Control ) e avaliar sua confiabilidade intra e interexaminadores em uma amostra de 68 idosos comunitarios, com dor cronica nao oncologica. METODOS: A adaptacao transcultural da escala foi feita conforme metodologia padronizada por Beaton et al. (2000)*. Para analise estatistica, foram usados os coeficientes de correlacao de Pearson (CCP) e de correlacao intraclasse (CCI) (p<0.05). RESULTADOS: A media de idade dos idosos foi de 69,6±5,5 anos, predominando mulheres, de baixa renda e escolaridade. O tempo medio de evolucao da dor foi de 10,2 anos, e o principal diagnostico clinico foi a osteoartrite. A confiabilidade da escala mostrou-se adequada com correlacao de regular a muito forte (CCP=0,60 a 0,93) e de moderada a quase perfeita (CCI =0,60 a 0,93), principalmente nas subescalas de controle ao acaso e de profissionais medicos e de saude. CONCLUSAO: Apos as adaptacoes e as adequacoes da escala para aplicacao em idosos, verificou-se sua aplicabilidade e confiabilidade adequadas na amostra estudada.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"4 1","pages":"438-445"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90062055","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 : 2010-09-01DOI: 10.1590/S1413-35552010000500007
R. Gomes, Juliana Pereira Borges, D. D. Lima, P. Farinatti
BACKGROUND: There is a lack of research about the relationship between exercise and the psychological well-being of HIV-infected (Human Immunodeficiency Virus) patients. OBJECTIVE: The objective of this study was to investigate the influence of a physical training program on life satisfaction and on the immunological function in HIV-patients. METHODS: A total of 29 HIV-seropositive patients [age: 45±2 yrs; Body Mass Index (BMI): 22.8±1.0 kg/m2 ; TCD4: 20.5±2.0%] were allocated to the control (CG, n=10) and to the experimental groups (EG, n=19). The EG participated in an exercise program combining aerobic, strength, and flexibility exercises for a period of 12 weeks [3 times/week of 30 min of aerobic exercise (workload corresponding to 150 bpm-PWC150); 50 min of strength exercises (3 sets of 12 repetitions in 5 exercises at 60-80% 12 RM); and 10 min of flexibility exercises (2 sets of 30 seconds at maximal range of motion of 8 exercises)]. The immunological function was assessed by flow citometry [absolute and relative TCD4 cells counting] and the life satisfaction was assessed by the Life Satisfaction Index (LSI). RESULTS: The analysis of variance (ANOVA) showed no significant differences for relative and absolute CD4 T counts for both groups, however, a slight enhancement trend in the EG [16%, p=0.19] was observed. There was a significant improvement of LSI [approximately 15%; P<0.05] in EG, but not for CG. CONCLUSION: A physical activity program of moderate intensity improved life satisfaction perception in HIV-infected patients with no immunological function impairment.
{"title":"Efeito do exercício físico na percepção de satisfação de vida e função imunológica em pacientes infectados pelo HIV: Ensaio clínico não randomizado","authors":"R. Gomes, Juliana Pereira Borges, D. D. Lima, P. Farinatti","doi":"10.1590/S1413-35552010000500007","DOIUrl":"https://doi.org/10.1590/S1413-35552010000500007","url":null,"abstract":"BACKGROUND: There is a lack of research about the relationship between exercise and the psychological well-being of HIV-infected (Human Immunodeficiency Virus) patients. OBJECTIVE: The objective of this study was to investigate the influence of a physical training program on life satisfaction and on the immunological function in HIV-patients. METHODS: A total of 29 HIV-seropositive patients [age: 45±2 yrs; Body Mass Index (BMI): 22.8±1.0 kg/m2 ; TCD4: 20.5±2.0%] were allocated to the control (CG, n=10) and to the experimental groups (EG, n=19). The EG participated in an exercise program combining aerobic, strength, and flexibility exercises for a period of 12 weeks [3 times/week of 30 min of aerobic exercise (workload corresponding to 150 bpm-PWC150); 50 min of strength exercises (3 sets of 12 repetitions in 5 exercises at 60-80% 12 RM); and 10 min of flexibility exercises (2 sets of 30 seconds at maximal range of motion of 8 exercises)]. The immunological function was assessed by flow citometry [absolute and relative TCD4 cells counting] and the life satisfaction was assessed by the Life Satisfaction Index (LSI). RESULTS: The analysis of variance (ANOVA) showed no significant differences for relative and absolute CD4 T counts for both groups, however, a slight enhancement trend in the EG [16%, p=0.19] was observed. There was a significant improvement of LSI [approximately 15%; P<0.05] in EG, but not for CG. CONCLUSION: A physical activity program of moderate intensity improved life satisfaction perception in HIV-infected patients with no immunological function impairment.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"1 1","pages":"390-395"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80498537","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 : 2010-09-01DOI: 10.1590/S1413-35552010000500002
M. C. Mancini, A. M. Catai, D. Grossi
{"title":"A realidade do Acesso Livre (Open-Access) e a busca por estabilidade financeira","authors":"M. C. Mancini, A. M. Catai, D. Grossi","doi":"10.1590/S1413-35552010000500002","DOIUrl":"https://doi.org/10.1590/S1413-35552010000500002","url":null,"abstract":"","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"94 1","pages":"07-08"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81768039","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 : 2010-09-01DOI: 10.1590/S1413-35552010005000025
Guilherme H. Bonagamba, Daniel M. Coelho, A. S. Oliveira
BACKGROUND: The scoliometer was developed to analyze the axial rotation of the trunk in patients with idiopathic scoliosis. However, there is controversy regarding the reliability of the measures obtained with this device. OBJECTIVES: To test the intra-rater and inter-rater reliability of the scoliometer in patients with scoliosis. METHODS: 24 volunteers of both sex with idiopathic scoliosis diagnostic (18±4 years-old) and curvatures with mean and standard deviation of 24.8±12.7o Cobb. The measurement procedure was accomplished in one day by two trained examiners. The palpation and determination of each spinal level was accomplished by just one examiner. Each examiner obtained one measure with the device for each vertebra from the thoracic and lumbar levels in each evaluation. For statistical analysis the measurements were divided by spinal levels into upper thorax, medium thorax, lower thorax and lumbar segments. The Intraclass Correlation Coefficient type 1,1 (ICC1,1) was used to determine the intra-rater reliability while the ICC3,1 was used to determine the inter-rater reliability. RESULTS: The observed intra-rater reliability values for the medium and lower thorax and lumbar segments of the subjects ranged from very good to excellent. The inter-rater reliability of the measures of axial trunk rotations was considered good to the upper thorax and excellent for the medium and lower thorax and lumbar spine. CONCLUSIONS: The scoliometer is a device that has intra-rater reliability estimates ranging from very good to excellent. The inter-rater reliability for the upper and low thorax and for the lumbar spine is relatively lower than the intra-rater values for the same spinal segments, even when the errors from palpation and positioning of the instrument were eliminated.
{"title":"Confiabilidade interavaliadores e intra-avaliador do escoliômetro","authors":"Guilherme H. Bonagamba, Daniel M. Coelho, A. S. Oliveira","doi":"10.1590/S1413-35552010005000025","DOIUrl":"https://doi.org/10.1590/S1413-35552010005000025","url":null,"abstract":"BACKGROUND: The scoliometer was developed to analyze the axial rotation of the trunk in patients with idiopathic scoliosis. However, there is controversy regarding the reliability of the measures obtained with this device. OBJECTIVES: To test the intra-rater and inter-rater reliability of the scoliometer in patients with scoliosis. METHODS: 24 volunteers of both sex with idiopathic scoliosis diagnostic (18±4 years-old) and curvatures with mean and standard deviation of 24.8±12.7o Cobb. The measurement procedure was accomplished in one day by two trained examiners. The palpation and determination of each spinal level was accomplished by just one examiner. Each examiner obtained one measure with the device for each vertebra from the thoracic and lumbar levels in each evaluation. For statistical analysis the measurements were divided by spinal levels into upper thorax, medium thorax, lower thorax and lumbar segments. The Intraclass Correlation Coefficient type 1,1 (ICC1,1) was used to determine the intra-rater reliability while the ICC3,1 was used to determine the inter-rater reliability. RESULTS: The observed intra-rater reliability values for the medium and lower thorax and lumbar segments of the subjects ranged from very good to excellent. The inter-rater reliability of the measures of axial trunk rotations was considered good to the upper thorax and excellent for the medium and lower thorax and lumbar spine. CONCLUSIONS: The scoliometer is a device that has intra-rater reliability estimates ranging from very good to excellent. The inter-rater reliability for the upper and low thorax and for the lumbar spine is relatively lower than the intra-rater values for the same spinal segments, even when the errors from palpation and positioning of the instrument were eliminated.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"27 1","pages":"432-438"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81318460","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 : 2010-08-01DOI: 10.1590/S1413-35552010005000021
Thiago Yukio Fukuda, Julio Fernandes de Jesus, Marcio G. Santos, Cláudio Cazarini Júnior, M. M. Tanji, Hélio Plapler
Background: Despite the increase in the use of low-level laser therapy (LLLT), there is still a lack of consensus in the literature regarding how often the equipment must be calibrated. Objective: To evaluate the real average power of LLLT devices in the Greater Sao Paulo area. Methods: For the evaluation, a LaserCheck power meter designed to calibrate continuous equipment was used. The power meter was programmed with data related to the laser's wavelength to gauge the real average power being emitted. The LLLT devices were evaluated in two ways: first with the device cooled down and then with the device warmed up for 10 minutes. For each condition, three tests were performed. The laser probe was aligned with the power meter, which provided the real average power being emitted by the LLLT device. All of the data and information related to the laser application were collected with the use of a questionnaire filled in by the supervising therapists. Results: The 60 devices evaluated showed deficit in real average power in the cooled-down and warmed- up condition. The statistical analysis (ANOVA) showed a significant decrease (p<0.05) in the real average power measured in relation to the manufacturer's average power. On average, the most common dose in the clinics was 4 J/cm², and the most desired effects were healing and anti-inflammatory effects. According to the World Association for Laser Therapy (WALT), 1 to 4 J of final energy are necessary to achieve these effects, however only one device was able to reach the recommended therapeutic window. Conclusion: The LLLT devices showed a deficit in real average power that emphasized a lack of order in the application of this tool. The present study also showed the need for periodical calibration of LLLT equipment and a better technical knowledge of the therapists involved.
{"title":"Aferição dos equipamentos de laser de baixa intensidade","authors":"Thiago Yukio Fukuda, Julio Fernandes de Jesus, Marcio G. Santos, Cláudio Cazarini Júnior, M. M. Tanji, Hélio Plapler","doi":"10.1590/S1413-35552010005000021","DOIUrl":"https://doi.org/10.1590/S1413-35552010005000021","url":null,"abstract":"Background: Despite the increase in the use of low-level laser therapy (LLLT), there is still a lack of consensus in the literature regarding how often the equipment must be calibrated. Objective: To evaluate the real average power of LLLT devices in the Greater Sao Paulo area. Methods: For the evaluation, a LaserCheck power meter designed to calibrate continuous equipment was used. The power meter was programmed with data related to the laser's wavelength to gauge the real average power being emitted. The LLLT devices were evaluated in two ways: first with the device cooled down and then with the device warmed up for 10 minutes. For each condition, three tests were performed. The laser probe was aligned with the power meter, which provided the real average power being emitted by the LLLT device. All of the data and information related to the laser application were collected with the use of a questionnaire filled in by the supervising therapists. Results: The 60 devices evaluated showed deficit in real average power in the cooled-down and warmed- up condition. The statistical analysis (ANOVA) showed a significant decrease (p<0.05) in the real average power measured in relation to the manufacturer's average power. On average, the most common dose in the clinics was 4 J/cm², and the most desired effects were healing and anti-inflammatory effects. According to the World Association for Laser Therapy (WALT), 1 to 4 J of final energy are necessary to achieve these effects, however only one device was able to reach the recommended therapeutic window. Conclusion: The LLLT devices showed a deficit in real average power that emphasized a lack of order in the application of this tool. The present study also showed the need for periodical calibration of LLLT equipment and a better technical knowledge of the therapists involved.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"20 1","pages":"303-308"},"PeriodicalIF":0.0,"publicationDate":"2010-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78252152","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 : 2010-08-01DOI: 10.1590/S1413-35552010005000022
Adamar N. Coelho Júnior, Juliana Maria Gazzola, Y. P. L. Gabilan, Karen R Mazzetti, M. R. Perracini, F. Ganança
OBJETIVOS: Avaliar o alinhamento de cabeca e ombros de pacientes com hipofuncao vestibular unilateral (HVU) por meio da biofotogrametria computadorizada e associar esses dados com genero, idade, tempo de evolucao clinica, autopercepcao da intensidade de tontura e ocorrencia de quedas. METODOS: Trata-se de estudo transversal em que 30 individuos com HVU e 30 individuos com funcao vestibular normal e sem queixa de tontura foram submetidos a biofotogrametria computadorizada. Foram registradas imagens em vistas anterior, posterior, laterais direita e esquerda em ortostatismo. O programa Alcimage® 2.0 foi usado para avaliar tres ângulos que permitem verificar anteriorizacao e inclinacao da cabeca e alinhamento dos ombros. Os grupos foram pareados por idade, genero e estatura. Para a analise estatistica, realizaram-se os testes de Mann-Whitney, Kruskal-Wallis, seguidos do teste de Dunn e Coeficiente de Correlacao de Spearman. RESULTADOS: Pacientes com HVU apresentam maiores valores para os ângulos de anteriorizacao (55,44±16,33) e de inclinacao lateral da cabeca (2,03±1,37) quando comparados aos individuos normais (34,3±44,60 e 1,34±1,05, respectivamente), com diferenca estatisticamente significante (p<0,001). O aumento da anteriorizacao e da inclinacao lateral da cabeca do grupo de individuos com HVU foi de 38,05% e 33,78% respectivamente. A anteriorizacao da cabeca foi associada com o tempo de evolucao clinica da doenca vestibular (p=0,003) com a idade (p=0,006), com a intensidade da tontura (p<0,001) e com a ocorrencia de quedas (p=0,002). CONCLUSAO: Pacientes com HVU apresentam maior anteriorizacao e inclinacao lateral da cabeca. A anteriorizacao da cabeca aumenta com a idade, com o tempo de evolucao clinica, maior auto-percepcao da intensidade da tontura e nos pacientes que relataram quedas.
{"title":"Alinhamento de cabeça e ombros em pacientes com hipofunção vestibular unilateral","authors":"Adamar N. Coelho Júnior, Juliana Maria Gazzola, Y. P. L. Gabilan, Karen R Mazzetti, M. R. Perracini, F. Ganança","doi":"10.1590/S1413-35552010005000022","DOIUrl":"https://doi.org/10.1590/S1413-35552010005000022","url":null,"abstract":"OBJETIVOS: Avaliar o alinhamento de cabeca e ombros de pacientes com hipofuncao vestibular unilateral (HVU) por meio da biofotogrametria computadorizada e associar esses dados com genero, idade, tempo de evolucao clinica, autopercepcao da intensidade de tontura e ocorrencia de quedas. METODOS: Trata-se de estudo transversal em que 30 individuos com HVU e 30 individuos com funcao vestibular normal e sem queixa de tontura foram submetidos a biofotogrametria computadorizada. Foram registradas imagens em vistas anterior, posterior, laterais direita e esquerda em ortostatismo. O programa Alcimage® 2.0 foi usado para avaliar tres ângulos que permitem verificar anteriorizacao e inclinacao da cabeca e alinhamento dos ombros. Os grupos foram pareados por idade, genero e estatura. Para a analise estatistica, realizaram-se os testes de Mann-Whitney, Kruskal-Wallis, seguidos do teste de Dunn e Coeficiente de Correlacao de Spearman. RESULTADOS: Pacientes com HVU apresentam maiores valores para os ângulos de anteriorizacao (55,44±16,33) e de inclinacao lateral da cabeca (2,03±1,37) quando comparados aos individuos normais (34,3±44,60 e 1,34±1,05, respectivamente), com diferenca estatisticamente significante (p<0,001). O aumento da anteriorizacao e da inclinacao lateral da cabeca do grupo de individuos com HVU foi de 38,05% e 33,78% respectivamente. A anteriorizacao da cabeca foi associada com o tempo de evolucao clinica da doenca vestibular (p=0,003) com a idade (p=0,006), com a intensidade da tontura (p<0,001) e com a ocorrencia de quedas (p=0,002). CONCLUSAO: Pacientes com HVU apresentam maior anteriorizacao e inclinacao lateral da cabeca. A anteriorizacao da cabeca aumenta com a idade, com o tempo de evolucao clinica, maior auto-percepcao da intensidade da tontura e nos pacientes que relataram quedas.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"30 1","pages":"330-336"},"PeriodicalIF":0.0,"publicationDate":"2010-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81221855","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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