Pub Date : 2010-05-01DOI: 10.1590/S1413-35552010000300013
C. Vignochi, P. P. Teixeira, Silvana S. Nader
OBJECTIVES: To evaluate the effects of aquatic physical therapy on pain and on the cycle of sleep and wakefulness among stable hospitalized premature infants. METHODS: This study was characterized as an uncontrolled clinical trial on a time series and included 12 clinically stable newborns of gestational age less than 36 weeks who were hospitalized in a neonatal intensive care unit (NICU). After selection, the newborns were placed in a liquid medium for aquatic physical therapy lasting 10 minutes. Movements to stimulate flexor posture and postural organization were performed. The sleep-wakefulness cycle was assessed using the adapted Brazelton (1973)* scale and pain was assessed by the occurrence of signs of pain according to the Neonatal Facial Coding System (NFCS) scale; and physiological parameters. RESULTS: In relation to states of sleep and wakefulness, before the physical therapy, the newborns' behavior varied from fully awake with vigorous body movements to crying. After the physical therapy, the states of sleep ranged from light sleep with closed eyes to some body movement. These values presented statistically significant differences (p<0.001). The score on the pain assessment scale also decreased from 5.38±0.91 to 0.25±0.46, with p<0.001 after the intervention. The vital signs remained stable. CONCLUSIONS: It is suggested that aquatic physical therapy can be a simple and effective method for reducing pain and improving sleep quality among preterm infants in NICUs. Controlled studies with larger numbers of subjects are needed in order to generalize the results.
{"title":"Efeitos da fisioterapia aquática na dor e no estado de sono e vigília de recém-nascidos pré-termo estáveis internados em unidade de terapia intensiva neonatal","authors":"C. Vignochi, P. P. Teixeira, Silvana S. Nader","doi":"10.1590/S1413-35552010000300013","DOIUrl":"https://doi.org/10.1590/S1413-35552010000300013","url":null,"abstract":"OBJECTIVES: To evaluate the effects of aquatic physical therapy on pain and on the cycle of sleep and wakefulness among stable hospitalized premature infants. METHODS: This study was characterized as an uncontrolled clinical trial on a time series and included 12 clinically stable newborns of gestational age less than 36 weeks who were hospitalized in a neonatal intensive care unit (NICU). After selection, the newborns were placed in a liquid medium for aquatic physical therapy lasting 10 minutes. Movements to stimulate flexor posture and postural organization were performed. The sleep-wakefulness cycle was assessed using the adapted Brazelton (1973)* scale and pain was assessed by the occurrence of signs of pain according to the Neonatal Facial Coding System (NFCS) scale; and physiological parameters. RESULTS: In relation to states of sleep and wakefulness, before the physical therapy, the newborns' behavior varied from fully awake with vigorous body movements to crying. After the physical therapy, the states of sleep ranged from light sleep with closed eyes to some body movement. These values presented statistically significant differences (p<0.001). The score on the pain assessment scale also decreased from 5.38±0.91 to 0.25±0.46, with p<0.001 after the intervention. The vital signs remained stable. CONCLUSIONS: It is suggested that aquatic physical therapy can be a simple and effective method for reducing pain and improving sleep quality among preterm infants in NICUs. Controlled studies with larger numbers of subjects are needed in order to generalize the results.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"50 1","pages":"214-220"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76201957","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 : 2010-04-01DOI: 10.1590/S1413-35552010005000006
D. F. Lima, A. P. Queiroz, Geovana De Salvo, Simone Minae Yoneyama, Telma Dagmar Oberg, Núbia Maria Freire Vieira Lima
OBJETIVO: Verificar a concordância inter e intraexaminador, validade construtiva e consistencia interna da versao brasileira do instrumento Nottingham Sensory Assessment para hemipareticos apos acidente vascular encefalico (AVE). METODOS: O instrumento foi traduzido para lingua portuguesa com base na sua versao original em Ingles por um tradutor bilingue e, posteriormente, revertido para a lingua inglesa. Vinte e um hemipareticos foram avaliados por dois examinadores pela Avaliacao Sensorial de Nottingham para pacientes pos-AVE (ASN) e pelo Protocolo de Desempenho Fisico de Fugl-Meyer (FM). RESULTADOS: Foi encontrada correlacao entre os instrumentos FM e ASN (0,752); excelente consistencia interna da ASN (0,86); excelentes coeficientes de concordância interexaminador e intraexaminador para todos os itens da ASN, exceto temperatura e efeito teto significativo para ASN e FM. CONCLUSAO: A versao brasileira da Nottingham Sensory Assessment cumpriu os criterios de concordância, consistencia interna e validade concorrente, sendo um instrumento de rapida e facil aplicacao, podendo ser utilizada nos ambulatorios de neuroreabilitacao para avaliar a funcao sensorial pos-AVE. O efeito teto significativo da ASN nao limita seu uso, tendo em vista que, para os mesmos pacientes, o Protocolo de Fugl-Meyer tambem revelou efeito teto.
{"title":"Versão Brasileira da Avaliação Sensorial de Nottingham: validade, concordância e confiabilidade","authors":"D. F. Lima, A. P. Queiroz, Geovana De Salvo, Simone Minae Yoneyama, Telma Dagmar Oberg, Núbia Maria Freire Vieira Lima","doi":"10.1590/S1413-35552010005000006","DOIUrl":"https://doi.org/10.1590/S1413-35552010005000006","url":null,"abstract":"OBJETIVO: Verificar a concordância inter e intraexaminador, validade construtiva e consistencia interna da versao brasileira do instrumento Nottingham Sensory Assessment para hemipareticos apos acidente vascular encefalico (AVE). METODOS: O instrumento foi traduzido para lingua portuguesa com base na sua versao original em Ingles por um tradutor bilingue e, posteriormente, revertido para a lingua inglesa. Vinte e um hemipareticos foram avaliados por dois examinadores pela Avaliacao Sensorial de Nottingham para pacientes pos-AVE (ASN) e pelo Protocolo de Desempenho Fisico de Fugl-Meyer (FM). RESULTADOS: Foi encontrada correlacao entre os instrumentos FM e ASN (0,752); excelente consistencia interna da ASN (0,86); excelentes coeficientes de concordância interexaminador e intraexaminador para todos os itens da ASN, exceto temperatura e efeito teto significativo para ASN e FM. CONCLUSAO: A versao brasileira da Nottingham Sensory Assessment cumpriu os criterios de concordância, consistencia interna e validade concorrente, sendo um instrumento de rapida e facil aplicacao, podendo ser utilizada nos ambulatorios de neuroreabilitacao para avaliar a funcao sensorial pos-AVE. O efeito teto significativo da ASN nao limita seu uso, tendo em vista que, para os mesmos pacientes, o Protocolo de Fugl-Meyer tambem revelou efeito teto.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"1 1","pages":"166-174"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83278168","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 : 2010-04-01DOI: 10.1590/S1413-35552010010500001
S. Menezes
{"title":"Physical therapy accelerates the fluid absorption of pleural effusion due to tuberculosis","authors":"S. Menezes","doi":"10.1590/S1413-35552010010500001","DOIUrl":"https://doi.org/10.1590/S1413-35552010010500001","url":null,"abstract":"","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"113 8","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91512288","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 : 2010-04-01DOI: 10.1590/S1413-35552010010100001
Sara L. S. Menezes
{"title":"Fisioterapia acelera a absorção do derrame pleural tuberculoso","authors":"Sara L. S. Menezes","doi":"10.1590/S1413-35552010010100001","DOIUrl":"https://doi.org/10.1590/S1413-35552010010100001","url":null,"abstract":"","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"213 4","pages":"0-0"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91415896","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 : 2010-04-01DOI: 10.1590/S1413-35552010005000010
Daiane M. De Bem, C. Maciel, José Antonio Sampaio Zuanon, C. B. Neto, N. Parizotto
Universidade de Sao Paulo Escola Engenharia de Sao Carlos Programa de Pos-Graduacao Interunidades em Bioengenharia
Sao保罗大学Sao卡洛斯工程学院生物工程研究生项目
{"title":"Análise histológica em tecido epitelial sadio de ratos Wistar (in vivo) irradiados com diferentes intensidades do ultrassom","authors":"Daiane M. De Bem, C. Maciel, José Antonio Sampaio Zuanon, C. B. Neto, N. Parizotto","doi":"10.1590/S1413-35552010005000010","DOIUrl":"https://doi.org/10.1590/S1413-35552010005000010","url":null,"abstract":"Universidade de Sao Paulo Escola Engenharia de Sao Carlos Programa de Pos-Graduacao Interunidades em Bioengenharia","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"13 1","pages":"114-120"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82223431","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 : 2010-03-01DOI: 10.1590/S1413-35552010005000005
Valdinar de Araújo Rocha Júnior, Martim Bottaro, Maria C. Pereira, Marcelino Monteiro de Andrade, P. V. P. Júnior, Jake C. Carmo
OBJETIVO: Verificar se a execucao de um exercicio monoarticular de baixa intensidade para os extensores do joelho e uma estrategia eficaz para aumentar o numero de unidades motoras recrutadas no musculo vasto lateral durante a realizacao de um exercicio multiarticular subsequente. METODOS: Nove sujeitos saudaveis do sexo masculino (23,33±3,46 anos) foram submetidos a rotinas de treinamento nas quais os exercicios cadeira extensora e leg press 45° eram realizados em sequencia. Na rotina de baixa intensidade (R30), foram realizadas 15 extensoes unilaterais de joelho, seguidas de 15 repeticoes de leg press 45° com cargas de 30% e 60% de uma repeticao maxima (1-RM), respectivamente. Na rotina de alta intensidade (R60), a mesma sequencia foi executada, porem a carga dos dois movimentos foi de 60% de 1-RM. Uma serie simples de 15 repeticoes leg press 45° com carga de 60% de 1-RM foi utilizada como exercicio controle (RC). A eletromiografia de superficie foi registrada no musculo vasto lateral por meio de um arranjo linear de eletrodos. O valor RMS foi calculado para cada repeticao do leg press 45° e, a partir desses resultados, foram calculadas regressoes lineares. As inclinacoes das retas obtidas foram entao normalizadas pelos coeficientes lineares das equacoes de regressao e comparadas por meio da ANOVA de um fator para medidas repetidas. RESULTADOS: As inclinacoes observadas na rotina RC foram significativamente inferiores as de R30 e as de R60 (p<0,05). CONCLUSOES: Os resultados indicaram um recrutamento mais efetivo de unidades motoras nas rotinas de exercicio multiarticular precedidas de exercicio monoarticular. Artigo registrado na Australian New Zealand Clinical Trials Registry (ANZCTR) sob o numero ACTRN12609000413224.
{"title":"Análise eletromiográfica da pré-ativação muscular induzida por exercício monoarticular","authors":"Valdinar de Araújo Rocha Júnior, Martim Bottaro, Maria C. Pereira, Marcelino Monteiro de Andrade, P. V. P. Júnior, Jake C. Carmo","doi":"10.1590/S1413-35552010005000005","DOIUrl":"https://doi.org/10.1590/S1413-35552010005000005","url":null,"abstract":"OBJETIVO: Verificar se a execucao de um exercicio monoarticular de baixa intensidade para os extensores do joelho e uma estrategia eficaz para aumentar o numero de unidades motoras recrutadas no musculo vasto lateral durante a realizacao de um exercicio multiarticular subsequente. METODOS: Nove sujeitos saudaveis do sexo masculino (23,33±3,46 anos) foram submetidos a rotinas de treinamento nas quais os exercicios cadeira extensora e leg press 45° eram realizados em sequencia. Na rotina de baixa intensidade (R30), foram realizadas 15 extensoes unilaterais de joelho, seguidas de 15 repeticoes de leg press 45° com cargas de 30% e 60% de uma repeticao maxima (1-RM), respectivamente. Na rotina de alta intensidade (R60), a mesma sequencia foi executada, porem a carga dos dois movimentos foi de 60% de 1-RM. Uma serie simples de 15 repeticoes leg press 45° com carga de 60% de 1-RM foi utilizada como exercicio controle (RC). A eletromiografia de superficie foi registrada no musculo vasto lateral por meio de um arranjo linear de eletrodos. O valor RMS foi calculado para cada repeticao do leg press 45° e, a partir desses resultados, foram calculadas regressoes lineares. As inclinacoes das retas obtidas foram entao normalizadas pelos coeficientes lineares das equacoes de regressao e comparadas por meio da ANOVA de um fator para medidas repetidas. RESULTADOS: As inclinacoes observadas na rotina RC foram significativamente inferiores as de R30 e as de R60 (p<0,05). CONCLUSOES: Os resultados indicaram um recrutamento mais efetivo de unidades motoras nas rotinas de exercicio multiarticular precedidas de exercicio monoarticular. Artigo registrado na Australian New Zealand Clinical Trials Registry (ANZCTR) sob o numero ACTRN12609000413224.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"36 1","pages":"158-165"},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87017883","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 : 2010-03-01DOI: 10.1590/S1413-35552010005000003
Michel Silva Reis, A. Deus, Rodrigo Polaquini Simões, Isabela A. V. Aniceto, A. M. Catai, A. Borghi-Silva
OBJECTIVE: To evaluate the autonomic modulation of heart rate (HR) at rest in the supine position and during a respiratory sinus arrhythmia maneuver (M-RSA) among participants with chronic obstructive pulmonary disease (COPD) or with chronic heart failure (CHF). METHODS: Twenty-eight men were divided into three groups: ten with COPD, aged 69±9 years; nine with CHF, aged 62±8 years; and nine healthy participants aged 64±5 years (controls). At rest, the R-R interval of the electrocardiographic signal was obtained in the following situations: 1) 15 min in the supine position; and 2) 4 min during M-RSA in the supine position. The data were analyzed in the time domain (RMSSD and SDNN indices) and the frequency domain (LFab and HFab). During M-RSA, the expiratory/inspiratory ratio (E/I) and the inspiratory/expiratory difference (∆IE) were calculated. RESULTS: The main findings showed that the CHF patients presented lower RMSSD (12.2±2.6 vs. 20.4±6.5), LFab (99.2±72.7 vs. 305.3±208.9) and HFab (53.4±29.9 vs. 178.9±113.1), compared with the controls. The LFab band was significantly lower in the COPD group than in the controls (133.8±145.5 vs. 305.3±208.9). Additionally, both CHF patients and COPD patients showed lower E/I ratios (1.1±0.06 vs. 1.2±0.1 and 1.1±0.03 vs. 1.2±0.1) and ∆IE values (7.0±3.5 vs. 12.7±0.1 and 4.9±1.6 vs. 12.7±0.1), respectively, compared with the controls during M-RSA. CONCLUSION: The results from this study suggest that both COPD and CHF have a negative impact on the autonomic control of heart rate. Article registered on the Australian New Zealand Clinical Trials Registry (ANZCTR) under the number: ACTRN12609000467235
目的:评估慢性阻塞性肺疾病(COPD)或慢性心力衰竭(CHF)患者静息时仰卧位和呼吸窦性心律失常操作(M-RSA)期间心率(HR)的自主调节。方法:28名男性患者分为3组:10名COPD患者，年龄69±9岁;CHF 9例，年龄62±8岁;年龄64±5岁的健康受试者9例(对照组)。静息时，获取如下情况下心电图信号的R-R间隔:1)仰卧位15min;2)仰卧位M-RSA 4 min。在时域(RMSSD和SDNN指数)和频域(LFab和HFab)对数据进行分析。M-RSA期间，计算呼气/吸气比(E/I)和吸气/呼气差(∆IE)。结果:主要研究结果显示，CHF患者RMSSD(12.2±2.6比20.4±6.5)、LFab(99.2±72.7比305.3±208.9)、HFab(53.4±29.9比178.9±113.1)均低于对照组。COPD组LFab频带明显低于对照组(133.8±145.5∶305.3±208.9)。此外，在M-RSA期间，CHF患者和COPD患者的E/I比(1.1±0.06 vs. 1.2±0.1和1.1±0.03 vs. 1.2±0.1)和∆IE值(7.0±3.5 vs. 12.7±0.1和4.9±1.6 vs. 12.7±0.1)分别低于对照组。结论:本研究结果提示COPD和CHF对心率自主控制均有负面影响。文章在澳大利亚新西兰临床试验注册中心(ANZCTR)注册，编号为:ACTRN12609000467235
{"title":"Controle autonômico da frequência cardíaca de pacientes com doenças cardiorrespiratórias crônicas e indivíduos saudáveis em repouso e durante a manobra de acentuação da arritmia sinusal respiratória","authors":"Michel Silva Reis, A. Deus, Rodrigo Polaquini Simões, Isabela A. V. Aniceto, A. M. Catai, A. Borghi-Silva","doi":"10.1590/S1413-35552010005000003","DOIUrl":"https://doi.org/10.1590/S1413-35552010005000003","url":null,"abstract":"OBJECTIVE: To evaluate the autonomic modulation of heart rate (HR) at rest in the supine position and during a respiratory sinus arrhythmia maneuver (M-RSA) among participants with chronic obstructive pulmonary disease (COPD) or with chronic heart failure (CHF). METHODS: Twenty-eight men were divided into three groups: ten with COPD, aged 69±9 years; nine with CHF, aged 62±8 years; and nine healthy participants aged 64±5 years (controls). At rest, the R-R interval of the electrocardiographic signal was obtained in the following situations: 1) 15 min in the supine position; and 2) 4 min during M-RSA in the supine position. The data were analyzed in the time domain (RMSSD and SDNN indices) and the frequency domain (LFab and HFab). During M-RSA, the expiratory/inspiratory ratio (E/I) and the inspiratory/expiratory difference (∆IE) were calculated. RESULTS: The main findings showed that the CHF patients presented lower RMSSD (12.2±2.6 vs. 20.4±6.5), LFab (99.2±72.7 vs. 305.3±208.9) and HFab (53.4±29.9 vs. 178.9±113.1), compared with the controls. The LFab band was significantly lower in the COPD group than in the controls (133.8±145.5 vs. 305.3±208.9). Additionally, both CHF patients and COPD patients showed lower E/I ratios (1.1±0.06 vs. 1.2±0.1 and 1.1±0.03 vs. 1.2±0.1) and ∆IE values (7.0±3.5 vs. 12.7±0.1 and 4.9±1.6 vs. 12.7±0.1), respectively, compared with the controls during M-RSA. CONCLUSION: The results from this study suggest that both COPD and CHF have a negative impact on the autonomic control of heart rate. Article registered on the Australian New Zealand Clinical Trials Registry (ANZCTR) under the number: ACTRN12609000467235","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"9 1","pages":"106-113"},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85244867","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 : 2010-03-01DOI: 10.1590/S1413-35552010005000009
Denise Hollanda Iunes, Maria B. B. Cecílio, Marina A. Dozza, P. R. Almeida
Introduction Few studies have proved that physical therapy techniques are efficient in the treatment of scoliosis. Objective To analyze the efficiency of the Klapp method for the treatment of scoliosis, through a quantitative analysis using computerized biophotogrammetry. Methods Sixteen participants of a mean age of 15+/-2.61 yrs. with idiopathic scoliosis were treated using the Klapp method. To analyze the results from the treatment, they were all of photographed before and after the treatments, following a standardized photographic method. All of the photographs were analyzed quantitatively by the same examiner using the ALCimagem 2000 software. The statistical analyses were performed using the paired t-test with a significance level of 5%. Results The treatments showed improvements in the angles which evaluated the symmetry of the shoulders, i.e. the acromioclavicular joint angle (AJ; p=0.00) and sternoclavicular joint angle (SJ; p=0.01). There were also improvements in the angle that evaluated the left Thales triangle (DeltaT; p=0.02). Regarding flexibility, there were improvements in the tibiotarsal angle (TTA; p=0.01) and in the hip joint angles (HJA; p=0.00). There were no changes in the vertebral curvatures and nor improvements in head positioning. Only the lumbar curvature, evaluated by the lumbar lordosis angle (LL; p=0.00), changed after the treatments. Conclusions The Klapp method was an efficient therapeutic technique for treating asymmetries of the trunk and improving its flexibility. However, it was not efficient for pelvic asymmetry modifications in head positioning, cervical lordosis or thoracic kyphosis.
{"title":"Análise quantitativa do tratamento da escoliose idiopática com o método klapp por meio da biofotogrametria computadorizada","authors":"Denise Hollanda Iunes, Maria B. B. Cecílio, Marina A. Dozza, P. R. Almeida","doi":"10.1590/S1413-35552010005000009","DOIUrl":"https://doi.org/10.1590/S1413-35552010005000009","url":null,"abstract":"Introduction Few studies have proved that physical therapy techniques are efficient in the treatment of scoliosis. Objective To analyze the efficiency of the Klapp method for the treatment of scoliosis, through a quantitative analysis using computerized biophotogrammetry. Methods Sixteen participants of a mean age of 15+/-2.61 yrs. with idiopathic scoliosis were treated using the Klapp method. To analyze the results from the treatment, they were all of photographed before and after the treatments, following a standardized photographic method. All of the photographs were analyzed quantitatively by the same examiner using the ALCimagem 2000 software. The statistical analyses were performed using the paired t-test with a significance level of 5%. Results The treatments showed improvements in the angles which evaluated the symmetry of the shoulders, i.e. the acromioclavicular joint angle (AJ; p=0.00) and sternoclavicular joint angle (SJ; p=0.01). There were also improvements in the angle that evaluated the left Thales triangle (DeltaT; p=0.02). Regarding flexibility, there were improvements in the tibiotarsal angle (TTA; p=0.01) and in the hip joint angles (HJA; p=0.00). There were no changes in the vertebral curvatures and nor improvements in head positioning. Only the lumbar curvature, evaluated by the lumbar lordosis angle (LL; p=0.00), changed after the treatments. Conclusions The Klapp method was an efficient therapeutic technique for treating asymmetries of the trunk and improving its flexibility. However, it was not efficient for pelvic asymmetry modifications in head positioning, cervical lordosis or thoracic kyphosis.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"155 1","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86308533","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 : 2010-01-01DOI: 10.1590/S1413-35552010000100009
A. Assunção, R. Sampaio, L. Nascimento
OBJECTIVES: To describe working conditions in small companies in the food and beverage sector and to assess the health and the work ability of the selected workers. METHODS: Social security data and records from periodic medical examinations were analyzed. For the observations of the work conditions, we used a data sheet created specifically for this study to apply the Short Ergonomic Assessment. For the survey, the Work Ability Index (WAI) and the Nottingham Health Profile (NHP) were used. RESULTS: The following risk factors and distress-generating situations were observed: manual transport of loads; work performed while standing and in production lines; improvised workbenches; hazardous facilities; and poorly maintained machines. Most of the workers were male with a mean age of 32 years. The mean WAI score was 43 (SD=4.25), suggesting good work ability. Musculoskeletal diseases were the conditions most frequently diagnosed and the most frequently self-reported symptoms. According to the NHP, the workers' general health status could be considered good. CONCLUSIONS: Despite the relevance of small companies in the national economy, many of them are family-based and lack the capital needed to invest in infrastructure and productive processes. Furthermore, the lack of knowledge about occupational health and safety puts employees at risk. Positive results were discerned following the present study that included investigation, training and intervention to support small companies, which are generally excluded from broader social actions. The results could be documented through the longitudinal monitoring of the companies.
{"title":"Agir em empresas de pequena e média dimensão para promover a saúde dos trabalhadores: o caso do setor de alimentos e bebidas","authors":"A. Assunção, R. Sampaio, L. Nascimento","doi":"10.1590/S1413-35552010000100009","DOIUrl":"https://doi.org/10.1590/S1413-35552010000100009","url":null,"abstract":"OBJECTIVES: To describe working conditions in small companies in the food and beverage sector and to assess the health and the work ability of the selected workers. METHODS: Social security data and records from periodic medical examinations were analyzed. For the observations of the work conditions, we used a data sheet created specifically for this study to apply the Short Ergonomic Assessment. For the survey, the Work Ability Index (WAI) and the Nottingham Health Profile (NHP) were used. RESULTS: The following risk factors and distress-generating situations were observed: manual transport of loads; work performed while standing and in production lines; improvised workbenches; hazardous facilities; and poorly maintained machines. Most of the workers were male with a mean age of 32 years. The mean WAI score was 43 (SD=4.25), suggesting good work ability. Musculoskeletal diseases were the conditions most frequently diagnosed and the most frequently self-reported symptoms. According to the NHP, the workers' general health status could be considered good. CONCLUSIONS: Despite the relevance of small companies in the national economy, many of them are family-based and lack the capital needed to invest in infrastructure and productive processes. Furthermore, the lack of knowledge about occupational health and safety puts employees at risk. Positive results were discerned following the present study that included investigation, training and intervention to support small companies, which are generally excluded from broader social actions. The results could be documented through the longitudinal monitoring of the companies.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"135 1","pages":"52-59"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78355232","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 : 2010-01-01DOI: 10.1590/S1413-35552010000100002
Natalia Aquorini Ricci, Carolina Náglio Kalil Dias, P. Driusso
OBJECTIVE: To systematically investigate the scientific evidence relating to electrothermal and phototherapeutic methods for the treatment of fibromyalgia syndrome (FMS). METHODS: The search for reports on interventions using electrothermal and phototherapy for FMS was carried out in the Pubmed, Medline, Lilacs, Scielo, ISI Web of Knowledge, PEDro and Cochrane Collaboration databases. Randomized controlled clinical trials published over the past 10 years in English, Portuguese and Spanish were selected. The methodological quality of the studies was assessed using the Jadad scale. The analysis on the study results was done by means of critical review of the content. RESULTS: Seven studies were reviewed in full, and these identified interventions using laser (n=4), transcutaneous electrical nerve stimulation (TENS; n=1), interferential current (IFC) alone (n=1) and IFC combined with ultrasound (US; n=1). Only two studies showed good methodological quality according to the Jadad scale. Most of the studies (n=6) used the criteria of the American College of Rheumatology for the clinical diagnosis of FMS. Pain was the most frequently evaluated FMS symptom. The intervention methods and their duration varied widely, and there was no mention of the parameters used in the electrothermal and phototherapeutic methods. Pain levels reduced significantly in all of the studies. CONCLUSION: There are still limitations on the generalization of the results, adverse reactions and doses of the FMS treatment. Further studies are needed to establish the effectiveness of electrothermal and phototherapy in treating FMS.
目的:系统探讨电热与光疗方法治疗纤维肌痛综合征(FMS)的科学依据。方法:在Pubmed, Medline, Lilacs, Scielo, ISI Web of Knowledge, PEDro和Cochrane Collaboration数据库中检索有关FMS使用电热和光疗干预措施的报告。我们选取了过去10年间用英语、葡萄牙语和西班牙语发表的随机对照临床试验。采用Jadad量表评估研究的方法学质量。对研究结果的分析是通过对内容的批判性审查来完成的。结果:对7项研究进行了全面回顾，这些确定的干预措施包括激光(n=4)、经皮神经电刺激(TENS;n=1)，干扰电流(IFC)单独(n=1)和IFC联合超声(US;n = 1)。根据Jadad量表，只有两项研究的方法学质量较好。大多数研究(n=6)采用美国风湿病学会的标准进行FMS的临床诊断。疼痛是最常被评估的FMS症状。干预方法和持续时间差异很大，没有提及电热和光疗方法使用的参数。在所有的研究中，疼痛程度都显著降低。结论:FMS治疗的结果推广、不良反应及剂量等方面仍有局限性。电热和光疗治疗FMS的有效性有待进一步研究。
{"title":"A utilização dos recursos eletrotermofototerapêuticos no tratamento da síndrome da fibromialgia: uma revisão sistemática","authors":"Natalia Aquorini Ricci, Carolina Náglio Kalil Dias, P. Driusso","doi":"10.1590/S1413-35552010000100002","DOIUrl":"https://doi.org/10.1590/S1413-35552010000100002","url":null,"abstract":"OBJECTIVE: To systematically investigate the scientific evidence relating to electrothermal and phototherapeutic methods for the treatment of fibromyalgia syndrome (FMS). METHODS: The search for reports on interventions using electrothermal and phototherapy for FMS was carried out in the Pubmed, Medline, Lilacs, Scielo, ISI Web of Knowledge, PEDro and Cochrane Collaboration databases. Randomized controlled clinical trials published over the past 10 years in English, Portuguese and Spanish were selected. The methodological quality of the studies was assessed using the Jadad scale. The analysis on the study results was done by means of critical review of the content. RESULTS: Seven studies were reviewed in full, and these identified interventions using laser (n=4), transcutaneous electrical nerve stimulation (TENS; n=1), interferential current (IFC) alone (n=1) and IFC combined with ultrasound (US; n=1). Only two studies showed good methodological quality according to the Jadad scale. Most of the studies (n=6) used the criteria of the American College of Rheumatology for the clinical diagnosis of FMS. Pain was the most frequently evaluated FMS symptom. The intervention methods and their duration varied widely, and there was no mention of the parameters used in the electrothermal and phototherapeutic methods. Pain levels reduced significantly in all of the studies. CONCLUSION: There are still limitations on the generalization of the results, adverse reactions and doses of the FMS treatment. Further studies are needed to establish the effectiveness of electrothermal and phototherapy in treating FMS.","PeriodicalId":21195,"journal":{"name":"Revista Brasileira De Fisioterapia","volume":"12 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88841078","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：