Pub Date : 2022-01-01DOI: 10.1590/fm.2022.356017.0
Marina Joice Keil, A. Delgado, Mikaela Aparecida de Oliveira Xavier, Cassiane Merigo do Nascimento
Resumo Introdução: A fisioterapia em saúde da mulher é uma área que surgiu com o objetivo de promover e manter a saúde física e emocional do início ao final da gestação, exercendo um trabalho preventivo para os possíveis agravos que venham a ocorrer durante a gestação, parto e puerpério. O acesso ao conhecimento das gestantes sobre a atuação do fisioterapeuta na área de obstetrícia vem aumentando a cada dia e isso pode contribuir para uma procura por profissionais capacitados. Objetivo: Analisar a percepção das gestantes sobre a atuação da fisioterapia em obstetrícia. Métodos: Trata-se de um estudo com abordagem qualitativa, realizado no centro Materno Infantil, em Capanema, PR, configurado na forma de entrevista semiestruturada. Utilizou-se análise do conteúdo por meio do método de Bardin para categorizar os eixos temáticos. Resultados: Foram incluídas sete gestantes com idade entre 18 e 24 anos (57%), 23-32 semanas de gestação (42%), multigestas (71%), com ensino médio (42%) e renda de 1 a 3 salários mínimos (86%). Verificou-se que o contato com a fisioterapia é somente imaginável, porque nenhuma das participantes do estudo acessou esse desdobramento das políticas de saúde da mulher gestante. As gestantes afirmaram que o profissional de fisioterapia atua promovendo a diminuição da dor durante o trabalho de parto, porém não possuem conhecimento sobre como o fisioterapeuta atua no puerpério. Conclusão: Conclui-se que é necessário ampliar a informação sobre a atuação do fisioterapeuta durante o pré-natal, parto e pós-parto.
{"title":"Fisioterapia em obstetrícia pelos olhos das gestantes: um estudo qualitativo","authors":"Marina Joice Keil, A. Delgado, Mikaela Aparecida de Oliveira Xavier, Cassiane Merigo do Nascimento","doi":"10.1590/fm.2022.356017.0","DOIUrl":"https://doi.org/10.1590/fm.2022.356017.0","url":null,"abstract":"Resumo Introdução: A fisioterapia em saúde da mulher é uma área que surgiu com o objetivo de promover e manter a saúde física e emocional do início ao final da gestação, exercendo um trabalho preventivo para os possíveis agravos que venham a ocorrer durante a gestação, parto e puerpério. O acesso ao conhecimento das gestantes sobre a atuação do fisioterapeuta na área de obstetrícia vem aumentando a cada dia e isso pode contribuir para uma procura por profissionais capacitados. Objetivo: Analisar a percepção das gestantes sobre a atuação da fisioterapia em obstetrícia. Métodos: Trata-se de um estudo com abordagem qualitativa, realizado no centro Materno Infantil, em Capanema, PR, configurado na forma de entrevista semiestruturada. Utilizou-se análise do conteúdo por meio do método de Bardin para categorizar os eixos temáticos. Resultados: Foram incluídas sete gestantes com idade entre 18 e 24 anos (57%), 23-32 semanas de gestação (42%), multigestas (71%), com ensino médio (42%) e renda de 1 a 3 salários mínimos (86%). Verificou-se que o contato com a fisioterapia é somente imaginável, porque nenhuma das participantes do estudo acessou esse desdobramento das políticas de saúde da mulher gestante. As gestantes afirmaram que o profissional de fisioterapia atua promovendo a diminuição da dor durante o trabalho de parto, porém não possuem conhecimento sobre como o fisioterapeuta atua no puerpério. Conclusão: Conclui-se que é necessário ampliar a informação sobre a atuação do fisioterapeuta durante o pré-natal, parto e pós-parto.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67164954","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}
Andrezza Tayonara Lins Melo, K. Menezes, Claudine Auger, J. D. S. Barbosa, W. R. S. Menezes, Ricardo Oliveira Guerra
Abstract Introduction: Immobility is associated with adverse outcomes such as loss of functional capacity and longer hospitalization. Objective: To assess intra-hospital mobility at admission as a predictor of loss of functional capacity during older adults´ hospitalization. Methods: A prospective cohort study was conducted, and personal and hospital related risk factors were assessed at admission and discharge. To determine whether Short Physical Performance Battery (SPPB) on admission could predict loss of functional capacity during hospitalization, a ROC curve was performed and area under the curve (AUC) was calculated. Binary logistic regression models were used to identify predictors of loss of functional capacity. Model 1 contained only SPPB. Model 2 SPPB was matched with age, sex, instrumental activity of daily living (IADL), cognition, depression and surgery. Data were entered into SPSS version 18.0. Results: 1,191 patients were included with a mean age of 70.02 (± 7.34). SPPB cutoff point of 6.5 (sensitivity 62%, specificity 54%) identified 593 (49.8%) patients at risk for functional loss. In logistic regression, SPPB alone showed prediction of functional loss (p < 0.001, OR 1.8, 95% CI = 1.5-2.5) between admission and discharge. Model 1 explained between 22 to 32% of the variation in functional capacity. In Model 2, three variables contributed to the loss. SPPB 6.5 increased 1.8 times (95% CI = 1.3-2.4), being a woman increased 1.4 times (95% CI = 1.0-1.8) and not having surgery increased 2 times (95% CI = 1.4-2.8) the chance of having functional loss during hospitalization. Conclusion: SPPB is a good instrument to predict loss of functional capacity in hospitalized older adults.
摘要:不活动与不良后果相关，如功能丧失和住院时间延长。目的:评估入院时院内活动能力作为老年人住院期间功能丧失的预测指标。方法:进行前瞻性队列研究，并在入院和出院时评估个人和医院相关的危险因素。为了确定入院时的短物理性能电池(Short Physical Performance Battery, SPPB)是否能预测住院期间功能容量的丧失，我们绘制ROC曲线并计算曲线下面积(AUC)。二元逻辑回归模型用于识别功能能力丧失的预测因子。模型1仅含SPPB。模型2 SPPB与年龄、性别、日常生活工具活动(IADL)、认知、抑郁和手术相匹配。数据输入SPSS 18.0版本。结果:纳入1191例患者，平均年龄70.02(±7.34)岁。SPPB截断点为6.5(敏感性62%，特异性54%)，确定593例(49.8%)患者存在功能丧失风险。在logistic回归中，仅SPPB可预测入院和出院期间的功能丧失(p < 0.001, OR 1.8, 95% CI = 1.5-2.5)。模型1解释了22%至32%的功能容量变化。在模型2中，三个变量对损失有贡献。sppb6.5增加1.8倍(95% CI = 1.3-2.4)，女性增加1.4倍(95% CI = 1.0-1.8)，未接受手术的住院期间功能丧失的机会增加2倍(95% CI = 1.4-2.8)。结论:SPPB是预测住院老年人功能能力丧失的良好工具。
{"title":"SPPB as a predictor of functional loss of hospitalized older adults","authors":"Andrezza Tayonara Lins Melo, K. Menezes, Claudine Auger, J. D. S. Barbosa, W. R. S. Menezes, Ricardo Oliveira Guerra","doi":"10.1590/fm.2022.35108","DOIUrl":"https://doi.org/10.1590/fm.2022.35108","url":null,"abstract":"Abstract Introduction: Immobility is associated with adverse outcomes such as loss of functional capacity and longer hospitalization. Objective: To assess intra-hospital mobility at admission as a predictor of loss of functional capacity during older adults´ hospitalization. Methods: A prospective cohort study was conducted, and personal and hospital related risk factors were assessed at admission and discharge. To determine whether Short Physical Performance Battery (SPPB) on admission could predict loss of functional capacity during hospitalization, a ROC curve was performed and area under the curve (AUC) was calculated. Binary logistic regression models were used to identify predictors of loss of functional capacity. Model 1 contained only SPPB. Model 2 SPPB was matched with age, sex, instrumental activity of daily living (IADL), cognition, depression and surgery. Data were entered into SPSS version 18.0. Results: 1,191 patients were included with a mean age of 70.02 (± 7.34). SPPB cutoff point of 6.5 (sensitivity 62%, specificity 54%) identified 593 (49.8%) patients at risk for functional loss. In logistic regression, SPPB alone showed prediction of functional loss (p < 0.001, OR 1.8, 95% CI = 1.5-2.5) between admission and discharge. Model 1 explained between 22 to 32% of the variation in functional capacity. In Model 2, three variables contributed to the loss. SPPB 6.5 increased 1.8 times (95% CI = 1.3-2.4), being a woman increased 1.4 times (95% CI = 1.0-1.8) and not having surgery increased 2 times (95% CI = 1.4-2.8) the chance of having functional loss during hospitalization. Conclusion: SPPB is a good instrument to predict loss of functional capacity in hospitalized older adults.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67162831","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}
Rayssa Bruna Holanda Lima, Flávia Manhani Muzette, Karla Luciana Magnani Seki, G. Christofoletti
Abstract Introduction: The negative impact of prolonged immobilization results a physical decline during hospitalization in patients with acute brain injury. Objective: To investigate the benefits of early exercises on the mobility of patients with acute brain injury assisted at an Intensive Care Unit (ICU). Methods: This is a prospective, single-blind, controlled clinical trial. A total of 303 patients were assessed. Due to eligibility criteria, exercise protocol was applied in 58 participants, 32 with brain injury caused by traumatic event and 26 with brain injury caused by cerebrovascular event. Exercise began 24 hours after patients’ admission at the ICU. Participants were submitted to passive and active mobilization protocols, performed according to level of sedation, consciousness and collaboration. Statistical analysis was conducted with repeated measures analysis of variance. Significance was set at 5%. Results: The group of patients with traumatic brain injuries was younger (p = 0.001) and with more men (p = 0.025) than the group of patients with clinical events. Most exercise sessions were performed in sedated patients. By the end of the protocol, participants with traumatic and clinical brain injury were able to do sitting and standing exercises. Both groups were similar on ICU discharge (p = 0.290). The clinical group presented better improvement on level of consciousness than the traumatic group (p = 0.005). Conclusion: Participants with an acute brain injury presented at the time of discharge from the ICU good mobility and improvement in the level of consciousness.
{"title":"Good tolerance and benefits should make early exercises a routine in patients with acute brain injury","authors":"Rayssa Bruna Holanda Lima, Flávia Manhani Muzette, Karla Luciana Magnani Seki, G. Christofoletti","doi":"10.1590/fm.2022.35101","DOIUrl":"https://doi.org/10.1590/fm.2022.35101","url":null,"abstract":"Abstract Introduction: The negative impact of prolonged immobilization results a physical decline during hospitalization in patients with acute brain injury. Objective: To investigate the benefits of early exercises on the mobility of patients with acute brain injury assisted at an Intensive Care Unit (ICU). Methods: This is a prospective, single-blind, controlled clinical trial. A total of 303 patients were assessed. Due to eligibility criteria, exercise protocol was applied in 58 participants, 32 with brain injury caused by traumatic event and 26 with brain injury caused by cerebrovascular event. Exercise began 24 hours after patients’ admission at the ICU. Participants were submitted to passive and active mobilization protocols, performed according to level of sedation, consciousness and collaboration. Statistical analysis was conducted with repeated measures analysis of variance. Significance was set at 5%. Results: The group of patients with traumatic brain injuries was younger (p = 0.001) and with more men (p = 0.025) than the group of patients with clinical events. Most exercise sessions were performed in sedated patients. By the end of the protocol, participants with traumatic and clinical brain injury were able to do sitting and standing exercises. Both groups were similar on ICU discharge (p = 0.290). The clinical group presented better improvement on level of consciousness than the traumatic group (p = 0.005). Conclusion: Participants with an acute brain injury presented at the time of discharge from the ICU good mobility and improvement in the level of consciousness.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67163012","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}
Fernando Damasceno de Albuquerque Angelo, Paulo André Ferreira Maia, Diógenes Cândido Mendes Maranhão, J. A. Silva, A. L. Pirauá
Abstract Introduction: To establish a correlation between concern about falling and a more comprehensive functional parameter, functional muscle fitness, a variable that encompasses functional components such as balance, muscle strength, power, flexibility and motor coordination in an integrated way. Functional muscle fitness is measured using the sitting-rising (from the floor) test (SRT), a simple, safe, fast and ecological test. Objective: The aim of our study was to determine the correlation between concern about falling and functional muscle fitness in the elderly. Methods: A cross-sectional observational study was conducted. The sample consisted of 53 elderly people of both sexes (86.8% women; 65.6 ± 4.7 years old; body mass index 28.5 ± 3.8 kg/m2), who were assessed for concern about falling (through Falls Efficacy Scale International, FES-I-Brazil) and functional muscle fitness (through SRT). Correlation analysis was performed using the Spearman test. For all analyses, a significance level of 5% (p < 0.05) was established. Results: Concern about falling showed a negative correlation with functional muscle fitness (rho =-0.229; p = 0.015). Conclusion: Elderly people with lower levels of functional muscle fitness have a higher level of concern about falling.
{"title":"Correlation between concern about falling and functional muscle fitness in community-dwelling elderly","authors":"Fernando Damasceno de Albuquerque Angelo, Paulo André Ferreira Maia, Diógenes Cândido Mendes Maranhão, J. A. Silva, A. L. Pirauá","doi":"10.1590/fm.2022.35116","DOIUrl":"https://doi.org/10.1590/fm.2022.35116","url":null,"abstract":"Abstract Introduction: To establish a correlation between concern about falling and a more comprehensive functional parameter, functional muscle fitness, a variable that encompasses functional components such as balance, muscle strength, power, flexibility and motor coordination in an integrated way. Functional muscle fitness is measured using the sitting-rising (from the floor) test (SRT), a simple, safe, fast and ecological test. Objective: The aim of our study was to determine the correlation between concern about falling and functional muscle fitness in the elderly. Methods: A cross-sectional observational study was conducted. The sample consisted of 53 elderly people of both sexes (86.8% women; 65.6 ± 4.7 years old; body mass index 28.5 ± 3.8 kg/m2), who were assessed for concern about falling (through Falls Efficacy Scale International, FES-I-Brazil) and functional muscle fitness (through SRT). Correlation analysis was performed using the Spearman test. For all analyses, a significance level of 5% (p < 0.05) was established. Results: Concern about falling showed a negative correlation with functional muscle fitness (rho =-0.229; p = 0.015). Conclusion: Elderly people with lower levels of functional muscle fitness have a higher level of concern about falling.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67163156","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}
M. Rett, Jéssica Mota Santana, S. Paplinskie, M. Salata, Élio Armando Nunes de Lima, Rubneide Barreto Silva Gallo, A. Alves
Abstract Introduction Adaptations of the maternal organism can adversely affect the lower urinary tract, leading to urinary symptoms with impact in quality of life (QoL). Objective To determine the prevalence of urinary symptoms and the impact of urinary incontinence (UI) on QoL during the last month of pregnancy. Methods Retrospective cross-sectional study, envolving 96 women in the immediate postpartum period personally interviewed about urinary symptoms and QoL during their last four weeks of gestation. Women were divided into two groups according to the number of pregnancies: G1 = 1 pregnancy (n = 41) and G2 = ≥ 2 pregnancies (n = 55). Those who reported the presence of stress urinary incontinence (SUI) and/or urge incontinence (UUI) were also administered the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF). Results The most common symptoms were nocturia (90.6%), urgency (82.3%), urinary frequency (71.9%) feeling of incomplete emptying (62.5%) and SUI and/or UUI (53.1%) with no differences between groups. Only the complaint of SUI in cough was significantly higher in G2 (p = 0.04). There was no difference on QoL between groups based on ICIQ-SF scores among those with UI (53.1%), however G1 reported serious impact and G2 very serious impact. Conclusion Almost all women reported some type of urinary symptom and the most prevalent were nocturia, urgency, pollakiuria, feeling of incomplete emptying and SUI and/or UUI. SUI was more prevalent among women with two or more pregnancies and during cough were significantly higher. Regardless of the number of pregnancies, the presence any type of UI had a negative impact on QoL.
{"title":"Prevalence and impact of urinary symptoms on quality of life during the last month of pregnancy","authors":"M. Rett, Jéssica Mota Santana, S. Paplinskie, M. Salata, Élio Armando Nunes de Lima, Rubneide Barreto Silva Gallo, A. Alves","doi":"10.1590/fm.2022.35143","DOIUrl":"https://doi.org/10.1590/fm.2022.35143","url":null,"abstract":"Abstract Introduction Adaptations of the maternal organism can adversely affect the lower urinary tract, leading to urinary symptoms with impact in quality of life (QoL). Objective To determine the prevalence of urinary symptoms and the impact of urinary incontinence (UI) on QoL during the last month of pregnancy. Methods Retrospective cross-sectional study, envolving 96 women in the immediate postpartum period personally interviewed about urinary symptoms and QoL during their last four weeks of gestation. Women were divided into two groups according to the number of pregnancies: G1 = 1 pregnancy (n = 41) and G2 = ≥ 2 pregnancies (n = 55). Those who reported the presence of stress urinary incontinence (SUI) and/or urge incontinence (UUI) were also administered the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF). Results The most common symptoms were nocturia (90.6%), urgency (82.3%), urinary frequency (71.9%) feeling of incomplete emptying (62.5%) and SUI and/or UUI (53.1%) with no differences between groups. Only the complaint of SUI in cough was significantly higher in G2 (p = 0.04). There was no difference on QoL between groups based on ICIQ-SF scores among those with UI (53.1%), however G1 reported serious impact and G2 very serious impact. Conclusion Almost all women reported some type of urinary symptom and the most prevalent were nocturia, urgency, pollakiuria, feeling of incomplete emptying and SUI and/or UUI. SUI was more prevalent among women with two or more pregnancies and during cough were significantly higher. Regardless of the number of pregnancies, the presence any type of UI had a negative impact on QoL.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67163880","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}
Bruna Araújo Pavan, M. Zucoloto, A. Nunes, Mônica Marin de Souza, E. Martinez
Abstract Introduction Femoral fractures are a major cause of morbidity and mortality, mainly among older people. Objective To examine the effect of seasonality on hospitalizations due to femur fracture among people residing in the Rio Grande do Sul state, southern Brazil, from 2008 to 2019. Methods Ecological study based on secondary data from the SUS Hospital Information System (SIH/SUS). A total of 74,374 reports of hospital admissions was considered. The generalized additive model (GAM) approach was employed to assess the seasonality of the time series, with stratification by sex and age groups and considering the monthly average number of events of femoral fractures per day as a dependent variable. Results A considerably higher incidence of femoral fractures in women aged 70 years or more was described. Among people aged less than 50 years, there is not an apparent seasonal effect. Men aged 70 years or older and women aged 50 years or older have a higher frequency of hospitalizations due to femur fractures in the colder months. Conclusion Among older people, more femoral fractures occurred during the winter compared to summer. This supports findings from other studies, although reasons for this seasonal variation are uncertain. The knowledge of these seasonal variations can help to plan the health care in the public health system.
股骨骨折是发病率和死亡率的主要原因，主要发生在老年人中。目的探讨2008年至2019年巴西南部巴西大德州(里约热内卢Sul Grande do state)居民因股骨骨折住院的季节性影响。方法基于SUS医院信息系统(SIH/SUS)的二次资料进行生态学研究。总共审议了74 374份住院报告。采用广义加性模型(GAM)方法评估时间序列的季节性，按性别和年龄组分层，并将月平均每天股骨骨折事件数作为因变量。结果70岁及以上女性股骨骨折发生率较高。在50岁以下的人群中，没有明显的季节性影响。70岁以上的男性和50岁以上的女性在寒冷的月份因股骨骨折住院的频率更高。结论老年人股骨骨折冬季发生率高于夏季。这支持了其他研究的发现，尽管这种季节性变化的原因尚不确定。了解这些季节变化有助于公共卫生系统的卫生保健计划。
{"title":"Seasonal variations in incidence of femoral fractures in the state of Rio Grande do Sul, southern Brazil","authors":"Bruna Araújo Pavan, M. Zucoloto, A. Nunes, Mônica Marin de Souza, E. Martinez","doi":"10.1590/fm.2022.35144","DOIUrl":"https://doi.org/10.1590/fm.2022.35144","url":null,"abstract":"Abstract Introduction Femoral fractures are a major cause of morbidity and mortality, mainly among older people. Objective To examine the effect of seasonality on hospitalizations due to femur fracture among people residing in the Rio Grande do Sul state, southern Brazil, from 2008 to 2019. Methods Ecological study based on secondary data from the SUS Hospital Information System (SIH/SUS). A total of 74,374 reports of hospital admissions was considered. The generalized additive model (GAM) approach was employed to assess the seasonality of the time series, with stratification by sex and age groups and considering the monthly average number of events of femoral fractures per day as a dependent variable. Results A considerably higher incidence of femoral fractures in women aged 70 years or more was described. Among people aged less than 50 years, there is not an apparent seasonal effect. Men aged 70 years or older and women aged 50 years or older have a higher frequency of hospitalizations due to femur fractures in the colder months. Conclusion Among older people, more femoral fractures occurred during the winter compared to summer. This supports findings from other studies, although reasons for this seasonal variation are uncertain. The knowledge of these seasonal variations can help to plan the health care in the public health system.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67163917","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}
Guilherme Augusto Estevam, Matheus Luz Pereira, Richard Gabriel Valério do Nascimento Rocha, Larissa Suyama da Silva, M. H. S. Tezza, D. C. G. L. Fernani, M. T. A. P. Dantas
Abstract Introduction Since social isolation during the COVID-19 pandemic can influence a patient’s and informal caregiver’s health, the present study was carried out to understand and improve the latter’s quality of life. Objective To analyze the physical, mental and quality of life effects on caregivers of patients with neurological sequelae and developmental delay during the COVID-19 pandemic. Methods: Thirty informal caregivers divided into two groups (G1: Psychomotor disorders and syndromes; G2: Neurological sequelae) were evaluated using questionnaires on general data, burden and quality of life. Chi-square tests with Bonferroni post-hoc correction were performed to compare the response rate between the dependent variables and the level of burden. The student’s t-test was applied to determine the correlation between groups and quality of life, obtaining significant findings (p ≤ 0.05). Results No or minimal burden was found in 33.3% of the caregivers, and mild to moderate in 66.7% of each group, with no significant effect between them. In terms of quality of life, a decline was found in all domains, with a significant intergroup difference in social aspects and G1 exhibiting the highest declines (G1: 70.00 ± 23.99%; G2: 86.66 ± 20.84%). Conclusion There was a mild-to-moderate impact on physical burden, with a change in the quality of life of caregivers evaluated during the COVID-19 pandemic. Caregivers of children with psychomotor disorders and syndromes were the most affected in the social aspect domain.
{"title":"Effects of the pandemic on caregivers of individuals with neuropsychomotor disorders","authors":"Guilherme Augusto Estevam, Matheus Luz Pereira, Richard Gabriel Valério do Nascimento Rocha, Larissa Suyama da Silva, M. H. S. Tezza, D. C. G. L. Fernani, M. T. A. P. Dantas","doi":"10.1590/fm.2022.35145","DOIUrl":"https://doi.org/10.1590/fm.2022.35145","url":null,"abstract":"Abstract Introduction Since social isolation during the COVID-19 pandemic can influence a patient’s and informal caregiver’s health, the present study was carried out to understand and improve the latter’s quality of life. Objective To analyze the physical, mental and quality of life effects on caregivers of patients with neurological sequelae and developmental delay during the COVID-19 pandemic. Methods: Thirty informal caregivers divided into two groups (G1: Psychomotor disorders and syndromes; G2: Neurological sequelae) were evaluated using questionnaires on general data, burden and quality of life. Chi-square tests with Bonferroni post-hoc correction were performed to compare the response rate between the dependent variables and the level of burden. The student’s t-test was applied to determine the correlation between groups and quality of life, obtaining significant findings (p ≤ 0.05). Results No or minimal burden was found in 33.3% of the caregivers, and mild to moderate in 66.7% of each group, with no significant effect between them. In terms of quality of life, a decline was found in all domains, with a significant intergroup difference in social aspects and G1 exhibiting the highest declines (G1: 70.00 ± 23.99%; G2: 86.66 ± 20.84%). Conclusion There was a mild-to-moderate impact on physical burden, with a change in the quality of life of caregivers evaluated during the COVID-19 pandemic. Caregivers of children with psychomotor disorders and syndromes were the most affected in the social aspect domain.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67163930","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}
Taís Elena Heidrich, Laura Bastianel, G. M. Gelain, C. Candotti
Abstract Introduction Children and adolescents with autism spectrum disorder (ASD) present motor disorders that have been the focus of physical therapy interventions. However, the standardized motor assessments available in the literature have important gaps, among them the complexity of the tasks evaluated and the absence of qualitative information about the subjects' performance. Objective To develop and evaluate the content validity of the Gross Motor Assessment of Children and Adolescents with ASD checklist (GMA-AUT checklist). Methods The GMA-AUT checklist was sent to a committee of experts for content validation. The content validity index (CVI) was used to assess the degree of agreement between the experts. To verify the content validity of the checklist, the minimal acceptable CVI was 0.80. Results Based on the suggestions made, the GMA-AUT was reformulated and submitted to the same panel of experts for reassessment. In the second and final draft of the checklist, only two items had a CVI of 0.88, while all others reached a CVI of 1.00. Conclusion The GMA-AUT checklist presents adequate content validity for assessing gross motor in children and adolescents with ASD according to experts in the field.
{"title":"Content validity of an instrument for motor assessment of youth with autism","authors":"Taís Elena Heidrich, Laura Bastianel, G. M. Gelain, C. Candotti","doi":"10.1590/fm.2022.35135","DOIUrl":"https://doi.org/10.1590/fm.2022.35135","url":null,"abstract":"Abstract Introduction Children and adolescents with autism spectrum disorder (ASD) present motor disorders that have been the focus of physical therapy interventions. However, the standardized motor assessments available in the literature have important gaps, among them the complexity of the tasks evaluated and the absence of qualitative information about the subjects' performance. Objective To develop and evaluate the content validity of the Gross Motor Assessment of Children and Adolescents with ASD checklist (GMA-AUT checklist). Methods The GMA-AUT checklist was sent to a committee of experts for content validation. The content validity index (CVI) was used to assess the degree of agreement between the experts. To verify the content validity of the checklist, the minimal acceptable CVI was 0.80. Results Based on the suggestions made, the GMA-AUT was reformulated and submitted to the same panel of experts for reassessment. In the second and final draft of the checklist, only two items had a CVI of 0.88, while all others reached a CVI of 1.00. Conclusion The GMA-AUT checklist presents adequate content validity for assessing gross motor in children and adolescents with ASD according to experts in the field.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67163947","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}
Abstract Introduction The measurement of plantar pressure is an important component in the evaluation of the locomotive system. However, the absence of norm-referenced measurement poses limitations to its use. Objective To verify the influence of gender on plantar pressure during gait in healthy adults and to propose norm-referenced measurement that may be used as a reference for monitoring. Methods The study included 353 healthy participants (158 females and 195 males), aged between 20 and 64 years, and with a normal foot posture. Using a pressure platform, the peak plantar pressure and pressure-time integrals were measured in three areas of the foot: forefoot, midfoot, and hindfoot. Results Both indicators of plantar pressure showed no significant differences between genders (p ≤ 0.05). Higher peak plantar pressure was found in the forefoot region, while a higher pressure-time integral was found in the hindfoot region. Percentile distribution values were made available for the data set of females and males. Conclusion The available norm-referenced measurement may be used to identify pathological gait parameters, monitor the efficacy of therapeutic interventions, and detect individuals in need of referral for a more sophisticated and detailed evaluation.
{"title":"Plantar pressure during gait: norm-referenced measurement for Brazilian healthy adults using the Footwork Pro® System","authors":"F. R. Rogerio, D. Guedes","doi":"10.1590/fm.2022.35137","DOIUrl":"https://doi.org/10.1590/fm.2022.35137","url":null,"abstract":"Abstract Introduction The measurement of plantar pressure is an important component in the evaluation of the locomotive system. However, the absence of norm-referenced measurement poses limitations to its use. Objective To verify the influence of gender on plantar pressure during gait in healthy adults and to propose norm-referenced measurement that may be used as a reference for monitoring. Methods The study included 353 healthy participants (158 females and 195 males), aged between 20 and 64 years, and with a normal foot posture. Using a pressure platform, the peak plantar pressure and pressure-time integrals were measured in three areas of the foot: forefoot, midfoot, and hindfoot. Results Both indicators of plantar pressure showed no significant differences between genders (p ≤ 0.05). Higher peak plantar pressure was found in the forefoot region, while a higher pressure-time integral was found in the hindfoot region. Percentile distribution values were made available for the data set of females and males. Conclusion The available norm-referenced measurement may be used to identify pathological gait parameters, monitor the efficacy of therapeutic interventions, and detect individuals in need of referral for a more sophisticated and detailed evaluation.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67164024","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}
Raimunda Suely Batista Melo, C. D. S. Carmo, C. Ribeiro, Vanessa Moreira da Silva Soeiro, Arlene de Jesus Mendes Caldas
Abstract Introduction Physical inactivity is associated with obesity, chronic inflammation and the occurrence of chronic non-communicable diseases. Objective: To investigate the association of active behavior, body mass index (BMI), diastolic blood pressure (DBP) with serum levels of inflammatory interleukins in adolescents. Methods Cross-sectional population-based study of adolescents from public schools in São Luís, Maranhão. A theoretical model was built, based on Structural Equation Modeling, to explore the effects of the latent variable “active behavior” adjusted for socioeconomic status and gender, with effects on BMI, DBP and inflammatory load. Results Active behavior was associated with lower DBP values (standardized coefficient (SC) = -0.146; p = 0.029), while higher BMI was associated with higher DBP values (SC = 0.177; p < 0.001). For the highest values of active behavior there was a higher inflammatory load (SC = 0.442; p < 0.001); and a higher BMI was associated with a higher inflammatory burden (SC = 0.145; p = 0.025). Female gender had a higher inflammatory burden (SC = 0.282; p < 0.001). There was an indirect effect for females on lower inflammatory load values via reduction in active behavior (SC = -0.155; p < 0.001). Conclusion Active behavior reduces blood pressure levels in adolescents; while the increase in inflammatory cytokines induced by active behavior may be involved in their anti-inflammatory response for disease prevention.
{"title":"Association of active behavior, body mass index, blood pressure and inflammatory cytokine in adolescents","authors":"Raimunda Suely Batista Melo, C. D. S. Carmo, C. Ribeiro, Vanessa Moreira da Silva Soeiro, Arlene de Jesus Mendes Caldas","doi":"10.1590/fm.2022.35129","DOIUrl":"https://doi.org/10.1590/fm.2022.35129","url":null,"abstract":"Abstract Introduction Physical inactivity is associated with obesity, chronic inflammation and the occurrence of chronic non-communicable diseases. Objective: To investigate the association of active behavior, body mass index (BMI), diastolic blood pressure (DBP) with serum levels of inflammatory interleukins in adolescents. Methods Cross-sectional population-based study of adolescents from public schools in São Luís, Maranhão. A theoretical model was built, based on Structural Equation Modeling, to explore the effects of the latent variable “active behavior” adjusted for socioeconomic status and gender, with effects on BMI, DBP and inflammatory load. Results Active behavior was associated with lower DBP values (standardized coefficient (SC) = -0.146; p = 0.029), while higher BMI was associated with higher DBP values (SC = 0.177; p < 0.001). For the highest values of active behavior there was a higher inflammatory load (SC = 0.442; p < 0.001); and a higher BMI was associated with a higher inflammatory burden (SC = 0.145; p = 0.025). Female gender had a higher inflammatory burden (SC = 0.282; p < 0.001). There was an indirect effect for females on lower inflammatory load values via reduction in active behavior (SC = -0.155; p < 0.001). Conclusion Active behavior reduces blood pressure levels in adolescents; while the increase in inflammatory cytokines induced by active behavior may be involved in their anti-inflammatory response for disease prevention.","PeriodicalId":33749,"journal":{"name":"Fisioterapia em Movimento","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67164145","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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