Portal de Programas de Pós-Graduação (UFRN)

SIGAA - Sistema Integrado de Gestão de Atividades Acadêmicas

PPGCREAB PROGRAMA DE PÓS-GRADUAÇÃO EM CIÊNCIAS DA REABILITAÇÃO FACULDADE DE CIÊNCIAS DA SAÚDE DO TRAIRI - FACISA Phone: Not available E-mail: Not available https://posgraduacao.ufrn.br/ppgcreab

Dissertations/Thesis

Clique aqui para acessar os arquivos diretamente da Biblioteca Digital de Teses e Dissertações da UFRN

2025

	Dissertations
1	ROMARIO NOBREGA SANTOS FONSECA Association of Psychological Factors and Sleep Quality with Pain and Disability Related to Frozen Shoulder Advisor : GERMANNA DE MEDEIROS BARBOSA COMMITTEE MEMBERS : CLECIO GABRIEL DE SOUZA GERMANNA DE MEDEIROS BARBOSA MELINA NEVOEIRO HAIK GUILHERME Data: Feb 6, 2025 Show Abstract INTRODUCTION: Frozen shoulder is a condition characterized by pain and progressive loss of glenohumeral joint mobility, resulting in significant functional limitation. Psychological factors such as anxiety, depression, kinesiophobia, self-efficacy, and pain catastrophizing have been associated with pain and disability outcomes but still lack integrated investigations exploring their interactions comprehensively. OBJECTIVE: To analyze the association of psychological factors (anxiety, depression, kinesiophobia, pain catastrophizing, and self-efficacy) and sleep quality with pain and functional disability in individuals with frozen shoulder. MATERIALS AND METHODS: A cross-sectional study conducted between May 2023 and December 2024. The following validated questionnaires were applied: Shoulder Pain and Disability Index (SPADI) to assess pain and functional disability, Pain Self-Efficacy Scale (PSEQ-10) to measure self-efficacy, Hospital Anxiety and Depression Scale (HADS) for anxiety and depression, Tampa Scale for Kinesiophobia-11 Items (TSK-11) for kinesiophobia, Pain Catastrophizing Scale (PCS) for pain catastrophizing, and Pittsburgh Sleep Quality Index (PSQI) for sleep quality. The analysis was conducted using multiple linear regression. RESULTS: A total of 96 individuals with frozen shoulder participated in the study, with a mean age of 53.17 ± 10.8 years. Pain self-efficacy and kinesiophobia explained 19.4% of the variance in functional disability (f(2,93) = 12.46, p < 0.001, adjusted R² = 0.194, RMSE = 19.98). For pain intensity, pain self-efficacy and anxiety explained 21.2% of the variance (f(2,93) = 13.74, p < 0.001, adjusted R² = 0.212, RMSE = 18.7). CONCLUSION: Pain self-efficacy and kinesiophobia were associated with functional disability, while pain self-efficacy and anxiety were associated with pain intensity. Depression, pain catastrophizing, and sleep quality did not show significant associations with the evaluated outcomes. Adhesive Capsulitis;
2	LÍVIA MADALENA VENTURA GUIMARÃES Quality of Information, Comprehensibility, Actionability, Readability, Accuracy, Clarity, and Comprehensiveness of Online Information on Patellar Tendinopathy Advisor : RODRIGO SCATTONE DA SILVA COMMITTEE MEMBERS : MARCELO CARDOSO DE SOUZA RITA DE CÁSSIA MARQUETI DURIGAN RODRIGO SCATTONE DA SILVA Data: Feb 17, 2025 Show Abstract Introduction: Patellar tendinopathy is one of the main causes of knee pain in athletes and is characterized by degenerative changes, local pain, and functional limitations, which can impact performance and an athlete's career duration. Information about patellar tendinopathy has been frequently researched on global online search engines, highlighting the need for a better understanding of the quality of this information. Objective: To assess the comprehensibility, actionability, readability, comprehensiveness, accuracy, clarity, and quality of the content available on websites found on Google® and Bing® regarding patellar tendinopathy. Methods: This is a cross-sectional observational study reported following the STROBE guidelines. Samples were collected from search engines by selecting the first 20 websites for each English search term: "Patellar Tendinopathy" and "Jumper's Knee" on each search engine, totaling 80 links collected by two independent evaluators. For content analysis, a rubric was used based on current scientific evidence. Comprehensibility and actionability were assessed using the online PEMAT questionnaire; readability was measured using the Flesch-Kincaid grade level; and for assessing the quality of information regarding treatment options for patellar tendinopathy, the DISCERN tool was applied. Results: The overall quality of information was low (mean DISCERN score = 28.90/84), with significant inaccuracies and gaps. Regarding comprehensibility, only 37.06% of websites met the criteria suggested by PEMAT, and actionability was limited (9.05% agreement). Readability was adequate in 56.67% of the sites, indicating that almost half of the sites have issues in this domain. Conclusion: Online information about patellar tendinopathy lacks accuracy, clarity, and applicability, emphasizing the need for more reliable content aligned with scientific evidence. Users should exercise caution when seeking online information about patellar tendinopathy.
3	FERNANDA GABRIELLE MENDONCA SILVA DEVELOPMENT OF A CHECKLIST FOR ENVIRONMENTAL FACTORS BASED ON THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY, AND HEALTH FOR NEONATAL INTENSIVE CARE UNITS Advisor : KAROLINNE SOUZA MONTEIRO COMMITTEE MEMBERS : ALINE BRAGA GALVAO SILVEIRA FERNANDES CAROLINA DANIEL DE LIMA ALVAREZ INGRID FONSECA DAMASCENO BEZERRA KAROLINNE SOUZA MONTEIRO Data: Feb 21, 2025 Show Abstract Introduction: The sensitivity of newborns and children to exposure to available environmental stimuli is directly related to infant neuropsychomotor development, as it is influenced by both biological and environmental factors. The environment can provide both positive and negative stimuli. In this context, the Neonatal Intensive Care Unit (NICU) represents an atypical environment that disrupts the relationship between parents and the baby and provides unusual sensory experiences due to frequent procedures that can cause pain, exposure to noise, excessive light, and mechanical ventilation. Currently, there is no instrument that assesses these elements by qualifying and grading their risks or benefits. The International Classification of Functioning, Disability, and Health (ICF), used in focused forms like CORE SETS and Checklists, can be applied with the objective of classifying and allowing the evaluation of environmental factors involved in the NICU. Objective: To develop an Environmental Factors Checklist based on the ICF for the neonatal intensive care unit (NICU). Methodology: This study is a cross-sectional type, characterized as expert research, based on WHO guidelines and the ICF research department's guidelines for developing a CORE SET. Healthcare professionals from various fields with experience in the NICU will be recruited to answer a questionnaire with sociodemographic questions and open-ended questions about environmental factors in the NICU setting. Subsequently, the responses will be linked to the ICF categories and domains. Expected Results: We aim to develop a reliable and valid tool for classifying environmental factors involved in the neonatal intensive care unit (NICU) space.
4	BRUNO HONÓRIO CAVALCANTI EVALUATION OF THE PREFERENCE OF WOMEN WITH FIBROMYALGIA UNDERGOING THREE DIFFERENT VOLUMES OF RESISTANCE TRAINING: CROSSOVER RANDOMIZED CLINICAL TRIAL Advisor : MARCELO CARDOSO DE SOUZA COMMITTEE MEMBERS : CLECIO GABRIEL DE SOUZA LEONARDO SANTOS HOFF MARCELO CARDOSO DE SOUZA Data: Feb 26, 2025 Show Abstract INTRODUCTION: Resistance training is part of the non-pharmacological treatment for patients with fibromyalgia. The major gap concerns the adequate and/or recommended amount of exercise, although some studies with different volumes of resistance exercises indicate improvements, we do not have a precise direction, in addition, we do not yet know if there is a preference on the part of some of these patients regarding different volumes of resistance exercise. OBJECTIVE: To evaluate the preference of volume in three different resistance training protocols in women with fibromyalgia. Secondarily, to evaluate the patient's expectation, pain intensity, affect, subjective perception of effort, training volume and cadence. METHODS: Randomized crossover clinical trial, randomized and blinded. Thirty-eight women with fibromyalgia were included. All underwent three resistance exercise programs with different training volumes (one set, two sets and three sets in each exercise) for 3 weeks. Participants were assessed before the intervention (T0), before each training session (T1, T2 and T3), after each training session (T1, T2 and T3), 24h after each session (T1, T2 and T3) and one week after the last session (T4). As a primary outcome, patient preference regarding training volumes was assessed only at the end of the intervention, in week 4, by choosing one of the three exercise protocols performed. As secondary outcomes, patient expectation was assessed by a Likert scale; pain intensity by the Numerical Pain Scale; affect by the affective valence scale; subjective perception of effort by the Borg Scale; training volume by the 1RM Test and cadence by the movement execution time. RESULTS: Participants had a preference for the two- and three-set training protocols. There were no differences between expectation, pain intensity, affect, subjective perception of effort, training volume and cadence among the three different training protocols performed. CONCLUSION: Women with fibromyalgia preferred the protocol with two and three sets and none preferred the protocol with one set. There were no differences for any of the secondary outcomes evaluated for the three different training protocols performed, which reinforces that the choice for two and three sets can be taken into consideration even for patients with fibromyalgia who have never performed resistance exercise before.

2024

	Dissertations
1	RACKLAYNE RAMOS CAVALCANTI EFFECTS OF DRY CUPPING ON PAIN, PHYSICAL FUNCTION AND QUALITY OF LIFE IN WOMEN WITH KNEE OSTEOARTHRITIS: A RANDOMIZED AND BLIND TRIAL Advisor : MARCELO CARDOSO DE SOUZA COMMITTEE MEMBERS : MARCELO CARDOSO DE SOUZA AREOLINO MATOS DIEGO GALACE DE FREITAS Data: Jan 25, 2024 Show Abstract INTRODUCTION: Knee osteoarthritis causes pain, functional disability and a substantial impact on quality of life, imposing significant challenges both in terms of public health and socioeconomic resources. Treatment for knee osteoarthritis encompasses several approaches, including non-pharmacological, pharmacological and surgical interventions. Within the spectrum of non-pharmacological therapies, cupping therapy emerges as an alternative therapy that supposedly seeks to control the symptoms associated with this population. However, recent systematic reviews highlight not only the lack of consensus on its effectiveness, but also highlight a notable risk of methodological bias in existing studies. This gap in understanding and the presence of methodological limitations signal the urgency for more in-depth and robust investigations. OBJECTIVE: To evaluate the effects of dry cupping on pain, function and quality of life in women with knee osteoarthritis. METHOD: Randomized, blinded clinical trial with allocation concealment and intention-to-treat analysis. Fifty-seven women diagnosed with knee osteoarthritis were randomized into two groups: experimental and control. The experimental group (n = 31) received 5 dry cupping applications on the knee, and the control group (n = 26) also underwent the same procedure, but with dry cupping sham therapy. Both interventions were administered twice a week over a 6-week period, with each session lasting 15 minutes. The assessment instruments were Numerical Pain Scale, Western Ontario and McMaster Universities Osteoarthritis Index, Short-form 36, 30 seconds Sit To Stand Test, 40-m self-paced alk test and Stair-climbing time 8 steps. Participants were assessed before the start of the intervention, after three and six weeks of treatment, and again one month after the end of the interventions. The primary outcome was pain at rest, while secondary outcomes included pain with movement, disability, quality of life and functionality. RESULTS: Both groups had similar socioeconomic characteristics at baseline. No statistically significant differences were identified between the groups in relation to the primary outcome of pain intensity after 3 weeks (-1.39, CI [-3.41; 0.64]), six weeks (-1.20, CI [ (-3.17; 0.76)]) and ten weeks (-0.51, CI [(-3.01; 2.00)]). This trend was corroborated in the secondary outcomes, where the mean estimates and their confidence intervals excluded significant effects in all cases. These results suggest equivalence in responses between the experimental group and the control group throughout the evaluation period. CONCLUSION: Dry cupping therapy was similar to sham therapy in terms of reducing pain, disability, functional capacity, quality of life, or overall perceived effect in people suffering with knee osteoarthritis.
2	MAYARA FABIANA PEREIRA COSTA HIGH FREQUENCY OSCILLATION THERAPY OF THE CHEST WALL IN INFANTS: FEASIBILITY STUDY FOR A RANDOMIZED CONTROLLED CLINICAL TRIAL Advisor : KAROLINNE SOUZA MONTEIRO COMMITTEE MEMBERS : KAROLINNE SOUZA MONTEIRO LUCIEN PERONI GUALDI VANESSA SUZIANE PROBST Data: Feb 21, 2024 Show Abstract Introduction: During respiratory infections, the body's inflammatory response results in increased production and accumulation of mucus in the respiratory airways. Expector® LAC, a Brazilian device under development that enables the use of High-Frequency Chest Wall Oscillation Therapy, emerges as an option to facilitate mucus removal in infants. Objective: To test the feasibility of high-frequency oscillatory therapy with Expector® in healthy infants. Methods: Feasibility study for a controlled and randomized clinical trial, approved by the Research Ethics Committee of UFRN/FACISA (no. 5,636,504). Initially, a pilot study was conducted with 10 participants to adjust data collection. The sample consisted of 30 participants, aged 3 to 6 months, allocated into 3 groups. The experimental groups used Expector® in different settings, the first with all mini-motors activated and the second with only the 4 upper ones, while the control group had the equipment deactivated. Participants were evaluated before, during, and after its use. Outcomes included heart rate and peripheral oxygen saturation assessed by pulse oximetry; lung auscultation examined with a stethoscope; presence/absence of pain, observed through the Children and Infant’s Postoperative Pain Scale (CHIPPS); infant's sleep/wakefulness state, analyzed by visual observation; and parental satisfaction, measured with a questionnaire developed for this purpose. Data were analyzed using Generalized Estimating Equations. A statistical significance level was considered when p<0.05. Results: A total of 40 infants and their respective caregivers participated in the study, with 10 in the pilot study. After adjustments with the pilot study, 30 participated in the final study (mean age 4.4 ± 0.96 months). GEE indicated that for the outcomes of HR, SpO2, lung auscultation, and pain, there were no differences between the study groups. However, RR, sleep/wakefulness, baby's comfort, and parental comfort showed differences. RR was higher in G2, regardless of time (p = 0.002). Sleep/wakefulness had lower scores after 20 minutes of equipment use, regardless of the group, tending towards a sleepy state during this period (p = 0.04). There was a difference in baby's comfort between times (p = 0.03), with no location of this difference, and parental comfort also showed a difference between times (p = 0.02), being higher at 5 minutes of Expector® use. Conclusion: Expector® LAC is a feasible, comfortable, and safe device for use in infants aged 3 to 6 months, as it does not pose risks of alterations in physiological variables, sleep/wakefulness state, or pain generation.
3	GABY KELLY BEZERRA DE MACEDO CROSS-CULTURAL ADAPTATION AND EVALUATION OF PSYCHOMETRIC PROPERTIES OF THE BRAZILIAN VERSION OF THE PEDIATRIC RATING OF CHRONIC ILLNESS SELF-EFFICACY (PRCISE-BR) FOR CHILDREN AND ADOLESCENTS WITH CHRONIC RESPIRATORY CONDITIONS Advisor : KAROLINNE SOUZA MONTEIRO COMMITTEE MEMBERS : KAROLINNE SOUZA MONTEIRO LUCIEN PERONI GUALDI THAYLA AMORIM SANTINO Data: Feb 21, 2024 Show Abstract Introduction: Self-efficacy is an important concept associated with positive health outcomes in pediatric chronic respiratory conditions. However, to date, there is no validated instrument for the Brazilian population to estimate self-efficacy in various types of chronic respiratory conditions in childhood and adolescence. Objective: To cross-culturally adapt and evaluate the psychometric properties of the Brazilian version of the Pediatric Rating of Chronic Illness Self-Efficacy (PRCISE-Br) for children and adolescents with chronic respiratory conditions. Methods: Exploratory methodological study approved by the research ethics committee of UFRN/FACISA (No. 6.061.966). The cross-cultural adaptation protocol involved 6 stages: translation, synthesis of translations, back-translation, expert committee, pre-test, and submission of documents to the original author. During the pre-test phase, in-depth interviews were conducted to complement the assessment of interviewees' comprehension. Psychometric properties were assessed in a sample of children and adolescents of both sexes, aged 7 to 18 years, with a clinical diagnosis of asthma, cystic fibrosis, or other isolated chronic respiratory conditions. Psychometric tests were used to estimate content and construct validity (structural, convergent, divergent), reliability (internal consistency and test-retest), and floor and ceiling effects. Results: The cross-cultural adaptation of PRCISE-Br involved the inclusion of instructions and statements instead of questions, aiming to facilitate understanding among the target audience. All items were adequately understood and demonstrated satisfactory content validity (CVI ≥ 0.78). The sample for evaluating psychometric properties consisted of 36 individuals with a median age of 11.00 [9.00 – 14.75] years and clinical diagnoses of cystic fibrosis (66.67%) and asthma (33.33%). In the exploratory factor analysis, the structure of PRCISE-Br was obtained by determining 1 fixed factor, which explained 23.58% of the total variance. The fit indices obtained in the confirmatory analysis using SPSS Amos (χ2 = 204.083; df = 90, χ2/df = 2.267; p < 0.001; CFI = 0.288; TLI = 0.169; GFI = 0.613; SRMR = 1.062; RMSEA = 0.190) indicated that the model was not considered entirely adequate. PRCISE-Br showed moderate correlations with another self-efficacy instrument (EAGP; r = 0.486; p = 0.003) and with a quality-of-life scale (PedsQL™ 4.0; r = 0.604; p < 0.001). No significant correlations were found between self-efficacy and the number of hospitalizations (r = -0.301; p = 0.075) and emergency department visits (r = -0.115; p = 0.504) in the last 12 months. PRCISE-Br demonstrated good reliability with a Cronbach's alpha coefficient of 0.71 and ICC of 0.613 (95% CI = -0.036 – 0.855; p = 0.029). A ceiling effect was observed (41.67%), and no floor effects were found in the study sample. Conclusion: The PRCISE-Br has been cross-culturally adapted and is semantically equivalent to the original version. The psychometric properties demonstrate that the instrument yields reliable and valid measures and can be used in research and clinical practice to estimate self-efficacy in children and adolescents with chronic respiratory conditions.
4	MONALIZA LOPES DE MELO HEMODYNAMIC VARIABLES DURING TRANSCRANIAL DIRECT CURRENT STIMULATION IN PATIENTS UNDERGOING HEMODIALYSIS: RANDOMIZED CLINICAL TRIAL Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : CLECIO GABRIEL DE SOUZA RODRIGO PEGADO DE ABREU FREITAS SUELLEN MARY MARINHO DOS SANTOS ANDRAD Data: Mar 5, 2024 Show Abstract Introduction: Patients with end-stage renal disease are often subjected to an exhaustive routine of hemodialysis away from their homes, dietary restrictions, water intake limitations, and polypharmacy. A non-pharmacological approach such as transcranial direct current stimulation (tDCS) is being investigated for pain management in these patients. Its application occurs during hemodialysis, taking advantage of the patient's clinical routine. However, the hemodynamic variables during tDCS application during hemodialysis have not been previously analyzed, requiring safety evidence for its use. Objective: This study aims to evaluate the hemodynamic behavior of blood pressure and heart rate in patients with end-stage renal disease undergoing anodal tDCS application over the primary motor cortex during hemodialysis. We also aim to assess adverse and collateral effects during and after tDCS use in this population. Method: This is a parallel, double-blind, randomized, placebo-controlled clinical trial that included patients on hemodialysis. Patients received ten non-consecutive sessions of tDCS over the primary motor cortex (M1-SO montage), with an intensity of 2mA for 20 minutes. Hemodialysis sessions lasted four hours, and hemodynamic variables of blood pressure and heart rate were analyzed at five time points: one hour before the start of the sessions and at the beginning of each of the subsequent four hours of the dialytic procedure. Results: There was no difference between groups in hemodynamic variables of systolic, diastolic, mean arterial pressure, and heart rate. Furthermore, no adverse effects occurred, and the few reported adverse effects are consistent with those described in the literature (tingling sensation, itching at the electrode site). Conclusion: tDCS applied with the C3/Fp2 montage did not alter hemodynamic variables during the hemodialysis procedure in patients with end-stage renal disease.
5	RISONETY MARIA DOS SANTOS IMPACT OF A CARDIOVASCULAR REHABILITATION PROGRAM IN THE MANAGEMENT OF SYSTEMIC ARTERIAL HYPERTENSION Advisor : ILLIA NADINNE DANTAS FLORENTINO LIMA COMMITTEE MEMBERS : ILLIA NADINNE DANTAS FLORENTINO LIMA JESSICA DANIELLE MEDEIROS DA FONSECA LEONIDAS DE OLIVEIRA NETO Data: Apr 24, 2024 Show Abstract Introduction: Systemic Arterial Hypertension (SAH) is the main modifiable risk factor for cardiovascular diseases and premature death. Effective control of SAH requires comprehensive monitoring of the individual in the multidisciplinary Health Network, and the patient's understanding and active participation in their health condition and treatment. The aim of this study was to analyze the impact of a cardiovascular rehabilitation program on the management of SAH with an emphasis on non-pharmacological intervention measures. Methods: This is an analytical, experimental, clinical trial-type study, carried out at the Human Motricity and Physiology Laboratory of the Faculty of Health Sciences of Trairi (FACISA). The variables assessed were functional and physical capacity, through the six-minute walk test, the six-minute step test and the Human Activity Profile and International Physical Activity Questionnaire (IPAQ) short version questionnaires. The program consisted of aerobic and resistance exercises prescribed individually, supervised and with load progression for 8 weeks. Descriptive statistical analysis in mean, standard deviation, absolute and relative frequencies. And, to compare data before and after the program, the Student t Test or Wilcoxon test were used for paired measurements. To assume statistical significance, an estimated value of p was <0.05. Results: 15 participants diagnosed with Systemic Arterial Hypertension were included, with a mean age of 58.5+8.7 years. There was a significant increase in the % predicted value of the walking test, 84.1±11.8% vs. 99± 15.7% (Δ=15.7±13.2%), after the exercises, p<0.0005, as well as a significant increase in the % of the predicted value of the step test, 91.8±29 .5% vs. 115.3±37.1% (Δ=23.5±15.7%), after exercise, p<0.0001. Furthermore, there was an improvement in peripheral muscle strength in shoulder flexion, joint and knee extension in the studied sample. Conclusions: The results of the present study allow us to conclude that a combined exercise program (aerobic exercises + resistance exercises), prescribed individually, supervised and in groups, lasting 8 consecutive weeks, and weekly progression is capable of improving functional and physical capacity, peripheral muscle strength of hypertensive individuals.
6	JOSEFA LIDIANY FERREIRA DA SILVA ARAÚJO COGNITIVE ASSESSMENT IN POST-STROKE PATIENTS ANDRELATIONSHIPS WITH IMPLICIT MOTOR LEARNING Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : ENIO WALKER AZEVEDO CACHO GENTIL GOMES DA FONSECA FILHO MURILO RICARDO ZIBETTI Data: Apr 24, 2024 Show Abstract CVA is among the leading causes of death in the world, with a considerable number of new cases registered annually. Most interventions are aimed at physical rehabilitation and focused on facilitating recovery using principles of motor learning, and cognitive processes starting from explicit and implicit aspects. In this perspective, the objective of this study was to analyze whether cognitive functions interfere with implicit motor learning in post-stroke patients. It is a descriptive, cross-sectional study conducted with a sample of 20 individuals, based on the number of hospital admissions in the Unified Health System in 2021, related to the 5th health region of Rio Grande do Norte, with the cause being unspecified stroke. The average age of the participants was 62.0 (±11.1) years, with a prevalence of males 14 (63.6%), and an average of 6.9 (±4.2) years of education. The most frequent type of stroke in the sample was ischemic, accounting for 14 (63.6%). For clinical characterization, we used the NIH Stroke Scale (NIHSS), indicating mild impairment at 2.9 (±3.6). The Fugl-Meyer Scale showed marked motor impairment at 69.5 (±24.9), and the DASS-21 indicated moderate levels of stress at 17.1 (±7.8) and anxiety at 11.6 (±7.3), with no indication of depression at 11.4 (±8.3). The cognitive evaluation was performed using the Neupsilin, showing difficulties in visual memory at -1.7 (±1.4), arithmetic skills at -2.2 (±2.1), and oral and written language at -2.0 (±1.9). The Random Number Generation task did not show difficulties with inhibition at 0.4 (±0.1). The workload in the NASA Task Load Index after the Player Feedback task (used to assess implicit motor learning) was 22.2 (±7.4). In the Player Feedback task, the average number of correct responses was 47.6 (±34.1) in the more affected arm and 61.3 (±39.4) in the less affected arm. The highest number of consecutively correct sequences had an average of 0.3 (±1.0) in the more affected arm and 1.4 (±2.9) in the less affected arm. For statistical analysis, JASP 0.17.1.0 software was used, employing Spearman's correlation and Mann-Whitney U test fornon-normal samples. Implicit motor learning showed a negative correlation with Stress (rho -0.511 / p-0.043), Depression (rho -0.499 / p-0.049), Short-term visual memory (rho -0.507 / p-0.045), Spontaneous writing (rho -0.540 / p-0.031), and Workload (rho - 0.570 / p-0.021). It also showed a positive correlation with Face perception (rho 0.456 / p-0.043) and Reflexive praxis (rho 0.456 / p-0.043). Concluded that in the evaluated sample, there was no correlation between the cognitive domains most related to implicit motor learning; however, there was correlation with some cognitive and emotional aspects.
7	ALUISO ANDRÉ DANTAS DE SOUSA FUNCTIONAL ASSESSMENT, PHYSICAL ACTIVITY LEVEL AND KINESIOPHOBIA IN ADULT WOMEN WITH AND WITHOUT PATHELOPEL FEMOR PAIN: A CROSS-CROSS-SET STUDY Advisor : LEONIDAS DE OLIVEIRA NETO COMMITTEE MEMBERS : DANILO DE OLIVEIRA SILVA GERMANNA DE MEDEIROS BARBOSA KENIO COSTA DE LIMA LEONIDAS DE OLIVEIRA NETO Data: Apr 25, 2024 Show Abstract INTRODUCTION: Patellofemoral pain (PFP) is a musculoskeletal disorder of the knee joint that causes pain and limitations in physical activities. PFP is associated with biomechanical changes (proximal, local and distal), and there may also be correlations with aspects related to levels of physical activity and sedentary behavior. OBJECTIVE: To analyze differences in biomechanical and behavioral factors among adult women, in clinical and non-clinical PFP groups. METHODS: It will be a cross-sectional study. The sample size will be 96 participants (48 for each group). Proximal, local and distal changes will be evaluated through functional assessments: foot pronation test, flexibility tests, dynamic postural control test (OctoBalance), peak muscle contraction. The normality of data distribution will be verified using the Shapiro-Wilk test and asymmetry and kurtosis measures. The generalized linear model (GLzM) will be used to compare isometric muscle strength and flexibility of the analyzed muscles between the clinical and non-clinical groups. EXPECTED RESULTS: With the results obtained through easy-to-apply functional tests, we will try to characterize patellofemoral pain in relation to the cutoff points, the level of physical activity of the groups, as well as kinesiophobia. Through the performance of functional and biomechanical tests, we will confront possible functional differences between women in pain and healthy women.
8	FERNANDA DUTRA MIRANDA 3D ADAPTIVE EATING DEVICE FOR PEOPLE WITH NEUROLOGICAL DISORDERS: A PROOF OF CONCEPT STUDY Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : ENIO WALKER AZEVEDO CACHO GILVAN LUIZ BORBA FILHO KELLY SOARES FARIAS Data: Apr 26, 2024 Show Abstract Introduction: Autonomy in performing daily activities, such as being able to feed oneself, is crucial for maintaining quality of life. However, neurological disorders can impose limitations that affect task independence. Assistive technologies, such as adaptive eating devices, can help compensate for these limitations. Nevertheless, accessibility and cost remain significant challenges. Objective: This study proposes the development and feasibility testing - proof of concept - of a novel adaptive eating device manufactured using 3D printing technology. The aim is to offer an accessible, national, personalized, and low-cost solution to improve the independence of individuals with neurological disorders who experience difficulties with self-feeding. Methods: This observational, clinical, cross-sectional, quantitative study, which utilized the Product Design and Development approach coupled with 3D printing to develop an adaptive eating device. For proof of concept, the device was evaluated by seven participants with neurological disorders. Clinical questionnaires were administered to collect data. Participant performance and satisfaction were evaluated using the COPM. Device usability and satisfaction were assessed using the SUS and B-QUEST 2.0. Results: The adaptive eating device was developed to assist individuals in the task of feeding autonomously and independently. Its universal and innovative design can overcome various limitations resulting from disorders, through seven key features. In addition to being personalized, accessible, and low-cost, the device resulted in improved perception of functional performance and satisfaction, exhibiting good usability. Participant satisfaction with the device was also positive. Conclusion: The 3D adaptive eating device is recommended for individuals with neurological disorders, providing functional benefits and restoring autonomy in the feeding process. The development approach yielded a functional, personalized, and low-cost device with good usability and satisfaction, allowing for the indication of device feasibility.
9	WAGNER ROGÉRIO ARAÚJO GOMES Dyspnea evaluation instrument for patients with cancer: Adaptation of Cancer Dyspnea Scale for Brazilian Portuguese Advisor : LUCIEN PERONI GUALDI COMMITTEE MEMBERS : ILLIA NADINNE DANTAS FLORENTINO LIMA JESSICA DANIELLE MEDEIROS DA FONSECA LUCIEN PERONI GUALDI Data: Apr 26, 2024 Show Abstract Aim: To cross-culturally adapt the Cancer Dyspnea Scale for individuals with cancer diagnosis to Brazilian Portuguese. Methods: This exploratory methodological study was conducted for the cross-cultural adaptation of the Cancer Dyspnea Scale. The study followed the COSMIN and Beaton et al. recommendations, which comprised seven steps: initial translation and synthesis, back-translation and synthesis, expert committee evaluation, original author report, and pretest. The expert committee evaluation was performed by six individuals with different expertizes. The pretest included 30 subjects with cancer diagnosis of both sexes, aged ≥ 18 years, and with or without a history of dyspnea. Those with hearing or cognitive impairments or difficulty understanding and responding to questionnaires were excluded. Content validity was assessed using the content validity index (CVI). Pretest was collected at the Associação Onco e Vida. Results: Six subjects were included in the expert committee, four healthcare professionals, one expert in linguistics and one expert in methodological studies. During the expert committee evaluation, the understanding and clarity of the instrument reached a CVI > 0.80 after four rounds. Pretest mean age was 53.86 ± 14.31 and 66.6% (n=20) were females. The mean time of the cancer diagnosis was 17.50 (7.5 to 60.0 months) and 34.88% (n=13) presented breast cancer diagnosis. In the pretest, a CVI ≥ 0.90 was reached in the first round, indicating satisfactory translation and cross-cultural adaptation for Brazilian Portuguese. Conclusion: The Cancer Dyspnea Scale was satisfactorily adapted for Brazilian individuals with cancer, considering the CVI values. Further studies are needed to assess the psychometric properties of the adapted scale.
10	JOELLY GOMES VASCONCELOS Appraisal of the Online Information about Achilles Tendinopathy: A Cross-Sectional Study on Comprehensiveness, Understandability, Actionability, Readability, Accuracy, Clarity, and Quality of Information Advisor : RODRIGO SCATTONE DA SILVA COMMITTEE MEMBERS : RODRIGO SCATTONE DA SILVA MARCELO CARDOSO DE SOUZA RITA DE CÁSSIA MARQUETI DURIGAN Data: Apr 26, 2024 Show Abstract Background: appraisal of general online information about musculoskeletal condition indicates most websites present inaccurate or misleading when compared to the best available scientific evidence. Achilles tendinopathy is highly topical and searched by sports physiotherapists and patients. However, the accuracy and quality of online information about Achilles tendinopathy is unknown. Objective: to evaluate the comprehensiveness, understandability, actionability, readability, accuracy, clarity, and quality of information of websites identified online about Achilles tendinopathy. Methods: we performed a systematic appraisal of online information about Achilles tendinopathy. Two investigators conducted searches using key terms for Achilles tendinopathy in Google® and Bing®. The first 80 websites were screened. Each eligible website was evaluated for the comprehensiveness (rubric); understandability and actionability (PEMAT); readability (Flesch-Kincaid grade level); accuracy, clarity (rubric) and quality of information about treatment options (DISCERN) by two investigators. results: 29 websites were included. Only 6.9% of the websites provided accurate and clear information about exercise therapy and patient education for Achilles tendinopathy. The average score for the quality of information about treatment options was 39.3, classified as "regular". For understandability and actionability, the average scores were 82.7% and 51.7%, respectively. Only 51.7% of the websites were within recommended readability levels (4 to 7 years of education). Conclusion: Few websites presented accurate and clear information about the management of Achilles tendinopathy. Substantial variation in comprehensiveness, understandability, actionability, and readability was observed. Relying on websites as a source of information about Achilles tendinopathy may be inappropriate, and users should exercise caution when doing so.
11	JAIR RODRIGUES DE SOUSA JÚNIOR Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : CARLOS MARCIO MOURA PONCE DE LEON GENTIL GOMES DA FONSECA FILHO ROBERTA DE OLIVEIRA CACHO Data: May 24, 2024 Show Abstract
12	THAWAN DA LUZ MATIAS Effect of Pelvic Kinesiotherapy on Sexual Function in Women with Endometriosis: Protocol for a Randomized Clinical Trial Advisor : Vanessa Patrícia Soares de Sousa COMMITTEE MEMBERS : Vanessa Patrícia Soares de Sousa GERMANNA DE MEDEIROS BARBOSA ELIZABEL DE SOUZA RAMALHO VIANA MARIA CLARA EUGENIA DE OLIVEIRA Data: Jul 5, 2024 Show Abstract Introduction: Endometriosis is a chronic and progressive disease that can result in changes in sexual function. Objectives: To evaluate the effects of pelvic kinesiotherapy on sexual function, functionality, intensity of chronic pelvic pain, quality of life and strength parameters of the pelvic floor muscles (PFMs) in women with endometriosis. Methods: Randomized clinical trial, including women aged between 18 and 40 years old, sexually active and not undergoing any other type of treatment for changes in sexual function related to endometriosis. The 64 participants will be randomized into 2 groups: Control Group (CG=32, will follow the pharmacological treatment prescribed by the responsible doctor) and Experimental Group (GE=32, will participate in a pelvic kinesiotherapy program). A self-assessment questionnaire will be applied, Female Sexual Function Index (FSFI), World Health Organization Disability Assessment Schedule (WHODAS), Visual Analogue Scale (VAS), McGill Pain Questionnaire, The World Health Organization Quality of Life (WHOQOL-BREF) and PERFECT at 3 moments (before the intervention, 4 and 8 weeks after intervention). For data analysis, analysis of variance (ANOVA - 2 groups x 3 measurement moments) and intention-to-treat analysis will be used. A p<0.05 will be adopted. Final considerations: Based on the physiological plausibility of pelvic kinesiotherapy in other chronic disease conditions and the scarcity of studies on this resource in the treatment of sexual dysfunctions in women with endometriosis, it is necessary to investigate the topic.
13	MARYELLI LAYNARA BARBOSA DE AQUINO SANTOS TIME ANALYSIS OF HOSPITAL COSTS FOR RESPIRATORY DISEASES IN BRAZIL Advisor : ILLIA NADINNE DANTAS FLORENTINO LIMA COMMITTEE MEMBERS : ILLIA NADINNE DANTAS FLORENTINO LIMA SAINT CLAIR GOMES BERNARDES NETO ANA TEREZA DO NASCIMENTO SALES FIGUEIREDO FERNANDES Data: Jul 23, 2024 Show Abstract Introduction: Respiratory diseases (RD) affect individuals of all age groups, negatively impacting patients' quality of life and incurring significant costs to healthcare services. If not managed properly, they can also lead to mortality. Information provided by DATASUS on RD can be utilized to facilitate professional decision-making, set targets for approach and treatment, and support the creation of public policies aimed at this population. Objective: To assess the financial costs of hospital admissions in the Brazilian population caused by respiratory diseases from 1998 to 2021. Methods: This is a descriptive, longitudinal, and quantitative study, with data properly recorded in the Hospital Information System of the Unified Health System (SIH/SUS), regarding the costs generated by respiratory diseases in Brazil, including individuals aged 0 to 80 years. The data were analyzed using GraphPad Prism software version 5.0, and the significance level was set at 5%. Results: A total of 34,749,023 hospital admissions were observed, representing a total cost of R$23,653,000,000.00 and an average cost of R$760.62 per hospital admission during the study period. The age group between 20 and 80 years showed the highest indices related to the number of admissions. Regarding the list of morbidities, pneumonia presented the highest costs to the public health system (R$11,415,000,000.00 - 48.3%). The Southeast region showed the highest financial support (R$9,192,000,000.00), the highest number of deaths (n= 907434 - 49%), and the highest average hospital stay (5.9 days). Conclusion: Respiratory diseases, in addition to representing a public health problem, have a significant financial impact on the SUS. It is essential to prioritize strategy plans and actions to combat these diseases, especially pneumonia, targeting the male population and the Southeast region, aiming to reduce inequalities in public health.
14	CÉSAR AUGUSTO MEDEIROS SILVA EFFECTS OF TRANSCRANIAL DIRECT CURRENT STIMULATION COMBINED WITH PHYSICAL EXERCISE ON PAIN, PHYSICAL FUNCTION AND QUALITY OF LIFE IN INDIVIDUALS WITH CHRONIC SHOULDER TENDINOPATHY: A RANDOMIZED CLINICAL TRIAL. Advisor : CLECIO GABRIEL DE SOUZA COMMITTEE MEMBERS : CLECIO GABRIEL DE SOUZA RODRIGO SCATTONE DA SILVA FUAD AHMAD HAZIME Data: Aug 31, 2024 Show Abstract Introduction: Pain is one of the main symptoms that affect people with chronic shoulder tendinopathy. Physical exercise is the primary approach to managing this symptom, which aims to restore movement patterns, improve scapular kinematics, and provide greater local muscle strength and endurance. Pain neuromodulation techniques such as Transcranial Direct Current Stimulation (tDCS) may constitute complementary non-pharmacological options to promote pain relief, based on central modulation and changes in cortical excitability. Objective: To evaluate the effects of tDCS combined with a protocol of specific shoulder exercises in individuals with chronic shoulder tendinopathy. Methods: This is a randomized, triple-blind clinical trial. It was approved by the ethics and research committee (opinion number: 6,821,408). They were divided into two groups: active tDCS combined with physical exercises (G1) and Sham tDCS combined with physical exercises (G2). The interventions occurred over 4 weeks, with two sessions per week, on non-consecutive days. The following stages were evaluated: primary (pain) and secondary (disability, physical function, adherence and global perception of change). The evaluations occurred at three moments: Before, after and seven days after the disciplines. Results: Forty individuals aged 44.75±12.95 years participated in the study. A significant difference and a clinically important change in pain were found between the others at T1 (p=0.001) and T2 (p=0.001), in G1. A significant difference in disability was seen at T1 (p=0.003) and T2 (p=0.001), as well as an important clinical change at T2 in the individuals in group G1. Regarding the global perception of change, a significant difference (U=132; p=0.018) was detected between the medians when comparing G1 and G2 (sums of the scores=478 and 342, respectively). When comparing the percentage of adherence to the protocol of both groups, there was no difference between them (p=0.05). Conclusion: We can conclude from this study that the use of tDCS combined with a specific exercise protocol added positive effects on pain, disability and global perception of change in individuals with chronic shoulder tendinopathy.
15	ANA BEATRIZ DA FONSECA NUNES EFFECT OF THE LOW PRESSURE FITNESS (LPF) TECHNIQUE ON DIASTASIS OF THE RECTO ABDOMINAL IN POSTPARTUM WOMEN: RANDOMIZED CLINICAL TRIAL Advisor : Vanessa Patrícia Soares de Sousa COMMITTEE MEMBERS : GERMANNA DE MEDEIROS BARBOSA LARISSA RAMALHO DANTAS VARELLA Vanessa Patrícia Soares de Sousa Data: Sep 4, 2024 Show Abstract Introduction: Rectus Abdominis Diastasis (RAD) refers to an excessive separation between the segments of the rectus abdominis muscle. Persistent RAD, aside from being an aesthetic concern, has negative effects on functionality, trunk strength, and quality of life in postpartum women. Abdominal exercises are commonly recommended as an important physiotherapeutic intervention for RAD, with the Low Pressure Fitness (LPF)® technique being a potential alternative treatment. Objectives: To evaluate the effects of LPF® on rectus abdominis diastasis, pelvic floor muscle function, trunk strength, pain, functionality, quality of life, posture, global effect perception, and expectations in postpartum women with RAD undergoing the treatment. Methods: This is a pilot, double-blind, randomized controlled trial with concealed allocation and intention-to-treat analysis, conducted from January to July 2024. Women with RAD, at least 12 weeks postpartum, with a separation of the rectus abdominis muscles >2 cm and ≥2 fingers in width above, below, or at the level of the navel, were recruited. After consenting to participate, women were randomly allocated into two groups: control (GC, kinesitherapy) and experimental (GE, Low Pressure Fitness (LPF)®). All participants underwent an 8-week intervention, with assessments conducted after 8 and 16 sessions. During the 8-week intervention, both groups attended treatment sessions twice a week, each lasting 30 to 45 minutes, and were instructed to perform daily home exercises. The GC (n=5) performed a kinesitherapy regimen including abdominal crunches, posterior pelvic tilts, transverse abdominis muscle activation, and Russian twists, while the GE (n=5) performed LPF® exercises with varying postures. Data were analyzed using SPSS® software (version 21.0). Bootstrapping was employed to adjust quantitative variables for parametric distribution assumptions. Effects of interventions and comparison of outcome variables were assessed using two-way repeated measures Analysis of Variance (ANOVA). A significance level of 5% and a 95% confidence interval (CI) were adopted. Results: The study included 10 women with a mean age of 31.00±5.35 years (range 25 to 39 years). Participants in the GC had a mean postpartum duration of 30.80±13.21 weeks, while those in the GE had a mean duration of 31.40±6.91 weeks. No statistically significant differences in diastasis assessment were observed between groups at any time point, whether using palpation or a caliper. A change in diastasis measurements at the navel, assessed with a caliper, was observed over time in both groups [(pre vs after 4 weeks of treatment: mean difference (MD) 0.58 cm; 95% CI 0.1 to 0.9; p=0.008) and pre vs after 8 weeks of treatment: MD 0.64 cm; 95% CI 0.2 to 1.0; p=0.006)]. Conclusion: The LPF® treatment was not superior to Kinesiotherapy in reducing abdominal diastasis measurements in postpartum women. Diastasis decreased over time regardless of the treatment group.
16	TÁRCILA AURITA MEDEIROS BASTOS SILVA ASSOCIATION BETWEEN MANOMETRY AND DYNAMOMETRY OF PELVIC FLOOR MUSCLES IN WOMEN DURING MENACME AND CLIMACTERIC PERIOD Advisor : ADRIANA GOMES MAGALHAES COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA LEONILDO SANTOS DO NASCIMENTO JUNIOR MARIA THEREZA ALBUQUERQUE BARBOSA CABRAL MICUSSI Data: Sep 13, 2024 Show Abstract Introduction: Pelvic Floor disorders are a global health problem that encompasses several disorders. The combination of risk factors, anatomical changes and weakening of the pelvic floor components can lead to the appearance of pathological symptoms associated with changes in its function. In this sense, the assessment of the pelvic floor muscles (PFM) is recommended by the International Continence Society (ICS), considered essential to evaluate the function of the PFM before and during PFM training to evaluate dysfunctions, provide the best training program and measure improvements. Objective: to investigate the accuracy of vaginal dynamometry correlating the pressure and strength of the pelvic floor muscles in women during the reproductive phase and climacteric periods. Methodology: Cross-sectional observational study, carried out from May/2023 to July/2024, with 72 women, recruited from the Januário Cicco Maternity School (MEJC) of the Federal University of Rio Grande do Norte (UFRN), Brazil. The sample was selected by convenience, following the eligibility criteria: Women aged 18 years and over, without an intact hymen, absence of urinary or vaginal infection, absence of gynecological bleeding, absence of cognitive dysfunction and who had not undergone childbirth or gynecological surgery at least six months ago. Data collection occurred through the application of an anamnesis questionnaire, followed by functional evaluation and reevaluation of the pelvic floor muscles, for this purpose, using the following resources: vaginal palpation, manometry and dynamometry, (reevaluation occurred at least 15 days after the assessment). Analyzes were performed using SPSS® software (version 28.0, IBM, Chicago, USA). The level of statistical significance adopted was p<0.05. The Spearman test was used to verify correlations between vaginal manometry classifications (very weak, weak, moderate, good and strong) with vaginal dynamometry. The Receiver Operating Characteristic (ROC) analysis was used to establish the best cutoff point of the instrument indicated to discriminate between very weak and weak pressure and moderate to strong pressure. The indices to establish the cutoff point included sensitivity and specificity. Results: The analysis of the correlation between manometry and dynamometry results was significant and weak (r =0.3; p = 0.01). The dynamometry ROC curve showed an area under the curve of 66%, which was considered statistically significant (95% CI: 0.53 - 0.78; p = 0.024). The cutoff point established was 0.5141, with sensitivity of 70.6% and specificity of 52.6%. Manometry and dynamometry suggest that, although the assessment methods are related, there is considerable variability in the way each method measures the pelvic floor muscles.
17	ALEILSON ABNER CÂMARA DA SILVA Effects of a transcranial direct current stimulation protocol combined with Pilates-based exercises in the treatment of chronic low back pain: randomised controlled trial Advisor : LIANE DE BRITO MACEDO COMMITTEE MEMBERS : FUAD AHMAD HAZIME JOSE DIEGO SALES DO NASCIMENTO LIANE DE BRITO MACEDO RODRIGO PEGADO DE ABREU FREITAS Data: Sep 23, 2024 Show Abstract Introduction: Chronic low back pain (CLBP) is a multifactorial condition with a significant impact on functionality and quality of life. Transcranial Direct Current Stimulation (tDCS) is a non-invasive neuromodulation technique that modulates cortical excitability, influencing pain perception. It has been explored as a promising approach in the treatment of chronic pain, however, with no consensus about CLBP. Conversely, physical exercise, such as Pilates, is already widely recommended in reducing pain and improving functionality in these patients. Objective: To investigate the effects tDCS combined with Pilates-based exercises in individuals with CLBP. Methodology: A double-blind randomized controlled trial was conducted with 36 participants randomly assigned into two groups: active tDCS + Pilates (ATP) and sham tDCS + Pilates (STP). Pain intensity, disability, pressure pain threshold, and quality of life were assessed before and after four weeks of intervention, as well as one month after the end of the treatment. Results: There were no statistically significant differences between the groups for all analyzed variables (p > 0.05). Despite this, both groups showed improvements over time compared to baseline in pain (p < 0.001), disability (p < 0.001), pressure pain threshold at L5 (p = 0.005), and in the SF-36 domains - functional capacity (p = 0.003), social aspects (p = 0.045), general health (p = 0.006), and emotional aspects (p = 0.009). Conclusion: Transcranial Direct Current Stimulation did not promote additive effects when combined with Pilates-based exercises in individuals with chronic low back pain.
18	ANA LOYSE DE SOUZA MEDEIROS Intra- and Inter-Examiner Reliability of the Mini-Mental State Examination for the Post-Stroke Subjects Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : ROBERTA DE OLIVEIRA CACHO ENIO WALKER AZEVEDO CACHO MARCUS VINICIUS COSTA ALVES KELSON JAMES SILVA DE ALMEIDA Data: Sep 30, 2024 Show Abstract Introduction: Among the numerous sequelae caused post-stroke, cognitive deficits stand out, negatively impacting individuals. In view of this, the Mini-Mental State Examination (MMSE) is a widely used instrument for screening cognitive status in the post-stroke population. However, there are no psychometric data for the MMSE for this population from the version translated for Brazil. Objective: To evaluate the intra- and inter-examiner reliability of the MMSE for the post-stroke population in Brazil. Methods: Thirty post-stroke individuals were included, recruited non-probabilistically, for an in-person assessment with the application of the MMSE by a trained examiner (E1). For inter-examiner reliability, two other examiners (E2 and E3) watched the assessment content through a video recording, scoring the test independently. To investigate intra-examiner reliability, E1’s score in the in-person assessment was compared with a new assessment by the same examiner, but now through the videos, 7 days after the first analysis. Inter- and intra-examiner reliability was observed through the Intraclass Correlation Coefficient (ICC), models ICC2,1 and ICC3,1, respectively. Results: The results demonstrated excellent inter-examiner reliability in the total MMSE score and in the analysis of the subitems. Regarding intra-examiner reliability, the instrument showed excellent reliability. Conclusion: The Brazilian version of the MMSE showed excellent reliability, both inter- and intra-examiner, for the studied post-stroke population. However, application in post-stroke patients requires careful adaptations to ensure that the results truly reflect the individuals’ cognitive abilities.
19	RAWENY THAYNA GOMES DOS SANTOS Predictory factors of post-stroke patients disability: a cross-sectional study based on the International Classification of Functioning, Disability and Health Advisor : ALINE BRAGA GALVAO SILVEIRA FERNANDES COMMITTEE MEMBERS : ALINE BRAGA GALVAO SILVEIRA FERNANDES ENIO WALKER AZEVEDO CACHO SHAMYR SULYVAN DE CASTRO Data: Oct 18, 2024 Show Abstract Introduction: Stroke causes global complications that impact the lives of survivors. Therefore, it is necessary to evaluate these patients more thoroughly, considering all components and the perspective of the International Classification of Functioning (ICF). Objective: To evaluate the predictors of disability in post-stroke patients considering the ICF model. Material and methods: This is a cross-sectional study that evaluated 60 post-stroke patients of both sexes aged 18 years and older. Patients were evaluated using specific forms and questionnaires on various areas of their lives that are related to functionality and disability, namely: WHODAS, Motricity Index, Hospital Anxiety and Depression Scale, Pittsgurgh Sleep Quality, International Consultation on Incontinence Questionnaire and International Physical Activity Questionnaire. Results: In the multiple linear regression, in general, it was seen that the level of physical activity, the presence of depressive symptoms, the use of orthoses, the decrease in limb strength, the amount of medication used, poor sleep quality, the presence of urinary incontinence and the habit of not leaving the house were predictive factors of general disability and its specific domains. Conclusion: Care for post-stroke patients should consider the biopsychosocial model of the ICF, including the predictive factors observed in the present study.
20	LENICE DAIANE DA COSTA LOPES TRANSLATION, CROSS-CULTURAL ADAPTATION AND PSYCHOMETRIC ANALYSIS OF THE ASTHMA SELF-MANAGEMENT QUESTIONNAIRE FOR THE BRAZILIAN POPULATION. Advisor : LUCIEN PERONI GUALDI COMMITTEE MEMBERS : ILLIA NADINNE DANTAS FLORENTINO LIMA LUCIEN PERONI GUALDI RENCIO BENTO FLORENCIO Data: Dec 17, 2024 Show Abstract Introduction: Given the lack of health measurement instruments for asthma self-management, there is a need to develop tools that can assist Brazilians diagnosed withasthma in managing their condition effectively. Objectives: This study aimed totranslate, culturally adapt, and assess the measurement properties of the ASMQ-Brazilfor the Brazilian population. Methods: This exploratory methodological andpsychometric study was approved by the Research Ethics Committee of UFRN (opinionnumber 6.062.022). Statistical analyses were conducted using SPSS (22.0) and JASP(16.4), with a significance level set at 5%. International guidelines were used to guidethe design and implementation of the study's eight phases. For the instrument'stranslation phase, the Delphi technique was employed, involving a multidisciplinarycommittee of specialists. A pretest phase for cross-cultural adaptation was conducted,during which a questionnaire was administered to patients meeting the eligibilitycriteria. In the psychometric analysis of the tool, construct properties were assessedusing ASMQ-Brasil, ACT, and AQLQ(S). Content validity and instrument reliabilitywere also analyzed. Results: The Content Validity Index (CVI) was greater than 0.80for all items, and internal consistency was satisfactory (α = 0.762). Furthermore, theKMO test result was 0.756, and Bartlett’s test of sphericity yielded a χ² value of 257.903with 120 degrees of freedom and a significance level of p < 0.001, indicating anadequate fit of the data. Mean values for raw scores were 8.98 ± 2.95 and fortransformed scores, 56.17 ± 18.45. Correlation tests showed a very weak but statisticallysignificant correlation between ASMQ and ACT (r = 0.043, p = 0.704) and a very weak,non-significant correlation between ASMQ-Brasil and AQLQ(S) (r = 0.043, p = 0.704).Conclusion: ASMQ-Brasil is a valid, reliable, and accessible health measurement toolfor assessing asthma self-management in the Brazilian population.
21	JOELMIR LISBOA VIANA EFFECT OF DRY NEEDLING ON DELAYED ONSET MUSCLE SORENES IN HEALTHY WOMEN: A RANDOMIZED, BLINDED, CONTROLLED TRIAL Advisor : CAIO ALANO DE ALMEIDA LINS COMMITTEE MEMBERS : CAIO ALANO DE ALMEIDA LINS JOSE DIEGO SALES DO NASCIMENTO LIANE DE BRITO MACEDO Data: Dec 18, 2024 Show Abstract Introduction: High-performance athletes, as well as individuals who engage in physical activity, are likely to experience Delayed Onset Muscle Soreness (DOMS) at some point, possibly due to unfamiliar exercises or excessive repetitions or loads. Strategies to accelerate recovery should be implemented to help individuals return to performing exercises efficiently as quickly as possible. In the scientific community, the use of Dry Needling (DN) has been gaining attention, although its effects on DOMS are still not well-studied. Objective: To investigate the effect of DN on DOMS administered immediately after an eccentric exercise protocol on the biceps brachii in healthy women. Methods: This is a controlled, randomized, and blinded clinical trial composed of forty women. Initially, all participants underwent an evaluation consisting of pain sensation measurement (using the numerical pain scale and algometry), dynamometry, and treatment expectations. The participants then performed a protocol of eccentric exercises on an isokinetic dynamometer, consisting of 2 sets of 6 eccentric contractions at 60°/s for elbow flexors. After completing the protocol, an intervention was performed according to the group that was previously and randomly assigned: DN group, where participants received dry needling, and a sham group (SG) with simulated needle penetration. Finally, participants were re-evaluated immediately and 48 hours after the intervention protocol, except for the Numerical Pain Scale (NPS), which was also evaluated 24 and 72 hours after exercise. Pain sensation (NPS and pain threshold), peak torque normalized by body weight, average peak torque, power, and work were analyzed. For statistical analysis, the Kolmogorov-Smirnov and Levene tests were used, followed by mixed ANOVA. The Bonferroni post-hoc test was applied to identify differences when a significant F-value was found. Statistical significance was set at 5%, with a 95% confidence interval. Results: No significant differences were observed between the groups for pain sensation at any time point. No differences were found between the groups for the other secondary outcomes. Conclusion: The treatment with DN was not superior to sham in reducing pain sensation, pain threshold, or muscle performance in the participants.

2023

	Dissertations
1	MARIA MADALENA XAVIER FREITAS EFFECTS OF SLIDE CUPPING THERAPY ON RECOVERY AFTER 10KM RUN: RANDOMIZED CONTROLLED CLINICAL TRIAL Advisor : CAIO ALANO DE ALMEIDA LINS COMMITTEE MEMBERS : CAIO ALANO DE ALMEIDA LINS GLAUKO ANDRE DE FIGUEIREDO DANTAS MARCELO CARDOSO DE SOUZA Data: Feb 8, 2023 Show Abstract Introduction: It is known that in addition to the various benefits, running induces adaptive responses, such as, for example, muscle fatigue that alters strength and power. As an auxiliary resource for muscle recovery after physical activity, sliding cupping therapy has been applied in clinical practice, under the theories that its application influences the microcirculation and the nervous system, however, there is a lack of studies that investigate its effects on athletes. Objective: The aim of this study is to investigate the effects of cupping therapy on pain, perception of fatigue and muscle performance after a 10km run, with the hypothesis that cupping will produce expected changes when unexpected to the other group. Methodology: This is a blinded randomized clinical trial, in which 33 volunteers were randomly allocated into two groups: 15 volunteers in the cupping group (sliding cupping with gentle suction on the quadriceps for 10 minutes) and 18 in the sham group (sliding cupping without suction without quadriceps for 10 minutes). The participants were evaluated before the race, after the intervention, 24h and 48h after the intervention, through isokinetic dynamometry, algometry, and pain and fatigue perception scales and recovery perception scales. Data normality will be assessed using the Shapiro Wilk and Levene test. To determine the difference between the two groups, the mixed model ANOVA will be used. Bonferroni's post-hoc test will be applied to identify the difference when a significant F-value is found. Statistical significance will be set at 5% and a 95% confidence interval (95%CI). Results: In the analysis between groups, no significant differences were observed for any of the variables, at any time. CONCLUSION: The application of button cupping therapy is not able to improve pain, fatigue and muscle performance after running 10km.
2	MARINA GOMES FAGUNDES EFFECTS OF INSOLES ADAPTED IN FLIP-FLOP SANDALS FOR PERSISTENT HEEL PAIN: A CONTROLLED AND RANDOMIZED TRIAL Advisor : MARCELO CARDOSO DE SOUZA COMMITTEE MEMBERS : AREOLINO MATOS PAULA SERRÃO MARCELO CARDOSO DE SOUZA Data: Feb 16, 2023 Show Abstract Introduction: Persistent heel pain is a common condition in the middle-aged adult population, and is often disabling because it affects the individual's functionality and social aspects. Treatment with insoles is widely investigated, although there is disagreement between the evidence. Because it is a practical and comfortable resource, insoles adapted for flip-flops have recently been investigated in clinical studies with fasciopathies. However, the effects on individuals with persistent heel pain are not yet known. Objective: To evaluate the effects of using insoles adapted for flip-flops in the short and medium term on the intensity of morning pain, pain when walking, foot function and functional walking capacity of individuals with persistent heel pain. Method: Randomized, double-blind, sham-controlled clinical trial registered prospectively in Clinical Trials (NCT04784598). The participants were randomized into two groups: the experimental group (n=40) who used insoles adapted to slippers according to the assessment of the type of foot, and the control group (n=40) who used slippers with sham insoles, that is, flat slippers. All participants were instructed to wear flip-flops daily, for at least four hours a day, for a period of 12 weeks. Assessments were performed at baseline (T0), six (T6), 12 (T12) and 16 (T16) weeks after the intervention. The primary outcome was morning pain intensity according to the Numerical Pain Scale. Secondary outcomes were foot function by the Foot Function Index and functional walking ability by the Six-Minute Walk Test. Analysis of variance with a mixed design was used and the interaction between time and group was considered for all variables. Results: There were no differences between groups for morning pain intensity and when walking throughout the day in short (morning to mean difference [DM] = -0.7 [CI 95% -1.9 to 0.6]; to walking to MD= -0.4 [CI 95% -0.6 to 0.8]) and in the medium term (morning to MD = 0.01 [CI 95% -1.4 to 1.4]; walking to DM = -0.5 [95% CI -1.8 to 0.8]). There was also no difference between groups in the short and medium term for secondary outcomes. No clinically important changes were seen for any of the primary or secondary outcomes. Conclusion: Fitted insoles in slippers were not superior to slippers with sham insoles for pain, function, and functional capacity outcomes in subjects with persistent heel pain.
3	EMANNUEL ALCIDES BEZERRA ROCHA Risk Factors for Patellofemoral Pain in Military: A Systematic Review with Meta-Analysis Advisor : RODRIGO SCATTONE DA SILVA COMMITTEE MEMBERS : CAIO ALANO DE ALMEIDA LINS FABIO VIADANNA SERRÃO RODRIGO SCATTONE DA SILVA Data: Mar 20, 2023 Show Abstract Background: The main cause for abandonment of military training is musculoskeletal injuries to the knee, with patellofemoral pain (PFP) being one of the leading causes for military career dropout. The identification of risk factors is the first step for injury prevention. The purpose of this systematic review was to identify which factors increase the risk of occurrence of PFP in military personnel. Methods: Searches were performed in Medline/PubMed, CINAHL, Embase, SPORTDiscus, Web of Science and Scopus, from inception to January 2023. We included studies that were prospective cohorts including military personnel and had at least one variable assessing a risk factor for PFP. Meta-analyses were performed using standardized mean differences (SMD) and 95% confidence intervals (95%CI) and the levels of recommendation were determined. Results: From 11 articles, this review grouped 7,518 military personnel, of which 572 developed PFP, characterizing a prevalence of 7.61%. There is moderate evidence that knee extensor weakness predicts PFP in the military, especially if normalized against body mass index and evaluated isokinetically at 60º/s (SMD -0.69, 95%CI -1.02, -0.35). A higher frontal plane knee projection angle (FPKPA) during single-leg squat was also identified as a risk factor for PFP in this population (SMD 0,55, 95%CI 0.14, 0.97) with moderate level of evidence. We found moderate evidence that sex, body mass index, isometric knee extensors strength and isokinetic knee flexors strength do not predict PFP in military personnel. Finally, there is strong evidence that age and body mass do not predict PFP in this population. Conclusions: Deficits in isokinetic knee extensors strength and a high FPKPA are risk factors for PFP in military personnel. Since these are modifiable factors, these aspects should be considered in injury prevention interventions in the military.
4	JOSÉ ALEXANDRE BARBOSA DE ALMEIDA SELF-EFFICIENCY MEASUREMENT INSTRUMENTS FOR INDIVIDUALS WITH CORONARY DISEASE: validation of the Cardiac Self-Efficacy Scale for the Brazilian population and a systematic review Advisor : LUCIEN PERONI GUALDI COMMITTEE MEMBERS : ILLIA NADINNE DANTAS FLORENTINO LIMA LUCIEN PERONI GUALDI THAYLA AMORIM SANTINO Data: Mar 29, 2023 Show Abstract STUDY 1: Objective: Perform the translation, cross-cultural adaptation and psychometric analysis of the Cardiac Self-Efficacy Scale (CSES) for the Brazilian population. Methods: This is an exploratory methodological study, approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte - Faculty of Health Sciences of Trairi (UFRN/FACISA) under opinion 4,765,082. The translation and cross-cultural adaptation took place through the stages of translation into Brazilian Portuguese, synthesis of translations, reverse translation, synthesis of translations, review by a multidisciplinary committee of specialists and application in a pre-test group, formed by participants who represented the target population . Psychometric properties were investigated through tests for reliability, construct, structural, discriminant, concurrent and convergent validity. Results: Considering the cognitive breakdown showed a good comprehension index (CVI > 0.90), Cronbach's alpha was 0.83; the Kaiser-Meyer-Olkin test (KMO=0.72) and the Barlett test of sphericity (X2=426.82; p=<0.001) indicate adequate data adjustment, allowing the performance of exploratory factor analysis; the results of the confirmatory factor analysis of the Brazilian version of the CSES (X2=33.85; Degrees of Freedom (df)=62, X2/df = 0.54; p-value = 0.99; Comparative Fit Index (CFI)= 1.00; Tucker-Lewis Index (TLI)= 1.09; Root mean square error of approximation (RMSEA)=0.00) indicate that the model was saturated and the fit was perfect; the convergent validity showed weak and moderate correlations with the domains of the quality of life scale (SF-36): Functional capacity (65, IQ 35-80; ρ=0.358; p=0.003), Physical aspects (100, IQ 25- 100; ρ=0.378; p=0.002), Pain (62, IQ 41-74; ρ=0.303; p=0.014), General health status (47, IQ 37-62; ρ=0.412; p=0.001), Vitality (85, IQ 75-105; ρ=0.415; p=0.001), Social aspects (75, IQ 50-100; ρ=0.358; p=0.003), Emotional aspects (100, IQ 33-100; ρ=0.320 ; p=0.009) and Mental health (36, IQ 28-48; ρ=0.493; p=<0.001). For discriminant validity, weak correlation with level of anxiety and depression (HAM-D) (10, IQ 5-18; ρ=-0.277; p=0.026) and moderate for number of symptoms (3, IQ 1-4; ρ= -0.449; p=<0.001) and symptomatic level (2, IQ 1-3; ρ=-0.590; p=<0.001). The concurrent validity was considered weak in the correlation with general perceived self-efficacy (31.38±7.01; ρ=0.260; p=0.036). Conclusion: The Brazilian version of the CSES was adequately translated and cross-culturally adapted and psychometrically valid, due to the construct validity, content and internal consistency presenting values that validate the instrument. STUDY 2: Objectives: This systematic review aims to evaluate the measurement properties, methodological quality and link the content extracted from the items of the cardiac self-efficacy instruments for individuals with CAD with the International Classification of Functioning, Disability and Health (ICF). Methods: The study was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Consensus Norms for Selection of Health Measuring Instruments (COSMIN). The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO), under registration number CRD42021262613. The following databases were used: MEDLINE (Ovid), Web of Science, EMBASE and PsycINFO. Studies that evaluated the measurement properties of self-efficacy instruments for individuals with CAD were included. No date or language restrictions were applied to the search. Two independent authors were responsible for assessing the eligibility of the studies. The methodological quality of the studies was assessed using the COSMIN RoB Checklist, and the Recommendations Rating, Evaluation, Development was used to assess the quality of each study. In addition, the Modified Grading of Recommendations, Assessment, Development and Evaluation (GRADE) recommended by COSMIN was used to determine the quality of the evidence. Two other authors linked the content of the extracted items with the components of the ICF. Results: A total of 21 studies were included, representing and being grouped into 12 instruments to measure self-efficacy for individuals with CAD. None of the studies presented level of evidence A, since both presented deficiency of information in the evaluation of psychometric properties. The best evaluated instruments with quality of evidence level B were the Barnason Efficacy Expectation Scale (BEES), which presented a low level of content validity, and a high level for structural validity, construct validity and internal consistency; Cardiac Self-Efficacy Scale (CSES), which presented a moderate level for construct validity, and a high level for construct validity, structural validity and internal consistency; Cardiovascular Management Self-efficacy Scale, presented a low level for content validity and internal consistency, and a high level for structural and construct validity; Exercise self-efficacy Scale (ESE), presented a low level for content validity, moderate for structural and construct validities, and high for internal consistency; Self-efficacy for Appropriate Medication Use (SEAMS), with a low level for content and construct validities, and a high level for structural validity and internal consistency. The CSES instrument was the one with the highest number of connections with the ICF components. Conclusion: Instruments classified as level B have potential for use, but require further psychometric studies to strengthen information about measurement properties. With regard to the CIF, we recommend the use of the CSES, as it has a greater number of links.
5	ERICA DE FREITAS MARTINS IMPACT OF THE PRACTICE OF CYCLING AND CROSSFIT ON THE SEXUAL FUNCTION OF WOMEN. Advisor : GRASIELA NASCIMENTO CORREIA COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA LEONILDO SANTOS DO NASCIMENTO JUNIOR Data: Mar 30, 2023 Show Abstract Introduction: The pelvic floor muscles have the function of supporting the pelvic organs, maintaining the continence of sphincters for the lower urinary and anorectal tract, and as an effector in the sexual arousal response. The effects of physical activity have been associated with pelvic floor dysfunction. Objective: to evaluate the impact of cycling and Crossfit on women's sexual function. Methodology: It is a cross-sectional, descriptive and quantitative study, carried out in the national territory, initiated after approval by the Research Ethics Committee (CEP), with recruitment through a link to access the research form via Google Forms. The sample was non-probabilistic, for convenience. Being included: Physically active women, who practice Crossfit or cycling for more than three months with a minimum frequency of 2 times a week; age above 18 years; access to a computer or smartphone with an internet connection; know how to read and interpret the text. Being excluded: who were in the gestational period, puerperal, who had a history of twin pregnancy and/or pelvic/gynecological diseases; previous gynecological surgery; performing hormone replacement therapy; had referred chronic cough; underwent treatment for urinary incontinence; refused to complete the entire evaluation protocol; refused to sign the TCLE. Questionnaires were applied to assess the level of physical activity, sexual function, and intensity of the discomfort of the DMAP through the International Physical Activity Questionnaire (IPAQ), the Female Sexual Function Index (FSFI) and Pelvic Floor Disability Index (PFDI 20) . Results: 143 women participated in the survey, 32 Crossfit practitioners, 32 cyclists and 32 physically active, with a sample power of 79%. All groups had worse sexual function, 81.2% of the Crossfit and Cycling group and 65.6 % in the control group, with the satisfaction domain being the most affected in all groups (G1 = 2.52±0.78; G2 = 2.53±0.92; GC = 2.78±1.26). There was a difference between the groups in the FSFI - Desire domain (p = 0.048), with the Crossfit group presenting worse function than the control group (p=0.014). And a difference in the FSFI–Pain domain (p=0.017), in which the Control Group showed greater impairment in this domain when compared to the Crossfit Group (p=0.033) and Cyclists (p=0.007). Conclusion: All groups of women had worse sexual function. Crossfit has an impact on sexual desire and physically active women have more pain when compared to cycling and crossfit practitioners.
6	JAINE MARIA DE PONTES OLIVEIRA IMPACT OF CYCLING AND CROSSFIT® PRACTICE ON URINARY INCONTINENCE Advisor : GRASIELA NASCIMENTO CORREIA COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA LEONILDO SANTOS DO NASCIMENTO JUNIOR Data: Mar 30, 2023 Show Abstract Introduction: The pelvic floor is composed of a set of muscles responsible for continence; support pelvic organs and also act during sexual intercourse. Some physical activities, such as CrossFit® and cycling, can cause an overload on the pelvic floor muscles, as they require a lot of physical effort, being performed for a prolonged period of time, generating muscle compensation, which may be a risk factor for UI. Objectives: To evaluate the impact of cycling and CrossFit® on symptoms of urinary loss in women who practice these modalities. Methods: Cross-sectional and descriptive study with a quantitative approach. Including 96 women, aged between 18 and 60 years, who were randomized into three groups: GC (Control Group) composed of women who do not practice physical exercise; G1 = CrossFit® practitioners for more than three months; G2 = cycling practitioners for more than three months, excluding those who: were in the gestational period, puerperal period or history of twin pregnancy; pelvic/gynecological diseases; gynecological surgery; hormone replacement therapy; with referred chronic cough; treatment for UI; refused to complete the entire evaluation protocol and/or refused to sign the TCLE. An evaluation form was made available through Google Forms containing the urogynecological history, some questionnaires such as: The International Questionnaire on Urinary Incontinence (ICIQ-SF), International Physical Activity Questionnaire (IPAQ) and the Pelvic Floor Disability Index (PFDI-20). Data were tabulated and analyzed using the SPSS 22.0 program. The Kolmogorov-Smirnov (KS) test was used. Intergroup analysis used Kruskal Wallis and Mann-Whitney test. Resultados: Ao investigar os resultados verificou-se que 37,5% das participantes ciclistas, e 31,3% das não praticantes de exercício físico relataram perda urinária. Na análise intergrupo não identificamos diferença significativa nos domínios dos PFDI-20 e do questionário ICIQ-SF. Conclusion: It is concluded that all groups complain of UI, being more prevalent in G2 and CG, however there was no significant difference between groups in relation to the prevalence of urinary symptoms and the impact of urinary loss symptoms among women in this sample. Keywords: Pelvic Floor Disorders. Urinary Incontinence. Exercise. Bicycling. Sedentary Behavior.
7	AMANDA CRISTINA LIMA DO NASCIMENTO PERCEIVED BARRIERS AND CONTRAINDICATIONS TO EARLY MOBILIZATION: ATTITUDE AND KNOWLEDGE OF THE PHYSICAL THERAPIST IN THE ICU Advisor : ILLIA NADINNE DANTAS FLORENTINO LIMA COMMITTEE MEMBERS : DÉBORA STRIPARI SCHUJMANN NOGUEIRA ILLIA NADINNE DANTAS FLORENTINO LIMA SAINT CLAIR GOMES BERNARDES NETO Data: Mar 30, 2023 Show Abstract Introduction: With the technological and scientific advancement of advanced life support and the consequent improvement in health care, the seriously ill patient is maintained for a prolonged period in an intensive care unit (ICU) and the mobilization of this patient needs to be inserted in the care process. Despite its potential benefits of early mobilization, its effective performance is not widely performed in an ICU. Its implementation involves several difficulties and limitations that may be associated with the presence of some barriers. Objective: Assess the physical therapist's attitude and knowledge about the barriers and contraindications of early mobilization in the intensive care unit. Methodology: This is a cross-sectional study of a qualitative character, involving physiotherapists who work in the ICU, where they will answer a questionnaire containing questions related to the professional profile, the work process and structure and the knowledge about PM. For statistical analysis, the Software GraphPad Prism 7.0 will be used. The variables will be analyzed in a descriptive way. For quantitative variables, the analysis will be made by observing minimum and maximum values, calculating the mean, standard deviation and median. Chi-square test and Fisher's exact test will be used for categorical variables. To establish significance between the analyzed parameters, a value of p <0.05 will be observed. The data will be expressed in the form of tables and graphs.
8	DARLLANE AZEVEDO LEMOS CHARACTERIZATION AND TEMPORAL ANALYSIS OF HOSPITALIZATIONS AND MORTALITY FROM RESPIRATORY DISEASES IN BRAZIL Advisor : LUCIEN PERONI GUALDI COMMITTEE MEMBERS : ILLIA NADINNE DANTAS FLORENTINO LIMA LUCIEN PERONI GUALDI RENCIO BENTO FLORENCIO Data: Mar 31, 2023 Show Abstract Background: respiratory diseases cause millions of hospitalizations and deaths worldwide, resulting in economic and social impacts. Strategies for health promotion and disease prevention based on the epidemiological profile of the population may reduce hospital costs. To characterize hospitalizations and deaths due to respiratory diseases in Brazilian adults above 20 years old between 2008 and 2021. Methods: this longitudinal study used secondary data of hospitalizations and deaths due to respiratory diseases from the Hospital Information System of the Brazilian Unified Health System between 2008 and 2021. Data were grouped according to region, age group, sex, and period. The period was divided into first (2008 to 2011), second (2012 to 2015), and third (2016 to 2019) quadrennium and one biennium (2020 to 2021), and all data were analyzed using the GraphPad Prism; statistical significance was set at p < 0.05. Results: a total of 9,502,378 hospitalizations due to respiratory diseases were registered between 2008 and 2021. The south and southeast region presented the highest hospitalization and mortality rate (respectively) in the age group ≥ 80 years and both sexes. Also, respiratory diseases caused 1,170,504 deaths, with a mortality rate of 12.32%. Conclusion: respiratory diseases affected the Brazilian population and impaired the health system, especially the hospital environment. The south region was the most affected, and the aging process contributed to the increased incidence of respiratory diseases.
9	CINTIA ALICE DO NASCIMENTO LIMA Transcranial direct current stimulation (tDCS) in patients with painful diabetic polyneuropathy: protocol for a randomized clinical trial. Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : FABIANNA RESENDE DE JESUS MORALEIDA CLECIO GABRIEL DE SOUZA RODRIGO PEGADO DE ABREU FREITAS Data: Apr 13, 2023 Show Abstract Introduction: Diabetes mellitus is a disease that has high prevalence rates worldwide, especially in Brazil, where 16% of patients are affected by painful diabetic polyneuropathy, and current treatments are mainly based on pharmacological interventions. Transcranial direct current stimulation (tDCS) is a technique that promotes brain neuromodulation, inducing changes in the excitability of the human cortex, promoting physiological effects that extend to physical and behavioral aspects. Thus, it may be a potential treatment for the treatment of chronic pain in this population. Objective: The primary objective of this study is to analyze the effects of tDCS application on pain in patients with painful diabetic polyneuropathy. Methodology: This is a protocol of a randomized controlled, double-blind, 2-arm clinical trial, with the participation of individuals of both sexes, aged 30 to 69 years, with a total of 36 participants divided into a group active and a sham group. A total of five consecutive sessions will be administered, one session per day, lasting 20 minutes through a current with an intensity of 2 mA, using tDCS applied to the primary motor cortex (C3/Fp2 assembly). All participants will be evaluated for pain, functionality, quality of life, muscle strength and sleep at baseline, immediately after the 5th session and 30 days after the intervention. Expected results: The application of tDCS in the setup suggested in the protocol is already recommended for painful syndromes, thus, it is expected the improvement of the variables studied in the active group, strengthening the use of the resource as a form of treatment for this population. Therefore, tDCS could be used as a non-pharmacological alternative method for the treatment of painful diabetic polyneuropathy.
10	POLIANNE ANGELLA OLIVEIRA FIGUEIREDO COMPARISON OF FUNCTIONING BETWEEN BRAZILIAN WOMEN WITH AND WITHOUT SEXUAL DYSFUNCTION: A cross-sectional study Advisor : Vanessa Patrícia Soares de Sousa COMMITTEE MEMBERS : ISABELLE EUNICE DE ALBUQUERQUE PONTES MELO LEITE ADRIANA GOMES MAGALHAES ALINE BRAGA GALVAO SILVEIRA FERNANDES Data: Apr 28, 2023 Show Abstract Introduction: Human sexuality is multifactorial and depends on the integration of psychological, biological, relational and sociocultural determinants. Thus, sexual dysfunction and factors related to it can impact the functionality of women of reproductive age. Objective: To compare functionality among adult Brazilian women of reproductive age, cisgender and heterosexual with and without sexual dysfunction. For the purpose of presenting the dissertation, 3 articles were constructed with the following objectives: ARTICLE 1 - to analyze the association between the self-perceived presence of sexual dysfunctions and the results of the FSFI, as well as between chronological age and sexual function in Brazilian cisgender women and heterosexuals of reproductive age. ARTICLE 2 - Identify the prevalence of sexual dysfunctions, compare functionality among Brazilian women with and without sexual dysfunction and analyze the association between changes in functionality and the presence of sexual dysfunction (SD) ARTICLE 3 - Estimate the chance of occurrence of changes in functionality, considering the presence of sexual dysfunction, self-perception about the quality of sexual life, knowledge about female sexual response, information about sexual dysfunction and age. Methodology: Cross-sectional analytical study. The research protocol was self-administered and online (Google Forms), consisting of a characterization form, the Female Sexual Function Index (FSFI) and the WHO Disability Assessment Schedule (WHODAS 2.0). The women who met the following inclusion criteria participated in the study: being between 18 and 49 years old; being sexually active for at least 4 weeks; identify themselves as cisgender and heterosexual women and have access to the internet. Statistical data storage and treatment was performed using SPSS (version 20.0, IBM). The bootstrapping technique was used to adjust the quantitative variables to the assumption of parametric distribution and the significance level adopted was p<0.05. ARTICLE 1 – 285 women participated. For data analysis, the following tests were used: Chi-square test of independence (χ2) to analyze the association between self-perceived presence of sexual dysfunction (SD) and presence of SD, according to the FSFI. Pearson's correlation test was used to investigate the relationship between age and sexual function (FSFI). ARTICLE 2 - The final sample consisted of 285 participants, divided into Control Group (CG, without sexual dysfunction, n=168) and Study Group (SG, with sexual dysfunction, n=117). Student's t test for independent samples with Welch correction and Chi-square test (χ2) were used. ARTICLE 3 – The sample consisted of 307 women divided into a Control Group (CG, without sexual dysfunction, n= 186 ) and a Study Group (SG, with sexual dysfunction, n= 121). For data analysis, Student 's T Test was used for independent samples with Welch correction to compare functioning between women with and without sexual dysfunction, then a binary logistic regression was performed, with the Enter method, to analyze which variables, related to sexual function could predict changes in functionality. Results: ARTICLE 1 (n=285) - Women with an average age of 29.57±7.11 years participated in this research. A moderate association (Cramer 's V = 0.59) was obtained between the self-perceived presence of sexual dysfunction and the diagnosis generated by the application of the FSFI (χ2(2)=91.50; p<0.001). There was a weak, negative and statistically significant correlation between age and the desire domain of the FSFI (r= -0.12; p=0.03; r 2 =1.44). ARTICLE 2 (n=285) - Regarding the prevalence and types of disorders, the most recurrent were: hypoactive desire (27%), changes in arousal (22.8%), dysorgasmia (21.1%) and dyspareunia (18.6%). It was observed that women with sexual dysfunction have a greater impact on functioning when compared to those without dysfunction (p=0.001; 95%CI [7.50 to 14.77]). There are significant differences in all domains of WHODAS 2.0, with emphasis on “interpersonal relationships”, “cognition” and “participation”. ARTICLE 3 (n= 307 ) – Women with and without sexual dysfunction have a mild impact on functionality. However, those with sexual dysfunction had higher WHODAS scores (overall and by domain) when compared to those without sexual dysfunction (p= 0.001; [CI95%: 7.02 to 14.04]). The prediction model for changes in functionality in the participants was statistically significant (X2(4)=28.25; p<0.001), being able to adequately predict 62.2% of cases. Women with a good self-assessment of QOL are 27% less likely to have changes in functionality compared to those with a poor self-assessment of their sexual life (Exp(B)=0.27 [ CI95 %= 0.15 to 0.48]). Conclusion: ARTICLE 1 -Women who self-perceived the presence of sexual dysfunction (SD) are 68% more likely to actually have SD when evaluated by the FSFI. It was observed that, with advancing age, there is a decrease in sexual function, with regard to the desire phase. ARTICLE 2 - When compared to women without SD, those with dysfunction have a greater impact on general functionality, with emphasis on interpersonal relationships, cognition and participation. We found a weak association between changes in general functionality (and by domain) and the presence of sexual dysfunction. However, it was observed that women with sexual dysfunction are 43% to 78% more likely to have changes in functionality compared to those without dysfunction. ARTICLE 3 - Women with a good self-assessment of Quality of Sexual Life are 27% less likely to have changes in functionality compared to those with a poor self-assessment of their sexual life, regardless of marital status, knowledge about sexual dysfunction and female sexual response.
11	JANIELE JOAQUIM DA SILVA FUNCTIONING PROFILE OF ADULTS AND ELDERLY PEOPLE IN SANTA CRUZ -RN: MDS-BRASIL STUDY Advisor : NUBIA MARIA FREIRE VIEIRA LIMA COMMITTEE MEMBERS : ALINE BRAGA GALVAO SILVEIRA FERNANDES CLECIO GABRIEL DE SOUZA LUCIANA PROTASIO DE MELO Data: Jun 28, 2023 Show Abstract Introduction: The Model Disability Survey (MDS) instrument was developed by the WHO and the World Bank (WB) based on the ICF framework. The MDS represents a revolution in the concept of measuring disability and the instrument was designed to be applied to people over 18 years of age with or without disability. The MDS allows mapping the functionality and disability profile through the application of the questionnaire in a population survey format, with the main objective of generating valuable data that may interfere with the improvement of the quality of life of people with different health conditions and levels of disability. Pilot studies and regional and national population surveys using the MDS were instituted in several countries around the world. The MDS was translated and cross-culturally adapted for use in Brazil (MDS-Brasil) in 2021. Objective: To assess the functionality profile, describe the sociodemographic profile, mobility, use of hands and arms, self-care, vision, hearing, pain, energy and drive, breathing, emotions, interpersonal relationships, dealing with stress, communication, cognition, household chores, participation in the community and citizenship, ability to care for others and work/studies, describe the distribution of disability levels related to mobility aspects, activities and participation and to associate the disability levels of the aspects mobility, activities and participation and body functions with age group, gender, marital status and color/race of the adult and elderly population of Santa Cruz -RN Methods: The research was carried out in the municipality from Santa Cruz-RN, with adults over 18 years old with and without disability. The MDS-Brasil questionnaire, manual and presentation cards were used. Data were collected between October and November 2022, at the homes of 504 participants from different census tracts in the municipality. Participants were contacted in person and informed about the research project. The interview was conducted in a private room in the home, using tablets for data collection. The average interview time was 48 minutes. The responses of modules 1000 and 4000 of the MDS-Brasil were analyzed and descriptive and inferential analyzes were used (Rasch analysis and chi-square test) with a significance level of 5%. Results: 76.4% of the sample was female, 55.6% were between 25 and 59 years old and 31.7% were 60 years old or older. Most declared to be married or in a stable union, to have between 9 and 12 years of education and to be brown. Activities such as getting where you want to go, standing for long periods of time, playing sports and walking a kilometer presented visual and auditory limitations such as seeing from afar and hearing another person in a noisy place, feeling tired, without energy, worry, nervousness, sadness, discouragement, depression, anxiety, pain in everyday life, cutting toenails, having forgetfulness, doing household chores and participating in local political organizations were the activities that obtained large percentages that indicate disabilities. Conclusions: The functioning profile of the santacruzense population is marked by moderate and severe disabilities related to human mobility, activities and participation and body functions, especially affecting women and the elderly. The most relevant disabilities were: mobility, vision, hearing, pain, energy and drive, emotions, dealing with stress, cognition and participation in the community and citizenship.
12	JEAN BENDITO FELIX GO ZIKA GO: EVALUATION OF THE FEASIBILITY OF MODIFIED MOTORIZED RIDE-ON CARS FOR THE MOBILITY OF CHILDREN WITH CONGENITAL ZIKA SYNDROME (SCZ) Advisor : EGMAR LONGO HULL COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES ADRIANA NEVES DOS SANTOS ANA CAROLINA DE CAMPOS CLARICE RIBEIRO SOARES ARAÚJO EGMAR LONGO HULL ISABELLY CRISTINA RODRIGUES REGALADO MOURA Data: Jun 29, 2023 Show Abstract Introduction: The clinical characteristics of Congenital Zika Syndrome (CZS) include a series of impairments and delays, mainly in cognitive and motor aspects, with a similar picture to Cerebral Palsy (CP). The poor prognosis in the motor performance of children with CZS raises questions about the possibilities of these children's participation in everyday life. The literature points out that motorized mobility is a viable and effective possibility of intervention for children with motor disabilities, with positive impacts on general development, independent mobility, bodily functions, activities and participation. The Go Zika Go project was created to provide children with CZS with an intervention model focused on participation results, using modified motorized toy cars, seeking to test the feasibility of this intervention. Objective: To determine the feasibility of a motorized mobility intervention for children diagnosed with CZS without a prognosis for ambulation, including acceptability and preliminary efficacy. Materials and Methods: This is a pre- and post-intervention longitudinal feasibility study, carried out at the Clínica Escola de Fisioterapia of the Faculdade de Ciências da Saúde do Trairi (Facisa/UFRN) with four children diagnosed with CZS. For this study, adherence, measured by attendance at intervention sessions, satisfaction, measured by the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) and Satisfaction Perception Questionnaire tools, and mobility learning, classified as by the Assessment of Learning Powered Mobility (ALP). Secondary outcomes related to the effect of the intervention were goal achievement assessed using the Goal Attainment Scaling (GAS), mobility and social function using the Pediatric Evaluation of Disability Inventory – Computer Adaptive-test (PEDI-CAT), and participation through the Young Children's Participation and Environment Measure (YC-PEM) or Participation and Environment Measure for Children and Youth (PEM-CY). The intervention with the modified cars lasted 12 weeks of training and 4 weeks of follow-up, with a frequency of three times a week and a dosage of 40 minutes. Descriptive statistical analyzes were performed for sociodemographic data, children's motor classification, intervention feasibility data (adherence, satisfaction data and learning with ALP), GAS, YC-PEM/PEM-CY and PEDI-CAT. To explore the effects of the intervention, on the YC-PEM/PEM-CY and PEDI-CAT data (mobility and social/cognitive), the Wilcoxon test was applied comparing the changes between week 0 before the intervention, and sixteen weeks after the intervention, standard error measures were also used to verify changes in the PEDI-CAT domains. Results: Median age of children with CZS included in the study was 4.75 years, two females and two males, 3 classified using the Gross Motor Function Classification System (GMFCS) as level V and one as level IV. The results showed adherence of 75% of the total intervention time, satisfied or very satisfied family members, and gains in learning how to use ride-on cars after the intervention, and may indicate that the Go Zika Go intervention is feasible. It also proved possible to increase the scope of the goals established based on the GAS. Changes in PEDI-CAT medians and participation outcomes were not statistically significant. Individual changes were perceived by the standard error analyzes in the mobility and social/cognitive domains. Conclusion: Intervention with modified toy cars proved to be feasible to provide children with CZS with goal achievement, satisfaction and learning to use the modified car. The use of motorized mobility can be considered a viable alternative for children with CZS. We suggest the development of clinical trials to explore the effect of the intervention on the functional gains and participation of children with CZS.
13	AMANDA SPINOLA BARRETO Experiences of children with Congenital Zika Syndrome while using motorized mobility: a qualitative study using the Photovoice method Advisor : EGMAR LONGO HULL COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES EGMAR LONGO HULL MARIA DO SOCORRO NUNES GADELHA PAULA SILVA DE CARVALHO CHAGAS Data: Jun 30, 2023 Show Abstract Introduction: Most children with congenital Zika syndrome (CZS) have severe motor impairment, with no prognosis for independent walking. Although mobility is a human right, many children with disabilities do not have an independent form of locomotion. Early powered mobility with ride-on cars allows independent locomotion in various environments and can benefit body functions, activity and participation, as well as contributing to social skills and self-esteem. Therefore, the aim of this study was to explore the perception of mothers of children with CZS about their children's experiences while using ride-on cars at home and in the community. Methods: This Participatory Action Research (PAR) was carried out using the photovoice method and obtained ethical approval with opinion number 3.980.703/2020. The mothers of four children with CZS, participants in the “Go Zika Go” intervention project, were included in the study. The research began with the distribution of modified ride-on cars for use at home and in the community and included six stages: 1) Presentation of the guide questions and training to use Photovoice; 2) Capture of photos by the participants; 3) Individual interview to contextualize the photos; 4) Transcription and analysis of data, using the principles of thematic analysis; 5) Validation of analyzes by mothers; and, 6) Exhibition of photos to the community. All stages were carried out remotely, with the exception of the exhibition, which was held at UFRN-Facisa. Results: Mothers and researchers selected the 21 most relevant photographs. Five main themes emerged from the analyzed data, related to the use of ride-on cars: 1) Experiences of participation, 2) Independence in mobility, 3) Characteristics of mobility devices, 4) Family support and, 5) Accessibility of the environment. Faced with the experiences experienced while using the ride-on cars, the mothers addressed aspects such as greater socialization, involvement and participation in games and the expression of feelings such as happiness. Regarding independence in mobility while using ride-ob cars, experiences of autonomy, functional capacity and the freedom provided were emphasized. Regarding the characteristics of the mobility devices, some mothers mentioned that the adaptations made to the ride-on cars facilitated their use, such as the seat belt, while others were not satisfied, mentioning discomfort during prolonged use. As for family support, the availability of time was approached as a limiting factor for the use of ride-on cars, although their use favored the interaction of children with their families. Finally, the accessibility of the environment was considered a barrier to the use of ride-on cars in the community. Conclusion: The participants' narratives, associated with photographs of the daily lives of children with CZS, elucidated aspects of functioning, autonomy and participation, reinforcing the importance of independence provided by powered mobility for children with severe motor impairment. The use of these devices favors equity in its entirety, favoring the breakdown of social and cultural barriers, allowing children with CZS to participate, like their peers without disabilities.
14	PRISCILA ACSA DA SILVA ESTEVAM Analysis of Well-being and Functionality of Women Residing in Santa Cruz-RN Using the Model Disability Survey (MDS) - Brazil Instrument Advisor : ADRIANA GOMES MAGALHAES COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA LEONILDO SANTOS DO NASCIMENTO JUNIOR Data: Jun 30, 2023 Show Abstract Introduction: Well-being is characterized as a multifactorial and multidimensional construct that represents an individual's conditions and overall evaluation of their own life based on objective and subjective factors. In women, factors such as gender inequality, low self-esteem, triple workloads, presence of chronic diseases, among others, can have a negative impact on their health and well-being. General Objective: To analyze the well-being and functionality of women residing in Santa Cruz-RN using the Model Disability Survey (MDS)-Brazil instrument. Article Objective 01: To compare the well-being and functionality of women in terms of mobility and body functions using the Model Disability Survey (MDS)-Brazil instrument. Article Objective 02: To compare the well-being and activity and participation of women using the MDS-Brazil instrument. Methods: This was a cross-sectional population-based study based on data from a larger survey using the MDS instrument. The sample consisted of a total of 385 women who agreed to participate in the study, ranging in age from 19 to 88 years. Women were excluded from the body functions and activity and participation domains due to a high number of incomplete responses. The variables analyzed included sociodemographic and economic items, functionality module, and well-being module, the latter being divided into quality of life, loneliness, and well-being. Descriptive analyses were performed using mean and standard deviation, simple and relative frequencies, prevalences and confidence intervals. Inferential comparative analysis was conducted using the Kruskal-Wallis and Mann-Whitney tests, and normality was assessed using the Kolmogorov-Smirnov (K-S) test. Results Article 01: Women had a mean age of 50.36 years, with the majority reporting having a partner (51.4%), being of mixed race/ethnicity (44.7%), and being unemployed (45.2%). Overall quality of life was rated as good by 49.4% of the participants. The majority reported being satisfied or very satisfied with their ability to perform daily life activities, their self-perception, personal relationships, and housing conditions, especially with their relationships (67.5%), but were dissatisfied with their health (41%). Less than half of the women reported having sufficient energy for daily activities (42.3%) and enough money (23.1%). Regarding loneliness, the majority indicated that they never feel alone (55.6%), lack companionship (54.8%), feel abandoned (81.8%), or feel isolated from others (78.7%). In terms of well-being, less than half of the women reported experiencing a high level of happiness, enthusiasm, and vitality the previous day, while the majority reported not feeling anger, frustration, sadness, stress, loneliness, worry, boredom, or pain. However, the majority of women experienced feelings of tiredness (57.4%). Women with poor or very poor quality of life, dissatisfaction or strong dissatisfaction, and more negative feelings of well-being and loneliness (G3) had higher disability scores in terms of mobility and body functions, with a significant difference (p=0.000) in most cases. For positive feelings of well-being, it was observed that women in G1 (not at all) had higher disability scores in terms of mobility and body functions, with a significant difference (p=0.000). Article 02: This study included 359 women, with the majority falling between the ages of 22 and 45 (39.2%), being in a stable relationship/married (51.4%), and identifying as Black/mixed race/other (62.1%). The majority reported having a good or very good quality of life (N=232), being satisfied with their self-perception of quality of life aspects, and having a moderate or somewhat sufficient amount of money (N=131). The combination of feeling a little, somewhat, frequently alone (N=155) or lacking companionship (N=157) resulted in almost half of the sample experiencing these feelings. Most women had positive feelings of well-being and did not report negative feelings. However, less than half of the women did not feel tired (N=150). Regarding the level of disability, significant statistical differences were observed when comparing the three groups based on quality of life, loneliness, and well-being, with the majority having a p-value of 0.000. It was also observed that women with neither good nor poor quality of life and neither satisfied nor dissatisfied (G2), as well as those with poor or very poor quality of life and dissatisfaction or strong dissatisfaction (G3), had higher disability levels than G1, with a p-value of 0.000, except for housing conditions. This pattern also applies to feelings of loneliness, where women in G2 and G3 have higher disability levels than G1, with a p-value of 0.000 in most cases. Conclusion: In conclusion, the majority of women reported good quality of life and satisfaction, did not experience negative feelings, and had positive well-being. However, there are still women who experience factors that negatively affect their well-being and functionality in terms of mobility, bodily functions, and activities and participation. It was observed that the lower the evaluation of quality of life, loneliness, and well-being, the higher the disability score. Those with poor or very poor quality of life, dissatisfaction, feelings of loneliness, increased fatigue, pain, worry, among others, had higher disability levels in relation to bodily functions, mobility, and activities and participation, resulting in a more significant impairment of functionality.
15	CALINE CRISTINE DE ARAUJO FERREIRA JESUS Co-construction of an intervention to improve participation in leisure activities of adolescents with cerebral palsy GMFCS IV and V Advisor : EGMAR LONGO HULL COMMITTEE MEMBERS : EGMAR LONGO HULL ISABELLY CRISTINA RODRIGUES REGALADO MOURA MARCELO CARDOSO DE SOUZA RAFAEL COELHO MAGALHÃES Data: Jun 30, 2023 Show Abstract Introduction: Patient and public involvement (PPI) in research that concerns them is an increasingly common reality in high-income countries. However, tools are needed to facilitate participant engagement, such as the Involvement Matrix (IM). Adolescents with Cerebral Palsy (CP) classified using the Gross Motor Function Classification System (GMFCS) at levels IV and V often face significant restrictions in participating in leisure activities and commonly receive interventions that prioritize outcomes in terms of body function and structure, without incorporating one of the main rehabilitation outcomes, which is participation. Objectives: With the aim of filling this gap, the present study aimed to: 1) Translate the IM into Brazilian Portuguese to facilitate its use and guide collaborative research; and 2) Engage adolescents, their families, and researchers in co-designing an intervention program to promote participation in leisure activities within the community of adolescents with CP at GMFCS levels IV and V, aged between 12 and 17 years. Methods: This is a qualitative study based on a previously published protocol. The first stage aimed to translate the materials of the IM into Brazilian Portuguese. After obtaining authorization from the authors, the translated material underwent a back-translation process. Subsequently, the result was reviewed by the tool's authors, ensuring semantic and content accuracy. In the second stage, different dialogue groups were created for the co-construction of the intervention in collaboration with adolescents with CP at GMFCS levels IV and V, their families, and healthcare professionals (physiotherapists and occupational therapists). The IM was used to guide participant engagement in the research, and the Participation and Environment Measure - Children and Youth (PEM-CY) was used to assess adolescent participation. Individual interviews were conducted to explore participants' perceptions of their experiences throughout the research. Results: The IM translated into Brazilian Portuguese was made available on the official website https://www.kcrutrecht.nl/involvement-matrix/. The second stage involved the participation of five adolescents with CP, their mothers, three physiotherapists, and two occupational therapists. During the preparation phase, dialogue groups were formed to discuss the concept of participation, the results of the PEM-CY, and the components of an intervention to promote participation. Subsequently, the participants co-designed the intervention, considering the necessary ingredients, guided by the Template for Intervention Description and Replication (TIDieR). The final product was presented to an external group not involved in the research for validation. The interviews revealed satisfaction with the intervention, as well as satisfaction with participating in the research. Conclusions: The various materials of the IM are adequately translated and freely available for use in Brazil. The engagement of adolescents and their families in the research brought benefits, allowing their voices to be heard in the construction of an intervention to promote participation.
16	RAUANY BARRÊTO FEITOZA MSD BRAZIL: ANALYSIS OF WOMEN'S HEALTH CONDITIONS AND FUNCTIONALITY Advisor : ADRIANA GOMES MAGALHAES COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA LEONILDO SANTOS DO NASCIMENTO JUNIOR Data: Jun 30, 2023 Show Abstract Introduction: Women are the most frequent users of health services, but throughout history their health rights have not always been respected. The reality of the multiplicity of functions, added to socioeconomic factors, can predispose women to more impairments in their health, which can impact their functionality. Population surveys help to outline the profile of a population, being extremely important in tracing goals and public policies. However, few surveys in Brazil are aimed at knowing the functionality of the female population. Objectives: To evaluate the health and functionality conditions of women through the Model Disability survel-MDS. Material and methods: This is a cross-sectional observational, population-based, quantitative study. This study is part of the project that was developed by the Research and Innovation Network in Functionality, Health and Sustainable Development Goals (FUSÃO Network). 385 women were included for this analysis, the analyzed variables were functionality through module 4000 and health conditions in module 5000. Result: A total of 385 women participated in this study, most of whom were adults (38.7%) , married (38.7%), self-declared brown (44.7%) and had completed high school (17.9%). When asked how they evaluated their health, most respondents (50.9%) reported having regular health. 67.8% of women reported having 1 to 4 health conditions. Of these, the most frequent were hypertension (40%), back pain or disc herniation and vision loss, both with 32.5% and sleeping problems (20%). When comparing self-reported health and disability, participants who those who reported poor or very poor health had worse disability scores for mobility, body structure and functions, activity and participation. Conclusion: In view of the findings, it is possible to see that most women report having regular health and that the worse the self-reported health perception, the worse the disability scores.
17	VANEZA MIRELE GOMES DOS SANTOS EVALUATION OF THE PERCEPTION OF BIOLOGICAL MOVEMENT THROUGH THE PERCEBI MOVE SYSTEM IN POST-STROKE INDIVIDUALS: A CROSS-CROSS STUDY. Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : ENIO WALKER AZEVEDO CACHO KELLY SOARES FARIAS LUCIANA PROTASIO DE MELO Data: Jul 31, 2023 Show Abstract Introduction: Stimulating the relearned motor is essential in the rehabilitation of patients affected by neurological disorders. Theories propose that the motor system is involved in the perception of movement, therefore, dysfunctions in the visual-motor representations shared in the motor system must lead to impaired perception of human movements. Objective: Analyze if post-stroke individuals and individuals with PD have impaired biological perception of movement. Materials and Methods: It is an observational, cross-sectional, quantitative study. The sample consisted of 20 participants, divided into group 1 (patients who had suffered a stroke) and group 2 (healthy individuals). In addition, healthy elderly individuals will be recruited for the Control Group (CG). All participants were assessed separately with a movement perception task, followed by assessment of muscle tone using the Modified Ashworth Scale, motor impairment using the Fugl-Meyer Scale (FM) for group 1, and cognitive function using the Mini Mental State Examination (MMSE) for both groups. For statistical analysis will be used the Statistical Package for Social Sciences (SPSS) (version 20.0). The normality test will be performed to verify if it is a sample with normal or non-normal distribution, thus defining if Parametric or Non-Parametric Tests will be used. To establish significance between the parameters analyzed, a value of p <0.05 will be observed. The study sample and sociodemographic characteristics were defined using descriptive statistics. Results: Eleven (11) individuals with a clinical diagnosis of stroke were selected, most of them female (60%), with a mean age of 61.91 years (±11.57), duration of injury 43.7 months (±49 .82), MMSE 22.27 (±5.90) FM for UL 55.22 (±19.38) and for LL 29.11 (±4.34). The healthy subjects were four, mostly female (75%) with a mean age of 63 years (±9.85) and a mean MMSE score of 26.5 (±2.08). Regarding the MB perception task, the natural movements with the lowest number of correct answers were: walking (profile view), kicking, pedaling and putting an object in the mouth. In the healthy ones, the movements were kicking, pedaling and taking an object to the mouth. For unnatural movements, where there was a lower number of correct answers, they were in the following movements: sitting and standing up inverted and waving with noise for both groups.
18	MARIA JÚLIA FERREIRA RODRIGUES DE OLIVEIRA BALANCE PERFORMANCE OF POST-STROKE PATIENTS ON A “GAME BALANCE” GAME PLATFORM AND ITS CORRELATION WITH FUNCTIONAL TESTS: A CROSS-SECTIONAL STUDY Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : ENIO WALKER AZEVEDO CACHO ROBERTA DE OLIVEIRA CACHO Sara Regina Meira Almeida Data: Jul 31, 2023 Show Abstract Introduction: Commercial platforms are widely used in research to assess and treat balance deficits in post-stroke patients. However, they lack the necessary specificity for the limitations and/or compensations that these patients may present. It is also challenging to extract the captured data, and the accuracy of this capture is questioned. Objective: To develop a low-cost gaming platform called "Game Balance" for analysis and balance training in post-stroke patients. Materials and Methods: This was a quantitative cross-sectional study. For the pilot project, four healthy individuals of both genders were recruited to guide the adjustments and improvements of the developed platform. They provided feedback on the difficulties and ease of use using the System Usability Scale (SUS). For the definitive research, eight post-stroke patients, also of both genders, were recruited from the Physiotherapy Clinic of FACISA (Santa Cruz/RN). This sample was evaluated using clinical scales: Mini-Mental State Examination (MMSE), Functional Ambulation Categories (FAC), The modified Clinical Test of Sensory Interaction and Balance (mCTSIB), National Institute of Health Stroke Scale (NIHSS), Modified Rankin Scale (mRS), and Fugl-Meyer Assessment Scale. The participants also played four rounds of "Game Balance," including one familiarization round and three evaluation rounds, from which an average performance was calculated. After the gaming experience, they were questioned about their experience using the Intrinsic Motivation Task Evaluation Questionnaire. At the end of the assessment, participants received a simple language report on their performance in each test and in "Game Balance." The statistical analysis involved calculating means or medians, standard deviations or quartiles, followed by correlation analysis using Pearson's coefficient based on the identification of normality or non-normality of the data, using Statistical Package for the Social Sciences (SPSS) version 20.0, with a significance level of 5%. Results: For the pilot project, we had n = 4, and by observing their performances and SUS responses, it is evident that game performance directly influenced their feedback on platform usability. Regarding the definitive research, we had n = 8, with a male majority (62.5%), a mean age of 60.88 ± 11.67 years, a majority with ischemic stroke (62.5%), and left hemiparesis (75%), occurring 6.75 ± 4.33 years ago. Significant correlations were found between age and points in "Game Balance" (Pearson's ρ = -0.743; p-value = 0.035), as well as between points and activity time on the platform (Pearson's ρ = -0.738; p-value = 0.037), and between limb balance on the platform and the Rankin scale (Pearson's ρ = -0.745; p-value = 0.034). Conclusions: The platform achieved the proposed objective, with some relationships between the device variables and the physical conditions of the selected population.
19	ARYOSTENNES MIQUÉIAS DA SILVA FERREIRA TRANSCRANIAL DIRECT CURRENT STIMULATION AND NEURAL MOBILIZATION IN INDIVIDUALS WITH CHRONIC SCIATIC PAIN: RANDOMIZED CONTROLLED AND BLIND TRIAL Advisor : CLECIO GABRIEL DE SOUZA COMMITTEE MEMBERS : ABRAHÃO FONTES BAPTISTA CLECIO GABRIEL DE SOUZA RODRIGO PEGADO DE ABREU FREITAS Data: Oct 31, 2023 Show Abstract INTRODUCTION: sciatic pain is a very common condition in the population and occurs when changes in the spine cause damage to the nerve root, generating radicular pain, radiating to the leg with somatotopic distribution. It is a condition with high levels of pain and disability. In chronic situations, the phenomenon of central sensitization may be present, as a form of maladaptive neuroplasticity, which can cause neuropathic pain due to somatosensory dysfunction. Among the forms of treatment, Neural Mobilization is a manual therapy technique validated and recommended for this condition. Alternatively and additionally, Transcranial Direct Current Stimulation (tDCS) has emerged as a resource for treating neuropathic pain in an attempt to modulate brain function. OBJECTIVE: To verify whether tDCS adds benefits in reducing pain intensity, neuropathic symptoms and disability in individuals with chronic radicular pain, when associated with Neural Mobilization. METHOD: This is a Randomized Controlled Clinical Trial with individuals who had chronic radicular pain divided into two groups: Experimental Group (active tDCS + Neural Mobilization) and Control Group (sham tDCS + Neural Mobilization). The primary outcome assessed was pain intensity, measured using the Numerical Pain Scale; secondary outcomes were disability, assessed by the Roland Morris Disability Questionaire (RMDQ); neuropathic symptoms, assessed by the Douler Neuropathique Questionnaire (DN4) and the Pain Detect Questionnaire (PDQ). Furthermore, the Perceived Global Effect scale was applied at the end of the intervention. The assessment was carried out before and after the intervention protocol and at seven and fourteen days of follow-up for the primary outcome. The intervention consisted of five sessions on consecutive days of tDCS on M1, with an intensity of 2 mA, for 20 minutes. The data were statistically analyzed, using the Kolmogorov-Smirnov and Levene tests to verify the normality and homogeneity of the sample, and then a mixed ANOVA of repeated measures was performed. To analyze categorical variables, Pearson's Chi-square test was used. A statistical significance level of 5% and a confidence interval of 95% were assumed. RESULTS: The study had 44 participants, 33 (75%) women and 11 (25%) men, with an average age of 41.36 (±13.056) years. The mean pain intensity at the first assessment was 7.30 (±1.936). There was a reduction in pain intensity for both groups over time (p=0.001), however, when analyzing the interaction of time by group, no difference was found between them (p=0.756). The same result was observed in the secondary outcomes, disability (p=0.251) and neuropathic symptoms (p=0.638). Regarding the overall perceived effect, the majority of participants (83%) reported feeling better than the previous condition, but with no difference between the groups (p=0.735). CONCLUSION: the intervention protocol with neural mobilization was effective in improving the outcomes of this study, but tDCS did not promote an additional effect in improving pain intensity, neuropathic symptoms and disability in individuals with chronic radicular pain when associated with this technique.
20	HILMAYNNE RENALY FONSECA FIALHO Biomechanical Analysis of the Kinetic Chain in Individuals with Shoulder Pain in Comparison to Asymptomatic Individuals. Advisor : GERMANNA DE MEDEIROS BARBOSA COMMITTEE MEMBERS : CATARINA DE OLIVEIRA SOUSA GERMANNA DE MEDEIROS BARBOSA MICHELE FORGIARINI SACCOL RODRIGO SCATTONE DA SILVA Data: Nov 24, 2023 Show Abstract BACKGROUND: The kinetic chain concept proposes a view of the body through a series ofinterdependent links responsible for the sequential transmission of energy through themusculoskeletal and fascial systems. Alterations in the components of the kinetic chain canimpair this energy transmission and overload adjacent body structures, which may be related tothe risk of shoulder pain and injuries. Biomechanical impairments in different body segmentshave already been investigated in athletes with shoulder pain. However, the association betweenfactors related to the kinetic chain and shoulder pain in individuals not engaged in sports is notestablished. Furthermore, the synthesis of the biomechanical characteristics of this populationhas not yet been presented in the literature.OBJECTIVES: To verify the association between biomechanical factors related to the kineticchain and the presence of shoulder pain and to summarize the literature that investigatedchanges in components of the kinetic chain in non-athletes with shoulder pain compared toasymptomatic individuals.METHODS: These are two studies: a cross-sectional survey and a systematic review. The firststudy investigated lumbopelvic stability, active range of motion, and peak isometric musclestrength in individuals with and without shoulder pain. A multivariate binary logistic regressionwas carried out in IBM® SPSS® 25 software to analyze the odds of each being part of one ofthe groups (with or without shoulder pain). The second study brought together the findings ofobservational studies indexed until December 2022 in the MEDLINE, CINAHL, Web ofScience, EMBASE, and SCOPUS databases. The Joanna Briggs Institute Critical AppraisalTool for Cross-Sectional Analytical Studies assessed the risk of bias and the Grading ofRecommendations, Assessment, Development, and Evaluation (GRADE) defined the qualityof evidence.RESULTS: On the cross-sectional study, 40 individuals were assessed: 19 with shoulder painand 21 asymptomatic. Only the isometric strength of the trunk extensor muscles presented astatistically significant contribution to the regression model (p = 0.03 \| odds ratio = 0.99), withno significant associations between the other outcomes and the presence of shoulder pain. Inthe review, four cross-sectional studies with low risk of bias were included (n = 358, 179individuals with shoulder pain). Very low-quality evidence indicated that individuals withshoulder pain may present a reduced range of motion and muscular endurance in thethoracolumbar region and hips and decreased neuromuscular control of the lower extremitiescompared to asymptomatic individuals. Findings related to thoracic spine posture wereconflicting.CONCLUSION: Isometric strength of the trunk extensor muscles may be associated with thepresence of shoulder pain and observational studies indicate that individuals with shoulder painmay present alterations in mobility, muscular endurance, and/or neuromuscular control in thethoracolumbar region and in the lower extremities compared to asymptomatic individuals.These findings suggest that physical assessments considering non-local biomechanical factorsmay be relevant in the population with shoulder pain.
21	MARIA JULIANA FERREIRA DOS SANTOS PELVIC FLOOR DYSFUNCTIONS AND THE SOCIODEMOGRAPHIC CONTEXT OF ELDERLY WOMEN RESIDING IN THE RURAL AREA AND IN THE URBAN AREA OF THE SERTÃO PARAIBANO Advisor : GRASIELA NASCIMENTO CORREIA COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES FERNANDA DINIZ DE SA GRASIELA NASCIMENTO CORREIA LEONILDO SANTOS DO NASCIMENTO JUNIOR Data: Nov 30, 2023 Show Abstract Introduction: The aging process in women is characterized by specific singularities. Sociodemographic dimensions directly influence this health-disease process. The presence of conditions such as Pelvic Floor Muscle Dysfunction (PFMD) can result in serious impairments in the quality of life for this population. Objective: To compare self-reported symptoms of PFMD among elderly women in rural and urban areas. Method: A cross-sectional analytical study with a qualitative-quantitative design conducted from July 2022 to August 2023 with 50 women, where: City Group (CG=25) and Rural Group (RG=25), residing in the rural and urban areas of the municipality of Santa Cruz, Paraíba. The sample was randomly and conveniently selected, following eligibility criteria: women aged ≥60 years residing in rural or urban areas. Data collection occurred through a semi-structured interview, in addition to the administration of questionnaires: sociodemographic, Pelvic Floor Distress Inventory (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7), International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF), Sexual Quotient – Female Version (SQ-F), and Quality of Life Questionnaire (SF-36). For statistical analysis, the data were descriptively treated using median and interquartile range, mean and standard deviation, as well as the Shapiro-Wilk test for data normality evaluation and Mann-Whitney test for intergroup analysis of variables. Results: In the sociodemographic profile analysis, the RG showed higher age, lower average monthly income, and a greater distance to the health unit (p=0.018, p=0.001, p=0.007, respectively). The RG was responsible for a higher intensity of PFMD reports, especially urinary symptoms (p=0.016 and p=0.011) assessed by PFDI-20; the same group showed a higher frequency of urine loss (p=0.023) and a greater impact on the quality of life (p=0.027). 80% of elderly women in the CG and 84% in the RG reported having some type of PFMD, with isolated urinary incontinence (UI) being the most common condition in both groups (CG=52% and RG=56%). There was no difference in intergroup analysis of the sexual function of elderly women (p=0.138). Final considerations: Both elderly women in rural and urban areas reported PFMD symptoms. In this population-based study, the place of residence showed a small effect on the occurrence of pelvic discomfort symptoms among elderly women. Heterogeneous sociodemographic characteristics belonging to the groups, such as illiteracy rate, distances to health units, presence of comorbidity, and overweight, may be considered influential factors.
22	MARIA HELOIZA ARAUJO SILVA PROPOSITION OF A SCREENING EVALUATION MODEL FOR POST-STROKE PATIENTS UNDER REHABILITATION: A STUDY BASED ON LINKING INSTRUMENTS WITH THE INTERNATIONAL CLASSIFICATION OF FUNCTIONALITY, DISABILITY AND HEALTH. Advisor : ALINE BRAGA GALVAO SILVEIRA FERNANDES COMMITTEE MEMBERS : ALINE BRAGA GALVAO SILVEIRA FERNANDES ROBERTA DE OLIVEIRA CACHO SHAMYR SULYVAN DE CASTRO Data: Dec 6, 2023 Show Abstract Introduction: Stroke has a major impact on survivors functioning. Therefore, the rehabilitation process must consider the multiple factors that define health. The International Classification of Functioning, Disability, and Health (ICF) is based on a model of health and functioning that results from the interaction of personal and environmental factors, activity and participation, and bodily structures and functions. Therefore, considering the needs of post-stroke patients and what the ICF recommends, the assessment of these patients must be carried out using assessment instruments that measure functioning based on the interaction of biopsychosocial factors. Objectives: To propose an assessment model for screening post-stroke patients undergoing rehabilitation, based on linking the instruments most used for this purpose with the ICF. Methods: The study will take place in three stages: 1) Update of the Scope Review “Instruments Used in the Assessment of Post-Stroke Patients in Rehabilitation: a Scope Review focusing on the International Classification of Functioning, Disability, and Health Model”, 2) Linking the instruments with the ICF categories, and 3) Proposing the screening assessment model. Results: 23 instruments were selected, 19 had linked categories. The majority of instrument categories corresponded to Activity and Participation (74%) and Body Functions (29%). Environmental Factors were less evaluated (1%). The body Structure domain was not included in any instrument. When evaluating the instruments regarding the number of ICF items and categories, the following screening assessment model was arrived at NIHSS - neurological deficits; MIF – functional performance; mRS – post-stroke global outcomes, SF-36 – quality of life; MoCA – cognitive screening. Conclusions: It was possible to structure an assessment model for screening, allowing professionals to more objectively identify the main points to direct their assessment according to their client's needs. Furthermore, it facilitates access to the ICF information and categories that are represented in each instrument, making the assessment more complete and efficient.
23	EMERSON LEVY DUTRA DE ALMEIDA FILHO EFFECTS OF PERCUSSIVE MASSAGE ON RECOVERY AFTER 10KM RUN: RANDOMIZED AND BLIND CONTROLLED CLINICAL TRIAL Advisor : CAIO ALANO DE ALMEIDA LINS COMMITTEE MEMBERS : CAIO ALANO DE ALMEIDA LINS CLECIO GABRIEL DE SOUZA DANIEL GERMANO MACIEL Data: Dec 15, 2023 Show Abstract Introduction: Road running is a modality that provides benefits to its practitioners, however, in order to improve their performance, runners seek high volumes and intensities of training, which can cause an imbalance between mechanical stress and rest. To avoid this imbalance, a massage has been gaining popularity, percussive massage, which tends to reduce pain, improve muscle spasms and increase range of movement and increases local blood flow. Objectives: To evaluate the effects of percussive massage on runners' recovery after a 10 km race. Methods: this is a controlled, randomized and blind clinical trial, in which 40 runners of both sexes were randomly allocated into two groups: the experimental group, in which percussive massage (GMP) was performed and the control group, in which therapeutic massage (GMT) of the “effleurage” type was performed. Both groups received 10 minutes of quadriceps femoris massage. Participants were assessed at 6 moments: at baseline, before the race, immediately after the 10km run, immediately after the intervention, 24 hours after the intervention and 48 hours after the intervention using the pain and fatigue perception scales and recovery perception, isokinetic dynamometry and algometry. Data normality was assessed using the Kolmogorov-Smirnov and Levene test. A mixed model ANOVA was used to determine the differences between the two groups. The Bonferroni post-hoc test was applied to identify differences when a significant F value was found. Statistical significance was set at 5% and a 95% confidence interval (95%CI). Results: The runners performed an initial assessment, and it was observed that before the race, both groups had pain and fatigue 0, and perception of recovery 17. After the race, both pain and fatigue increased to 2 and 3 respectively, and the recovery perception dropped to approximately 13, showing a drop in yield. However, after the interventions, both groups showed a good recovery, returning to the values of the first assessment. However, in the analysis between groups, no significant differences were found for the variables evaluated. Conclusion: We concluded that percussive massage and therapeutic massage had similar results for the variables evaluated for 10 km runners, without having superior results when compared.
24	KIMBERLY MOREIRA PEREIRA DA SILVA EFFECT OF DRY CUPPING THERAPY ASSOCIATED WITH THE MCKENZIE METHOD IN PATIENTS WITH CHRONIC LOW BACK PAIN: PROTOCOL FOR A RANDOMIZED SHAM-CONTROLLED TRIAL Advisor : MARCELO CARDOSO DE SOUZA COMMITTEE MEMBERS : MARCELO CARDOSO DE SOUZA AREOLINO MATOS EDGAR RAMOS VIEIRA Data: Dec 22, 2023 Show Abstract Introduction: Low back pain is the main cause of years lived with disability, being more prevalent in adults. It can be classified as acute, subacute or chronic, being nonspecific or not. Currently, clinical practice guidelines recommend exercise as a first-line approach to treating this condition. In this scenario, cupping therapy has been gaining ground in pain management in this population. However, there are no studies evaluating cupping therapy in association with active exercise in individuals with nonspecific chronic low back pain. This protocol describes a placebo-controlled, randomized, blinded study that aims to assess the additional effects of cupping therapy in association with McKenzie Method exercises on pain and functional outcomes in individuals with nonspecific chronic low back pain. Methods: One hundred and eight individuals with nonspecific and localized chronic low back pain, aged 18 to 59 years, will be recruited meeting the inclusion criteria. Subsequently, they will be randomized to one of 2 groups: intervention group (GI) where they will be submitted to the McKenzie Method intervention and application of the dry cup and placebo group (GP), submitted to the McKenzie Method intervention and application of the simulated cup. The individuals will be classified and treated according to the McKenzie Method and then they will receive the application of cups in parallel to the vertebrae from L1 to L5, bilaterally. Interventions will be carried out twice a week for eight weeks. Volunteers will be evaluated before treatment (T0), immediately after the first intervention (T1), after 4 weeks of intervention (T4) and after 8 weeks of intervention (T8). The primary endpoint will be pain, and the secondary endpoints will be physical function, lumbar range of motion, patient expectation, quality of life. Expected Results: It is expected that this study will provide greater knowledge about the association of the cupping therapy technique with active exercises and whether it adds any clinical effect on the symptoms of nonspecific chronic low back pain, thus serving as scientific evidence that may approve the use of the referred technique and that it be the protocol in new researches in order to analyze its effectiveness in this population.

2022

	Dissertations
1	LARISSA MEDEIROS DE SOUZA ELDERLY INDIVIDUALS IN A PANDEMIC CONTEXT: PERCEPTIONS ABOUT ACTIVE AGING AND IMPACTS OF SOCIAL ISOLATION Advisor : NUBIA MARIA FREIRE VIEIRA LIMA COMMITTEE MEMBERS : NUBIA MARIA FREIRE VIEIRA LIMA LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA RAFAELA CAROLINI DE OLIVEIRA TAVORA SHAMYR SULYVAN DE CASTRO Data: Jan 26, 2022 Show Abstract Introduction: The increase in population aging has raised questions about quality of life of the elderly worldwide. Active aging policy, established by the World Health Organization, aims to promote aging based on health, participation, and safety. The Covid-19 pandemic is a threat to pillars of active aging since the elderly are a risk group for the disease and were impacted by restrictive measures adopted against Covid-19. Objective: To investigate, record, and understand the perception of elderly individuals about active aging and impacts of the Covid-19 pandemic in their lives. Methods: This quantitative-qualitative research was conducted with 12 elderly individuals living in the city of Santa Cruz/RN who did not present dementia, depression, or hearing loss. Participants were contacted by telephone, and the following instruments were applied: Personal and Social Questionnaire, WHODAS 2.0 - 12-item version, and semi-structured interview with questions related to active aging and impacts of Covid-19 pandemic on lives of the elderly. Qualitative data were processed using IRAMUTEQ software and analyzed using Bardin Content Analysis. Results: Data regarding determinants of active aging revealed the importance of the Unified Health System and retirement of the elderly; physical activity and use of medications; no mobility difficulty at home and in the neighborhood; support of family and friends; and participation in different types of elderly groups. Results from WHODAS 2.0 - 12-item version were not reliable because some items could not be answered due to the Covid-19 pandemic. Qualitative results were distributed into four categories: a) perceptions about aging, b) perceptions about active aging, c) feelings about Covid-19 pandemic, and d) impact caused by the pandemic and social isolation in the lives of the elderly. Conclusions: Active aging is a concept not fully disseminated among the elderly. Therefore, greater inclusion of this population in discussions about active aging policy and implementation of services encouraging exercises for active aging are needed. The Covid-19 pandemic also affected the lives of the elderly. In this sense, this population must be monitored during pandemic and post-pandemic stages, enabling safe social meetings and practice of adequate physical exercise and providing support for promoting comprehensive health.
2	ABRAÃO SÉRVULO DO NASCIMENTO TRANSCRANIAL DIRECT CURRENT STIMULATION IN CHRONIC PHASE OF CHIKUNGUNYA: PROTOCOL FOR A RANDOMIZED CLINICAL TRIAL Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : KARYNA MYRELLY OLIVEIRA BEZERRA DE FIGUEIREDO RIBEIRO RODRIGO PEGADO DE ABREU FREITAS SUELLEN MARY MARINHO DOS SANTOS ANDRAD Data: Feb 14, 2022 Show Abstract Introduction: Chikungunya virus infection is still an epidemic in Brazil with an incidence of 59.4 cases per 100,000 in the Northeast region. More than 60% of patients present with recurrent and remitting chronic arthralgia with debilitating pain that lasts for years. There are no specific therapeutic agents to treat and rehabilitate patients in the chronic phase of chikungunya. Persistent pain can lead to disability, requiring long-term pharmacological treatment. Non-drug therapies such as transcranial direct current stimulation (tDCS) emerge as a promising complementary approach for these patients. Objectives: We aimed to evaluate the improvement of pain and functionality in patients in the chronic phase of chikungunya using anodal tDCS over the primary motor cortex (C3/Fp2 assembly). Methods: the study describes a protocol of a parallel, double-blind, randomized controlled trial. Forty participants with chronic chikungunya will be randomized to an active or sham group. A total of 10 consecutive sessions lasting 20 min each will be administered over 2 weeks, using a single-phase direct current with an intensity of 2 mA for 20 min. Participants in both groups will be assessed at baseline, immediately after the 10th session, 2 weeks (first follow-up) and 4 weeks (second follow-up) after the intervention. As a primary outcome, we will assess pain using a numerical rating scale and algometry. As secondary outcomes we will assess functionality, muscle strength and quality of life. The effects of stimulation will be calculated using a mixed analysis of variance (ANOVA) model. Expected results: The application of tDCS in the described assembly is already recommended for chronic pain syndromes and rheumatic diseases. It is expected that the outcomes will improve only in the active group, contributing to the strengthening of this resource for this population. In this way, we will have one more therapeutic tool option available and additional data for the scientific discussion around clinical policies and future trials.
3	RAFAELLA ALVES DA SILVA MPACT OF THE STRATEGIC ACTION PLAN TO COMBAT CHRONIC NON-COMMUNICABLE DISEASES ON HOSPITALIZATION, MORTALITY AND DEATH FROM CARDIOVASCULAR DISEASES IN BRAZIL Advisor : ILLIA NADINNE DANTAS FLORENTINO LIMA COMMITTEE MEMBERS : ILLIA NADINNE DANTAS FLORENTINO LIMA LUCIEN PERONI GUALDI LEONILDO SANTOS DO NASCIMENTO JUNIOR Data: Feb 14, 2022 Show Abstract Introduction: Chronic Non-Communicable Diseases (NCDs) are the main causes of death worldwide, responsible for millions of hospital admissions per year, especially cardiovascular diseases (CVD). Several strategies to control and fight these diseases have been developed in several countries. In Brazil, in 2011 the Strategic Action Plan for Confronting NCDs was prepared. Objective: To assess the impact of the Strategic Action Plan for Confronting CNCDs (2011 – 2022) on hospital admissions, deaths and mortality rates in Brazil, classified by CVD. Methods: Descriptive study, with secondary data from the Hospital Information System of the Unified Health System (SIH/SUS). Hospital admissions, deaths and mortality rate due to CVD in the Brazilian population aged over 20 years were analyzed and grouped according to region, sex and age group. Statistical analysis was performed using GraphPad Prism version 7.0. Data normality was assessed using the Komogorov Smirnov test, and the two-way ANOVA test with Tukey's post hoc test was used to compare groups and periods of year. A value of p<0.05 was considered significant. Results: A total of 13,380,119 hospital admissions for CVD in Brazil, in adults aged 20 years and over, were registered in the SIH/SUS during the period 2008 to 2019. After the implementation of the Strategic Action Plan for Confronting CNCD, the main findings in the study were: 1) reduction of 25.77% of hospital admissions due to HF; 2) increase of 0.25% in the hospitalization rate in the South region per 100,000 inhabitants, while the other regions showed a reduction; 3) reduction of 7.88% in hospital admissions between 2008-2011 and 2016-2019; 4) reduction in the hospitalization rate among individuals aged 20 to 59 years, and an increase between 60 to 80 years and over, with greater range of growth in the group aged 60 to 69 years (13.77%); 5) a 2.72% reduction in hospitalizations in females and an increase of 4.89% in males. Regarding deaths and mortality rate, the following stand out: 1) reduction of 6.46% of deaths from HF; 2) increase in the number of deaths and mortality rate in all regions; 3) 7.85% increase in deaths between 2008-2011 and 2016-2019, as well as an increase in the mortality rate; 4) progressive increase in the number of deaths and mortality rate with increasing age, especially in individuals over 60 years of age; 5) increase in the number of deaths and mortality rate for both sexes. Conclusion: Although there was a reduction in hospital admissions for CVD between 2008 and 2019, in most analyses, the number of deaths observed during the study period deserves specialized attention. The analysis makes it possible to reflect on the impact of the disease on the health of the Brazilian population, especially in the older age group. These findings contribute to information that allows for better control and monitoring of CVD and should be taken into account when implementing new strategies for prevention, care and control of risk factors.
4	MÁYRA CÁRMEM SILVA DE MEDEIROS MOBILEHEALTH: EVIDENCE-BASED APPLICATION VALIDATION FOR PUERPERA Advisor : ADRIANA GOMES MAGALHAES COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES KARLA VERUSKA MARQUES CAVALCANTE DA COSTA Vanessa Patrícia Soares de Sousa Data: Feb 15, 2022 Show Abstract Introduction: In the postpartum phase, women undergo intense bodily and emotional changes that occur in a truly short phase. Easily accessible and reliable information is important for self-care behaviors to be properly adopted. Objective: Developing a health application with information about the puerperal phase, with content based on scientific evidence. Method: This is a methodological study involving 40 participants, of these 10 obstetric health professionals, 10 in technology and 20 puerperal women. The application was developed with React Native technology. The health participants evaluated the content of the application, the result of which was given by the Content Validity Index, the technology professionals answered the questionnaire validated for the appearance of the software and the puerperal women answered the System Usability Scale (SUS), evaluating the usability of the application. Results: Content validation was mediated by the Likert scale and obtained a score of 0.97. Regarding the appearance of the application, there were 0.86 positive responses, being favorable for approval. Usability was evaluated using the SUS scale where it obtained a score of 98.5. The answers to the questionnaire showed good reliability, according to the validation analysis by Cronbach’s alpha coefficient (value: 0.71), and the application showed excellent acceptance, with an average score of 98.5 on the SUS scale. Conclusion: “Towards motherhood” presents itself as a valid mobile application to promote self-care.Keywords: Women's health; Postpartum phase; Comprehensive health care; Healthcare technology
5	RENCIO BENTO FLORENCIO Hospitalization and mortality rate due to Diabetes Mellitus in Brasil and Cardiovascular Reabilitation Advisor : LUCIEN PERONI GUALDI COMMITTEE MEMBERS : ANA TEREZA DO NASCIMENTO SALES FIGUEIREDO FERNANDES ILLIA NADINNE DANTAS FLORENTINO LIMA LUCIEN PERONI GUALDI Data: Feb 23, 2022 Show Abstract Introduction: Diabetes mellitus (DM) is characterized by a metabolic and chronic disorder, constituting an important public health problem, being important the need for epidemiological updates regarding the situation of involvement and hospitalizations in the national territory. As it is associated with a large number of complications, the literature already exposes the regular and individualized practice of physical exercise for its control, highlighting Cardiovascular Rehabilitation as an important measure in treatment and prevention. The use of virtual reality (VR) has been used for some time in the rehabilitation process, mainly for neurological patients, but little is known about the effects of VR in cardiovascular rehabilitation programs. Aim: To analyze the incidence of hospitalizations and mortality rate due to DM in the Brazilian territory and to propose a Cardiovascular Rehabilitation protocol adapted to virtual reality in patients with type 2 DM. Methodology: Study 01 is characterized as a longitudinal descriptive in which all data referring to hospital admissions registered in the Brazilian System of Hospital Information of the Unified Health System by DM ( CID-10) were included. Comparisons between groups were performed by an unpaired Student's t test, two-way ANOVA with Tukey post hoc test (p < 0.05). Study 02 is a protocol for a controlled, randomized and blinded evaluator clinical trial, with an intervention period of 12 weeks and follow-up evaluation in the 16th week. The evaluations will involve anthropometry, glycemic profile, quality of life assessment, physical exercise perception and tolerance questionnaire, peripheral muscle strength for upper and lower limbs (1 repetition maximum test) and evaluation of functional capacity (Six-minute step test – TD6m). The resistance exercise protocols will be the same for the subjects allocated in Conventional Cardiovascular Rehabilitation and Cardiovascular Rehabilitation programs adapted to virtual reality. The sample size calculation was stipulated using GPower program, with the following parameters: alpha of 0.5, statistical power of the study of 80% and effect size of 0.77. 16 subjects with DM were estimated. As losses or refusals can occur in the development of the research, the sample was increased by 30%, totaling a sample of 21 subjects in each group. Results: Study 01 observed that there was a 1.83% increase in hospitalizations for DM between 2008 and 2019 in Brazil. It also showed that there was a progressive increase in hospitalizations and in the mortality rate according to age groups, as well as a greater number of hospitalizations in the Southeast region of the country (p<0.0001). The Cardiovascular Rehabilitation protocol for DM built in study 02 is currently being evaluated by the REBEC clinical trials platform. Conclusion: Hospitalizations for DM in Brazil showed a significant increase in the last 12 years, requiring preventive and rehabilitative interventions to help reduce these complications, such as the development of a cardiovascular rehabilitation protocol associated with virtual reality specific to this population aiming to reduce absenteeism and the improvement of primary outcomes.
6	GLEYCIANA LEONIDAS CAVALCANTE BENSIMAN LINK BETWEEN THE CANADIAN MEASUREMENT OF OCCUPATIONAL PERFORMANCE AND THE INTERNATIONAL CLASSIFICATION OF FUNCTIONALITY, DISABILITY AND HEALTH IN POST-STROKE PATIENTS. Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : DIEGO DE SOUSA DANTAS ROBERTA DE OLIVEIRA CACHO SILVANA ALVES PEREIRA Data: Mar 18, 2022 Show Abstract Introduction: The stroke is a global public health problem and is considered the most disabling neurological disease. Activity and participation impairments caused by stroke can span different areas of occupation, including activities of daily living (ADLs), work and leisure. The Canadian Occupational Performance Measure (COPM) measures the main harm caused by stroke in these areas of occupations and has the advantage of being a self-report measure, placing the person at the center of its assessment process. The International Classification of Functioning, Disability and Health (ICF) is the world standard for the conceptualization and classification of functioning. The link between the COPM and the ICF categories could improve communication and understanding among health professionals, as the ICF should be used as a unifying model and a common language across all health professions. Objective: To link the content of the COPM scale with ICF categories, considering the instrument and its application in post-stroke patients. Methods: This is a cross-sectional observational study. Patients of both sexes, diagnosed with stroke sequelae, aged over 18 years, with unilateral involvement, active wrist and finger movement and absence of cognitive deficits suggested by the Mini-Mental State Examination (MMSE) were included. This study was carried out in three stages. In the first one, an analysis of the content of the COPM scale was performed, investigating whether there is a correlation with the ICF. After that, the subjects eligible for the research were submitted to an evaluation moment, through the application of the COPM instruments and the Modified Rankin Scale (mRankin), performed on the same day. Subsequently, the process of linking this information was carried out to identify similarities between the activities of the COPM and the categories of the ICF, aiming at a unified terminology and the identification of which activities the subjects had greater performance problems to be linked to the ICF code more need. For correlation analysis, the Kappa concordance coefficient was used, and for the analysis of sociodemographic data, the Mann-Whitney test was used. The significance level adopted was 5%. Results: The findings of this research suggest that the association between the occupational performance problems identified by the COPM and the domains of the ICF showed a high correlation. It was noted that all the problems identified by the clients through the COPM were classified in the domains of the activity and participation component of the ICF, with the domestic activities component being the most cited. The upper limb was the most reported as difficulties, as well as self-care. Gait was cited in 5 patients who had mRankin 3-4. Conclusion: The COPM proved to be viable as an evaluation instrument that allows the classification of its results in the ICF, since all activities scored by the subjects were easy to classify and fit into 6 of the 9 domains that make up the “activity and activity” component. participation” of the classification. Although the instruments do not address all components of the ICF model, those that are covered represent different levels of classification.
7	THAISY THUANY PATRICIO CORDEIRO Effect of Exercise-Based Interventions on Pain, Function, Global Perception of Change and Quality of Life of Individuals with Gluteal Tendinopathy: Systematic Review of Randomized Controlled Trials including GRADE Recommendations Advisor : RODRIGO SCATTONE DA SILVA COMMITTEE MEMBERS : GERMANNA DE MEDEIROS BARBOSA RODRIGO SCATTONE DA SILVA VINÍCIUS CUNHA DE OLIVEIRA Data: Mar 30, 2022 Show Abstract Therapeutic exercises have been shown to be effective for the treatment of tendinopathies, however, the effects of exercise for the treatment of gluteal tendinopathy have not yet been systematically reviewed. The aim of this review was to evaluate the effect of exercise on pain intensity, function, global perception of change and quality of life in individuals with gluteal tendinopathy. Searches for randomized or quasi-randomised controlled trials verifying the efficacy of exercise for gluteal tendinopathy were performed in the Cochrane Library, MEDLINE/PubMed, CINAHL, Embase, and PEDro. The selection of articles, data extraction and assessment of the methodological quality of the studies were carried out by two researchers independently, with disagreements resolved by a third researcher. Results were summarized as mean differences and 95% confidence intervals. The quality of evidence was assessed using the Grading of Recommendations Assessment (GRADE) approach. Eight studies fulfilled the inclusion criteria and were included for analysis. The results suggest that exercise is superior to the wait-and-see approach in terms of pain, function, overall perception of change, and short- and long-term quality of life. There was no difference between isometric and isotonic exercise in pain, function, quality of life, or short-term treatment success rate. Exercise plus education is superior to corticosteroid infiltration (CI) for short-, medium-, and long-term treatment success rate. Exercise is superior to platelet-rich plasma (PRP) infiltration for pain in the short- and long-term. Finally, there was no difference between exercise and sham exercise in terms of pain, function, global perception of change, and quality of life in short- and long-term. In conclusion, exercises have better results than approaches such as 'wait and see' and injections of CI or PRP for the treatment of gluteal tendinopathy. However, treatment effect estimates have only low to very low certainty evidence to support them, and more high-quality controlled trials are needed to further clarify the matter.
8	DANIELA GIBSON CUNHA PERCEPTION OF PHYSIOTHERAPISTS ABOUT TELEREHABILITATION IN WOMEN'S HEALTH IN PHYSIOTHERAPY FOR PATIENTS WITH URINARY INCONTINENCE Advisor : GRASIELA NASCIMENTO CORREIA COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA LEONILDO SANTOS DO NASCIMENTO JUNIOR Data: Jul 5, 2022 Show Abstract INTRODUCTION: Urinary incontinence (UI) is characterized as an involuntary loss of urine, and physiotherapy is the first-line treatment. Although the implementation of telehealth was needed during the SARS-COV-2 pandemic, few studies evaluated the perception of Brazilian physiotherapists regarding telehealth for UI. OBJECTIVE: To evaluate the perception of Brazilian physiotherapists on telehealth for women with UI and adherence of patients to this type of care. METHODS: This cross-sectional study was conducted between March and November 2021 using a survey (Google Forms) that comprised personal and demographic data and perception of physiotherapists regarding remote care, adherence of patients, logistics of telehealth, and resources used. Most responses were objective or in a Likert format. Only two questions were discursive. MannWhitney test and Spearman's correlation were performed with a significance level of p≤0.05. RESULTS: All physiotherapists adapted treatments to the telehealth modality. During social isolation, 63.15% reported treating patients from other Brazilian regions, and 40.78% treated patients from other countries. Regarding the perception of physiotherapists regarding adherence to telehealth, 82.89% of patients adapted to telehealth, and 68.42% had good adherence. Physiotherapists reported that 56.57% of patients adapted to telehealth; however, 76.28% still preferred face-to-face treatment. CONCLUSION: Physiotherapists perceived that patients preferred face-to-face care but had good adherence to telehealth during social isolation. Also, many physiotherapists reported difficulty in adapting to telehealth.
9	ADRIELE DE MORAIS NUNES EFFECTS OF RESPIRATORY PHYSIOTHERAPEUTIC INTERVENTIONS ON NEWBORN respiratory Mechanics: A SYSTEMATIC REVIEW PROTOCOL Advisor : SILVANA ALVES PEREIRA COMMITTEE MEMBERS : KAROLINNE SOUZA MONTEIRO LUCIEN PERONI GUALDI ANA TEREZA DO NASCIMENTO SALES FIGUEIREDO FERNANDES Data: Sep 23, 2022 Show Abstract Objective: To evaluate the effects of conventional and unconventional chest physiotherapy on lung mechanics, vital parameters and pain in newborns admitted to the neonatal intensive care unit. Design: This is a systematic review prepared in accordance with the International Trial Registration Platform; PRISMA, preferred reporting items for systematic reviews and meta-analyses. Search strategies: Searches were performed in PubMed, LILACS, SciELO, Science Direct, Cochrane Central and Web of Science databases. Eligibility criteria and selection of studies: Randomized clinical trials that evaluated aspects such as: thoracoabdominal synchrony, lung volumes and capacities, vital parameters, respiratory distress and pain in newborns aged between 1 hour and 28 days admitted to units were included. of neonatal intensive care. Data Extraction and Synthesis: Two reviewers (AMN and ATCS) independently examined the titles and abstracts of search results, coded as eligible or potentially eligible/unclear, and assessed risk of bias using the PEDro scale domains. The analysis was performed descriptively, presenting mean, standard deviation, median and quartiles when available from the studies. Results: 5334 articles were found and 4 were included. Of the four studies included, two reported a significant increase in Peripheral Oxygen Saturation after both chest physiotherapy techniques. One reduced Respiratory Rate, one increased heart rate, and no technique, conventional or unconventional, promoted pain. Conclusion: Both conventional chest physiotherapy and non-conventional chest physiotherapy had positive effects on vital parameters and pain in newborns admitted to neonatal intensive care units. It is worth mentioning that the lack of studies makes it difficult to analyze respiratory mechanics data, as well as the heterogeneity of the results of the included studies made it difficult to prepare a meta-analysis.
10	DINARA LAIANA DE LIMA NASCIMENTO COUTINHO Daily photographs: participation of children with Congenital Zika Virus Syndrome during the Covid-19 pandemic Advisor : EGMAR LONGO HULL COMMITTEE MEMBERS : CARINE CAROLINA WIESIOLEK ADRIANA GOMES MAGALHAES EGMAR LONGO HULL ROCÍO PALOMO CARRIÓN Data: Oct 10, 2022 Show Abstract Introduction: In Brazil, more than 3,500 children with congenital Zika syndrome (CZS) face difficulties participating in activities of daily living, which may be aggravated by health emergencies, such as the COVID-19 pandemic.Aim: To explore the daily lives of children with CZS during the COVID-19 pandemic using photographic narratives captured by mothers and discuss possible strategies to improve participation results. Methods: In this participatory action research, seven young Brazilian mothers acted as co-researchers using photovoice to describe the experiences of their children with CZS (from two to five years old). The research was conducted online and included the following steps: pilot study, recruitment, individualized training, sociodemographic interview, photovoice training, photo taking, focus group for contextualization, data transcription and analysis, and validation of analyses by the mothers.Results: Content analysis revealed five categories that influenced the participation of the children: participation preferences, family relationships, access to healthcare, access to education, and social isolation. Regarding participation preferences, mothers reported their children’s desire to play with peers and family members and have autonomy. Mothers described the family environment as a happy, peaceful, and safe place for the children. Lack of therapy was perceived to negatively impact the health of children; thus, treatments were considered essential for child development. Access to education included accessibility of remote education and perceived lack of infrastructure and pedagogical preparation. Last, social isolation due to COVID-19 directly affected the daily lives and behavior of the children, interrupting therapies and medical appointments.Conclusion: The photos and narratives captured several aspects of daily lives of children with CZS impacted by the COVID-19 pandemic, reinforcing the importance of considering the negative effects of social isolation and offering education and social assistance to promote participation and integral health.
11	ALIUSKA SOUZA SANTOS Effects of transcranial direct current stimulation (tDCS) for delayed-onset muscle soreness after resistance training. Protocol for a randomized clinical trial. Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : JAMILSON SIMOES BRASILEIRO JOSE DIEGO SALES DO NASCIMENTO RODRIGO PEGADO DE ABREU FREITAS Data: Nov 21, 2022 Show Abstract BACKGROUD: Delayed onset muscle soreness (DOMS) is a discomfort described as fatigue, pain and allodynia in the skeletal muscles after exercise. To minimize DOMS it is suggested non-drug therapies such as massage and cryotherapy. A new approach, Transcranial Direct Current Stimulation (tDCS) applied over the primary motor cortex (M1) is the focus of this study. This technique modulates the functional connectivity of sensory networks by modifying the perception of pain. OBJECTIVE: To develop a protocol of a randomized controlled trial to evaluate the effects of tDCS on DOMS in 24, 48 and 72 hours after a protocol of muscle damage induced by resistance exercise. METHODS: The study describes a randomized, controlled, double-blind, two-arm clinical trial protocol following the recommendations of CONSORT/2010. The study will have 6 stages: initial assessment, application of five consecutive sessions of tDCS (second to sixth), a protocol for induction of DOMS and evaluation of pain and functionality after application of the protocol; with 24, 48 and 72 hours. Muscle pain, assessed by Visual Analogue Scale (VAS), will be the primary outcome of the study. The secondary outcomes evaluated will be the elbow joint amplitude for flexion and extension, muscle performance and muscle power, evaluated by the dynamometry. The effects of stimulation shall be calculated using a model of analysis of variance (ANOVA). EXPECTED RESULTS: It is suggested that tDCS could decrease DOMS and improve functionality in active group. This protocol could be applied in further studies with a clinical population, aiming to reduce the negative effects arising from strength exercise, such as fatigue and pain.
12	ELOIZA ELENA CAMPOS DA SILVA KNOWLEDGE, ASSESSMENT AND TREATMENT OF URINARY INCONTINENCE IN POST-STROKE PATIENTS: A CROSS-SECTIONAL STUDY WITH BRAZILIAN PHYSIOTHERAPISTS Advisor : ALINE BRAGA GALVAO SILVEIRA FERNANDES COMMITTEE MEMBERS : ALINE BRAGA GALVAO SILVEIRA FERNANDES LILIAN LIRA LISBOA LUCIANA PROTASIO DE MELO Data: Nov 23, 2022 Show Abstract Introduction: Stroke is one of the primary causes of functional disability and death worldwide. Its disabling effects depend on the brain area affected. There is usually a greater focus on sensorimotor repercussions, but approximately 53% of affected patients report urinary incontinence (UI) four weeks after the stroke. UI can trigger sequelae that directly affect the quality of life of individuals, a public health problem. Therefore it is necessary to know if health professionals such as Brazilian physical therapists know about this topic. Objectives: The primary aim is to measure the knowledge of Brazilian physical therapists about urinary incontinence in post-stroke patients. The secondary objectives are: to identify whether they assess and/or treat UI in post-stroke patients, investigate the instruments and approaches they use in the assessment and treatment in clinical practice. Methods: This is an observational, cross-sectional, and analytical study. The study will follow the guidelines recommended by Strengthening the Reporting of Observational Studies in Epidemiology - STROBE. It will be carried out at the national level, through an online form filled in via equipment that allows access to the internet. The study population will be composed of Brazilian physiotherapists, registered with the council, over 18 years old, who work in the clinical practice of rehabilitation of post-stroke patients in any country region. Participants will answer a questionnaire containing identification questions, knowledge about the types of UI, if and how they assess and treat UI in post-stroke patients. Expected results: It is expected for this study to understand the knowledge and management of physical therapists in the face of UI as a sequela present in patients affected by stroke.
13	MATEUS DANTAS DE AZEVEDO LIMA RELATIONSHIP BETWEEN FUNCTIONING AND SEXUAL DYSFUNCTION IN NULIPARA AND PRIMIPAROUS WOMEN: AN ANALYSIS BASED ON THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH Advisor : Vanessa Patrícia Soares de Sousa COMMITTEE MEMBERS : SIMONY LIRA DO NASCIMENTO ALINE BRAGA GALVAO SILVEIRA FERNANDES Vanessa Patrícia Soares de Sousa Data: Dec 12, 2022 Show Abstract Introduction: Human sexuality is described as an important component in health, which involves physical, cultural and social aspects, which can negatively impact the quality of life and functioning of subjects, especially in women of reproductive age. Objective: to analyze the relationship between functioning and sexual dysfunction in nulliparous and multiparous women. Results: The participants (n=296) had a mean age of 30.41±8.18 years and: impaired sexual function (26.59±7.03), mild level of activity limitation and participation restriction (11 .23±15.92), used contraceptive methods (55.1%), had completed higher education (62.5%), partnered (89.5%), considered good sexual and general health (41.6% and 42.9%, respectively). Nulliparous women with sexual dysfunction have greater activity limitation and participation restriction (p<0.002; ES>0.16). In terms of Personal Factors, there was a weak association between education, general self-perception of sexual health and the presence of sexual dysfunction (p=0.01 and p=0.02, respectively). In the group of multiparous women, in relation to Activity and Participation, a worsening of this component was also observed in women with dysfunction. However, the impact seems to be smaller than in nulliparous women (effect size=0.53). Among the Personal Factors, only general self-perception of sexual health was significantly associated with the presence of dysfunction (p=0.02). Conclusion: The results of this study suggest that both multiparous and nulliparous women with sexual dysfunction have a greater impact on functionality when compared to those without dysfunction. However, this impact seems to be more significant in multiparous women.
14	ANANÍLIA REGINA SILVA CAVALCANTE PREVALENCE AND FACTORS ASSOCIATED WITH THE PREVALENCE OF FALLS AMONG OLDER MEN AND WOMEN - AN ANALYSIS OF THE NATIONAL HEALTH SURVEY 2013 Advisor : SAIONARA MARIA AIRES DA CAMARA COMMITTEE MEMBERS : NUBIA CARELLI PEREIRA DE AVELAR NUBIA MARIA FREIRE VIEIRA LIMA SAIONARA MARIA AIRES DA CAMARA Data: Dec 14, 2022 Show Abstract Introduction: The increase in life expectancy and the older population observed worldwide, despite showing advances in quality of life and health conditions, presents itself as a challenge for the health system due to the increase in the number of chronic conditions that accompany aging. The occurrence of falls affects the health of the older people and increases the demand for health services. At the same time, data suggest that the occurrence of falls does not occur homogeneously between men and women, exposing the need for understanding this discrepancy and what factors are associated with falls according to sex. Objective: The objective of this study is to evaluate the factors associated with the occurrence of falls among older men and women with data from the Brazilian National Health Survey (PNS) carried out in 2013. Method: This is a cross-sectional study with data extracted from the 2013 PNS with older adults 60 years or older who were also the resident selected for the interview. A total of 11,177 older people were included in the present study, 4,555 men and 6,622 women. The question “falls in the last 12 months” was used to classify fallers and non-fallers. Socioeconomic data, mental health variables, presence of chronic diseases, physical functioning, life habits and reproductive history were also evaluated. Data analysis was performed using the chi-squared test and binary logistic regression stratified by sex, considering p value < 0.05. Results: Of those interviewed, 7.7% (n=1,825) reported that they had suffered a fall in the last 12 months. Of these, 67.6% were women and 32.4% were men. The occurrence of falls was associated with difficulty in performing basic activities of daily living, the use of auxiliary devices for locomotion, looking for a health service in the last two weeks and the presence of mental health complaints for both men and women. For men, the occurrence of falls was also associated with not practicing physical exercise or sports in the last 3 months, while for women it was associated with not living with a spouse or partner, difficulty with instrumental activities of daily living, and victimization due to violence. Conclusion: Older men and women share some common factors associated with falls and others are gender specific. The presence of more variables associated with falls in women suggests that, in addition to the physical issue, they are also more affected by social variables that must be considered when designing public policies aimed at this population.
15	CARLA DANIELE FERREIRA DANTAS TRANSCRANIAL DIRECT CURRENT STIMULATION OVER THE DORSOLATERAL PREFRONTAL CORTEX IMPROVES PAIN AND MOOD STATE IN END STAGE RENAL DISEASE: A RANDOMIZED CONTROLLED TRIAL Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : ALEXANDRE HIDEKI OKANO GERMANNA DE MEDEIROS BARBOSA RODRIGO PEGADO DE ABREU FREITAS Data: Dec 15, 2022 Show Abstract Introduction: Chronic kidney disease (CKD) is an important public health problem worldwide with a significant increase each year and an estimated prevalence of 10% of the world population. Patients in end-stage renal disease (ESRD) on hemodialysis have a high prevalence of moderate to severe chronic pain, with an estimate of 50 to 80%. Chronic pain in ESRD is undertreated and neglected clinical condition, negatively interfering in quality of life, mood and functionality. Complementary techniques for pain control are suggested for this population and non-invasive stimulation can be an advantageous resource. Transcranial direct current stimulation (tDCS) is a non-invasive neuromodulation technique applied through electrodes attached to the scalp in specific areas according to the objective to be achieved. tDCS is recommended for the adjuvant treatment of physical and behavioral disorders, reducing depressive symptoms, anxiety and pain. Objectives: The study aims to evaluate the effect of anodal tDCS over the left dorsolateral prefrontal cortex (DLPFC) on pain (primary outcome), anxiety and depression in patients in ESRD undergoing hemodialysis. Material and methods: A double-blind, parallel, randomized and sham-controlled clinical trial was conducted at the Santa Rita Nephrology Center in Santa Cruz, Rio Grande do Norte. Ten non-consecutive tDCS sessions were performed with 2mA for 20 min and F3/Sp2 montage (anodal electrode on the left DLPFC and cathode over the contralateral supraorbital area). Pain (Visual Analog Scale – VAS) was assessed at baseline, on the first and tenth day of tDCS and at the 7-day follow-up. Anxiety (Hamilton Anxiety Scale) and depression (Beck Depression Inventory) were assessed at baseline and after the intervention. ANOVA showed a significant interaction between group and time on pain, F(3.54) = 10.220, p = 0.0005, partial η2 = 0.362. It was also possible to observe the interaction of time, F(3.54) = 34.787, p = 0.0005, partial η2 = 0.659. The ANCOVA showed a significant difference between groups for anxiety, F(1, 17) = 5.915, p < 0.02, partial η2 = 0.258 and a tendency for depression F(1, 17) = 4.426, p = 0.05, partial η2 = 0.207. Conclusion: It is suggested that anodal tDCS over the DLPFC could improve pain and mood in ESRD. This novel approach brings new perspectives for the adjuvant treatment of pain and mood disturbance in ESRD. Future studies are suggested to assess the long-term effects in this population.
16	MARCELLA CABRAL DE OLIVEIRA HUMAN BIOLOGICAL MOTION PERCEPTION IN POST-STROKE PATIENTS Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : LUCIANE APARECIDA PASCUCCI SANDE DE SOUZA ENIO WALKER AZEVEDO CACHO ROBERTA DE OLIVEIRA CACHO Data: Dec 19, 2022 Show Abstract Introduction: Stimulating the relearned motor is essential in the rehabilitation of patients affected by neurological disorders. Theories propose that the motor system is involved in the perception of movement, therefore, dysfunctions in the visual-motor representations shared in the motor system must lead to impaired perception of human movements. Objective: Analyze if post-stroke individuals and individuals with PD have impaired biological perception of movement. Materials and Methods: It is characterized as a cross-sectional quantitative study with blind evaluator. A sample of 25 individuals per group is desired. The subjects that fit the inclusion criteria will be selected, included in the sample and in the Stroke Group and in the PD Group. In addition, healthy elderly individuals will be recruited into the Control Group (CG). All participants will be tested separately and will start the test with a movement perception task, followed by the assessment of muscle tone by the Modified Ashworth Scale, motor impairment by the Fugl-Meyer Scale (FM), Hoehn Scale and Yahr (H&Y) and the Unified Parkinson's Disease Assessment Scale (UPDRS), sensitivity by the Nottingham Sensory Assessment , the dominance of hands by the Portuguese version of the Edinburgh Handedness Inventory (EHI) and the cognitive function by the Mini Mental State Examination (MMSE). GC participants will be assessed through EHI and MEEM. For statistical analysis will be used the Statistical Package for Social Sciences (SPSS) (version 20.0). The normality test will be performed to verify if it is a sample with normal or non-normal distribution, thus defining if Parametric or Non-Parametric Tests will be used. To establish significance between the parameters analyzed, a value of p <0.05 will be observed.
17	EMILLE DE SOUZA APOLINARIO BARRETO PHYSICAL THERAPISTS´PERCEPTIONS OF MOTOR LEARNING QUESTIONNAIRE (PTP - ML): CROSS-CULTURAL ADAPTATION AND RELIABILITY Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : ENIO WALKER AZEVEDO CACHO JOAO AFONSO RUARO ROBERTA DE OLIVEIRA CACHO Data: Dec 22, 2022 Show Abstract Background: Assessing physiotherapists' perception of motor learning content requires a validated instrument for this purpose. Objective: To evaluate the cross-cultural adaptation and test-retest reliability of the instrument “Physical Therapists' Perceptions of Motor Learning questionnaire (PTP-ML)” for its Brazilian version.. Methods: At the beginning of the cross-cultural adaptation stage, cognitive interviews were carried out with physiotherapists (n=7) to analyse the understanding and agreement of the PTP-ML questionnaire, after this process, 32 physiotherapists completed the questionnaire in the online format for analysis of understanding and thus the expert committee once again made the necessary adaptations. For reliability analysis, physiotherapists participated in this step (n=50), who answered the questionnaire twice within a seven-day interval. Results: In the cognitive interview stage, some questions had to be adjusted to improve the professionals' understanding in the analysis of the questionnaire's interpretation. As only 11 items out of the 35 generated doubts between two participants who correspond to 6.3% of the total, no further modifications are required. PTP-ML, showed good test-retest reliability between 0.74 and 0.82 for the sections of the questionnaire. Conclusion: In this way, the questionnaire is culturally appropriate and reliable.

2021

	Dissertations
1	NEILDJA MARIA DA SILVA Effects of a Multicomponent Exercise Program on Groups of Community-Dwelling Older Adults With Low SchoolingDouble-Blind Randomized Clinical Trial Advisor : NUBIA MARIA FREIRE VIEIRA LIMA COMMITTEE MEMBERS : THAIS BOTOSSI SCALHA NUBIA MARIA FREIRE VIEIRA LIMA SAIONARA MARIA AIRES DA CAMARA Data: Jan 29, 2021 Show Abstract Introduction: Brazil has historically been marked by the low rate of formal education of the elderl. In addition, the largest portion of Brazilian studies with multicomponent exercise programs with community-dwelling seniors belongs to the south and southeast for seniors with higher formal education. Therefore, it was found that there are several studies in the literature with proposals for multicomponent programs, but it is observed that there is limited evidence on the application of these programs in elderly people with low formal education. Objective: to analyze the effects on the physical and hemodynamic functions of elderly community members with low formal education through a multicomponent program adapted with a double task in relation to simple multicomponent exercises performed in groups. Methods: This is a randomized, double-blind clinical trial. Elderly people over 60 years old, both sexes and who did not have serious orthopedic and neurological diseases were included. Twenty-one elderly people were randomly allocated into two groups: G1 (n = 11) and G2 (n = 10) and sixteen finished the studies. sixteen sessions for six weeks, three times a week. During eight sessions, (G1) performed multi-component exercises adapted with dual task Ageing-ONDUAL-TASK (strengthening, balance and cognitive tasks) and (G2) simple multi-component exercises adapted (strengthening, balance) and the two groups performed simple multi-component exercises during eight sessions. Three evaluations were carried out, first (pre), second (post) and third evaluation (follow-up). Seven measurement instruments were applied and computerized posturography. Results: It was found that both groups showed homogeneity in the sociodemographic profile and in the clinical and physical-functional characteristics. Cognitive function did not show intergroup difference, however, G2 showed an increase in PCL after the third assessment (p = 0.031). Frailty showed intergroup improvement in SPPB scores after the third assessment (p = 0.008), as well as mobility by simple (p = 0.011), motor (p = 0.018) and cognitive (p = 0.010) tests. In addition, after the third assessment, dynamic balance also showed intergroup improvement in simple (p = 0.018), motor (p = 0.022) and cognitive (p = 0.018), as well as G2's cognitive F8W improved between the second and the second. third assessment (p = 0.034). The results of posturography show significant intergroup differences between the medians (between the 1st and 2nd and 1st and 3rd assessments). In G1, differences in body oscillations were observed between the 1st and 2nd assessments in the anteroposterior position under the following conditions: semantic verbal fluency (p = 0.035), calculations (p = 0.043), memory / attention (p = 0.011). In the mid-lateral position, there was a statistical difference in the condition of open eyes (p = 0.039). In group 2, significant differences were found between the 1st and 3rd assessments of the oscillation in the mid-lateral position for open eyes (p = 0.031) and memory / attention (p = 0.031), the total displacement showed differences in all conditions. The hemodynamic function remained within the normal range, with no significant changes after the sessions. Conclusion: It was observed that multicomponent exercises with dual tasks had similar effects to simple multicomponent exercises. The elderly of both interventions showed improvement in mobility, fragility, static postural control and hemodynamic balance and stability. In addition, the adapted program proved to be beneficial for elderly community members with low schooling for group intervention.
2	IANKA MARIA BEZERRA CUNHA WHAT REHABILITATION PRACTICES ARE BEING DELIVERED FOR CHILDREN WITH CONGENITAL ZIKA SYNDROME? A MAPPING STUDY Advisor : EGMAR LONGO HULL COMMITTEE MEMBERS : ANA PAULA MARTINS CAZEIRO EGMAR LONGO HULL KAROLINNE SOUZA MONTEIRO Data: Feb 9, 2021 Show Abstract Introduction: Currently, more than 3 thousand children diagnosed with Congenital Zika Syndrome (CZS) should receive rehabilitation follow-up in specialized, public and private services throughout Brazil, however, it is not known whether the interventions used are based on scientific evidence, and whether the model of care provided to children with CZS considers the use of the International Classification of Functioning, Disability and Health (ICF). In this sense, the study aimed to map the current rehabilitation practices performed in children with CZS by physiotherapy and occupational therapy professionals in Brazil. Method: Cross-sectional study conducted through an online questionnaire addressed to professionals who provide assistance to children with CZS. Subsequently, the data collected were analyzed using descriptive statistics. Results: One hundred and sixteen rehabilitation professionals (76 physiotherapists and 37 occupational therapists) participated in the study, most of whom were female physiotherapists, with more than 10 years of experience in treating children. In total, 56% reported using scientific evidence to guide their intervention. As for the type of treatment, Bobath was the intervention most cited by physical therapists (n = 22) and Sensory Integration (n = 9) by occupational therapists. Still, 66.4% of the professionals stated that they did not consider the ICF during the assessment and intervention of the children. Conclusion: The findings of this study suggest that knowledge translation and professional training strategies may be necessary to implement evidence-based practices to ensure improved quality of care for children with CZS.
3	LUIZA GABRIELA DE ARAÚJO FONSECA Characterization of hospital admissions due to cardivascular and respiratory diseases in Brazil Advisor : LUCIEN PERONI GUALDI COMMITTEE MEMBERS : LUCIEN PERONI GUALDI ILLIA NADINNE DANTAS FLORENTINO LIMA VANESSA REGIANE RESQUETI FREGONEZI JESSICA DANIELLE MEDEIROS DA FONSECA Data: Feb 25, 2021 Show Abstract Objective: To characterize hospital admissions and deaths due to CVD and respiratory diseases between 2008 and 2019 in the Brazilian population. Methods: Descriptive study with secondary data from the SUS Hospital Information System (SIH / SUS). It was included all data regarding hospitalization and deaths due to CVD and respiratory diseases in the population Brazilian, aged 20 to over 80 years. The analysis period was between 2008 and 2017 for CVD and 2008 and 2019 for respiratory diseases. The variables were classified according to the number of hospital admissions, year of processing, region of residence, age group, sex, cause of hospitalization, number of hospital deaths and hospital mortality rate. Data were stored in the Microsoft Excel program, version 2013, and statistical analysis was performed in the GraphPad software versions 5.0 and 6.0. The variables were described in absolute and relative frequency. The comparisons were performed using the Mann-Whitney, unpaired t student, Krulkal-Wallis and Anova two-way tests with Tukey's pos hoc, considering a significance level of α <0.05. Results: There were 11,345,821 hospitalizations (21.3% due to heart failure) and 867,838 hospital deaths due to CVD between 2008 and 2017. The mortality rate in this population was 7.82 with a progressive increase according to the age group (p<0,05). When respiratory diseases were analyzed, it was found 8,448,220 (52.8% due to pneumonia) hospitalizations and 991,926 hospital deaths between 2008 and 2019. The observed mortality rate was 11.74 with higher incidence in the southeastern region (p<0.0001) and in the age group 80-> 80 years (p <0.0001). Conclusion: although there is a decrease in hospitalization and deaths due to CVD and respiratory diseases the numbers are still high and new preventive strategies should be created to prevent such events.
4	MAGDALENA MURYELLE SILVA BRILHANTE SOCIAL ISOLATION DUE TO SARS-COV-2: IMPACT IN THE PELVIC FLOOR MUSCLE DYSFUNCTION Advisor : GRASIELA NASCIMENTO CORREIA COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA LARISSA RAMALHO DANTAS VARELLA Data: Mar 3, 2021 Show Abstract Objective: To assess the impact of social isolation due to SARS-CoV-2 on the prevalence and severity of urinary incontinence and the sexual function of nulliparous women. Methods: Observational, longitudinal study, carried out from August / 2019 to September / 2020, at the Faculty of Health Sciences of Trairi / RN, with 37 nulliparous women from 18 to 35 years old, who answered the socio-anthropometric evaluation, to the Incontinence Severity Index Questionaire, King's Health Questionnaire, Female Sexual Function Index (FSFI), Short Form Health Survey 36 (SF-36), and the Stunkard, Sorensen and Schlusinger Silhouette Scale, before and during isolation due to SARS-CoV-2. For the statistical analysis, the Wilcoxon Test was applied, and the Spearman Correlation Coefficient, due to the non-parametric distribution. Significance level p≤0.05. Results: During social isolation, there was an improvement in urge incontinence (p = 0.01) and in the frequency of urinary incontinence (p = 0.03). The severity of urinary incontinence had a positive correlation with: general health perception (p = 0.02; r = 0.65); physical (p = 0.03; r = 0.60) and social (p = 0.001; r = 0.82) and social limitations. The number of physically active women decreased by 21.62%, there was an improvement in the orgasm domain of FSFI (p = 0.0081) and in the pain domain of SF-36 (<0.0001) during social isolation, in addition the The General Health State domain of the SF-36 showed a weak positive correlation with sexual function (p = 0.04; r = 0.37) during social isolation. Conclusion: The social isolation of SARS-CoV-2 improved urge incontinence and frequency of urinary incontinence. The more severe the urinary incontinence, the worse the general perception of health, physical and social limitations during isolation. It also favored the improvement of orgasmic function, improved pain assessed by the SF-36, and contributed to a weak positive correlation between sexual function and quality of life.
5	MAIARA ALVES DO NASCIMENTO CHANGE OF SMELL AND TASTE AND RELATED FUNCTIONS CLINICAL IN SUBJECTS WITH COVID-19. Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : ARTUR QUINTILIANO BEZERRA DA SILVA LEANDRO DE ARAUJO PERNAMBUCO RODRIGO PEGADO DE ABREU FREITAS Data: Mar 5, 2021 Show Abstract Objective: to evaluate changes in sensory functions of smell and taste in individuals with COVID-19 and to investigate their correlations and clinical implications. Methodology: this is a descriptive and analytical research carried out using an online form, using the resources of the Google Docs® platform. The form was structured from a sociodemographic questionnaire, a clinical investigation questionnaire and a self-reported symptoms investigation questionnaire. For the formation of the sample, a probabilistic calculation was performed, using the reference of 15% of the incidence of COVID-19 from a previous study, adopting a 95% confidence level and a margin of error of 5%, reaching a total of 195 participants. Considering the possibility of losses due to failures in data collection or failure to meet pre-selected eligibility criteria, the final sample consisted of 210 individuals, aged over 18 years and who had a positive diagnosis for COVID-19. Results: the demographics of the data showed age ranging from 18 to 79 years (mean ± 33.97), with a greater representation of females 79.5% and a predominance of participation in the state of Paraíba 71.4%. The prevalence of anosmia and augesia in the general population was 86.2%, with anosmia being present in 84.8%, and augesia in 77.6%. In addition to these, the most reported symptoms were headache (80%), fatigue / tiredness (70.5%), runny nose or stuffy nose (71.8%), muscle pain (70.3%), cough (55.2%), diarrhea (49.0%) sore throat (48.3%), fever (47.6%), and to a lesser extent the sensation of shortness of breath (27.1%). There was statistical significance in the analysis of the association between loss of smell and taste and the symptoms of cough, runny nose, headache and fatigue and the relationship between the symptom of shortness of breath and agony and the symptom of muscle pain and anosmia. The loss of sensory functions was evidenced predominantly in younger individuals and in the female sex, being attributed to the change in appetite, pleasure and desire for food, increasing the time to finish a meal during the onset of the disease. It was also shown that 63.3% reported the absence of diseases preceding the infection by COVID-19. Conclusion: the loss of sensory functions of smell and taste behaved as an important factor to be considered in the infection by COVID-19, as they are associated with other symptoms of the disease. It was also found that anosmia and augesia contributed to the change in swallowing functionality.
6	RAISSA SOUZA TAVEIRA Player FeedBack - Device For Motor Learning Assessment Post-Stroke: A pilot Study Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : ENIO WALKER AZEVEDO CACHO PAULO AUGUSTO DE LIMA FILHO ROBERTA DE OLIVEIRA CACHO THAIANA BARBOSA FERREIRA PACHECO Data: May 6, 2021 Show Abstract Background: Stroke has been reported as the second cause of death and one of the leading causes of disability worldwide. Deficits caused by stroke, mainly in upper limb, lead to limitations in daily, professional, and social life activities. Motor learning (ML) principles are included in many rehabilitation interventions to improve upper limb function. However, only few devices are available for ML assessment and training. Therefore, this study aimed to develop a device to assess ML using in post-stroke individuals. Methods: This study follows Tseng's methodology for innovative product design and development, consisting of two stages (device development and testing). Player Feedback (PF) development and design aimed to guide upper limb movements by visual stimuli linked to a control module containing software to compute motor performance variables, using reaching/pointing task and considering motor learning theories. Then, eight individuals were intentionally recruited for device testing by measuring the number of correct answers, number of advanced correct answers, average reaction time, learning sequence, total of correct sequences, and score. Results and discussion: A simple, low-cost, user-friendly, and quickly applied device was developed. PF measurements can be used in rehabilitation, therapeutic monitoring, and new therapeutic approaches development since these ML variables are not observed in clinical instruments and are often altered post-stroke. Conclusion: PF is a motivating and innovative tool to perform reaching/pointing tasks in post-stroke individuals. ML assessment using PF showed to be effective in post-stroke individuals, improving sequence learning task performance. Therefore, this approach further befits the neurorehabilitation process, guiding evaluation, therapy, patients, and health professionals for treatment optimization.
7	ADRIANO ARAÚJO DE CARVALHO PERCEPTION OF PHYSIOTHERAPISTS ON SELF-MANAGEMENT AND SEDENTARY POST-BEHAVIOR BEHAVIOR: AN OBSERVATIONAL STUDY Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : ILLIA NADINNE DANTAS FLORENTINO LIMA KARLA LUCIANA MAGNANI SEKI ROBERTA DE OLIVEIRA CACHO Data: May 14, 2021 Show Abstract INTRODUCTION: the low level of physical activity and sedentary behavior worsen the condition of these patients, even increasing the likelihood of new events. Physical exercise programs such as self-management must be implemented. However, do professionals know the influence of sedentary behavior and the importance of self-management for these patients? OBJECTIVE: to analyze the perception of physiotherapists professionals who care for or who have already attended patients with neurological impairment after stroke about the importance of physical activity, sedentary behavior, the level of knowledge about self-management and its benefits. METHODOLOGY: This is a cross-sectional observational study using an online questionnaire with physiotherapy professionals from all over Brazil who attend or who have already attended patients with neurological impairment after stroke. Including those who agreed with the ICF and professionals who were away from therapeutic practice were excluded. The questionnaire was developed on the Google Forms® platform sent by social networks and e-mail registered with the respective Regional Councils of Physiotherapy and Occupational Therapy. RESULTS: the professionals were divided into two groups: those who had the neurofunctional area as the area of greatest performance and those from other areas. Of the 174 participants, we saw that among the professionals who compose the sample and who have the greatest performance in neurology, they do not have greater knowledge compared to professionals in other areas about sedentary time and its relationship with the functionality and physical conditioning of patients diagnosed with Stroke. In addition, no significance was found between making use of strategies for health promotion and prevention, such as promoting physical activity and reducing sedentary time and having a specialization in neurology. CONCLUSION: among the professionals who compose the sample and who have the greatest performance in neurology, they do not have greater knowledge compared to professionals in other areas about sedentary time and its relationship with the functionality and physical conditioning of patients diagnosed with stroke.
8	RUTH BATISTA BEZERRA Visual Function Assessment of Premature Newborns Advisor : SILVANA ALVES PEREIRA COMMITTEE MEMBERS : RAQUEL COSTA ALBUQUERQUE MIRELLA TELLES SALGUEIRO BARBONI SILVANA ALVES PEREIRA Data: Jun 16, 2021 Show Abstract Introduction: In Brazil, despite the scarcity of population studies that demonstrate the prevalence and causes of visual impairment, important programs for visual screening in the pediatric population have been created with the aim of reducing the chances of developmental delay. Objectives: This study presents a protocol for the evaluation of different aspects of visual function of premature newborns still hospitalized and investigates the threshold of visual acuity of premature newborns. Material and Methods: This is a cross-sectional observational analytical study approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte under number 1.876.007, carried out in a public maternity hospital, located in the Northeast region of Brazil, reference in high-risk pregnancies in the state of Rio Grande do Norte. Data collection occurred during the period from February to October 2018 and the sample consisted of premature newborns admitted to the Neonatal Intensive Care Unit who had a corrected gestational age between 30 and 36 weeks and 6 days, which were clinically stable. The visual function was evaluated by 7 tasks compiled in a single Standard Operating Protocol and for the evaluation of Visual Acuity it was used in the Teller cards according to the manual's rules. During the study period, 59 newborns fulfilled the inclusion criteria and 42 were recovered, 17 were excluded for failing to reach the test due to a fall in alertness (drowsiness or crying). Results: Among the 7 aspects of the visual function taken, all were present in the neonatal period and the threshold of Visual Acuity of a premature newborn close to 32 weeks of corrected gestational age is 0.32 cpg.
9	JORDÂNIA ABREU LIMA DE MELO INTRAPARTUM PHYSIOTHERAPEUTIC INTERVENTION AND ITS REPERCUSSION ON OBSTETRIC AND NEONATAL VARIABLES: A TRANSVERSAL STUDY Advisor : ADRIANA GOMES MAGALHAES COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA KARLA VERUSKA MARQUES CAVALCANTE DA COSTA Data: Sep 2, 2021 Show Abstract Introduction: Clinical practice shows benefits to parturients regarding the presence of a physiotherapist in obstetric care. However, the scope of scientific evidence that supports such practice is still incipient in the literature. Objective: This dissertation covers two studies that had as objectives to verify in a separate way, the comparison of obstetric outcomes, such as the duration of labor (TP) and expulsion period of women undergoing physical therapy during labor with those who did not receive such assistance; and the relationship between intrapartum physical therapy, perineal trauma, obstetric and neonatal variables. Methods: Analytical observational cross-sectional studies, carried out at the Ana Bezerra University Hospital (HUAB), Santa Cruz, Rio Grande do Norte, Brazil, with parturient women aged between 18 and 40 years, nulliparous, primiparous and multiparous, with a single fetus and gestational age between 37 and 42 weeks of gestation. In the first study, the dependent variables were duration of labor and the expulsive period, and the independent variables were intrapartum physiotherapeutic resources. The Kruskal-Wallis and Mann-Whitney tests were used to compare the observed obstetric results. In the second study, the dependent variable was perineal trauma (episiotomy and spontaneous perineal lacerations) and the independent variables were: intrapartum physical therapy intervention, physical therapy resources, obstetric, sociodemographic and neonatal variables. Bivariate analysis (chi-square) was performed between the dependent and the independent variables. Binary Logistic Regression was applied to verify whether the independent variables would be predictors of perineal trauma. For all analyses, a significance level of p<0.05 was adopted. Results: There were no statistically significant differences regarding the duration of labor and expulsion period between the groups with physical therapy monitoring and without this assistance, in the active (p=0.14) and latent (p=0.80) phases. A statistically significant difference was observed between women who had physical therapy follow-up in different phases of the TP, in which those who underwent physiotherapy in the active phase had a shorter TP than those who underwent it in the latent phase (p=0.012). There was a significant association between perineal trauma versus: slow and deep breathing in the expulsive period (p=0.026), previous pregnancies (p=0.001) and number of vaginal deliveries (PV) (p=0.001). In the multivariate analysis, there was a decrease in perineal trauma of 59.8% (OR: 0.402 95%CI: 0.164; 0.982) in women who received respiratory guidance during the expulsion period by physical therapists, whereas women with up to two PV have 5 .38 (OR: 5.380 95%CI: 1.817; 15.926) times more likely to have perineal trauma when compared to those with more than two PV. Conclusion: The results of this study suggest that women who had intrapartum physiotherapeutic follow-up and were not admitted early (active phase), had a shorter TP than those who were admitted in the latent phase and that such assistance seems to have a positive impact on the pelvic floor of pregnant women low risk or usual risk.
10	ERIKA GIOVANA CARVALHO DA SILVA TRANSLATION AND CROSS-CULTURAL ADAPTATION OF THE BRAZILIAN VERSION OF THE MODEL DISABILITY SURVEY Advisor : NUBIA MARIA FREIRE VIEIRA LIMA COMMITTEE MEMBERS : ANNA CECILIA QUEIROZ DE MEDEIROS NUBIA MARIA FREIRE VIEIRA LIMA SHAMYR SULYVAN DE CASTRO Data: Oct 6, 2021 Show Abstract Introduction: Although morbidity and mortality are important, health indicators related to functionality should also be incorporated into Brazilian data collection systems. In this sense, the World Health Organization designed the Model Disability Survey (MDS) based on the biopsychosocial model of the International Classification of Functioning, Disability, and Health (ICF). This instrument has a standard data collection for population-level surveys and provides information on difficulties of people with and without disabilities and how they conduct their lives. Objective: To translate, cross-culturally adapt, and analyze content validity of the Brazilian version of the MDS. Methods: This cross-sectional was conducted in five steps: initial translation, synthesis of translations, back-translation, review by an expert committee, and pre-test. The study followed current international and national guidelines for translation and cross-cultural adaptation of health measurement instruments, with semantic, idiomatic, experimental, and conceptual equivalence. For the pre-test, we included people of both sexes aged over 18 years, with or without disabilities and formal education, and with cognitive ability to answer the survey. Those who refused to answer all questions or left the interview without completing the survey were excluded. Results: MDS was considered with 474 items, and 1,896 analyzes were performed according to four equivalences. Of these, 17.25% were partially adequate and inadequate by specialists. A total of 160 items were discussed with other members of the committee. All experts approved the pre-final version after clarifying and adjusting discrepancies. In the pre-test, 22 interviews were conducted in Rio Grande do Norte (73.3%), four in Ceará (13.3), and four in Paraíba (13.3%), with average duration of 123 minutes. The target audience was 30 participants (predominantly women), single, young adults, self-declared black or brown, with at least technical education. Most were active workers and lived and lived with three family members. Out of one hundred twenty-seven health conditions cited, the most frequent were anxiety and back pain/herniated disc. Answers were analyzed and 63 items needed adjustments; however, only two were sent to the expert committee because they presented a content validity index of < 0.80. The instrument, manual, and presentation cards were adjusted after a new pre-test. Conclusions: The MDS instrument was translated into Brazilian Portuguese, cross-culturally adapted for the Brazilian population, and presented adequate content validity. The Brazilian version was entitled MDS-Brazil.
11	NAYARA KARINA FERREIRA PEREIRA EVALUATION OF SOCIAL COGNITION IN POST-STROKE PATIENTS: HEMISPHERIC ANALYSIS Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : ROBERTA DE OLIVEIRA CACHO GUSTAVO LUVIZUTTO MARCOS HORTES NISIHARA CHAGAS Data: Nov 26, 2021 Show Abstract Introduction: Social cognition in post-stroke patients is one of the increasingly explored fields of research in the study of post-acquired brain injury psychiatric disorders. It is conceptualized as a complex construct of sociocognitive skills concerning the ability to process social information. It is a set of cognitive domains, including theory of mind (ToM) (ability to understand and infer emotions) as one of the most prevalent in studies investigating sociocognitive alterations. ToM deficits potentially result in impairments in information processing, and the laterality of the brain injury may influence the level of impairment. Thus, different evidence suggests that functions related to social cognition may be lateralized to regions of the right brain hemisphere, with the potential to cause greater impairment in patients with lesions in this hemisphere. Objective: This research aims to investigate whether the laterality of the hemispheric lesion after CVA influences the performance in ToM tasks. Methodology: This is a cross-sectional study, where patients with a clinical diagnosis of CVA, age ≥18 years, without cognitive deficits suggestive by the Mini-Mental State Examination (MMSE) were included. Participants underwent a single assessment using the Theory of Mind Task Battery (ToM TB). Afterwards, they were allocated into two groups according to the laterality of the brain injury, right hemisphere injury group (RHI) and left hemisphere injury group (LHE). Results: In general, the findings suggest that there was no difference between the groups analyzed LHD and LHE in relation to social cognition assessed by ToM TB (p>0.05), for analysis by item and total score of the battery of tasks. Conclusion: Regardless of the injured brain hemisphere, the findings of this study support a similar social cognitive profile between the groups. Therefore, the results have implications for exploring the formulation of interventions targeting changes in this domain of social cognition and reducing disability.
12	NAYARA DA SILVA PONTES USE OF CUPPING THERAPY IN MUSCULOSKELETAL DYSFUNCTIONS: A RESEARCH ON BEHAVIORS, BARRIERS AND ATTITUDES OF BRAZILIAN PHYSICAL THERAPISTS AND PROPOSED PROTOCOL OF INTERVENTION FOR INDIVIDUALS WITH OSTEOARTHRITIS OF THE KNEE Advisor : MARCELO CARDOSO DE SOUZA COMMITTEE MEMBERS : LETICIA BOJIKIAN CALIXTRE MARCELO CARDOSO DE SOUZA PEDRO OLAVO DE PAULA LIMA Data: Dec 13, 2021 Show Abstract The cupping therapy has been widely used by physical therapists in clinical practice for the supposed control of symptoms in various musculoskeletal disorders. The mechanisms of action and clinical effects of this resource are still not well known, and its effectiveness is currently being questioned. Among the various chronic-degenerative disorders, knee osteoarthritis (KOA) is highly prevalent in the entire world population, with the knee being the most affected joint, and there are no high-quality methodological studies on the treatment with cupping for this disease. The general objective of this study was to investigate the behavior, barriers and attitudes of Brazilian physiotherapists who use the cup as a therapeutic resource in the treatment of musculoskeletal disorders and subsequently propose an intervention protocol to assess the effects of cupping therapy on pain, function and quality of life of individuals with knee osteoarthritis. A cross-sectional study was carried out, with a quali-quantitative approach, through an online questionnaire, in which 646 physical therapists who claimed to use the suction cup as a therapeutic resource in musculoskeletal disorders in their clinical practice participated. In the results, we observed that suction therapy has been widely used in clinical practice by physical therapists, most of whom have recently graduated from a private institution, with little experience, understanding and skill with evidence-based practice. These professionals listed as the main facilitator for the use of the suction cup, the easy access, low cost and easy handling. However, the scarcity of scientific evidence with good methodological quality described in the literature regarding its clinical effects was listed as a main barrier to its use. Thus, physiotherapists with little professional experience and skill with evidence-based practice use the resource in clinical practice, even without current scientific recommendations related to its application in musculoskeletal disorders. To assess the effects of cupping therapy on subjects with KOA, a randomized controlled clinical trial protocol was proposed. 62 women with a diagnosis of KOA will be recruited, based on the clinical criteria of the American College of Rheumatology, and randomly allocated into two groups (31 per group): the cupping group and the cupping-sham group. The intervention will be carried out for 15 minutes, twice a week, over 6 consecutive weeks, totaling 12 sessions. Both groups will be evaluated at 4 times: before the intervention (T0), after 3 weeks of interventions (T3), at the end of the protocol (T6) and 4 weeks after the end of the intervention (follow-up - T10). The outcomes analyzed will be: pain by the numerical pain scale, physical function by the WOMAC; functionality by going up/down stairs, brisk walking in 40 m and sitting/getting up from a chair in 30 s, quality of life by SF-36 and assessment of global perception of recovery.
13	VANESSA KAROLINE DA SILVA INFLUENCE OF OBSTETRIC AND SOCIAL-DEMOGRAPHIC FACTORS ON FUNCTIONALITY AND DISABILITY IN LOW-RISK PREGNANT WOMEN Advisor : ADRIANA GOMES MAGALHAES COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA KARLA VERUSKA MARQUES CAVALCANTE DA COSTA Data: Dec 13, 2021 Show Abstract Pregnancy is a period where a woman undergoes several changes that affect her life, which can cause discomfort and pain. The International Classification of Functioning, Disability and Health (ICF) focuses on individuals and their real needs, rather than focusing only on their health condition and its causes, being able to transcend the biological and see the repercussions of the health condition in the person's functionality and daily life. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a questionnaire developed by the WHO and linked to the ICF that assesses functionality and disability. It consists of 36 items and six domains of daily activities: cognition, mobility, self-care, interpersonal relationships, life activities and participation. This study aimed to verify which sociodemographic and obstetric factors are related to the decrease in functionality of pregnant women in the city of Santa Cruz/RN, assessed using the WHODAS 2.0. Quantitative cross-sectional study, carried out between August/2018 and April/2020, with 140 pregnant women from northeastern Brazil. Data collected at Basic Health Units, at the Faculty of Health Sciences of Trairi (FACISA/UFRN) and through Google Meet. Pregnant women with a single fetus participated, who understood the questions; those who refused to answer a question, had an interrupted interview or had difficulty in understanding were excluded. An evaluation form was used to obtain sociodemographic, lifestyle and obstetric data. Functioning and disability were measured with the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The sample power was 100%. A significance of 5% (p<0.05) was adopted. Regarding sociodemographic factors, a decrease in functionality was observed in the self-care domains (in relation to the practice of physical exercise, p=0.035), household activities (about working outside, p=0.022), school/work activities (regarding the amount of years of education, p=0.03; and the woman's color/race, p=0.047), and in the participation domain (schooling, p=0.03; working outside the home, p=0.009; and being alcoholics, p=0.041 ). Regarding obstetric factors, we obtained a decrease in the functionality of pregnant women in the self-care domains in relation to gestational age (p=0.007); interpersonal relationships with number of pregnancies (p=0.014) and number of births (p=0.025); and in the domain of school/work activities in relation to the number of pregnancies (p=0.047) and number of abortions (p=0.007). We found that there is a decrease in functionality of pregnant women assessed with the WHODAS 2.0 in relation to physical exercise, paid work, their color/race, education, the fact that they are alcoholics, in addition to their gestational age, number of pregnancies, number births and abortions.
14	WELLINGTON DOS SANTOS LIMA JÚNIOR EFFECT OF BLOOD FLOW RESTRICTION TRAINING ON UPPER LIMB MUSCLE STRENGTH AND TROPHISM IN INDIVIDUALS WITH OR WITHOUT MUSCULOSKELETAL DYSFUNCTIONS: SYSTEMATIC REVIEW Advisor : CAIO ALANO DE ALMEIDA LINS COMMITTEE MEMBERS : CAIO ALANO DE ALMEIDA LINS MARCELO CARDOSO DE SOUZA MIKHAIL SANTOS CERQUEIRA Data: Dec 16, 2021 Show Abstract Blood Flow Restriction (BFR) training is a low-load resistance exercise modality, being widely used in several clinical trials, which have upper limb strength and trophism as outcomes, but with a limited number of systematic reviews working on summarizing their results. To carry out a systematic review taking into account the muscle strength and trophism outcomes in RFS training in upper limbs of individuals with or without musculoskeletal disorders. This is a systematic review, conducted in accordance with the recommendations of the Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The databases used were Medical Literature Analysis and Retrieval System Online (MEDLINE), Scientific electronic library online (SciELO), Physiotherapy Evidence Database (PEDro), SCOPUS, Science Direct and Cochrane Central Register of Controlled Trials. Eighteen studies were included, among which 13 studies had an uncertain to high risk of bias and another 5 studies had a low risk of bias. In isotonic and/or isometric muscle strength, there was a difference between the experimental and control groups in 4 studies, including 1 with a high load control group and another 3 with control groups with an identical protocol without BFR, with no significant differences being observed between the groups of 12 studies, 5 of which used high loads in their control group and another 7, an identical protocol without BFR. Among the studies, 8 evaluated trophism and there were no differences between the groups, with 3 of them using loads ranging from 75 to 80% of 1 repetition maximum (1RM) in their control group and another 5, an identical protocol without BFR. When it comes to upper limbs, low load training with BFR can promote gains in strength and trophism similar to high-intensity protocols without BFR, and protocols with BFR do not present significant differences in strength and trophism outcomes compared to protocols identical without the BFR. However, the application of BFR in the upper limbs can provide gains in strength in the shoulder, superior to low load protocols without BFR, as long as at least two exercises for the shoulder muscles (agonists) are used.

2020

	Dissertations
1	LUANA BRITO DOS SANTOS Primary Dysmenorrhea and Functioning in adults women from Northeastern Brazil Advisor : DIEGO DE SOUSA DANTAS COMMITTEE MEMBERS : DIEGO DE SOUSA DANTAS GRASIELA NASCIMENTO CORREIA CAROLINE WANDERLEY SOUTO FERREIRA Data: Jul 8, 2020 Show Abstract Introduction: Dysmenorrhea is defined as colic pain in the hypogastrium that occurs during menstruation. In the literature, as far as we know, there are no studies that evaluate the functioning or deficiencies associated with primary dysmenorrhea (PD) in any age group. In addition, studies that address dysmenorrhea are restricted to adolescents or young adult women. Objective: This dissertation involves two studies that evaluated separately, the prevalence of primary dysmenorrhea and associated factors, and the association between primary dysmenorrhea and disability in adult women. Methodology: A cross-sectional study was carried out with adult women aged between 19 and 49 years. Sociodemographic, gynecological and obstetric aspects were investigated. Primary dysmenorrhea was measured using self-report; the Numerical Pain Rating Scale measured the intensity of pain; the World Health Disability Assessment Schedule 2.0 (WHODAS 2.0) assessed disability; the International Physical Activity Questionnaire (IPAQ), short version, evaluated the level of physical activity. The statistical analysis involved descriptive and inferential analysis. In the inferential analysis, logistic regression test, median difference tests, effect size measures were used. The level of statistical significance established was p <0.05. Results: The study that assessed the prevalence of primary dysmenorrhea and associated factors, found a prevalence of PD of 55.9% for the entire sample. Prevalence of PD was 50% among young adults, 55% adults, and 61% for middle-aged women. Cesarean delivery was associated with greater chances of PD (p = 0.026) when considering the entire sample, and women between 25 and 39 years old, insufficiently active, had higher chances of PD (p = 0.040). In the study that analyzed the association between primary dysmenorrhea and disability, PD pain lasted an average of three days or more (66%) with average pain intensity, in the crisis period of 6.10 ± 2.57, on the numerical scale of pain. Serious painful complaints were associated with greater difficulties in the domains of mobility (p = 0.003; η2 = 0.115), participation (p = 0.030; η2 = 0.063) and total WHODAS score (p = 0.012; η2 = 0.086), with size of moderate effect for all variables. Conclusion: The present study found a high prevalence of PD among adult women, where cesarean section and insufficient physical activity were factors that were associated with a higher risk of developing PD. Dysmenorrhea was also associated with impairment in functioning, in which women with severe pain intensity have greater disabilities in the domains of mobility and participation when compared to women who presented mild or moderate pain.
2	ANTONIO FELIPE LOPES CAVALCANTE ANALYSIS OF THE FUNCTIONAL AND LABORAL PROFILE OF CHIKUNGUNYA PATIENTS: A CROSS-SECTIONAL OBSERVATIONAL STUDY Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : RODRIGO PEGADO DE ABREU FREITAS CLECIO GABRIEL DE SOUZA JOHNNATAS MIKAEL LOPES Data: Jul 10, 2020 Show Abstract Chikungunya virus (CHIKV) potentially affects over 1 billion people, and its chronic polyarthralgia deteriorates general functionality and work productivity. This study aimed to evaluate and correlate functionality, pain, quality of life, sleep, and occupational productivity of individuals with chronic CHIKV arthralgia. A descriptive cross-sectional study in Natal, northwest of Brazil, evaluated 61 patients with chronic CHIKV arthralgia according to The Health Assessment Questionnaire (HAQ), Visual Analog Scale (VAS), Brief Pain Inventory Short Form (BPI), Short Form 36 Health Survey (SF-36), Pittsburgh Sleep Quality Index (PSQI) and Work Productivity and Activity Impairment (WPAI). Low and moderate level of functional status was present respectively in 39.4% and 55.7%. Moderate pain (5.57 ± 2.25), poor sleep quality (47.54%), and sleep disturbance (42.63%) were evidenced. Pearson correlations between absenteeism and presenteeism with HAQ (r = 0.39, p = 0.03; r = 0.43; p = 0.01 respectively), BDI interference (r = 0.41, p = 0.02; r = 0.58; p = 0.001 respectively) and SF-36 physical score (r = -0.49, p = 0.007; r = 0.58; p = 0.01 respectively) were significant. Overall, work productivity loss showed a significant correlation with HAQ (r = 0.44, p = 0.01), BDI interference (r = 0.5, p = 0.006), SF-36 physical score (r = -0.6, p = 0.001), SF-36 total score (r = -0.44, p = 0.01) and sleep quality (r = 0.27, p = 0.03). Activity impairment only correlated with BDI interference (r = 0.37, p = 0.04). These results suggest that chronic arthralgia impacts on activities of daily living, work productivity, and functional activity.
3	JOÃO OCTÁVIO SALES PASSOS BIOSPECTROSCOPY AND MULTIVARIED CLASSIFICATION TECHNIQUES AS A NEW SCREENING TOOL FOR FIBROMYALGIA: IMPROVING THE DIAGNOSIS TO POTENTIALIZE FUNCTIONALITY Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : ALINE RANZOLIN RODRIGO PEGADO DE ABREU FREITAS SANDRA CRISTINA DE ANDRADE Data: Aug 10, 2020 Show Abstract The American College of Rheumatology (ACR) presented in 2010 a consensus for the diagnosis of fibromyalgia (FM). However, they can use an assessment and diagnosis guide as there are many cases of underdiagnosis or false diagnosis. This causes a lack of chemical, immunological markers or tests for FM detection. This project aims to use biospectroscopy (spectroscopy without infrared) and multivariate classification techniques as new technologies for the identification of FM, using only blood plasma as the material of analysis. This is a cross-sectional analytical study with 126 members divided into the Fibromyalgia group and the control group. For all subjects, a sociodemographic questionnaire was applied, collected clinical data on the impact of FM, investigated with pain intensity, anxiety levels, quality of life; as well as a collection of 10 ml of blood from each participant. Analysis of their blood plasma using attenuated total reflection Fourier-transform infrared (ATR-FTIR) spectroscopy in conjunction with chemometric techniques, hence, providing a low-cost, fast and accurate diagnostic approach. Different chemometric algorithms were tested to classify the spectral data; genetic algorithm with linear discriminant analysis (GA-LDA) achieved the best diagnostic results with a sensitivity of 89.5% in an external test set. The GA-LDA model identified 24 spectral wavenumbers responsible for class separation; amongst these, the Amide II (1545 cm-1) and proteins (1425 cm-1) were identified to be discriminant features. Clinical data showed significant difference between groups in FIQ (p = 0.0001), anxiety (p = 0.001), pain (p = 0.0001) and quality of life (p = 0.0001). These results reinforce the potential of ATR-FTIR spectroscopy with multivariate analysis as a new tool to screen and detect patients with fibromyalgia in a fast, low-cost, non-destructive and minimally invasive fashion.
4	TIAGO NOVAIS ROCHA THE ROLE OF MULTIPARITY AND MATERNAL AGE AT FIRST PREGNANCY IN THE ASSOCIATION BETWEEN EARLY MENARCHE AND METABOLIC SYNDROME AMONG MIDDLE-AGED AND OLDER WOMEN Advisor : SAIONARA MARIA AIRES DA CAMARA COMMITTEE MEMBERS : DIMITRI TAURINO GUEDES MAYLE ANDRADE MOREIRA SAIONARA MARIA AIRES DA CAMARA Data: Aug 14, 2020 Show Abstract Introduction: Metabolic syndrome (MetS) is a common condition in older ages, however, it is known that it is associated with factors present in the early stages of life, such as early menarche. Other factors such as age at first pregnancy and parity are also associated with increased cardiovascular risk in women, but their role in the association between early menarche and MetS has not yet been studied. Objective: To analyze an association between early menarche and MetS in middle-aged women, and to verify whether the maternal age at first pregnancy and the parity to use as mediating variables. Methods: This is an observational, analytical, cross-sectional study, composed of 428 women aged between 40 and 80 years. The age at first pregnancy, parity and early menarche (≤ 11 years of age) were assessed by self-report, and an MetS was assessed using the tests recommended by the NCEP ATP III (Systemic arterial hypertension, high triglycerides, high HDL, high fasting blood glucose and waist circumference> 88 cm). The association MetS and early menarche were assessed by binary logistic regression analysis adjusted for the covariables age, smoking, family income, education and physical exercise. The role of age at first pregnancy and multiparity on an early menarche and MS relationship were assessed through mediation analysis adjusted by the same covariables. Results: There was an association between early menarche and MetS (OR: 2,262 CI: 1,145; 4,465) altering early menarche twice increases the chance of a woman exhibiting MetS in future ages. Through mediation analysis it was possible to verify that menarche has a direct effect on MetS (Effect: 0,8076 CI: 0,1070; 1.5082), and two potential mediators, only the maternal age at first pregnancy was a significant path (Effect: 0,0654 CI: 0,0035; 0,2205). Conclusion: The results of this research show that there is an association between early menarche and MetS and that maternal age at first pregnancy is registered as a mediating variable in this association In this sense, bear in mind that pregnancy at a younger age tends to affect women's health more negatively when compared to pregnancy in adulthood, health strategies aimed at the female adolescent population should be carried out in order to lessen the effects of pregnancy on adolescence, as well as its prevention, as they would act positively in the non-development of MetS in future ages.
5	PEDRO RAFAEL DE SOUZA MACÊDO IS AGE AT MENOPAUSE ASSOCIATED WITH PHYSICAL FUNCTION: A SYSTEMATIC REVIEW Advisor : SAIONARA MARIA AIRES DA CAMARA COMMITTEE MEMBERS : ALINE BRAGA GALVAO SILVEIRA FERNANDES INGRID GUERRA AZEVEDO SAIONARA MARIA AIRES DA CAMARA Data: Sep 10, 2020 Show Abstract Introduction: Menopause at an early age increases the time of exposure to the negative effects of hypoestrogenism on the female aging process. It is well established that early menopause is associated with osteoporosis, chronic diseases and mortality. Although it is recognized that there is a greater decline in physical function in women after menopause, the association between early menopause and measures of physical function is not well established. Objective: To assess the association between early menopause and different measures of physical function and the importance of the socioeconomic context in this association. Methods: Systematic review of observational studies in the PubMed, Cochrane Library, SciELO, LILACS and Web of Science databases. Studies that assessed the association between early menopause and measures of physical function were included, with no restriction on the period of publication or language. To assess the methodological quality of the studies, the “Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies” was used. Results: Four studies were included, all cross-sectional, totalizing 13,846 participants, and that investigated five measures of physical function (handgrip strength, gait speed, stand balance, chair stands and self-reported functional limitation). The 4 studies evaluated populations from developed countries and only one also included samples from developing countries. All studies reported an association between some measure of physical function and premature (<40 years) or early (<45 years) menopause, whether natural or surgical. The measures that were associated with the age at menopause were the handgrip strength (found in 2 of the 3 studies that evaluated this measure), being between 2.58 kg (95% CI=0.74; 4.43) and 5.21 kg (2.18; 8.25) weaker among women with menopause <40 years; gait speed (found in 2 of the 3 studies that evaluated this measure) with results between 0.03 m/s (0.01; 0.06) and 0.06 m/s (0.02; 0.09) slower between those with menopause <40 and <45 years; and self-reported functional limitation (assessed in only one study), with women with menopause after 50 years of age presenting lower chances compared to those who had menopause <40 or <45 years (OR between 0.52 [95% CI=0.29; 0.95] and 0.61 [0.40; 0.95]). Two measures of physical function, the chair stands test and stand balance, were not significantly associated with age at menopause. Due to the great heterogeneity among the studies in relation to the classification of the menopausal age groups, it was not possible to perform the meta-analysis. Conclusion: There is some evidence of an association between menopause at younger ages and worse physical function. Women who experience menopause at younger ages should be screened earlier and more frequently for functional impairment and encouraged to participate in physical rehabilitation programs. Further studies are needed to explore the association between age at menopause and different measures of physical function using standardized measures for early menopause identification and longitudinal methodologies. In addition, further studies are needed to assess the influence of different socioeconomic contexts on functionality.
6	BIANCA FERNANDES VASCONCELOS E SILVA Effect of the Tummy Time on infant motor milestones Advisor : SILVANA ALVES PEREIRA COMMITTEE MEMBERS : CAROLINA DANIEL DE LIMA ALVAREZ CRISTIANE APARECIDA MORAN EGMAR LONGO HULL SILVANA ALVES PEREIRA Data: Sep 30, 2020 Show Abstract Aim: To identify the repercussions of Tummy Time in reaching the milestones of infants between 0 to 6 months. Method: An exploratory study carried out with 71 caregivers of babies, between 0 and 6 months, attended in a public maternity and child health care service. Sociodemographic data, information of pregnancy, childbirth and of the newborn were collected through a structured interview, and the investigation on the Tummy Time, evaluated from the child’s care, their motor milestones to the parents' familiarity with the practice of Tummy Time. The results were stratified into two groups (Tummy Time and Control) and the motor milestones were quantified in typical or atypical, according to the expected development for age. Results: 72 families were evaluated and 71 included in the analysis, 39 were allocated to Tummy Time group. Lifetime (1.6 to 4.2 months; p = 0.85), gestational age (31 to 42 weeks; p = 0.39), birth weight (1160 to 5000 grams; p = 0.32 ), and Apgar (5 to 10; p = 0.9), were not different between groups. In the comparison between the groups, the majority of infants who reached the expected motor milestone (70%) were in the group submitted to the Tummy Time daily, while the majority with atypical development (69%) belonged to the Control Group, finding a positive association between the realization of the Tummy Time and the achievement of motor milestones (p = 0.0014). Conclusions: The acquisition of motor milestone predominated in the group that practiced the Tummy Time daily, suggesting, within its limitations, the influence of the method on neuropsychomotor development
7	HUGO JARIO DE ALMEIDA SILVA EVALUATION OF THE EFFECTIVENESS OF DRY CUPPING IN INDIVIDUALS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN: A CONTROLLED, RANDOMIZED AND BLIND STUDY Advisor : MARCELO CARDOSO DE SOUZA COMMITTEE MEMBERS : DIEGO GALACE DE FREITAS JAMIL NATOUR MARCELO CARDOSO DE SOUZA TANIA DE FATIMA SALVINI Data: Oct 16, 2020 Show Abstract INTRODUCTION: Chronic low back pain is one of the main symptoms that leads to major disability worldwide. Several therapies are studied to reduce pain and improve function of people with chronic low back pain. The dry cupping is used to treat non-specific chronic low back pain. Recent systematic reviews on cupping therapy for people with chronic non-specific low back pain conclude that the existing literature has a high risk of bias and that high-quality studies are needed. OBJECTIVE: To evaluate the effectiveness of the dry cupping on pain, physical function, quality of life and psychological symptoms in individuals with non-specific chronic low back pain compared to a sham group. METHODS: This is a randomized, controlled, double-blind study with hidden allocation and intention to treat analysis. Ninety patients were allocated to two groups, experimental group and sham group. Interventions: The experimental group (n = 45) received dry cupping therapy, parallel to the L1 - L5 vertebrae, bilaterally. The control group (n = 45) received the same procedure, but with sham dry cupping therapy. The interventions were applied once a week, for 8 weeks, with a time of 10 minutes each section. Participants were assessed before and after the first session, after 4 and 8 weeks of intervention. The primary outocome was pain, evaluated by using the numerical pain intensity scale. Secondary outcomes were physical function (ODI), functional mobility (TUG), range of motion of the trunk, perception of the global effect (GPE), quality of life (SF-36) and psychological symptoms (HADS). RESULTS: There were no significant differences between groups for pain intensity at any time. There was a significant difference in favor of the control group for the perception of the global effect in four weeks [mean difference (MD) 1.2 points, confidence interval (CI) 95% 0.4 to 2.0; p = 0.001)] and eight weeks (MD 1.5 points, 95% CI 0.6 to 2.4; p <0.001) of treatment compared to the first intervention. There were no statistically significant differences for the other secondary outcomes. CONCLUSION: Treatment with dry cupping was not superior to the sham dry cupping for reducing pain or improving physical function, quality of life and psychological symptoms in people with chronic low back pain.
8	ANDRESSA VALLERY SETUBAL DE OLIVEIRA NUNES CAVALCANTE ANALYSIS OF NEURAL RESPIRATORY DRIVE IN HYPERTENSIVE INDIVIDUALS DURING MAXIMUM VENTILATION Advisor : ILLIA NADINNE DANTAS FLORENTINO LIMA COMMITTEE MEMBERS : CAIO ALANO DE ALMEIDA LINS JESSICA DANIELLE MEDEIROS DA FONSECA LUCIEN PERONI GUALDI Data: Dec 1, 2020 Show Abstract Introduction: The neural respiratory drive (NRD) is a strategy for assessing respiratory muscle activity to maintain pulmonary efficiency. This has been investigated in several diseases in order to understand the repercussions they impose on breathing pattern. In hypertensive individuals, there is still a gap in the literature, despite the close cardiovascular and respiratory relationship present in this dysfunction. The aim of this research was to evaluate the NRD in hypertensive during the maximum voluntary ventilation and to correlate this variable with the anthropometric data. Methods: This is a cross-sectional study with hypertensive individuals aged between 35 and 64 years, where anthropometric measurements were evaluated according to the guidelines of the International Society for the Advancement of Kinanthropometry (ISAK), maximum voluntary ventilation (MVV) and the neural respiratory drive index (iNRD), collected through surface electromyography of the second intercostal space (EMGpara). Correlations were assessed by Pearson and Spearman tests, and for the NRD comparison, Student's t-test was used, a significance level of 5% (p <0.05) was adopted. Results: 17 patients were studied with a mean BMI of 27.8 (± 2.5) kg / m2, MVV (L / min) of 104.4 (± 24.2), iNRD at rest of 1746.88 (± 531.57) UA and iNRD in the MVV of 13972.04 ± 3810.64 AU. Ventilatory capacity correlated with measurements of waist-to-hip ratio (r = -0.553; p = 0.021), waist-to-height ratio (r = -0.502; p = 0.040), taper index (r = -0.514; p = 0.035), relative fat (r = -0.612; p = 0.009) and lean mass (r = 0.612; p = 0.009). The activation of parasternal muscles was greater during MVV when compared to rest (p = 0.001), as well as iNRD (p <0.001). Conclusions: There is a greater myoelectric activity through parasternal activation during maximum voluntary ventilation and this is reflected in a higher rate of neural respiratory drive in hypertensive individuals during maximum effort, and that there is a correlation between anthropometric measures and the ventilatory capacity of these individuals.
9	FÁBIO RICARDO DE OLIVEIRA GALVÃO Comparative analyse of modified Constraint induced movement therapy and conventional rehabilitation in post-stroke upper limb: case series. Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : ELEN BEATRIZ CARNEIRO PINTO ENIO WALKER AZEVEDO CACHO ROBERTA DE OLIVEIRA CACHO RODRIGO PEGADO DE ABREU FREITAS Data: Dec 1, 2020 Show Abstract Objective: To investigate whether the 90-minute modified constraint induced movement therapy (mCIMT) is better than the intervention of occupational therapy and conventional physical therapy, both using the group approach, in the rehabilitation of the upper limbs in post-stroke patients and determine whether the combination of both therapies can produce motor improvements in these participants. Methods: A quasi-experimental study, consisting of a series of cases with repetitive measures, using the A1-B-A2 design. Location: Clínica Escola de Fisioterapia of the Faculty of Health Sciences of Trairí, Federal University of Rio Grande do Norte, Santa Cruz; Rio Grande do Norte, Brazil. Subjects: A total of 5 subjects diagnosed with stroke were selected for this study, divided into three phases: phase A1, group of mCIMT, phase B, follow-up and phase A2, group of conventional rehabilitation. Intervention: In phase A1, the participants performed two consecutive weeks of mCIMT for 90 minutes a day, two consecutive weeks, using all the principles of CIMT. In phase B, the participants were accompanied in the FACISA stroke ambulatory, for 10 months. In phase A2, 90 minutes of occupational therapy and conventional physical therapy were performed for two consecutive weeks. In all phases, they were carried out in a group format. As measurement measures, the Wolf Motor Function Test (WFTM), the Motor Ativity Log (MAL) and the Canadian Occupational Performance Measure (COPM) were performed. Such measures were administered in the pre-treatment, post-treatment and follow-up of 3 to 4 months, depending on the phase. Results: When comparing the two groups, a statistically significant difference was found only in the subscale Performance of COPM (p = 0.025) and favor of phase A1, with the power of medium effect (d '= 0.51) compared to the pre- test of phase A2, and in the subscale Satisfaction of COPM also in favor of phase A1, for the period and in favor of the follow-up of the same phase (p = 0.022) with the power of medium effect (d '= 0.52) ,. In the individual analysis, according to the WFTM Tempo scale, all participants reached the phase A1 post-test MDC, four participants reached the phase A1 pre-test and follow-up and phase A2 post-test, and three reached in the pre-test of phase A2. In the analysis of the WMFT EHF, all participants reached the MDC in all periods of both phases. Regarding the MAL scales, all participants reached the MDC in both scales. In MAL EQT, only one participant (P1) presented a linear decline between the periods of the two phases, and one participant (P2) presented a constant gain between the periods of the two phases. In MAL EQL, only one participant (P2) showed a constant evolution between the two phases. At COPM, all participants achieved MDC in their subscales. Conclusion: mCIMT applied alone or combined with conventional rehabilitation, both in group format, can bring clinical benefits in occupational performance and upper limb functionality in post-stroke patients.
10	DENISE RODRIGUES DA SILVA Effect of cryotherapy in the pelvic floor muscle proprioception in women with stress urinary incontinence: randomized controlled clinical trial. Advisor : GRASIELA NASCIMENTO CORREIA COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES GRASIELA NASCIMENTO CORREIA PATRICIA DRIUSSO Data: Dec 15, 2020 Show Abstract Introduction: Approximately 30% to 45% of women with urinary incontinence (UI) are unable to contract the pelvic floor muscles (PFM) and is necessary the use of proprioceptive treatment. Cryotherapy is a resource with easy access, low cost and capable to provide a improve of the vascularization and muscle tremor. Objective: Compare the effects between the cryotherapy and manometry in the function and pressure of PFM contraction. Materials and methods: This is a randomized controlled clinical trial, with 33 women, over 35 years of age and with symptoms of stress UI. All participants underwent an initial assessment, which consisted of collecting sociodemographic data, gynecological, obstetric, urological history of the women and then an incontinence severity index questionnaire (ISI-Q) was applied. For physical evaluation, an one hour pad test was performed, the PFM function was assessed using the PERFECT scheme and the PFM contraction pressure was measured through manometry. After 48 hours, the volunteers were randomized according to the intervention in the cryotherapy group (CG) and manometry (MG) and immediately performed the first intervention, after another interval of 48 hours and the second intervention was applied. After each intervention, all participants underwent a functional reassessment of PFM. Statistical analysis: The power of the sample was of the 64%. The Shapiro-Wilk test showed a non-parametric distribution of data, the Wilcoxon test was used for intragroup analysis, and the Mann-Whitney test for intergroup analyzes. The level of significance adopted was p <0.05. Results: It was found that in the intragroup analysis the cryotherapy group (CG) showed an increase in all stages of PERFECT and in the second measurement of manometry after the intervention protocol (p<0.032). The MG a significant increase was observed in the PERFECT power stage (p<0.023) and in the first manometry measurement (p<0.015). There was no statistical difference in the intergroup analysis. Conclusion: The CG showed improvement in the function and pressure of the PFM contraction. However, the CG did not present better results than the MG. The cryotherapy can be used as a method of proprioceptive stimulation in women with SUI.
11	EDUARDO HENRIQUE DIAS ARAÚJO How comprehensive is the description of participants in randomized controlled trials involving individuals with patellar tendinopathy? A systematic review Advisor : RODRIGO SCATTONE DA SILVA COMMITTEE MEMBERS : DANIEL FERREIRA MOREIRA LOBATO GERMANNA DE MEDEIROS BARBOSA RODRIGO SCATTONE DA SILVA Data: Dec 15, 2020 Show Abstract The prevalence of patellar tendinopathy can be quite high in athletes of different sports modalities. The consequences of this dysfunction can be devastating for an athlete's career. Several randomized controlled trials have been developed in an attempt to identify the best treatment approaches for individuals with patellar tendinopathy. However, the description of study participants is not always clear and comprehensive. This makes it difficult for clinicians to understand how relevant the results of the research in question are to their patients. Recently, an International Tendinopathy Consensus established recommendations on the characteristics of participants that should be reported in clinical trials involving tendinopathies in general, including population demographics, clinical tendinopathy descriptors, general health and comorbidities, and participant recruitment and screening. To our knowledge, however, no study has verified whether the presentation of data from participants included in clinical trials involving patellar tendinopathy is in accordance with the criteria recommended by expert consensus. The purpose of this review is to verify how comprehensive the description of participants in randomized controlled trials involving individuals with patellar tendinopathy is. A literature review was carried out in databases by two independent reviewers, seeking to identify randomized controlled trials involving individuals with patellar tendinopathy. To assess the quality of studies regarding the description of the participants, a scale was developed based on the score of the International Tendinopathy Consensus (eCONT). Pearson's correlation test was used to verify the existence of a relationship between year of publication of the trials and the quality of data presentation. Thirty-four clinical trials were included in the review. The studies involved a total of 1,262 individuals (996 men and 266 women), with an average age of 28.25 ± 4.10 years. The average score of studies in the eCONT was 9.88 ± 2.07 points, ranging from 6 to 13 points out of a total of 16 possible on the score. The inclusion criteria of the different studies were substantially heterogeneous. Most often incomplete information included medication use and the presence of comorbidities. There was no correlation between year of publication and score on the quality of data presentation scale (P=0.372). In conclusion, clinical trials involving individuals with patellar tendinopathy present heterogeneous and, in many cases, incomplete information about the included participants. The possibility that individuals with different conditions that cause anterior knee pain may have been recruited for these studies under the diagnosis of patellar tendinopathy is also of note. This could lead to confusion among the scientific community and clinicians as to which treatments are in fact effective for the rehabilitation of individuals with patellar tendinopathy.
12	CAROLINE GOMES GONÇALVES Association between chronic pain and functioning in adult women: a cross-sectional study with the World Health Organization Disability Assessment Schedule Advisor : DIEGO DE SOUSA DANTAS COMMITTEE MEMBERS : DIEGO DE SOUSA DANTAS PALLOMA RODRIGUES DE ANDRADE SAIONARA MARIA AIRES DA CAMARA Data: Dec 15, 2020 Show Abstract INTRODUCTION: Chronic pain is defined as persistent pain or recidivant, sensory and emotional, for more than 3 months and can be classified as a disease if the individual's functioning is compromised. Women are more likely to experience pain due to biopsychosocial factors. The aim of this study was to assess the association between chronic pain and functioning of adult women. METHODS: Cross-sectional study, conducted with women of reproductive age 19 to 49 years. To characterize the sample, a sociodemographic questionnaire was prepared. Chronic pain was assessed using the visual analog scale and body diagram. Functioning through the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Data were analyzed using inferential statistics and considered statistically significant when p <0.05. RESULTS: The prevalence of chronic pain in adult women was 53.3%. The place with the highest prevalence of chronic pain was the lumbar spine (17.9%) and the one with the lowest prevalence was the hip (4.1%). Women with chronic pain had higher scores in the general WHODAS 2.0 score (p = 0.010) and, in the domains mobility (p = 0.001), domestic activities (p = 0.027) and participation (p = 0.004). The average intensity of chronic pain per patient was 6.62 ± 2.26. This painful intensity is associated with difficulties only in the mobility domain, with greater difficulty for women with severe and severe pain, when compared to patients with mild pain. CONCLUSION: Women with chronic pain presented a greater limitation in functioning than women without chronic pain. The most affected domains were mobility, domestic activities and participation.
13	YVINNA TAMIRIS RODRIGUES EFFECT OF SENSORY TRAINING WITH ADDITIONAL SENSORY INFORMATION IN WOMEN WITH KNEE OSTEOARTHRITIS: A PILOT STUDY Advisor : CAIO ALANO DE ALMEIDA LINS COMMITTEE MEMBERS : CAIO ALANO DE ALMEIDA LINS DANIEL TEZONI BORGES FRANCISCO LOCKS NETO Data: Dec 16, 2020 Show Abstract Introduction: Osteoarthritis (OA) is a chronic, degenerative and multifactorial disease that affects the entire joint structure and is closely linked to aging, mainly aging the knee joint. The limitations corrected by the regulations with knee OA have been related to proprioceptive changes. However, research evaluates ways to improve proprioceptive acuity and the anticipatory muscle response of this population. Objective: To investigate the effect of additional sensory information to a sensory motor training program, on the functionality of women with knee OA. Methodology: This is a pilot study of a randomized clinical trial, conducted with women diagnosed with knee OA. The volunteers were assessed for strength using a portable dynamometer, balance using the BERG balance scale, function using the WOMAC scale, functional capacity using the 6MWT and TUG test and global perception of change through the PGIC. 30 women were randomized into two intervention groups: Sensory motor training group (STM, n = 15) and Sensory motor training group with additional sensory information (STM with additional sensory information, n = 15). Corrections were made before and after the 10 combined intervention protocol. The kolmogorov-Smirnov and levene tests were mandatory to verify the normality and homogeneity of the sample. Intra and inter-group differences were calculated using ANOVA for mixed models. Results: we found significant intra-group differences in the results for the 6MWT and Berg's balance test. Thus, we observed improvements in functional capacity and balance in the TSM group. In the intergroup comparisons, no relevant changes were observed between the variables. Conclusion: STM in patients with knee OA appears to promote a change in outcome in balance and improve functional capacity, regardless of the application of additional sensory information.
14	NATÃ RAMALHO PINTO Kinetic Chain Risk Factors for Patellar Tendinopathy: State of the Art and Intervention Protocol Considering Potential Factors that Cause Overload Advisor : RODRIGO SCATTONE DA SILVA COMMITTEE MEMBERS : LILIAN RAMIRO FELÍCIO MARCELO CARDOSO DE SOUZA RODRIGO SCATTONE DA SILVA Data: Dec 17, 2020 Show Abstract Introduction: Patellar tendinopathy is one of the most common causes of anterior knee pain in athletes, described as a degenerative dysfunction in the patellar tendon, which results in pain located in or near the tendon insertions. Interventions for the treatment of this condition have traditionally focused on progressive exercises for the quadriceps, such as Alfredson's eccentric protocol or the heavy-slow resistance training (HSR). Criticisms to these traditional treatments emphasize that these interventions emphasize only the application of progressive loads to the patellar tendon, but do not take into account risk factors/associated factors that have contributed to patellar tendon overload. Objectives: The objectives of this dissertation were: 1) to identify risk factors and factors associated with patellar tendinopathy, in order to synthesize modifiable factors that may be important for the management of this condition (1st study) and; 2) To propose an intervention protocol aimed at factors of the kinetic chain (addressing factors of the hip, knee and ankle joints) in comparison to the HSR protocol on pain, severity of symptoms and function, lower limb strength and flexibility and jump landing mechanics in athletes with patellar tendinopathy (2nd study). Methods: For the 1st study, a search was performed in the PubMed/MEDLINE, Web of Science, Scopus, LILACS and CINAHL databases. The 2nd study is a protocol of randomized double-blind clinical trial in which 28 male recreational athletes with patellar tendinopathy will be recruited, divided into 2 groups: Heavy-Slow Resistance Training (GTLAC; n=14), which will be treated by the protocol known as HSR; and the Kinetic Chain Group (GCC; n=14) which will be treated with strengthening of hip extensors, knee extensors and plantar ankle flexors, mobilization and stretching to improve ankle dorsiflexion, in addition to a jump landing training, aimed to improve the dissipation of forces in all joints of the lower limb during landing. Results: Thirty-one articles were identified as eligible by the search strategy and were included for qualitative synthesis (5 longitudinal and 25 cross-sectional). The results of prospective studies show that smaller flexibility in the quadriceps and hamstrings, smaller range of motion of ankle dorsiflexion, better performance in jumping with counter movement, a stiffer jump landing and higher frequency of jumps are risk factors for patellar tendinopathy. Regarding the cross-sectional studies, the results indicate that smaller hip muscle strength, a stiffer jump landing, less ankle dorsiflexion range of motion, greater subtalar pronation and less hamstrings flexibility are factors associated with patellar tendinopathy. Conclusion: Bearing in mind the multifactorial nature of patellar tendinopathy, kinetic chain risk factors and associated factors may be important aspects to be considered for the rehabilitation and potentially prevention of this condition. It is expected that, with the conclusion of the clinical trial of the present protocol, a greater understanding can be obtained on the effects of an intervention aimed at addressing factors causing knee overload in athletes with patellar tendinopathy.

2019

	Dissertations
1	RAYNARA MARITSA CAVALCANTE PESSOA EVALUATION OF IMMEDIATE INTERFERENCE AFTER INTERVENTION WITH DOUBLE TASK IN ELDERLY Advisor : NUBIA MARIA FREIRE VIEIRA LIMA COMMITTEE MEMBERS : CLAUDIA SANTOS OLIVEIRA ENIO WALKER AZEVEDO CACHO KELLY SOARES FARIAS NUBIA MARIA FREIRE VIEIRA LIMA SAIONARA MARIA AIRES DA CAMARA Data: Jan 16, 2019 Show Abstract Introduction: With aging, there is a decline in the adaptive responses necessary to perform daily activities, thus increasing susceptibility to diseases and functional limitations. The cognitive motor interference is the accomplishment of a motor task and a cognitive accomplished simultaneously, the elderly present greater difficulty to carry out these activities. Training can promote walking, balance and cognition, however, there are no types of tasks and duration established for this training. Objective: To investigate the immediate interference of an intervention proposal with different cognitive-motor and motor-motor tasks on the balance of the elderly. Methods: Eight questionnaires / tests were used, besides the evaluation in the force platform, the subjects were divided in two groups, one group was submitted to a single intervention proposal with Double Task and the other with Simple Tasks, after the intervention were reevaluated. Results: We evaluated 30 elderly people who were randomly distributed among the groups. Regarding the sociodemographic data, motor evaluation and cognitive performance, individuals from both groups presented in a homogeneous way, the self report of difficulty to double task presented similar results. Compared to the simple test, there was an increase in the duration of the F8W motor and cognitive TUG and cognitive TUG tests. After the intervention, the Dupla Task group maintained its performance in the tests and presented improvement in the cognitive performance of the activities of semantic fluency, calculation and figures during posturography, whereas the Simple Task group required more time for the simple and motor TUG and presented oscillation in the postural control in the condition of open eyes, semantic fluency and figures, without increase in the number of hits. Conclusions: The secondary tasks caused an increase in the time to perform the functional tests, except for the motor TUG. After the intervention, the performance in the tests of the Double Task group was superior to the Simple Task group, the number of hits was similar. In the posturographic evaluation, there was an improvement in cognitive performance for the Dupla Task group, whereas the Simple Task group presented a greater oscillation for some activities, without improvement in their cognitive performance. There was no difference between the groups on the self report of the frequency of difficulty to perform double task.
2	ELIDA RAYANNE VIANA PINHEIRO GALVAO TRANSCULTURAL ADAPTATION AND VALIDATION FOR THE USE IN BRAZIL OF THE MEASURE OF PARTICIPATION AND THE ENVIRONMENT - CHILDREN AND YOUTH (PEM-CY) Advisor : EGMAR LONGO HULL COMMITTEE MEMBERS : EGMAR LONGO HULL KLAYTON GALANTE SOUSA ANA CAROLINA DE CAMPOS Data: Jan 31, 2019 Show Abstract Introduction: Participation is defined by the International Classification of Functioning, Disability and Health (ICF) as the individual's involvement in everyday situations, being determined by intrinsic factors and the environment. Objectives: To carry out the cross-cultural adaptation of the Measure of Participation and the Environment - Children and Youth (PEM-CY) to Brazilian Portuguese; and to analyze their psychometric properties in a sample of children and youth with and without disabilities, aged 5-17 years. Methods: This is a methodological study developed in two stages. The first one comprised the process of cross-cultural adaptation, which was divided and executed in five stages, following the methodology widely used and recommended by Beaton and Collaborators. The stages were divided into: (I) Initial adaptation to Brazilian Portuguese; (II) Synthesis of the versions; (III) Back-translation; (IV) Committee of experts; (V) Parent understanding and back-translation for final approval. The second stage was characterized by the application of the questionnaire to 101 parents and/or caregivers of children and youth with and without disabilities from 3 Brazilian states, in order to attest their psychometric properties, as well as to identify supposed differences in participation and characteristics of the environment at home, at school and in the community between the two groups. Results: Linguistic and grammatical modifications were made to facilitate fluency, interpretation and comprehension in reading the instrument, as well as to make the expressions more equivalent to the language in the first stage of the study, giving rise to the definitive version of PEM-CY Brasil, which was approved by the authors of the original version and is commercially available on CanChild's official website. In the second stage, of the 101 children and youth recruited, 62 had a disability and 39 presented a typical development; 45.5% were female and 54.5% were male, with a mean age of 9.36 years (+/- 3.47). The internal consistency of the instrument varied from good to excellent when considering all the participation items and the environment, respectively, at home (α = 0.873 and α = 0.760), at school (α = 0.877 and α = 0.948) and in the community (α = 0.889 and α = 0.855). There were significant differences between groups in terms of the number of activities performed in the three scenarios, indicating that children with disabilities participated in fewer activities at home (p = 0.000), at school (p = 0.001) and in the community (p = 0.000 ). Children with disabilities were less involved than their non-disabled peers in school setting activities (p = 0.034). In relation to the environment, the disabled group perceived higher barriers at home (p = 0.001) and fewer aids in the home (p = 0.000), school (p = 0.002) and community (p = 0.011) settings than the non-disabled group. Conclusion: After the transcultural adaptation process, the Brazilian version of PEM-CY can be considered a valid and reliable instrument to measure participation in activities at home, at school and in the community, as well as the characteristics of the environment. At the same time, the instrument made it possible to identify differences between children and youth with and without disabilities in relation to participation and the environment.
3	YAGO TAVARES PINHEIRO EFFECT OF KINESIO TAPING ON PAIN, EDEMA, MUSCLE STRENGTH, PHYSICAL FUNCTION AND GLOBAL PERCEPTION OF CHANGE IN ELDERLY WOMAN WITH KNEE OSTEOARTRITE: RANDOMIZED, CONTROLLED, BLIND TRIAL Advisor : CAIO ALANO DE ALMEIDA LINS COMMITTEE MEMBERS : CAIO ALANO DE ALMEIDA LINS JAMILSON SIMOES BRASILEIRO FRANCISCO LOCKS NETO Data: May 31, 2019 Show Abstract INTRODUCTION: Osteoarthritis (OA) is one of the most common diseases in the elderly population and the knee is one of the most affected joints, representing a potential cause of disability and reduced quality of life. In this perspective, kinesio taping (KT) appears as a cheap and practical therapeutic alternative for the treatment of these individuals. However, the current evidence on this technique is limited and conflicting, which means that its effects on the symptomatology of the disease are still uncertain. OBJECTIVE: To analyze the effects of KT application on pain, muscle strength, edema, physical function and overall perception of change in elderly women with knee OA (KOA). MATERIALS AND METHODS: In this randomized, blinded trial, 45 elderly women were allocated to three groups: G1 (placebo group), who received the application of KT without tension on the rectus femoris and knee; G2 (control group), submitted to a class on KOA; and G3 (intervention group) in which two KT techniques were applied simultaneously with 30% and 10% tension, respectively, on the rectus femoris and the knee. The pain was evaluated by Visual Analogue Scale (EVA), quadriceps muscle strength by handheld dynamometry, physical function by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire and the 6-minute Walk Test (6MWT). Furthermore, edema was measured by knee perimetry and the overall perception of change by the Patient Global Impression of Change. All volunteers were evaluated before, immediately after and 72 hours after the intervention. The Kolmogorov-Smirnov and Levene tests were applied to evaluate the normality and homogeneity of the data, respectively. Intra and intergroup comparisons were evaluated using analysis of variance ANOVA of mixed model. In the presence of a significant F, the Benferroni pot-hoc test was used to identify where the difference occurred. For all statistical analyzes a significance level of 5% (p <0.05) and 95% confidence interval (95% CI) were adopted. Statistical analysis was performed using SPSS® software (Statistical Package Social Science) version 20.0. RESULTS: The intragroup analysis showed an improvement in pain in favor of the placebo group and intervention, in addition to the increase of quadriceps strength in the placebo group. Physical function improved in all groups assessed. On the other hand, no improvement was observed in relation to edema in any of the groups. In the intergroup analysis, no significant differences were observed for any of the variables analyzed in either group. Finally, volunteers in the intervention and placebo groups reported experiencing some beneficial change with treatment. CONCLUSION: KT is not able to improve pain, quadriceps muscle strength, edema and physical function of elderly women with KOA.
4	ANA GABRIELA DE FIGUEIREDO ARAUJO APPLICATION OF A THREE-DIMENSIONAL KINEMATIC MODEL FOR PREDICTION OF CURRENT VOLUME IN NEWBORNS: A PILOT STUDY Advisor : SILVANA ALVES PEREIRA COMMITTEE MEMBERS : CRISTIANE APARECIDA MORAN DIEGO DE SOUSA DANTAS SILVANA ALVES PEREIRA Data: Jun 3, 2019 Show Abstract Background: Chest movement quantification and noninvasive monitoring have been useful in evaluation of newborn (NB) lung function. Different methods have already been tested, however, there is little progress regarding the agreement of these new tools in neonatal practice. Aim: To evaluate the agreement between the tidal volume (TV) estimated by the three-dimensional analysis of the thoracoabdominal movement in the Matlab® software and the TV predicted by the body weight of term newborns (NBs). Methods: This is a cross-sectional, quantitative and analytical study with NBs filmed for 2 minutes in a dorsal position and maximal exposure of the thoracoabdominal region. TV (in ml) was estimated from the three-dimensional analysis of thoracoabdominal movement in the Matlab® software and compared to the predicted TV per kilogram of weight for each NB (5 ml/kg), on a Bland-Altman plot. Results: Thirteen NBs (gestational age: 39.1 ± 0.8 weeks), with a mean weight and length of 3175.4 ± 493.8g and 49 ± 2.8cm, respectively, were included in the study. TV estimated by the kinematic analysis was 16.3 ± 4.2 ml and 15.9 ± 2.5 ml according to the calculation for the predicted value for weight. The difference between the means of the studied values was 0.4 ml (bias), with p = 0.624 and confidence interval of -5.2 to 6.0 ml. Conclusions: The methods for TV measuring are interchangeable in this sample of NBs, suggesting that the threedimensional analysis of thoracoabdominal motion in Matlab® software can estimate the TV of terms NBs, in a simple, fast and noninvasive way. Thus, the evaluation by Matlab® is promising and should be tested with methods that are gold standard for TV evaluation.
5	MARIA CECÍLIA DE ARAÚJO SILVESTRE CONSTRAINT INDUCED THERAPY IN GROUP FORMAT FOR RECOVERY OF MOTOR FUNCTION OF UPPER LIMB: COMPARING TWO PROTOCOLS Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : ALYNE KALYANE CÂMARA DE OLIVEIRA ENIO WALKER AZEVEDO CACHO ROBERTA DE OLIVEIRA CACHO Data: Jun 26, 2019 Show Abstract Objective: To compare the administration of constraint-induced therapy (CIT) with the original protocol of 6 hours and modified protocol of 3 hours in the neurofunctional recovery of post-stroke patients in group format. Methods: Eleven patients from the Physiotherapy School Clinic of the UFRN / FACISA were selected, all of whom were diagnosed with stroke to participate in a group CIT program. Of these 11 patients, 8 participated in the first phase consisting of the application of the CIT protocol 3h daily for 10 treatment days, 5 months later 5 patients from the 8 patients who participated in the first phase and 3 new patients participated in an CIT program in group for 6h daily for 10 treatment days. In both protocols all major CIT principles (shaping, task practice and behavioral package) were used. In both phases the group of patients was supervised by a multidisciplinary team. The motor and functional recovery of the patients were evaluated through the Wolf Motor Function Test, the Motor Activity Log and the Canadian Occupational Performance Measure by an independent evaluator in six moments: immediately before the 3h program, immediately after the 3h program, 3 months after the program of 3, immediately before the program of 6h, immediately after the program 6h and 3 months after the program of 6h. Results: The CIT in group format demonstrated a motivating reinforcement for the study participants. Participants achieved statistically and clinically significant improvements in motor and functional recovery and were maintained over a 3-month follow-up period in both protocols, however the results were better in the 3-hour protocol. Conclusion: CIT in its group format produces favorable results and the application of a protocol with shorter duration (3 hours) presents more significant results, being more feasible its application.
6	ELIDA RAQUEL FREITAS NERI BULHOES Functioning in postpartum period: identification of categories of International Classification of Functioning, Disability, and Health from perspectives of brazilian physiotherapists Advisor : DIEGO DE SOUSA DANTAS COMMITTEE MEMBERS : DIEGO DE SOUSA DANTAS NADJA VANESSA DE ALMEIDA FERRAZ Vanessa Patrícia Soares de Sousa Data: Jun 27, 2019 Show Abstract Background: The puerperium comprises a unique and variable period in the life of all women who become mothers, starting after delivery until the organism returns to pre-gravid conditions. In addition, psychological and social changes are also present at this time. However, there is still a gap in the literature regarding the use of a specific and comprehensive instrument that addresses the full complexity of health and health-related states for postpartum women. Both the content and structure of the International Classification of Functioning, Disability and Health (CIF) allow us to broaden the understanding and optimize the planning of physiotherapeutic interventions designed to maintain the functionality of these patients. Objective: to identify categories of the International Classification of Functioning, Disability and Health (CIF) to evaluate the functionality of puerperae from the perception of Brazilian physiotherapists and to carry out content validation. Methods: a study developed from the Delphi methodology in three electronic rounds, including Brazilian physiotherapists with expertise in women's health. The process involved the capture of biopsychosocial aspects in the physiotherapeutic treatment of puerperae, identification of categories of the CIF and validation of content. Two independent researchers analyzed the categories, with concordance assessed by the Kappa coefficient. The Content Validity Index was calculated by category and in total, with cut-off point set at 0.80. Descriptive statistics served to characterize the sample. Results: The panel consisted of 45 participants, with a median age of 33 years, predominantly women (93.7%), doctoral (42.2%) and over 10 years of experience (40%). We identified 1,261 significant contents, associated to 258 categories of the CIF and Personal Factors. Initially, 74 categories obtained a sufficiently high consensus for judgment in the second round of Delphi, which were reduced to 66 specific categories validated by 89% of experts at the end of the third round, 11 of body functions, 14 for body structures, 14 activity and participation, 18 environmental factors and 9 personal factors. Conclusion: a total of 66 categories were identified based on the perception of physiotherapists regarding the functionality of puerperal women. These findings are unprecedented worldwide and may strengthen the implementation of the biopsychosocial health care model of this population.
7	ANA LÚCIA DE LIMA Transcranial Direct Current Stimulation for the treatment of generalized anxiety disorder: A Randomized Clinical Trial. Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : ANDRÉ RUSSOWSKY BRUNONI HINDIAEL AERAF BELCHIOR RODRIGO PEGADO DE ABREU FREITAS Data: Jun 27, 2019 Show Abstract Introduction: Anxiety is a disorder that has been affecting a great number of individuals and Brazil being the country with the highest prevalence in Americas with 9.3%. Among the anxiety disorders, there is the generalized anxiety disorder (GAD), characterized mainly by tremors, muscular hypotonia, hyperventilation, sweating, palpitations, apprehension, restlessness, distractibility, loss of concentration and insomnia. GAD cause impairment in the functional, social, affective and cognitive life of the individual, thus, there is a need for an effective treatment that can minimize these effects. One of the techniques that has been used with positive results for treatments of some psychiatric disorders is Transcranial Continuous Current Stimulation (tDCS), which is a noninvasive neuromodulation technique that, through an electric microcurrent of 0, 5 to 2 mA cause stimulation or inhibition of neuronal activity. This stimulation causes specific changes in the behavior and motor activity of individuals by modulating specific brain areas. Despite many studies of tDCS in mood disorders, such as depression, and some studies in anxiety disorders such as panic, tDCS studies with GAD are still incipient. Thus, there is a need to evaluate the effects that tDCS can have on people affected by GAD. Objectives: To analyze the effects of anodic tDCS over the left dorsolateral prefrontal cortex (CPFDL) in people affected by GAD, presenting possible improvements in the symptoms of the disease. The study was designed as a randomized double-blind clinical trial, with a sample of 30 participants aged 20 to 40 years who had a clinical diagnosis of GAD according to the criteria of the American Psychiatric Association (DSM-V). Participants were divided into two groups, sham and experimental group, and the allocation was performed in a randomized, double-blind fashion. Results: No differences were found for anxiety, depression and affectivity. However, a significant improvement was found in the active group for physical symptoms of stress. Although intragroup analyzes showed decreases in anxiety, stress, negative affectivity, and depression scores, no intergroup comparison showed significant difference. Improvement in physical aspects of stress in GAD can improve life satisfaction, cognitive function, and psychological well-being. Conclusion: It is suggested that five sessions of anodic tDCS on CPFDL did not improve anxiety and mood symptoms in patients with GAD. However, the protocol showed improvement in physical symptoms of stress.
8	ADRIANO LOURENÇO SLEEP QUALITY, FUNCTIONING AND ITS CLINICAL ASSOCIATIONS IN BREAST CANCER SURVIVORS Advisor : DIEGO DE SOUSA DANTAS COMMITTEE MEMBERS : DIEGO DE SOUSA DANTAS ILLIA NADINNE DANTAS FLORENTINO LIMA NADJA VANESSA DE ALMEIDA FERRAZ Data: Jun 27, 2019 Show Abstract Background: Breast cancer (CM) is one of the main health problems among women, which can have an impact on morbidity and mortality. Currently breast cancer has great chances of cure, due to the early diagnosis and the less aggressive and more effective treatments, which still provoke deleterious effects. These include impairments in sleep quality and functionality, which contribute negatively to the health of women surviving CM. There was a lack of similar studies related to the subject. Objective: To identify sleep quality, functioning and its clinical associations in women survivors of breast cancer and out of clinical treatment. Methodology: This is a cross-sectional study of 32 women who survived CM at least one year after the clinical treatment between January and September 2018. Data collection instruments consisted of general and clinical information of the disease and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) questionnaires; Pittsburgh Sleep Quality Index (PSQI); Functional Assessment of Cancer Therapy-Fatigue (FACT-F); Disabilities of the arm and Shoulder (DASH); International Physical Activity Questionnaire (IPAQ, short version), plus the six-minute walk test (6MWT). Statistical analysis was performed using SPSS 20.0. The Shapiro-Wilk test was applied for the normality of the data and the Cronbach's alpha test (α), Spearman's and Pearson's correlation, the Student's t test and the Mann Whitney U test were used. The clinical effect was analyzed by Cohen's d and to verify the association of the data the bivariate linear regression test was used. We adopted p <0.05 for all tests. Results: Among the main outcomes, it is worth noting that there is a prevalence of women who survived breast cancer with sleep problems (71.9%) and functional limitations (90.6%) even after the end of the clinical treatment and throughout the survival free from disease. Poor sleep is correlated with subjective sleep quality (rs = 0.769), sleep disturbances (rs = 0.624), sleep latency (rs = 0.625), sleep duration (rs = 0.581), and sleep disturbances during the day (rs = 0.654), and functional limitation with cognition (rs = 0.758), mobility (rs = 0.709), domestic activity / labor (rs = 0.718) and participation (r = 0.701). We observed a significant difference in sleep quality with worse scores for the FACT-F, DASH and WHODAS 2.0 scales, as well as the functional limitation with the worst scores for the DASH, FACT-F and PSQI scales (p <0.05). It was also observed that poor sleep was a predictor of worse scores for FACT-F, DASH and WHODAS 2.0 (p <0.05). Conclusions: The findings demonstrate that poor sleep is a predictor of worse scores for fatigue, quality of life, functional performance of the upper limbs and functionality, and that higher levels of deficiency affect lower scores for functional performance of the upper limbs, fatigue, quality of life and quality of sleep, demonstrating the negative impacts of sleep precarisation and the functionality of these women, denoting the relevance and urgency of inclusion of aspects related to sleep and functionality and their clinical associations in the clinical evaluations and therapeutic behaviors directed at women surviving cancer of breast.
9	ANA ISABELE ANDRADE NEVES The capacity of pelvic floor muscle contraction influence in the urinary incontinence severity and the quality of life of the women? Advisor : GRASIELA NASCIMENTO CORREIA COMMITTEE MEMBERS : ADRIANA GOMES MAGALHAES ANA SILVIA MOCCELLIN GRASIELA NASCIMENTO CORREIA Data: Jun 28, 2019 Show Abstract Introduction: Urinary incontinence (UI) is an involuntary loss of urine that affects up to 60% of the world's female population. Women with UI may have weakness of the pelvic floor muscles (MAP), however, no studies evaluating the influence of MAP strength on UI severity and quality of life (QoL) on urinary incontinence were found. Objective: To compare severity of UI and QV among women with normal MAP strength and weakness. Methodology: An observational study was carried out with 37 women, divided into two groups according to the contraction capacity of the MAPs evaluated by the Modified Oxford Scale (EMO). Women with MAP contractions between 0 and 2 degrees in the EMO formed the Weak MAP Group (GMAPF, n = 20); and between 3 and 5 degrees the Normal MAP Group (GMAPN, n = 17). Personal data collection, assessment of UI severity with Incontinence Severity Index Questionnaire (ISI-Q) and QOL with the King's Health Questionnaire (KHQ) were performed. In the physical evaluation, the 1 hour pad test, Function Evaluation and Manometry of the MAP were performed. In the statistical analysis, the Mann-Whitney and Chi-square tests were used, considering p≤0.05. Results: The GMAPN group had a poor QOL related to the sleep and disposition domain (p=0.048). There was no difference between groups in the other KHQ domains and in the severity of UI (p = 0.257). Conclusion: MAP weakness did not present worse severity of UI or QoL, except in the sleep and disposition domain.
10	ISABEL OLIVEIRA MONTEIRO EVALUATION OF THE CONVERGENT VADILITY AND REPRODUCIBILITY OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (ICF) CORE SET FOR PHYSICAL HEALTH OF COMMUNITY-DWELLING OLDER ADULTS Advisor : SAIONARA MARIA AIRES DA CAMARA COMMITTEE MEMBERS : DIEGO DE SOUSA DANTAS JOAO AFONSO RUARO SAIONARA MARIA AIRES DA CAMARA Data: Aug 29, 2019 Show Abstract Introduction: The International Classification of Functioning, Disability and Health (ICF) is presented as a classification strategy that may be useful for the identification of multidimensional aspects related to the physical health of the elderly. Due to the extension of the ICF, the Core Sets are presented as strategies that facilitate its application. A Core Set of the ICF was proposed to classify the physical health of the elderly, but it is necessary to know its validity in relation to measures recognized for this purpose, as well as its reproducibility. Objective: To evaluate the convergent validity of the core set for the physical health of the elderly in relation to validated measures for the evaluation of this domain, as well as its reproducibility. Methods: This is a validity study, composed of a population of elderly residents in the city of Santa Cruz, Rio Grande do Norte, Brazil. A total of 101 elderly individuals over 60 years old, of both sexes, without cognitive alterations were included. We evaluated palmar grip strength, physical performance in the Short Physical Performance Battery (SPPB) and physical activity level by International Physical Activity Questionnaire (IPAQ) long version. The Core Set of the ICF was also applied, which is composed of 30 categories (14 body functions, 4 body structures, 9 activity and participation, and 3 environmental factors), from which the each component. To evaluate the reproducibility, the Intraclass Correlation Coefficient (ICC) was used between two measurements performed in a range of 5-8 days. The association between the core set results and the other research instruments was evaluated using the Kruskal-Wallis, Mann-Whitney and Spearman correlation tests. In all the steps were considered 5% alpha and 95% CI. Results: It was observed that elderly individuals with higher levels of physical activity in IPAQ had lower impairment index in the components body functions (p = 0.012) and in the performance (p = 0.002) and capacity (p = 0.005) constructs of the component activity and participation. For SPPB, it was observed that better results are related to lower impairment index in the body functions (p <0.001), body structures (p = 0.006), activity and participation (p <0.001), and lower use of aid devices and medications (p <0.001). A higher palmar grip strength was related to a lower impairment index in the body functions (p = 0.001), body structures (p = 0.004) and activity and participation (p <0.001), and the categories that treated of medication use (p = 0.002) and of aid devices (p = 0.004). The ICC analysis indicated good reproducibility for most components evaluated, with a minimum of 0.59 for the category of access to health services and a maximum of 0.95 for the category of medication use. Conclusion: The results show that the core set is valid in relation to the manual grip strength, lower limbs performance and physical activity level, and reproducible, indicating that the data obtained through this tool can be used with confidence by clinicians and researchers.
11	JULIANA SIMONELLY FELIX DOS SANTOS PROTOCOL MODELS AND EXERCISE PERIODIZATION OF EARLY MOBILIZATION STRATEGIES IN THE INTENSIVE CARE UNIT: A SYSTEMATIC REVIEW Advisor : ILLIA NADINNE DANTAS FLORENTINO LIMA COMMITTEE MEMBERS : DIEGO DE SOUSA DANTAS ILLIA NADINNE DANTAS FLORENTINO LIMA LUCIEN PERONI GUALDI Data: Oct 10, 2019 Show Abstract The mortality reduction in intensive care unit (ICU) has been accompanied by comorbidities for at least five years after hospital discharge. Early mobilization is the main intervention to prevent hospitalization-related declines. The prescription of physical exercise for this population is still poorly explored regarding dose response and exercise periodization. The aim of this study was to conduct a systematic review of the scientific literature to describe protocol models and periodization strategies of early mobilization prescription in ICUs in critical patients. Methods: The Preferred Reporting Itens for Systematic Reviews and Meta-Analyses (PRISMA) recommendations were followed. Medical Subject Headings (MeSH) was used for the search strategy: with combined concepts and boolean operators adapted to the databases: Medline, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science and Scopus. After searching, 6,392 resumes were found and after screening, 121 complete articles were read and 13 were included in the systematic review. No study has shown inferior quality according to the Physiotherapy Evidence Database (PEDro) scale. It was analyzed 1,380 individuals who participated of the included papers in this review. The mobilization protocols found presented a duration of 10 to 30 minutes, 2x / day for 7x / week, with weekly accumulated volume equal to or greater than 200 minutes/week, consisting of mobility and progressive exercises based on sedation level and patient tolerance. The lack of data on protocols damage the periodization strategy use, however, based on the most commonly used progress statistics, the periodization of early mobilization resembles the wavy strategy. The studies still present an incipient presentation regarding the use of these systematized strategies in Intensive Care Units, despite the large number of available studies, an exercise prescription, dose response and periodization of ICU exercise.
12	JOÃO ANTONIO SILVA ARAÚJO YOUNG CHILDREN'S PARTICIPATION AND ENVIRONMENT MEASURE (YC-PEM): TRANSLATION, ADAPTATION AND VALIDATION FOR USE IN BRAZIL. Advisor : EGMAR LONGO HULL COMMITTEE MEMBERS : ANA PAULA MARTINS CAZEIRO ANA RAQUEL RODRIGUES LINDQUIST EGMAR LONGO HULL Data: Oct 29, 2019 Show Abstract Introduction: The International Classification of Functioning, Disability and Health (ICF), published in 2001 by the World Health Organization (WHO), describes participation as the involvement of the individual in a real life situation. Being involved and participative in activities at home, at school and in the community is an important part of childhood and wellbeing indicator, as it improves health and quality of life, and is linked to social development outcomes and is an important rehabilitation goal. The Young Children's Participation and Environment Measure (YC-PEM) is a tool that assesses the frequency, involvement and impact of the environment on the participation of children between zero and five years of age, with and without disabilities, in home, daycare / pre-school environments. -school and community. Because it is a tool developed according to the ICF model, which has been extensively used in different contexts, the availability of translation and cross-cultural adaptation of this tool will be very useful to support future Brazilian validation. Objective: To translate and culturally adapt YC-PEM for use in Brazil. Method: The process was authorized by the authors of the original instrument. This is a methodological and multicenter study composed of 6 steps: (1) Translation from English - North American to Portuguese - Brazil; (2) Synthesis of translations; (3) Expert Committee Review; (4) Cognitive interview with parents / guardians; (5) back translation; (6) Consolidation of the final version. Results: Some terms, after the initial translation, had to be adapted to bring them closer to the cultural reality of the country. In step 2, all discrepancies found were carefully analyzed and the terms considered most common in Brazil were chosen. In steps 3 and 4, the item descriptions were replaced by better comprehension items and the examples were included in the questions, as well as a supplementary instruction material for self-application of the tool. In step 5 the final version was back-translated and sent to CanChild for evaluation and final approval (step 6). Conclusion: YC-PEM was translated into Brazilian Portuguese and cross-culturally adapted for this country and the final product, YC-PEM Brazil (Measurement of Participation and Environment - Small Children), was considered satisfactory. YC-PEM Brazil is expected to be able to help parents, guardians, and rehabilitation professionals identify the participation levels and environment characteristics of children aged zero to five, thus enabling the planning and implementation of rehabilitation interventions focused on these factors of great relevance to Brazilian children.
13	ROMULO LEMOS E SILVA Immediate Effects of Verbal Instructions on Quality of Movement During the Lateral Step-Down Test and Correlation of the Visual Assessment with Lower Limb Kinematics, Strength and Flexibility. Advisor : RODRIGO SCATTONE DA SILVA COMMITTEE MEMBERS : FABIO VIADANNA SERRÃO RODRIGO SCATTONE DA SILVA WOUBER HÉRICKSON DE BRITO VIEIRA Data: Nov 18, 2019 Show Abstract Introduction: Abnormal lower limb movement patterns during closed kinetic chain activities seem to contribute to the occurrence of knee injuries. The Lateral Step-Down test (LSD) is a simple test for the assessment of lower limb movement patterns. Verbal instructions may result in immediate improvements in movement patterns in certain functional activities; however, it remains unknown whether these instructions can cause these same improvements during the LSD. Objectives: the purposes of this dissertation were: 1) to conduct a narrative review regarding the assessment of quality of movement during the LSD, 2) to determine the immediate effects of a verbal instructions intervention in the quality of movement and trunk, pelvis and lower limb kinematics in healthy females during the LSD, 3) to verify possible associations between lower limb muscle strength and flexibility and the results of quality of movement and 3D kinematics during the LSD. Methods: For the first study, two independent reviewers conducted a literature review in different databases. For the experimental study, thirty-four healthy females performed the LSD and were assessed both visually and using a 3D kinematics analysis before and after receiving verbal instructions for movement correction. Participants were divided into Good Movement Group (GG) and Poor Movement Group (PG) according to their scores. Lower limb flexibility was measured using the Lunge Test and the assessment of passive hip stiffness. Muscle strength was measured using a handheld dynamometer. Verbal intervention included instructions aimed at improving the alignment of the trunk, pelvis, hip and knee during the LSD. Results: The narrative review identified a few confounding factors in the included studies that may interfere with the LSD results, such as step height and instructions given prior to the test. It was also found that the LSD is considered a simple test for clinical use, with moderate reliability (κ=0.59–0.81). Results from the experimental study showed that quality of movement during the LSD was positively correlated with kinematic measures of hip adduction, hip flexion and pelvic drop. Verbal instructions improved quality of movement of the volunteers in general, with the GG showing greater improvement in quality of movement after the instructions than the PG. In group comparisons, the PG presented greater pelvic drop, greater hip adduction and decreased hip flexion when compared to GG. Conclusions: The LSD has adequate reliability and should be standardized in order to minimize possible confounding factors. In the experimental investigation, the visual assessment of the LSD presented a significant association with pelvic drop and hip adduction during the 3D analysis in healthy females. Factors such as decreased ankle flexibility and increased hip flexibility are related to greater hip movements during the LSD. Verbal instructions caused an immediate improvement in lower limb quality of movement in healthy women during the LSD.
14	CAMILA LOBO DE AGUIAR GOMES Effects of attentional focus on improving upper limb motor performance of post stroke patients Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : ALINE BRAGA GALVAO SILVEIRA FERNANDES ENIO WALKER AZEVEDO CACHO RODRIGO LÍCIO ORTOLAN Data: Dec 12, 2019 Show Abstract Background: Rehabilitation is an important process in the recovery of upper limb motor function after stroke. In addition, studies have shown that therapist verbal instruction during treatment is an effective strategy in this process. One way for the therapist to facilitate the command to be passed to the learner is by using verbal cues for guidance. They are called focus of attention: internal focus -IF (own body) and external focus -EF(consequence of movement in the environment). Objective: To verify the effects of focus types on post-stroke upper extremity motor performance. Methods: This study recruited twelve subjects and randomly into two groups by simple draw. The groups were asked to perform two motor tasks with the affected limb (16 repetitions), using verbal commands directed by a trained therapist. In the first phase, G1 received commands with IF, while G2 was instructed with commands with EF. After one week, the command type was changed between groups. To obtain the variables (movement time, average velocity and number of speed peaks), a device developed by the authors (Temporal Data Acquisition Instrument - TDAI) and free kinematic software - CVMob version 4.0 was used. Results: Both EF and IF promote significant differences in movement time and speed, however, only IF provided significant results in both tasks. Discussion: The benefits of one focus of attention on the other are not fully confirmed. However, not receiving any kind of attention guidance induces the patient to adopt their own strategies, compromising motor performance. It is pertinent that during the rehabilitation the therapist is aware of the importance of choosing the verbal commands that will be oriented Conclusion: Both focus provided similar motor enhancements and the results provides some support for the hypothesis that the benefits of the EF are accentuated when preceded by the IF.
15	VIVIANE TAVARES BEZERRA NÓBREGA Hemispheric especialization in assessing reach and grip in post-stroke patients: a cross-sectional observational study Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : ENIO WALKER AZEVEDO CACHO KELLY SOARES FARIAS SAIONARA MARIA AIRES DA CAMARA Data: Dec 20, 2019 Show Abstract Abstract: Unilateral brain injuries affecting the left hemisphere bring different clinical conditions than those affecting the right hemisphere. It is postulated that the left hemisphere is more responsible for the range acceleration phase and the right hemisphere for the deceleration (grip) phase. This statement stems from kinematic studies of human movement. The aim of this study was to analyze, through clinical instruments, whether patients with right hemisphere injury differ from patients with left hemispheric injury for reach and grasp movement. Methods: This is an observational cross-sectional analytical study conducted with patients who had stroke for more than six months and had unilateral impairment. Fifteen patients (nine with right injuries and six with left injuries) were selected and evaluated in the reach and bilateral grip movements using the Box and Block test (BBT) instruments, the Action Research Arm Test (ARAT), the functional range (REACH) and dynamometry. In order to compare clinical measures (ARAT, BBT and Reach Performance Scale) and hand dynamometry) between the two groups (GR x GL) and between individuals in the same group, the Mann-Whitney U test was performed. Correlation was performed by Spearman test. Results: Fifteen subjects met the eligibility criteria for the study and, as such, the subjects were divided into two groups, lesion in the right hemisphere and lesion in the left hemisphere. However, from the results found it was not possible to verify the hemispheric differences for reach and prehension activity through the clinical instruments. Conclusion: It was not possible to obtain evidence that hemispheric specialization can be measured from clinical assessment scales.

2018

	Dissertations
1	THAISSA HAMANA DE MACEDO DANTAS Assessment of Functioning in women with urinary incontinence Advisor : DIEGO DE SOUSA DANTAS COMMITTEE MEMBERS : CLARISSA LOUREIRO CAMPÊLO BEZERRA DIEGO DE SOUSA DANTAS GRASIELA NASCIMENTO CORREIA Data: Mar 2, 2018 Show Abstract Objective: Understanding the content of quality of life questionnaires assists to choose the most appropriate instrument for evaluating women with urinary incontinence. The International Classification of Functioning, Disability and Health (ICF) can be used as a standardized method of comparing these instruments, providing an unified language for the obtained information. Thus, this study aimed to link the International Consultation on Incontinence Questionnaire (ICIQ-SF); King's Health Questionnaire (KHQ); Incontinence Quality of Life Questionnaire (IQoL) and Bristol Female Urinary Tract Symptoms Questionnaire (BFLUTS) questionnaires with the ICF. Methods: Linking the questionnaires content and the ICF was performed using the method described by Cieza and colleagues. Results: The questionnaires included 48 ICF categories, 49% were from activities and participation component (d) and 36.8% from body functions (b). Conclusion: The scales are linked with the ICF at different levels. ICIQ-SF was the most limited instrument. BFLUTS and IQoL presented greater agreement with the ICF, but the concepts in their items are mostly linked to body function, denoting a biomedical vision. The KHQ demonstrated greater affinity with the ICF, and most concepts were related to the activities and participation categories, approaching more effectively the biopsychosocial model on which the Classification is based.
2	FELIPE HEYLAN NOGUEIRA DE SOUZA Effects of the Double Task on Marking Variables in the Elderly Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : ENIO WALKER AZEVEDO CACHO NUBIA MARIA FREIRE VIEIRA LIMA LEONARDO PETRUS DA SILVA PAZ Data: Apr 24, 2018 Show Abstract Objective: To investigate the deterioration of gait in different conditions associated with cognitive planning in healthy elderly. METHODS: This was a cross-sectional study involving 17 elderly women aged 60-75 years (66.00 ± 4.67). Individuals were clinically described by means of the following instruments: Dynamic Gait Index, Berg Balance Scale, Mine Mental State Examination and Leganes Cognitive Test. The experimental protocol consisted of performing the three cognitive tasks of the Stroop test - Word (Pal), Color (Co) and Word-Color (Pal-Co) - in four gait conditions: treadmill running, disturbances (MS), ground running with straight disturbances (MSPR), and ground running at eight (MS8). Each task was performed three times, with duration of 20 seconds and intervals of three minutes. The ICM was evaluated by muscle contraction index (ICCm), number of steps (NP), cadence (Ca) and velocity (VL). The ICCm was collected by means of surface electrodes and an 8-channel electromyograph, along with pressure sensors on the treadmill for ME, and sensors fixed in walking soles that synchronized gait cycles (support and oscillation). The normality of the data was analyzed and the one-way ANOVA and Pearson's correlation using SPSS 2.0 software were used. Results: The cognitive tasks of the Stroop test presented a deterioration in the final score of the test, presenting a significant effect of the reduction of number of Words and number of Colors (p <0.05) in all conditions when compared to ME (Pal 33 , 78 ± 6.31, Co 23.19 ± 5.78) on MS (Pal 26.76 ± 6.59, Co 16.84 ± 5.55), MS 8 (Pal 25.72 ± 6.53; 15,17 ± 5,76) and MSPR (Pal 22,94 ± 7,22, Co 16,11 ± 6,00), whereas for Color Word there was a significant effect on the reduction in the number of items (p <0, 05) only when compared to ME (13.58 ± 3.16) with MSPR (9.88 ± 3.50) and MS8 (9.84 ± 3.50). When comparing the cost of the Stroop task in the steps and cadence of the different gait conditions, a significant change in gait variability was observed from the usual to the slower (p <0.05), however only MS x MSPR and MSPR x MS8 did not show these differences (p> 0.05), whereas the cadence was not significant in ME x Normal, MS x MSPR, MS8 x MS and MSPR (p> 0.05) situations. The correlation analysis revealed a significant and positive relationship between steps and cadence with the Stroop task, only in the MS8 situation with number of colors (r = 0.549, p = 0.022, r = 0.561, p = 0.019). Conclusion: The findings suggest that the cognitive task during gait variability was altered, suffering a negative impact as the load was increased, and that patterns of gait variability produced different measures in the steps and cadence being larger viewed only between the activities.
3	CAMILA VASCONCELOS DE ARRUDA OLIVEIRA PREVALENCE AND FACTORS ASSOCIATED WITH THE CHRONIC SPINAL PROBLEM IN WOMEN OF REPRODUCTIVE AGE Advisor : GRASIELA NASCIMENTO CORREIA COMMITTEE MEMBERS : DIEGO DE SOUSA DANTAS GRASIELA NASCIMENTO CORREIA LAIANE SANTOS EUFRASIO Data: Jun 15, 2018 Show Abstract The Chronic Spinal Problem (CSP) is an important public health problem. In Brazil, data from the National Health Survey (NHS) estimated 27.0 million people (18.5%) who reported CSP, affecting more women than men. This study aims to identify, among women of reproductive age, the factors associated with CSP. It is a cross-sectional study carried out with data from the NHS, where the dependent variable was the prevalence of CSP, and associated factors included socio-demographic items, life habits, reproductive history, nutritional status, diagnosis of depression and health perception. A total of 22,621 women aged 18-49 years were evaluated, 14.8% of whom reported having CSP. The risk factors to CSP, were: increase in age; living with spouse/partner; multiparity; be a smoker; overweight or obese, have Waist Circumference (WC) above 80cm and Circumference/Height (C/H) index above 0.5; negative self-perception of health; and depression. The protection factor to CSP found was the schooling. The observed associations conclude that age, living with spouse/partner, smoking, multiparity, overweight and obesity, increased risk for cardiovascular diseases, diagnosis of depression and self-perceived negative health are associated with the development of CSP in women of reproductive age.
4	GABRIELE NATANE DE MEDEIROS CIRNE EFFECT OF PHYSICAL TRAINING ASSOCIATED WITH MENTAL PRACTICE: A randomized single-blinded study Advisor : ROBERTA DE OLIVEIRA CACHO COMMITTEE MEMBERS : ROBERTA DE OLIVEIRA CACHO ENIO WALKER AZEVEDO CACHO KELLY SOARES FARIAS ADRIANA CARLA COSTA RIBEIRO CLEMENTINO Data: Jun 29, 2018 Show Abstract Introduction: Mental Practice (MP) allows the individual to perform tasks repeatedly without fatigue or any risk to safety. Studies show the efficacy of MP in stroke patients by improving motor skills and performance learning. Objective: The objective of this study was to investigate the effect of a PM program associated to physical task (PT), assessing the moment of insertion of the practice during therapy, and estimating motor and imaging functions. METHODS: This is a single-blind randomized controlled trial that evaluated the efficacy of mental practice conducted in patients diagnosed with chronic stroke. Patients were randomly assigned to the groups G1 (video + MP + PT), G2 (video + PT + MP) and G3 (video + PT). The modified Ashworth scale was the physical performance protocol of Fugl- Meyer, Functional Independence Measure (FIM), Theory of Mind Inventory (ToM), Surface Electromyography (EMGs), and the Action Research Arm test (ARAT) and Box and Block test (BBT). Results: Only 35 met the eligibility criteria, 21 accepted to participate in the study and were enrolled for the study, but only 10 completed the study. Thus, a variance test was performed between the groups, showing no statistical significance. Comparing the moments of the same group, there was a statistically significant result in G1 in Fugl Meyer's variables: hand and total upper limb, motor FIM, upper limb affected in ARAT and in BBT. Conclusion: The Mental Practice associated with physical training is an effective protocol. Our results still indicate a possible indication that mental practice has to be performed before physical training.
5	WILDJA DE LIMA GOMES CLINICAL, FUNCTIONAL AND POSTUROGRAPHIC EVALUATION UNDER DIFFERENTS CONDITIONS OF DUAL TASK IN ELDERLY Advisor : NUBIA MARIA FREIRE VIEIRA LIMA COMMITTEE MEMBERS : ANA RAQUEL RODRIGUES LINDQUIST LARISSA COUTINHO DE LUCENA NUBIA MARIA FREIRE VIEIRA LIMA Data: Jul 19, 2018 Show Abstract Introduction: The aging process triggers intense physiological changes that can lead to impairment of physical and cognitive capacities in the elderly and that tend to decrease mobility and restrict daily activities. Memory is one of the first functions to regress in aging, with difficulties in activities involving evocation and visuospatial recognition in dual task (DT) conditions. The interaction between aging and pathological processes can profoundly impact cognitive and physical function, as seen in mild cognitive impairment (MCI), dementia and idiopathic Parkinson's disease (PD), which affect the elderly. Objectives: To describe and analyze the interference of the cognitive task on static postural control through a dual cognitive-motor task evaluation protocol; describe and verify the association between performance of dual task, mobility and clinical-functional aspects in healthy elderly, elderly with MCI and elderly with PD, comparing them; to verify the perception and preferences related to the dual task in healthy elderly, elderly with CCL and elderly with PD, comparing them. Methods: The study presents a cross-sectional and analytical design, with a non-probabilistic sample and for convenience. The participants were submitted to clinical-functional evaluation through 13 measurement instruments and evaluation of static postural control through computerized posturography with evaluation protocol composed of 16 conditions, 14 conditions of dual motor-cognitive task. Results: A total of 35 elderly patients were included in three groups: healthy elderly (n=15), mild cognitive impairment (n=9) and Parkinson's disease group (n=11). For the mobility tests, there was a temporal increase during the execution of dual motor and cognitive tasks for the three groups compared to the simple tests. Motor DT in lane 8 resulted in longer execution times for all three groups. In all the posturography evaluation conditions the elderly with MCI showed less correctness in relation to the other groups, especially for citation of months with use of pop music. Conclusions: The 8-lane mobility test with or without double task is useful as an evaluation method for elderly patients with or without neurological dysfunction with a strong correlation of the test at 8 with sit-ups and Time Up and Go tests. of evaluation protocol with the use of dual motor-cognitive task allowed the verification of the interference of the cognitive task on the postural control, especially the tasks of verbal fluency. The protocol was easy to apply and understood by the elderly, simple and feasible. Most individuals considered DT to be easy to perform and that the addition of music did not hinder orthostatism.
6	KARIME ANDRADE MESCOUTO EFFECTS OF TRANSCRANIAL DIRECT CURRENT STIMULATION ON PHYSICAL AND BEHAVIORAL VARIABLES IN WOMEN WITH FIBROMYALGIA - A RANDOMIZED CONTROLLED CLINICAL TRIAL Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : RODRIGO PEGADO DE ABREU FREITAS CAIO ALANO DE ALMEIDA LINS FUAD AHMAD HAZIME Data: Jul 25, 2018 Show Abstract Background: Fibromyalgia (FM) is a syndrome characterized by chronicwidespread pain, fatigue, cognitive behavioral impairments, mood disordersand sleep problems. Although the etiology of FM is unknown, it has beenrecognized as a centralized pain state where the patient’s Central NervousSystem (CNS) is hyperactive, phenomenon known by Central Sensitization.Transcranial Direct Current Stimulation (tDCS) is a non-invasive, safe andcost-effective brain stimulation technique that modulates cortical excitabilityand has been showing positive effects in FM patients. However, there is noconsensus on which method and exactly location of stimulation is mosteffective and presents with more significant benefits in this patientspopulation. Objective: The aim of this study is to evaluate whether a 5consecutive day treatment with tDCS stimulation results in better pain levelswhen compared to sham, or placebo, and if there are any differential effectbetween active tDCS and sham tDCS on pressure pain threshold, pressurepain tolerance, mood disorders such as anxiety, depression and affectivityand the disease functional impact in women with FM. Methods: Thisrandomized controlled trial had forty-five participants with FM, which wererandomized in one of three groups: active tDCS in the primary motor cortex(M1; n=15) and dorsolateral prefrontal cortex (DLPFC; n=15) and shamstimulation (SHAM; n=15). All the data were collected 7 days prior to thebegging of the intervention (baseline), on the 5 th day of treatment, with 7 and21 days of follow-up. The pressure pain threshold and tolerance were alsorevaluated at the 1 st day of treatment to analyze the immediate effect of tDCS.A constant current of 2 mA intensity was administered during 5 consecutivedays for 20min. Results: The results showed there was no statisticalsignificant improvement in pain in any of the groups (p > 0,05). However,there was a reduction of 15,1% of the disease functional impact in M1 (p =0,003) and 8,7% in DLPFC (p = 0,022) resulting in improved function of thispatient population. In addition, the results showed an improvement in anxietylevels in DLPFC group (p < 0,05) with effects maintenance of up to follow-upperiods. There was no statistical difference on the other variables.Conclusion: The results of this study suggests that tDCS treatment of 5consecutive days in cortical areas M1 and DLPFC of 2mA intensity for 20minhave significant results in function and anxiety in patients with FM withsustained effects after treatment ended.
7	LEANDRO GONÇALVES CEZARINO Study of Sports Injuries in a Formation Center of First Division Brazilian Soccer Athletes: A Prospective Epidemiological Approach with Focus on Muscle Injuries Advisor : RODRIGO SCATTONE DA SILVA COMMITTEE MEMBERS : NATALIA FRANCO NETO BITTENCOURT RODRIGO SCATTONE DA SILVA SAIONARA MARIA AIRES DA CAMARA Data: Jul 27, 2018 Show Abstract Introduction: in spite of the popularity of soccer at the youth level, data on the incidence of injuries in Brazil is limited. Muscle injuries are the most frequent in soccer, accounting for about 30% of all injuries. Although scientific knowledge on muscle injuries has increased in the last decade, the prevalence of these injuries has not decreased. Few studies on this field were dedicated to young soccer players, which highlights the need for further research. Objectives: to describe the incidence of injuries sustained by male elite youth soccer players over the 2017 season; to investigate the interaction between age, previous injury, match and training exposure and strength imbalances in the occurrence of muscle injuries in this population. Methods: demographic and anthropometric data, history of injuries, match and training exposure, and strength variables were recorded and analyzed. Injury incidence was calculated as the number of injuries occurred, divided by the number of hours of exposure on match play and training sessions, times 1,000. Players who sustained a non-contact muscle injury composed the injured group (IG) and players who suffered no non-contact injuries composed the uninjured group (UG). The relative risk was calculated and independent t-tests, the chi-square test and a multivariate logistic regression model were also conducted in the statistical analysis, considering P<.05. Results: one hundred and eighty seven injuries were documented in 122 players (65.2%). The overall incidence of injuries was 1.86 per 1,000 hours of exposure, with a rate six times higher in matches compared to training (P < .0001). Forty-five muscular injuries occurred in 34 players: 16 (36%) hamstring; 12 (27%) quadriceps; 14 (31%) adductor; and 3 (6%) calf injuries. The IG had a greater exposure to training [Mean Difference (MD) = 25.70 hours, 95% Confidence Interval (CI) = 1.12, 50.27, P = .041] and a greater overall exposure (match plus training) (MD = 32.97 hours, 95% CI = 6.22, 59.73, P = .016) than the UG. Regarding the time of arrival at the club, the IG presented a significantly smaller time of arrival in comparison to the UG (MD = - 6.57 months, 95% CI = 11.99, -1.18, P = .017). The muscle strength tests revealed that the IG had greater eccentric quadriceps strength (MD = 3.29 N / kg.100, 95% CI = 1.41, 5.17, P = .001), compared to the UG. The IG also had a lower hamstring:quadriceps strength (H:Q) ratio than the UG (MD = -5.24, CI95% = -8.84, -1.65; P = .005). Previous lower limb injury significantly increased the chance of sustaining a muscle injury (OR: 3.027, 95% CI = 1.133, 8.086). Conclusion: the risk of injury was higher during match play than during training and older players (U-20 years old) were the most likely to sustain injuries. Muscle injuries were the most prevalent and athletes with a previous history of lower limb injury, lower values of H:Q ratio and smaller time of arrival at the club, presented a higher risk of suffering muscle injuries. The interaction of both modifiable and non-modifiable risk factors seems to better explain the occurrence of injuries and this type of analysis should be continuously performed in the attempt to prevent injuries in adolescents.
8	SABRINA GABRIELLE GOMES FERNANDES MACEDO RELATIONSHIP BETWEEN SELF-RATED HEALTH AND PHYSICAL PERFORMANCE IN COMMUNITY-DWELLING MIDDLE-AGED AND OLDER WOMEN IN NORTHEAST BRAZIL. Advisor : SAIONARA MARIA AIRES DA CAMARA COMMITTEE MEMBERS : ALVARO CAMPOS CAVALCANTI MACIEL MAYLE ANDRADE MOREIRA SAIONARA MARIA AIRES DA CAMARA Data: Jul 31, 2018 Show Abstract Introduction: Self-rated Health (SRH) is one of the most used outcome measures in social epidemiology, public health research and clinical practice, and has been associated with morbidity and mortality in different populations. Physical performance measures are largely determined by physiological functions that typically decrease with age. Some evidence shows that SRH is associated with objective measures of physical performance; however, studies investigating association in low- and middle-income settings are rare, especially for middle-aged populations. Objective: To verify the relationship between SRH and physical performance measures, through tests that assess upper and lower limb strength in middle-aged and elderly women in a low-income setting of Brazil. Methods: This is a cross-sectional study of 571 middle-aged women (40-59 years old) and elderly women (60-80 years old) living in the municipalities of Parnamirim and Santa Cruz, Rio Grande do Norte. Participants who reported their health status as "excellent," "very good," or "good" were allocated to the "SRH good" group, and those who reported their health as "fair" or "poor" composed the group "SRH poor". The physical performance evaluation consisted of 4 tests: handgrip strength, one-legged balance with eyes open and closed, and chair stand test. The relationship between SRH and physical performance for middle-aged and older women was assessed by multiple linear regression adjusted for covariates (age, education, family income, BMI, physical activity, comorbidities, menopausal status, and reproductive history). Results: Middle-aged women who reported good SRH had better physical performance, such as stronger handgrip strength (β = 1,927, p <0.001), greater balance time with eyes closed (β = 1.339, p = 0.041) and were faster in the chair stand test (β = -0.770, p = 0.003) when compared to those who reported their health as "poor." For the group of elderly women there is no association between physical performance measures and SRH. Conclusion: This study showed that SRH is significantly associated with objective measures of physical performance in a sample of low-income middle-aged women and is therefore a useful tool for assessing the physical health of this population.
9	GABRIELY AZEVEDO GONCALO SILVA PHYSIOLOGICAL RESPONSES OF INCREMENTAL SHUTTLE WALK TEST IN COPD SUBJECTS: A SYSTEMATIC REVIEW. Advisor : ILLIA NADINNE DANTAS FLORENTINO LIMA COMMITTEE MEMBERS : ANA TEREZA DO NASCIMENTO SALES FIGUEIREDO FERNANDES DIEGO DE SOUSA DANTAS ILLIA NADINNE DANTAS FLORENTINO LIMA Data: Jul 31, 2018 Show Abstract Background: Incremental shuttle walk test (ISWT) and endurance shuttle walk test (ESWT) are very commonly used as an alternative to evaluate functional capacity in clinical practice for individuals with COPD. However, the physiological responses provided during and after these tests are still poorly understood. Aim: to proceed a systematic review to evaluate the physiological responses during and after ISWT and ESWT in subjects with COPD. Methods: The search databases used were Medline, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science and Scopus. 4,071 abstracts were identified, 16 articles were included. The quality of the studies was evaluated by EPHPP. Results: 15 studies presented poor methodological quality according to EPHPP. 893 subjects with mild to severe COPD were evaluated. The studies that evaluated pre and post, heart rate and saturation of oxygen in two ISWTs, found significant differences in relation to baseline values, but not between them. The same behavior happened with blood pressure, dyspnoea and respiratory rate. The VO2peak compared between ISWT and ESWT presented similar values, with no statistical difference. In only one study, fatigue, dyspnea and minute ventilation also showed no significant variations. Only one article evaluated distance in the ESWT (384 ± 193 m) and ISWT (338 ± 102 m). The highest distance was observed in the study that the participants presented mild to moderate stage of COPD. Conclusion: most studies prioritized the ISWT. The knowledge of the physiological responses during the tests is limited, because not all the studies evaluate the variables pre, during and after tests to produce better comparison.
10	GALENO JAHNSSEN BEZERRA DE MENEZES FERREIRA Transcranial direct current stimulation improves quality of life and functionality in diabetic polyneuropathy: a pilot double bind randomized controlled trial. Advisor : RODRIGO PEGADO DE ABREU FREITAS COMMITTEE MEMBERS : LUCIEN PERONI GUALDI MAÍRA CAROLINA LIXANDRÃO RODRIGO PEGADO DE ABREU FREITAS Data: Jul 31, 2018 Show Abstract Objective: Diabetic polyneuropathy is highly prevalent among diabetic adults and elder promoting poorer physical functioning and quality of life (QOL). This study aimed to evaluate the effects of anodal tDCS of the M1 on QOL, physical fitness and pain in patients with diabetic polyneuropathy. Subjects and methods: It was conducted a pilot, parallel, sham, randomized, double-blind trial with twenty patients with diabetic polyneuropathy. Five consecutive sessions of C3/Fp2 tDCS montage were done. Short Form 36 Health Survey (SF-36) was used to assess the primary outcome. Secondary outcomes measures were physical fitness level according to lower and upper body strength, flexibility and submaximal level of functional capacity. All outcomes were measured in 3 different times (baseline, 1 week and 2 week). Results: Generalized estimating equations showed signiﬁcant main effects of time x group on SF-36 score (x2 = 48.79; p < 0.001) with significant difference between baseline to 1 week (p = 0.001) and 2 week (p = 0.001). SF-36 score showed significant difference between group only on 2 week (p = 0.05). Mental health, physical health, emotional, general health, physical function and functional capacity showed significant interaction time x group with increase in Active-tDCS group. Bodily pain differ between groups in 2 week (p = 0.001). TUG and 6MWT have shown significant improvement only in Active-tDCS group (p = 0.0075; p = 0.0001 respectively, according to ANOVA). Conclusions: Five sessions of anodal M1 tDCS improve QOL and functionality in patients with diabetic polyneuropathy.
11	DANIELLE CRISTINA GOMES Linking content of quality of life questionnaires for children with chronic obstructive pulmonary disease with the International Classification of Functionality, Disability and Health Advisor : SILVANA ALVES PEREIRA COMMITTEE MEMBERS : EGMAR LONGO HULL LUCIANA CASTANEDA RIBEIRO SILVANA ALVES PEREIRA Data: Aug 3, 2018 Show Abstract Purpose: To identify the principal health-related quality of life (HRQoL) questionnaires specific for Chronic Obstructive Pulmonary Disease in children, translated and validated for Brazilian children; and to examine how the reflected content in these tools are represented in the categories that compose the International Classification of Functioning, Disability and Health (ICF). Methods: This is a methodological study developed in two stages. The first stage comprehended a literature review for identification and selection of the questionnaires and the second consisted of linking the contents to ICF. For such purpose was followed the widely used Cieza and colleagues methodology, with the identification of meaningful concepts of questionnaires items and linking to correspondent categories on ICF, by two independent reviewers. Results: The following tools were identified and analyzed: Cystic Fibrosis Questionnaire (CFQparents6-13 and CFQ6-11), Pediatric Asthma Quality of Life (PAQLQ), the self and proxy versions of DISABKIDS ® - Cystic Fibrosis Module, and of Pediatric Quality of Life Asthma Module (PedsQL-Asthma). Data were presented into absolute and relative frequencies. Kappa Coefficient was used to analyze inter-reviewers concordance. The study product was presented in two scientific papers. Conclusion: The analysis of the contents of quality of life questionnaires revealed that all of them are linked to the ICF at different levels. The majority of tools has a focus on body function, assigning a smaller or no frequency of these contents to the other components of human functioning, leading to a disadvantage in relation to a biopsychosocial assessment, as proposed by the ICF.

2017

	Dissertations
1	EDSON MENESES DA SILVA FILHO Neuromodulation treats Chikungunya arthralgia Advisor : ENIO WALKER AZEVEDO CACHO COMMITTEE MEMBERS : EDGARD MORYA ENIO WALKER AZEVEDO CACHO HINDIAEL AERAF BELCHIOR Data: Dec 12, 2017 Show Abstract The Chikungunya (CHIK) virus is epidemic in Brazil, with 170,000 cases in the first half of 2016. More than 60% of patients present relapsing and remitting chronic arthralgia with debilitating pain lasting years. There are no specific therapeutic agents to treat and rehabilitee infected persons with CHIK. Persistent pain can lead to incapacitation, requiring long-term pharmacological treatment. Advances in non-pharmacological treatments are necessary to promote pain relief without side effects and to restore functionality. Here, we demonstrate that the transcranial direct current stimulation (tDCS) across the primary motor cortex significantly reduces pain in the chronic phase of CHIK. Our findings suggest tDCS could be an effective, inexpensive and deployable therapy to areas lacking resources with a great number of patients with chronic CHIK persistent pain.