Dissertation/Thèse

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

2021
Thèses
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

  • Leader : NUBIA MARIA FREIRE VIEIRA LIMA
  • MEMBRES DE LA BANQUE :
  • THAIS BOTOSSI SCALHA
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 29 janv. 2021


  • Afficher le Résumé
  • 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

  • Leader : EGMAR LONGO HULL
  • MEMBRES DE LA BANQUE :
  • ANA PAULA MARTINS CAZEIRO
  • EGMAR LONGO HULL
  • KAROLINNE SOUZA MONTEIRO
  • Data: 9 févr. 2021


  • Afficher le Résumé
  • 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

  • Leader : LUCIEN PERONI GUALDI
  • MEMBRES DE LA BANQUE :
  • LUCIEN PERONI GUALDI
  • ILLIA NADINNE DANTAS FLORENTINO LIMA
  • VANESSA REGIANE RESQUETI FREGONEZI
  • JESSICA DANIELLE MEDEIROS DA FONSECA
  • Data: 25 févr. 2021


  • Afficher le Résumé
  • 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

  • Leader : GRASIELA NASCIMENTO CORREIA
  • MEMBRES DE LA BANQUE :
  • ADRIANA GOMES MAGALHAES
  • GRASIELA NASCIMENTO CORREIA
  • LARISSA RAMALHO DANTAS VARELLA
  • Data: 3 mars 2021


  • Afficher le Résumé
  • 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.

  • Leader : RODRIGO PEGADO DE ABREU FREITAS
  • MEMBRES DE LA BANQUE :
  • ARTUR QUINTILIANO BEZERRA DA SILVA
  • LEANDRO DE ARAUJO PERNAMBUCO
  • RODRIGO PEGADO DE ABREU FREITAS
  • Data: 5 mars 2021


  • Afficher le Résumé
  • 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
  • RAÍSSA SOUZA TAVEIRA
  • Player FeedBack - Device For Motor Learning Assessment Post-Stroke: A pilot Study

  • Leader : ENIO WALKER AZEVEDO CACHO
  • MEMBRES DE LA BANQUE :
  • ENIO WALKER AZEVEDO CACHO
  • PAULO AUGUSTO DE LIMA FILHO
  • ROBERTA DE OLIVEIRA CACHO
  • THAIANA BARBOSA FERREIRA PACHECO
  • Data: 6 mai 2021


  • Afficher le Résumé
  • 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

  • Leader : ROBERTA DE OLIVEIRA CACHO
  • MEMBRES DE LA BANQUE :
  • ILLIA NADINNE DANTAS FLORENTINO LIMA
  • KARLA LUCIANA MAGNANI SEKI
  • ROBERTA DE OLIVEIRA CACHO
  • Data: 14 mai 2021


  • Afficher le Résumé
  • 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

  • Leader : SILVANA ALVES PEREIRA
  • MEMBRES DE LA BANQUE :
  • RAQUEL COSTA ALBUQUERQUE
  • MIRELLA TELLES SALGUEIRO BARBONI
  • SILVANA ALVES PEREIRA
  • Data: 16 juin 2021


  • Afficher le Résumé
  • 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.

2020
Thèses
1
  • LUANA BRITO DOS SANTOS
  • Primary Dysmenorrhea and Functioning in adults women from Northeastern Brazil

  • Leader : DIEGO DE SOUSA DANTAS
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • GRASIELA NASCIMENTO CORREIA
  • CAROLINE WANDERLEY SOUTO FERREIRA
  • Data: 8 juil. 2020


  • Afficher le Résumé
  • 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

  • Leader : RODRIGO PEGADO DE ABREU FREITAS
  • MEMBRES DE LA BANQUE :
  • RODRIGO PEGADO DE ABREU FREITAS
  • CLECIO GABRIEL DE SOUZA
  • JOHNNATAS MIKAEL LOPES
  • Data: 10 juil. 2020


  • Afficher le Résumé
  • 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

  • Leader : RODRIGO PEGADO DE ABREU FREITAS
  • MEMBRES DE LA BANQUE :
  • ALINE RANZOLIN
  • RODRIGO PEGADO DE ABREU FREITAS
  • SANDRA CRISTINA DE ANDRADE
  • Data: 10 août 2020


  • Afficher le Résumé
  • 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

  • Leader : SAIONARA MARIA AIRES DA CAMARA
  • MEMBRES DE LA BANQUE :
  • DIMITRI TAURINO GUEDES
  • MAYLE ANDRADE MOREIRA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 14 août 2020


  • Afficher le Résumé
  • 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

  • Leader : SAIONARA MARIA AIRES DA CAMARA
  • MEMBRES DE LA BANQUE :
  • ALINE BRAGA GALVAO SILVEIRA FERNANDES
  • INGRID GUERRA AZEVEDO
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 10 sept. 2020


  • Afficher le Résumé
  • 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

  • Leader : SILVANA ALVES PEREIRA
  • MEMBRES DE LA BANQUE :
  • CAROLINA DANIEL DE LIMA ALVAREZ
  • CRISTIANE APARECIDA MORAN
  • EGMAR LONGO HULL
  • SILVANA ALVES PEREIRA
  • Data: 30 sept. 2020


  • Afficher le Résumé
  • 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

  • Leader : MARCELO CARDOSO DE SOUZA
  • MEMBRES DE LA BANQUE :
  • DIEGO GALACE DE FREITAS
  • JAMIL NATOUR
  • MARCELO CARDOSO DE SOUZA
  • TANIA DE FATIMA SALVINI
  • Data: 16 oct. 2020


  • Afficher le Résumé
  • 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

  • Leader : ILLIA NADINNE DANTAS FLORENTINO LIMA
  • MEMBRES DE LA BANQUE :
  • CAIO ALANO DE ALMEIDA LINS
  • JESSICA DANIELLE MEDEIROS DA FONSECA
  • LUCIEN PERONI GUALDI
  • Data: 1 déc. 2020


  • Afficher le Résumé
  • 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.

  • Leader : ROBERTA DE OLIVEIRA CACHO
  • MEMBRES DE LA BANQUE :
  • ELEN BEATRIZ CARNEIRO PINTO
  • ENIO WALKER AZEVEDO CACHO
  • ROBERTA DE OLIVEIRA CACHO
  • RODRIGO PEGADO DE ABREU FREITAS
  • Data: 1 déc. 2020


  • Afficher le Résumé
  • 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.

  • Leader : GRASIELA NASCIMENTO CORREIA
  • MEMBRES DE LA BANQUE :
  • ADRIANA GOMES MAGALHAES
  • GRASIELA NASCIMENTO CORREIA
  • PATRICIA DRIUSSO
  • Data: 15 déc. 2020


  • Afficher le Résumé
  • 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

  • Leader : RODRIGO SCATTONE DA SILVA
  • MEMBRES DE LA BANQUE :
  • DANIEL FERREIRA MOREIRA LOBATO
  • GERMANNA DE MEDEIROS BARBOSA
  • RODRIGO SCATTONE DA SILVA
  • Data: 15 déc. 2020


  • Afficher le Résumé
  • 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

  • Leader : DIEGO DE SOUSA DANTAS
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • PALLOMA RODRIGUES DE ANDRADE
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 15 déc. 2020


  • Afficher le Résumé
  • 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

  • Leader : CAIO ALANO DE ALMEIDA LINS
  • MEMBRES DE LA BANQUE :
  • CAIO ALANO DE ALMEIDA LINS
  • DANIEL TEZONI BORGES
  • FRANCISCO LOCKS NETO
  • Data: 16 déc. 2020


  • Afficher le Résumé
  • 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

  • Leader : RODRIGO SCATTONE DA SILVA
  • MEMBRES DE LA BANQUE :
  • LILIAN RAMIRO FELÍCIO
  • MARCELO CARDOSO DE SOUZA
  • RODRIGO SCATTONE DA SILVA
  • Data: 17 déc. 2020


  • Afficher le Résumé
  • 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
Thèses
1
  • RAYNARA MARITSA CAVALCANTE PESSOA
  • EVALUATION OF IMMEDIATE INTERFERENCE AFTER INTERVENTION WITH DOUBLE TASK IN ELDERLY

  • Leader : NUBIA MARIA FREIRE VIEIRA LIMA
  • MEMBRES DE LA BANQUE :
  • CLAUDIA SANTOS OLIVEIRA
  • ENIO WALKER AZEVEDO CACHO
  • KELLY SOARES FARIAS
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 16 janv. 2019


  • Afficher le Résumé
  • 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)

  • Leader : EGMAR LONGO HULL
  • MEMBRES DE LA BANQUE :
  • EGMAR LONGO HULL
  • KLAYTON GALANTE SOUSA
  • ANA CAROLINA DE CAMPOS
  • Data: 31 janv. 2019


  • Afficher le Résumé
  • 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

  • Leader : CAIO ALANO DE ALMEIDA LINS
  • MEMBRES DE LA BANQUE :
  • CAIO ALANO DE ALMEIDA LINS
  • JAMILSON SIMOES BRASILEIRO
  • FRANCISCO LOCKS NETO
  • Data: 31 mai 2019


  • Afficher le Résumé
  • 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

  • Leader : SILVANA ALVES PEREIRA
  • MEMBRES DE LA BANQUE :
  • CRISTIANE APARECIDA MORAN
  • DIEGO DE SOUSA DANTAS
  • SILVANA ALVES PEREIRA
  • Data: 3 juin 2019


  • Afficher le Résumé
  • 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

  • Leader : ROBERTA DE OLIVEIRA CACHO
  • MEMBRES DE LA BANQUE :
  • ALYNE KALYANE CÂMARA DE OLIVEIRA
  • ENIO WALKER AZEVEDO CACHO
  • ROBERTA DE OLIVEIRA CACHO
  • Data: 26 juin 2019


  • Afficher le Résumé
  • 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

  • Leader : DIEGO DE SOUSA DANTAS
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • NADJA VANESSA DE ALMEIDA FERRAZ
  • VANESSA PATRICIA SOARES DE SOUSA
  • Data: 27 juin 2019


  • Afficher le Résumé
  • 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.

  • Leader : RODRIGO PEGADO DE ABREU FREITAS
  • MEMBRES DE LA BANQUE :
  • ANDRÉ RUSSOWSKY BRUNONI
  • HINDIAEL AERAF BELCHIOR
  • RODRIGO PEGADO DE ABREU FREITAS
  • Data: 27 juin 2019


  • Afficher le Résumé
  • 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

  • Leader : DIEGO DE SOUSA DANTAS
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • ILLIA NADINNE DANTAS FLORENTINO LIMA
  • NADJA VANESSA DE ALMEIDA FERRAZ
  • Data: 27 juin 2019


  • Afficher le Résumé
  • 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?

  • Leader : GRASIELA NASCIMENTO CORREIA
  • MEMBRES DE LA BANQUE :
  • ADRIANA GOMES MAGALHAES
  • ANA SILVIA MOCCELLIN
  • GRASIELA NASCIMENTO CORREIA
  • Data: 28 juin 2019


  • Afficher le Résumé
  • 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

     

  • Leader : SAIONARA MARIA AIRES DA CAMARA
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • JOAO AFONSO RUARO
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 29 août 2019


  • Afficher le Résumé
  • 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

  • Leader : ILLIA NADINNE DANTAS FLORENTINO LIMA
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • ILLIA NADINNE DANTAS FLORENTINO LIMA
  • LUCIEN PERONI GUALDI
  • Data: 10 oct. 2019


  • Afficher le Résumé
  • 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 DA SILVA FILHO
  • YOUNG CHILDREN'S PARTICIPATION AND ENVIRONMENT MEASURE (YC-PEM): TRANSLATION, ADAPTATION AND VALIDATION FOR USE IN BRAZIL. 

  • Leader : EGMAR LONGO HULL
  • MEMBRES DE LA BANQUE :
  • ANA PAULA MARTINS CAZEIRO
  • ANA RAQUEL RODRIGUES LINDQUIST
  • EGMAR LONGO HULL
  • Data: 29 oct. 2019


  • Afficher le Résumé
  • 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.

  • Leader : RODRIGO SCATTONE DA SILVA
  • MEMBRES DE LA BANQUE :
  • FABIO VIADANNA SERRÃO
  • RODRIGO SCATTONE DA SILVA
  • WOUBER HÉRICKSON DE BRITO VIEIRA
  • Data: 18 nov. 2019


  • Afficher le Résumé
  • 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

  • Leader : ENIO WALKER AZEVEDO CACHO
  • MEMBRES DE LA BANQUE :
  • ALINE BRAGA GALVAO SILVEIRA FERNANDES
  • ENIO WALKER AZEVEDO CACHO
  • RODRIGO LÍCIO ORTOLAN
  • Data: 12 déc. 2019


  • Afficher le Résumé
  • 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

  • Leader : ROBERTA DE OLIVEIRA CACHO
  • MEMBRES DE LA BANQUE :
  • ENIO WALKER AZEVEDO CACHO
  • KELLY SOARES FARIAS
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 20 déc. 2019


  • Afficher le Résumé
  • 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
Thèses
1
  • THAISSA HAMANA DE MACEDO DANTAS SOARES
  •  Assessment of Functioning in women with urinary incontinence
  • Leader : DIEGO DE SOUSA DANTAS
  • MEMBRES DE LA BANQUE :
  • CLARISSA LOUREIRO CAMPÊLO BEZERRA
  • DIEGO DE SOUSA DANTAS
  • GRASIELA NASCIMENTO CORREIA
  • Data: 2 mars 2018


  • Afficher le Résumé
  • 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

  • Leader : ENIO WALKER AZEVEDO CACHO
  • MEMBRES DE LA BANQUE :
  • ENIO WALKER AZEVEDO CACHO
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • LEONARDO PETRUS DA SILVA PAZ
  • Data: 24 avr. 2018


  • Afficher le Résumé
  • 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

  • Leader : GRASIELA NASCIMENTO CORREIA
  • MEMBRES DE LA BANQUE :
  • DIEGO DE SOUSA DANTAS
  • GRASIELA NASCIMENTO CORREIA
  • LAIANE SANTOS EUFRASIO
  • Data: 15 juin 2018


  • Afficher le Résumé
  • 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

  • Leader : ROBERTA DE OLIVEIRA CACHO
  • MEMBRES DE LA BANQUE :
  • ROBERTA DE OLIVEIRA CACHO
  • ENIO WALKER AZEVEDO CACHO
  • KELLY SOARES FARIAS
  • ADRIANA CARLA COSTA RIBEIRO CLEMENTINO
  • Data: 29 juin 2018


  • Afficher le Résumé
  • 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

  • Leader : NUBIA MARIA FREIRE VIEIRA LIMA
  • MEMBRES DE LA BANQUE :
  • ANA RAQUEL RODRIGUES LINDQUIST
  • LARISSA COUTINHO DE LUCENA
  • NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 19 juil. 2018


  • Afficher le Résumé
  • 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

  • Leader : RODRIGO PEGADO DE ABREU FREITAS
  • MEMBRES DE LA BANQUE :
  • RODRIGO PEGADO DE ABREU FREITAS
  • CAIO ALANO DE ALMEIDA LINS
  • FUAD AHMAD HAZIME
  • Data: 25 juil. 2018


  • Afficher le Résumé
  • Background: Fibromyalgia (FM) is a syndrome characterized by chronic
    widespread pain, fatigue, cognitive behavioral impairments, mood disorders
    and sleep problems. Although the etiology of FM is unknown, it has been
    recognized as a centralized pain state where the patient’s Central Nervous
    System (CNS) is hyperactive, phenomenon known by Central Sensitization.
    Transcranial Direct Current Stimulation (tDCS) is a non-invasive, safe and
    cost-effective brain stimulation technique that modulates cortical excitability
    and has been showing positive effects in FM patients. However, there is no
    consensus on which method and exactly location of stimulation is most
    effective and presents with more significant benefits in this patients
    population. Objective: The aim of this study is to evaluate whether a 5
    consecutive day treatment with tDCS stimulation results in better pain levels
    when compared to sham, or placebo, and if there are any differential effect
    between active tDCS and sham tDCS on pressure pain threshold, pressure
    pain tolerance, mood disorders such as anxiety, depression and affectivity
    and the disease functional impact in women with FM. Methods: This
    randomized controlled trial had forty-five participants with FM, which were
    randomized in one of three groups: active tDCS in the primary motor cortex
    (M1; n=15) and dorsolateral prefrontal cortex (DLPFC; n=15) and sham
    stimulation (SHAM; n=15). All the data were collected 7 days prior to the
    begging of the intervention (baseline), on the 5 th day of treatment, with 7 and
    21 days of follow-up. The pressure pain threshold and tolerance were also
    revaluated 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 consecutive
    days for 20min. Results: The results showed there was no statistical
    significant improvement in pain in any of the groups (p &gt; 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 this
    patient population. In addition, the results showed an improvement in anxiety
    levels in DLPFC group (p &lt; 0,05) with effects maintenance of up to follow-up
    periods. There was no statistical difference on the other variables.
    Conclusion: The results of this study suggests that tDCS treatment of 5
    consecutive days in cortical areas M1 and DLPFC of 2mA intensity for 20min
    have significant results in function and anxiety in patients with FM with
    sustained 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

  • Leader : RODRIGO SCATTONE DA SILVA
  • MEMBRES DE LA BANQUE :
  • NATALIA FRANCO NETO BITTENCOURT
  • RODRIGO SCATTONE DA SILVA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 27 juil. 2018


  • Afficher le Résumé
  •  

    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
  • RELATIONSHIP BETWEEN SELF-RATED HEALTH AND PHYSICAL PERFORMANCE IN COMMUNITY-DWELLING MIDDLE-AGED AND OLDER WOMEN IN NORTHEAST BRAZIL.

  • Leader : SAIONARA MARIA AIRES DA CAMARA
  • MEMBRES DE LA BANQUE :
  • ALVARO CAMPOS CAVALCANTI MACIEL
  • MAYLE ANDRADE MOREIRA
  • SAIONARA MARIA AIRES DA CAMARA
  • Data: 31 juil. 2018


  • Afficher le Résumé
  • 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 AZEVÊDO GONÇALO SILVA
  • PHYSIOLOGICAL RESPONSES OF INCREMENTAL SHUTTLE WALK TEST IN COPD SUBJECTS: A SYSTEMATIC REVIEW.
  • Leader : ILLIA NADINNE DANTAS FLORENTINO LIMA
  • MEMBRES DE LA BANQUE :
  • ANA TEREZA DO NASCIMENTO SALES FIGUEIREDO FERNANDES
  • DIEGO DE SOUSA DANTAS
  • ILLIA NADINNE DANTAS FLORENTINO LIMA
  • Data: 31 juil. 2018


  • Afficher le Résumé
  • 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.

  • Leader : RODRIGO PEGADO DE ABREU FREITAS
  • MEMBRES DE LA BANQUE :
  • LUCIEN PERONI GUALDI
  • MAÍRA CAROLINA LIXANDRÃO
  • RODRIGO PEGADO DE ABREU FREITAS
  • Data: 31 juil. 2018


  • Afficher le Résumé
  • 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

  • Leader : SILVANA ALVES PEREIRA
  • MEMBRES DE LA BANQUE :
  • EGMAR LONGO HULL
  • LUCIANA CASTANEDA RIBEIRO
  • SILVANA ALVES PEREIRA
  • Data: 3 août 2018


  • Afficher le Résumé
  • 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
Thèses
1
  • EDSON MENESES DA SILVA FILHO
  • Neuromodulation treats Chikungunya arthralgia

  • Leader : ENIO WALKER AZEVEDO CACHO
  • MEMBRES DE LA BANQUE :
  • EDGARD MORYA
  • ENIO WALKER AZEVEDO CACHO
  • HINDIAEL AERAF BELCHIOR
  • Data: 12 déc. 2017


  • Afficher le Résumé
  • 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. 

SIGAA | Superintendência de Informática - | | Copyright © 2006-2021 - UFRN - sigaa26-producao.info.ufrn.br.sigaa26-producao