Showing papers in "Manual Therapy, Posturology & Rehabilitation Journal in 2014"
TL;DR: To perform HRV analysis the “Nerve-Express”uses an effective and transparent visual representation, known as rhythmography method which reflects the structure of HRV wave and acts as a “fingerprint” of autonomic regulatory mechanisms.
Abstract: Introduction: The analysis of heart rate variability (HRV) has been used as a resource for the measurement of autonomic nervous system activity in different situations. This analysis is based on identifying the strength of bands oflow and high frequencies of the spectral function of the RR intervals in heart rate. Studies have shown that the related high frequency band parasympathetic tone controls the resting state, while exercise is associated with sympathetic activation, linked to lower frequency bands. The autonomic nervous system plays an important role in mediatingthe cardiovascular responses induced by stress. Objective: To describe a technique for analysis of heart rate variabilityin the measurement of autonomic nervous system activity. Discussion: To perform HRV analysis the “Nerve-Express”uses an effective and transparent visual representation, known as rhythmography method which reflects the structureof HRV wave and acts as a “fingerprint” of autonomic regulatory mechanisms. The wave RR intervals are recorded sequentially forming a rhythmogram, namely a picture of curved wave-specific variability of RR intervals.
10 citations
TL;DR: The study suggests that the GCS, APACHE II risk of mortality, length of MV and IRRS variables determined the evolution of MV patients in this sample.
Abstract: Introduction: Prognostic factors are used in the Intensive Care Unit (ICU) to predict morbidity and mortality , especially in patients on mechanical ventilation (MV ) . Training protocols are used in MV patients with the aim of promoting the success of the weaning process. Objective: To assess which variables determine the outcome of patients undergoing mechanical ventilation and compare the effects of two protocols for weaning. Method: Patients under MV for more than 48 hours had collected the following information: sex, age , ideal weight, height , Acute Physiology and Chronic Health Evaluation (APACHE II), risk of mortality, Glasgow Coma Scale (GCS) and index Quick and perfunctory (IRRS) breathing. Patients with unsuccessful weaning performed one of weaning protocols: Progressive T - tube or tube - T + Threshold ® IMT. Patients were compared for outcome (death or non- death in the ICU ) and the protocols through the t test or Mann-Whitney test was considered significant when P <0.05. Results: Of 128 patients evaluated 56.25% were men, the mean age was 60.05 ± 17.85 years and 40.62 % patients died, and they had higher APACHE II scores, mortality risk, time VM and IRRS GCS and the lower value (p<0.05). The age, initial and final maximal inspiratory pressure, time of weaning and duration of MV was similar between protocols. Conclusion: The study suggests that the GCS, APACHE II risk of mortality, length of MV and IRRS variables determined the evolution of MV patients in this sample. Not found differences in the variables studied when comparing the two methods of weaning.
9 citations
TL;DR: The findings sugges t that tDCS favors an increa se in gai t veloci ty in children wi th cereb ral pal sy and no s tati sti cally signi fi can be found in the in ter-g roup analysi s.
Abstract: Introduction:Abnormal postural control in children with cerebral palsy (CP) exerts a negative impact on activities of daily living. TheTimed UpandGo (TUG) test is a valid, reliable test for the evaluation of functional mobility in children with CP. Objective:The aim of thepresent study was to determine the effects of a single session of transcranial direct current stimulation (tDCS) over the primary motorcortex combined with mobility training using a virtual reality system on functional mobility in children with CP. Method: The samplewas composed of 12 children with CP aged 4 to 12 years, who were randomly allocated to an experimental group (virtual reality training + active tDCS) and control group (virtual reality training + placebo tDCS). Evaluations involved the TUG test performed 20 minutes before the intervention as well as immediately after the intervention. The paired t-test was used for the intra-group comparisonsand both the unpaired t-test and Levene’s test were used for the intergroup comparisons, with a p-value < 0.05 indicative of statistical significance. Results: The data were expressed as mean and standard deviation. In the control group, the time needed to complete the TUG was 14.40 ± 5.79 s before the intervention 13.81 ± 5.18 s after the test (p=0.279). In the experimental group, the timeneeded to complete the TUG went from 15.73 ± 5.77 s before the test to 13.96 ± 5.48 s after the test(p=0.004). However, no statistically significant difference was found in the inter-group analysis (p=0.853). Conclusion: The findings suggest that tDCSfavors an increase in gait velocity in children with cerebral palsy.
8 citations
TL;DR: It can be concluded that treatment with KT was able to significantly decrease the grade of cellulite, so that the variables evaluated by the protocol probably not influence this process.
Abstract: Introduction: Cellulite is caused by congestion of fluid in the interstitial space generating an edematous and fibrotic disorder. The Kinesio taping is a resource consisting of an elastic bandage, placed on the skin and represent a formof intervention in the treatment of lymphedema and help in the removal of accumulated fluid. Objective: The aim ofthis study was to investigate the effects of Kinesio Taping ® in patients with cellulite. Method: We analyzed 24 patients with cellulite in the gluteal region (grades I, II and III), selected conventionally in Natal / RN, Brazil. The volunteers were randomly divided into two subgroups of 12 individuals - a control group (CG) and a treatment group (GKT).Both the CG as the GKT were evaluated before and after the experiment, using a specific cellulite assessment protocol and photogrammetry. Only in GKT, four applications of the bandage were made once a week, in the gluteal region.Results: In the findings, there was a significant reduction of cellulite grade in the CG (p = 0.03) and GKT (p = 0.01).However, there were no changes in the other variables assessed by the protocol in the two groups. In photogrammetric analysis, there was a significant clinical improvement in GKT, in comparison between the initial and final evaluation. The treatment notes assigned by the photogrammetry evaluators were higher in GKT (p<0.01). Conclusion: Itcan be concluded that treatment with KT was able to significantly decrease the grade of cellulite, so that the variablesevaluated by the protocol probably not influence this process.
6 citations
TL;DR: There is little evidence on the effectiveness of the intervention with exercise stretching in correcting postural deviations, making it difficult to reach consensus or conclusions.
Abstract: Introduction: Nowadays, postural problems are widely discussed concerns because they involve quality of life andinterfere with the functional aspects of individuals. Thus, muscle stretching exercise is suggested as useful in treating postural deviations. Objective: To investigate the effect of muscle stretching on body posture and analyze aspects of prescription and evaluation methods in order to relate the proposed training and results. Method: This systematic review was previously registered and accepted in International Registry Of Systematic Reviews (PROSPERO,id: CRD42013005280), and described according to the recommendations of the PRISMA. The search data began withthe choice of key terms and their synonyms, according to the Descritores em Saude (DeCS) and MeSH. After, seekingmaterial was performed on the major databases of scientific information (SciELO; PEDro, PubMed and Google Scholar). The studies that met the eligibility criteria underwent an evaluation as to their methodological quality based onthe Brazilian - Portuguese version of the PEDro scale. Results: It was found seven clinical trials, methodologically scored, following Pedro scale, which showed little evidence about the topic, which contain significant limitations and/orlow methodological quality. Conclusion: There are few evidence on the effectiveness of the intervention with exercisestretching in correcting postural deviations, making it difficult to reach consensus or conclusions.
6 citations
TL;DR: It can be seen that the manual therapy techniques have significant results in the alleviation of muscle pain in patients submitted to surgery mastectomia, but there is still a lack of studies of type randomized controlled trial on the effects of manual therapy in patients in the postoperative period of mastectomy.
Abstract: Introduction: Cancer is now the third leading cause of death in the world, surpassed only by cardiovascular accidentsand deaths by external causes, among them stands mammary carcinoma. Mastectomy is in a procedure consisting of invasive breast removal due to some anatomical and functional changes previously diagnosed. With the growth of the disease and its high content in increasingly young women, Manual Therapy has been used as a new form of treatment. Objective: To show the effects of manual therapy in patients after mastectomy surgery. Method: This is a systematic reviewin which secondary and tertiary sources were used, and the databases PubMed, Medline, Lilacs and SciELO were used. Itwas adopted as inclusion criteria studies classified as: a randomized controlled trial, with publication period between 2009and 2013. Were used as search terms: “Mastectomy”, “Neck”, “Shoulder Pain”, “Musculoskeletal Manipulations” and “Functionality”. Results: Among the 37 initially selected by electronic search in the databases of articles, 25 were excluded forthe title did not meet the inclusion criteria. Of the 12 retained studies, 5 were excluded for duplicity. Seven studies wereselected for a more thorough analysis through summary, 2 of them being excluded. The remaining 5 articles were evaluated from reading the text. It can be seen that the manual therapy techniques have significant results in the alleviationof muscle pain in patients submitted to surgery mastectomia. Conclusion: It can be seen that the manual therapy techniques have significant results in the alleviation of muscle pain in patients undergoing the mastectomy surgery. However,there is still a lack of studies of type randomized controlled trial on the effects of manual therapy in patients in the postoperative period of mastectomy
6 citations
TL;DR: It is concluded between national studies photogrammetry is the postural assessment methods most used today.
Abstract: Introduction: The spine related diseases have been increasing sharply and causing serious problems for publichealth. Having a postural assessment with one of the important factors in the prevention and/or treatment of theseproblems. Objectives: To determine which methods of spinal postural assessment has been used in studies and national journals published recently. Methods: This study is a systematic review, which followed the recommendations(PRISMA) “Transparent report of Systematic Reviews and Meta-analysis.” The search data Began with the choice ofkey terms and synonyms following the Health Sciences Descriptors DeSC and MeSH (Medical Subject Headings). Dueto achieve the main objective of the research, we selected only studies of national authors and journals published between the year 2013 to Feb/2014, yet fitting, made any kind of spinal postural assessment. Conducted a descriptivestatistical checking the frequency percentages by software (IBM ® SPSS ® Statistic, vs 21, New York/USA 2012. Results: 25 studies were included, and the methods of evaluation were: photogrammetry (36.7%, n =11); Posturografo(16.7%, n=5); X-Ray (10%, n=3); Postural Visual Evalution (23.3%, n=7) Goniometry (3.3%, n=1). Conclusions: itis concluded between national studies photogrammetry is the postural assessment methods most used today.
4 citations
TL;DR: The quality of life is directly linked to the physical condition of the elderly, elderly practicing physical exercises have a betterquality of life and less prone to falls.
Abstract: Introduction: Old age brings several factors that alter the physiological system, which results in loss of functionality in the elderly. Falls are a leading cause of death in this population or activity restrictions, social isolation, decline in health and increased risk of institutionalization. The quality of life in old age is a major challenge, it is necessary for improvement in all aspects of daily. Analyze physical exercise on quality of life of older physically active drives to see how exercise influences the improvement of the basic aspects to a healthier life, referring to physical and mental aspects of the elderly, prevention of the consequences arising from the process natural aging, such as falls. Objective : The objective of this study is to analyze quality of life in elderly practitioners of physical activity and relationship with risk of falls. Method: The sample was 84 seniors, recruited from the community of Londrina PR, physical activity practitioners, aged over 60 years who roam with or without assistive device, of both sexes . The evaluation was through structured questionnaires that focused on socioeconomic - demographic questionnaire falls which was used the Timed Up and Go (TUGT), analysis of quality of life (SF-36) and analysis of the risk of falls. Results: In relationship the anthropometrics characteristics of elderly subjects analyzed, the same presentation mean age 68 years, weight 63.5 kg, height 1.52, and body mass index 27.10. Was regarding correlation between TUGT and falls in the last year (P=0,048) e correlation between TUGT and Physicals Components of SF-36 (P=0,001), and was regarding that elderly with better scores in TUGT were better scores of Physical Components of SF-36 (P=0,003). Conclusion: The quality of life is directly linked to the physical condition of the elderly, elderly practicing physical exercises have a better quality of life and less prone to falls.
4 citations
TL;DR: Inadequate levels of sleep duration are associated with increase of overweight and obesity in adolescents.
Abstract: Introduction: In adolescence, intense social and school demands, hormonal changes that modify the circadianrhythms and the overuse of electronic equipments causes an inadequate sleep duration to adolescents. Studies havelinked short sleep duration with the increase odds to have overweight and obesity. Objective: To identify articles thatanalyzed relationship between inadequate sleep time and overweight and obesity in adolescents. Method: It was donea research on Bireme (Lilacs and MEDLINE), PubMed, Scielo and Ibecs for two independents researchers using Portuguese and English keywords: “sleep”, “sleep duration”, “adolescence”, “obesity” and “overweigh”. It was consideratedas inclusion criteria: sample with 10-19-year adolescents, original articles between 2002 and 2013 in Portuguese andEnglish. Therefore, it was excluded review articles, thesis, dissertations and monographs. Results: The initial Electronic search resulted in 663 articles and, after process of article select with read of titles, resumes and the complete form, it was selected 15 articles. Conclusion: Inadequate levels of sleep duration are associated with increase ofoverweight and obesity in adolescents
4 citations
TL;DR: It is concluded that the MEP ® helps reduce pain in functional activities in patients with Achilles tendinopathy.
Abstract: Introduction: The Achilles tendinopathy with tendon injuries are the third most common in the musculoskeletal system.New therapies have been proposed for the treatment of tendinopathy as Percutaneous Microelectrolisis (MEP ®). Objectives: The aim of this study was to evaluate the effects of MEP ® on tendinopathy of Achilles. Method: This was a controlled clinical trial, randomized study. The sample comprised 20 patients with Achilles tendinopathy. The volunteers wererandomly divided into two groups, control (G1) underwent conventional treatment protocol and experimental (G2) whichwas under the application of MEP. We made two visits per week for a month, totaling eight sessions. As evaluation methodwere used four questions from Visa-A questionnaire related to the functionality and exercise pratice. Data were analyzedusing paired and independent T test. Results: The pain when walking down stairs has been observed a reduction in G1(p <0.05) and G2 (p <0.001) before and after the protocols. Among the groups there was a greater reduction in G2 (p<0.001). Pain after heating was observed a reduction in G2 (p <0.001). Among them there was a greater reduction (p<0.05) in G2. For pain was observed after walking a reduction in G1 (p <0.05) and G2 (p <0.001) before and after the protocols. Among them there was a reduction (p <0.05) higher in G2. In pain after exercise was observed a reduction in G2(p <0.001). Among the groups there was a greater decrease in G2 (p <0.05). Conclusion: We conclude that the MEP ®helps reduce pain in functional activities.
3 citations
TL;DR: The findings suggest that anodal tDCS over primary motor cortex can potentiate the result of treadmill training in a child with cerebral palsy.
Abstract: Introduction: Transcranial direct current stimulation (tDCS) is a promising technique that stimulates the cortex witha direct, low-intensity electric current and can potentiate motor learning. Objective: Describe the results of an intervention protocol involving anodal stimulation over the primary motor cortex combined with treadmill training in a childwith cerebral palsy. Method: The intervention was comprised of ten sessions of anodal tDCS (1mA) over the primarymotor cortex during the treadmill training. Stabilometric analysis was evaluated one week before and one week afterthe intervention. Results: A reduction in oscillations of the COP was found under both conditions (eyes opened andeyes closed. Conclusion: Our findings suggest that anodal tDCS over primary motor cortex can potentiate the resultsof treadmill training.
TL;DR: In this article, the Nerve Express method was used to assess the variability of the heart rate, and two sessions of micro-physiotherapy were conducted using global methods, with an interval of 45 days between sessions.
Abstract: Introduction: Fibromyalgia syndrome is characterized by musculo-skeletal pain. Heart rate variability (HRV) is a versatile and promising non-invasive marker of the autonomous nervous system. Micro-physiotherapy involves manual physiotherapy that seeks to identify the primary cause of a disease or symptom and to stimulate self-healing, inwhich the body recognizes the aggressor (antigen) and begins the elimination process, through cellular and tissue reprogramming. Method: The sample was composed by 15 individuals, aged between 35 and 40 years, with fibromyalgia. The Nerve Express method was used to assess the variability of the heart rate. Two sessions of micro-physiotherapy were conducted using global methods, with an interval of 45 days between sessions. Results: Based on theHRV results, the high frequency band was confirmed at p=0.203, with the low frequency recording a statistically significant value of p=0.001, thereby demonstrating sympathetic activity. Upon comparison of the mean heartbeat before and after treatment, a value of p=0.0006 was obtained. A value of p=0.049 was recorded in the analysis of themedian R-R interval values. Conclusion: The use of micro-physiotherapy as a treatment method for fibromyalgia effectively improved the lives of patients by promoting sympathicotonia.
TL;DR: The effects of reduced time and time recommended by Maitland (1 minute) the sessions were effective in decreasing symptoms, pain and restricted joint mobility, but it is important to continue further studies in this knowledge and practice of physical therapy area.
Abstract: Introduction: Maitland method is a technique of manipulation and joint mobilization to reduce pain, recovery of mobility and joint alignment. Objective: to analyze the effects of spinal manipulation in Maitland pains of cervical andlumbar spine, considering reducing the exposure time of each maneuver on pain, range of motion and muscle function. Method: Eleven randomly patients assigned to two groups: (i) Experimental Conventional (GEC;06): conventional technical indications, (ii) Experimental Modified (GEM;05): protocol with the same maneuvers, but reduced application time. All evaluated before (t0) and after (t1) the period of therapeutic sessions with Visual Analogue Scale(VAS) for pain, Flexibility Test Bank with Wells and Surface Electromyography (EMG) for muscle electrical activity ofthe cervical and lumbar regions. The data were statistically analyzed; p <0.05. Results: In GEM pain decreased significantly (p=0.047), muscle electrical activity in the cervical region showed a significant trend (p=0.068). Flexibility in GEC was improved, but not significantly. tended Root Mean Square in the cervical region of the GEM (p=0.068)to achieve significant value, but this trend was not observed in GEC. In the lumbar region there were no differencesin both groups. Conclusion: Volunteers in both groups had positive results even though not statistically significant.The effects of reduced time and time recommended by Maitland (1 minute) the sessions were effective in decreasingsymptoms, pain and restricted joint mobility, but we consider important to continue further studies in this knowledgeand practice of physical therapy area.
TL;DR: It can be concluded from the present review that thermography can be used as an excellent diagnostic tool for physical therapy because it is a non invasive method with no side effects, with good sensitivity and reliability.
Abstract: Introduction: Maintaining body temperature by the human body occurs through the control of the autonomic nervoussystem in the cutaneous microcirculation, it is necessary for there to be effective in chemical reactions and consequentmaintenance of homeostasis. The human body exhibits a thermal symmetry. When any asymmetry occurs relating thecontralateral area, there are some evidences of a series of cases, ranging from an inflammatory process to neurovascularchanges. Thermography makes the analysis of the temperature distribution on the surface of the skin, being a tool thatcan be used in assessment and diagnosis of such disorders, contributing to the evolution of the treatment of patientsled to physiotherapy services. Objective: To investigate the importance of thermography as an adjunct diagnostic toolin physical therapy, showing its applicability. Method: This is a literature review using various electronic databasessuch as PubMed, Science Direct, Scopus, Web of Science and SciELO, by crossing the term thermography diagnosis andtherapy. The sample consisted of 8 items. Results: Thermography proved a useful tool in the early diagnosis allowingthe evaluation of local excessive friction prostheses muscle injury, occupational disorders, ischemic areas, and jointoverloads beyond the initiation of an inflammatory process, which still showed no signs and symptoms classic, providingthe physiotherapist take preventative measures and perform rapid and effective intervention. Conclusion: It can beconcluded from the present review that thermography can be used as an excellent diagnostic tool for physical therapybecause it is a non invasive method with no side effects, with good sensitivity and reliability.
TL;DR: The results demonstrate the importance of inspection and inactivation of myofascial trigger points in the muscles of the shoulder in patients with chronic pain, as they contribute to decreased overall picture of pain.
Abstract: Introduction: Disorders of the shoulder are the major musculoskeletals morbidities, whose pathophysiological mechanisms of pain in the shoulder are poorly understood, myofascial trigger points are presented as alternative diagnosisof these disorders. Objective: To investigate the effectiveness of the release of trigger points on the pain symptomsin patients with chronic shoulder pain. Method: We conducted a descriptive study using a systematic literature review, in consultation with the databases PubMed, EMBASE, CINAHL, PEDro, SportDiscus, and LILACS . Two reviewersassessed the methodological quality of the selected studies, with the help of Quality Scale Jadad and PEDro scale. Results: The initial search resulted in 312 articles . After analyzing the titles and reading the abstracts, 70 studies thatappeared repeatedly in more than one database and 214 who did not meet the predefined inclusion criteria, 28 textswere analyzed in their entirety were excluded, considering the inclusion and exclusion criteria defined only 2 articleswere selected and subjected to analysis for methodological quality. Conclusion: The results demonstrate the importance of inspection and inactivation of myofascial trigger points in the muscles of the shoulder in patients with chronic pain, as they contribute to decreased overall picture of pain.
TL;DR: The techniques were statistically significant for obtaining improved ADM (p <0.05), with neural mobilization acquiring greater gain.
Abstract: Introduction: The hip joint is one that has more stability, but on the other hand has less mobility with respect to theshoulder joint, due to its greater amount of muscle tissue and ligaments. This large amount of muscles can undergochanges that hinder the amplitude motion, and shortening a key, with the posterior region of the thigh among the hardest hit targets. The neural mobilization and stretching myofascial release have benefits against this change. Objective: To compare effects of myofascial release is followed by a passive muscle stretching relation to neural mobilization on range of motion of the hip. Method: The study consisted of a quantitative, prospective research, intervention,descriptive and analytical sample composed of 57 participants divided into three groups of 19 people who remained asfollows: group G1 neural mobilization, intervention applied to the sciatic nerve which innervates the muscles concerned, G2 myofascial release followed by stretching passive muscle in the posterior thigh and the control group G3 whichserved Just for comparison and without any intervention. Participants were evaluated before the application of technical and after three days of intervention. The angulation was performed by a software program known for CorelDRAWX5. Results: There were statistically analyzed using the statistical software “R” and “SPSS “, and the Wilcoxon test.The G1 presented a average of 8.37 ° (p = 0.0004194), the 7.53 ° (P = 0.000003815) G2 and G3 5 (p = 0.003918).Conclusion: The techniques were statistically significant for obtaining improved ADM (p <0.05), with neural mobilization acquiring greater gain. Suggest studies with new protocols to new scientific evidence.
TL;DR: In this article, the authors describe the clinical tests used to evaluate the stand-up/sit-down in individual-with-stroke, considering their protocols and properties, and the results were investigated reliability with intraclass correlation coefficients (ICC) (n=2/12, 089≤ICC≤099), sensibility/specificity (n =2/ 12, 67%-83%/72-75%) and validity with pearson correlation coefficients(r) (N=1/12-075≤r≤083)
Abstract: Introduction: Individuals with stroke usually show limitations in the performance of daily activities Among the most limited activities is the stand-up/sit-down, which limitation in performance is a major cause of disability in this population Objective: The aim of the present study was to describe the clinical tests used to evaluate the stand-up/sit-down in individualswith stroke, considering their protocols and properties Method: A systematic literature review following the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) protocol was performed Systematic literature searches onthe following databases MEDLINE/SCIELO/LILACS/PEDro was performed, using search strategies that included terms referringto tests and individuals with stroke The inclusion criteria were: use of a clinical test to evaluate the stand-up/sit-down in individuals with stroke and be published in any language until april/2013 Results: Fifteen studies were included, which usedthe test of three repetitions (n=1/15), number of repetitions in 30s (n=1/15) and 60s (n=1/15), and the five repetitions test(n=12/15), for which was investigated reliability with intraclass correlation coefficients (ICC) (n=2/12, 089≤ICC≤099), sensibility/specificity (n=2/12, 67%-83%/72-75%) and validity with pearson correlation coefficients (r) (n=1/12, 075≤r≤083)Most part of the studies (n=8/15) used chair with seat height fixed and reported the number of repetitions of the test(n=7/15), performed with one (n=3/8), two (n=2/8) or three repetitions (n=3/8) Conclusion: The test of five repetitionswas used more often in individuals with stroke and the only one for which measurement properties was investigated, which results were adequate However, standardization of this test considering determining factors for the evaluation of stand-up/sitdown, as chair height and number of repetitions, are still needed
TL;DR: The application of KT on the RF, VL and VM muscles was not able to significantly improve the knee JPS of healthy women.
Abstract: Introduction: The Kinesio Taping® is an elastic functional tape with specific characteristics that, when applied on muscles, aims to assist and functionally support them. Its effect on proprioception, a component of the somatosensorysystem, is still poorly understood. Objective: To assess the immediate effects of the application of Kinesio Taping® (KT)on knee joint position sense (JPS) of healthy subjects. Method: This is a controlled, randomized-blinded clinical trial.Sixty females volunteers (age: 23.3 ± 2.5 years, BMI: 22.2 ± 2.1 kg/m2) were randomly divided into 3 groups with 20members each, and they performed one of three protocols: control - 10 minutes of resting; nonelastic adhesive tape -application over the rectus femoris (RF), vastus lateralis (VL) and vastus medialis (VM) muscles; and KT - applicationof KT over the same muscles. All were subjected to knee JPS evaluation on an isokinetic dynamometer, in which theanalyzed variable was the absolute error, before and after interventions. Results: There were no significant changes inknee JPS in the assessed groups, using absolute error (control group p=0,14; nonelastic adhesive tape group p=0,32;KT group p=0,91). Conclusion: The application of KT on the RF, VL and VM muscles was not able to significantly improve the knee JPS of healthy women.
TL;DR: In this paper, the effects of myofascial release (MR) in the treatment of tension-type headaches induced by trigger points (TTHs) were evaluated using the SF-36 Questionnaire.
Abstract: Introduction: The presence of trigger points (TP) characterize the myofascial pain syndrome, which is associated withthe Tension-Type Headaches (TTH) when the TP’s are located in the muscles of the head and neck, whose pattern ofreferred pain is propagated to certain regions of the head. In this context, the myofascial release (MR) has fundamental techniques for disabling TP’s and its symptoms. Objective: To verify the effects of myofascial release (MR) in thetreatment of TTH induced to TP’s. Method: This study received approval from the Human Research Ethics Committee of a private college in Teresina-PI (No. 193 142). It is a series of cases report, of analytical nature with quantitative and qualitative approach. The sample was constituted by nine subjects with 42.67 ± 6.84 years, selected through a selecting form. They were evaluated before and after the treatment by means of an evaluation form (weight, height, goniometry cervical spine and visual analog pain scale - VAS) and the SF-36 Questionnaires. Was applied a protocol of physical therapy treatment with MR techniques, two times a week, 16 sessions. Analyzed variables: intensity ofpain, range of movement (ROM) of the cervical spine and quality of life. Data were analyzed using parametric test “t”of Student, with significance level of p ≤ 0.05. Results: Data were reported in tables and graphs showing significantresults. There was an increase of cervical spine ROM, reduced intensity of pain (VAS) and improves the quality of lifeof participants (SF-36 Questionnaire). Conclusion: The conclusion is that the protocol of physical therapy treatmentwith MR techniques showed significant results in the treatment of TTH.
TL;DR: It is concluded that after 16 sessions of BAT, one can observe a significant increase in the perception of body awareness of individuals.
Abstract: Introduction: Body Awareness Therapy (BAT) can be used in various clinical settings, in both the prevention andrehabilitation, particularly by improving body awareness, aspects of pain and health mind, however, their scientific evidence is still scarce. Objective: This study aimed to verify the influence of BAT sessions on body awareness in healthy young adults. Method: This is a clinical trial with a sample of young people between 18 and 25, healthy, of bothgenders, students of the degree course in physiotherapy FCT/UNESP. Data collection occurred in three phases: before the intervention, after the end of 16 sessions (immediate effect) and two months after the latter - follow up (lateeffect). In general each of these moments data were collected and applied BAQ questionnaire - Body ConsciousnessQuestionnaire. How intervention, 16 sessions of BAT, once a week, lasting 50 minutes was performed. Results: Thesample consisted of 28 individuals with 19.85 ± 1.54 years, five males and 23 females. There was improvement in theperception of body awareness (p<0.0001), both immediately after about two months after the intervention program.Conclusion: We conclude, therefore, that after 16 sessions of BAT, one can observe a significant increase in the perception of body awareness of individuals
TL;DR: In this article, the influence of rigid bandage in plantar pressure distribution in runners pronators was analyzed. But the authors focused on the hind foot and concluded that BR provided a significant decrease in contact pressure.
Abstract: Background: The excessive motion of subtalar pronation of the foot, can cause stress and burden in tissues of the region, giving origin to aches and microtrauma. In clinical practice, excessive movement has been limited to the use oftechniques of bandages applied to the plantar arch. Objective: Was to analyze the influence of rigid bandage in plantar pressure distribution corridors pronators. Method: This is a randomized clinical trial, blinded, with twenty runnerspronators (33±7 y, 71±7 kg, 174±6 cm). Technique was applied bandage (rigid - BR) to support the plantar arch, described as antipronation. Plantar pressure data were collected using the F -scan system in three tests run at 9 km/hbeing: no bandages, rigid taping. We considered seven areas of pressure for data analysis, performed by means ofANOVA for repeated measures followed by paired t test. Results: BR resulted in significant reductions (p<0.05) incontact pressures and peak pressure rearfoot. Conclusion: Thus, we conclude that BR provided decrease in contactpressures and peak pressure foot, being significant on the hindfoot than in the midfoot.
TL;DR: The immediate evaluation of the effect of spinal manipulation in patients with spasticity got reduced muscle tone, however, on the number of participants and changes in reducing and also from increased tone in the control group, it is not possible assignment of the obtained effects only the techniques applied.
Abstract: Introduction: Cerebral Vascular Accident is the third leading cause of death and the leading cause of neurological disability in adults with hemiplegic and spasticity is the most prevalent motor dysfunction, with consequent impairmentof muscle strength and joint range of motion. Objective: To evaluate the immediate effect techniques of spinal manipulation in upper limb spasticity after cerebral vascular accident. Method: Participants were six patients included inboth groups: group A, submitted to the application of the techniques of spinal manipulation and group B, control. Theorder of participation of patients was randomized and performed on alternate weeks. In both groups, participants wereevaluated for spasticity by Modified Ashworth Scale, immediately before and after a given intervention. Results: Theresults did not permit an inference about the acute effects of spinal manipulation on spasticity , however, can be observed in the study group was reduced in 50% of cases with increased tone, while in the control group, 30 % caseshad increased tone reduction , and if increased. There was increased tone in two cases which were previously normal.Conclusion: The immediate evaluation of the effect of spinal manipulation in patients with spasticity got reduced muscle tone, however, on the number of participants and changes in reducing and also from increased tone in the controlgroup , it is not possible assignment of the obtained effects only the techniques applied , thus being further studieswith larger samples and other methods of assessment needed .
TL;DR: The Pilates Method can be an effective treatment option in the treatment of lumbago, acting globally and can observe significant improvements in the Physical Domain and Psychological Domain.
Abstract: Introduction: Back pain is all pain conditions, located in the lower back, between the last rib and the gluteal fold.The main goal of Pilates is to strengthen the center of the body, improving spinal stabilization. Objective: This studyaimed to examining the effects of Pilates on low back pain, checking their effect on low back pain, using a visual analogpain scale, assess the quality of life through the Quality of Life Questionnaire - WHOQOL Bref and measure flexibilityby Test FINGER-FLOOR. Method: This study was submitted to the ethics committee of a private college in Teresina, PI(no. 18441813.0.0000.5211). The sample was not random type, consisting of six participants with low back pain. Theywere assessed before and after treatment by means of an evaluation form (age, weight, height, BMI, visual analog painscale - EVA Test and finger-floor) and the Quality of Life Questionnaire - WHOQOL Bref. 10 individual sessions wereconducted with the Pilates method, often two weekly visits lasting one hour each. Data were analyzed using parametrictest “t” test, with significance level of p ≤ 0.05. Results: The results showed that treatment significantly reducedpain, with p = 0. 0048. Regarding quality of life, we can observe significant improvements in the Physical Domainwith p = 0.0288, and p = Psychological Domain. 0.0477. Already in Social Domains, Domain Environment and overallquality of life, the results were not significant with p = 0.2894, p = 0.6357 and p = 0.0830, respectively. Flexibility inthe analysis of observed significant improvement, with p = 0.0039. Conclusion: Therefore, the Pilates Method can bean effective treatment option in the treatment of lumbago, acting globally.
TL;DR: The intervention with the TM domains showed significant effects on physical aspects and general health quality of life, stress and flexibility of women after surgery for breast cancer.
Abstract: Introduction: Breast cancer is a disease with multifactorial causes. From diagnosis to surgical treatment, women withbreast cancer experienced severe physical and emotional repercussions that may have an impact on their quality oflife, stress and flexibility. Objective: The present study aimed to verify the effect of Morfoanalitica Therapy (TM) onquality of life, stress and flexibility after breast cancer surgery in women. Method: The study included 10 postoperative women for breast cancer with evaluation of personal and anthropometric data. Then they were invited to answerthe questionnaires of the quality of life - SF -36 and the inventory of symptoms of stress (ISS) Lipp. In addition, thefunctional test for the evaluation of flexibility called bank Wells test and side inclination of the torso were carried out.The questionnaires and functional tests were performed before and after the intervention period, with 16 individual sessions of TM, once a week, during 60 minutes. Results: Significant changes after treatment with TM fields, physical (p = 0.0301) and general health (p = 0.0378) of the SF -36 were found. The stress had a significant improvement in phase 1 (p = 0.0424) and phase 3 (p = 0.0348). There were also significant improvements in flexibility atthe bank Wells test (p = 0.0024) and ipsilateral lateral (p = 0.0130) and contralateral (p = 0.0039) surgery. Conclusion: The intervention with the TM domains showed significant effects on physical aspects and general health qualityof life, stress and flexibility of women after breast cancer surgery.
TL;DR: In this paper, the balance parameters during the sit-to-stand movement in individuals with chronic hemiparesis, stratified according to the level of functional performance, were analyzed.
Abstract: Introduction: Balance deficits are frequently observed in individuals with hemiparesis and lead to disabilities in daily activities, such as the ability to walk. The sit-to-stand movement is essential for independent gait and balance is one of the main requirements for its performance. Objective: To analyse the balance parameters during the sit-to-stand movement in individuals with chronic hemiparesis, stratified according to the level of functional performance. Method: Individuals above 20 years of age with a time since the onset of the stroke of at least six months were divided into three functional groups, according to their walking speeds: Household ambulation ( 0.8 m/s). The following balance parameters were assessed by the sit-to-stand test of the Balance Master System: (1) weight transfer time, (2) rising index and (3) the centre of gravity sway velocity. It was considered a significance level of α<0.05. Results: Eight-six individuals (56±13 years) participated. Statistically significant differences regarding weight transfer time were observed only between the household group and the others (limited community ambulation and complete community ambulation (F=4.42;p=0.01). Similarly, regarding the rising index, significant differences were observed only for the household ambulation group (F=8.46; p<0.01). Conclusion: Individuals with chronic hemiparesis, who had lower functional performance levels (household ambulation) spent more time to perform the sit-to-stand movement with less weight transfer to the lower limbs. These findings suggest that within clinical contexts when balance training is carried out to improve mobility and gait performance in individuals with household ambulation, parameters related to the transfer time and rising index should be emphasized.
TL;DR: Examination of changes in heart rate in a session with different sets of active videogames and verified the intensities affected by the percentage of maximum heart rate caused significant increases inheart rate, reaching levels of light to moderate.
Abstract: Introduction: Due to technological advancement, children and young adults pass to watching television, using thecomputer and playing videogames more frequently, favoring physical inactivity. However, a new form of videogamescomes up as a possible tool for promoting physical activity. Objective: To examine changes in heart rate in a session with different sets of active videogames (Xbox360 with Kinect) and verified the intensities affected by the percentage of maximum heart rate. Method: 8 young adults (21 ± 1.60 years, 22 ± 1.60 kg / m²) with no gaming experience, performed on the Moment 1 anthropometric measurements (weight, height), hemodynamic measurements (heart rate at rest) and measurement of oxygen consumption. At Moment 2, a session with 4 different gamesKinect Sports (modalities: Boxing, Table Tennis and Volleyball) and Dance Central 3. The session lasted 72 minutes (3min each game familiarization then played for 10 minutes and then performed a passive rest 5 minutes). Throughoutthe session was monitored every minute heart rate. Results: There was significant increase in heart rate at differentmoments during the game, reaching reached 121 bpm ± 7.99, 121 ± 6.01 bpm, 113 bpm ± 3.95, 103 ± 4.16 bpmfor Kinect Sports: Boxing, Dance Central 3, Kinect Sports Volleyball and Table Tennis respectively. Discussion: Thegames Dance Central 3 and Kinect Sports: boxing and volleyball reached moderate intensity at different times. However, the Kinect Table Tennis game showed few significant elevations. Besides presenting moments of analysis in theintensity, range considered light. Conclusion: The games analyzed caused significant increases in heart rate, reaching levels of light to moderate.
TL;DR: This protocol expects to identify the presence and severity of sleep disorders, changes of autonomic nervous activity, HRQoL and consequently contribute to an earlier diagnosis, thus reducing the impact on quality of life of MG patients.
Abstract: Introduction: The presence of sleep disorders in Myasthenia gravis (MG) patients, can negatively affect the ventilation and themechanics of breathing in patients with neuromuscular diseases. Some studies have shown a poor quality of sleep, excessivedaytime sleepiness and the presence of sleep disordered breathing, while others did not observe a positive correlation. The aimof the study is to investigate sleep quality, lung function, ventilatory patterns, autonomic nervous activity, disease severity, clinical status and quality of life in clinically stable MG patients. Method: We propose a cross sectional analysis and prospectiveobservational study of sleep quality, lung function, ventilatory patterns, autonomic nervous activity, disease severity, clinical status and quality of life in MG patients which will be conducted at the Sleep Laboratory of Nove de Julho University and the Neuromuscular Research Department of the Federal University of Sao Paulo. The design, conduct, and reporting of this study willfollow the rules of The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement. The protocol will includes body weight; height; body mass index; circumferences of the neck, waist, and hip; heart and respiratory rates;Mallampati index; maximum ventilatory pressures; spirometry; and standard overnight polysomnography, as well as the administration of specific questionnaires addressing the risk of obstructive sleep apnoea, excessive daytime sleepiness and HRQoL.Moreover, specific questionnaires addressing sleep apnoea; excessive daytime sleepiness; symptoms of stress, depression, anxiety, disease severity, clinical status and quality of life will be administered. The 8 outcome variables which will be measured include subjective sleepiness Epworth Sleepiness Scale (ESS), risk of OSA through The Berlin Questionnaire, stress and itsmanifestations by The Inventory of Symptoms of Stress for Adults (LIPP), anxiety and depression by The Hospital Anxiety andDepression Scale (HAD), general quality of life questionnaire using The Short Form 36 (SF36) and specific outcome measureMGQOL 15, MG Composite Scale and The Quantitative Myasthenia Gravis Score. Discussion: This protocol expects to identifythe presence and severity of sleep disorders, changes of autonomic nervous activity, HRQoL and consequently contribute to anearlier diagnosis, thus reducing the impact on quality of life of MG patients.
TL;DR: Sixteen weeks of exercise intervention targeted to elderly patients with AIDS are beneficial, because they promote improvements in the components of morphofunctional standards, with emphasis on flexibility and muscle strength as well as possible changes in markers of immune function and quality domains of life.
Abstract: Introduction: Acquired Immunodeficiency Syndrome (AIDS) is an infectious disease caused by the human immunodeficiency virus (HIV) that causes progressive immunodeficiency virus, rendering the infected individual susceptibleto opportunistic infections and diseases. Your clinical treatment is basically medicine and brings with it a number ofside effects among which stands out the development of muscle fatigue, lipodystrophy and decreased quality of life.In order to improve the quality of life of people with AIDS, researchers have investigated what kind of benefits to thepractice of activity can bring to these individuals. Objective: To evaluate the influence of physical activity on the morphofunctional supervised patterns, immune function and quality of life of elderly patients with AIDS. Method: A descriptive study in which volunteers participated in 4 elderly women with AIDS, who underwent a program of physicalactivity lasting 16 weeks. Results: The results showed that the proposed program of physical activity was beneficial tofunctional morphology patterns, immune function and quality of life in older study participants. Conclusion: Sixteenweeks of exercise intervention targeted to elderly patients with AIDS are beneficial, because they promote improvements in the components of morphofunctional standards, with emphasis on flexibility and muscle strength as well aspossible changes in markers of immune function and quality domains of life
TL;DR: The findings contribute to the understanding and application of aesthetic resources in burn injuries, in order to improve the quality of scars, skin suppleness, increasing self-esteem and quality of life.
Abstract: Introduction: Burns are injuries to the tissue lining of the body, caused by thermal, chemical, electrical or radioactive agents, which may totally or partially destroying the skin and its annexes, and to reach deeper layers as muscles, tendons and bones. The local response to cellular injury include the release of vasoactive agents (histamine, serotonin, bradykinin, prostaglandins, leukotrienes, platelet activating factors) and an immediate increase in osmolarity of the interstitial being classified into first, second, third and fourth grade (electrical burn ) which involves the complete destruction of all tissues, the specific injury takes varying proportions, depending on the exposure time and thetype of the causative agent, the extent and depth of the damaged area. Objective: To investigate and gather throughliterature Bibliographic aesthetic features that help in the prevention and improvement of sequelae caused by burn injuries. Method: This is a search for bibliographic and descriptive review, consisting of scientific articles and books onthe subject aesthetic resources for ‘‘burn injuries’’. The realization of this research was carried out by consulting thepapers, looking for topics as ‘’burn’’ and ‘’aesthetic resources for burn injuries’’. To survey the material searches wereconducted through the portals: SCIELO; UNIFIA; HSVP; FACISA; ASSETS and PORTALBIOCURSOS and with cross between the words:Burns, injuries and aesthetic resources. Results: eight articles and fifteen books including twentythree references in this research, published between 1967-2010 found. Ultrasound, manual therapies, Electro resources (Microcurrent, Transcutaneous electrical nerve termination, excitomotor current) and laser therapy: Among the fourstudies aesthetic features which have good results when applied to burn injuries, they being found. Conclusions: Thefindings contribute to the understanding and application of aesthetic resources in burn injuries, in order to improve thequality of scars, skin suppleness, increasing self-esteem and quality of life.
TL;DR: It was observed a high prevalence of urinary symptoms in women on efforts in women who perform any physical activity regulary and no significant relation it was observed between the severity of the UI and the level of physical activity.
Abstract: Introduction: The practice of regular physical exercise provides benefits to health and quality of life. However, theseare seen as promoters of dysfunctions of the pelvic floor muscles (PFMs). Objective: To evaluate the physical activitylevel and the presence of urinary symptoms in women who perform exercise regularly and check the relation betweenthen. Method: Forty-seven women who practice regularly physical exercise were evaluated in two gyms in the State ofSao Paulo/Brazil. The participants were characterized in accordance with the age, number of pregnancies, parity, bodymass index, waist circumference, duration of physical exercise, weekly frequency of exercise and time spent in physicalexercise. The level of physical activity was assessed by the “International Physical Activity Questionnaire” (IPAQ) longform, and the presence of urinary symptoms and their severity were assessed by the International Consultation onIncontinence Questionnaire - Short Form (ICIQ-SF). Results: Approximately 51.9% of women were considered active(greater than 600 METs value) and 49.1% were considered highly active (more than 1500’s MET value). It was observedthe presence UI in 72.3% of study participants. Approximately 52% of women showed a moderate UI according to theICIQ-SF. Conclusion: Women were considered active or very active according to the recommendations of the IPAQ. Itwas observed a high prevalence of urinary symptoms in women on efforts in women who perform any physical activityregulary. The severity of the incontinence was classified as moderate according the ICIQ-SF. No significant relation itwas observed between the severity of the UI and the level of physical activity.